RE: [Hardhats-members] Appointments

[Thurman Pedigo]

We use two clinics with SD (in FileMan). I
have used up to 8 clinics.

 

thurman  













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of James Abbott
Sent: Friday, May 26, 2006 4:31 PM
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members]
Appointments



 



Are most places that are using Vista
(non-VA places) making a seperate clinic for each provider?  I haven't
seen any way to assign a provider to an appointment until they check-out for
the visit.  If you have several providers, this wouldn't seem to
work.  It does make sense for a 'cattle call' enviornment.  Is anyone
using it for more than one provider in a clinic?





 





James Abbott





 





P.S. I have been experiencing 'Death By PowerPoint' all week for a
board review class.I was struck by two things: 1) how few
people are using EMRs and 2)how much medicine you forget when you don't
use it everyday.  I may need to stick to informatics!





 





 









Sneak preview the all-new
Yahoo.com. It's not radically different. Just radically better. 

[Hardhats-members] SNOMED, Kaiser Permanente, and VA

[Thurman Pedigo]

Anyone know what this means? 

“Feds Push
Electronic Health Records

April 24, 2006

by Barbara Kram, Assistant Editor

 

 

The Problem List Subset was created through a health
technology partnership between the Department of Veterans Affairs (VA) and
Kaiser Permanente. This use of SNOMED for medical product labeling will improve
the domestic exchange of product information in FDA-approved package inserts.”

 

http://www.dotmed.com/news/story/1678/

 

Thanks,

 

thurman

RE: [Hardhats-members] West Virginia ->VistA

[Thurman Pedigo]

More power to them. I know of a case where a University wanted to sell a
hospital system to one State for $200M. Maybe $3 ain't so bad.../t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nevius, Gordon D.
> Sent: Friday, April 14, 2006 8:38 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] West Virginia ->VistA
> 
> Closer to $3 million
> 
> http://www.insurancenewsnet.com/article.asp?n=1&lnid=374748201
> 
> 
> 
> 
> Gordon Nevius
> Oakland Field Office
> 510 768-6865
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Kevin
> Toppenberg
> Sent: Friday, April 14, 2006 7:34 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] West Virginia ->VistA
> 
> Goodness.  Who is getting $2 million for setting up a VistA system?
> 
> Kevin
> 
> 
> On 4/13/06, Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> >
> >
> >
> > Interesting! Anyone catch this?.../t
> >
> >
> >
> > http://www.modernhealthcare.com/article.cms?articleId=39428
> 
> 
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[Hardhats-members] West Virginia ->VistA

[Thurman Pedigo]

Interesting! Anyone catch this?…/t

 

http://www.modernhealthcare.com/article.cms?articleId=39428

RE: [Hardhats-members] Computers and Quality - the Journey

[Thurman Pedigo]

Believe it when you see it. Maybe our Pres has some redeeming qualities.
>From 1967 to 2006 to get started is better than never/tl

NYT:
"Employers Push White House to Disclose Medicare Data 
   E-MailPrint Single Page Save  By ROBERT PEAR
Published: April 11, 2006
WASHINGTON, April 10 - The White House is clashing with the nation's largest
employers over their request for huge amounts of government data on the cost
and quality of health care provided by doctors around the country."

"The Medicare data would be a gold mine of information," said Maria M.
Ghazal, director of public policy at the Business Roundtable. Medicare
handles more than a billion claims a year.

http://www.nytimes.com/2006/04/12/opinion/12wed4.html?th&emc=th
http://www.nytimes.com/2006/04/11/washington/11medicare.html
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Thurman Pedigo
> Sent: Sunday, March 26, 2006 9:38 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Computers and Quality - the Journey


> In 1967 I visited a pharmacist and watched him completing forms. After
> learning the forms were for Medicaid payment, I thought "My God! That's a
> lot information. Someday, someone is going to use it to measure how we
> practice." It's been a long time and not much has changed. The term is
> benchmark. For years I compared (contrasted?) medical standards with pilot
> standards. Today we are just starting to recognize our similarities and
> use
> effective techniques to improve quality.
> http://bmj.bmjjournals.com/cgi/content/full/320/7237/745
> 
> The journey is begun. Let us hope it will continue with a candid look at
> our
> weaknesses and errors. Requiring perfection before we begin the journey
> discounts the value of learning we acquire along the way.
> 
> Thanks,
> 
> thurman
> 
> 
> 
> ---
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RE: [Hardhats-members] TIU Template field storage

[Thurman Pedigo]

What file contains that data? I would like
to get to the file to see how the formatted/stored data looks.

 

Thanks,

 

thurman

 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
Sent: Tuesday, April 04, 2006 2:57
PM
To:
hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members]
TIU Template field storage



 

The template is store
separately.  But once it is used to create a note, it all becomes plain
text.  So values in template fields are stored as plain text in the note.

But you can do searches for the text in a note, so you could perhaps still do
reports with a bit of programming.  I.e. do a search for a match of the
template, pull up the note and "subtract" the template text, and what
is left over is the user data.

Kevin





On 4/4/06, Usha
<[EMAIL PROTECTED]> wrote:





While filling a template, are the values entered saved in
the VistA database or only the full text of
the note is saved?





 





Are values filled in template fields stored in the VistA database such that they can be used to create
reports?





 





Usha






Make sure
YOUR emails don't get lost! Download Mailinfo
here 





 

[Hardhats-members] Physician Reporting- Pay for Peerrformance - P4P

[Thurman Pedigo]

http://www.cms.hhs.gov/pvrp/

https://www2.qualitynetsurveys.org/12ac7147.htm

 

These links may already be reported here. Though don’t
do Medicare, it looks like the P4P movement is growing if I read this correctly.
I find it intriguing the holder of the most valuable database in medicine takes
this route. 

 

Thanks,

 

thurman

[Hardhats-members] Computers and Quality - the Journey

[Thurman Pedigo]

Thread change - long post!
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Saturday, March 25, 2006 11:59 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Re: [openhealth] CCHIT biased towards
> proprietary software??
> 
> 
> On Mar 25, 2006, at 8:38 PM, Thurman Pedigo wrote:
> 
> > To err is human.  To really screw up requires a computer.
> 
> Yes, I've even heard a few attributions for it. Unfortunately, it
> repeated so often simply because it is, well, true.

Nolo contendere
I think the major (computer) "screw ups" in medicine have been in
radiotherapy dose calculations or equipment malfunctions. NOT that many
others don't exist. 

> > I presume every one on this list has heard this trite little
> > phrase. Sadly,
> > medicines widespread variation allows almost anything to be an
> > improvement.
> > Not that I think we should lower standards as we sorely need all
> > the help we
> > can get.
> 
> It certainly sounds to me like you are setting a low standard. Maybe
> you need to learn to crawl before you can walk, but my fear is that
> we will all be satisfied with never learning to walk.

Ten years ago a JAMA study reported (May 1965) glycosylated hemoglobin
(Recommended 100%) obtained in patients with diabetes was 16% of the
diabetic cohort. 
http://jama.ama-assn.org/cgi/content/abstract/273/19/1503

I didn't set the standard - merely referenced reality. I could say that our
practice per cent (using FileMan) was 4X the Nation's reported average and
still better than today's performance. All this accomplished simply by
listing "Date last A1C" with every encounter. 

> 
> > Most telling is the history of Medicare's annual mortality reports
> > in the 80's. AMA and AHA were successful in killing the reports
> > because they
> > were "flawed."  Admittedly they needed improvement - which was in
> > the plan.
> > However, their flaws were less than a good many new surgical
> > procedures and
> > drugs coming on the market.
> >
> > Certainly, VistA is an advance.
> 
> It may well be, but can you state clearly why? I suspect the
> naysayers you refer to are skeptical precisely because no one seems
> interested in making independently verifiable claims about just how
> VistA does represent an advance.

"VistA is an advance." Is not intended as exclusionary. My comparison is the
paper record - I think still used by over 70% providers. Internationally the
US ranks near the 17 percentile in adoption (Brailer 2003). How is that for
a standard? I chose the "to err is human" precisely because ten years after
AMA and AHA were able to kill the "Medicare Hospital Mortality Information"
the Institute of Medicine published "To Err is Human" claiming over 100,000
people died each year because of inferior quality. That was the standard
with which many (including myself) were uncomfortable. 

> 
> > Hopefully, the naysayer critics won't kill
> > its advantages. Computer error checks and reminders create a lot of
> > quality
> > improvement.
> 
> Okay, now this is precisely the kind of thing I had in mind. Besides
> reminders, what does VistA give you? What benefits does it provide
> that cannot be found in other EHR products? Why? These are the sorts
> of questions that need to be answered if you wish to make a
> convincing case for the use of VistA.

Again, today's comparison/standard is the paper record. VA employees have
been using EHR so long they may be forgiven for thinking that is the
universe. My practice today is such that I see people from all over this
country - indeed an international cohort. When I ask people with diabetes
what their A1C (or long acting blood sugar) value they are clueless. Less
than one in 10 have heard of it. None know the value. I provide a
questionnaire for their physician, the only A1C reported is recent (done
after they got the query). I am working on a (computer efficient) paper to
give our population entitled "Questions to ask your physician about
diabetes." Arrogant? Maybe. I call it patient education. 

In 1967 I visited a pharmacist and watched him completing forms. After
learning the forms were for Medicaid payment, I thought "My God! That's a
lot information. Someday, someone is going to use it to measure how we
practice." It's been a long time and not much has changed. The term is
benchmark. For years I compared (contrasted?) medical standards with pilot
standards. Today we are just starting to recognize our similarities and use
effective techniques to improve quality. 
http://bmj.bmjjournals.com/cgi/

RE: [Hardhats-members] Re: [openhealth] CCHIT biased towards proprietary software??

[Thurman Pedigo]

To err is human.  To really screw up requires a computer. 

I presume every one on this list has heard this trite little phrase. Sadly,
medicines widespread variation allows almost anything to be an improvement.
Not that I think we should lower standards as we sorely need all the help we
can get. Most telling is the history of Medicare's annual mortality reports
in the 80's. AMA and AHA were successful in killing the reports because they
were "flawed."  Admittedly they needed improvement - which was in the plan.
However, their flaws were less than a good many new surgical procedures and
drugs coming on the market. 

Certainly, VistA is an advance. Hopefully, the naysayer critics won't kill
its advantages. Computer error checks and reminders create a lot of quality
improvement.

Thanks,

thurman  

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Saturday, March 25, 2006 9:23 PM
> To: openhealth@yahoogroups.com
> Cc: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Re: [openhealth] CCHIT biased towards
> proprietary software??
> 
> 
> On Mar 25, 2006, at 5:01 PM, Joseph Dal Molin wrote:
> 
> > and...at the risk of stating the obvious there should be some
> > mechanism for evaluating the certification authority and the
> > criteria...
> >
> 
> Sadly, I don't know how many people are even thinking in those terms.
> What we are discussing here is software quality (meaning fitness for
> a particular purpose), and it may well be that people with the
> appropriate expertise are not well represented in this process.
> Worse, the current standard (in medicine, one might say "standard of
> care") in this area is heavily biased towards testing and informal
> (if any) requirements definition. Formal methods, automated proof
> systems, rigorous specifications, and so forth are all thought of as
> rather esoteric or "academic" (purposely using what Guy L. Steele
> perceptively called horror quotes in his thesis!) I know I've written
> correctness proofs for no reason but to satisfy myself that an
> algorithm I developed was correct. It's not such a terrible thing.
> Perhaps medicine is an area where we ought to start thinking about
> setting aside industry standard practice and thinking in terms of
> more rigorous methods of validating softwares -- which, after all is
> used in patient care!
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "And the end of all our exploring
> will be to arrive where we started
> And know the place for the first time"
> -- T.S. Eliot
> 
> 
> 
> 
> 
> 
> ---
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RE: [Hardhats-members] Call for Discussion: GatedAccess vs GatedWriteable Wiki Policy

[Thurman Pedigo]

Vote read free/ managed manipulate 
thurman



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RE: [Hardhats-members] Opthalmology

[Thurman Pedigo]

Presume you have looked at “EYE
EXAM” which goes pretty deeply –
al. the way to refraction. What else are you looking for?

 

Thanks,

 

thurman

 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Marc Krawitz
Sent: Friday, March 10, 2006 1:52
PM
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members]
Opthalmology



 



This question has been asked by others on this board but nobody
responded (so I will ask again).  Does VistA
provide any specific support for Opthalmology?  Perhaps some nice
templates?





 





Any help would be great.





 





Thanks,





 





Marc

RE: [Hardhats-members] CHUI scrollable window API

[Thurman Pedigo]

I am not sure what you mean by "API for the functions in VPE". I have the
VPE applications in the (tools) menu system using the ScreenMan editor. Is
there something else you want? What kind of function should we expect from
API? Agree the text editor is sort of clunky, though it will interface with
spell check - which I am not using.

Thanks,

thurman 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Tuesday, February 28, 2006 5:27 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] CHUI scrollable window API
> 
> Isn't there a text editor built into vista (although it is clunk in my
> opinion).
> 
> I have wished we could develop an API for the functions in VPE.  From
> what I could see, he wrote fairly modular code--so an interface should
> be possible
> 
> Kevin
> 
> 
> On 2/28/06, Dan <[EMAIL PROTECTED]> wrote:
> > Is there a VistA API that will create a CHUI scrollable window similar
> to
> > WIN^XGF but that functions like a text editor?
> >
> >
> >
> > ---
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RE: [Hardhats-members] Re: Screenman problems.

[Thurman Pedigo]

Kevin,

Thanks for the follow-up.
 
"My problem was that I didn't have a value stored for the DIC {DIC} field.
The screenman instructions give misleading advice, and I had missed that
that particular field was not optional."

Agree the manual is sort of brief and sometimes misleading. Then not all
ScreenMan options require DIC. For instance, consider this menu created in
"SCREEN BASED OPTION EDITOR - XQOPED. 

NUMBER: 324 NAME: DDS SCREEN MENU
  MENU TEXT: ScreenMan  TYPE: menu
  CREATOR: PEDIGO,THURMAN L LOCK: XUSCREENMAN
  DELEGABLE: YESE ACTION PRESENT: YES
 DESCRIPTION:   Use this option to view the filegram in filegram format.
ITEM: DDS EDIT/CREATE A FORMSYNONYM: 1
  DISPLAY ORDER: 1
ITEM: DDS RUN A FORMSYNONYM: 2

I got my most effective training was using the very option with which
ScreenMan creates the ScreenMan forms - DDS EDIT/CREATE A FORM. That form
covers a lot of the ScreenMan capabilities and tricks. Look especially at
the first page with curser under "Type" to see all the options available.
Far more than you find in the manual. So if you use the XQOPED to edit the
DDS EDIT/CREATE A FORM you get a different perspective of what the form
does. 

Thanks,

thurman



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Sunday, February 26, 2006 7:15 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Re: Screenman problems.
> 
> Thurman,
> 
> Thank you for your reply.  My problem was that I didn't have a value
> stored for the DIC {DIC} field.  The screenman instructions give
> misleading advice, and I had missed that that particular field was not
> optional.
> 
> "I imagine you are way past what I do with the ScreenMan, " ...
> 
> Not at all, I am only on my second screenman form created.  I just use
> it as an interactive way for end users to edit some fields.
> 
> I think that Screenman is a pretty cool tool, but to me it could
> benefit from some polishing.
> 
> Thanks again
> Kevin
> 
> 
> On 2/25/06, Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> > I'm not sure I understand the problem here. Have you tried:
> > Screen-based Option Editor [XQOPED]
> > I use this option to convert ScreenMan forms to actionable options.
> Below is
> > an example of an option created with  XQOPED:
> >
> > NAME: MAW ARPOSTMENU TEXT: Post Daily Charges
> >   TYPE: ScreenMan   CREATOR: PEDIGO,T L
> >   DELEGABLE: YESE ACTION PRESENT: YES
> >   X ACTION PRESENT: YES HEADER PRESENT?: YES
> >   EXIT ACTION: W @IOF   ENTRY ACTION: W @IOF
> >   HEADER: D ^MMCHEADDIC {DIC}: DIZ(130,
> >   DIC(0): AELMQ DR{DDS}: [MAWPAYSCRN]
> >   DDSFILE: 130  DDSPAGE: 1
> >   UPPERCASE MENU TEXT: POST DAILY CHARGES
> >
> >
> > I imagine you are way past what I do with the ScreenMan, but thought I
> would
> > share a low-level use of the tool. I use ScreenMan extensively - without
> > sophistication - throughout the menu system and like it a lot. I haven't
> > tried any  sophisticated programming, though ScreenMan seems to handle
> my
> > needs pretty well. The really nice thing about ScreenMan is one can
> create
> > some pretty powerful edit and dissplay screens in a very short period of
> > time. I must admit it doesn't match up to the templates of VistA,
> however,
> > for some quick editing "on the fly" its hard to beat.
> >
> > I don't come even close to using the full power of the tool and still
> get a
> > lot of performance. Hope this helps.
> >
> > Thanks,
> >
> > thurman
> >
> >
> >
> > > -Original Message-
> > > From: [EMAIL PROTECTED] [mailto:hardhats-
> > > [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> > > Sent: Friday, February 24, 2006 12:15 PM
> > > To: hardhats-members@lists.sourceforge.net
> > > Subject: Re: [Hardhats-members] Re: Screenman problems.
> > >
> > > --- Kevin Toppenberg <[EMAIL PROTECTED]> wrote:
> > >
> > > > Lloyd,
> > > >
> > > > Thanks for your response.  I tried again, and it now works by
> filling
> > > > in the file number as a number (22711)
> > >
> > > Have you considered just setting up a run routine option that invokes
> > > Screenman with D ^DDS?
> > >

RE: [Hardhats-members] Re: Screenman problems.

[Thurman Pedigo]

I'm not sure I understand the problem here. Have you tried:
Screen-based Option Editor [XQOPED] 
I use this option to convert ScreenMan forms to actionable options. Below is
an example of an option created with  XQOPED:

NAME: MAW ARPOSTMENU TEXT: Post Daily Charges
  TYPE: ScreenMan   CREATOR: PEDIGO,T L
  DELEGABLE: YESE ACTION PRESENT: YES
  X ACTION PRESENT: YES HEADER PRESENT?: YES
  EXIT ACTION: W @IOF   ENTRY ACTION: W @IOF
  HEADER: D ^MMCHEADDIC {DIC}: DIZ(130,
  DIC(0): AELMQ DR{DDS}: [MAWPAYSCRN]
  DDSFILE: 130  DDSPAGE: 1
  UPPERCASE MENU TEXT: POST DAILY CHARGES


I imagine you are way past what I do with the ScreenMan, but thought I would
share a low-level use of the tool. I use ScreenMan extensively - without
sophistication - throughout the menu system and like it a lot. I haven't
tried any  sophisticated programming, though ScreenMan seems to handle my
needs pretty well. The really nice thing about ScreenMan is one can create
some pretty powerful edit and dissplay screens in a very short period of
time. I must admit it doesn't match up to the templates of VistA, however,
for some quick editing "on the fly" its hard to beat.
 
I don't come even close to using the full power of the tool and still get a
lot of performance. Hope this helps.

Thanks,

thurman



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Friday, February 24, 2006 12:15 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Re: Screenman problems.
> 
> --- Kevin Toppenberg <[EMAIL PROTECTED]> wrote:
> 
> > Lloyd,
> >
> > Thanks for your response.  I tried again, and it now works by filling
> > in the file number as a number (22711)
> 
> Have you considered just setting up a run routine option that invokes
> Screenman with D ^DDS?
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> "All truth passes through three stages: First, it is ridiculed.
> Second, it is violently opposed. Third, it is accepted as
> being self-evident."
> --Arthur Schopenhauer
> 
> 
> ---
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FW: [Hardhats-members] Edit Template fields

[Thurman Pedigo]

Anna,

 

Cameron sent me this solution on template
edit sometime ago. I think you need to give yourself CLINICAL COORDINATOR privileges. 

