I think you're absolutely right. I have been arguing (particularly in the messaging discussion) that there is much we can do to automate the process of addressing the concerns you describe, but ultimately you DO need to understand your requirements. We really have not process for gathering or even enunciating requirements for a version of VistA suitable for use outside of VHA. We have a lot of informal discussion of what is needed, but so far as I can tell, no one has even written it down.
===
Gregory Woodhouse
[EMAIL PROTECTED]

"It is a capital mistake to theorize before one has data."
--Sir Arthur Conan Doyle



On Sep 16, 2005, at 1:13 PM, A. Forrey wrote:

Configuration has two aspects. One is technologic and the other is Conceptual content. For the Disaster Response mission it may be possible to get a generally configured system that contains both the needed terminologies for defined VistA data structures and also referential data (e.g. lab test names since CPT, LOINC, SNOMED may be local colloquial vernacular). As the ONCHIT NHIN effort becomes more widespread some of thes issues may be resolved but this particular response effort may also provide very useful information. The VistA Community should devote a specific forum to these issues and see how specificly configured architectures have been able to respond. The experiance will point to those architectural elements that may need attention in any case. But that status should give a huge head start to wahtever team may be using the common "Disaster-response Configuration".




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