Re: [Hardhats-members] I've got the slow CPRS blues.....

2005-05-09 Thread Joseph Dal Molin
Maury's point makes me wonder whether anyone has tried to use rdesktop 
to run CPRS:

http://www.rdesktop.org/
rdesktop is an open source client for Windows NT Terminal Server and 
Windows 2000/2003 Terminal Services, capable of natively speaking Remote 
Desktop Protocol (RDP) in order to present the user's NT desktop. Unlike 
Citrix ICA, no server extensions are required. rdesktop currently runs 
on most UNIX based platforms with the X Window System, and other ports 
should be fairly straightforward.

Maury Pepper wrote:
Kevin,
Perhaps you already got it, but it appears you may have missed an important point buried in 
Thurman's message -- that he is using remote desktop.  Running CPRS remotely vs. 
running it local to the server and then remotely accessing CPRS via remote desktop are two very 
different things when it comes to network performance.  I like VNC or Real-VNC.  There's also 
Tight-VNC, Microsoft's Remote Desktop, and various things that do terminal services 
such as Citrix.  In general, a lot less info has to travel across the long-line, in part because 
the bulky data stays local, and in part because the screen info is compressed and only that which 
changes is transmitted.
- Original Message - 
From: Kevin Toppenberg [EMAIL PROTECTED]
To: hardhats-members@lists.sourceforge.net
Sent: Sunday, May 08, 2005 8:42 AM
Subject: Re: [Hardhats-members] I've got the slow CPRS blues.


Mark,
I wish I were more knowledgable about this than I am. 
Let me tell you what I do know.

Currently, our only high-speed connection option is
Sprint DSL.  We could purchase a T1 or partial T1 from
sprint, but my understanding is that it's something
like $300-$500/month.
When we decided to get the DSL line, we found Sprint
to be very customer UNFRIENDLY.  It took us several
weeks of leaving nagging messages just to get a
*sales* person to call us and sell us the service. 
Our support has gone down from there.  When I talked
to them initially, they quoted me (as I recall) three
categories of business-grade DSL lines.  We went with
the middle category I believe.  The upload and
download speeds were different.  I seem to remember
the download speed to be something like 1.5 Mbps and
the upload 800 kbsp.  I could be way off on these
numbers.

We are using a Netgear VPN FV318
(http://www.netgear.com/products/details/FV318.php). 
I too have wondered about the overhead of the VPN. 
There are various levels of encryption one can choose.
Being concerned about security of patient records, I
didn't choose the lowest level.  I may, after hours,
check a bandwidth meter behind the VPN, then take out
the VPN and check again.  This might give me a
overhead assesment.  I'm not sure if connection to and
from the internet (i.e. not connections to another
computer behind the VPN on the other side of town)
utilize the encryption overhead.  I wouldn't think so.

I found one way of measuring bandwidth (download at
least) at C-NET
(http://reviews.cnet.com/Bandwidth_meter/7004-7254_7-0.html).
On a Saturday night (~10pm) I ran this meter from my
home (cable modem) running only one internet
application (a VNC connection to my office), and found
my speed to be 1,700 Kbps.  At the same time, I ran
the connection from my office (connecting there via
that same VNC connection), and I got 287 Kbps!  There
should have been no one else in my office, or in the
building, using bandwidth.  I just repeated it (Sunday
morning) and got 299 Kbps (download).  Still miserable
in my opinion.
We are in the process of trying to get cable modem. 
But the company is dragging its feet about pulling a
line to our building.

Anyway.  Thanks for listening.
Kevin



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RE: [Hardhats-members] I've got the slow CPRS blues.....

2005-05-09 Thread Dan
You should really look at getting SDSL service, especially if this is a 
business application.

At 10:17 AM 5/9/2005, Kevin wrote:
My upload speed (with our billing system running) is
134 kbps.  I think the problem is becoming clearer...