 

G’luck 

 

thurman

 

 











From: Cameron
Schlehuber [mailto:[EMAIL PROTECTED] 
Sent: Sunday, June 19, 2005 1:41
PM
To: 'Thurman
 Pedigo'
Subject: FW: [Hardhats-members]
Edit Template fields



 

FYI  Let me know if this helps.

 

-Original Message-
From: Robert DeWayne
[mailto:[EMAIL PROTECTED] 
Sent: Saturday, June 18, 2005 8:46
AM
To: Cameron Schlehuber
Subject: RE: [Hardhats-members]
Edit Template fields

 

Here is
the answer:

XPAR MENU TOOLS
 EP
Edit Parameter Values
   
    TIU FIELD EDITOR CLASSES


 1  
User 
USR    [choose from NEW PERSON]
 3  
Service   SRV    [choose from
SERVICE/SECTION]
 4   Division 
DIV    [SOFTWARE SERVICE]
 5  
System    SYS   
[EHR.DAOU.COM]
 6  
Package   PKG    [TEXT
INTEGRATION UTILITIES]

(I used system)
Sequence Number  Value
---  -
1   
CLINICAL COORDINATOR
2   
TEMPLATE FIELD CREATOR

Then check the class membership:

USR CLASS MANAGEMENT MENU
    List Membership by User


Edit 
Change View

Current User
Classes  Jun 18,
[EMAIL PROTECTED]:45:16 
Page:    1 of    1
   
DEWAYNE,ROBERT   
2 Classes
 User
Class
Effective  Expires 
1    Clinical
Coordinator  
12/17/04

If the
above steps are done and they are a clinical coordinator, the error should
go away.



 





I hope this helps.






Robert DeWayne
Technical Lead VOE (VistA Office EHR)
Daou Systems, Inc.
P: (317) 616-4745  C:(317) 727-7477
www.daou.com

-Original Message-
From: Cameron Schlehuber [mailto:[EMAIL PROTECTED]]
Sent: Friday, June 17, 2005 4:25 PM
To: Robert DeWayne; 'Thurman Pedigo'
Subject: FW: [Hardhats-members] Edit Template fields

Thurman, Robert found the answer to this just a few days ago.  I gather it
has something to do with using an XPAR menu option to edit a parameter so that
you're Clinical Coordinator User Class is set up correctly.

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]
On Behalf Of Thurman Pedigo
Sent: Thursday, June 16, 2005 7:05 PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members] Edit Template fields

Sorry to belabor this one, however, I have (maybe) some new information on the
"template edit" problem. I tried importing a template, supplied by a
VA friend, and got the following message:

"This template has one or more new fields, and you are not authorized to
create new fields. If you continue, the program will import the new template
without the new fields. Do you wish to do this?"

Does anyone have any idea where this comes from?

Thanks/t


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Thurman
 Pedigo
> Sent: Wednesday, June 15, 2005 10:25 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Edit Template fields
>
> The .jpg shows the bottom choice - "Edit template field"
"grayed out"
> or not accessible. All the other options on that list are open to use.
>
> Below is the inquire of DOCUMENT DEFINITION EDIT. Note the "OUT OF
> ORDER MESSAGE."
>
> NUMBER: 7758   
NAME: TIU DOCUMENT DEFINITION EDIT
>   MENU TEXT: Edit Document Definition   OUT OF ORDER
MESSAGE: tiu doc
>   TYPE:
edit   
CREATOR: PEDIGO,THURMAN L SR
>   PACKAGE: TEXT INTEGRATION UTILITIES   E ACTION
PRESENT: YES
>   X ACTION PRESENT: YES
>  DESCRIPTION:   This option allows editing of document
definitions.
>   Short Menu Text: Edit Document Definition
>   EXIT ACTION: K
TIUFPRIV  
ENTRY ACTION: S TIUFPRIV=1
>   DIC {DIC}:
TIU(8925.1,   
DIC(0): AEMQL
>   DIE:
TIU(8925.1, 
DR {DIE}: [TIU EDIT DOCUMENT TYPE]
>   TIMESTAMP OF PRIMARY MENU: 56132,47161
>   UPPERCASE MENU TEXT: EDIT DOCUMENT DEFINITION
>
> Thanks,
>
> thurman
> ts/listinfo/hardhats-members



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RE: [Hardhats-members] Billing Module for VistA

[Thurman Pedigo]

I haven't carefully explored the VistA AR system, though what I have done
indicated that there are something like 11 options that appear to expand
into as much as 50-75 additional options seemingly geared to the VA needs. I
don't get much more help from the manual. 

Continuing the discussion of Accounts Receivable (AR) management, I wanted
to test this groups thinking regarding relationships in the AR file. We
recently had discussions of identifiers, which drives quite a bit of my
concern. For over 25 years I have built the AR around a family oriented
structure. While it is a great tool, it gets awkward managing individuals.
We had recent discussion of identifiers without settling many issues. In my
thinking that becomes even more important in design considerations for AR
management. I am basing my concerns on some considerations presented below
and will ask guidance from this group. I must also share my prejudice that
that I consider a split system (separate but linked) a SERIOUS HANDICAP for
EHR practice management execution. 

Since the early 80's I have listened to Mike Fitzsmaurice (ARQ), Ed Hammond
(Duke University) and others debate the identifier. In a 2005 document they
address recommendations - beware of wrap:
http://www.connectingforhealth.org/assets/reports/linking_report_2_2005.pdf

"...a health identifier as having six theoretical characteristics:
. Unique Only one person has a particular identifier
. Non-disclosing The identifier discloses no personal information
. Permanent The identifier will never be re-used
. Ubiquitous Everyone has an identifier
. Canonical Each person in the system has only one identifier
. Invariable A person's identifier won't change over time"

I plan to create three new files (ARFILE, RPFILE, & INSURFILE) related to
accounts management and insurance filling. I won't be surprised if I have to
add other new files before the project is complete. My interest is NOT to
build something using the identifier, but to anticipate potential problems.

Since interest remains in VistA billing, I wanted to share these thoughts
and get feedback. I expect to run the proposed AR system with ScreenMan
interface, though as I get more familiar with other VistA options I (or
someone) may find another interface. 

Thanks,

thurman


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Monday, February 06, 2006 2:41 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Billing Module for VistA
> 
> 
> --- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> > The
> > downside is it is in FileMan - not VistA and it has a few files not
> > represented in VistA.
> >
> 
> What do you mean? There is nothing wrong with creating new files (so
> long as you stsay within your namespace and numberspace, to avoid
> possible conflicts with other VistA modules). In fact, it is be
> expected that new applications (modules) will introduce new files.
> 
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> "All truth passes through three stages: First, it is ridiculed.
> Second, it is violently opposed. Third, it is accepted as
> being self-evident."
> --Arthur Schopenhauer
> 
> 
> ---
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RE: [Hardhats-members] Billing Module for VistA

[Thurman Pedigo]

I should have written "files I don't plan to bring over to VistA." Below is
a short screen dump from VPE. I didn't include pointers, since they account
for over 30 lines.  I should also mention the "new" file I created for
transfer to VistA. 
Listed below:
  A.) FILE NAME:- MAW VARFILEF.) FILE ACCESS:
   
  B.) FILE NUMBER:--- 002DD__ @
 Read @
  C.) NUM OF FLDS:--- 113Write___ @
 Delete__ @
  D.) DATA GLOBAL:--- ^MAWVAR(002,   Laygo___ @

  E.) TOTAL GLOBAL ENTRIES:-- 22658 G.) PRINTING STATUS:-- Off


Hope this gives some idea of the name/number space.

thurman



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Monday, February 06, 2006 2:41 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Billing Module for VistA
> 
> 
> --- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> > The
> > downside is it is in FileMan - not VistA and it has a few files not
> > represented in VistA.
> >
> 
> What do you mean? There is nothing wrong with creating new files (so
> long as you stsay within your namespace and numberspace, to avoid
> possible conflicts with other VistA modules). In fact, it is be
> expected that new applications (modules) will introduce new files.
> 
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> "All truth passes through three stages: First, it is ridiculed.
> Second, it is violently opposed. Third, it is accepted as
> being self-evident."
> --Arthur Schopenhauer
> 
> 
> ---
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RE: [Hardhats-members] Billing Module for VistA

[Thurman Pedigo]

Having traded Basic for FileMan nearly 20 years ago - I would not advise
Basic for billing - though I do use a VB interface to create some jazzy
forms with Omniform. http://www.nuance.com/omniform/

thurman 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Monday, February 06, 2006 1:43 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Billing Module for VistA
> 
> --- Nancy Anthracite <[EMAIL PROTECTED]> wrote:
> 
> > Because if you use what is shipped out in email, you do not need to
> > know M and
> > you don't need to modify VistA, and I thought it was a something
> > thing that a
> > VB Programmer could deal with.
> >
> 
> Extending VistA (adding new components) and modifying VistA (altering
> existing components) aren't the same thing. There's no reason not to
> *extend* VistA, but modifying what is already there is another thing
> entirely.
> 
> I agree with you that a VB (or Java, or C) programmer ought to be able
> to deal with mail messages without any trouble, but isn't that true of
> HTTP, HL7, and other protocols, too? The tricky thing is not the
> message format itself, but the interface with the rest of VistA. But
> then again, I suspect we're saying the same thing in different ways.
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> "All truth passes through three stages: First, it is ridiculed.
> Second, it is violently opposed. Third, it is accepted as
> being self-evident."
> --Arthur Schopenhauer
> 
> 
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RE: [Hardhats-members] Billing Module for VistA

[Thurman Pedigo]

I have a HCFA1500 billing application (using it years) in FileMan that I am
willing to share. I can export it via KIDS for interested parties. The
downside is it is in FileMan - not VistA and it has a few files not
represented in VistA. 

It does the HCFA just fine. I now make a daring statement that I will make
every effort to get it to a level that will integrate with VistA by the end
of this month. It is quite rudimentary, built on multiples and ScreenMan. It
would be interesting to have feed back on whether it has any potential for
other users. I may be able to set it up with VPN (or outside our firewall)
to give someone a chance to look at it "as is."

thurman   

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Mike Schrom
> Sent: Monday, February 06, 2006 11:18 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Billing Module for VistA
> 
> I'm sure I could do it in BASIC, but if I'm going to stick with VistA,
> I'd probably try to learn M eventually anyway. I have the ANSI 837
> documentation, though it may be an older version. I'd like to see how
> VistA formats the output.
> 
> Greg Woodhouse wrote:
> 
> > --- Mike Schrom <[EMAIL PROTECTED]> wrote:
> >
> >
> >>I agree, and I'd like to help, but my programming experience is
> >>limited
> >>to 35 year old recollection of BASIC.
> >>
> >
> >
> > How comfortable do you feel with Basic? If you have an idea that you
> > want to try implementing, I'd say to go for it. Personally, I think
> > VistA would benefit from supporting multiple languages, but right now
> > the infrastructure is a bit limited. I like to think M is to VistA as C
> > is to Unix.
> >
> > ===
> > Gregory Woodhouse  <[EMAIL PROTECTED]>
> > "All truth passes through three stages: First, it is ridiculed.
> > Second, it is violently opposed. Third, it is accepted as
> > being self-evident."
> > --Arthur Schopenhauer
> >
> >
> > ---
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> >
> 
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RE: [Hardhats-members] MENU NAMES

[Thurman Pedigo]

Ahh…now I understand. Someone jerked
the L out of it…./t

 













From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of James Gray
Sent: Tuesday, January 10, 2006
5:58 PM
To:
hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members]
MENU NAMES



 



The L is supposed to be there!  My problem was that I
was missing the L.





 





Jim







- Original Message - 





From: Kevin Toppenberg 





To: hardhats-members@lists.sourceforge.net






Sent: Tuesday, January
10, 2006 4:37 PM





Subject: Re:
[Hardhats-members] MENU NAMES





 



Hmmm, this error was in
my database too.
I have taken out the "L"

Thanks for the bug fix, although I haven't encountered a problem yet

Kevin





On 1/10/06, James
Gray <[EMAIL PROTECTED]>
wrote: 


I found the problem.  DIC(0) in the option XUEDITOPT is AEMQ, not
AEMQL
This is in a CACHE.DAT file of RPMS that I obtained that was pretty
pre-configured.
Jim



 

RE: [Hardhats-members] A VT100+ terminal emulation is needed for the new Fileman

[Thurman Pedigo]

Interestingly, the same terminal setup we used for years clicks just fine
with Georges modifications. I need to find a way to copy and paste on
screen.

thurman



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Tuesday, January 03, 2006 7:32 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] A VT100+ terminal emulation is needed for
> the new Fileman
> 
> In order to be able to use the mouse in Fileman, which I think has a
> tremendous potential for easing the transition of a new user to the non-
> gui
> portions of VistA, George said to use this teminal emulation.  That is all
> that is about as far as I am concerned.
> 
> On Tuesday 03 January 2006 12:36 am, Thurman Pedigo wrote:
> Just curious whether I am missing some feature everyone expects. Over the
> years I have tried a number of terminal emulators and (nearly) always
> wondered if there wasn't something better. After all, we aren't talking
> the
> real McCoy. All the programs are trying to look like some hardware device.
> Window's fans look at us like - you're still using THAT?
> 
> I guess I am thinking of features rather than what kind of characters one
> uses to get the features - then wonder if I have the best features for my
> job (FileMan). Confusing - yes. That's where the debates starts and
> finishes.
> 
> thurman
> 
> > -Original Message-
> > From: [EMAIL PROTECTED] [mailto:hardhats-
> > [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> > Sent: Monday, January 02, 2006 11:04 PM
> > To: hardhats-members@lists.sourceforge.net
> > Subject: Re: [Hardhats-members] A VT100+ terminal emulation is needed
> for
> > the new Fileman
> >
> > On Jan 2, 2006, at 8:52 PM, Thurman Pedigo wrote:
> > > Does any of the above seem handicapped?
> >
> > I'm not sure I understand. Handicapped in what sense?
> >
> > ===
> > Gregory Woodhouse
> > [EMAIL PROTECTED]
> >
> > "A hero is no braver than an ordinary
> > man, but he is brave five minutes longer."
> > -- Ralph Waldo Emerson
> >
> >
> >
> >
> >
> > ---
> > This SF.net email is sponsored by: Splunk Inc. Do you grep through log
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> ---
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> --
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> 
> 
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RE: [Hardhats-members] A VT100+ terminal emulation is needed for the new Fileman

[Thurman Pedigo]

Just curious whether I am missing some feature everyone expects. Over the
years I have tried a number of terminal emulators and (nearly) always
wondered if there wasn't something better. After all, we aren't talking the
real McCoy. All the programs are trying to look like some hardware device.
Window's fans look at us like - you're still using THAT?

I guess I am thinking of features rather than what kind of characters one
uses to get the features - then wonder if I have the best features for my
job (FileMan). Confusing - yes. That's where the debates starts and
finishes.

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Monday, January 02, 2006 11:04 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] A VT100+ terminal emulation is needed for
> the new Fileman
> 
> 
> On Jan 2, 2006, at 8:52 PM, Thurman Pedigo wrote:
> 
> > Does any of the above seem handicapped?
> 
> I'm not sure I understand. Handicapped in what sense?
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "A hero is no braver than an ordinary
> man, but he is brave five minutes longer."
> -- Ralph Waldo Emerson
> 
> 
> 
> 
> 
> ---
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RE: [Hardhats-members] A VT100+ terminal emulation is needed for the new Fileman

[Thurman Pedigo]

I think my favorite emulator of all time was CrossTalk, though I must admit
I haven't used in nearly 15 years. Now I use NetTerm. 
http://www.securenetterm.com/html/netterm.html
It's a freebie that has a robust array or terminals, though we use VT320 PC
with FileMan.  Of course  all our PC's are Win machines. 

The main reason I like the NetTerm is it is pretty easy to program (I let
one of my staff do most of the macro setups) and in addition to the emulator
mode it has a pretty robust bank of macro's, not to speak of screen
captures, upload pastes, and save to files. 

As I encounter these brisk terminal debates I always wonder if I'm missing
something. Does any of the above seem handicapped? What am I missing, that I
should want of my terminal?

Thanks,

thurman   

 
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Monday, January 02, 2006 10:10 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] A VT100+ terminal emulation is needed for
> the new Fileman
> 
> Maybe I am missing something.  I thought I was changing my current teminal
> emulation to VT100+ when I was in Konsole by running those two commands.
> The
> default for Konsole seems to be XTERM.
> 
> As for VT100+, in some information about the putty VT100+, it says this on
> this page:
> 
> 
> 4.4.3 Changing the action of the function keys and keypad
> 
> This option affects the function keys (F1 to F12) and the top row of the
> numeric keypad.
> 
> * In the default mode, labelled ESC [n~, the function keys generate
> sequences like ESC [11~, ESC [12~ and so on. This matches the general
> behaviour of Digital's terminals.
> * In Linux mode, F6 to F12 behave just like the default mode, but F1
> to F5
> generate ESC [[A through to ESC [[E. This mimics the Linux virtual
> console.
> * In Xterm R6 mode, F5 to F12 behave like the default mode, but F1 to
> F4
> generate ESC OP through to ESC OS, which are the sequences produced by the
> top row of the keypad on Digital's terminals.
> * In VT400 mode, all the function keys behave like the default mode,
> but
> the actual top row of the numeric keypad generates ESC OP through to ESC
> OS.
> * In VT100+ mode, the function keys generate ESC OP through to ESC O[
> * In SCO mode, the function keys F1 to F12 generate ESC [M through to
> ESC
> [X. Together with shift, they generate ESC [Y through to ESC [j. With
> control
> they generate ESC [k through to ESC [v, and with shift and control
> together
> they generate ESC [w through to ESC [{.
> 
> 
> 
> On Monday 02 January 2006 10:53 pm, Kevin Toppenberg wrote:
> OK.  But that doesn't sound like you need a new terminal entry on the
> VistA
> side, just that PuTTY be put in the proper mode.  Am I missing something?
> Kevin
> 
> On 1/2/06, Nancy Anthracite <[EMAIL PROTECTED]> wrote:
> > This is why I was looking at VT100+.  It's from George's Fileman Readme.
> >
> >
> >
> > 1. SCREENMAN ENHANCEMENTS:
> >
> > -Mouse is now usable when running ScreenMan forms.
> > To use mouse with ScreenMan forms, your terminal emulator needs to
> > be able to receive  ANSI standard control sequences to turn mouse on
> > and off.  Set up PuTTY so that KEYBOARD is in "VT100+ mode".  Once you
> > are in a ScreenMan FORM, click mouse at COMMAND LINE.
> >
> >
> >
> > On Monday 02 January 2006 09:39 pm, Kevin Toppenberg wrote:
> > Nancy,
> >
> > I am not clear what you are saying.  Are you saying the PuTTY supports
> an
> > extension to the VT100 supported features?  And that you want a terminal
> > created that supports these features?  If so, what are the extra
> features
> > the VT100+ offers?
> >
> > Kevin
> >
> > On 1/2/06, Nancy Anthracite <[EMAIL PROTECTED]> wrote:
> > > It is available in Putty as an option
> > >
> > > For Debian Linux it is:
> > >
> > > To see what you have:
> > >
> > > echo $TERM
> > >
> > > T change it to vt100+:
> > >
> > > TERM=vt100+
> > > export TERM
> > >
> > > The terminal definition is in /usr/share/terminfo/v/vt100+
> > >
> > > But you all knew that right?
> > >
> > > I love Linux (sorry Greg). ;-)
> > >
> > >
> > > --
> > > Nancy Anthracite
> > >
> > >
> > > ---
> > > This SF.net email is sponsored by: Splunk Inc. Do you grep through log
> > > files
> > > for problems?  Stop!  Download the new AJAX search engine that makes
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> > > ___
> > > Hardhats-members mailing list
> > > Hardhats-members@lists.sourceforge.net
> > > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> >
> > --
> > Nancy Anthracite
> >
> >
> > ---
> > This SF.net email is sponsored by: 

RE: [Hardhats-members] Fileman routines for importing into VistA on Cache - Fileman.rsa

[Thurman Pedigo]

I should mention that the new ScreenMan routines (created by George - and
package mailed me by Nancy) are a great improvement. The terminal emulator I
use lets the user click on any field to begin data entry. 

