Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-03-08 Thread Adrian Midgley
On Fri, 2006-01-27 at 07:14 -0800, Nandalal Gunaratne wrote: > > "Bhaskar, KS" <[EMAIL PROTECTED]> wrote: > > The trouble comes from using the word FREE (FOSS) in an increasingly > commercial world of software. > > Maybe commercial users of FOSS should drop the word "Free" and call it OSST

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-28 Thread Nandalal Gunaratne
"Bhaskar, KS" <[EMAIL PROTECTED]> wrote: If the software is released under GPL, does that make it any less Free if the organization developing it is a commercial entity? Not in the proper sense of the word free as in freedom that FOSS exemplifies. But for a lot of people who think O

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-27 Thread Bhaskar, KS
If the software is released under GPL, does that make it any less Free if the organization developing it is a commercial entity? Should I care whether my healthcare is delivered by a Protestant, Catholic, Jewish, Hindu, Muslim, or atheist doctor as long as the care is not at issue? The Freedom in

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-27 Thread Nandalal Gunaratne
Thomas Beale <[EMAIL PROTECTED]> wrote:This was really the gist of my original comments - software developers working without close and constant clinical contact will end up building systems that are conceptually too rigid, as well as too simple and too complex in the wrong places. Cle

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-27 Thread Nandalal Gunaratne
"Bhaskar, KS" <[EMAIL PROTECTED]> wrote: The trouble comes from using the word FREE (FOSS) in an increasingly commercial world of software. Maybe commercial users of FOSS should drop the word "Free" and call it OSST (open source software technologies). "Free as in beer" belonged to the

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Thomas Beale
Joseph Dal Molin wrote: > > I feel a partnership between a couple of IT savyy clinicians and expert > > programmers with a wholesome way of looking at things, can create the > > infrastructure of the future HISs. > > Nandalal, you have in one sentence described how VistA was first > developed and

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Thomas Beale
Greg Woodhouse wrote: > Fair enough. I suspect that the problem you describe here may be a bit > of a red herring, though. The problem is not so much IT people (and I > think that is a problematic term, at best) thinking they have the it is, was trying to be non-offensive; should have just said "

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Theodore Ruegsegger
Bhaskar wrote: > Commercial and licensed under the GPL (or the broader category of > FOSS software) are orthogonal attributes, and there are packages > that fall into all four combinations of those attributes. So, in > this case, to be completely precise, it was not Cache (commercial) > vs. GT.M

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Bhaskar, KS
On Thu, 2006-01-26 at 16:02 -0600, Greg Woodhouse wrote: > --- "Bhaskar, KS" <[EMAIL PROTECTED]> wrote: > > One of the myths that is part of the FUD spread by vendors whose > business models are not based on open source licenses is that > software > based on open source licenses is not commercia

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Greg Woodhouse
--- "Bhaskar, KS" <[EMAIL PROTECTED]> wrote: One of the myths that is part of the FUD spread by vendors whose business models are not based on open source licenses is that software based on open source licenses is not commercial. Please do not inadvertently help spread this myth. Thank you for y

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Bhaskar, KS
On Thu, 2006-01-26 at 14:37 -0600, Greg Woodhouse wrote: [KSB] <...snip...> > runs on a commercial OS. With regard to platforms: VistA runs under > InterSystems Cache' (a commercial M implementation) and GT.M (an open > source M implementation). Historically, it has run under DSM, OpenM, [KSB

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Greg Woodhouse
--- Nandalal Gunaratne <[EMAIL PROTECTED]> wrote: Greg Woodhouse <[EMAIL PROTECTED]> wrote: [NG] One problem in people not learning from VistA is that it is so difficult to install and run! [GW] The trouble is that VistA was developed over a period of approximately 30 years during which it was

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Philippe AMELINE
Hi Nandalal, There was nothing personal in my message. I just wanted to point out that time is probably come for "out of the box thinking". You are probably aware that current standards in the medical domain are all dedicated to "report making". It means that nothing exists to give a proper vis

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Nandalal Gunaratne
Phillipe, I would like to know your approach to things, more clearly. The list I made is more in fun than an initiative for OSHCA!! My interest infact is in the use of IT for the area of Research, audit and CME for clinicians. The BIG jobof making those for administrators, managers, ministers

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Nandalal Gunaratne
Greg Woodhouse <[EMAIL PROTECTED]> wrote: One problem in people not learning from VistA is that it is so difficult to install and run! The other point is that the various modules have different licences. It is not fully open sourced in that sense (or am I wrong?). Some of the largest modu

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-26 Thread Nandalal Gunaratne
Joseph Dal Molin <[EMAIL PROTECTED]> wrote: > I feel a partnership between a couple of IT savyy clinicians and expert > programmers with a wholesome way of looking at things, can create the > infrastructure of the future HISs. Nandalal, you have in one sentence described how VistA wa

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-25 Thread Greg Woodhouse
--- Philippe AMELINE <[EMAIL PROTECTED]> wrote: Joseph, By "simply implementing VistA as far and wide as possible", do you mean that you want to provide the patients with Vista ? --- Perhaps the best way to "implement VistA as far and wide as possible", in Joseph's words, is to make it as easy

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-25 Thread Philippe AMELINE
Joseph Dal Molin a écrit : > > I feel a partnership between a couple of IT savyy clinicians and expert > > programmers with a wholesome way of looking at things, can create the > > infrastructure of the future HISs. > >Nandalal, you have in one sentence described how VistA was first >developed an

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-25 Thread Greg Woodhouse
--- Joseph Dal Molin <[EMAIL PROTECTED]> wrote: Nandalal, you have in one sentence described how VistA was first developed and evolved for the better part of its history, all be it the number of collaborators was much larger. [GW] I think that's a fair statement. So the real issue IMHO is not

