Nancy and all,
Just got off the phone with my contact from the DC Vaccines for Children Program.
He did some checking after I asked him about the CDC code.
Basically it doesn't work, hasn't worked in a while and will not be supported.
The CDC may have even sent queries from this group along to him since he remembers getting e-mails from CDC on similar subjects.


 The code he developed is proprietary and they have no plans to release it.

He did suggest a way to start tho. Generally most programs simply count doses of immunizations. He indicated it's not perfectly accurate since there are limitations on time depending on the antigen.

 Wish I had better news.

If I can be of any help with working out the algorithm let me know.

 Pat Evans

Nancy E. Anthracite wrote:
Frankly, the documentation that is more sorely needed is what I have called the bridging documentation between the installation instructions and the VA documentation written for the VA folks that already know what they are doing. The documents that Dr. Forrey is talking about are indeed desirable, but with limited resources, I think we need to work on these bridging documents first and then the documents that Dr. Forrey is referring to except, perhaps, for the overview document that he has been writing.

I know Dr. Forrey has put a huge number of hours into trying to start the documents up for us, and I appreciate it very much, but to get people up to speed to be able to use the system and to largely manage it for themselves, especially those that will be planning to use it developing countries, we need the bridging documents.

On Monday 15 November 2004 12:45 pm, A. Forrey wrote:

Kevin:
Your situation is general to all who would adopt VistA or its various
configurations. THat has been the reason that I ahve been collecting
various perp[sective and putting them into the Open VistA Introduction
docuimentation and associated project templates; it is intended that these
documents (which are still woefully incomplete when compared to what is
needed) would then be available via the WV Education Committee. We need to
flesh them out here at UW in order to teach the "enterprise View, LIfe
Cycel Princilpes" perspective to Health Inofrmatics Students in several
programs here. But it is recognized that this general documentation should
also be useful to the various Suppliers members of WV and contain all the
general information about conceptual content, professional specialty
perspectives as well as the general approach to implementation (including
enterprise strategic planning and organizational project management
related to any configuration selected). This general documentation should
continue to be updated by contributions from various parties (educational
and others) so that both Acquirers (such as your colleagues) and Suppliers
have a complete general global picture of the realities of the VistA
Information Architecture and can focus in on specializing that
documentation productively for the needs of the individual enterprise and
its peprspective in not only acquiring a VistA Confi=figuration but also
making objective ansd accurate comparision with marketplace products and
services. This will objectively, help acquirers understand how composite
architetcures migt be assembled using VistA components and help Suppliers
propose effective composite alternatives that make best use of the
available products and services in innovative ways. Such documnteation
will help the Open Source segment of the market best explain their
benefits and it will provide options for healthcare enterprises. Meantime,
the educational insitutions can be educating knowledgeable professional
disciplines who can participate in these activities as masterful customers
in concert with skilled Suppliers. If we can achive this, OpenVistA, WV
and the Community can be a recognized influence in the journey to the EHr
environment.

Thus we need your input to flesh out this documnetation and plan its
availablity to the Community via WV Education Committee activities and
help save folks a lot of redundant work in understnading what VIstA is
and how to use it.

On Sat, 13 Nov 2004, Kevin Toppenberg wrote:

Hey all,

I have just learned that my group is expecting me to make a VistA
presentation

the first day I get back from my vacation. Surprises are the spice of life ;-)


One of the big factors the group has stressed is that they want a firm

backup plan for support for any system they go with. Thus, if I leave the group etc, they would not be stuck with a system they don't understand etc.

This is true of any hea;lthcare enterprise.


So I am now requesting that support venders send me e-mails for prices
for

support. This would be for a system that I set up. I will be happy to go through what I have done for the setup when we get started etc. We would probably want to consider several types of coverage options. I'll list these below.

We need general information for a WV informational website about the
nature of the marketplace; i. e. Venodors, products, standards conformance
attributes.


I have been given some estimates that were "on the high end" when I first

started learning VistA, though these were for a complete install. I mention this because I'm not interested in anyone making a fast buck off our group. We will happily pay fair wages for services rendered. But we want reasonable rates. Also, I have been asked in the past to keep bids sent to me secret. I think this is contrary to competition, so would not be able to promise this.


So with that behind us, I'd love to receive bids for VistA software
support.



I started to try to device a division plan for the various levels of
support,

i.e. 24-7 vs. weekdays, installation programming vs. telephone support etc. But it seemed that every company may already have theirown scheme. So I'll just see what you all have to offer.


So this is where the OpenSource model is supposed to shine: Free code,

but viability through paid support. I hope its all true....

Gather the info as it will be valuable for not only the current purchasers
considering VistA but also the educational setting where the current
students will be looking at the Supplier's lists.

The WV meeting this Friday should address getting thsi kind of information
collected and also passed to the education activities -its your future
market! >

Kevin



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