[Hardhats-members] NOIS Contacts problem

2005-06-09 Thread Usha



Found problem with NOIS too..

On clicking "Contacts", the following message pops 
up

---NOIS---Error 
encountered.Function was: M ERROR=AFFIL+12^FSCRPCOC, Global variable 
undefined: ^VA(200,150372994,-%GTM-E-GVUNDEF

LAST REF=^VA(200,4249,0)Error was: M Error - 
Use ^XTER.---OK 
---
Have I missed some user details?

Usha


[Hardhats-members] New vistas in Iowa

2005-06-09 Thread JohnLeo Zimmer
THIS IS NOT A DRILL !
:-)

The community health center here in Council Bluffs Iowa will
implement an EHR for our clinic. Grandpa Zimmer was yesterday given
responsibility for the choice of system and its success. My executive
director assures me of funding to do the job right. I hope to see a
reference implementation in our small clinic THIS YEAR.

Many of the members of this list already know of my own many talents and
my TNTC shortcomings. So you know what I mean when I ask for help. And
when I'm told It's your call, John. you know my choice for an EHR.


So where do I start?

jlz


The practice:
2 1/2 Family Physicians, Part Time Nurse Practitioner.
http://www.ianepca.com/home/CouncilBluffsCommunityHealthCenters.php

Member of Iowa/Nebraska Primary Care Association
http://www.ianepca.com/chc_101/chc_101.php


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Re: [Hardhats-members] New vistas in Iowa

2005-06-09 Thread Nancy Anthracite
With VistA-Office when it comes out in August.

On Thursday 09 June 2005 07:26 am, JohnLeo Zimmer wrote:
 THIS IS NOT A DRILL !

 :-)

 The community health center here in Council Bluffs Iowa will
 implement an EHR for our clinic. Grandpa Zimmer was yesterday given
 responsibility for the choice of system and its success. My executive
 director assures me of funding to do the job right. I hope to see a
 reference implementation in our small clinic THIS YEAR.

 Many of the members of this list already know of my own many talents and
 my TNTC shortcomings. So you know what I mean when I ask for help. And
 when I'm told It's your call, John. you know my choice for an EHR.


 So where do I start?

 jlz


 The practice:
 2 1/2 Family Physicians, Part Time Nurse Practitioner.
 http://www.ianepca.com/home/CouncilBluffsCommunityHealthCenters.php

 Member of Iowa/Nebraska Primary Care Association
 http://www.ianepca.com/chc_101/chc_101.php


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Nancy Anthracite


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Re: [Hardhats-members] New vistas in Iowa

2005-06-09 Thread Kevin Toppenberg
Zimmer,

A couple of thoughts come to mind:

1. Are you planning to have separate billing software and EHR?
2. Are you wanting to have the peds and OB functionality that is supposed to be coming with VistA office?
3. Will you be planning a lab interface to office equipment?
4. Are you wanting to do this yourself, or would you want to purchase an install?
5. Is your server going to be a linux box, or windows with Cache'?

Good luck
Kevin
JohnLeo Zimmer [EMAIL PROTECTED] wrote:
THIS IS NOT A DRILL !:-)The community health center here in Council Bluffs Iowa implement an EHR for our clinic. Grandpa Zimmer was yesterday givenresponsibility for the choice of system and its success. My executivedirector assures me of funding to do the job right. I hope to see areference implementation in our small clinic THIS YEAR.Many of the members of this list already know of my own many talents andmy TNTC shortcomings. So you know what I mean when I ask for help. Andwhen I'm told "It's your call, John." you know my choice for an EHR.So where do I start?jlzThe practice:2 1/2 Family Physicians, Part Time Nurse Practitioner.http://www.ianepca.com/home/CouncilBluffsCommunityHealthCenters.phpMember of Iowa/Nebraska Primary Care
 Associationhttp://www.ianepca.com/chc_101/chc_101.php---This SF.Net email is sponsored by: NEC IT Guy Games. How far can you shotputa projector? How fast can you ride your desk chair down the office luge track?If you want to score the big prize, get to know the little guy. Play to win an NEC 61" plasma display: http://www.necitguy.com/?r=20___Hardhats-members mailing listHardhats-members@lists.sourceforge.nethttps://lists.sourceforge.net/lists/listinfo/hardhats-members
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Re: [Hardhats-members] In the Beginning ---

2005-06-09 Thread Kevin Toppenberg
Ruben,

I don't know if you got an answer to your post or not. But welcome to VistA. Have you had any luck getting up and running?

Kevin
Ruben Safir [EMAIL PROTECTED] wrote:
good Morning construction workers of the world. I've finally gotten myschedule cleared enough for ViSTA and I'm very interested in helping thedevelopment of the Pharmacy modules and such. But I need to know whereto begin. If I download the sources from Sourceforge, will I be able tojust untar them and get a development system of Vista running?Ruben---This SF.Net email is sponsored by: NEC IT Guy Games. How far can you shotputa projector? How fast can you ride your desk chair down the office luge track?If you want to score the big prize, get to know the little guy. Play to win an NEC 61" plasma display: http://www.necitguy.com/?r=20___Hardhats-members mailing
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Re: [Hardhats-members] The VA Online CPRS Demo is working again

2005-06-09 Thread Gregory Woodhouse
I'm not suggesting that image quality be sacrificed, only that scroll bars or some other mechanism be provided so that it is possible to use the application at 800x600. ===Gregory Woodhouse[EMAIL PROTECTED]"And the end of all our exploringwill be to arrive where we startedAnd know the place for the first time" -- T.S. Eliot On Jun 9, 2005, at 5:49 AM, Kevin Toppenberg wrote:We have had the same issue in my office.  Many in my staff wants me to lower the resolution to 800x600 because they feel the letters are too small in 1024x768.  Then at the lower resolution, the letter edges are rough and it drives me crazy.  But they like it apparently.  Go figure... KevinGregory Woodhouse [EMAIL PROTECTED] wrote:I think the single point on which I get the most pushback (for the Visual SAC) is that user interfaces need to be usable (e.g., by providing scrollbars) on an 800x600 display. UI designers don't want to hear it, insisting that providers have bigger screens and that they want to use them. There is one application that always forces me to set my resolution at 1024x7068 (because otherwise windows are clipped and there are components to which I have no access). It drives me crazy!

Re: [Hardhats-members] Using Mail client

2005-06-09 Thread K.S. Bhaskar
Of course, some of the considerations are not necessarily valid any 
more.  On most contemporary UNIX/Linux implementations, which are not 
CPU constrained and on which forking processes is cheap, a better 
philosphy is simply to launch a process to complete each unit of 
background work as and when that work needs to get done.  And with a 
zero unit license price, one does not need to worry about license costs.


The only reason to constrain the number of concurrent processes is if 
the background work is lumpy rather than just naturally random with 
some reasonable distribution.  Then, rather like traffic lights on 
freeway on-ramps at commute time, it does make sense to limit the number 
of Taskman threads / concurrent processes.


-- Bhaskar

Gregory Woodhouse wrote:
I think most people are surprised at how much in VistA depends on 
Taskman. Without it, there is simply no background processing of any 
kind. That doesn't just mean no scheduled options (like cron jobs), but 
no network interfaces and, well, you get the idea.


There is a JOB command in MUMPS, but applications are not allowed to use 
it. There are various reasons for this, perhaps the biggest of which is 
that VistA uses a thread pooling strategy to keep the number of 
concurrent tasks under control, reducing license costs and improving 
performance.

===
Gregory Woodhouse
[EMAIL PROTECTED] mailto:[EMAIL PROTECTED]

Better. Faster. Cheaper. Pick two. 



On Jun 8, 2005, at 9:21 PM, Usha wrote:

I forgot to start TASKMAN. Now the users can send and receive the 
messages from the GuiMail.






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RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Richard . Sowinski
When I speak of the complexities of the infrastructure I am speaking of
the MPI, 
the updating of data across sites, etc. Initializing all patients with ICN's
etc.

Actually, I think that particular infrastructure could be simplified, and
probably should be
simplified, if one wanted to implement remote data viewing capability
outside of
VHA.

