I think the best way to advance VistA is to make it web-based and 
make it programmable in Perl.  Making it web-based would, I believe, 
replace CPRS which I am not sure has come along with the open source 
version.

It would also be nice to install modules piece-meal into a particular 
institution.  A foot in the door is worth a lot.

What VistA appears to have is a critical mass of programmers.  That 
is the thing that has *always* propelled open source.

>Ok so on one hand we have a system that works, supports 400 hostpitals
>and users like: VistA and on the other the desire to build a future
>proof solution: let's call it Futura (I think Ford had a car by that
>name). The questions (perhaps a tad loaded) I would like to explore are:
>
>1. Is the social opportunity cost of waiting for Futura versus
>implementing VistA globally worth it, ethical?
>2. Is there a way to have your cake and eat it too....i.e. build Futura
>and get the benefits of VistA?
>3. If everyone used VistA would Futura even matter?
>
>The perspective I am taking is the 80/20 approach with global
>improvement in health outcomes being the measure.
>
>
>--
>Cheers,
>
>Joseph
>
>Joseph Dal Molin
>e-cology corporation
>www.e-cology.ca

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