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Re: [Hardhats-members] Photos from the Boston Meeting

2005-05-09 Thread Greg Woodhouse
I don't see any names, just the file names. 
--- Maury Pepper [EMAIL PROTECTED] wrote:
 Following Bhaskar's lead ...
 Photos from the VistA Community Meeting, April 7-10, 2005.
 

http://pg.photos.yahoo.com/ph/mlpcmsstlcom/album?.dir=/3c88.src=ph.tok=phOJZ9CBtSSMOb4p
 
 
 
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--Benjamin Disraeli

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[EMAIL PROTECTED] 





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RE: [Hardhats-members] VA Aims To Build Congress' Faith In Tech Upgrade

2005-05-09 Thread A. Forrey
Cameron:
Your assessment is encouraging. But it means that the non-VA is going to 
have to develop an open weeldescribed posture of how it will apply 
Zachman's principles to the adaptation of VistA to the transforminh 
elathcare environment. The recent book by Demetriades, Kolodner and an 
Chrisdtopherson Eds on Person-Centered Health Records: Towards 
HeaslthePeople clearly identifies the need internationally to have a 
common conceptual information model that will be the basis for evaluating 
the current VistA architecture and planning the evolution of new 
configurations that are consistent and interoperable with other 
implementations of the common model.

 I would urge that Cameron and other 
who may be in Salt lake City this week attend the ASTM E-31 standards 
meetings held in conjunction with the TEPR meeting. The standards from 
E-31 deal with the conceptual content that will become part of the broad 
common model (the effort to document such a model began 10 years ago but 
became infected with a virus that prevented common dialog) where 
discussions will take place about the collaborative efforts that the 
Secty HHS (a former Utah Governor) strongly advocates. If the hardhats 
master the implications of these standards, they can actively develop a a 
Zachman Framework that can complement that of the VA and perhaps even help 
it along but working actively with the various professional disciplines. 
Work with those disciplines can yield common targets for the various 
industrial suppliers of healthcare enterprise information architecture 
components that will produce the capabilities that are alluded to in this 
book. Hardhats should take Richard Davis' paper and develop an updated 
version applicable to the needs of the VistA Adaptation situation and 
develop a general Enterprise Architecture Planning template for the 
VistA Adaptation Process leading to Enterprise View, Life Cycle 
Principles reflected in the CMU-SEI Report on the VA and then educate the 
VSA members how to make best use of it with potential Acquirers.

This approach will have international appeal and be applicable to both Canada 
and Australia (noted in the book) where potential information enginering 
professionals are already active with their healthcare communities. Here in
the US the VistA Community is in a position to have a similar relationship 
with the engineering community if it outwardly works with the CMU-SEI on the 
principles it advocates for the VA. There is lots of work to do with 
respect to this direction but the VistA Community has bioth the talent and 
the key attitudinal mindset to rise to the challenge while others Wait 
for Godot.

Thanks Cameron for the insight and, while working on this challenge, we 
await further insights that will contribute to achiving the VIsion.


On Fri, 6 May 2005, Cameron Schlehuber wrote:
I believe management and the VHA architects understand the Zachman Framework
quite well.  And while it may not be used 100%, I sincerely doubt there is
any kind of willful ignorance of the broad picture.
If VistA were an ecosystem it would be like Yellowstone when the wolves were
removed some 70 years ago ... the culture of VistA can sometimes seem
dangerous and will sometimes eat your favorite offspring (or code, rotten as
it was ;).  But that culture (and to a large extent the M technology that
supports it so well) like the wolves of Yellowstone is crucial to the
overall ecological balance.  The folks who removed the wolves were by and
large well meaning (it's what the surrounding culture demanded, people and
property were paramount).  We know better today ... and wolves are back
keeping grazing animals in check, and trees and shrubs and all the flora and
fauna that depend on protective cover are now beginning to thrive again.
Half a dozen years ago Gartner declared that MUMPS was a dying technology.
Today Gartner (different people though) recognize M as a thriving market
able to work with new technologies with the best of them.
A hard thing for any leader to do is admit that earlier direction they may
have given wasn't entirely accurate.  And even harder is to stick to one's
principles when everyone around you is telling you to abandon those
principles because the direction has to change due to facts.
-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of A. Forrey
Sent: Friday, May 06, 2005 3:43 PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] VA Aims To Build Congress' Faith In Tech
Upgrade
Cameron:
How do you think the New Management reacts to the use of the Zachman
principles (otherwise known as Eanterprise Architecture Planning) that
Principi mandated before he left. How can such wilful ignorance of the
broad picture endure if the management is to respond to the CMU-SEI
criticisms? Reasonable mastery of EAP would understand the state of the
Technical Infrastructure unless willful ignorance prevails as it did
during the 