When you think about it, you really only need a list of sites a patient has
been
registered at, and a good identifying scheme, to assemble a patient's
record
from multiple sites.

But actually, the model I prefer is a centralized repository or
repositories.

The problem with apps like Remote Data Views and VistaWeb is, the physician
has
to hunt an peck for data. Physicians are expected to do 20-minute
appointments,
write their computerized notes and orders, and maintain 2000-patient panels.
Many Docs
simply do not have the time to look through this remote data.

Other issues are, you cannot run research-type queries across sites, to
identify cohorts
of patients meeting certain research criteria. Data is not standardized.
Your lab test name, 
or lab test panel, may be different from mine.

With a data repository: reminders, alerts, etc can be run against a
standardized database,
and and data from many sites can be viewed via a common interface. A Doctor
can even be 
paged automatically, if a patient's test data is outside normal ranges. Or
for any other
reason, specified.

But apps like RDV's and VistaWeb certainly fill a niche, for some Docs who
have smaller panels
or, who take the extra time, for now.

- Rich



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Jim
Self
Sent: Wednesday, June 08, 2005 5:55 PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] == VistaWeb Missing Apps ==


Richard Sowinski wrote:
The reason I have asked people on this list if they have VistaWeb up and
running, is because I suspect
they underestimate the infrastructure required under the hood, to make
it,
or RDV run.

I also suspect, some have misconstrued what VistaWeb is. I think some of
them think it is a Web-based front-end
to Vista, instead of a remote view-only application, used to view patient
data at other sites.

I haven't tried to get VistaWeb running because of a lack of free time for
playing with
things dependent on M$ proprietary technology, but I have thought that the
source files in
VistaWeb might be helpful in defining some aspects of what a Web-based
front-end to VistA
should include.

From reviewing the VistaWeb documentation a while back, it seemed to me that
it would be
quite easy using M2Web to improve upon the views of VistA data provided by
VistaWeb if
someone could take a little time just to specify what views are needed and
what data
fields should be included. I had the same impression from a health-e-vet
demo earlier, but
I haven't had the free time to pursue either very much so far. I have a good
understanding
of the underlying technology (MUMPS, Fileman, Web, etc.) but not of the
VistA EMR, so
someone with that knowledge and/or the time to gather it could help greatly
to move such a
project along.

---
Jim Self
Systems Architect, Lead Developer
VMTH Computer Services, UC Davis
(http://www.vmth.ucdavis.edu/us/jaself)


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RE: [Hardhats-members] New vistas in Iowa

2005-06-09 Thread Selina Pankovich
Whatever you distribute to Grandpa Zimmer, I would greatly appreciate a
CC.  :)
Selina  

Selina Pankovich
Ingenium Data Technics, Inc.
(406)533-6706
[EMAIL PROTECTED]
 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
JohnLeo Zimmer
Sent: Thursday, June 09, 2005 5:27 AM
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members] New vistas in Iowa

THIS IS NOT A DRILL !
:-)

The community health center here in Council Bluffs Iowa will
implement an EHR for our clinic. Grandpa Zimmer was yesterday given
responsibility for the choice of system and its success. My executive
director assures me of funding to do the job right. I hope to see a
reference implementation in our small clinic THIS YEAR.

Many of the members of this list already know of my own many talents and
my TNTC shortcomings. So you know what I mean when I ask for help. And
when I'm told It's your call, John. you know my choice for an EHR.


So where do I start?

jlz


The practice:
2 1/2 Family Physicians, Part Time Nurse Practitioner.
http://www.ianepca.com/home/CouncilBluffsCommunityHealthCenters.php

Member of Iowa/Nebraska Primary Care Association
http://www.ianepca.com/chc_101/chc_101.php


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Re: [Hardhats-members] Using Mail client

2005-06-09 Thread Greg Woodhouse
Still process creation isn't free. Certainly, we're better off than
when fork() was a simple clone (almost), and it was necessary to use
vfork(). Even so, thread pooling is not without advantages. Why do
people use mod_perl (or, at one time, ISAPI and NSAPI) instead of CGI
to process HTTP requests. The reason, of course, is to save the startup
cost.

That being said, I think you're right that process creation under
modern Unix systems is much cheaper, memory is more abundant, and so
on, so many of the roles played by Taskman can now be played by the
real kernel (i.e., the OS kernel).

--- K.S. Bhaskar [EMAIL PROTECTED] wrote:
 Of course, some of the considerations are not necessarily valid any 
 more.  On most contemporary UNIX/Linux implementations, which are not
 
 CPU constrained and on which forking processes is cheap, a better 
 philosphy is simply to launch a process to complete each unit of 
 background work as and when that work needs to get done.  And with a 
 zero unit license price, one does not need to worry about license
 costs.
 
 The only reason to constrain the number of concurrent processes is if
 
 the background work is lumpy rather than just naturally random with
 
 some reasonable distribution.  Then, rather like traffic lights on 
 freeway on-ramps at commute time, it does make sense to limit the
 number 
 of Taskman threads / concurrent processes.
 
 -- Bhaskar
 
 Gregory Woodhouse wrote:
  I think most people are surprised at how much in VistA depends on 
  Taskman. Without it, there is simply no background processing of
 any 
  kind. That doesn't just mean no scheduled options (like cron jobs),
 but 
  no network interfaces and, well, you get the idea.
  
  There is a JOB command in MUMPS, but applications are not allowed
 to use 
  it. There are various reasons for this, perhaps the biggest of
 which is 
  that VistA uses a thread pooling strategy to keep the number of 
  concurrent tasks under control, reducing license costs and
 improving 
  performance.
  ===
  Gregory Woodhouse
  [EMAIL PROTECTED]
 mailto:[EMAIL PROTECTED]
  
  Better. Faster. Cheaper. Pick two. 
  
  
  On Jun 8, 2005, at 9:21 PM, Usha wrote:
  
  I forgot to start TASKMAN. Now the users can send and receive the 
  messages from the GuiMail.
  
  
 
 
 ---
 This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you
 shotput
 a projector? How fast can you ride your desk chair down the office
 luge track?
 If you want to score the big prize, get to know the little guy.  
 Play to win an NEC 61 plasma display: http://www.necitguy.com/?r=20
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 https://lists.sourceforge.net/lists/listinfo/hardhats-members
 

The most profound technologies are those that disappear.
--Mark Weiser


Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 






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[Hardhats-members] Finding Caché Documentation

2005-06-09 Thread Renee Cannon








Here are some useful tips on finding and using Caché documentation.



The Cache documentation is included in the install.



The DocBook-based Caché 5.0 documentation is extendible- you
can add your own documentation and it becomes a part of the entire set, which
is searchable.  If you run the SQL feature that is being prepared as a VistA patch (email me if you want it right now), youll
see the FileMan file definition field descriptions, comments, etc. incorporated
into the searchable, browser-based documentation.   



You can view Caché 4.1 and 5.0 documentation online and/or you
download it.  Take your pick at http://www.intersystems.com/cache/downloads/documentation/cache5docs/index.html



I also have a document that explains how to optimize
printing for the Acrobat documents.  This is especially useful if youre
going to have a print shop like Kinkos print and bind them for you.  Please
email me if you would like a copy of this document.



The Caché 4.1 documentation is not as elegant as the 5.0
documentation.  However, the Caché 5.0 SQL Manager is backward-compatible to
4.1, so you can use the 5.0 documentation to learn about certain 4.1
activities, such as running SQL queries server-side.  If you want to run
queries from an ODBC client, it works just like any RDBMS you may be more
familiar with I can send you a paper on connecting Access to Caché via
ODBC.  You can do other things as well such as generating Word Documents,
Acrobat files, etc.  Just let me know what you are interested in and Ill
send you a document to guide you.



