On Sat, 4 Jan 2003, Ignacio Valdes wrote:
...
> I work at 5 different ones every month. Knowing a new interface for
> each is ridiculous.

Going back to John Gage's original proposal, what if you can access
information from 5 different hospitals through the same "e-mail client"
interface? At the same time, other physicians can use their own client
software, not necessarily the same one you prefer.

Your ability to use the same interface across systems does not imply a
homogenous backend. Dave's vision of heterogenous-but-interoperable
systems includes support for multiple clients/interfaces.

VistA may be quite good or even the best solution in many ways - but it is
by no means perfect. R+D will still to need to continue. I see GnuMed,
OIO, OpenEMed, etc as R+D efforts to take us beyond VistA.

Maybe if we devote more energy to marketing VistA, it will accelerate
dissemination of VistA (if you believe lack of marketing is the
bottleneck). However, some of us are not so good or interested in
marketing - so we contribute what we can through the various R+D efforts.

Personally, I would be quite pleased if some of what we have been working
on through the OIO project will eventually be implemented for VistA. :-)

Best regards,

Andrew
---
Andrew P. Ho, M.D.
OIO: Open Infrastructure for Outcomes
www.TxOutcome.Org (Hosting OIO Library #1 and OSHCA Mirror #1)



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