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-25 Thread Nandalal Gunaratne
Thomas Beale <[EMAIL PROTECTED]> wrote:yes...well, systemic solutions to interoperability require systemic changes to the architecture, not ad hoc additions on the outside. You have to be consciously designing for interoperability (along with the other 28 incredibly complex things you

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-25 Thread Joseph Dal Molin
> I feel a partnership between a couple of IT savyy clinicians and expert > programmers with a wholesome way of looking at things, can create the > infrastructure of the future HISs. Nandalal, you have in one sentence described how VistA was first developed and evolved for the better part of i

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-25 Thread Nandalal Gunaratne
Greg Woodhouse <[EMAIL PROTECTED]> wrote:It is also good to remember that medicine is still an art, not a science. Too much "standardization" will not work with an art. The human touch must prevail even in an IT enviorment. I feel a partnership between a couple of IT savyy clinici

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-24 Thread Greg Woodhouse
Fair enough. I suspect that the problem you describe here may be a bit of a red herring, though. The problem is not so much IT people (and I think that is a problematic term, at best) thinking they have the expertise to design health information systems, but a lack of cohesion in the field as a who

RE: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-24 Thread Koray Atalag
* even now run Fedora Core 4 as daily desktop and use VMWare Player to > run M$ > Windoz XP with development tools...I can see that that XP runs a lot > faster > and securely than a native installation...It even uses less memory! > Any > comments??? [KSB] I am not sure what you mean by "I

RE: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-24 Thread Bhaskar, KS
On Mon, 2006-01-23 at 23:59 -0600, Koray Atalag wrote: [KSB] <...snip...> > BTW, I would like to thank VistA people to do the DSL thing...It > changed my > world and I am now considering to port all my SW projects into > linux...I [KSB] Thank you, you made my day! > even now run Fedora Core 4

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-23 Thread Thomas Beale
Gregory Woodhouse wrote: > > major new language. Do the people having the skills to build complex > software systems have the expertise to know what to build? isn't the usual wisdom that there is only one pre-requisite - to have no idea of the true magnitide of the task before starting ?-) >

RE: [openhealth] Senator Endorses VistA for EHR Standard [OFFTOPIC]

2006-01-23 Thread Chintan Patel
> that XP runs a lot faster > and securely than a native installation...It even > uses less memory! Any > comments??? :s/VistA/Microsoft Windows/g > SO what is the message: Use the experience, > requirements and best practices > from VistA to immediately start next gerenation > VistA; but with a

RE: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-23 Thread Koray Atalag
Behalf Of Gregory Woodhouse Sent: 24 Ocak 2006 Salý 06:24 To: Open Health Subject: Re: [openhealth] Senator Endorses VistA for EHR Standard On Jan 23, 2006, at 4:26 PM, Thomas Beale wrote: > Just to be clear on what I would want to see for VistA to be > considered > "open"

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-23 Thread Gregory Woodhouse
On Jan 23, 2006, at 4:26 PM, Thomas Beale wrote: > Just to be clear on what I would want to see for VistA to be > considered > "open" in terms of interoperability: information models and service > models. You need both. If I ask VistA for an extract of someone's EHR, > how does my copmputer pro

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-23 Thread Thomas Beale
Thomas Beale wrote: > Will Ross wrote: > > > Putting this as politely as possible, I believe the distinguished > > Senator from Delaware is using the term "reference model" as a sound > > bite in a political context as opposed to the rather more precise > > meaning of the term "Reference Model" in

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-23 Thread Philippe AMELINE
Thomas Beale a écrit : >Will Ross wrote: > > > >>Putting this as politely as possible, I believe the distinguished >>Senator from Delaware is using the term "reference model" as a sound >>bite in a political context as opposed to the rather more precise >>meaning of the term "Reference Model"

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-22 Thread Thomas Beale
Will Ross wrote: > Putting this as politely as possible, I believe the distinguished > Senator from Delaware is using the term "reference model" as a sound > bite in a political context as opposed to the rather more precise > meaning of the term "Reference Model" in software engineering. > > ;-

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-22 Thread Will Ross
Putting this as politely as possible, I believe the distinguished Senator from Delaware is using the term "reference model" as a sound bite in a political context as opposed to the rather more precise meaning of the term "Reference Model" in software engineering. ;-) [wr] - - - - - - - -

RE: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-22 Thread Koray Atalag
le Sent: 21 Ocak 2006 Cumartesi 04:52 To: openhealth@yahoogroups.com Cc: hardhats-members@lists.sourceforge.net; his-pt@e-healthexpert.org; [EMAIL PROTECTED]; os-wg@mailman.amia.org; [EMAIL PROTECTED] Subject: Re: [openhealth] Senator Endorses VistA for EHR Standard Ignacio Valdes wrote: > > In

Re: [openhealth] Senator Endorses VistA for EHR Standard

2006-01-22 Thread Thomas Beale
Ignacio Valdes wrote: > > In a Hospital Connect editorial, Delaware senator Tom Carper has > endorsed the Veterans Affairs VistA software as a reference model for > a national standard EHR: "...Efforts are underway within the federal Where is the reference model (i.e. information and service mode

[openhealth] Senator Endorses VistA for EHR Standard

2006-01-20 Thread Ignacio Valdes
In a Hospital Connect editorial, Delaware senator Tom Carper has endorsed the Veterans Affairs VistA software as a reference model for a national standard EHR: "...Efforts are underway within the federal government to ensure that all health care providers will be able to use IT in a uniform an