Thanks,



Renee Cannon

InterSystems Corporation

[EMAIL PROTECTED]












RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Nohlgren

- Forwarded by Steve Nohlgren/News/Sptimes on 06/09/2005 01:43 PM -




[EMAIL PROTECTED]
Sent by: [EMAIL PROTECTED]
06/09/2005 10:18 AM
Please respond to hardhats-members


To:hardhats-members@lists.sourceforge.net
cc:
Subject:RE: [Hardhats-members] == VistaWeb Missing Apps ==

Mr. Sowinski's comments about the value of a central data repository or repositories speaks to an issue we are wondering about at the St. Petersburg Times--whether or not HealtheVet plans inject some unnecessary complexities while upgrading VistA. As I understand it, the national HDR will be an Oracle database that will merge clinical data real time and avoid this hunting and pecking for remote info. It will also to allow for report writing and queries to get a better handle on trends. Kaiser Permanente is splitting those two functions in their Epic System. The clinical data is stored in a Cache warehouse so everything pops up automatically no matter where the patient goes for treatment, but that data also become input to an Oracle warehouse for report writing and analysis. As I understand it, they figured that keeping both functions in a relational database would require more CPU and slow down the clinical side. Would such a divided s
 ystem make more sense for the VA's centralized database. If anyone feels like responding to me directly, you can use your home e-mail.

Thanks, Steve Nohlgren

When I speak of the complexities of the infrastructure I am speaking of
the MPI, 
the updating of data across sites, etc. Initializing all patients with ICN's
etc.

Actually, I think that particular infrastructure could be simplified, and
probably should be
simplified, if one wanted to implement remote data viewing capability
outside of
VHA.

When you think about it, you really only need a list of sites a patient has
been
registered at, and a good identifying scheme, to assemble a patient's
record
from multiple sites.

But actually, the model I prefer is a centralized repository or
repositories.

The problem with apps like Remote Data Views and VistaWeb is, the physician
has
to hunt an peck for data. Physicians are expected to do 20-minute
appointments,
write their computerized notes and orders, and maintain 2000-patient panels.
Many Docs
simply do not have the time to look through this remote data.

Other issues are, you cannot run research-type queries across sites, to
identify cohorts
of patients meeting certain research criteria. Data is not standardized.
Your lab test name, 
or lab test panel, may be different from mine.

With a data repository: reminders, alerts, etc can be run against a
standardized database,
and and data from many sites can be viewed via a common interface. A Doctor
can even be 
paged automatically, if a patient's test data is outside normal ranges. Or
for any other
reason, specified.

But apps like RDV's and VistaWeb certainly fill a niche, for some Docs who
have smaller panels
or, who take the extra time, for now.

- Rich



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Jim
Self
Sent: Wednesday, June 08, 2005 5:55 PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] == VistaWeb Missing Apps ==


Richard Sowinski wrote:
The reason I have asked people on this list if they have VistaWeb up and
running, is because I suspect
they underestimate the infrastructure required under the hood, to make
it,
or RDV run.

I also suspect, some have misconstrued what VistaWeb is. I think some of
them think it is a Web-based front-end
to Vista, instead of a remote view-only application, used to view patient
data at other sites.

I haven't tried to get VistaWeb running because of a lack of free time for
playing with
things dependent on M$ proprietary technology, but I have thought that the
source files in
VistaWeb might be helpful in defining some aspects of what a Web-based
front-end to VistA
should include.

>From reviewing the VistaWeb documentation a while back, it seemed to me that
it would be
quite easy using M2Web to improve upon the views of VistA data provided by
VistaWeb if
someone could take a little time just to specify what views are needed and
what data
fields should be included. I had the same impression from a health-e-vet
demo earlier, but
I haven't had the free time to pursue either very much so far. I have a good
understanding
of the underlying technology (MUMPS, Fileman, Web, etc.) but not of the
VistA EMR, so
someone with that knowledge and/or the time to gather it could help greatly
to move such a
project along.

---
Jim Self
Systems Architect, Lead Developer
VMTH Computer Services, UC Davis
(http://www.vmth.ucdavis.edu/us/jaself)


---
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RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Sowinski, Richard J.



Joe, 


It's 
good to see you on Hardhats. What took you so long ?

Sorry 
about "hunt and peck" analogy it's just the most apt description of what I see 
users doing when they use these products.

It's 
just my bias, I think remote data viewers fillan interimniche. But I 
have had busy docs tell me that they don't have the time to sift through this 
data on most patients, unless they are really, really curious about something. I 
think the same thing can be said for Docs sifting through reams of CPRS data 
from their own site! Just no time to do that: they see their patient, 
writetheir note, writetheir prescription and any other orders, and 
get on to the next patient.

This 
is no reflection on your VistaWeb product. I think it's a great tool, faster 
than RDV's, and an accomplishment on your part. It certainly helps alot 
whenDocs really want to see that data.

I also 
think it is good that there is suchgreat interest outside of VA in some of 
the things VA has developed over the past few years, including 
VistaWeb.

It's all good.

Joe, 
you are on the right track, I think your VistaWeb product could be separated 
pretty simply from some of the "complexities" underneath. 

We can 
talk off-line if you want. I don't want to burn anymore Hardhats bandwidth on 
this topic, especially considering who is listening.

I have 
all the respect in the world for the St Peterburg Times and their affiliation 
with the Poynter Institute, one of the most respected journalism schools in the 
country, but I wish we could "talk tech" here without worrying about being 
monitored or quoted.

After 
all, that'sreally whatthis forum is for.

- Rich

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of 
  Gillon, JosephSent: Thursday, June 09, 2005 1:06 
  PMTo: hardhats-members@lists.sourceforge.netSubject: RE: 
  [Hardhats-members] == VistaWeb Missing Apps ==
  
  First, I should 
  mention that if you are a VA employee be careful what you say to this 
  guy. He's a biased, sensationalist reporter looking to make copy and 
  not, IMHO, particulary interested in veracity. More interested in 
  uncovering another CoreFLS than anything else.
  
  On to Rich. And 
  hi BTW, been a while. Thinking just of implementing VW or RDV outside 
  the VA, you hit on one extremely important item, namely standardization of 
  data. I disagree with the "hunt and peck" label you're sticking VW with 
  since it shows all the data, collated, in seconds. However, due to the 
  non-standard note titles and stuff of that ilk, when you sort the titles you 
  don't necessarily get, say, all the cariology notes, in one place. Were 
  I starting a new multi-site VistA system I 
  would really, really, really give some time and effort to implementing 
  standard note/report titles, lab panel titles, team names, etc. All this 
  stuff is a totally squirrelly mess in the VA after years of each site doing 
  whatever it pleased.
  
  And I think Rich hits 
  another nail on the head with the MPI thing. If you are going to have 
  distributed databases you definitely need something central to figure out what 
  sites to query. Well, maybe if you only had half a dozen sites... 
  Still. Rich, I know that VistA kicks 
  out an HL7 message on inpatient events (admit, discharge, transfer). 
  Does it do anything on outpatient visits? If it did you could just set 
  up an HL7 listener to catch these messages and put the relevant data into an 
  SQL database. Then, since VW can talk to SQL databases as well as 
  VistA databases, you could just replace the 
  MPI RPC with a select statement.
  
  
  
  
  
  From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] On Behalf Of 
  [EMAIL PROTECTED]Sent: Thursday, June 09, 2005 1:45 
  PMTo: hardhats-members@lists.sourceforge.netSubject: RE: [Hardhats-members] == 
  VistaWeb Missing Apps ==
  
  - 
  Forwarded by Steve Nohlgren/News/Sptimes on 06/09/2005 01:43 PM 
  - 
  


  

  
[EMAIL PROTECTED] 
Sent by: 
[EMAIL PROTECTED] 

06/09/2005 10:18 
AM Please respond to 
hardhats-members 
  

   
 To:hardhats-members@lists.sourceforge.net 
   
 cc:
 Subject:RE: [Hardhats-members] == 
VistaWeb Missing Apps 
==
  Mr. Sowinski's comments about 
  the value of a central data repository or repositories speaks to an issue we 
  are wondering about at the St. Petersburg Times--whether or not HealtheVet 
  plans inject some unnecessary complexities while upgrading VistA. As I understand it, the national HDR will be an 
  Oracle database that will merge clinical data real time and avoid this hunting 
  and pecking for remote info. It will also to allow for report writing 
  and queries to get a better handle on trends. Kaiser Permanente is splitting 
  those two functions in their Epic System. The clinical data 

RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Gillon, Joseph








Thats an interesting problem you
pose. Did you ever see Euclid?
It had a problem-centric UI that apparently providers loved. I guess you
would click on, say, diabetes, and it would tell you what you should know about
diabetes for patients of a certain age, gender, ethnicity, whatever. It
would offer recommendations for meds and also check prescriptions for possible
problems. It was written by a doc whos now in Reno. He just sent me the latest which
is now web-based and uses MDO, the middleware techonology that VW uses. 