One thing it doesn't allow is a (cursor scrape) copy of screen text. I have
become so accustomed to using that copy feature that I miss it. I even have
a string of fields concatenated onscreen to provide a consistent ID for
storing scanned PDF documents. I think those moving from Windows to FileMan
will find the change most helpful and make ScreenMan much more attractive.

I am looking forward to road test this update.   

Thanks,

thurman


 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Sunday, January 01, 2006 9:30 PM
> To: Hardhats
> Subject: [Hardhats-members] Fileman routines for importing into VistA on
> Cache - Fileman.rsa
> 
> George Timson has made a minor change to DIE0 and the routines are posted
> on
> Hardhats.org.  The Fileman.rsa file I created that is on my server has now
> been renamed FilemanOLD.rsa and the new one titled Fileman12-23-05.rsa has
> been posted as well. Send me an email if you need instructions on how to
> access my server to download the file.
> --
> Nancy Anthracite
> 
> 
> ---
> This SF.net email is sponsored by: Splunk Inc. Do you grep through log
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RE: [Hardhats-members] The new year

[Thurman Pedigo]

LOLlooks like the whole gang is here. I have heard fireworks outside for
the past two hours.  Let's hope VistA Office can gain the traction it
deserves in the next 12 months.

thurman
 
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Saturday, December 31, 2005 11:44 PM
> To: Hardhats
> Subject: [Hardhats-members] The new year
> 
> It seems Kevin and I have made it into the new year.  Can we classify this
> email time together as a New Years Eve Party?  If so, cheers to Kevin,
> Jim,
> Chris, Greg and anyone else hanging out with us tonight. ;-)
> --
> Nancy Anthracite
> 
> 
> ---
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RE: [Hardhats-members] Searching subfiles with FIND^DIC?

[Thurman Pedigo]

I like this approach much better. Agree with indexing the field if you do it
often. However, "on the fly searching" seems done quiet well by sorting the
field in question and adding a "contains, equal, not equal, greater than
etc). Searching sub-files with the "search" option bares little fruit for
me.

thurman   
 
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Thursday, December 29, 2005 11:54 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Searching subfiles with FIND^DIC?
> 
> -- Kevin Toppenberg <[EMAIL PROTECTED]> wrote:
> 
> > I have a question about using FIND^DIC.  Specifically, I want to
> > search all
> > entries in file 50.68 (VA PRODUCT) that contain entry in the subfile
> > ACTIVE
> > INGREDIENTS (held in field# 14), such that field .01 holds the
> > desired
> > value.
> >
> 
> BTW, if you're going to do this sort of thing often, you might want to
> consider creating what is called a whole file cross-reference on the
> subfile. These cross-references build an index using both the top-level
> IEN and the subentry IEN (as separate subscripts), making it easy to
> find those entries containing acetaminophen.
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> "Interaction is the mind-body problem of computing."
> --Philip L. Wadler
> 
> 
> ---
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RE: [Hardhats-members] VISTA- platforms -> name change

[Thurman Pedigo]

We've used McAfee and Cache for five years without a problem. I would point
out we have a hardware firewall and don't use McAfee firewall - also use a
licensed version of Cache. Cache has been used under both NT Server, and
W2K3 Server (with McAfee) without signs of any problem.

thurman



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Sunday, December 25, 2005 9:05 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] VISTA- platforms -> name change
> 
> I am the one who had trouble with McAfee not allowing Cache to work, and
> just
> turning it off was not enough.  McAfee had to be completely uninstalled,
> but
> I heard that the McAfee issue had been resolved.  Unfortunatly, I am not
> sure
> where I heard it, but I am sure technical support can confirm or deny
> that.
> 
> I agree that especially considering I was using the free single user
> download
> of Cache, the technical support was both unexpected and excellent.  If I
> recall correctly, this happened the first time I installed Cache. This was
> before I met Jim Pietila and some of the others at Intersystems who I now
> pester fairly regularly!
> 
> When we were in Boston at the WorldVistA meeting hosted by Intersystems,
> the
> support was truly unbelievable.  Folks shagged out of bed on Sunday to
> come
> get things working for us, and that was only a small part of the help we
> were
> given.
> 
> On Sunday 25 December 2005 05:42 pm, James Gray wrote:
> I hope I am on the right wavelength and right message.  I am not aware of
>  problems between McAfee and Cache.  What I have mentioned on this list
>  before is that Zone Alarm breaks Cache.  To be more precise installing or
>  upgrading Cache with Zone Alarm running will cause things to get screwed
> up
>  in the install that  cannot be fixed with a reinstall.  I truly never
>  understood the details.  I also had problems with an upgrade of Zone
> Alarm.
>  I will add that I think that Intersystems technical support for users of
>  their free developers version of Cache is outstanding.  That is much more
>  than I can say for Zone Labs tech support.  I do not know what if any
>  problems there are with McAfee and Cache.  Please do not confuse my
>  complaint about Zone Alarm with McAfee.
> 
> Jim Gray
>   - Original Message -
>   From: Ronald Ponto
>   To: hardhats-members@lists.sourceforge.net
>   Sent: Saturday, December 24, 2005 3:41 PM
>   Subject: Re: [Hardhats-members] VISTA- platforms -> name change
> 
> 
> I wish they would log the answer so I wouldn't have to wait for
> them
>  to answer the phone; I hate talking to Tech support.
> 
> 
> ---Original Message---
> 
> From: Nancy Anthracite
> Date: 12/24/05 07:26:30
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] VISTA- platforms -> name change
> 
> Also, call Intersystems Tech Support because I was told the
> problem
>  with McAfee had been resolved.
> 
> On Saturday 24 December 2005 07:16 am, Ronald Ponto wrote:
> I tried to setup VISTA but had a communication error (I am using
> Mcafee-which can cause a problem). I don't want to work without a
>  firewall or virus screen so i went the other route. I downloaded the GT-M
>  version and it downloaded pretty fast (I have a 100M connection). After
>  downloading it I tried to write it to CD but my Easy CD Creator wouldn't
>  work with the ISO file and I don't have any other way to read the ISO
> file.
>  So I have put it on the back-burner till after Christmas- I am working
> the
>  Christmas weekend including the government holiday which itself is a mess
>  with Monday as the legal holiday.
> 
> Time to get off my soapbox.
> Merry Christmas and Happy Holidays
> 
> Ron
> 
> ---Original Message---
> 
> From: Thurman Pedigo
> Date: 12/23/05 10:35:46
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] VISTA- platforms -> name change
> 
> Though I don't want to turn this into a Cache/GT.M shootout, I
> find a
> resonance in Greg's comments that deserves support. This comment
>  should in no way be taken as criticism of the dedicated members of this
> list
>  who are quick to lend a helping hand, regardless of platform, to the
> newbie
>  or people like me with experience in FileMan, though week in coding and
>  plumbing the depths of VistA. I don't mention names to avoid over

RE: [Hardhats-members] VISTA- platforms -> name change

[Thurman Pedigo]

Though I don't want to turn this into a Cache/GT.M shootout, I find a
resonance in Greg's comments that deserves support. This comment should in
no way be taken as criticism of the dedicated members of this list who are
quick to lend a helping hand, regardless of platform, to the newbie or
people like me with experience in FileMan, though week in coding and
plumbing the depths of VistA. I don't mention names to avoid overlooking
important contributors - everyone here knows them.

In respect to Greg's comment - I find myself winnowing the VistA "specifics"
from the Linux/GT.M posts of this list. I had a go at Linux GT.M and decided
that my time may best be spent getting a grip on VistA in a relatively
familiar environment. I chose this route, correctly or not, over whole-cloth
conversion to Linux while still struggling with VistA.

I have spent a lot of time looking, in vain, for a solution and kept this
observation low-key, since I think raising a criticism without offering a
solution is counterproductive. I am no closer to the solution and only want
to voice the reminder that just becaue you don't hear it doesn't mean the
problem isn't there.

I haven't the wisdom to make  a suggestion for change. What I have done is
frequently remind myself that's just the way it is. Noone's fault, noone to
blame, though for those limited to Win/Cache we need to be a little more
careful (efficient?) scanning our email.

Thanks,

thurman 
 
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Tuesday, December 20, 2005 3:59 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] VISTA
> 
> --- "K.S. Bhaskar" <[EMAIL PROTECTED]> wrote:
> 
> > Greg --
> >
> > Normally, you are objective and reasoned.
> 
> Thanks. I'll grant that you did catch me on a bad day.
> 
> > On this post, however, I
> > regret that I have several bones to pick with you.  See below.
> >
> > -- Bhaskar
> >
> > On Tue, 2005-12-20 at 13:14 -0600, Greg Woodhouse wrote:
> > > --- Ronald Ponto <[EMAIL PROTECTED]> wrote:
> > > The list does seem to have a preponderance of GT.M users, but VOE
> > > runs
> >
> > [KSB] How I wish this were the case!  Owing to the number of VA users
> > and the extensive use of non-GT.M implementations of MUMPS within the
> > VA, and owing to VOE, I think GT.M users are probably in a
> > non-trivial
> > minority.
> 
> I'll grant you that VA personnel are not usually the ones to ask
> questions here, but that seems neither here nor there. True, VA medical
> centers do use Cache', but I don't know that I'd infer that new users
> are necessarily going to be adopters of one platform over the other. As
> an aside, I started to delete that sentence (twice), because I really
> do not means this to be a Cache' vs. GT.M or a Fidelity vs.
> InterSystems type message. Both products (and perhaps others) ought to
> have a place on this list.
> 
> >
> > > on Cache' not GT.M. Ironically, I might be more ready to use GT.M
> > if
> > > the list didn't seem so lop-sided on the GT.M side. I don't have an
> >
> >
> > [KSB] It is probably a fair statement to say that there are more
> > newbie
> > users of VistA on GT.M on this forum (and of course newbie users need
> > more help and are more vocal than non-newbie users; besides people
> > ask
> > questions where they find their questions are answered).
> 
> Yes. But isn't that what I was saying? That the focus of discussion
> here seems to be on GT.M. Maybe that's okay.
> >
> > > infinite amount of time, and certainly can't do everything I'd
> > like,
> > > but I think it would be very nice to see a portable implementation
> > > that
> > > could be distributed with VistA installed (even if not completely
> > > configured). I am not at all happy with the way Linux seems to be
> > the
> > > only OS that anyone wants to use for development. Again, I think I
> > > might be a bit more friendly to Linux if there were more of a
> > balance
> > > (and if the distribution weren't so "kute").
> >
> > [KSB] Since I don't have the right to distribute Windows, or OS X,
> > the
> > choice comes down to Linux and *BSD variants.
> 
> But there is nothing to stop you from installing *.msi files (for
> Windows) or *.mpkg files (for OS X). Is it really necessary to
> distribute an entire OS to distribute VistA? If it is, I'd submit that
> we have some serious work to do, because that just shouldn't be.
> 
> >
> I really don't have a
> > strong personal preference between them.  However since (a) I already
> > had a GT.M on Linux, and (b) Linux live CDs came before *BSD live
> > CDs, I
> > chose to release VistA on Linux.  I felt that it was better to do
> > what
> > little I could even if I couldn't do everything.
> 
> I certainly don't fault you for focusing on Linux. That's not what
> bothers me, it's the absence of anything else.
> 
> >
> > >...
> 
> > [KSB] A minor point, but your post suggests that Linux is not 

RE: [Hardhats-members] Big brother is alive and well and living in NYC

[Thurman Pedigo]

Agree there is plenty room for concern. I guess the real question is where
it ranks among the other privacy attacks going on today. While I have the
same concerns as others here, this one at least has the potential to do some
good. And that's a lot more than can be said for most invasions we have seen
the last few years.

Getting sort of hard to know our enemy/friends - and when they change?

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Thursday, December 15, 2005 5:00 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Big brother is alive and well and living in
> NYC
> 
> I consider this to be an unconscionable invasion of privacy.  I know you
> do
> not all agree, but think about the potential to abuse large databases of
> health records if this can happen.
> 
> Where are the lawyers when you need them.
> 
> -
> New York City To Monitor Patients With Diabetes
> -
> The New York City Board of Health on Wednesday voted unanimously to
> implement
> a diabetes monitoring program that would require laboratories to
> electronically forward detailed blood sugar test results to the city's
> health
> department, the New York Times reports.
> 
> http://www.ihealthbeat.org/index.cfm?Action=dspItem&itemID=117612
> --
> Nancy Anthracite
> 
> 
> ---
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RE: [Hardhats-members] CACHE TERMINAL CRASH

[Thurman Pedigo]

Reviewing this background I am not sure what level you are. Do 
D P^DI 
and D ^XUP work ok? 
You may want to check out ASK HOST FILE- is it set to "yes"? 

It seems that was a solution when I was having a similar problem.

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of leon zhao
> Sent: Tuesday, December 13, 2005 9:11 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] CACHE TERMINAL CRASH
> 
> Previously I did not follow step 38 in Nancy's installation guide to
> modify
> the "%ZOSV.INT since my Cache version is newer than 8/25/2005.
> 
> This time I added the line "Q 99 ;Dummy return for Cache 5" this time
> after
> ";Return fixed..". Save and compile successfully. When I tried D ^ZU on
> terminal it still crashs right away.
> 
> Thanks,
> 
> LZ
> 
> 
> 
> 
> >From: Kevin Toppenberg <[EMAIL PROTECTED]>
> >Reply-To: hardhats-members@lists.sourceforge.net
> >To: hardhats-members@lists.sourceforge.net
> >Subject: Re: [Hardhats-members] CACHE TERMINAL CRASH
> >Date: Tue, 13 Dec 2005 21:39:48 -0500
> >
> >Leon,
> >
> >I would be happy to if I knew it right off.  I don't use Cache'.
> >Maybe Nancy will add her wisdom here--she always seems able to clarify
> >these issues.
> >
> >Have you looked on the Wikki for the installation instructions.  I
> >thought that the license issue was covered in one of Nancy's
> >step-by-step installation writeup.
> >
> >Write back if you don't get an answer in a day or so.
> >
> >Kevin
> >
> >p.s. Check step #38 here:
> >http://openforum.worldvista.org/~forum/index.php?title=Installation_How_T
> o_Vista/Cache_for_Windows
> >
> >
> >On 12/13/05, leon zhao <[EMAIL PROTECTED]> wrote:
> > > Thanks, Kevin.
> > >
> > > Could u show me where and how to modify it?
> > >
> > > Thanks,
> > >
> > > LZ
> > >
> > >
> > > >From: Kevin Toppenberg <[EMAIL PROTECTED]>
> > > >Reply-To: hardhats-members@lists.sourceforge.net
> > > >To: hardhats-members@lists.sourceforge.net
> > > >Subject: Re: [Hardhats-members] CACHE TERMINAL CRASH
> > > >Date: Tue, 13 Dec 2005 19:57:31 -0500
> > > >
> > > >I think, from what others have written before, that this is a quick
> > > >error about an insufficient number of licences, and to contact IRM
> > > >immediately.  If that is the problem, then there has been a solution
> > > >posted.  You have to change the code so that it operates with less
> > > >licenses.  This is due to using a demo version of Cache'
> > > >
> > > >Kevin
> > > >
> > > >On 12/13/05, leon zhao <[EMAIL PROTECTED]> wrote:
> > > > > hi here,
> > > > >
> > > > > I am following the instruction of installation in Windows.
> > > > >
> > > > > What happent is: my terminal is crash when I tried to execute the
> > > >command:
> > > > > ^ZU; I saw some error message print out on terminal but it closed
> so
> > > >quick
> > > > > before I read this.
> > > > >
> > > > > Anyone would know what is wrong with it?
> > > > >
> > > > > Just wondering: is there a log file which log what happen during a
> > > >terminal
> > > > > session?
> > > > >
> > > > > Thanks advance.
> > > > >
> > > > > LZ
> > > > >
> > > > > _
> > > > > Express yourself instantly with MSN Messenger! Download today -
> it's
> > > >FREE!
> > > > > http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/
> > > > >
> > > > >
> > > > >
> > > > > ---
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> >log
> > > >files
> > > > > for problems?  Stop!  Download the new AJAX search engine that
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> > > > >
> > > >
> > > >
> > > >---
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RE: [Hardhats-members] LOCKS

[Thurman Pedigo]

Have those key assigned. Should have said
I am testing this on VistA Office. I have it working fine in FileMan and a
version of FOIA VistA. I wonder if there are some special locks in Office. I am
mostly checking to see if I can ID the best way to manage (FOIA) patient file,
so we can save a record without all the VA required fields. 

 

thurman

 













From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
Sent: Thursday, December 01, 2005
9:54 AM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members]
LOCKS



 

You have the XUPROG and
XUMGR keys, and they are still locked?


Kevin





On 12/1/05, Thurman Pedigo <[EMAIL PROTECTED]> wrote:



I have
several menu items "LOCKED" with "XUPROG",
 "XUMGR" and other similar locks. I can delete the lock and get
at them ok. Somehow I am having trouble getting them to "unlock"
otherwise. Will appreciate suggestions.

 

thurman 






 

[Hardhats-members] LOCKS

[Thurman Pedigo]

I have several menu items “LOCKED” with “XUPROG”,
 “XUMGR” and other similar locks. I can delete the lock and get at
them ok. Somehow I am having trouble getting them to “unlock”
otherwise. Will appreciate suggestions.

 

thurman  

RE: [Hardhats-members] Screenman question

[Thurman Pedigo]

The Intersoft NetTerm is Keyboard labeled as: 
"IBM 101 Enhance PC Keyboard"

I then set it to "VT320" and program the keys (though VT100 seems to work
the same). If desired, I could do a screen capture, though I don't think it
will travel over this list.

thurman 
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Chris Richardson
> Sent: Monday, November 28, 2005 5:59 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Screenman question
> 
> Dan;
> 
>Part of the confusion is the terminal emulator you might be using.
> Some
> will emulate the VT-100 family of terminals by DEC (once a relative
> standard
> in the industry) which is now owned by HP (by way of Compaq).  There was a
> lot of good, easy functionality that was put out there for others to
> follow.
> Not everyone followed, hense the confusion.  I am sorry that you have been
> confronted by this, but these problems bit us a long time ago, and it
> still
> waits for others like yourself.  The answer is to find a good terminal
> emulator that will support at least VT-100.  Reflections does it, KEA does
> it, and I am sure that there are some Open Source ones that do it.   Best
> of
> luck.
> 
> - Original Message -
> From: "Kasperski, Dan HE0" <[EMAIL PROTECTED]>
> To: 
> Sent: Monday, November 28, 2005 2:14 PM
> Subject: RE: [Hardhats-members] Screenman question
> 
> 
> > This does not make sense to me anymore.  How come different people have
> to
> > type in different keystrokes for the same feature?
> >
> > -Original Message-
> > From: Cameron Schlehuber [mailto:[EMAIL PROTECTED]
> > Sent: Monday, November 28, 2005 1:44 PM
> > To: hardhats-members@lists.sourceforge.net
> > Subject: RE: [Hardhats-members] Screenman question
> >
> > For  the escape sequence is the following 4 keys:   key,
> capital
> > "O", capital "P", numeral 1.  (And I'll bet you can guess what the
> escape
> > sequence is for the .)  Follow that 4 key sequence by the "E" key
> to
> > save and exit.  Or the "H" key for help on all the other functions!
> >
> > -Original Message-
> > From: [EMAIL PROTECTED]
> > [mailto:[EMAIL PROTECTED] On Behalf Of Yamir
> > Encarnacion
> > Sent: Monday, November 28, 2005 12:18 PM
> > To: Hardhats-members@lists.sourceforge.net
> > Subject: [Hardhats-members] Screenman question
> >
> > Hello,
> >
> > I am trying to follow the Screenman Tutorial found in
> > the VDL.  On page 7 of the tutorial it says to press
> > E to save a form and exit the form editor.  The
> > problem I am having is that I have not been able to
> > figure out which key is .  I tried F1, Shift,
> > Ctrl, Alt in combination with the E key but none of
> > these combinations worked.  Does anyone know what key
> > or combination of keys I need to use to get the
> > functionality of the  key.
> > Thanks
> >
> > Yamir Encarnacion
> >
> >
> >
> > ---
> > This SF.net email is sponsored by: Splunk Inc. Do you grep through log
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> >
> >
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> > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> >
> >
> 
> 
> 
> 
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Hard

RE: [Hardhats-members] Screenman question

[Thurman Pedigo]

I love the PF keys and ScreenMan. Great timesavers and reduce typo's. 

