How right you are! But with your help this should be EZ.

Wolfgang Giere

"Nancy E. Anthracite" wrote:

> It seems I have heard some discussion about object oriented mumps.  Is that
> along the lines of what you are thinking?
>
> On Thursday 25 November 2004 09:29 am, Terry Wiechmann wrote:
> > If the community is going to revive the standardization process, it better
> > have a 'vision' beyond the Millennium Standard. The fact is MUMPS is
> > perceived as an old procedural language. It's viewed as dead by the
> > 'outside' world. If you want to get new blood involved, the goals for the
> > language will have to show an evolution towards what the rest of the world
> > wants, not what makes the existing MUMPS community comfortable. Its future
> > must be viewed as in step with existing technologies. Without climbing into
> > the pulpit, I think everyone knows the direction it must take :-)
> >
> > Terry L. Wiechmann
> > www.esitechnology.com
> > 978-779-0257
> > Skype: twiechmann
> > ----- Original Message -----
> > From: "Joseph Dal Molin" <[EMAIL PROTECTED]>
> > To: <[EMAIL PROTECTED]>
> > Sent: Thursday, November 25, 2004 8:01 AM
> > Subject: Re: MDC/MUG Revival - Just do it (was) Re: [Hardhats-members]
> > Nov17th interview [added] Dr. K, MUG, MDC, Goodbye Mumps
> >
> > > I have just returned from Brasil where I gave a worskshop on open source
> > > in health informatics. I was invited by the Brasilian Health Informatics
> > > Society and as a result have made some good friends and excellent
> > > contacts. I will contact both the current and past president of the
> > > Society as well as colleagues in Sao Paolo to inform them of this
> > > discussion.
> > >
> > > What this will need is a small team of midwives and lots of publicity
> > > and support. With a team in place I will table a motion at our next
> > > WorldVistA board meeting to support to this effort. I should think that
> > > the VSA would want to do the same as well as the Pacific Telehealth Hui.
> > > We can then use press releases etc. to get the word out.... we have good
> > > access to reporters several trade journals etc. We can also use other
> > > medical informatics forums such as the openhealth list....and submit to
> > > Slashdot. Also all the medical informatics schools should also be
> >
> > contacted.
> >
> > > Unfortunately all I can offer is to help launch this group, I have no
> > > expertise in M at all....but I do have a great deal of experience
> > > building communities of this kind in health informatics.
> > >
> > > Cheers,
> > >
> > > Joseph
> > >
> > > Prof. em. Dr. med. Wolfgang Giere wrote:
> > > > I fully agree with Arden Forrey's remarks. It was a shame that the
> >
> > "Millenium
> >
> > > > Standard" did not happen. It took us a long march through the
> >
> > institutions to make
> >
> > > > Mumps an ISO-Standard.
> > > >
> > > > To revive MDC as official body can be done either using the old
> >
> > ANSI-affiliation or
> >
> > > > through a ISO WG (that would be the "normal" way). Both ways reuire
> >
> > international
> >
> > > > participation. I suppose, MUG Germany would be willing to participate
> > > > (I
> >
> > cannot ask
> >
> > > > my successor Wolfgang Kirsten, he is hospitalized right now). Also I
> >
> > guess, Frans
> >
> > > > Witte (Netherlands) could be reactivated. Ion Diamond in GB? I do not
> >
> > know whether
> >
> > > > he is still active in the field. But there is a new commercial Mumps
> >
> > available in
> >
> > > > GB. Finland? I do not know the actual state of M-use there. What about
> >
> > South
> >
> > > > America? Could George Timson trigger participation? I once visited
> >
> > M-using
> >
> > > > hospitals in Sao Paulo and might be able to find out. We should get NEW
> >
> > people.
> >
> > > > I did not follow the ISO-story. Is the standard sustained? I have been
> >
> > asked in
> >
> > > > Germany and suggested to vote yes, but I did never ask for the results.
> >
> > Does
> >
> > > > anybody know?
> > > >
> > > > Wolfgang Giere
> > > >
> > > > "A. Forrey" wrote:
> > > >>I definitely support Joseph's statement, as Rick and other hard hats
> > > >>already know. I felt dissolution of both the MTA and the MDC were wrong
> > > >>following the 1999 meeting and the fact that the "Millenium Standard"
> >
> > was
> >
> > > >>ready for ballot at that last meeting but never happened was a setback.