A sort of related but not quite the same
feature is something VW will use soon, and thats Up-to-Date and medical
dictionary searches. User highlights text, right clicks, picks the search
engine and gets info.



Im saying all this just to indicate
there are efforts to get some AI into our EMRs. In fact, the CPRS-R folks
are going to use a lot of the old Euclid
functionality. Oh, it has a thing called Assist that helps write
notes. Sorry I dont know exactly how











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
Sent: Thursday, June 09, 2005 3:51
PM
To: 'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==







Joe, 











It's good to see you on Hardhats. What
took you so long ?











Sorry about hunt and peck
analogy it's just the most apt description of what I see users doing when they
use these products.











It's just my bias, I think remote data
viewers fillan interimniche. But I have had busy docs tell me that
they don't have the time to sift through this data on most patients, unless
they are really, really curious about something. I think the same thing can be
said for Docs sifting through reams of CPRS data from their own site! Just no
time to do that: they see their patient, writetheir note,
writetheir prescription and any other orders, and get on to the next
patient.











This is no reflection on your VistaWeb
product. I think it's a great tool, faster than RDV's, and an accomplishment on
your part. It certainly helps alot whenDocs really want to see that data.











I also think it is good that there is
suchgreat interest outside of VA in some of the things VA has developed
over the past few years, including VistaWeb.











It's all good.











Joe, you are on the right track, I think
your VistaWeb product could be separated pretty simply from some of the
complexities underneath. 











We can talk off-line if you want. I don't
want to burn anymore Hardhats bandwidth on this topic, especially considering
who is listening.











I have all the respect in the world for
the St Peterburg Times and their affiliation with the Poynter Institute, one of
the most respected journalism schools in the country, but I wish we could
talk tech here without worrying about being monitored or quoted.











After all, that'sreally
whatthis forum is for.











- Rich





-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==

First, I should mention that if you are a
VA employee be careful what you say to this guy. He's a biased,
sensationalist reporter looking to make copy and not, IMHO, particulary
interested in veracity. More interested in uncovering another CoreFLS
than anything else.



On to Rich. And hi BTW, been a
while. Thinking just of implementing VW or RDV outside the VA, you hit on
one extremely important item, namely standardization of data. I disagree
with the hunt and peck label you're sticking VW with since it shows
all the data, collated, in seconds. However, due to the non-standard note
titles and stuff of that ilk, when you sort the titles you don't necessarily
get, say, all the cariology notes, in one place. Were I starting a new
multi-site VistA system I would really,
really, really give some time and effort to implementing standard note/report
titles, lab panel titles, team names, etc. All this stuff is a totally
squirrelly mess in the VA after years of each site doing whatever it pleased.



And I think Rich hits another nail on the
head with the MPI thing. If you are going to have distributed databases
you definitely need something central to figure out what sites to query.
Well, maybe if you only had half a dozen sites... Still. Rich, I
know that VistA kicks out an HL7 message on
inpatient events (admit, discharge, transfer). Does it do anything on
outpatient visits? If it did you could just set up an HL7 listener to
catch these messages and put the relevant data into an SQL database.
Then, since VW can talk to SQL databases as well as VistA
databases, you could just replace the MPI RPC with a select statement.











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, June 09, 

Re: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread LD \Gus\ Landis
Bhaskar.

  Before killing a tree on 4.4... is there an expectation of releasing
  5.0 documentation integrating the supplemental documentation?

Cheers,
  --ldl

On 6/8/05, K.S. Bhaskar [EMAIL PROTECTED] wrote:
 GT.M V5.0-000 was released with six technical bulletins, as itemized
 below.  They were made available at the GT.M project page at Source
 Forge (http://sourceforge.net/docman/?group_id=11026 or go to
 http://sourceforge.net/projects/sanchez-gtm and click on Docs) as well
 as at the new GT.M documentation page
 (http://www.sanchez-gtm.com/user_documentation/user_doc.htm).  The
 technical bulletins have hyperlinks between them, static, relative links
 based on the file names.
 
 It appears that Source Forge renames files (actually assigns them
 numbers) and therefore all inter-document hyperlinks are broken there.
 Furthermore, it is not really possible to have linked documents since
 the new name of a document's file is not known until after it is
 uploaded.  So, these hyperlinks between technical bulletins don't work
 at Source Forge and cannot be made to work.  However, they do work at
 the GT.M documentation page.  So, do please use the GT.M documentation
 page, and as a bonus, the GT.M user manuals are also there and usable.
 
 Note that all technical bulletins are available at Source Forge, but you
 will have to get to them from the Docs page - you can't follow links
 from one document to another.  Also, user manuals are also available
 there, but must be downloaded to your computer.
 
 The technical bulletins are:
 
 GT.M V5.0-000 Release Notes
 (http://www.sanchez-gtm.com/user_documentation/targets/GTM_V5.0-000_Release_Notes.html
 and
 http://sourceforge.net/docman/display_doc.php?docid=28785group_id=11026)
 
 GTM Database Migration
 (http://www.sanchez-gtm.com/user_documentation/targets/GTM_Database_Migration.html
 and
 http://sourceforge.net/docman/display_doc.php?docid=28790group_id=11026)
 
 GTM Long Names
 (http://www.sanchez-gtm.com/user_documentation/targets/GTM_Long_Names.html
 and
 http://sourceforge.net/docman/display_doc.php?docid=28786group_id=11026)
 
 GTM Null Subscripts
 (http://www.sanchez-gtm.com/user_documentation/targets/GTM_Null_Subscripts.html
 and
 http://sourceforge.net/docman/display_doc.php?docid=28787group_id=11026)
 
 GTM Update Helper Processes
 (http://www.sanchez-gtm.com/user_documentation/targets/GTM_Update_Helper_Processes.html
 and
 http://sourceforge.net/docman/display_doc.php?docid=28788group_id=11026)
 
 GTM V5.0-000 Supplementary Information
 (http://www.sanchez-gtm.com/user_documentation/targets/GTM_V5.0-000_Supplementary_Information.html
 and
 http://sourceforge.net/docman/display_doc.php?docid=28789group_id=11026)
 
 Please allow me to emphasize that a database upgrade is required to
 migrate a database from V4 to V5.  It's simple and painless, and most of
 the work can be done while applications run normally.  But you need to
 upgrade the database, and you need to read the GT.M Database Migration
 technical bulletin to understand how.
 
 Regards
 -- Bhaskar
 
 
 ---
 This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you shotput
 a projector? How fast can you ride your desk chair down the office luge track?
 If you want to score the big prize, get to know the little guy.
 Play to win an NEC 61 plasma display: http://www.necitguy.com/?r=20
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 Hardhats-members@lists.sourceforge.net
 https://lists.sourceforge.net/lists/listinfo/hardhats-members
 


-- 
LD Landis - N0YRQ - from the St Paul side of Minneapolis


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Re: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread K.S. Bhaskar

Not in the near future, so I regret that said tree must die for V4.4.

Regards
-- Bhaskar

LD Gus Landis wrote:

Bhaskar.

  Before killing a tree on 4.4... is there an expectation of releasing
  5.0 documentation integrating the supplemental documentation?

Cheers,
  --ldl



---
This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you shotput
a projector? How fast can you ride your desk chair down the office luge track?
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Re: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread LD \Gus\ Landis
Bhaskar,

  So a complete set is:
GTM_UNIX-Prog-Manual-4.4
GT.M V5.0-000 Release Notes
GTM Database Migration
GTM Long Names
GTM Null Subscripts
GTM Update Helper Processes
GTM V5.0-000 Supplementary Information

Cheers,
  --ldl

On 6/9/05, K.S. Bhaskar [EMAIL PROTECTED] wrote:
 Not in the near future, so I regret that said tree must die for V4.4.
 
 Regards
 -- Bhaskar
 
 LD Gus Landis wrote:
  Bhaskar.
 
