On Thu, 21 Apr 2005, Kevin Toppenberg wrote:
--- Nancy Anthracite <[EMAIL PROTECTED]> wrote:
Tantalized and becoming less confused would describe
me, and hoping someone
would be willing to help us document how to
implement this for the WorldVistA
Wiki.

BTW, it sure is nice to see posts coming from IHS
folks.
This manifestation may just one of many results of work that has become fragmented. IT is clear the the VA and IHS versions of VistA must be related to the common architectural models for healthcare as examples of the implementation of common conventions (health informatics standards) that are/will be the basis for interoperable health informations sytems architectures. As Richard notes there are models for data and for activities (functions) and these must have a unified basis which is described and understandable to all. A focal effort on the VistA Office subset, as applied to ObGyn/Peds in Nancy's model project will enable most healthcare disciplines to understand the Conceptual Content Framework as implemented in VistA. Such as documented description will promote the professional education of healthcare disciplines in how informatics enables the patient-centered care by multiple disciplines identified by IOM 2003. The VistA Community can have the basis for a full undertanding of the present configuration of VistA as well as an understanding of how the VA is planning its evolution to embrace a better modelled basis for its architecture based upon the national and international informatics standards. Amer Dental Assoc has a new revision of the Conceptual over all model for the healthcare information domain; It and ASTM are dveloping efforts for harmonization with HL7's RIM which focusse on data flow; these al have to be consistent even if different in expression. The VA ( again Cam's guidance) has been involved over a number of years. So the vistA Community needs to be in communication with both VA and IHS how they have pursue conformity with these models at a variety of levels. These efforts will enable the broader VistA Community to participate in in the full process and represent their configured products in terms of the standards the the CCHIT (which Nancy called to our attention). CCHIT "Certification" will be a necessity and VistA is perhaps closer to being described by the emerging certification criteria than many other products.

Thus, joint VA and IHS effort will be needed for their versions to Be "certified" as well as any configured derivatives that may become available via various Supplier. Common efforts will be most beneficial to the community of VIstA users so it will be of interest how WorldVistA promotes these collbaorative efforts.


I'd like to second this. I am getting the
feeling > that there are some hard feelings between the IHS and
VA.  I don't know why and don't really want to.  I'm
sure it has much to do with money etc.  BUT as an
outsider those issues don't matter to me.  I also
would love to learn from the IHS guys.

Kevin




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