Dear Joseph,
I do not understand Joseph's statement: > The only closed source software in VistA is found in the medical imaging > application and if you go with the Cache based version of MUMPS with the > MUMPS layer too. What I found in the readme.html on ftp://ftp.va.gov/vista/software/ is the following list: >>The FOIA packages included are: >>ACCOUNTS RECEIVABLE PRCA 4.5 .... .... >>IMAGING MAG 3.0 ... ... >>WOMEN'S HEALTH WV 1.0 and this sentence: >>Under FOIA, certain records may be withheld in whole or in part from the requestor if they fall within one of nine FOIA exemptions. Four of these exemptions >>form the basis for the withholding of software by the VHA: Protects certain records related solely to VHA's internal rules and practices. Protects information that >>is prohibited from disclosure by other laws. Protects trade secrets and confidential commercial or financial information. Protects certain interagency and intra->>agency communications. >>Therefore removed are copyrighted dlls, mental health tests, CPT codes, medication instructions, and electronic signature hashing algorithms. >>Copyright Holder Mental Health Instrument >>CPP AOR......>>To install the CPT codes (which may be purchased from the AMA on electronic media) for use within VistA, the instruction manual for the conversion and >>routines may be found under the folder "VistA\Software\Packages\CPT-HCPCS Codes - ICPT\programs\AMA to VistA conversion" >>The electronic signature hashing algorithms have been replaced in routines XUSHSH and XUSHSHP. So this means, that "imaging" is included. What is NOT included is the internal VHA stuff, signature hashing algorithms, mental health tests and CPT codes. Right or wrong ? Cheers Alex ----- Original Message ----- From: "Joseph Dal Molin" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Cc: <[EMAIL PROTECTED]>; "openhealth" <[EMAIL PROTECTED]> Sent: Sunday, June 06, 2004 10:29 PM Subject: Re: [Care2002-developers] Comparing Care2x to other EPR/HIS/GP > First thank you for sharing this information. Some clarification and > additional suggestions: > > On Sun, 2004-06-06 at 13:49, J. Antas wrote: > > Roel De Meester wrote: > > > > > Hello, > > > i was told too ask you about a comparison of care2x against similar other open source projects. > > > I want to implement a HIS/EMR/EPR (whatever you call it) in one nonprofit outpatient AIDS/HIV > > > clinic. Later on, it will be implemented in several clinics in Africa and South America. > > > Any suggestions? > > > > I know of at least 2 different studies about open sourced HIS (as in > > Hospital Information System). They are both government sponsored and, as > > far as I know of, they are not public. One of them is european. Being > > co-author of one of them, I may be biased. > > > My views will be biased too as I am collaborating with both the VistA > and OSCAR communities. > > > Simply put, in the Open Source HIS software you do not have many choices: > > 1. Either you choose VISTA, which is now (mostly) 30 years old. It > > started as US Veterans Administration's own private IT project and was > > recently open sourced. > > Actually VistA's source code has been available for about 15 years as > public domain through the freedom of information act. What has not been > available until a couple of years ago was a Linux based version running > on an open source version of MUMPS (in this case GT.M from Fidelity (us > to be Sanchez Computer Associates) > > > > Several commercial operations are trying to > > explore it and openVISTA is the project that usually comes to mind. > > Both its age, its closed software origins and its US citizenship shows > > when you start to do some serious work with it. > > While it has a long history it has been continuously evolving and > improving via what is essentially an internal open source community made > up of the 170 hospitals that use it in the VA. In terms of user > acceptance by physicians and nurses a recent survey published by the > American College of Physician Executives found that it was the only > EMR/EHR that the 1,600 or so survey respondents were very positive > about. > > > It is reliable, pretty well tested and with a strong supporter base in > > the US. I would call it "baseball" software, as it is mostly a US > > "thing" built to address the idiosyncrasies of the US health system. > > I would say that its idiosyncrasies are more those of the Veterans > Administration than the US health system because it was developed and > evolved in a single payer environment...essentially like the one we have > here in Canada and in most other countries. In addition veteran's have > free heath care for life in the VA system...again very much like most > other countries. The gaps show up in the fact that there is currently no > OB/GY nor pediatric component....although these are in the process of > receiving attention by several groups. > > > > If you go for VISTA be prepared to go to a different dimension and to > > study a world of once closed software: > > The only closed source software in VistA is found in the medical imaging > application and if you go with the Cache based version of MUMPS with the > MUMPS layer too. > > > - own and specific database management system, > > Yes and no...you are tied to Fileman in MUMPS but you can access and > interact with all popular data base software. > > - own and specific communications protocols, > It is standards based...not sure what you mean here...it is HL7 > compliant etc. > > > - the M language (once called MUMPS), > > True...but M is very powerful, fast, and rock solid. VistA implements > ANSI standard MUMPS so it is quite portable across MUMPS versions. > > > - a very US specific way of dealing with the health matters. > > > > 2. Or you choose Care2x. Besides also being open, it is based in newer > > paradigms and programming languages. It seems to be maturing very > > quickly and, as we speak, a better (more reliable) version is being tested. > > While the underlying technology architecture for an EHR is > important...the more important characteristic IMHO (assuming a robust, > flexible and high performance platform) is that the application be well > accepted by users and highly effective in helping them do their work. My > advice to other open source EMR/EHR developers is too copy and improve > what VistA has done at the level the user interacts with an EHR. I am > surprised how "zero based" people's thinking is (am not suggesting this > of Care2X....I am really not familiar enough with it to comment). OSCAR > is an excellent example of how to build on the best functionality of in > this case its predecessor. > > > > Either way, be prepared to invest time and money and, please... > > Most definitely...it takes money to do it right. > > > > Cheers, > > Joseph > > > > ------------------------------------------------------- > This SF.Net email is sponsored by the new InstallShield X. > From Windows to Linux, servers to mobile, InstallShield X is the one > installation-authoring solution that does it all. Learn more and > evaluate today! http://www.installshield.com/Dev2Dev/0504 > _______________________________________________ > Care2002-developers mailing list > [EMAIL PROTECTED] > https://lists.sourceforge.net/lists/listinfo/care2002-developers > ------------------------------------------------------- This SF.Net email is sponsored by: GNOME Foundation Hackers Unite! GUADEC: The world's #1 Open Source Desktop Event. GNOME Users and Developers European Conference, 28-30th June in Norway http://2004/guadec.org _______________________________________________ Care2002-developers mailing list [EMAIL PROTECTED] https://lists.sourceforge.net/lists/listinfo/care2002-developers