Before killing a tree on 4.4... is there an expectation of releasing
5.0 documentation integrating the supplemental documentation?
 
  Cheers,
--ldl
 
 
 ---
 This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you shotput
 a projector? How fast can you ride your desk chair down the office luge track?
 If you want to score the big prize, get to know the little guy.
 Play to win an NEC 61 plasma display: http://www.necitguy.com/?r=20
 ___
 Hardhats-members mailing list
 Hardhats-members@lists.sourceforge.net
 https://lists.sourceforge.net/lists/listinfo/hardhats-members
 


-- 
LD Landis - N0YRQ - from the St Paul side of Minneapolis


---
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RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Cameron Schlehuber








Regarding the nonstandard note titles and
the difficulties that poses  there have actually been some significant
peer-reviewed journal articles by some VA folks on that very issue. In fact,
standardization of note titles is one of the things currently in the queue to be
accomplished in VistA (Im not sure but I believe its also part of the
CPRS-R work coming out very soon). A fair amount of automated matching to
standard titles will be performed (no doubt with some manual intervention and
checking). Once in place, new note titles would be quickly built up from a
compound set of expressions from the Enterprise Reference Terminology which would
cover virtually all of the useful note titles (excepting the odd and
uninformative ones such as Dr Soandsos notes). That means
that both old and new titles can be sorted and searched in computationally meaningful
ways for quick and easy use.



-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==



Thats an interesting problem you
pose. Did you ever see Euclid? It had a problem-centric UI that
apparently providers loved. I guess you would click on, say, diabetes,
and it would tell you what you should know about diabetes for patients of a
certain age, gender, ethnicity, whatever. It would offer recommendations
for meds and also check prescriptions for possible problems. It was
written by a doc whos now in Reno. He just sent me the latest
which is now web-based and uses MDO, the middleware techonology that VW
uses. 



A sort of related but not quite the same
feature is something VW will use soon, and thats Up-to-Date and medical
dictionary searches. User highlights text, right clicks, picks the search
engine and gets info.



Im saying all this just to indicate
there are efforts to get some AI into our EMRs. In fact, the CPRS-R folks
are going to use a lot of the old Euclid functionality. Oh, it has a
thing called Assist that helps write notes. Sorry I dont know
exactly how











From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
Sent: Thursday, June 09, 2005 3:51
PM
To:
'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==







Joe, 











It's good to see you on Hardhats. What
took you so long ?











Sorry about hunt and peck
analogy it's just the most apt description of what I see users doing when they
use these products.











It's just my bias, I think remote data
viewers fillan interimniche. But I have had busy docs tell me that
they don't have the time to sift through this data on most patients, unless
they are really, really curious about something. I think the same thing can be
said for Docs sifting through reams of CPRS data from their own site! Just no
time to do that: they see their patient, writetheir note,
writetheir prescription and any other orders, and get on to the next
patient.











This is no reflection on your VistaWeb
product. I think it's a great tool, faster than RDV's, and an accomplishment on
your part. It certainly helps alot whenDocs really want to see that data.











I also think it is good that there is
suchgreat interest outside of VA in some of the things VA has developed
over the past few years, including VistaWeb.











It's all good.











Joe, you are on the right track, I think
your VistaWeb product could be separated pretty simply from some of the
complexities underneath. 











We can talk off-line if you want. I don't
want to burn anymore Hardhats bandwidth on this topic, especially considering
who is listening.











I have all the respect in the world for
the St Peterburg Times and their affiliation with the Poynter Institute, one of
the most respected journalism schools in the country, but I wish we could
talk tech here without worrying about being monitored or quoted.











After all, that'sreally
whatthis forum is for.











- Rich





-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==

First, I should mention that if you are a
VA employee be careful what you say to this guy. He's a biased,
sensationalist reporter looking to make copy and not, IMHO, particulary
interested in veracity. More interested in uncovering another CoreFLS
than anything else.



On to Rich. And hi BTW, been a
while. Thinking just of implementing VW or RDV outside the VA, you hit on
one extremely important item, namely standardization of data. I disagree
with the hunt and peck label you're sticking VW with since it shows
all the data, collated, in seconds. However, due to the non-standard note
titles and stuff of that 

Re: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread K.S. Bhaskar

Current documentation includes
  Administration and Operations Guide (a collection of PDF files)
  Messages and Recovery Procedures

Go to http://www.sanchez-gtm.com/user_documentation/user_doc.htm and 
you'll find the above documentation.


You will also need the following
  GT.M MUPIP SET JOURNAL 
(http://sourceforge.net/docman/display_doc.php?docid=11357group_id=11026)


You may also find the following useful
  GT.M Job Examine / System Status How To 
(http://sourceforge.net/docman/display_doc.php?docid=19563group_id=11026)
  GT.M Environment Translation Enhancement - Functional Specification 
(GT.M Environment Translation Enhancement - Functional Specification)
  GT.M Security 
(http://sourceforge.net/docman/display_doc.php?docid=2125group_id=11026)


Regards
-- Bhaskar

LD Gus Landis wrote:

Bhaskar,

  So a complete set is:
GTM_UNIX-Prog-Manual-4.4
GT.M V5.0-000 Release Notes
GTM Database Migration
GTM Long Names
GTM Null Subscripts
GTM Update Helper Processes
GTM V5.0-000 Supplementary Information

Cheers,
  --ldl

On 6/9/05, K.S. Bhaskar [EMAIL PROTECTED] wrote:


Not in the near future, so I regret that said tree must die for V4.4.

Regards
-- Bhaskar

LD Gus Landis wrote:


Bhaskar.

 Before killing a tree on 4.4... is there an expectation of releasing
 5.0 documentation integrating the supplemental documentation?

Cheers,
 --ldl



---
This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you shotput
a projector? How fast can you ride your desk chair down the office luge track?
If you want to score the big prize, get to know the little guy.
Play to win an NEC 61 plasma display: http://www.necitguy.com/?r=20
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---
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[Hardhats-members] i can`t create a profiles because i don'y know how

2005-06-09 Thread Carlos sosa sosa
as I can create different profiles I speak of doctors, nurses, people of 
faramciam, laboratories of cirugia, please tell me that file I must read for 
being able to enter it and to create the necessary profiles, and I have 
patients many, also I have clinicas and hospitals but I do not have doctors 
nor specialties can help me please


_
Express yourself instantly with MSN Messenger! Download today it's FREE! 
http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/




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Re: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread Greg Woodhouse
What is GTM Null Subscripts?

--- LD \Gus\ Landis [EMAIL PROTECTED] wrote:
 Bhaskar,
 
   So a complete set is:
 GTM_UNIX-Prog-Manual-4.4
 GT.M V5.0-000 Release Notes
 GTM Database Migration
 GTM Long Names
 GTM Null Subscripts
 GTM Update Helper Processes
 GTM V5.0-000 Supplementary Information
 
 Cheers,
   --ldl
 
 On 6/9/05, K.S. Bhaskar [EMAIL PROTECTED] wrote:
  Not in the near future, so I regret that said tree must die for
 V4.4.
  
  Regards
  -- Bhaskar
  
  LD Gus Landis wrote:
   Bhaskar.
  
 Before killing a tree on 4.4... is there an expectation of
 releasing
 5.0 documentation integrating the supplemental documentation?
  
   Cheers,
 --ldl
  
  
  ---
  This SF.Net email is sponsored by: NEC IT Guy Games.  How far can
 you shotput
  a projector? How fast can you ride your desk chair down the office
 luge track?
  If you want to score the big prize, get to know the little guy.
  Play to win an NEC 61 plasma display:
 http://www.necitguy.com/?r=20
  ___
  Hardhats-members mailing list
  Hardhats-members@lists.sourceforge.net
  https://lists.sourceforge.net/lists/listinfo/hardhats-members
  
 
 
 -- 
 LD Landis - N0YRQ - from the St Paul side of Minneapolis
 
 
 ---
 This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you
 shotput
 a projector? How fast can you ride your desk chair down the office
 luge track?
 If you want to score the big prize, get to know the little guy.
 Play to win an NEC 61 plasma display: http://www.necitguy.com/?r 
 ___
 Hardhats-members mailing list
 Hardhats-members@lists.sourceforge.net
 https://lists.sourceforge.net/lists/listinfo/hardhats-members
 

The most profound technologies are those that disappear.
--Mark Weiser


Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 






---
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RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Cameron Schlehuber








That was the original expectation.
That had to change a bit due to demand and practical considerations.



