Dan,
Please give some room for VITL, you don't have to follow me in my
opinion. My opinion is formed by my dealings with them about 2 years
back, when they were clueless about FOSS. Since then they may have
seen the daylight for FOSS and may be in damage control mode and may
have  put up a page on FOSS on their web site. You will see there a
letter to me from a Washington consultant, whom I did not contact or
talk to. It's strange that they put that letter up there, just to show
that they have considered FOSS. I still think they don't get it w.r.t
FOSS, may be, they get the Free(as in free beer) part but not the Open
part. They also do not know how a small practice is run. There's a
difference between FAHC and a rural physician practice, the latter is
preventive (and cognitive) and the former is after the fact.

With regards to Vista, I did play around with it, but I am dumb
learning Mumps. Both Mumps and Unix are over 30 years old, but you
don't see the elegance of Unix in Mumps. This is often expressed as
programs written by engineers as computer scientists complain. If you
have seen the original code for Spice (in fortran) you know what I
mean. I don't know how many Mumps folks are still around.

I don't know if these things are relevant to VAGUE. Please be free to
shut me up :-)
- balu

On 1/16/09, Dan Connelly <[email protected]> wrote:
> 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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