> >
> > It
> >
> > > >>can be reversed. A host organization for the MDC and an organizational
> > > >>framework for an ANSI-accredited SDO must be written. The NE MUG
> > > >> remains
> >
> > a
> >
> > > >>viable organization and encompass all the market, not just healthcare
> > > >> or VistA and this will be important. WV must actively promote getting
> > > >> this done. Bashkar can offer inputs regarding other market segments
> > > >> and an initial listing of Suppliers of of M-based products and
> > > >> services must be compiled quickly to aid in this effort. The HH
> > > >> website can be a
> >
> > mechanmism
> >
> > > >>of dissemination. Another question of great importance has to do with
> > > >>building the education infrastructure to which Dick Walters insights
> >
> > will
> >
> > > >>be important. We must stimulate the creation of programs which feature
> > > >> M and how it is integrated into the Life Cycle Principles for system
> >
> > design
> >
> > > >>and implementation as well as how to utilize its unique features to
> > > >>advantage. This subject was pushed at the Sept 1998 MDC meeting in
> >
> > Seattle
> >
> > > >>but had not taken off by the 1999 San Diego meeting; the resurrecred
> > > >> MDC must be structured to address this education issue in this broad
> > > >> context as it will drive a stake in the heart of the "MUMPS is OLD"
> > > >> saw being
> >
> > used
> >
> > > >>to rid the market of a powerful component. We must draw on the M vendor
> > > >>list to be created. We here at UW will contribute to rebuilding the M
> > > >>Education capabilities.
> > > >>
> > > >>On Wed, 24 Nov 2004, Joseph Dal Molin wrote:
> > > >>>It is definitely time to do it....it is not constructive to see this
> >
> > kind of
> >
> > > >>>press as the VA "hates" MUMPS.... rather it should be seen as "we need
> >
> > help"
> >
> > > >>>to a) address the deficiencies b) we do not be dependent on a single
> >
> > vendor
> >
> > > >>>c) we need company. Ironically, a new MDC that leverages an open
> > > >>> source "business" model, can I believe, without any doubt do what the
> > > >>> Red Sox
> >
> > just
> >
> > > >>>did. More importantly the rest of the planet will need an MDC etc.
> >
> > because
> >
> > > >>>the will need the same things the VA needs whether or not the VA
> > > >>> sticks
> >
> > with
> >
> > > >>>MUMPS.....
> > > >>>
> > > >>>I am not a MUMPSTer...so I say this from a practical strategic
> > > >>>perspective..... it is indeed a time for revival...a pragmatic
> >
> > one...that
> >
> > > >>>focuses on improving and leveraging what is good about M and
> > > >>> dispelling
> >
> > the
> >
> > > >>>mythology and misinformation that has bred in the absence of an
> >
> > MDC/MUG. With
> >
> > > >>>so many vendors still using M, eg. Epic, Meditech, Cerner, McKesson
> >
> > surely
> >
> > > >>>there is both commercial and user interest. Epic for example, has
> >
> > become one
> >
> > > >>>of the best systems in the industry....in part it's its
> >
> > management...but one
> >
> > > >>>cannot ignore its underlying architecture. BTW is there anywhere a
> >
> > commercial
> >
> > > >>>system that uses the full architecture proposed for 5 years from now??
> > > >>>
> > > >>>joseph
> > > >>>
> > > >>>Nancy E. Anthracite wrote:
> > > >>>>This is the article I posted days ago that many of you could not read
> >
> > and
> >
> > > >>>>that I said I would try to get for you, so here it is and this was
> > > >>>> the original URL.  The original thread was Joseph Conn's interview
> > > >>>> with
> >
> > Dr.
> >
> > > >>>>Kolodner.
> > > >>>>
> > > >>>> http://www.modernphysician.com/news.cms?newsId=2817
> > > >>>>
> > > >>>>Notice how the lack of a Mumps Users Group and as a corollary, I'm
> >
> > sure,
> >
> > > >>>>the MDC, is the backbone of his argument that VistA needs to be moved
> >
> > to a
> >
> > > >>>>SQL database. The MDC desperately needs to be revived.
> > > >>>>
> > > >>>>I found this URL interesting last night.  This is a company I was not
> >
> > aware
> >
> > > >>>>of. If their product is good, it would seem to satisfy the VA's
> >
> > burning
> >
> > > >>>>desire to extract and analyze their data in an SQL database as they
> > > >>>> do
> >
> > not
> >
> > > >>>>seem to want to do that straight out of a Mumps database, probably
> >
> > because
> >
> > > >>>>so many people are trained in making SQL queries but not in how to
> >
> > extract
> >
> > > >>>>data from VistA.  I actually thought that Cache had this capability
> > > >>>> in
> >
> > it
> >
> > > >>>>already, but I may be mistaken.
> > > >>>>I suspect that this company owes its viability to already being used
> >
> > by the
> >
> > > >>>>VA, but I don't know about that. In fact, maybe some of the folks in
> >
> > the
> >
> > > >>>>company are on this mailing list or come to WV meetings, I don't
> > > >>>> know.
> >
> > One
> >
> > > >>>>would think they are as disappointed as we are that the database is
> >
> > being
> >
> > > >>>>moved by the VA.
> > > >>>>
> > > >>>>http://mde.srs-inc.com/aboutmde.html
> > > >>>>It is interesting that he mentioned that it will be inexpensive to
> >
> > move the
> >
> > > >>>>data from one SQL database to another, but the cost of the move from
> >
> > mumps
> >
> > > >>>>to the SQL database will certainly not be.
> > > >>>>I wonder what the cost of performing the needed maintenance to a the
> >
> > mumps
> >
> > > >>>>database would be as compared to the cost of this move.