RE: [Hardhats-members] I've got the slow CPRS blues.....

2005-05-09 Thread Cameron Schlehuber
I believe the VA expects to interface with billing systems and not develop
such systems.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Thurman
Pedigo
Sent: Monday, May 09, 2005 7:45 AM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] I've got the slow CPRS blues.

I am curious regarding plans for integrating billing into VistA? Any plans
in that direction. Or is the plan to continue a split system? ...tx/t

 -Original Message-
 From: [EMAIL PROTECTED] [mailto:hardhats-
 [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
 Sent: Monday, May 09, 2005 8:17 AM
 To: hardhats-members@lists.sourceforge.net
 Subject: RE: [Hardhats-members] I've got the slow CPRS blues.
 
 My upload speed (with our billing system running) is
 134 kbps.  I think the problem is becoming clearer...
 
 Kevin
 
 --- Thurman Pedigo [EMAIL PROTECTED] wrote:
 
  Thanks Nancy. Nice site, I had forgotten it. My
  speed 1084K
   - for what its wortht/xt
 
 
 
   -Original Message-
   From: [EMAIL PROTECTED]
  [mailto:hardhats-
   [EMAIL PROTECTED] On Behalf Of
  Nancy Anthracite
   Sent: Saturday, May 07, 2005 9:35 PM
   To: hardhats-members@lists.sourceforge.net
   Subject: Re: [Hardhats-members] I've got the slow
  CPRS blues.
  
   There area some sites that allow you to test your
  upload speed with you
   DSL
   line.  This is the one that I used to test mine.
  Why not check out yours.
  
   http://performance.toast.net/
  
   Then test you speed on the VA online demo.  If you
  DSL is typical, upload
   will
   be about 1/6 the speed of download.  If the VADemo
  moves quicker than
   that,
   then maybe there is hope that there is some sort
  of configuration
   parameter
   you can change to improve things.
  
  
   On Saturday 07 May 2005 11:09 pm, Thurman Pedigo
  wrote:
 -Original Message-
 From:
  [EMAIL PROTECTED]
  [mailto:hardhats-
 [EMAIL PROTECTED] On Behalf
  Of Kevin Toppenberg
 Sent: Saturday, May 07, 2005 8:08 PM
 To: hardhats-members@lists.sourceforge.net
 Subject: RE: [Hardhats-members] I've got the
  slow CPRS blues.

 --- Thurman Pedigo [EMAIL PROTECTED]
  wrote:
  ... There was a time I ran POTS and 56k
  modem with
  excellent performance.
   
tlp This was 1991 FileMan Telnet connection  -
  not CPRS
   
Kevin Toppenberg wrote:
 Hmmm... I am having a hard time figuring out
  all this
 bandwidth stuff.  We are also running a
  billing
 software package which could be eating up all
  the
 bandwidth.  Someone suggested that I set up
  some
 bandwidth monitoring.  This is really what I
  need to
 do.  But I'm not quite sure how to do it.
  Currently
 our confuration is like this:
 DSL modem--VPN firewall/router--PC's
   
tlp My experience is software VPN chews up a
  LOT of bandwidth - I
   think
hardware VPN as with a firewall may a lot
  faster. Hopefully, I will know
soon.
   