-Original Message-
From: Greg Woodhouse [mailto:[EMAIL PROTECTED] 
Sent: Thursday, June 09, 2005 3:33 PM
To: [EMAIL PROTECTED]
Subject: RE: [Hardhats-members] == VistaWeb Missing Apps ==



Isn't that just rehosting from Delphi to Java (with no
re-engineering

work)?



-Original Message-
From: Cameron Schlehuber
[mailto:[EMAIL PROTECTED] 
Sent: Thursday, June
 09, 2005 2:53 PM
To:
'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==



Regarding the nonstandard note titles and
the difficulties that poses  there have actually been some significant
peer-reviewed journal articles by some VA folks on that very issue. In
fact, standardization of note titles is one of the things currently in the
queue to be accomplished in VistA (Im not sure but I believe its
also part of the CPRS-R work coming out very soon). A fair amount of
automated matching to standard titles will be performed (no doubt with some
manual intervention and checking). Once in place, new note titles would
be quickly built up from a compound set of expressions from the Enterprise
Reference Terminology which would cover virtually all of the useful note titles
(excepting the odd and uninformative ones such as Dr Soandsos
notes). That means that both old and new titles can be sorted and
searched in computationally meaningful ways for quick and easy use.



-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==



Thats an interesting problem you
pose. Did you ever see Euclid? It had a problem-centric UI that
apparently providers loved. I guess you would click on, say, diabetes,
and it would tell you what you should know about diabetes for patients of a
certain age, gender, ethnicity, whatever. It would offer recommendations
for meds and also check prescriptions for possible problems. It was
written by a doc whos now in Reno. He just sent me the latest
which is now web-based and uses MDO, the middleware techonology that VW
uses. 



A sort of related but not quite the same
feature is something VW will use soon, and thats Up-to-Date and medical
dictionary searches. User highlights text, right clicks, picks the search
engine and gets info.



Im saying all this just to indicate
there are efforts to get some AI into our EMRs. In fact, the CPRS-R folks
are going to use a lot of the old Euclid functionality. Oh, it has a
thing called Assist that helps write notes. Sorry I dont know
exactly how











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
Sent: Thursday, June 09, 2005 3:51
PM
To: 'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==







Joe, 











It's good to see you on Hardhats. What
took you so long ?











Sorry about hunt and peck
analogy it's just the most apt description of what I see users doing when they
use these products.











It's just my bias, I think remote data
viewers fillan interimniche. But I have had busy docs tell me that
they don't have the time to sift through this data on most patients, unless
they are really, really curious about something. I think the same thing can be
said for Docs sifting through reams of CPRS data from their own site! Just no
time to do that: they see their patient, writetheir note,
writetheir prescription and any other orders, and get on to the next
patient.











This is no reflection on your VistaWeb
product. I think it's a great tool, faster than RDV's, and an accomplishment on
your part. It certainly helps alot whenDocs really want to see that data.











I also think it is good that there is
suchgreat interest outside of VA in some of the things VA has developed
over the past few years, including VistaWeb.











It's all good.











Joe, you are on the right track, I think
your VistaWeb product could be separated pretty simply from some of the
complexities underneath. 











We can talk off-line if you want. I don't
want to burn anymore Hardhats bandwidth on this topic, especially considering
who is listening.











I have all the respect in the world for
the St Peterburg Times and their affiliation with the Poynter Institute, one of
the most respected journalism schools in the country, but I wish we could
talk tech here without worrying about being monitored or quoted.











After all, that'sreally
whatthis forum is for.











- Rich





-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==

First, 

RE: [Hardhats-members] NOIS Contacts problem

2005-06-09 Thread clint . latimer








Nois USER DEFAULTS file contains the set up information for each of the
specialists who would be working the NOIS messages.

The loop where the error occurred was
looking for Group Affiliations and this is the NOIS WORK GROUP file ^FSC("PACKG",



I use the following work groups

CLINICAL APPLICATIONS 

 FINANCIAL - ADMINISTRATIVE 

 HARDWARE 

 INFRASTRUCTURE 

 PATIENT ADMINISTRATION











From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Usha
Sent: Wednesday, June 08, 2005
11:04 PM
To:
hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members] NOIS
Contacts problem







Found problem with NOIS too..











On clicking Contacts, the following message pops
up











---
NOIS
---
Error encountered.
Function was: M ERROR=AFFIL+12^FSCRPCOC, Global variable undefined:
^VA(200,150372994,-%GTM-E-GVUNDEF











LAST REF=^VA(200,4249,0)
Error was: M Error - Use ^XTER.
---
OK 
---





Have I missed some user details?











Usha










Re: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread Greg Woodhouse
So...without this option, the following wouldn't be an error??

BAYS ^TMP($J,)=

S ^TMP($J,)=
^
SUBSCRIPT
BAY 

(Yes, I know, this is Cache.)


--- K.S. Bhaskar [EMAIL PROTECTED] wrote:
 Greg --
 
 GT.M traditionally collated null subscripts between numerics and 
 strings, instead of the M standard way, before numerics.  GT.M
 V5.0-000 
 has an option to create a database that conforms to the M standard or
 
 which does things the traditional GT.M way.
 
 Also with V5.0-000 comes an option to allow existing nodes with null 
 subscripts in a database, but to prevent the creation of any new
 nodes 
 with null subscripts.
 
 These are described in the GT.M Null Subscripts technical bulletin 

(http://www.sanchez-gtm.com/user_documentation/targets/GTM_Null_Subscripts.html).
 
 -- Bhaskar
 
 Greg Woodhouse wrote:
  What is GTM Null Subscripts?
 
 
 ---
 This SF.Net email is sponsored by: NEC IT Guy Games.  How far can you
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Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 






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RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Gillon, Joseph








Yep. One of the many, very valid reasons
the VA is replacing VistA, and one not mentioned, I believe, in the St. Pete
Times article.











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cameron Schlehuber
Sent: Thursday, June 09, 2005 5:53
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==





Regarding the nonstandard note titles and
the difficulties that poses ... there have actually been some significant
peer-reviewed journal articles by some VA folks on that very issue. In
fact, standardization of note titles is one of the things currently in the
queue to be accomplished in VistA (I'm
not sure but I believe it's also part of the CPRS-R work coming out very
soon). A fair amount of automated matching to standard titles will be
performed (no doubt with some manual intervention and checking). Once in
place, new note titles would be quickly built up from a compound set of
expressions from the Enterprise Reference Terminology which would cover
virtually all of the useful note titles (excepting the odd and uninformative
ones such as "Dr Soandso's notes"). That means that
both old and new titles can be sorted and searched in computationally
meaningful ways for quick and easy use.



-Original Message-
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==



That's an interesting problem you
pose. Did you ever see Euclid?
It had a problem-centric UI that apparently providers loved. I guess you
would click on, say, diabetes, and it would tell you what you should know about
diabetes for patients of a certain age, gender, ethnicity, whatever. It
would offer recommendations for meds and also check prescriptions for possible
problems. It was written by a doc who's now in Reno. He just sent me the latest which
is now web-based and uses MDO, the middleware techonology that VW uses. 



A sort of related but not quite the same
feature is something VW will use soon, and that's Up-to-Date and medical
dictionary searches. User highlights text, right clicks, picks the search
engine and gets info.



I'm saying all this just to indicate
there are efforts to get some AI into our EMRs. In fact, the CPRS-R folks
are going to use a lot of the old Euclid
functionality. Oh, it has a thing called Assist that helps write
notes. Sorry I don't know exactly how...











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
Sent: Thursday, June 09, 2005 3:51
PM
To:
'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==







Joe, 











It's good to see you on Hardhats. What
took you so long ?











Sorry about hunt and peck
analogy it's just the most apt description of what I see users doing when they
use these products.











