Balu:

I am withholding judgment on VITL (http://vitl.net/).    The Vermont
alternative to VITL (and GE) is Fletcher Allen (and Epic).    This puts
VITL on this side of the angels.

Sort of.   Open vxVistA now becomes a litmus test on VITL, goodness or
evilness (maybe).    Open vxVistA is big FOSS ball coming into VITL's
court.    CCHIT certified, to an extent, since its commercial cousin has
some flavor of CCHIT approval (according to Fred Trotter's piece).

http://www.dssinc.com/PressRelease.htm
http://www.fredtrotter.com/2009/01/07/dss-frees-vxvista-changes-the-vista-game/

Personally, I have no experience with vxVistA.    There is no code
release yet on Open Health Forge
(https://www.projects.openhealthtools.org/servlets/ProjectList).

Questions to you or others with knowledge of vxVistA:

   1. Is vxVistA a satisfactory package for Ambulatory EHR?
   2. Apparently commercial vxVistA has been adopted by the Veteran's
      Administration.   Anyone know if installed at the White River Jct
      VA Hospital?
   3. If its decent for Ambulatory EHR, I assume you are advocating for
      it at VITL.   Are there Vermont groups that should also
      advocate?   Or, just DSS, since this package has a commercail
      manifestation?

-- Dan

Meta discussion.   Multi-platform virtual machines (e.g., Java, Mono,
Dalik) increasingly relegate our Unix chauvinism to a back burner.   Not
to mention MS's Windows Services for Unix.   Open vxVistA is
multi-platform.   So is Apache.   But I digress.

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