 I think that to run sophisticated monitoring,
  I would
 need to insert a linux box with two network
  cards
 between the DSL modem and the VPN firewall.
   
Or maybe just tracert if you haven't already- be
  sure you know the
   timing,
and where the signal is going. Hopefully, VPN
  does control that.
   
 But if you were able to run one copy of CPRS
  on a 56k
 line, that's pretty good.  But were you
  running CPRS
 from home (which I doubt because of that pesky
 no-CPRS-through-a-NAT/router-problem), or were
  you
 running something like PC Anywhere remote
  desktop
 software?
   
tlp
Microsoft Remote Desktop. Every client, office
  or remote location
   connects
via remote desktop. See below for server
  connection notes.
   
The bandwidth requirements for these two
 programs might be quite different.
   
tlp
We have a nailed down T1 (1.55mbps) office to
  home. I little more
expensive, though totally secure, therefore
  home is behind the office
firewall. I do have a router with a CSU/DSU on
  each end (other
configurations available). It costs a few more
  bucks. However, it is the
most trouble free point-to-point connection
  going. No need for added
firewall, VPN, or other security overhead. Nor
  does it care what
   software
you use.
   
I think I recall you have something over 40,000
  patients in your
   database.
What is not clear to me is whether you have the
  same problem with only a
few patients, or did you bring the remote site
  up after the database was
fully populated? I don't have my db fully
  populated, though I see
   nothing
to suggest it will be appreciably slower.
  Certainly, the CPRS page
refreshes at a very nice rate.
   
We connect to the server via remote desktop,
  so VISTA/CPRS thinks
everyone it talks to resides on the server. I
  also wonder if that
   1.55mbps
would be a lot 

Re: [Hardhats-members] Photos from the Boston Meeting

2005-05-09 Thread Maury Pepper
Putting up pictures turns out to be reasonably easy, so I did.  Since I didn't 
know the names of several of the first-timers, I decided better to leave off 
all than to appear thoughtless.


- Original Message - 
From: Greg Woodhouse [EMAIL PROTECTED]
To: hardhats-members@lists.sourceforge.net
Sent: Monday, May 09, 2005 10:34 AM
Subject: Re: [Hardhats-members] Photos from the Boston Meeting


I don't see any names, just the file names. 
 --- Maury Pepper [EMAIL PROTECTED] wrote:
 Following Bhaskar's lead ...
 Photos from the VistA Community Meeting, April 7-10, 2005.
 http://pg.photos.yahoo.com/ph/mlpcmsstlcom/album?.dir=/3c88.src=ph.tok=phOJZ9CBtSSMOb4p
 
 



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Re: [Hardhats-members] Photos from the Boston Meeting

2005-05-09 Thread Greg Woodhouse
Okay...I just wondered if you had intended for the names to be
displayed and for some reason they weren't.

I know a lot of the faces in there, but certainly not all of them.
--- Maury Pepper [EMAIL PROTECTED] wrote:
 Putting up pictures turns out to be reasonably easy, so I did.  Since
 I didn't know the names of several of the first-timers, I decided
 better to leave off all than to appear thoughtless.
 
 
 - Original Message - 
 From: Greg Woodhouse [EMAIL PROTECTED]
 To: hardhats-members@lists.sourceforge.net
 Sent: Monday, May 09, 2005 10:34 AM
 Subject: Re: [Hardhats-members] Photos from the Boston Meeting
 
 
 I don't see any names, just the file names. 
  --- Maury Pepper [EMAIL PROTECTED] wrote:
  Following Bhaskar's lead ...
  Photos from the VistA Community Meeting, April 7-10, 2005.
 

http://pg.photos.yahoo.com/ph/mlpcmsstlcom/album?.dir=/3c88.src=ph.tok=phOJZ9CBtSSMOb4p
  
  
 
 
 
 ---
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[EMAIL PROTECTED] 





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RE: [Hardhats-members] I've got the slow CPRS blues.....