It's just my bias, I think remote data
viewers fillan interimniche. But I have had busy docs tell me that
they don't have the time to sift through this data on most patients, unless
they are really, really curious about something. I think the same thing can be
said for Docs sifting through reams of CPRS data from their own site! Just no
time to do that: they see their patient, writetheir note,
writetheir prescription and any other orders, and get on to the next
patient.











This is no reflection on your VistaWeb
product. I think it's a great tool, faster than RDV's, and an accomplishment on
your part. It certainly helps alot whenDocs really want to see that data.











I also think it is good that there is
suchgreat interest outside of VA in some of the things VA has developed
over the past few years, including VistaWeb.











It's all good.











Joe, you are on the right track, I think
your VistaWeb product could be separated pretty simply from some of the
complexities underneath. 











We can talk off-line if you want. I don't want
to burn anymore Hardhats bandwidth on this topic, especially considering who is
listening.











I have all the respect in the world for
the St Peterburg Times and their affiliation with the Poynter Institute, one of
the most respected journalism schools in the country, but I wish we could
talk tech here without worrying about being monitored or quoted.











After all, that'sreally
whatthis forum is for.











- Rich





-Original Message-
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To:
hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==

First, I should mention that if you are a
VA employee be careful what you say to this guy. He's a biased,
sensationalist reporter looking to make copy and not, IMHO, particulary
interested in veracity. More interested in 

RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread Gordon Moreshead








Oh!? That is a data/terminology
standardization issue and not particularly relevant to replacing Vista. This can be an issue in any system
implemented in multiple sites.











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 6:24
PM
To: 'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==





Yep. One of the many, very valid
reasons the VA is replacing VistA, and one not mentioned, I believe, in the St.
Pete Times article.











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cameron Schlehuber
Sent: Thursday, June 09, 2005 5:53
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==





Regarding the nonstandard note titles and
the difficulties that poses ... there have actually been some significant
peer-reviewed journal articles by some VA folks on that very issue. In
fact, standardization of note titles is one of the things currently in the
queue to be accomplished in VistA (I'm not
sure but I believe it's also part of the CPRS-R work coming out very
soon). A fair amount of automated matching to standard titles will be
performed (no doubt with some manual intervention and checking). Once in
place, new note titles would be quickly built up from a compound set of expressions
from the Enterprise Reference Terminology which would cover virtually all of
the useful note titles (excepting the odd and uninformative ones such as
Dr Soandso's notes). That means that both old and new titles
can be sorted and searched in computationally meaningful ways for quick and
easy use.



-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==



That's an interesting problem you
pose. Did you ever see Euclid?
It had a problem-centric UI that apparently providers loved. I guess you
would click on, say, diabetes, and it would tell you what you should know about
diabetes for patients of a certain age, gender, ethnicity, whatever. It
would offer recommendations for meds and also check prescriptions for possible
problems. It was written by a doc who's now in Reno. He just sent me the latest which
is now web-based and uses MDO, the middleware techonology that VW uses. 



A sort of related but not quite the same
feature is something VW will use soon, and that's Up-to-Date and medical
dictionary searches. User highlights text, right clicks, picks the search
engine and gets info.



I'm saying all this just to indicate there
are efforts to get some AI into our EMRs. In fact, the CPRS-R folks are
going to use a lot of the old Euclid
functionality. Oh, it has a thing called Assist that helps write
notes. Sorry I don't know exactly how...











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
Sent: Thursday, June 09, 2005 3:51
PM
To: 'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==







Joe, 











It's good to see you on Hardhats. What
took you so long ?











Sorry about hunt and peck
analogy it's just the most apt description of what I see users doing when they
use these products.











It's just my bias, I think remote data
viewers fillan interimniche. But I have had busy docs tell me that
they don't have the time to sift through this data on most patients, unless
they are really, really curious about something. I think the same thing can be
said for Docs sifting through reams of CPRS data from their own site! Just no
time to do that: they see their patient, writetheir note,
writetheir prescription and any other orders, and get on to the next
patient.











This is no reflection on your VistaWeb
product. I think it's a great tool, faster than RDV's, and an accomplishment on
your part. It certainly helps alot whenDocs really want to see that data.











I also think it is good that there is suchgreat
interest outside of VA in some of the things VA has developed over the past few
years, including VistaWeb.











It's all good.











Joe, you are on the right track, I think
your VistaWeb product could be separated pretty simply from some of the complexities
underneath. 











We can talk off-line if you want. I don't
want to burn anymore Hardhats bandwidth on this topic, especially considering
who is listening.











I have all the respect in the world for
the St Peterburg Times and their affiliation with the Poynter Institute, one of
the most respected journalism schools in the country, but I wish we could
talk tech here without worrying about being monitored or quoted.











After all, that'sreally
whatthis forum is for.











- Rich





-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL 

Re: [Hardhats-members] Using Mail client

2005-06-09 Thread Jim Self
The idea that processes are cheap and no longer artificially constrained by 
licensing
issues was one of the more wonderful revelations that came to us with our 
switch to Linux
and GT.M.

Thanks again, Baskar.
 
Bhaskar wrote:
Of course, some of the considerations are not necessarily valid any
more.  On most contemporary UNIX/Linux implementations, which are not
CPU constrained and on which forking processes is cheap, a better
philosphy is simply to launch a process to complete each unit of
background work as and when that work needs to get done.  And with a
zero unit license price, one does not need to worry about license costs.

The only reason to constrain the number of concurrent processes is if
the background work is lumpy rather than just naturally random with
some reasonable distribution.  Then, rather like traffic lights on
freeway on-ramps at commute time, it does make sense to limit the number
of Taskman threads / concurrent processes.

-- Bhaskar

Gregory Woodhouse wrote:
 I think most people are surprised at how much in VistA depends on
 Taskman. Without it, there is simply no background processing of any
 kind. That doesn't just mean no scheduled options (like cron jobs), but
 no network interfaces and, well, you get the idea.

 There is a JOB command in MUMPS, but applications are not allowed to use
 it. There are various reasons for this, perhaps the biggest of which is
 that VistA uses a thread pooling strategy to keep the number of
 concurrent tasks under control, reducing license costs and improving
 performance.
 ===
 Gregory Woodhouse
 [EMAIL PROTECTED] mailto:[EMAIL PROTECTED]

 Better. Faster. Cheaper. Pick two.


 On Jun 8, 2005, at 9:21 PM, Usha wrote:

 I forgot to start TASKMAN. Now the users can send and receive the
 messages from the GuiMail.




---
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---
Jim Self
Systems Architect, Lead Developer
VMTH Computer Services, UC Davis
(http://www.vmth.ucdavis.edu/us/jaself)


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Re: [Hardhats-members] i can`t create a profiles because i don'y know how

2005-06-09 Thread Nancy Anthracite
http://www.va.gov/vdl/Clinical.asp?appID=58  

Try here, the clinical coordinators manual might help some.




On Thursday 09 June 2005 06:22 pm, Carlos sosa sosa wrote:
 as I can create different profiles I speak of doctors, nurses, people of
 faramciam, laboratories of cirugia, please tell me that file I must read
 for being able to enter it and to create the necessary profiles, and I have
 patients many, also I have clinicas and hospitals but I do not have doctors
 nor specialties can help me please

 _
 Express yourself instantly with MSN Messenger! Download today it's FREE!
 http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/



 ---
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-- 
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RE: [Hardhats-members] Accessing GT.M documentation at Source Forge

2005-06-09 Thread Bhaskar, KS
Greg --

GT.M actually has three options with respect to null subscripts:

  - prohibit null subscripts - error to read as well as set
  - permit null subscripts - OK to read as well as set
  - permit existing - OK to read, error to set

Orthogonal to the above are two options for collating null subscripts:

  - between numerics and strings (traditional GT.M method)
  - before numerics (M standard method)

-- Bhaskar

-Original Message-
From:   [EMAIL PROTECTED] on behalf of Greg Woodhouse
Sent:   Thu 6/9/2005 7:27 PM
To: hardhats-members@lists.sourceforge.net
Cc: 
Subject:Re: [Hardhats-members] Accessing GT.M documentation at Source 
Forge
So...without this option, the following wouldn't be an error??

