The key to utilization of VistA in non-VA environemnts is first to understand the conceptual framework of the target environment and what is needed for cognitive support of the practitioners who will be using a reconfigured VistA. We hardhats get to focused on the technologic issues. The concepts of John Zachman on the Framework for Information architecture are a general resource. We have passed on to Nancy documents that will help provide that framework and help guide what will be needed in your target environemnt and, hopefully, she will be able to bring them to the meeting. In short they realte to "Enterprise View, Life Cycle Principles". These are concepts that can be actively applied to the MUMPS datamangement environment and the underlying technologic platfiorms; they are an integral part of the MDC and are parts that were just beginning to be addressed when the MDC had its last meetings. Rick Marshall clearly understands these issues and what the new MDC must do beyond the aspects that Ed Demoel commented on yesterday but which will illuminate how the MUMPS standards are a step beyond what practices are prevalent world wide that need application of the Zachman Framework. That should help you seek out in Boston key individuals that should help you get started and tie you into a powerful network of individuals who can help your Indian participants adapt VistA to the emerging international framework for healthcare information architectures. The MUMPS community has had (and still does) the collaborative synergistic attitude that Octo Barnett seeded 45 years ago. If anything, that is the key ingredient to the application of information science and technology to healthacre and you will be at the Center of it All for the few days you will be in Boston. Capture all the seeds so you can followup subsequently to answer your question.

On Thu, 24 Mar 2005, Joseph Puthooran wrote:

At the conference of voluntary hospitals at New Delhi on the 2nd
of  April (www.etipl.com), we are also having representation
from national bodies involved in control of HIV/AIDS and
Tuberculosis in the country. Can we know if VistA can play a
useful role in these two areas and also to understand how we
could promote its relevance to these organizations.

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