2005-05-09 Thread Thurman Pedigo
The MS Remote Desktop (MSRD)is a freebie - however the terminal services
manager is not without cost. VNC, Radmin, rdesktop, and others do a passable
job. We have experience with Radmin/VNC performance and settled on the MSRD
because of several unique features. 

The key feature is - the calls originate from the server. Or said another
way - (almost) ALL CPRS clients reside on the server...tx/t

 -Original Message-
 From: [EMAIL PROTECTED] [mailto:hardhats-
 [EMAIL PROTECTED] On Behalf Of Joseph Dal Molin
 Sent: Monday, May 09, 2005 8:50 AM
 To: hardhats-members@lists.sourceforge.net
 Subject: Re: [Hardhats-members] I've got the slow CPRS blues.
 
 Maury's point makes me wonder whether anyone has tried to use rdesktop
 to run CPRS:
 
 http://www.rdesktop.org/
 
 rdesktop is an open source client for Windows NT Terminal Server and
 Windows 2000/2003 Terminal Services, capable of natively speaking Remote
 Desktop Protocol (RDP) in order to present the user's NT desktop. Unlike
 Citrix ICA, no server extensions are required. rdesktop currently runs
 on most UNIX based platforms with the X Window System, and other ports
 should be fairly straightforward.
 
 Maury Pepper wrote:
  Kevin,
 
  Perhaps you already got it, but it appears you may have missed an
 important point buried in Thurman's message -- that he is using remote
 desktop.  Running CPRS remotely vs. running it local to the server and
 then remotely accessing CPRS via remote desktop are two very different
 things when it comes to network performance.  I like VNC or Real-VNC.
 There's also Tight-VNC, Microsoft's Remote Desktop, and various things
 that do terminal services such as Citrix.  In general, a lot less info
 has to travel across the long-line, in part because the bulky data stays
 local, and in part because the screen info is compressed and only that
 which changes is transmitted.
 
 
  - Original Message -
  From: Kevin Toppenberg [EMAIL PROTECTED]
  To: hardhats-members@lists.sourceforge.net
  Sent: Sunday, May 08, 2005 8:42 AM
  Subject: Re: [Hardhats-members] I've got the slow CPRS blues.
 
 
 
 Mark,
 
 I wish I were more knowledgable about this than I am.
 Let me tell you what I do know.
 
 Currently, our only high-speed connection option is
 Sprint DSL.  We could purchase a T1 or partial T1 from
 sprint, but my understanding is that it's something
 like $300-$500/month.
 
 When we decided to get the DSL line, we found Sprint
 to be very customer UNFRIENDLY.  It took us several
 weeks of leaving nagging messages just to get a
 *sales* person to call us and sell us the service.
 Our support has gone down from there.  When I talked
 to them initially, they quoted me (as I recall) three
 categories of business-grade DSL lines.  We went with
 the middle category I believe.  The upload and
 download speeds were different.  I seem to remember
 the download speed to be something like 1.5 Mbps and
 the upload 800 kbsp.  I could be way off on these
 numbers.
 
 We are using a Netgear VPN FV318
 (http://www.netgear.com/products/details/FV318.php).
 I too have wondered about the overhead of the VPN.
 There are various levels of encryption one can choose.
 Being concerned about security of patient records, I
 didn't choose the lowest level.  I may, after hours,
 check a bandwidth meter behind the VPN, then take out
 the VPN and check again.  This might give me a
 overhead assesment.  I'm not sure if connection to and
 from the internet (i.e. not connections to another
 computer behind the VPN on the other side of town)
 utilize the encryption overhead.  I wouldn't think so.
 