> > > >>>>
> > > >>>>On Wednesday 24 November 2004 01:08 am, Joseph Dal Molin wrote:
> > > >>>>>Could you please provide the URL for this so it is adequately
> > > >>>>>referenced....thanks!!!
> > > >>>>>
> > > >>>>>Joseph
> > > >>>>>
> > > >>>>>[EMAIL PROTECTED] wrote:
> > > >>>>>>Here it is Nancy.
> > > >>>>>>
> > > >>>>>>Tom Henderson
> > > >>>>>>
> > > >>>>>>
> > > >>>>>>
> > > >>>>>>FOIA version of Vista remains available despite recent changes
> > > >>>>>>/*By Joseph Conn <mailto:[EMAIL PROTECTED]> / *November 17, 2004/
> > > >>>>>>//
> > > >>>>>>Despite plans to overhaul its Vista clinical system, the Veterans
> > > >>>>>>Health Administration will continue to offer copies of its
> > > >>>>>>multimillion-dollar software to private-sector users for a nominal
> >
> > fee
> >
> > > >>>>>>under the Freedom of Information Act, according to the Department
> > > >>>>>> of Veterans Affairs' top physician informaticist.
> > > >>>>>>
> > > >>>>>>"We have the full support of the VHA leadership to continue to keep
> >
> > this
> >
> > > >>>>>>in the public domain," said Robert Kolodner, M.D., acting chief
> >
> > health
> >
> > > >>>>>>informatics officer at the VHA and deputy chief information officer
> >
> > for
> >
> > > >>>>>>health at the VA.
> > > >>>>>>
> > > >>>>>>On Nov. 8, the VA published a request for vendors to submit
> >
> > statements
> >
> > > >>>>>>of their capability to provide the VA with what it called
> > > >>>>>> "rehosting support." It also called for vendors to provide routine
> > > >>>>>> service and support for the VA's Vista healthcare information
> > > >>>>>> technology system.
> > > >>>>>>
> > > >>>>>>Kolodner said the move also would have no immediate impact on an
> >
> > effort
> >
> > > >>>>>>initiated by the VA and the CMS to develop a version of Vista for
> >
> > the
> >
> > > >>>>>>physician office practice. That software should be ready by summer
> >
> > 2005,
> >
> > > >>>>>>according to the CMS.
> > > >>>>>>
> > > >>>>>>One goal of the proposed five-year contract is to move the VA's
> > > >>>>>>healthcare IT system from the programming language and database on
> >
> > which
> >
> > > >>>>>>it was first written in the late 1970s and where it remains today:
> >
> > from
> >
> > > >>>>>>MUMPS, or the Massachusetts General Hospital Utility
> >
> > Multi-Programming
> >
> > > >>>>>>System (now known as M), to, as much as possible, open-source
> >
> > versions
> >
> > > >>>>>>of the Java programming language and possibly at least two
> >
> > relational
> >
> > > >>>>>>database systems, Kolodner said.
> > > >>>>>>
> > > >>>>>>Kolodner said the VA initially plans to run a national database on
> > > >>>>>>software from Oracle Corp. and regional databases on the relational
> > > >>>>>>database portion of Cache, a program by InterSystems Corp., which
> > > >>>>>>incorporates a proprietary version of M now used by the VA.
> > > >>>>>>
> > > >>>>>>"But it could be on (Microsoft's) Sequel Server or SQL or any other
> > > >>>>>>database," Kolodner said, adding the VA would incur a "relatively
> >
> > small
> >
> > > >>>>>>cost" to convert Vista from one database to another if need be.
> > > >>>>>>
> > > >>>>>>"We've had a history of staying vendor-independent," he said.
> > > >>>>>>
> > > >>>>>>Within the VA, M has developed almost a religious following among
> > > >>>>>>programmers for its speed, dependability, flexibility and
> >
> > scalability,
> >
> > > >>>>>>and several of today's leading commercial healthcare IT systems
> > > >>>>>> have
> >
> > M
> >
> > > >>>>>>at their core. But Kolodner said it is time to switch.
> > > >>>>>>
> > > >>>>>>"MUMPS has served us very well over the last 20 years," he said.
> > > >>>>>> "We have done a lot with it, and it has supported our needs."
> > > >>>>>>
> > > >>>>>>However, many M vendors have been bought by InterSystems and a
> > > >>>>>>once-thriving MUMPS user group has gone defunct. Today, there are
> >
> > fewer
> >
> > > >>>>>>programmers skilled in M than in a more modern language, such as
> >
> > Java.
> >
> > > >>>>>>"There are times when it is much too expensive and takes much too
> >
> > long
> >
> > > >>>>>>to make changes and support the needs that we have," he said. "Java
> >
> > is
> >
> > > >>>>>>taught in more schools than MUMPS is."
> > > >>>>>>
> > > >>>>>>In addition, Java and relational databases are better suited
> >
> > together,
> >
> > > >>>>>>he said.
> > > >>>>>
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> --
> Nancy Anthracite
>
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