Comments below:

--- smcphelan <[EMAIL PROTECTED]> wrote:

> Bhaskar's suggestion would be a nice solution if
> that is what BCMA does.
> The BCMA backup program does not relay all relevant
> information for the EHR
> for that patient.  It only backups up that data that
> is relevant for the
> function of giving medication to inpatients only,
> not all patients.  So it
> has a very limited scope and a restricted subset of
> patients.

The question is whether the system could be tweeked to
do what we want it to.  This would involve fully
understanding the system--how it works, how the
information is transmitted, how it know WHAT to
transmit, how the message is processed.

Is anyone out there knowledgable in the system who
would be willing for me to pick their brains?

> 
> VistA does not have a national solution for backing
> up the EHR in a form
> that is useable in the case when the VistA servers
> are unavailable for
> whatever reason.

This might well be a worthy project.  Isn't their a
movement towards interoperability.

Perhaps transmitting records back and forth in XML
might be a better universal solution for
interoperability.

Kevin


> 
> ----- Original Message ----- 
> From: "Cable One" <[EMAIL PROTECTED]>
> To: <[email protected]>
> Sent: Thursday, May 12, 2005 10:18 AM
> Subject: [Hardhats-members] RE: Slow CPRS
> performance over VPN
> 
> 
> > Bhaskar's suggestion will solve the problem
> nicely. Moves all of the time
> > critical traffic to the lan and uses the wan for
> replication of the data
> to
> > another site. It does involve the costs associated
> with another server,
> but
> > that is really low these days.
> >
> > Using UDP for a VPN does not really solve the
> problem, it just moves the
> > problems of data integrity / verification up to
> the application level
> where
> > the programmer may or may not do as good a job as
> the TCP stack.
> >
> > Best regards,
> >
> > Donald R. Donigan
> > donigan technology, LLC dba
> > Desert CODE Works
> > [EMAIL PROTECTED]
> > [EMAIL PROTECTED]
> >
> >
> >
> > -- 
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> >
> >
> >
>
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