 I found one way of measuring bandwidth (download at
 least) at C-NET
 (http://reviews.cnet.com/Bandwidth_meter/7004-7254_7-0.html).
 On a Saturday night (~10pm) I ran this meter from my
 home (cable modem) running only one internet
 application (a VNC connection to my office), and found
 my speed to be 1,700 Kbps.  At the same time, I ran
 the connection from my office (connecting there via
 that same VNC connection), and I got 287 Kbps!  There
 should have been no one else in my office, or in the
 building, using bandwidth.  I just repeated it (Sunday
 morning) and got 299 Kbps (download).  Still miserable
 in my opinion.
 
 We are in the process of trying to get cable modem.
 But the company is dragging its feet about pulling a
 line to our building.
 
 Anyway.  Thanks for listening.
 
 Kevin
 
 
 
 
 
 
 
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[Hardhats-members] need information

2005-05-09 Thread semhc semhc

Hi everyone,

Is there a way to develop a GUI in VC#and connect it to the M database?If there is one,please let me know how to do it.

thanks,
sai

		Yahoo! Mail Mobile 
Take Yahoo! Mail with you! Check email on your mobile phone.

Re: [Hardhats-members] need information

2005-05-09 Thread Greg Woodhouse
I believe that newer versions of the Broker include a DLL that could be
used. 

--- semhc semhc [EMAIL PROTECTED] wrote:
 Hi everyone,
  
 Is there a way to develop a GUI in VC# and connect it to the M
 database?If there is one,please let me know how to do it.
  
 thanks,
 sai
  


A practical man is a man who practices the errors of his forefathers. 
--Benjamin Disraeli

Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 





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Re: [Hardhats-members] Photos of $H 60000 event in Boston

2005-05-09 Thread K.S. Bhaskar
That's part of what I was hoping to do before making the photos 
available.  However, considering my copious spare time, I was concerned 
that if I waited for that moment, the photos might not see the light of 
day until way past when they might be of interest...

I'll gladly work with any volunteers who want to help put names to the 
faces.

-- Bhaskar
Nancy Anthracite wrote:
Now to put names to all of these faces!
On Sunday 08 May 2005 10:49 pm, Bhaskar, KS wrote:
Better late than never -
http://pg.photos.yahoo.com/ph/jkbhaskar/album?.dir=/fd47.src=ph.tok=phZSN
9CB.Lq6FOhJ
Alternatively, go to http://photos.yahoo.com/jkbhaskar and click on
20050409 ...
-- Bhaskar


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Re: [Hardhats-members] Photos of $H 60000 event in Boston

2005-05-09 Thread Nancy Anthracite
This might be a perfect job for the Wiki and it would get you out of the 
middle, considering your copious spare time!

On Monday 09 May 2005 05:06 pm, K.S. Bhaskar wrote:
 That's part of what I was hoping to do before making the photos
 available.  However, considering my copious spare time, I was concerned
 that if I waited for that moment, the photos might not see the light of
 day until way past when they might be of interest...

 I'll gladly work with any volunteers who want to help put names to the
 faces.

 -- Bhaskar

 Nancy Anthracite wrote:
  Now to put names to all of these faces!
 
  On Sunday 08 May 2005 10:49 pm, Bhaskar, KS wrote:
 Better late than never -
 http://pg.photos.yahoo.com/ph/jkbhaskar/album?.dir=/fd47.src=ph.tok=phZ
 SN 9CB.Lq6FOhJ
 
 Alternatively, go to http://photos.yahoo.com/jkbhaskar and click on
 20050409 ...
 
 -- Bhaskar

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Re: [Hardhats-members] need information

2005-05-09 Thread Kevin Toppenberg
I agree.  The RPC broker is the key to communication
with the M server.  And I think that it has been
developed into a COM object (i.e. the dll file) that
should be amendible to connecting via many languages.

Kevin

--- Greg Woodhouse [EMAIL PROTECTED]
wrote:

 I believe that newer versions of the Broker include
 a DLL that could be
 used. 
 
