It isn't in the cloud and it requires massive amounts of manual support. This isn't unusual in the EHR industry, but it does lead to more frequent outages and degradations of service," Sicilia said. Sicilia said that shortly after completing its acquisition of Cerner about six weeks ago, Oracle fixed a database bug that caused 13 of the EHR's 15 latest outages. "I can't promise you there won't be another outage, but since we made that fix in mid-June, there has been no unplanned downtime through yesterday," Sicilia said. VA Chief Information Officer Kurt DelBene said the IT architecture of the EHR "is somewhat dated at this point," and was built using a traditional client-server architecture, as opposed to a multi-tier cloud capacity system, which he said is how it would be built today. "We are working with Oracle-Cerner to get them to do a roadmap for us as to how they would migrate to a more modern architecture," DelBene said.