I often "mix" programing macro's. For instance PF1= ^[OP
I take that "^[OP" and ad an "e" on PF6 to turn it into execute save
 PF6= ^[OPe 

This saves the data and exits. To exit without saving use:
PF11= ^[OPqand  PF12 PF ^[OPs  does a save and stay resident. The PF12
usually will exicute trigers and stay resident - though it is inconsistant.
The 11 and 12 are just my conventions. They can be used anyway you wish.
Modifiers like "shift key" and "ctrl" add even more power.

There are many other usable combinations. The only limit is how many
characters your emulator allows. I keep looking for a better emulator. Bes I
have found so far is "SecureNetTerm". A freebie downloadable program by
Intersoft. Not sure if it is still free forever, though it's still worth the
$. Hope this formats ok.


thurman



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Monday, November 28, 2005 4:27 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Screenman question
> 
> --- "Kasperski, Dan HE0" <[EMAIL PROTECTED]> wrot
> 
> > This does not make sense to me anymore.  How come different people
> > have to
> > type in different keystrokes for the same feature?
> >
> 
> That's because Screenman was originally designed to work with a
> particular type of terminal that has a numeric keypad (and sends a
> certain sequence of bytes to indicate that the leftmost key on the top
> of the numeric keypad has been pressed. That same key just happens to
> be NUM LOCK on a standard Microsoft keyboard). The trouble is that,
> since then, people have started using laptops that don't have a numeric
> keypad, or other computers not closely matching the familiar set-up, so
> escape sequences had to be defined instead. But, to make things worse,
> different terminal emulators do this in different ways.
> 
> I'm sure things woule be done differently if VistA were developed
> today, but VistA's been around a long time, and was originally written
> for users with ADM3A's or VT100's (two common terminal types). Laptops
> were unheard of.
> 
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> 
> 
> "Interaction is the mind-body problem of computing."
> 
> --Philip Wadler
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> ---
> This SF.net email is sponsored by: Splunk Inc. Do you grep through log
> files
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RE: [Hardhats-members] Medsphere FileMan

[Thurman Pedigo]

I think this is the best news I have had since I first learned of
FileMan/Thank you George and Medscape!

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Bhaskar, KS
> Sent: Monday, November 07, 2005 10:17 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Medsphere FileMan
> 
> George --
> 
> This is not an "unstructured" question, but an "unstructured" comment:
> thank you.  And thank you for the use of GPL.
> 
> -- Bhaskar
> 
> -Original Message-
> From: [EMAIL PROTECTED] on behalf of George
> Timson
> Sent: Mon 11/7/2005 9:54 PM
> To:   Hardhats
> Cc:
> Subject:  [Hardhats-members] Medsphere FileMan
> 
> Last April in Boston, I introduced some FileMan enhancements to the
> attendees of the WorldVistA meeting at InterSystems.  These enhancements
> are
> part of a suite of open-source software, "MSC FileMan", developed by me
> for
> Medsphere.  This version of FileMan, incidentally, is currently in
> operation
> at Medsphere's biggest customer site, a 450-bed hospital in Texas.
> 
> Medsphere is now making this version of FileMan available on an open-
> source
> basis to the community.  The download is at
> http://www.hardhats.org/fileman/MSC.html
> 
> These MUMPS routines, a complete replacement for the DD* and DI* routines,
> are intended to be backwards compatible with VA FileMan, as currently
> released under the FOIA by DVA.
> 
> The MSC FileMan routines facilitate internationalization of VistA
> applications by providing for foreign-language file names, field labels,
> SET
> OF CODES definitions, and help-prompts built into the data dictionary.
> They
> also make ScreenMan screens mouse-clickable.  Included, too, are many
> minor
> enhancements not present in VA FileMan, including, coincidentally, one
> which
> Kevin Toppenberg asked for earlier today on this list: ability to audit
> specified Word-Processing fields.  A good many bug-fixes are also
> included.
> 
> One reason for the delay in releasing this software is that I will not be
> able to respond to questions and issues regarding this release in an
> unstructured way.  (Questions directed to me willy-nilly from this list
> are,
> by my definition, "unstructured". A support contract with Medsphere is an
> example of a "structured" arrangement.)  I hope that FileMan-knowledgeable
> folks in the WorldVista/Hardhats community (you know who you are!) can now
> step up to help in dealing with whatever feedback this open-source release
> generates.
> 
> Yours,
> 
> George Timson
> 
> 
> 
> 
> ---
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RE: [Hardhats-members] OpenVistA CRT [was $100 Notebook - disaster health?]

[Thurman Pedigo]

Baskhar,

Your original post is what allerted me to this product potential. That
coupled with its network/power suppot is what makes this product
interesting. Notice "wind-up" power. When I saw Negroponte discuss this on
MSNBC he mention a crank for power. 

" What is the $100 Laptop, really?
The proposed $100 machine will be a Linux-based, full-color, full-screen
laptop that will use innovative power (including wind-up) and will be able
to do most everything except store huge amounts of data. These rugged
laptops will be WiFi- and cell phone-enabled, and have USB ports galore. Its
current specifications are: 500MHz, 1GB, 1 Megapixel."

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of K.S. Bhaskar
> Sent: Monday, October 17, 2005 10:04 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] OpenVistA CRT [was $100 Notebook - disaster
> health?]
> 
> Thurman --
> 
> That is an interesting idea.  Another is to use live CDs to leverage
> locally available PCs.  Below is something I posted last week on the
> vista-responders mailing list.
> 
> -- Bhaskar
> 
> 
> 
> OpenVistA Crisis Response Tool [OpenVistA CRT]
> 
> The OpenVistA Crisis Response Tool is a specially configured version of
> VistA that can be rapidly deployed anywhere in the world.  It requires
> only universally available, generic, PC hardware (a minimum of 100MHz
> CPU, 500MHz preferred; 128MB RAM, 512MB preferred; 1GB disk or USB
> flash/hard drive; 10GB preferred).  The tool is located on high
> bandwidth servers at multiple locations throughout the world [like
> Source Forge], and is freely downloadable and redistributable.  A CD-ROM
> and USB flash drive or USB hard drive are light enough, small enough and
> inexpensive enough, that they can also be packed as part of emergency
> responders' tool kits [presumably emergency responders have pre-packaged
> kits ready to fly out at a moment's notice].
> 
> When deployed in a crisis situation, the primary purposes include:
> 
>   1. Registering victims.
> 
>   2. Managing relief supply inventories.
> 
>   3. Electronic health records for urgent and routine primary care
> provided to victims.
> 
> [There are probably other needs I have overlooked.]
> 
> Additionally, since refugee populations are mobile, there will be means
> for the interchange of information between different instances of
> OpenVistA CRT, both online [e.g., HL7 messages] or offline [e.g., from
> the backup copy of the database of an invocation, or from a flat file
> export].  [Note that this implies a need to merge records from different
> invocations, and that the same patient may have different ids on
> different invocations.]
> 
> 
> 
> On Sun, 2005-10-16 at 23:47 -0500, Thurman Pedigo wrote:
> > http://laptop.media.mit.edu/
> >
> > http://web.media.mit.edu/~nicholas/
> >
> >
> >
> > Negroponte proposed this product for education. With VistA loaded,
> > think how it could work in disaster health systems. I can't help
> > wondering what it would be like to be associated with a system that
> > housed these three - Negroponte, Noam Chomsky and Steven Pinker.
> >
> >
> >
> > thurman
> >
> >
> 
> 
> 
> ---
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[Hardhats-members] $100 Notebook - disaster health?

[Thurman Pedigo]

http://laptop.media.mit.edu/

http://web.media.mit.edu/~nicholas/



Negroponte proposed this product for education. With VistA loaded, think how it could work in disaster health
systems. I can’t help wondering what it would be like to be associated
with a system that housed these three - Negroponte, Noam Chomsky and Steven
Pinker. 

 

thurman

RE: [Hardhats-members] SF and filters

[Thurman Pedigo]

Never mind. Think I found it. 

 

Thx/t 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Thurman
 Pedigo
Sent: Thursday, October 13, 2005
7:01 PM
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members] SF and
filters



 

It sure would be nice to filter, or divert a sender using Outlook.
Other lists I monitor allow me to divert the post by sender name. Is there some
way we can use that option on this list?

 

Enough,

 

thurman

[Hardhats-members] SF and filters

[Thurman Pedigo]

It sure would be nice to filter, or divert a sender using Outlook.
Other lists I monitor allow me to divert the post by sender name. Is there some
way we can use that option on this list?

 

Enough,

 

thurman

RE: [Hardhats-members] How to select another record in ScreenMan form?

[Thurman Pedigo]

Ouch. Ok. ScreenMan does a reasonable job for what I want with telnet, and I
am too lazy to learn a new system - especially until I get CPRS in full
production. I guess I "manhandle" more than I realized I was. Certainly, I
am changing to CPRS as it gives me a lot I can't get with telnet. 

However, I can create a screen that handles some pretty nifty work in a few
short minutes and it's hard to give that up. Perhaps if I did more with List
Manager I could do the same. I need to put the ScreenMan weakness in a
little better perspective.  While the competition for locked records creates
some hassle, it is far less frequent than our OS hassles. I would estimate
that for every time we encounter that (locked record) problem, I will see
something like 50 OS reboots for issues unrelated to FileMan, and probably
100 instances of someone who walked off leaving a record locked on another
machine.

XGF is new to me. I looked it up and find it intriguing, though I'm not sure
I'm ready for it. 

thurman   



> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Wednesday, September 28, 2005 10:52 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] How to select another record in ScreenMan
> form?
> 
> ScreenMan was originally introduced into Fileman to provide a
> convenient mechanism for edciting an entire record at once. It's an
> alternative to the familiar, one field at a time, "roll and scroll"
> style of editing. It was not intended to be a general purpose UI
> toolkit. If you want something more flexible, I'd recommend looking at
> List Manager or developing your own tool using XGF rather than trying
> to "manhandle" ScreenMan into doing what you want.
> 
> --- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> 
> > Good points. You have to do a resident save command to trigger the
> > action -
> > we program a single key to do the save (for instance "F12^[Ops")
> > accomplishes this. If you want to see the final result you would need
> > to
> > execute the save command.
> >
> > The two major weaknesses in ScreenMan are the need to exit the screen
> > before
> > you can load a new record (that isn't so bad). The other is one
> > cannot load
> > a record in strict inquiry mode. So if you have a screen with
> > multiple
> > blocks and records loaded then try to load from another terminal it
> > that
> > record is locked. The other complication occurs when you move to a
> > new
> > page/block with a locked record, the system may do an unwelcome exit
> > losing
> > data.
> >
> > If these two problems were fixed, I think ScreenMan would be a lot
> > more
> > popular. I still like it a lot.
> >
> > thurman
> >
> >
> > > -Original Message-
> > > From: [EMAIL PROTECTED]
> > [mailto:hardhats-
> > > [EMAIL PROTECTED] On Behalf Of steven mcphelan
> > > Sent: Wednesday, September 28, 2005 9:36 AM
> > > To: hardhats-members@lists.sourceforge.net
> > > Subject: Re: [Hardhats-members] How to select another record in
> > ScreenMan
> > > form?
> > >
> > >
> > > - Original Message -
> > > From: "steven mcphelan" <[EMAIL PROTECTED]>
> > > To: 
> > > Sent: Wednesday, September 28, 2005 8:37 AM
> > > Subject: Re: [Hardhats-members] How to select another record in
> > ScreenMan
> > > form?
> > >
> > >
> > > > This cannot be done safely.  Remember, Screenman has established
> > many,
> > > many
> > > > local. private variables that have specific meaning.  There is no
> > tool I
> > > am
> > > > familiar with that tells Screenman to do a total environment
> > refresh
> > > while
> > > > still inside the original screenman form for a particular record
> > number.
> > > > Remember, to enter a form you must first select a record and then
> > enter
> > > the
> > > > form.   I am sure that Fileman has initialized some local private
> > > variables
> > > > here prior to launching the M code that actually does the
> > screenman form
> > > > display.
> > > >
> > > > - Original Message -
> > > > From: "Thurman Pedigo" <[EMAIL PROTECTED]>
> > > > To: 
> > > > Sent: Wednesday, September 28, 2005 1:09 AM
> > > > Subject: RE: [Hardhats-members] How to select another record

RE: [Hardhats-members] How to select another record in ScreenMan form?

[Thurman Pedigo]

Good points. You have to do a resident save command to trigger the action -
we program a single key to do the save (for instance "F12^[Ops")
accomplishes this. If you want to see the final result you would need to
execute the save command. 

The two major weaknesses in ScreenMan are the need to exit the screen before
you can load a new record (that isn't so bad). The other is one cannot load
a record in strict inquiry mode. So if you have a screen with multiple
blocks and records loaded then try to load from another terminal it that
record is locked. The other complication occurs when you move to a new
page/block with a locked record, the system may do an unwelcome exit losing
data.

If these two problems were fixed, I think ScreenMan would be a lot more
popular. I still like it a lot. 

thurman 


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of steven mcphelan
> Sent: Wednesday, September 28, 2005 9:36 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] How to select another record in ScreenMan
> form?
> 
> 
> - Original Message -
> From: "steven mcphelan" <[EMAIL PROTECTED]>
> To: 
> Sent: Wednesday, September 28, 2005 8:37 AM
> Subject: Re: [Hardhats-members] How to select another record in ScreenMan
> form?
> 
> 
> > This cannot be done safely.  Remember, Screenman has established many,
> many
> > local. private variables that have specific meaning.  There is no tool I
> am
> > familiar with that tells Screenman to do a total environment refresh
> while
> > still inside the original screenman form for a particular record number.
> > Remember, to enter a form you must first select a record and then enter
> the
> > form.   I am sure that Fileman has initialized some local private
> variables
> > here prior to launching the M code that actually does the screenman form
> > display.
> >
> > - Original Message -
> > From: "Thurman Pedigo" <[EMAIL PROTECTED]>
> > To: 
> > Sent: Wednesday, September 28, 2005 1:09 AM
> > Subject: RE: [Hardhats-members] How to select another record in
> ScreenMan
> > form?
> >
> >
> > > I am not an advanced user and not sure if this will work in your case.
> > > However, I use triggers pretty extensively to populate, or change
> fields,
> > in
> > > ScreenMan. You can make the field trigger conditional based on factors
> > such
> > > as whether the field already contains data. You could trigger the
> field
> > > anytime the HRN changes. You just need to be sure you are addressing
> the
> > > appropriate record.
> > >
> > > thurman
> > >
> > >
> > >
> > > > -Original Message-
> > > > From: [EMAIL PROTECTED] [mailto:hardhats-
> > > > [EMAIL PROTECTED] On Behalf Of Usha
> > > > Sent: Tuesday, September 27, 2005 9:08 PM
> > > > To: hardhats-members@lists.sourceforge.net
> > > > Subject: Re: [Hardhats-members] How to select another record in
> > ScreenMan
> > > > form?
> > > >
> > > > We are trying to make a ScreenMan form for adding/editing a patient.
> The
> > > > unique identifier for a patient is the Hospital Record Number (HRN)
> > field
> > > > from the IHS PATIENT file. When the HRN changes, the record of the
> > patient
> > > > being accessed must change accordingly. I have been able to create a
> > > > routine
> > > > which would return the IEN number of the patient record on passing
> the
> > > > HRN.
> > > > When the form is run for the first time, the patient data can be
> > accessed
> > > > through the HRN. But later if the HRN changes, the patient record
> being
> > > > accessed does not change.
> > > > Any idea how this can be done?
> > > > Regards
> > > > Usha
> > > > - Original Message -
> > > > From: "Kevin Toppenberg" <[EMAIL PROTECTED]>
> > > > To: 
> > > > Sent: Wednesday, September 28, 2005 1:38 AM
> > > > Subject: Re: [Hardhats-members] How to select another record in
> > ScreenMan
> > > > form?
> > > >
> > > >
> > > > When I went through the video tutorials on Screenman, I got the
> > > > impression that what you are wanting can't be done.  But there might
> > > > be much more power under the cover that I am not aware of.
> > > >
> > > > Can you 

RE: [Hardhats-members] Importing legacy patient data

[Thurman Pedigo]

I went through this a few months ago and have a routine for it. It had a
problem with loading SSN and I need to revisit and be sure I have that set
correctly. Will be glad to share it. 

What fields do you wish to populate? How will you generate the data? Mine
came from FileMan, therefore I had control over the ASCII format.

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Wednesday, September 28, 2005 7:46 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Importing legacy patient data
> 
> Yes, someone posted about doing this recently (I can't remember who.
> Try searching the archives for 'import' and 'registration').  I assume
> you are talking about importing demographic information only.
> 
> I think that you save the file in a comma-delimited file.  Then use
> the fileman import facility.  One key point is that certain fields are
> required in the patient file (#200)--such as patient type, veteran
> status etc.  You have to make sure you have data for this field in
> each record you upload, or the record will be rejected.
> 
> I did this another (much harder) way by writing custom code.  It was a
> "good learning experiance."  I uploaded about 70,000 demographic
> entries this way.
> 
> Kevin
> 
> 
> 
> On 9/28/05, Mike Schrom <[EMAIL PROTECTED]> wrote:
> > Anyone having any success with batch importing legacy patient data? I
> > want to start with minimal patient demographics from a text, csv or xls
> > file which I can, with a lot of manual editing, get out of my present
> > practice management system. I've been following the postings on Vista
> > imaging for scanning in paper charts, but, I need to get the patients in
> > first and the imaging instructions are a bit too technical for me.
> >
> >
> > ---
> > This SF.Net email is sponsored by:
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> > ___
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> > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> >
> 
> 
> ---
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RE: [Hardhats-members] How to select another record in ScreenMan form?