 --- semhc semhc [EMAIL PROTECTED] wrote:
  Hi everyone,
   
  Is there a way to develop a GUI in VC# and connect
 it to the M
  database?If there is one,please let me know how to
 do it.
   
  thanks,
  sai
   
 
 
 A practical man is a man who practices the errors of
 his forefathers. --Benjamin Disraeli
 
 Greg Woodhouse 
 [EMAIL PROTECTED] 
 [EMAIL PROTECTED] 
 
 
 
 
 

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Re: [Hardhats-members] need information

2005-05-09 Thread Kevin Toppenberg
Let me further clarify that this will allow for remote
procedure calls (RPC) on the server.  One would then
need to write the actual procedures on the server (in
M) to get the data that you want in the format that
you want. This data would then be passed out to your
VC# application.  The creating of the M server
functions are not particularly difficult, but would
involve learning M.

If you are wanting to connect to the database in a
generic way from VC# via SQL database access
functions, then you might want an SQL interface. 
There is a commercial product available for GT.M for
this.  Cache' has some such functionality built in.

Kevin

--- Kevin Toppenberg [EMAIL PROTECTED] wrote:

 I agree.  The RPC broker is the key to communication
 with the M server.  And I think that it has been
 developed into a COM object (i.e. the dll file) that
 should be amendible to connecting via many
 languages.
 
 Kevin
 
 --- Greg Woodhouse [EMAIL PROTECTED]
 wrote:
 
  I believe that newer versions of the Broker
 include
  a DLL that could be
  used. 
  
  --- semhc semhc [EMAIL PROTECTED] wrote:
   Hi everyone,

   Is there a way to develop a GUI in VC# and
 connect
  it to the M
   database?If there is one,please let me know how
 to
  do it.

   thanks,
   sai

  
  
  A practical man is a man who practices the errors
 of
  his forefathers. --Benjamin Disraeli
  
  Greg Woodhouse 
  [EMAIL PROTECTED] 
  [EMAIL PROTECTED] 
  
  
  
  
  
 

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Re: [Hardhats-members] VA Aims To Build Congress' Faith In Tech Upgrade

2005-05-09 Thread K.S. Bhaskar
Part of the problem is our cultural predisposition to equate old with 
obsolete, inadequate, and useless.  When were the standards established 
for screws?  Yet, in this 21st century, I still count on going to the 
hardware store and being able to purchase a screw that fits by looking 
at a bin labelled with the number of the thread standard.

The problem with VistA is not its age per se.  It is a culture that 
doesn't plan for a process of refreshing and renewal.  The question to 
ask for VistA (or any other major enterprise wide application) should 
not be, How long can we live with it and when will it be obsolete? 
Rather it is, How do we keep VistA viable for the next hundred years? 
 The VistA of a hundred years from now is guaranteed to look nothing 
like the VistA of today, but there will have been a continuum of 
availability and useful service.  Rome to us doesn't doesn't look 
anything like the way it looked to Julius Caesar, but there has been a 
Rome in continuous existence for over 2,000 years because no city 
planner said, The city will be obsolete in ten years, and we'll just 
raze it and replace it with a new city that has the latest [[insert hot 
buzzphrase]] in urban planning.

-- Bhaskar
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Re: [Hardhats-members] VA Aims To Build Congress' Faith In Tech Upgrade

2005-05-09 Thread Greg Woodhouse
Of course, that raises a more basic question. What *is* VistA? If you
take the point of view that whatever sort of thing it is, it should
remain viable for 100 years or more, then most likely, you don't
anticipate much of what constitutes VistA being left (at least of the
actual codebase). I think the presupposition of the first option is
that VistA is the stuff that makes it up (i.e., actual lines of code,
files, etc.) and it seems entirely reasonable to think that THAT will
eventually become obsolete.