BAYS ^TMP($J,)=

S ^TMP($J,)=
^
SUBSCRIPT
BAY 

(Yes, I know, this is Cache.)


--- K.S. Bhaskar [EMAIL PROTECTED] wrote:
 Greg --
 
 GT.M traditionally collated null subscripts between numerics and 
 strings, instead of the M standard way, before numerics.  GT.M
 V5.0-000 
 has an option to create a database that conforms to the M standard or
 
 which does things the traditional GT.M way.
 
 Also with V5.0-000 comes an option to allow existing nodes with null 
 subscripts in a database, but to prevent the creation of any new
 nodes 
 with null subscripts.
 
 These are described in the GT.M Null Subscripts technical bulletin 

(http://www.sanchez-gtm.com/user_documentation/targets/GTM_Null_Subscripts.html).
 
 -- Bhaskar
 
 Greg Woodhouse wrote:
  What is GTM Null Subscripts?
 
 
 ---
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Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 






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winmail.dat

Re: [Hardhats-members] New vistas in Iowa

2005-06-09 Thread JohnLeo Zimmer
Kevin Toppenberg wrote:
 Zimmer,
  
 A couple of thoughts come to mind:
  
 1. Are you planning to have separate billing software and EHR?

[jlz] I plan to implement the EHR (Problem List, ICD, pharmacy, Vitals,
in VistA while the legacy business system does registration, and
billing and passes demographics into VistA. I'd expect to replace
Healthpro with an open source solution ASAP. But I don't want to tie the
 two too tightly together until both sides are proven to work.

 2. Are you wanting to have the peds and OB functionality that is supposed to 
 be coming with VistA office?

[Yes.]

 3. Will you be planning a lab interface to office equipment?

[Yes.]

 4. Are you wanting to do this yourself, or would you want to purchase an 
 install?

[Purchase. In my current job I am the physician champion for health
information technology (a good one, I hope to say). I know I am NOT a
businesman, nor accountant, nor software/hardware engineer, nor janitor.]

 5. Is your server going to be a linux box, or windows with Cache'?

[I'm strongly biased toward an open source approach to healthcare. I
want to work toward standards independent of any single vendor.]


I like these questions, Kevin.

regards,

jlz



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RE: [Hardhats-members] == VistaWeb Missing Apps ==

2005-06-09 Thread David Sommers








And I doubt the underlying technology in
the current VistA is restricting the ability to make this happen now. It just
happens to occur where the VA is doing new work (unless its
being back-ported to VistA).











From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Gordon Moreshead
Sent: Thursday, June 09, 2005 8:50
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==





Oh!? That is a data/terminology
standardization issue and not particularly relevant to replacing Vista. This can be an issue in any system implemented in multiple sites.











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 6:24
PM
To: 'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==





Yep. One of the many, very valid
reasons the VA is replacing VistA, and one not mentioned, I believe, in the St.
Pete Times article.











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cameron Schlehuber
Sent: Thursday, June 09, 2005 5:53
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==





Regarding the nonstandard note titles and
the difficulties that poses ... there have actually been some significant
peer-reviewed journal articles by some VA folks on that very issue. In
fact, standardization of note titles is one of the things currently in the
queue to be accomplished in VistA (I'm not sure but I believe it's also part of
the CPRS-R work coming out very soon). A fair amount of automated
matching to standard titles will be performed (no doubt with some manual
intervention and checking). Once in place, new note titles would be
quickly built up from a compound set of expressions from the Enterprise
Reference Terminology which would cover virtually all of the useful note titles
(excepting the odd and uninformative ones such as Dr Soandso's
notes). That means that both old and new titles can be sorted and
searched in computationally meaningful ways for quick and easy use.



-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gillon, Joseph
Sent: Thursday, June 09, 2005 1:06
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==



That's an interesting problem you
pose. Did you ever see Euclid? It had a problem-centric UI that
apparently providers loved. I guess you would click on, say, diabetes,
and it would tell you what you should know about diabetes for patients of a
certain age, gender, ethnicity, whatever. It would offer recommendations
for meds and also check prescriptions for possible problems. It was
written by a doc who's now in Reno. He just sent me the latest which is
now web-based and uses MDO, the middleware techonology that VW uses. 



A sort of related but not quite the same
feature is something VW will use soon, and that's Up-to-Date and medical
dictionary searches. User highlights text, right clicks, picks the search
engine and gets info.



I'm saying all this just to indicate there
are efforts to get some AI into our EMRs. In fact, the CPRS-R folks are
going to use a lot of the old Euclid functionality. Oh, it has a thing
called Assist that helps write notes. Sorry I don't know exactly how...











From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
Sent: Thursday, June 09, 2005 3:51
PM
To: 'hardhats-members@lists.sourceforge.net'
Subject: RE: [Hardhats-members] ==
VistaWeb Missing Apps ==







Joe, 











It's good to see you on Hardhats. What
took you so long ?











Sorry about hunt and peck
analogy it's just the most apt description of what I see users doing when they
use these products.











It's just my bias, I think remote data
viewers fillan interimniche. But I have had busy docs tell me that
they don't have the time to sift through this data on most patients, unless
they are really, really curious about something. I think the same thing can be
said for Docs sifting through reams of CPRS data from their own site! Just no
time to do that: they see their patient, writetheir note,
writetheir prescription and any other orders, and get on to the next
patient.











This is no reflection on your VistaWeb
product. I think it's a great tool, faster than RDV's, and an accomplishment on
your part. It certainly helps alot whenDocs really want to see that data.











I also think it is good that there is
suchgreat interest outside of VA in some of the things VA has developed
over the past few years, including VistaWeb.











It's all good.











Joe, you are on the right track, I think
your VistaWeb product could be separated pretty simply from some of the
complexities underneath. 











We can talk off-line if you want. I don't want
to burn anymore Hardhats bandwidth on this topic, especially 

[Hardhats-members] RE: [Hardhats-members] Finding Caché Documentation

2005-06-09 Thread Thies, Karl Mr LND








Please forward me your documentation on
optimizing the printing of the Acrobat documents.  This might be useful if I
decide to print the entire documentation set.



Did you know that they have Kinkos over
here?  In any of the larger cities and towns you will find most of the major
chains, and things like McDonalds, Burger King, KFC, Pizza Hut, Wall Mart are
everywhere you look, even in the smaller places like where I live. 
Globalization at its finest!



Please forward me your documentation about
connecting Access (MS?) to Caché via ODBC.  Would this also indicate how to
connect other products like Crystal Report?



Right now I would be most interested in
obtaining documentation on mapping Fileman files to Caché classes.  If you have
any documentation on this process I would be most grateful.  I am not sure if
this is what you are referring to when you talk about an SQL feature currently
being prepared as a VistA patch.











From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Renee Cannon
Sent: Thursday, June 09, 2005 7:35
PM
To:
hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members]
Finding Caché Documentation





Here are some useful tips on finding and using Caché
documentation.



The Cache documentation is included in the install.



The DocBook-based Caché 5.0 documentation is extendible- you
can add your own documentation and it becomes a part of the entire set, which
is searchable. If you run the SQL feature that is being prepared as a VistA patch (email me if you want it right now),
youll see the FileMan file definition field descriptions, comments, etc.
incorporated into the searchable, browser-based documentation. 



You can view Caché 4.1 and 5.0 documentation online and/or
you download it. Take your pick at
http://www.intersystems.com/cache/downloads/documentation/cache5docs/index.html



I also have a document that explains how to optimize
printing for the Acrobat documents. This is especially useful if
youre going to have a print shop like Kinkos print and bind them for
you. Please email me if you would like a copy of this document.



The Caché 4.1 documentation is not as elegant as the 5.0
documentation. However, the Caché 5.0 SQL Manager is backward-compatible
to 4.1, so you can use the 5.0 documentation to learn about certain 4.1
activities, such as running SQL queries server-side. If you want to run
queries from an ODBC client, it works just like any RDBMS you may be more
familiar with I can send you a paper on connecting Access to Caché via
ODBC. You can do other things as well such as generating Word Documents,
Acrobat files, etc. Just let me know what you are interested in and
Ill send you a document to guide you.



Thanks,



Renee Cannon

InterSystems Corporation

[EMAIL PROTECTED]