[Thurman Pedigo]

I am not an advanced user and not sure if this will work in your case.
However, I use triggers pretty extensively to populate, or change fields, in
ScreenMan. You can make the field trigger conditional based on factors such
as whether the field already contains data. You could trigger the field
anytime the HRN changes. You just need to be sure you are addressing the
appropriate record. 

thurman


 
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Usha
> Sent: Tuesday, September 27, 2005 9:08 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] How to select another record in ScreenMan
> form?
> 
> We are trying to make a ScreenMan form for adding/editing a patient. The
> unique identifier for a patient is the Hospital Record Number (HRN) field
> from the IHS PATIENT file. When the HRN changes, the record of the patient
> being accessed must change accordingly. I have been able to create a
> routine
> which would return the IEN number of the patient record on passing the
> HRN.
> When the form is run for the first time, the patient data can be accessed
> through the HRN. But later if the HRN changes, the patient record being
> accessed does not change.
> Any idea how this can be done?
> Regards
> Usha
> - Original Message -
> From: "Kevin Toppenberg" <[EMAIL PROTECTED]>
> To: 
> Sent: Wednesday, September 28, 2005 1:38 AM
> Subject: Re: [Hardhats-members] How to select another record in ScreenMan
> form?
> 
> 
> When I went through the video tutorials on Screenman, I got the
> impression that what you are wanting can't be done.  But there might
> be much more power under the cover that I am not aware of.
> 
> Can you describe the application you are wanting?
> 
> Kevin
> 
> On 9/27/05, Usha <[EMAIL PROTECTED]> wrote:
> >
> > Hi
> >
> > In a ScreenMan form, how can I change the record being accessed
> everytime
> > the value of a field changes?
> >
> > Regards
> > Usha
> >
> 
> 
> ---
> This SF.Net email is sponsored by:
> Power Architecture Resource Center: Free content, downloads, discussions,
> and more. http://solutions.newsforge.com/ibmarch.tmpl
> ___
> Hardhats-members mailing list
> Hardhats-members@lists.sourceforge.net
> https://lists.sourceforge.net/lists/listinfo/hardhats-members
> 
> 
> 
> 
> 
> ---
> This SF.Net email is sponsored by:
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> https://lists.sourceforge.net/lists/listinfo/hardhats-members



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RE: [Hardhats-members] Synopsis of VistA Community Call for 09/16/2005

[Thurman Pedigo]

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Chris Richardson
> Sent: Saturday, September 17, 2005 10:41 AM
> sites.  In the hospital installation environment, there is one maxim,
> "When
> you have seen one hospital, you have seen one hospital."  This is probably
> very true for the medical pratice as well.  More test sites with the
> understanding that they are test sites will give a better view of what the
> real needs are.]

How true! How true!

Thereby the source of practice variation fueling medical errors that
prompted David Eddy, M.D., several years ago, to cite the tale of NYC health
department sending a group of children to have physician evaluation.
Something like 40% had recommended tonsillectomies. The remaining 60% went
to a different group of physicians with similar results, and so on, until
almost every child had the same recommendation. That study was in 1935. When
I entered practice in 1965 the same practice remained in place for another
10 years. 

I wonder if anyone on this list knows of veterans benefiting from such
variation.

thurman 





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RE: [Hardhats-members] I'm going to just say this...

[Thurman Pedigo]

I think this a timely thread and followed it with interest. It is hard for
me to think about FOIA without thinking of Noem Chomsky and "industrial
feudalism." Hopefully I won't butcher Chomsky's philosophy. 
http://blogs.salon.com/0002007/2005/08/25.html
Chomsky describes our society as somewhat a through-back to the medieval
social order, which I won't describe here as the WWW is a voluminous
resource for those interested. Chomsky sees our particular recipe as - the
Government takes money from the masses, distributes it to the industrialists
in the form of a grant to develop a profitable process, then licenses the
industrialist to have private control to mass produce the product and sell
back to the masses (who initially paid for it) at a profit. The universities
have become quite adept at this maneuver, euphemistically calling it
"technology transfer."

The two links below will refresh memories of many on this list. Several
still post here. My introduction to MUMPS (1975) was Fletcher Donaldson,
PhD. 
http://207.192.157.194/mdc/mc00m21.htm
http://207.192.157.194/mdc/mc00m16.htm 

Dr. Donaldson was a MUMPS devotee and he was sorely disappointed my first
computer was Wang - Not DEC PDP11 with MUMPS. As I understood it from Dr.
Donaldson, here was the FOIA entry for MUMPS. Octo Barnett, M.D. with Mass
General Hospital was the developer of MUMPS (under the auspices of a federal
grant). According to Dr. Donaldson, he, with the help of Senator William
Proxmire successfully sued for MUMPS language to be in the public domain, as
a sole recipient of federal funds. (fate of PD MUMPS is another subject) 
http://bioguide.congress.gov/scripts/biodisplay.pl?index=P000553

A long way around to recognizing FOIA has many ramifications. It seems there
are reasonable instances where the Government pays for work that may not
fall under FOIA - else it would cost lots more. On the other hand, today,
except for precedents such as DVA, FOIA may in many cases sneak back into
the private sector still alive and well living off industrial feudalism. I
am thankful there are those smarter than I to wrestle with these problems.

thurman


   

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Dr. Schrom
> Sent: Thursday, September 15, 2005 2:01 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] I'm going to just say this...
> 
> As both a part-time VA employee and a doc in full-time private practice, I
> sit on both sides of this fence.  The FOIA is a
> great thing but, if you read the history of VistA on the hardhats.org
> site, the foundation of the current system was developed by VA employees
> but, _outside_ of their official duties. When the VA officially adopted
> VistA, that made it subject to
> FOIA, but the original Hardhats could just as easily marketed VistA
> privately and we'd all, the VA included, be paying for it.
> 
> Mike
> 
> On 9/15/05, Greg Woodhouse <[EMAIL PROTECTED]> wrote:
> 
> I am well aware of who pays my salary, and I am also well aware that I
> am paid to do work that serves the public. My point has nothing to do
> with whether or not FOIA gives you or any other citizen the *right* of
> access to software developed by federal employees (so long as none of
> the exemptions of the statute apply).
> 
> My point, rather, is that I find it disturbing that so many people are
> using of gaining access to free (as in "free beer", not "free speech")
> software. I very much support the goal of developing free and open
> medical information systems: that's why I'm willing to "pitch in" and
> try to help. But I very much dislike the whole culture of using FOIA as
> a tool to go prospecting for software.
> 
> --- Wendell Murray <[EMAIL PROTECTED]> wrote:
> 
> 
> >> Hate to tell you, but citizens pay your salary. That doesn't equate
> >> to
> >> having access to everything the government does, but use for the
> >> ultimate
> >> benefit of the citizenry of a great resource such as VistA is
> >> reasonable I
> >> think. Don't you? Wendell Murray
> >>
> >> On 9/15/05, Greg Woodhouse <[EMAIL PROTECTED]> wrote:
> >
> >
> >>> >
> >>> > For the record, I think the Freedom of Infomation Act (FOIA) is one
> >>
> >>
> >> of
> >
> >
> >>> > the fundamental protections we enjoy in the U.S., and I
> >>
> >>
> >> wholeheartedly
> >
> >
> >>> > endorse it. However, every time someone mentions a piece of
> >>
> >>
> >> software on
> >
> >
> >>> > this list, it seems like someone is sure to ask (in seconds)
> >>
> >>
> >> whether it
> >
> >
> >>> > is available through FOIA, and that always makes me cringe. FOIA is
> >>> > meant to protect or civil rights. That's why it exists. But that's
> >>
> >>
> >> not
> >
> >
> >>> > how it's being used or discussed on this list, is it? It's not an
> >>> > entitlement, nor is it intended as a means to coerce others into
> >>> > granting access to software they are developing. As a federal
> >>
> >>
> >> employee

RE: [Hardhats-members] Re: Re: [Hardhats-members] Re: Re: [Hardhats-members] VistA Community Call follow up - VistA for Katrina survivor EHR needs

[Thurman Pedigo]

Remember they don't have to run a hospital - just a medical support system.
I have found VistA (FileMan now) very easy to teach anyone who can handle a
keyboard.
thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
> Sent: Friday, September 09, 2005 3:48 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Re: Re: [Hardhats-members] Re: Re: [Hardhats-
> members] VistA Community Call follow up - VistA for Katrina survivor EHR
> needs
> 
> 
> Agree that surplus PC's abound.  Was thinking more of mobility (taking
> the lap to the patient) than cost (bringing the patient to the PC).
> The GUI on either is quick and easy - and easier to train to than the
> roll 'n scroll.
> 
> "K.S. Bhaskar" <[EMAIL PROTECTED]> wrote on 09/09/2005, 11:38:36 PM:
> > Rodney --
> >
> > Just a minor correction.  I would generate live CDs, not thumb drives.
> >
> > Also, although laptops are nice, organizations like VA and DoD will have
> > plenty of surplus PCs.  You can actually get a usable small system with
> > 128MB of RAM and a 300MHz CPU (obviously more RAM and faster CPU is
> > better), and a few tens of GB of disk.
> >
> > In field conditions, it probably also makes sense to just use a
> > character mode CPRS rather than a GUI, if such a thing exists.  It's the
> > KISS principle.
> >
> > -- Bhaskar
> >
> > On Fri, 2005-09-09 at 16:24 -0500, [EMAIL PROTECTED] wrote:
> > >
> > > This could be done easily enough with the right impetus.  Bhaskar can
> > > generate enough thumb-drives with VistA Viva on them to run a laptop,
> >
> >
> >
> > ---
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RE: [Hardhats-members] VistA implementation in private practice

[Thurman Pedigo]

Let’s hope it is for good reasons and not some politically
motivated or self-serving reasons.

 

thurman



 

 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Maury Pepper
Sent: Thursday, September 08, 2005
10:02 AM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] VistA implementation in private practice



 



VistA-Office has been held up by CMS for unknown reasons. 
I'm sure this list will be buzzing when it is finally announced. Stay tuned.





 





The schedule for the vendor training to be provided
by WorldVistA (via the VVSO contract) is tied to the announcement and is
subject to change by CMS.





 





Phase 1 testing at selected test sites is complete. 
Phase 2 is being developed currently and should be announced within a month or
so.





 





 







- Original Message - 





From: Wendell
Murray 





To: Hardhats-members@lists.sourceforge.net






Sent: Thursday,
September 08, 2005 10:09 AM





Subject: [Hardhats-members]
VistA implementation in private practice





 





Has anyone out there implemented VistA
in a private, multi-office physicians practice, preferably family practice or
multi-specialty? 





 





Also anyone know what's the lastest on the VistA-Office release or any
other information regarding its development? 





 





I understand from personnel at Quality Insights of
Pennsylvania whcih has a contract with CMS regarding EMR adoption, that
there is a physicians practice test site in West Virginia. Any one know about that or
other test sites? Wendell Murray 

RE: [Hardhats-members] I HAVE A QUESTION

[Thurman Pedigo]

Think the technical aspect will be pretty straightforward. Plenty of time to
test it.  .../t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Friday, September 02, 2005 2:35 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] I HAVE A QUESTION
> 
> I think you probably could rig up something so Carlos could listen in and
> maybe even contribute, perhaps with a jack from the computer with skype on
> a
> telephone with you on the extension phone??
> 
> On Friday 02 September 2005 02:37 pm, Thurman Pedigo wrote:
> Skype sounds interesting. Absent objection, I think I can hook it up to
> Skype broadcast the call from my telephone. Sorry I didn't get this
> earlier,
> however, I can be prepared next time.
> 
> thurman
> 
> > -Original Message-
> > From: [EMAIL PROTECTED] [mailto:hardhats-
> > [EMAIL PROTECTED] On Behalf Of Carlos sosa sosa
> > Sent: Friday, September 02, 2005 12:16 PM
> > To: hardhats-members@lists.sourceforge.net
> > Subject: [Hardhats-members] I HAVE A QUESTION
> >
> > i read every day the posts in the forum, i'm thinking about the VistA
> > Community Call, i understand that every are invited to join in the call,
> > in
> > my particular case that's it's imposible and i dont know maybe in some
> > time
> > we can use a software to do this conference maybe more people have the
> > same
> > problem, well, ny problem is that i don't have money to make a call to
> US,
> > maybe if you dont want use a software system to make the call, maybe
> some
> > one can write or make a trasncription about the topics in the conference
> > and
> > put on the forum, that way every body know what happend in the
> conference
> > or
> > call community,,
> >
> > tnks
> > the software that i propose  is http://www.skype.com
> >
> > pd. Viva la familia!!!
> >
> > _
> > Express yourself instantly with MSN Messenger! Download today it's FREE!
> > http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/
> >
> >
> >
> > ---
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> > Practices
> > Agile & Plan-Driven Development * Managing Projects & Teams * Testing &
> QA
> > Security * Process Improvement & Measurement *
> http://www.sqe.com/bsce5sf
> > ___
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> > Hardhats-members@lists.sourceforge.net
> > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> 
> ---
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> 
> --
> Nancy Anthracite
> 
> 
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RE: [Hardhats-members] I HAVE A QUESTION

[Thurman Pedigo]

Skype sounds interesting. Absent objection, I think I can hook it up to
Skype broadcast the call from my telephone. Sorry I didn't get this earlier,
however, I can be prepared next time.

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Carlos sosa sosa
> Sent: Friday, September 02, 2005 12:16 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] I HAVE A QUESTION
> 
> i read every day the posts in the forum, i'm thinking about the VistA
> Community Call, i understand that every are invited to join in the call,
> in
> my particular case that's it's imposible and i dont know maybe in some
> time
> we can use a software to do this conference maybe more people have the
> same
> problem, well, ny problem is that i don't have money to make a call to US,
> maybe if you dont want use a software system to make the call, maybe some
> one can write or make a trasncription about the topics in the conference
> and
> put on the forum, that way every body know what happend in the conference
> or
> call community,,
> 
> tnks
> the software that i propose  is http://www.skype.com
> 
> pd. Viva la familia!!!
> 
> _
> Express yourself instantly with MSN Messenger! Download today it's FREE!
> http://messenger.msn.click-url.com/go/onm00200471ave/direct/01/
> 
> 
> 
> ---
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RE: [Hardhats-members] We DO Care - YES we care about Katrina

[Thurman Pedigo]

Wednesday, August 31, 2005 8:57 PM Gregory Woodhouse Said:
"What happened is so horrible that almost anything we can say seems
inappropriate, or at least inadequate."

Agree with George. There are numerous ways to contribute - AMA, AAFP, and
numerous sources are providing suggestions, and appropriate links. Numerous
lists have promoted involvement. We are all concerned.

Thanks to Tomo for reminding us in a public way. 

Below is a list (distributed by AMA) for interested members:/tlp

American Red Cross (800) HELP NOW (435-7669) in English, (800) 257-7575 in
Spanish

Salvation Army (800) SAL-ARMY (725-2769) 

Operation Blessing (800) 436-6348 

America's Second Harvest (800) 344-8070 

Adventist Community Services (800) 381-7171 

Catholic Charities, USA (800) 919-9338

Christian Disaster Response (941) 956-5183 or (941) 551-9554 

Christian Reformed World Relief Committee (800) 848-5818 

Church World Service (800) 297-1516 

Convoy of Hope (417) 823-8998

Lutheran Disaster Response (800) 638-3522 

Mennonite Disaster Service (717) 859-2210 

Nazarene Disaster Response (888) 256-5886 

Presbyterian Disaster Assistance (800) 872-3283 

Southern Baptist Convention -- Disaster Relief (800) 462-8657, ext. 6440 

United Methodist Committee on Relief (800) 554-8583 

 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Wednesday, August 31, 2005 8:57 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] We DO Care
> 
> I've noticed very little discussion of Katrina on VA mail systems,
> too. Surely, that is not because VA employees do not care! Rather, I
> think everyone is simply at a loss for words. What happened is so
> horrible that almost anything we can say seems inappropriate, or at
> least inadequate.
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "A practical man is a man who practices the errors of his
> forefathers. -- Benjamin Disraeli
> 
> 
> 
> On Aug 31, 2005, at 6:50 PM, Tammy Henderson wrote:
> 
> > I am alarmed  that there has been no expressed concern on this list
> > regarding the following:
> >
> >* VAMC New Orleans, LA  is flooded
> >* VAMC Jackson, MS operating, but no networking capability
> >* VAMC Biloxi, MS *apparently *operating, but no networking
> > capability
> >
> > Any VA CBOC's relying on any of these sites have no access to
> > medical records.
> >
> > I think we are all on this list because we care.  What, with the
> > level of expertise and the technical resources we have available,
> > can we do to help ?
> >
> > Respectfully,
> >
> > Tomo
> >
> > Tomo Miller-Henderson
> > VistA Advocate
> > Wife/Daughter/Sister-in-law of American Veterans
> >
> >
> >
> > ---
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> > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> >
> 
> 
> 
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RE: [Hardhats-members] COBOL advise needed

[Thurman Pedigo]

Kevin,

I went through the same process in the late 80's. Only then it was a Wang
Mini circa 1978 converting to FileMan. I had the advantage of having written
the program (in BASIC), though that wasn't so much the advantage. We used a
port interface (fuzzy, but I think telnet capture, or some device on the
parallel port) to print (and capture) output to disk. We were using PC with
DOS then. 

You don't say what OS you are dealing with and your experience with it.
However, I think you can find a tool that lets you take the text off a
printer port. There are not as many of those gadgets now as we had then,
however, you should be able to find something to capture date, if you can
print it. Below is one such devices. I don't necessarily recommend it for
your application. It is just a demonstration they still make them.
http://www.printdistributor.com/print-to-file.html

Can you give a little more specs on OS and how much you can control it?
Surely you can print some reports with the Cobol program. If you have some
familiar OS, it should be fairly easy to get the data our.

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Tuesday, August 30, 2005 4:27 PM
> To: Hardhats Sourceforge
> Subject: [Hardhats-members] COBOL advise needed
> 
> OK, OK, I know this is a M list.  But hear me out.
> 
> The December our Mysis contract will expire, which is our old EMR.
> The company says that it will be $5,000+ to get the old progress notes
> exported.  Recently our group voted not to do that, and to just go
> forward with our paper printouts of that data (which are already in
> our paper charts).
> 
> But I can't help but wonder if I could get the data out myself.  I
> know that I can do it through printing to a disk instead of printer,
> then running it all through a conversion program.  But it is certainly
> lacking.
> 
> The underlying code is written in cobol -- either RM COBOL or
> MicroFocus Cobol (or both).  I don't know Cobol, but I gues I could go
> learn it...
> 
> So my question, does anyone know enough about cobol to tell me to give
> it up now, its too hard.  Or that it's just sitting there for easy
> picking.  Would the cobol be acting as the database itself (as M
> does), or would it likely be using some other method of storing.  This
> technology is circa 1990.
> 
> Thanks
> Kevin
> 
> 
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RE: [Hardhats-members] newbie question

[Thurman Pedigo]

Did you also check Finland?
http://www.hardhats.org/cs/broker/finn1.htm
http://www.uku.fi/tike/fixit/mta99-plenary.pdf

Perhaps worth a look if you haven't seen it.

Thanks,

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Jeroen Baten
> Sent: Tuesday, August 30, 2005 7:27 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] newbie question
> 
> 
> Hello,
> 
> I am a newbie to VistA but am trying to figure out if this is
> usefull for a menthal healthcare organisation in the Netherlands.
> 
> I succesfully installed the latest OpenVistASemiVivAFOIAGold20050825.tgz
> but seem to be stuck now on the GTM> command prompt.
> 
> It would be very nice if somebody could answer the following questions for
> me:
> 
> 1-I know of the CPRS MS-Windows interface. A ncurses interface is
> mentioned. Does it exist and if so, where can I find it?
> 
> 2-where can I find the sourcecode of VistA?
> 
> 3-Are there translations in existance? Does the software have
> internationalisation routines? e.g. is there a language file I can
> translate?
> 
> 4-Where can I learn to develop additional programmodules?
> 
> Any and all help is greatly appreciated.
> 
> --
>   Jeroen Baten| EMAIL :  [EMAIL PROTECTED]
>    _  __  | web   :  www.i2rs.nl
>   |  )|_)(_   | tel   :  +31 (0)499 477 688
>  _|_/_| \__)  | fax   :  +31 (0)499 476 804
> Roerlaan 36, 5691 HJ, Son, the Netherlands
> 
> 
> 
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RE: [Hardhats-members] Re: CPRS Source Code Subversion Repository

[Thurman Pedigo]

"Perfection is the enemy of success."