I've tried in the past to make the argument that the value of VistA
resides not in the actual lines of code of which it consists, but in
the body of knowledge and insight that went into creating it. But I
have found that this is line of thinking that is usually rejected out
of hand -- petrhaps because the community seems to have such an
interest in preserving the existing code and functionality without
looking forward at how what we've learned in building VistA can be put
to use.

--- K.S. Bhaskar [EMAIL PROTECTED] wrote:
 Part of the problem is our cultural predisposition to equate old with
 
 obsolete, inadequate, and useless.  When were the standards
 established 
 for screws?  Yet, in this 21st century, I still count on going to the
 
 hardware store and being able to purchase a screw that fits by
 looking 
 at a bin labelled with the number of the thread standard.
 
 The problem with VistA is not its age per se.  It is a culture that 
 doesn't plan for a process of refreshing and renewal.  The question
 to 
 ask for VistA (or any other major enterprise wide application) should
 
 not be, How long can we live with it and when will it be obsolete? 
 Rather it is, How do we keep VistA viable for the next hundred
 years? 
   The VistA of a hundred years from now is guaranteed to look nothing
 
 like the VistA of today, but there will have been a continuum of 
 availability and useful service.  Rome to us doesn't doesn't look 
 anything like the way it looked to Julius Caesar, but there has been
 a 
 Rome in continuous existence for over 2,000 years because no city 
 planner said, The city will be obsolete in ten years, and we'll just
 
 raze it and replace it with a new city that has the latest [[insert
 hot 
 buzzphrase]] in urban planning.
 
 -- Bhaskar
 
 
 ---
 This SF.Net email is sponsored by: NEC IT Guy Games.
 Get your fingers limbered up and give it your best shot. 4 great
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 to
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 https://lists.sourceforge.net/lists/listinfo/hardhats-members
 

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--Benjamin Disraeli

Greg Woodhouse 
[EMAIL PROTECTED] 
[EMAIL PROTECTED] 





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Re: [Hardhats-members] VA Aims To Build Congress' Faith In Tech Upgrade

2005-05-09 Thread A. Forrey
That is the importance of belonging to the voluntary consensus standards 
process I. E the ANSI accredited MDC. If the MDC is inclusive and open and 
it meets once year to say that the M standards address all issues that enable
M to remain current and participate in the market then the gurus have nothing 
further that they can say - common knowledge has said it all. We have got 
work to do to get back to where we were in 1999 let alone where we should 
be in 2006. Concurrently, while we get the common conventions for the 
technical platform in shape we should be striving to be in full mastery 
of the healthcare conceptual content in making sure all M/WV partiipcants 
understand what standards are relevant to VistA and to its evolution. We 
have to understand where VistA has been and where it needs to go -a 
Bhaskar clealry points out. That means we need to expand our community 
involvement.

On Mon, 9 May 2005, K.S. Bhaskar wrote:
Part of the problem is our cultural predisposition to equate old with 
obsolete, inadequate, and useless.  When were the standards established for 
screws?  Yet, in this 21st century, I still count on going to the hardware 
store and being able to purchase a screw that fits by looking at a bin 
labelled with the number of the thread standard.

The problem with VistA is not its age per se.  It is a culture that doesn't 
plan for a process of refreshing and renewal.  The question to ask for VistA 
(or any other major enterprise wide application) should not be, How long can 
we live with it and when will it be obsolete? Rather it is, How do we keep 
VistA viable for the next hundred years?  The VistA of a hundred years from 
now is guaranteed to look nothing like the VistA of today, but there will 
have been a continuum of availability and useful service.  Rome to us doesn't 
doesn't look anything like the way it looked to Julius Caesar, but there has 
been a Rome in continuous existence for over 2,000 years because no city 
planner said, The city will be obsolete in ten years, and we'll just raze it 
and replace it with a new city that has the latest [[insert hot buzzphrase]] 
in urban planning.

-- Bhaskar
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