There is also a roll-n-scroll feature of Vista the users will have to SSH or if you turn it on telnet into the box they can then start up a Vista session just like they were sitting at the machine.

 

Thanks

Marc Aylesworth

C3I Associates

AFRL/IFSE

Joint Battlespace Infosphere Team

525 Brooks Rd

Rome, NY 13441-4505

Tel:315.330.2422

Fax:315.330.7009

Email: Marc[EMAIL PROTECTED]

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
Sent: Monday, February 28, 2005 9:51 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Vista for a startup clinic?

 

Ismet,

 

Welcome!  Comments below

"Ismet B. Kursunoglu, MD" <[EMAIL PROTECTED]> wrote:

Hi All,

Over the last 2 months I have been searching and reading with great enthusiasm
the postings to this list and would like to thank you all for the excellent
information and advice that you all generate.

-sni-

 first successfully started the server process - i.e.

GTM>D STRT^XWBTCP(9200)
Start TCP Listener...
Checking if TCP Listener has started...
TCP Listener started successfully.
GTM>

I felt like someone had dropped me into the pilot's seat of an F-16, started
up the engines and pointed me at the runway! And there I was, all this power
and a huge learning curve ahead of me. I would like to continue on this path,
if possible/practical and adapt and use Vista/Linux/Openvista in the new
offices.

Excellent work!  Getting to that point is a great step forward!

 I am not a trained programmer, but I would consider myself at an intermediate
level of understanding and use of GNU/Linux and the free software tool chain,
servers, security, networking, printing and the like. I clearly don't have
the knowhow to fully configure and adapt this test system to go into
production. But I very much like the idea of contributing and extending the
OpenVista/WorldVista vision and wonder what would be the best way to proceed.

There are obviously many approaches that I have seen including adapting the
environment for web enabled solutions and so on (Jim Self's work in this area
looks very interesting). Bhaskar mentioned to me that the HUI project was
going to start up a ASP based solution, I have also read about the
OfficeVista project and so on.

Would there be someway to "graft" a network of Linux workstations onto
G.TM/Vista using some sort of curses based interface? Perhaps using the
virtual consoles to go back and forth depending on the users role (i.e.
patient registration, text based data, lab, reports etc..) and avoid the CPRS
client all together? Is there such a thing?

There is a text based version of CPRS.  If you get into the menu option system (via ^XUP), select option: OR OE/RR MENU CLINICIAN

This was a precursor to CPRS.  But it shows progress notes etc. adequately.

Further would it be possible to extend the GNU/Linux core configuration,
start-up and user tools (i.e. based on flat /etc ) to access and configure a
the Vista system easing the whole process? For example one could have the
initialization all under /etc/init.d/?

I'm a linux newbie, so I don't follow all you are saying, but making an easier installation is a goal of mine.  Unfortunately, I am past that stage now, so my drive is not as great.  I am busy working on getting my site fully up and configured.  But if you want to have what I have done, I'll be happy to share it with you.  It is the system I used for my iniial stages of setup. The only problem is that when I sent it to Nancy A., she wasn't able to get it to work on her system. (And I had trouble too, when connecting to her system)


As far as the client goes I don't really want or need anything "fancy" - just
plain text will do in most instances - I would rather use tools like vim,
lynx, mutt, ssh, or a simple X windowing system with lots of x-terminals. How
that would work with users and integrate with existing billing systems I
don't know.

At our site, we decided to have a separate billing package, and just use VistA for storing progress notes.

I do know that growth will happen, that Vista is a very stable and scalable
product and that it can extend to any level of care that we may be offering
now and in the future. I especially like the idea of running it all under
the GPL'd G.TM layer.

Any ideas or pointers would be very much appreciated.

At this moment I am still here in our skeleton offices in Los Angeles. I will
be heading up to the new office in AK on Thursay. Then back to NYC and
finally hope to open the office to see patients by May.

Thanks very much for any observations or advice.

I'll tell you from first hand experience that getting VistA up yourself takes a considerable amount of work.  I have been working at it about 6-9 months now, at least 2 hrs a day.  I now have a working understanding of the system, and have it up and running in my practice.  I use it for myself ( I create my own notes), and I am getting another physician up and running with a transcriptionist.  After I get the bugs worked out with the other physician, I will be adding all the other doctors.  So I am 90% of the way through.

If you are getting ready to move to Alaska, and start a new practice, you might be cutting out more work for yourself than is healthy  :-)

We'll be happy to walk you through the process if/when you want to get started.

I will say that I'm very satisfied with my choice of VistA.  And the more I work with it, the more impressed with the extensive amount of detail that has been put into this working system.

Best of luck,

Kevin

 


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