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Chris Richardson
> Sent: Friday, August 26, 2005 9:50 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Re: CPRS Source Code Subversion Repository
> 
> If you wait for perfection, nothing ever gets done.  If it is worth doing,
> it is worth doing poorly.
> 
> I know, reality comes hard to a lot of people.   ;^)
> 
>Chris
> 
> - Original Message -
> From: "Mike Lieman" <[EMAIL PROTECTED]>
> To: 
> Sent: Friday, August 26, 2005 5:32 AM
> Subject: Re: [Hardhats-members] Re: CPRS Source Code Subversion Repository
> 
> 
> On 8/26/05, Kevin Toppenberg <[EMAIL PROTECTED]> wrote:
> > Speaking of the Borland framework, I think it is an amazing work of
> > Art.  I have always been disappointed that it is not taken more
> > seriously in the programming community.  It seems that everyone turns
> > up their noses as sniffs that "its based on Pascal", as if Pascal is
> > not a real language, or that it compiles to slower code than C/C++
> >
> > Kevin
> 
> "Good enough" is the enemy of "Perfect".
> 
> If the world was twice as smart, we'd all be on Macs.
> 
> /me shakes fist in air "Damn You Microsoft Marketing!"
> 
> ( well, that, and the "Don't worry about the license, just install it"
> mentality...  VB "for free" or Borland Pascal 8, and a bill... )
> 
> 
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> 
> 
> 
> 
> 
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RE: [Hardhats-members] Re: CMS: GET OFF THE POT.

[Thurman Pedigo]

Dr. Zimmer is one of those physician programmers that just happens to be
DAMN GOOD. I recall his work in the 80's when he shared MUMPS routines,
integrated with FileMan, that printed prescriptions and a photo image of the
patient. More important he has contributed support to those of us with
lesser skills and understanding of the process. His insight and regard for
the patient is unsurpassed. 

His credentials are solid with VistA pioneers. Often people get their facts
mixed up with their bias and make unwarranted comments. It's human.

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Sowinski, Richard J.
> Sent: Friday, August 26, 2005 8:07 AM
> To: 'hardhats-members@lists.sourceforge.net'
> Subject: RE: [Hardhats-members] Re: CMS: GET OFF THE POT.
> 
> This board is turning into a real pleasant and friendly place to
> communicate.
> 
> The question that was asked of you Mr. Zimmer is what are you doing with
> VOE
> now? Today? before the software has been released.
> 
> Not after it has been released.
> 
> I thought it was a rude question for someone to ask of you.
> 
> So, what could one do to contribute? Unless contribute to the spec (if
> asked), or test? Because I believe some people have been testing it.
> 
> Now what am I missing?
> 
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of John
> Leo
> Zimmer
> Sent: Thursday, August 25, 2005 5:42 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Re: CMS: GET OFF THE POT.
> 
> -- Original Message ---
> From: [EMAIL PROTECTED]
> To: hardhats-members@lists.sourceforge.net
> Sent: Thu, 25 Aug 2005 16:13:40 -0500
> Subject: RE: [Hardhats-members] Re: CMS: GET OFF THE POT.
> 
> > How could someone contribute to VOE (besides being an alpha tester),
> > unless they work for DAOU? Am I missing something?
> 
> I would say you are missing the whole point of an open source development
> effort such as produced VistA in the first place. But I assume you've been
> here long enough to understand that VistA is the product of the community
> within which it evolved. (How long have you worked in/for/with the VA?)
> 
> I  CMS to be clueless about this. I don't know much about DAOU
> except
> that someone there prefers a closed development methodology that needs to
> reach whatever conclusion it can... so that the community (this one that
> is
> sitting here on the runway burning fuel, waiting) can get to work on
> continuing that evolution.
> 
> Is that what you're missing? That would surprise me.
> 
> gra'paZ
> Feeling old today and hoping to see the promised land before I die.
> No, I'm not Moses either.
> 
> 
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RE: [Hardhats-members] All about programming

[Thurman Pedigo]

Best explanation I have seen of indirection. 

Thanks,

thurman  

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Wednesday, August 24, 2005 8:04 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] All about programming
> 
> Well, indirection is not a concept unique to MUMPS. Do you recall
> that I said the symbol table associates a memory location with a
> variable. Well, that memory location is identified by a (typically
> large) integer. Indirection is the process of retrieving the value
> stored at that location. In C, if n is an integer variable, &n will
> be the location where it is stored, and if p is pointer to that
> memory location, *p is the value stored there. The * operation is
> called indirection. Another term you will often hear is dereferencing
> the pointer.
> 
> Now, MUMPS doesn't have pointers, but you can use a variable to store
> the name (or part of the name) of another variable, or even a
> command. As a simple case, try the following
> 
> SET X="HELLO"
> SET Y="X"
> WRITE @Y
> 
> The @ operator is the indirection operator in MUMPS. What this code
> does is lookup the value of Y to get "X" and then lookup the value of
> X to get "HELLO".
> 
> Indirection is a very powerful technique allowing you to implement
> things like callbacks (where you basically say to a function "execute
> this code if something special happens") and dynamic dispatch tables
> (where you basically create a table containing code that should be
> called in certain situations). It is a very powerful technique and
> especially useful when you're trying to design generic tools.
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "Perfection is achieved, not when there is nothing more to add, but
> when there is nothing left to take away."
> -- Antoine de Saint-Exupery
> 
> On Aug 24, 2005, at 5:07 PM, Nancy Anthracite wrote:
> 
> > And to think I bothered to buy some books.  ;-)
> >
> > Please tell me about indirection.  That is the one thing I hear
> > newish MUMPS
> > programmers saying they want to know more about.
> 
> 
> 
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RE: [Hardhats-members] Re: Is $$GTF~%ZISH() binary friendly?

[Thurman Pedigo]

Surprise for me. I thought Donald Knuth the master of the b-tree.  Also
thought "b" meant branching. Now I don't know.  ../t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Tuesday, August 23, 2005 4:25 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Re: Is $$GTF~%ZISH() binary friendly?
> 
> OK.  Thanks.  I had always thought that B-Tree ment "Binary tree".
> But  quick search turned on wikipedia turned up this:
> 
> http://en.wikipedia.org/wiki/B-tree
> 
> The B-tree's creator, Rudolf Bayer, has not explained what the B
> stands for. The most common belief is that B stands for balanced, as
> all the leaf nodes are at the same level in the tree. B may also stand
> for Bayer, or for Boeing, because he was working for Boeing Scientific
> Research Labs.
> 
> Kevin
> 
> 
> On 8/23/05, Gregory Woodhouse <[EMAIL PROTECTED]> wrote:
> > I think Kevin was asking whether or not strings are null terminated.
> > I know nothing about the GT.M source, but as a general sort answer:
> > Databases don't typically store data in a "packed" format (like the
> > run-time heap), but instead storage is allocated in fixed size
> > chunks, which are then typically organized into a structure called a
> > B-tree. This makes it possible to add and delete records (nodes) or
> > to modify the size of an existing node without having to drastically
> > modify the entire structure. (So far as I know, the origin of the
> > term B-tree is unknown, but I like to think of them as "bushy" trees.)
> >
> > ===
> > Gregory Woodhouse
> > [EMAIL PROTECTED]
> >
> > "Design quality doesn't ensure success, but design failure can ensure
> > failure."
> >
> > --Kent Beck
> >
> > On Aug 23, 2005, at 2:54 PM, K.S. Bhaskar wrote:
> >
> > > Probably not of much value to ask unless you are a GT.M internals
> > > developer - details are in the source code.  As a gross simplification
> > > (along the lines of saying that living things are made up of cells),
> > > GT.M stores the length and actual value of each string.  But there are
> > > all sorts of optimizations, including key compression when stored
> > > in the
> > > database.
> > >
> > > -- Bhaskar
> > >
> > > On Tue, 2005-08-23 at 16:22 -0500, Kevin Toppenberg wrote:
> > >
> > >> So Bhaskar, is of any value to ask how the data is stored behind the
> > >> scenes?  I was worried that the strings were null-terminated etc and
> > >> that there might be some binary data that would crash GT.M. when
> > >> storing is in a global value.
> > >>
> > >> I'm glad to hear that is not the case.
> > >>
> > >> Kevin
> > >
> >
> >
> >
> > ---
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> 
> 
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RE: [Hardhats-members] more M read questions

[Thurman Pedigo]

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Ruben Safir
> Sent: Monday, August 22, 2005 9:53 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] more M read questions
> 
> I can't speak for others, but I always do whats best for me and my
> clients.  
> 
> Ruben
> 

Glad to have that clarified/t



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RE: [Hardhats-members] more M read questions

[Thurman Pedigo]

. GT.M, for
> instance is quite
> capable of uploading and downloading binary data, such as images, just
> fine. It can also
> easily hand off that task to utilities available in the Linux environment.

Hmm - Does Cache not have this capability?

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Jim Self
> Sent: Monday, August 22, 2005 3:13 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] more M read questions
> 
> Most MUMPS implementations have no problem with binary data. It's old
> utilities that are
> oriented to text-only data that might have a problem with it. GT.M, for
> instance is quite
> capable of uploading and downloading binary data, such as images, just
> fine. It can also
> easily hand off that task to utilities available in the Linux environment.
> We use this
> capability many thousands of times a day in VMACS and M2Web.
> 
> 
> 
> Ruben wrote:
> >On Sun, 2005-08-21 at 15:13 -0400, smcphelan wrote:
> >> Here, here.  Chris also stated this.  ANSI standard M is not really
> designed
> >> to handle binary data.  This is one reason Intersystems added
> extensions (if
> >> you wish to call it that).  But then you are bound to a specific M
> vendor's
> >> implementation, in this case, Cache.
> >>
> >
> >This is all beyond me because all data is just data.  ASCI, Binary, all
> >the same thing.
> >
> >No matter how you look at it, a byte can only have one of 256
> >representations.  The rest is all interpretation.
> >
> >Ruben
> 
> ---
> Jim Self
> Systems Architect, Lead Developer
> VMTH Computer Services, UC Davis
> (http://www.vmth.ucdavis.edu/us/jaself)
> 
> 
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RE: [Hardhats-members] Rules for the List

[Thurman Pedigo]

http://www.hardhats.org/mailing_list.html#RULES

Still works for me - both click and paste.


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Kreis
> Sent: Saturday, August 20, 2005 6:57 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Rules for the List
> 
> We have quantified rules for the list that members are to observe in
> order to keep this list a productive and orderly place to explore and
> learn about the technical aspects of VistA (i.e. the infrastructure).
> Please review them.
> 
>  http://www.hardhats.org/mailing_list.html#RULES
> 
> --
> Greg Kreis  http://www.PioneerDataSys.com
> 
> "You are today where your thoughts have brought you, you will
>be tomorrow where your thoughts take you." (James Lane Allen)
> 
> 
> 
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RE: [Hardhats-members] Rules for the List

[Thurman Pedigo]

I checked - short, succinct, and useful. 

I wouldn't mind seeing it posted to this list monthly.

thurman

> 
> I tried the link above twice, and got a bad link error.
> 
> Kevin
> 
> On 8/20/05, Greg Kreis <[EMAIL PROTECTED]> wrote:
> > We have quantified rules for the list that members are to observe in
> > order to keep this list a productive and orderly place to explore and
> > learn about the technical aspects of VistA (i.e. the infrastructure).
> > Please review them.
> >



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RE: [Hardhats-members] RE: VistA Imaging FDA and NonCommercial Use Re: [Hardhats-members] Re: TIU Interface for Document Scanning

[Thurman Pedigo]

I apprehend feelings run deep on this issue, and it isn't my first time in
this territory. If one wishes to propose controversial stands, one needs
thick skin. I feel I do need to declare my relationship to pharmaceuticals.

I own no pharmaceuticals stock or any other financial position for at least
10 years. I have no family working in the industry. I probably give
pharmaceutical reps a tougher time the 80% of physicians. I haven't attended
CME with pharmaceutical sponsor for over a year. I would estimate less than
10% of patients I see get a prescription.

I appreciate and RESPECT those who disagree with my philosophy, so why don't
we just let this thread die a merciful death.

Thanks,

thurman 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Friday, August 12, 2005 2:36 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] RE: VistA Imaging FDA and NonCommercial
> Use Re: [Hardhats-members] Re: TIU Interface for Document Scanning
> 
> I'd like to add a few thoughts
> 
> 1. The FDA document linked above was interesting.  I asks the question
> as to what would happen if the system malfunctioned.  How likely is it
> that the patient would be harmed, or even killed?  Even if document
> imaging is not FDA regulated, this is a useful thought?  What if
> images don't contain patient identification, and get swapped.  A
> patient could be harmed by incorrect information.
> 
> 2. This debate about what the FDA will or won't do could perhaps be
> solved by putting together a document imaging system based on
> VistAImaging.  Do something to ensure that it can not be used for
> diagnostic purposes (i.e. disable DICOM interface).  Then submit it to
> the FDA.   At that point, they would likely come back and say "This
> product isn't really within out scope".  Just like they would say if
> we asked them to authorize VistA use in general.
> 
> 3.  Ruben, have your mom check into cutting pill.  I believe that
> Lipitor is "flat priced", meaning that 20 mg, 40 mg and 80 mg tabs
> cost the same.  80 mg, 1/2 tablet every other day is much cheaper than
> 20 mg daily.  And go easy on us doctors.  We really do have patient's
> best interests at heart.
> 
> Kevin
> 
> 
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RE: VistA Imaging FDA and NonCommercial Use Re: [Hardhats-members] Re: TIU Interface for Document Scanning

[Thurman Pedigo]

Watching this FDA thread triggers historical recollections shattering a few
cog-webs. To understand FDA one must review the influence of Frances Kelsey,
M.D. Until Dr. Kelsey's time FDA was a more or less "rubber stamp" for the
drug companies. For some reason it is getting harder to find her connect FDA
connection in the past two years. Even an extensive report on FDA fails to
mention her name.
http://www.cato.org/pubs/regulation/reg18n2c.html

However, she still gets some recognition. 
http://www.pnc.com.au/~cafmr/online/research/thalid2.html
http://www.nlm.nih.gov/changingthefaceofmedicine/physicians/biography_182.ht
ml

Rhetoric abounds decrying cost of medicine in the U.S. to the point some
advocate importing from Canada. Adding that to the recent fiasco regarding
the COX inhibitors leaves plenty room to wonder about efficacy of FDA. I am
somewhat concerned when I listen to physicians, who haven't bothered to
check profitability, or PE ratio, lament drug costs. Sure, as an industry
pharmaceuticals do well, though not the absolute highest performers. Still,
our FDA approval process has far more influence on costs than any imagined
profitability. And, while helpful, FDA is not the panacea of how well we
practice medicine. I recognize this (thread) conveys a bit of philosophy.

thurman


 


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Thursday, August 11, 2005 1:02 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: VistA Imaging FDA and NonCommercial Use Re: [Hardhats-
> members] Re: TIU Interface for Document Scanning
> 
> Fair enough. It is just disconcerting to see all this talk about how to
> find "loopholes" in FDA regulations (e.g., the use vs. marketing
> discussion). I realize not everyone lives in the U.S. and not everyone
> is subject to the same laws, but I'd think VistA developers would want
> to embrace regulations designed to promote quality and safety, not
> attempt to skirt them.
> 
> As far as scanned documents go: well, I think I've already said I think
> trying to use medical imaging software and equipment to manage scanned
> documents is a ridiculous case of overkill. But I'll just leave it at
> that.
> 
> --- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> 
> > They may be still safer than some chemicals promoted in health food
> > stores -
> > or more important, consider the safety of paper records - where is
> > FDA
> > there? ...thx/t
> >
> 
> 
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> 
> "Design quality doesn't ensure success, but design failure can ensure
> failure."
> 
> --Kent Beck
> 
> 
> 
> 
> 
> 
> 
> 
> ---
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RE: VistA Imaging FDA and NonCommercial Use Re: [Hardhats-members] Re: TIU Interface for Document Scanning

[Thurman Pedigo]

They may be still safer than some chemicals promoted in health food stores -
or more important, consider the safety of paper records - where is FDA
there? ...thx/t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Thursday, August 11, 2005 10:02 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: VistA Imaging FDA and NonCommercial Use Re: [Hardhats-
> members] Re: TIU Interface for Document Scanning
> 
> That's interesting. Frankly, I find it a bit disconcerting to think
> that medical applications might be unregulated just because they are
> open source.
> 
> --- Joseph Dal Molin <[EMAIL PROTECTED]> wrote:
> 
> > There was a recent post on the OSIRIX list that asked the question
> > why
> > is OSIRIX not subject to FDA regs. The answer apparently is "if you
> > sell
> > it installed" it is FDA regulated  if you give it away it is not.
> > I
> > have asked the people responsible for OSIRIX (BTW it is an open
> > source
> > medical image viewer) to give me a more detailed answer which I will
> > share with this list when I receive it.
> >
> >
> > Joseph
> >
> > Kevin Toppenberg wrote:
> > > I understand the need to protect one's business investments.  But
> > it
> > > was my understanding that the entire VI package was FOIA -- its
> > just
> > > that one would need to be careful not to cross the FDA in
> > > implementations.
> > >
> > > So the "import API" should  be open source, and the "VI background
> > > processor" should be open source too, I suspect.
> > >
> > > What we need are people who understand the system and can explain
> > it
> > > -- or at least better than the usual documentation.
> > >
> > > I suspect that there is money in the area on this subject and that
> > is
> > > why there is a tendency towards secrecy.
> > >
> > > Kevin
> > >
> > >
> > > On 8/11/05, smcphelan <[EMAIL PROTECTED]> wrote:
> > >
> > >>We all know how protective the VistA Imaging people are.  I cannot
> > share
> > >>anything I obtained because of the IA.  Maybe legally I can.  But I
> > cannot
> > >>jeopardize our relationship with Silver Springs.  So we take the
> > most
> > >>conservative approach.  The import API was released as a patch to
> > the MAG
> > >>package.  If it is out on FOIA you have it.  But it is designed to
> > work
> > >>with
> > >>the VI Background Processor.
> > >>
> > >>- Original Message -
> > >>From: "Kevin Toppenberg" <[EMAIL PROTECTED]>
> > >>To: 
> > >>Sent: Thursday, August 11, 2005 9:36 AM
> > >>Subject: [Hardhats-members] Re: TIU Interface for Document Scanning
> > >>
> > >>
> > >>On 8/10/05, smcphelan <[EMAIL PROTECTED]> wrote:
> > >>
> > >>>...
> > >>
> > >>We cannot share the import functionality with
> > >>
> > >>>anyone as that would be a violation of our IA with VistA Imaging.
> > >>
> > >>I don't understand.  If one has an IA with VistA imaging, then one
> > is
> > >>not allowed to share code?
> > >>
> > >>Kevin
> > >>
> > >>
> > >>---
> > >>SF.Net email is Sponsored by the Better Software Conference & EXPO
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> > >>
> > >>
> > >>
> > >>
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> > >
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> > >
> > > .
> > >
> >
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> 

RE: [Hardhats-members] CPRS Error Message

[Thurman Pedigo]

I used to post this problem a lot. If I recall it was almost always Taskman
not running, RPC not running, or wrong client. (I am on Windows/Cache -
maybe it's different)

Kevin must have told me same thing 4-5 times before I finally got it. Maybe
he has some other idea on your problem. Of course, firewall can screw it up
sometimes, as well as hostfile conflict. 

thurman

 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Pkale Robinson
> Sent: Wednesday, August 10, 2005 7:51 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] CPRS Error Message
> 
> Has anyone been able to reolve the WSAECONNREFUSED error message while
> conncting to a linux server?
> 
> 
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RE: [Hardhats-members] What others are saying

[Thurman Pedigo]

Thanks Nancy,
I posted it sometime ago. Interesting that AAFP staffer posted it later. I
think anything that keeps it visible is helpfulthx/t
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Friday, August 05, 2005 4:36 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] What others are saying
> 
> Take a look at this link.  As soon as VO comes out, I think we need to do
> something about addressing this head on, but with no product yet to trot
> out
> and discuss, it will be difficult to do until it is released.
> 
> http://www.centerforhit.org/x1442.xml
> 
> On Friday 05 August 2005 02:47 am, JohnLeo Zimmer wrote:
> > Thurman Pedigo wrote:
> > > If you see any helpful - objective stuff (without interest conflict) -
> I
> > > would appreciate posting a link that I can reference. Already, I
> posted
> > > the Computer World link and another Federal tech link. I post these
> just
> > > as "What others are saying" without giving a personal opinion. My goal
> is
> > > to raise awareness of VistA without adding kindling to a flame.
> >
> > Thurman, Keep it up.
> > I lurk there, as you know.
> > We are seeing new interest on the part of David Kibbe and his team.
> > I expect the AAFP EHR leadership, as opposed to the rank and file, will
> > be kicking the tires. They missed a great opportunity by not comming to
> > Boston. I think they'll be represented at the next WorldVistA meeting...
> > whenever that may be.
> >
> > regards,
> > jlz
> >
> >
> > ---
> > SF.Net email is Sponsored by the Better Software Conference & EXPO
> > September 19-22, 2005 * San Francisco, CA * Development Lifecycle
> Practices
> > Agile & Plan-Driven Development * Managing Projects & Teams * Testing &
> QA
> > Security * Process Improvement & Measurement *
> http://www.sqe.com/bsce5sf
> > ___
> > Hardhats-members mailing list
> > Hardhats-members@lists.sourceforge.net
> > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> 
> --
> Nancy Anthracite
> 
> 
> ---
> SF.Net email is Sponsored by the Better Software Conference & EXPO
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> Practices
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> https://lists.sourceforge.net/lists/listinfo/hardhats-members



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RE: [Hardhats-members] Implanted Radio Frequency Chips - God help us!

