Ajuby : The RAD for Rails , and Healthcare !
Ajuby is a RAD ( rapid application development ) tool for rapid building Rails application , however it has a nice presentation which include ” Healthcare, Patient Management, EMRs ” as examples in ” 10 Ways You Can Use Ajuby! “ . 
Installation :
Its easy simple to install , i manage to install it on Ubuntu with ease .
Features :
It has many features , to use in building application such as RSS feeds , search , many email features , and many other tools to build needed modules .
Ajuby takes care of security , and interface , though many other features considering the usability of the project .

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Seems quite dead to me (last update/relase 2007)!
hello :
in what way its dead
i didn’t try it myself but i use pure rails or django . so i think he puts healthcare IT in mind !
regards