When I speak of the "complexities" of the infrastructure I am speaking of the MPI, the updating of data across sites, etc. Initializing all patients with ICN's etc.
Actually, I think that particular infrastructure could be simplified, and probably should be simplified, if one wanted to implement remote data viewing capability outside of VHA. When you think about it, you really only need a list of sites a patient has been "registered at", and a good identifying scheme, to "assemble" a patient's record from multiple sites. But actually, the model I prefer is a centralized repository or repositories. The problem with apps like Remote Data Views and VistaWeb is, the physician has to "hunt an peck" for data. Physicians are expected to do 20-minute appointments, write their computerized notes and orders, and maintain 2000-patient panels. Many Docs simply do not have the time to look through this remote data. Other issues are, you cannot run research-type queries across sites, to identify cohorts of patients meeting certain research criteria. Data is not standardized. Your lab test name, or lab test panel, may be different from mine. With a data repository: reminders, alerts, etc can be run against a standardized database, and and data from many sites can be viewed via a common interface. A Doctor can even be paged automatically, if a patient's test data is outside normal ranges. Or for any other reason, specified. But apps like RDV's and VistaWeb certainly fill a niche, for some Docs who have smaller panels or, who take the extra time, for now. - Rich -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Jim Self Sent: Wednesday, June 08, 2005 5:55 PM To: [email protected] Subject: RE: [Hardhats-members] == VistaWeb Missing Apps == Richard Sowinski wrote: >The reason I have asked people on this list if they have VistaWeb up and >running, is because I suspect >they underestimate the infrastructure required "under the hood", to make it, >or RDV run. > >I also suspect, some have misconstrued what VistaWeb is. I think some of >them think it is a Web-based front-end >to Vista, instead of a remote view-only application, used to view patient >data at other sites. I haven't tried to get VistaWeb running because of a lack of free time for playing with things dependent on M$ proprietary technology, but I have thought that the source files in VistaWeb might be helpful in defining some aspects of what a Web-based front-end to VistA should include. >From reviewing the VistaWeb documentation a while back, it seemed to me that it would be quite easy using M2Web to improve upon the views of VistA data provided by VistaWeb if someone could take a little time just to specify what views are needed and what data fields should be included. I had the same impression from a health-e-vet demo earlier, but I haven't had the free time to pursue either very much so far. I have a good understanding of the underlying technology (MUMPS, Fileman, Web, etc.) but not of the VistA EMR, so someone with that knowledge and/or the time to gather it could help greatly to move such a project along. --------------------------------------- Jim Self Systems Architect, Lead Developer VMTH Computer Services, UC Davis (http://www.vmth.ucdavis.edu/us/jaself) ------------------------------------------------------- This SF.Net email is sponsored by: NEC IT Guy Games. How far can you shotput a projector? How fast can you ride your desk chair down the office luge track? If you want to score the big prize, get to know the little guy. Play to win an NEC 61" plasma display: http://www.necitguy.com/?r=20 _______________________________________________ Hardhats-members mailing list [email protected] https://lists.sourceforge.net/lists/listinfo/hardhats-members ------------------------------------------------------- This SF.Net email is sponsored by: NEC IT Guy Games. How far can you shotput a projector? How fast can you ride your desk chair down the office luge track? If you want to score the big prize, get to know the little guy. Play to win an NEC 61" plasma display: http://www.necitguy.com/?r=20 _______________________________________________ Hardhats-members mailing list [email protected] https://lists.sourceforge.net/lists/listinfo/hardhats-members