[Thurman Pedigo]

Nancy,

I know you will be the first in line! ;-) .../t


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Friday, August 05, 2005 11:35 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Implanted Radio Frequency Chips - God help us!
> 
> Former HHS Secretary Tommy Thompson in the next 50 days plans to publish a
> proposal for widespread implementation of implanted radio frequency
> identification chips
> 
> The RFID chips would hold individuals' medical records and would be
> connected
> to a national health IT network.
> 
> http://www.ihealthbeat.org/index.cfm?Action=dspItem&itemID=113188
> --
> Nancy Anthracite
> 
> 
> ---
> SF.Net email is Sponsored by the Better Software Conference & EXPO
> September 19-22, 2005 * San Francisco, CA * Development Lifecycle
> Practices
> Agile & Plan-Driven Development * Managing Projects & Teams * Testing & QA
> Security * Process Improvement & Measurement * http://www.sqe.com/bsce5sf
> ___
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> Hardhats-members@lists.sourceforge.net
> https://lists.sourceforge.net/lists/listinfo/hardhats-members



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RE: [Hardhats-members] What others are saying

[Thurman Pedigo]

You're the MAN!

Your wry humor in the FP list is appreciated and refreshing...;-)/t


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of JohnLeo Zimmer
> Sent: Friday, August 05, 2005 12:48 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] What others are saying
> 
> Thurman Pedigo wrote:
> 
> > If you see any helpful - objective stuff (without interest conflict) - I
> > would appreciate posting a link that I can reference. Already, I posted
> the
> > Computer World link and another Federal tech link. I post these just as
> > "What others are saying" without giving a personal opinion. My goal is
> to
> > raise awareness of VistA without adding kindling to a flame.
> >
> Thurman, Keep it up.
> I lurk there, as you know.
> We are seeing new interest on the part of David Kibbe and his team.
> I expect the AAFP EHR leadership, as opposed to the rank and file, will
> be kicking the tires. They missed a great opportunity by not comming to
> Boston. I think they'll be represented at the next WorldVistA meeting...
> whenever that may be.
> 
> regards,
> jlz
> 
> 
> ---
> SF.Net email is Sponsored by the Better Software Conference & EXPO
> September 19-22, 2005 * San Francisco, CA * Development Lifecycle
> Practices
> Agile & Plan-Driven Development * Managing Projects & Teams * Testing & QA
> Security * Process Improvement & Measurement * http://www.sqe.com/bsce5sf
> ___
> Hardhats-members mailing list
> Hardhats-members@lists.sourceforge.net
> https://lists.sourceforge.net/lists/listinfo/hardhats-members



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[Hardhats-members] What others are saying

[Thurman Pedigo]

Hey guys. I started a bit of a campaign on another list –
some of you know what list…;-)

 

If you see any helpful – objective stuff (without interest
conflict) – I would appreciate posting a link that I can reference.
Already, I posted the Computer World link and another Federal tech link. I post
these just as “What others are saying” without giving a personal
opinion. My goal is to raise awareness of VistA
without adding kindling to a flame. 

 

Let me know if you see a problem with this approach.

 

Thanks,

 

thurman  

[Hardhats-members] US technology falling further behind

[Thurman Pedigo]

NYT - By THOMAS L. FRIEDMAN
The fact that the U.S.
has fallen to 16th in the world in broadband connectivity has aroused little
interest, but it should.

 

http://www.nytimes.com/2005/08/03/opinion/03friedman.html?th&emc=th

 

RE: [Hardhats-members] Announcing the VistA Office EHR Discussion Forum

[Thurman Pedigo]

>From cotton country - "gin" is correct. .../t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Sunday, July 31, 2005 10:10 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Announcing the VistA Office EHR Discussion
> Forum
> 
> Actually, I thought that came from gin as in "cotton gin", or is it
> "cotton
> gen" ?   (Just checked.  Dictionary say "gin", short for engine. )   So I
> have been doing this wrong for a long time.  I can't blame it on a typo.
> 
> On Sunday 31 July 2005 11:43 am, Joseph Dal Molin wrote:
> > Thank you Nancy for taking the time to write thisI think you meant
> > "gen up the VVSO" not "gin up" although we are probably more than ready
> > for the second, I checked the number of subscribers a couple of months
> > ago...it was about 320...it is now over 400...it will be interesting to
> > see what the number is in a couple of weeks.
> >
> > Joseph
> >
> > (not wearing my VVSO hat)
> >
> > Nancy Anthracite wrote:
> > > I just read the article David suggested we read. It must have been a
> long
> > > talk!  Lots of food for thought and great trepidation.
> > >
> > > I am going to take a chance at making people angry and talk about what
> > > has gone on behind the scenes and why the gentle attempt to help split
> > > off some of the traffic anticipated for this list occurred now.
> > >
> > > Greg Kreis, who is on travel and probably will not even see posting,
> was
> > > on the horn with me about another subject and expressed his concern
> that
> > > the list was having so many postings that it was getting hard read
> them
> > > all  and that when he saw the response to the NY Times article, he
> > > figured when VO was released that the Hardhats would be inundated with
> > > postings.
> > >
> > > It was not the inundation he was most concerned about.  It was that
> those
> > > who came to Hardhats would be rapidly turned off by the technical
> > > discussion, it would scare them off, dropping any thought of using
> VistA
> > > at all.  They would be a permanent loss to the community.
> > >
> > > I told him that there were plans to gin up the VVSO (VistA Vendor
> Support
> > > Organization) web site into something with one or more email lists for
> > > users, places to donate interfaces and templates and objects and the
> > > like, etc., so that he might talk about it with Maury Pepper to see if
> > > the VVSO site  could help.   I suggested Maury because he is part of
> the
> > > VVSO team but I thought since he was probably not in as much of a
> state
> > > of severe sleep deprivation as the rest of the VVSO team, he might be
> > > able to focus better on the problem at hand.
> > >
> > > Maury talked with Greg and invited Greg to briefly join the WorldVistA
> > > board meeting conference call Thursday night to see if they could come
> up
> > > with a plan that might work out.  When a last minute invitation was
> > > extended to me as well, I joined in.
> > >
> > > I think I can summarize the discussion by saying that everyone was
> > > fearful of wrecking what the Hardhats mailing list has, which I will
> not
> > > attempt to define, but we all know it is really great stuff.  This was
> > > just a best guess as to what might be done that would preserve what we
> > > have and yet also provide a useful forum for new VO adopters and at
> least
> > > some of the rest of us who straddle the fence between clinical and
> > > technical.
> > >
> > > Greg felt the Hardhats began as largely a Kernel, Fileman, Taskman,
> etc.
> > > infrastructure list so that that dividing line between applications
> and
> > > infrastructure seemed like a reasonable one.  The plan was to gently
> > > encourage folks to move the discussion of a particular topic to the
> most
> > > appropriate list.  That was it.  Make the new list that was coming
> anyway
> > > and gently suggest ... nothing more ... and hope that even that is not
> > > too much.
> > >
> > > I think those of us that have an interest in all aspects of VistA
> would
> > > do well to join the other list and just see what happens.  It will all
> > > show up in you mailbox together and you can hopefully just keep right
> on
> > > doing what you are doing with little change except the things more of
> > > interest to the end user might end up on the VVSO list and those more
> > > down an dirty, here.
> > >
> > > As for the Hardhats community/social interaction, I  think that will
> stay
> > > right here and I hope a new social institution will arise for the VO
> > > clinical users on the VVSO site.  There is a whole group of people out
> > > there working on VO that read the Hardhats list and never post a word.
> I
> > > found out when I went to one of the "Partners" meetings for VO where I
> > > was greeted like an old friend by people I had never heard of because
> > > they had read so many of my postings on Hardhats.  VistA provides

RE: [Hardhats-members] Announcing the VistA Office EHR Discussion Forum

[Thurman Pedigo]

Ok - we have a thread on my favorite subject. My $.02 or less! Delete!
My hat's off to you, Nancy. I too, read it so I have an idea of your
investment. 
More Bion: http://human-nature.com/rmyoung/papers/pap148h.html

I thought it an interesting view of the "internet group." Did you think it
may have lacked depth in the research and understanding of group dynamics of
today? For a treatise of that length, one might expect reference to
Tuckman's model of group dynamics, specifically Forming, Storming, Norming,
Performing, and Adjourning. http://www.chimaeraconsulting.com/tuckman.htm
In addition Agazarian has written extensively on groups is a highly regarded
modern day authority:
Agazarian, Yvonne M. & Peters, Richard.
http://karnacbooks.com/product.php?PID=5793
Then there is Eric Berne, Claude Steiner, Fritz Perls, and another whole
banner of contributors on groups. http://www.brianamartin.co.uk/docs/1.pdf

Referring to Tuckman's model I am reserving my opinion of the Hardhats
stage. Unfortunately, Storming, as described by Clay Shirky, is where many
groups end. This is a group outcome, whether internet, a church, or a group
formed to salvage a State Medicaid program. A new group enters the forming
(sometimes called honeymoon) stage. The stage is characterized by warm
fuzzies, feelings of belonging, and a general feeling "we are so cool."
Unfortunately, we too often forget - or fail to anticipate - the pain and
agony visited on us by the storming stage. This is where many groups crash
and burn. It may happen in a month, a year, or several years. This stage -
marked by competitiveness, maneuvering for position, growth of factions, and
scapegoats - may never reach the next stage. How the group deals with these
competing interests determines if they achieve the Norming stage where
everyone starts to understand their task, boundaries, and how they can share
a win with the group. At the heart of the process is the concept that we all
try to recreate our family of origin when we join a group. How we resolve
those issues determines the success of the group (and individual members).


Performing is where the work creates value and miracles are accomplished.
Few groups reach it. And few, who don't, ever understood what happened to
them.  

Anyone care to pronounce the stage of Hardhats?

Thanks,

thurman


http://etd.rau.ac.za/theses/available/etd-09152004-120135/restricted/doctora
lthesis.pdf
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Sunday, July 31, 2005 9:38 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Announcing the VistA Office EHR Discussion
> Forum
> 
> I just read the article David suggested we read. It must have been a long
> talk!  Lots of food for thought and great trepidation.
> 
> I am going to take a chance at making people angry and talk about what has
> gone on behind the scenes and why the gentle attempt to help split off
> some
> of the traffic anticipated for this list occurred now.
> 
> Greg Kreis, who is on travel and probably will not even see posting, was
> on
> the horn with me about another subject and expressed his concern that the
> list was having so many postings that it was getting hard read them all
> and
> that when he saw the response to the NY Times article, he figured when VO
> was
> released that the Hardhats would be inundated with postings.
> 
> It was not the inundation he was most concerned about.  It was that those
> who
> came to Hardhats would be rapidly turned off by the technical discussion,
> it
> would scare them off, dropping any thought of using VistA at all.  They
> would
> be a permanent loss to the community.
> 
> I told him that there were plans to gin up the VVSO (VistA Vendor Support
> Organization) web site into something with one or more email lists for
> users,
> places to donate interfaces and templates and objects and the like, etc.,
> so
> that he might talk about it with Maury Pepper to see if the VVSO site
> could
> help.   I suggested Maury because he is part of the VVSO team but I
> thought
> since he was probably not in as much of a state of severe sleep
> deprivation
> as the rest of the VVSO team, he might be able to focus better on the
> problem
> at hand.
> 
> Maury talked with Greg and invited Greg to briefly join the WorldVistA
> board
> meeting conference call Thursday night to see if they could come up with a
> plan that might work out.  When a last minute invitation was extended to
> me
> as well, I joined in.
> 
> I think I can summarize the discussion by saying that everyone was fearful
> of
> wrecking what the Hardhats mailing list has, which I will not attempt to
> define, but we all know it is really great stuff.  This was just a best
> guess
> as to what might be done that would preserve what we have and yet also
> provide a useful forum for new VO adopters and at least some of the rest
> of
> us who straddle 

RE: [Hardhats-members] Pointers and keys

[Thurman Pedigo]

The “new style cross reference”
was the “key” I meant to reference in the original post. I should
have been clearer in that reference. The “unique ID” we create in
the SD appointment is a number commonly called “charge slip number”
in our practice. It may be used an ID for numerous activities. 

DOT(truckers exam)

General physical

Spirometry

Audiometry,

Lab tests , Xray, etc

Injury visit (Workers Compensation)

 

And the list can be as long as your imagination.
We need some way to bind that all together in a common identification that
everyone may use to reference activity that typically occurs on a unique date. 

 

Another way we could do this is let the
date, combined with a new style cross reference creating a unique ID, handle
the uniqueness. I have been using the above scheme since 1970, always hoping to
find a better method. So far, I always wind up back at the “charge slip#”
as the method.  I was hoping to fine something better this time around.
This time I was hoping to use the new styled cross reference (created with
combination of charge slip# and patient name – or date) as the unique ID.


 

Backward pointer was a considered to
reference (from patient file) anything pointing to patient – and typically
used only in reports. Sort patient file and address the DOT exams pointing to a
unique patient – not a burning need. I am sill listening. 

 

Thanks,

 

thurman

 

 

 

 

 

 



 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
Sent: Friday, July 29, 2005 11:05
PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members]
Pointers and keys



 

There are applications that use semantically meaningful values for the
IEN, but I don't recommend doing this. In fact, I would recommend rather
strongly that you do not do this. However, you CAN ensure that a field such as
.01 be unique. You need to create new style cross-reference, and this will be
done automatically for you if you make this field into a key. Being
"clever" is seldom a good idea, but you can even make the
"B" cross-reference the uniqueness index underlying the key if you
really want to. I don't know if this is responsive to your  question, but
I've worked with a number of files that attempt to have semantically meaningful
.01 fields, and that really buys you very little and does cause a bunch of
grief in the long run.



 





Can you explain a little more what you mean by "backward
pointer".  Are you wanting to quickly identify the (sub)records in
another file pointing a record in your file?





 





===





Gregory Woodhouse





[EMAIL PROTECTED]





 





"A hero is no braver than an ordinary





man, but he is brave five minutes longer."





-- Ralph Waldo Emerson





 





 





On Jul 29, 2005, at 8:02 PM, Thurman Pedigo
wrote:









With so much excitement, I hate to post
such a mundane question as pointers and keys.  However, I have never been
able to get KEYs to perform in the way I expect. I want to have file TESTFILE
point to field .01 of another file so that I can use backward pointers. Further
I would like to create a record in the file with a unique # to main the
uniqueness of multiple instances of the same name in .01 field of the file. It
seems I should be able to enter a unique # such as 12345 without having to
encapsulate a new entry as the name file in quotes.  For instance if the
name is DOE,JOHN  in the referenced field, I would like to enter 12346 (in
field #2) to create a unique entry, then enter DOE,JOHN in field .01, separate
from the first record than the 12345 and still allow the .01 field in this
record to exist as “DOE,JOHN” . Is this workable? Or is this just
bad policy?

 

I know this is sort of
confused and will be difficult to sort out. Basically, I want to have field 2
as the UNIQUE ID for each record in TESTFILE, and .01 field point to a sort of
parent file.

 

Thanks,

 

thurman

 











 

RE: [Hardhats-members] Pointers and keys

[Thurman Pedigo]

 



Thanks – Dumb! I wasn’t
carrying it far enough and creating a downstream file for the pointer…./t
 

 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cameron Schlehuber
Sent: Friday, July 29, 2005 9:22
PM
To: hardhats-members@lists.sourceforge.net
Subject: RE: [Hardhats-members]
Pointers and keys



 

If your TESTFILE field .01 is a pointer to
another file, then the “DOE,JOHN” can’t be the internal value
in the .01 field.  “DOE,JOHN” could be in the .01 field in the
file TESTFILE is pointing to.  And, yes, you should be able to have a
unique number in field 2 be a KEY to TESTFILE.  If I recall correctly just
tell FileMan when you create a new-style cross-reference on field 2 that you
want it to be a unique key.

 

-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Thurman
 Pedigo
Sent: Friday, July 29, 2005 8:03
PM
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members]
Pointers and keys

 

With so much excitement, I hate to post such a mundane
question as pointers and keys.  However, I have never been able to get
KEYs to perform in the way I expect. I want to have file TESTFILE point to
field .01 of another file so that I can use backward pointers. Further I would
like to create a record in the file with a unique # to main the uniqueness of
multiple instances of the same name in .01 field of the file. It seems I should
be able to enter a unique # such as 12345 without having to encapsulate a new
entry as the name file in quotes.  For instance if the name is
DOE,JOHN  in the referenced field, I would like to enter 12346 (in field
#2) to create a unique entry, then enter DOE,JOHN in field .01, separate from
the first record than the 12345 and still allow the .01 field in this record to
exist as “DOE,JOHN” . Is this workable? Or is this just bad policy?


 

I know this is sort of confused and will be difficult to
sort out. Basically, I want to have field 2 as the UNIQUE ID for each record in
TESTFILE, and .01 field point to a sort of parent file.

 

Thanks,

 

thurman

 

RE: [Hardhats-members] Pointers and keys

[Thurman Pedigo]

   “How do you know that the number that you
are assigning is unique? “

 

I let FileMan create the unique field via appointments. We
print encounter forms from the appointment process incrementing the encounter
number each time we create a new form (which declares the ID). I can see
problems if we get large enough – perhaps the increment could have a head
crash. And I have experienced the hazards of using this scheme. We have used a
decimal (12345.1) to deal with more than one encounter in the same day, or for
instances where we need to bill multiple entities – ie one group pays for
injury visit, another group pays for drug screens. That is a little simplistic,
but it allows us to bundle in a way that find the various entities into one
place to look for what went on. This if obviously a most opportune time to
chose the solution, as I upgrade FileMan to VistA.


 

I still have a little trouble thinking through how to
aggregate the multiple billing instances and changing mindset of 15 years
generating encounter numbers. That patient .01 index looks pretty challenging as
well. I appreciate any additional guidance.

 

 

Thanks,

 

thurman



 

 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Chris Richardson
Sent: Friday, July 29, 2005 9:35
PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members]
Pointers and keys



 



Thurman;





 





   How do you know that the number that you are
assigning is unique?  What does the unique number represent? An encounter
id which each individual may have a number of these?  Why not let
Fileman assign the unique identifier (like it already does for the patient
file).  Then the name doesn't need to be the .01 field.  You can
always define a cross reference for the field you want to use for the
name..  Unfortunately, I can't see how you will keep the unique IDs
straight when you supply the name second.  It sounds like you are making
more work for yourself.





 





   I hope this helps.   Chris







- Original Message - 





From: Thurman Pedigo






To: hardhats-members@lists.sourceforge.net






Sent: Friday, July 29,
2005 8:02 PM





Subject: [Hardhats-members]
Pointers and keys





 



With so much excitement, I hate to post such a mundane
question as pointers and keys.  However, I have never been able to get
KEYs to perform in the way I expect. I want to have file TESTFILE point to
field .01 of another file so that I can use backward pointers. Further I would
like to create a record in the file with a unique # to main the uniqueness of
multiple instances of the same name in .01 field of the file. It seems I should
be able to enter a unique # such as 12345 without having to encapsulate a new
entry as the name file in quotes.  For instance if the name is
DOE,JOHN  in the referenced field, I would like to enter 12346 (in field
#2) to create a unique entry, then enter DOE,JOHN in field .01, separate from
the first record than the 12345 and still allow the .01 field in this record to
exist as “DOE,JOHN” . Is this workable? Or is this just bad policy?


 

I know this is sort of confused and will be difficult to
sort out. Basically, I want to have field 2 as the UNIQUE ID for each record in
TESTFILE, and .01 field point to a sort of parent file.

 

Thanks,

 

thurman

 

[Hardhats-members] Pointers and keys

[Thurman Pedigo]

With so much excitement, I hate to post such a mundane
question as pointers and keys.  However, I have never been able to get KEYs
to perform in the way I expect. I want to have file TESTFILE point to field .01
of another file so that I can use backward pointers. Further I would like to
create a record in the file with a unique # to main the uniqueness of multiple
instances of the same name in .01 field of the file. It seems I should be able
to enter a unique # such as 12345 without having to encapsulate a new entry as
the name file in quotes.  For instance if the name is DOE,JOHN  in
the referenced field, I would like to enter 12346 (in field #2) to create a unique
entry, then enter DOE,JOHN in field .01, separate from the first record than
the 12345 and still allow the .01 field in this record to exist as “DOE,JOHN”
. Is this workable? Or is this just bad policy? 

 

I know this is sort of confused and will be difficult to
sort out. Basically, I want to have field 2 as the UNIQUE ID for each record in
TESTFILE, and .01 field point to a sort of parent file.

 

Thanks,

 

thurman

 

RE: [Hardhats-members] BILLING

[Thurman Pedigo]

This is not to imply we DON'T use HCFA, as we haven't found any OccMed
insurance companies that have electronic filing capability. The best offer
we had so far was to submit HCFA in a MS Word document ;-). 

I was hoping the rest of the world had advanced.  ...thx/t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Thursday, July 28, 2005 4:41 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] BILLING
> 
> Yes, 'fraid so.
> 
> On Thursday 28 July 2005 05:31 pm, Thurman Pedigo wrote:
> > Correct. The question I have - does anyone still use HCFA claim forms?
> > Isn't most billing today electronic? thx/tl
> >
> > > -Original Message-
> > > From: [EMAIL PROTECTED] [mailto:hardhats-
> > > [EMAIL PROTECTED] On Behalf Of alric
> > > Sent: Thursday, July 28, 2005 9:57 AM
> > > To: hardhats-members@lists.sourceforge.net
> > > Subject: Re: [Hardhats-members] BILLING
> > >
> > > HCFA1500 & UB92.
> > > The HCFA is a proffesional claim form (providers, out patient etc)
> > > the UB is for inpatient claims
> > >
> > >
> > > Alric
> > >
> > > Nancy Anthracite wrote:
> > > > I have a high pay dirt starter project for someone for VO and all
> other
> > > > flavors of VistA.
> > > >
> > > > Just yesterday I found out that the "old" billing system inside
> VistA
> > > > is capable of printing out 1500 forms and another 92 form.   (There
> are
> > >
> > > letters
> > >
> > > > in front of those numbers but despite the fact I have used the 1500
> > >
> > > forms in
> > >
> > > > the past, I can't even remember those and the letters in front of 92
> > > > and
> > >
> > > what
> > >
> > > > that is ??? Thurman will know.)
> > > >
> > > > Can someone please dig into that and see if you can sort it all out
> and
> > >
> > > get us
> > >
> > > > able to be up and running on that?  Many offices do no more than use
> > >
> > > those
> > >
> > > > forms.
> > > >
> > > > There is also supposed to be the capability of creating a file that
> is
> > >
> > > ready
> > >
> > > > to ship to the WebMD clearing house, the outfit that handles the
> > > > current billing for the VA, right now.  It is currently sent to
> Austin
> > > > instead
> > >
> > > of Web
> > >
> > > > MD.  It is connected to the billing patches from last October
> > > > IB*2.0*232
> > >
> > > and
> > >
> > > > IB*2.0*280.  I have been asking to FOIA request software for this
> from
> > >
> > > Austin,
> > >
> > > > but now I am beginning to think there is nothing that needs
> requesting.
> > > >
> > > > I would love to work on billing right now, but I just have too many
> > >
> > > other
> > >
> > > > things that I have to do first. Please someone or several of you
> could
> > >
> > > you
> > >
> > > > take this on?  It would be a huge asset to encourage the adoption of
> > > > VO.
> > >
> > > ---
> > > SF.Net email is Sponsored by the Better Software Conference & EXPO
> > > September
> > > 19-22, 2005 * San Francisco, CA * Development Lifecycle Practices
> > > Agile & Plan-Driven Development * Managing Projects & Teams * Testing
> &
> > > QA Security * Process Improvement & Measurement *
> > > http://www.sqe.com/bsce5sf
> > > ___
> > > Hardhats-members mailing list
> > > Hardhats-members@lists.sourceforge.net
> > > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> >
> > ---
> > SF.Net email is Sponsored by the Better Software Conference & EXPO
> > September 19-22, 2005 * San Francisco, CA * Development Lifecycle
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> QA
> > Security * Process Improvement & Measurement *
> http://www.sqe.com/bsce5sf
> > ___
&

RE: [Hardhats-members] BILLING

[Thurman Pedigo]

Correct. The question I have - does anyone still use HCFA claim forms? Isn't
most billing today electronic? thx/tl

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of alric
> Sent: Thursday, July 28, 2005 9:57 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] BILLING
> 
> HCFA1500 & UB92.
> The HCFA is a proffesional claim form (providers, out patient etc)
> the UB is for inpatient claims
> 
> 
> Alric
> 
> Nancy Anthracite wrote:
> > I have a high pay dirt starter project for someone for VO and all other
> > flavors of VistA.
> >
> > Just yesterday I found out that the "old" billing system inside VistA is
> > capable of printing out 1500 forms and another 92 form.   (There are
> letters
> > in front of those numbers but despite the fact I have used the 1500
> forms in
> > the past, I can't even remember those and the letters in front of 92 and
> what
> > that is ??? Thurman will know.)
> >
> > Can someone please dig into that and see if you can sort it all out and
> get us
> > able to be up and running on that?  Many offices do no more than use
> those
> > forms.
> >
> > There is also supposed to be the capability of creating a file that is
> ready
> > to ship to the WebMD clearing house, the outfit that handles the current
> > billing for the VA, right now.  It is currently sent to Austin instead
> of Web
> > MD.  It is connected to the billing patches from last October IB*2.0*232
> and
> > IB*2.0*280.  I have been asking to FOIA request software for this from
> Austin,
> > but now I am beginning to think there is nothing that needs requesting.
> >
> > I would love to work on billing right now, but I just have too many
> other
> > things that I have to do first. Please someone or several of you could
> you
> > take this on?  It would be a huge asset to encourage the adoption of VO.
> 
> 
> ---
> SF.Net email is Sponsored by the Better Software Conference & EXPO
> September
> 19-22, 2005 * San Francisco, CA * Development Lifecycle Practices
> Agile & Plan-Driven Development * Managing Projects & Teams * Testing & QA
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RE: [Hardhats-members] == Medication Order - No quick orders available ==

[Thurman Pedigo]

Nancy,

Do you know where and what patches load the NDF? Does anyone know what order
those patches need application? Perhaps there is a manual for that process?

Thanks,

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Wednesday, July 27, 2005 8:38 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] == Medication Order - No quick orders
> available ==
> 
> And the Cache is the demo.  Now I see.  No, those meds are not in
> OpenVistA.
> There are patches that load the National Drug File, but each institution
> populates their own drug file from what I understand.  There are ways to
> take
> the one out of another VistA installation, like maybe out of the VA Demo,
> but
> I do not know how to do it.
> 
> On Wednesday 27 July 2005 08:58 pm, Alberto Odor wrote:
> > The problem is that if I go to Medications, the list of medicines does
> not
> > show, as it does in the Caché installation.
> >
> > Alberto
> >
> > -Mensaje original-
> > De: [EMAIL PROTECTED]
> > [mailto:[EMAIL PROTECTED] En nombre de Nancy
> > Anthracite
> > Enviado el: Miércoles, 27 de Julio de 2005 06:52 p.m.
> > Para: hardhats-members@lists.sourceforge.net
> > Asunto: Re: [Hardhats-members] == Medication Order - No quick orders
> > available ==
> >
> > You have to create quick pick orders if there aren't any already, which
> is
> > likely from what you have said.  There is some information available in
> the
> > CPRS manuals, but not a lot as I recall.
> >
> > On Wednesday 27 July 2005 04:19 pm, Alberto Odor wrote:
> > > Hi,
> > > I have now a working GT.M install, and have created a patient,
> provider,
> > > location, clinic, ward, etc.
> > >
> > > I can log in to CPRS an work on the admitted patient, assigning
> problems,
> > > procedures and other things.
> > >
> > > However if I try to assign medications, the Medication Order Window
> says:
> > > No Quick Orders available.
> > > Do I need to install some kind of catalogue or something else?
> > >
> > > Alberto Odor
> > > Mexico City
> > >
> > >
> > >
> > >
> > > ---
> > > SF.Net email is Sponsored by the Better Software Conference & EXPO
> > > September 19-22, 2005 * San Francisco, CA * Development Lifecycle
> >
> > Practices
> >
> > > Agile & Plan-Driven Development * Managing Projects & Teams * Testing
> &
> > > QA Security * Process Improvement & Measurement *
> > > http://www.sqe.com/bsce5sf
> > > ___
> > > Hardhats-members mailing list
> > > Hardhats-members@lists.sourceforge.net
> > > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> 
> --
> Nancy Anthracite
> 
> 
> ---
> SF.Net email is Sponsored by the Better Software Conference & EXPO
> September
> 19-22, 2005 * San Francisco, CA * Development Lifecycle Practices
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RE: [Hardhats-members] Personal Health ID

[Thurman Pedigo]

thought you might have something to say;-)

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> Sent: Wednesday, July 27, 2005 7:21 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Personal Health ID
> 
> That is almost like having someone read your mind whether you like it or
> not.
> Will we have to walk around wrapped in aluminum foil or carry our own
> personal signal jammer if we would like some privacy?
> 
> Soon Dr. John Halamka and a box of oatmeal will have a lot in common.
> 
> On Wednesday 27 July 2005 07:52 pm, Thurman Pedigo wrote:
> > Volume 353:331-333  July 28, 2005  Number 4
> >
> > Straight from the Shoulder
> >
> > John Halamka, M.D.
> >
> >
> >
> > Latest issue NEJM: http://content.nejm.org/cgi/content/full/353/4/331#F1
> >
> > ..thx/tl
> >
> > "Now, when a scanner is passed within 6 in. (15 cm) of my arm, my
> medical
> > identifier is displayed on the screen of a radiofrequency-identification
> > (RFID) reader, and any authorized health care worker can turn to a
> secure
> > Web site hosted by the manufacturer and retrieve information about my
> > identity and the name of my primary care physician, who can then provide
> > details"
> 
> --
> Nancy Anthracite
> 
> 
> ---
> SF.Net email is Sponsored by the Better Software Conference & EXPO
> September
> 19-22, 2005 * San Francisco, CA * Development Lifecycle Practices
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[Hardhats-members] Personal Health ID

[Thurman Pedigo]

Volume 353:331-333  July 28, 2005  Number 4 

Straight from the Shoulder

John Halamka, M.D.

 

Latest issue NEJM: http://content.nejm.org/cgi/content/full/353/4/331#F1

….thx/tl

“Now, when a scanner is passed within 6 in. (15 cm) of
my arm, my medical identifier is displayed on the screen of a
radiofrequency-identification (RFID) reader, and any authorized
health care worker can turn to a secure Web site hosted by the
manufacturer and retrieve information about my identity and the name
of my primary care physician, who can then provide details”

 

RE: [Hardhats-members] == Question to Bhaskar = THIS IS *not* THE ANSWER ==

[Thurman Pedigo]

Not exactly a new description. Makes for a great songs though:

Oh, Greenland is a dreadful place
A land that's never green
Where there's ice and there's snow and the whale-fishes blow
And daylight's seldom seen, ...

http://sniff.numachi.com/~rickheit/dtrad/pages/tiGREENLAN;ttGREENLAN.html
Greenland Whale Fisheries
SOURCE:
Bob Pfeffer
SOURCE'S SOURCE: Journal, Bengal, 1833
Made The Weavers Stars and legend
.../tlp

 
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Aylesworth Marc A Ctr
> AFRL/IFSE
> Sent: Tuesday, July 26, 2005 3:52 PM
> To: 'hardhats-members@lists.sourceforge.net'
> Subject: RE: [Hardhats-members] == Question to Bhaskar = THIS IS *not* THE
> ANSWER ==
> 
> Goes to show you what creative marketing can do, this Greenland does not
> look very green!!!
> 
> Thanks
> 
> Marc Aylesworth
> 
> C3I Associates
> 
> AFRL/IFSE
> 
> Joint Battlespace Infosphere Team
> 
> 525 Brooks Rd
> 
> Rome, NY 13441-4505
> 
> Tel:315.330.2422
> 
> Fax:315.330.7009
> 
> Email: [EMAIL PROTECTED]
> 
> 
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of K.S.
> Bhaskar
> Sent: Tuesday, July 26, 2005 5:38 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] == Question to Bhaskar = THIS IS *not* THE
> ANSWER ==
> 
> It occurs to me that we have tens of messages with my name in the
> subject, and I have not posted even a single message in this thread!
> What makes it even more disheartening, is that I have nothing worthwhile
> to say on the topic!
> 
> Since it just wouldn't do to have a topic with "Question to Bhaskar" in
> the subject and no posting from Bhaskar, let me at least share some
> photos of Greenland that I took on a recent flight from Stockholm to
> Newark (http://tinyurl.com/dgjnr).  The little white bits on a blue
> background on the first picture are chunks of ice floating on the North
> Atlantic Ocean just off the east coast of Greenland.
> 
> -- Bhaskar
> 
> 
> 
> ---
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RE: [Hardhats-members] Lab interface questions... LSI?

[Thurman Pedigo]

Be nice if it was USB - or 1394. We interfaced lab in 1993 with RS 232. The
driving force is what the lab machine talks. ...tx/t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Cameron Schlehuber
> Sent: Sunday, July 24, 2005 10:14 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Lab interface questions... LSI?
> 
> There are some commercial tools (basically, specialized "Interface
> Engines")
> that VA currently uses.  If folks haven't responded with the make and
> models
> used in VA by Monday, I'll try to get the information to post.
> 
> -Original Message-
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Gregory
> Woodhouse
> Sent: Sunday, July 24, 2005 9:02 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Lab interface questions... LSI?
> 
> That was 10 years ago. Don't you think you'd be better off looking at
> what is available and widely used today, and then coding to it?
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "It is foolish to answer a question that
> you do not understand."
> --G. Polya ("How to Solve It")
> 
> 
> On Jul 24, 2005, at 8:46 PM, Kevin Toppenberg wrote:
> 
> > I would like to get our VistA interfaced with our lab.
> >  I have been reading the Lab technical manual
> > (Lab5_2tm.pdf).  It looks like it is designed for the
> > various pieces of lab equipment to be connected to the
> > computer through a "LSI" device--a "data
> > concentrator".  These initials aren't defined.  At one
> > point, it appears that the device is actually a
> > "General Digital GDC 2100 Data Concentrator".
> >
> > This manual is from 1994.  Is such a card even still
> > available?
> >
> > Any advice about how to go about learning about lab
> > interfacing in VistA?
> >
> > Thanks
> > Kevin
> >
> >
> 
> 
> 
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[Hardhats-members] VistA Technical Support - via Remote Desktop

[Thurman Pedigo]

I hope recruiting isn’t improper use of this list.

We have VistA installed and
functioning pretty well. To hasten finalizing the project , I could use CPRS experienced
coaching assistance. My needs relate to creating objects from a newly created
files, report designs, document image storage, and probably an array of
features I don’t even know about. Consultation and advice on various
projects underway is also a consideration.

 

My preference is oversight/coaching via Remote Desktop (or others remote
connect) with a reasonable speed, such as DSL or cable. I have used this method
very effectlively, with no need for travel or other preparation. Time of day
and geography are not a concern. . Rates negotiable and competitive. 

 

Thanks,

 

thurman  

 

 

 

RE: [Fwd: Re: [Hardhats-members] VistA-Office and more In the NYTimes]

[Thurman Pedigo]

Hey,

There are several of us who installed FileMan with diskettes - pre 90's. Of
course - if you are a full version VistA with CPRS, I'm still working on
it.tx/t
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Edward Cherlin
> Sent: Friday, July 22, 2005 3:47 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Fwd: Re: [Hardhats-members] VistA-Office and more In the
> NYTimes]
> 
> On Thursday 21 July 2005 09:57, Joseph Dal Molin wrote:
> >  Original Message 
> > Subject: Re: [Hardhats-members] VistA-Office and more In the
> > NYTimes Date: Thu, 21 Jul 2005 12:30:48 -0400
> > From: Joseph Dal Molin <[EMAIL PROTECTED]>
> > To: hardhats-members@lists.sourceforge.net
> > References: <[EMAIL PROTECTED]>
> >
> > Tom,
> >
> > Go to the WorldVistA website and follow the link to the VVSO
> > pages...here is the direct path:
> >
> > http://www.worldvista.org/vvso/
> >
> > The VVSO will be providing training for vendors who are
> > interested in providing VistAOffice related services.
> 
> The NY Times article was Slashdotted, with a specific mention and
> link to WorldVista.
> http://linux.slashdot.org/article.pl?sid=05/07/22/1541233&threshold=0&tid=
> 103&tid=106
> 
> There are some old-time VA people in the discussion.
> enry AT wayga DOT net wrote, "I did the initial FOIA releases on
> CD back in 1993-1994."
> 
> > Cheers,
> >
> > Joseph
> > Program manager, VVSO
> 
> --
> Edward Cherlin, Simputer Evangelist
> Encore Technologies (S) Pte. Ltd.
> The Village Information Society
> http://cherlin.blogspot.com
> 
> 
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RE: [Hardhats-members] Re: OpenVista instructions

[Thurman Pedigo]

Someone did a great job on the search engines. In the south we know yellow
dog (democrats) well.
http://www.petloveshack.com/yellowdog.html

In 1928 when southern democrats left the party because their candidate was
Catholic, one US Senator Tom Heflin made the statement he would vote for a
"yellow dog" before he would vote for Herbert Hoover. Was he correct?

You know the history - you decide.

thurman
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Thursday, July 21, 2005 5:23 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Re: OpenVista instructions
> 
> I understand that after the Mormons were driven from Missouri, Brigham
> Young said that the western part of the state would be "swept so clean"
> that when they returned there would be "not so much as a yellow dog to
> wag its tail". I note that the company is based in Colorado. That just
> might be it. Who knows?
> 
> --- Aylesworth Marc A Ctr AFRL/IFSE <[EMAIL PROTECTED]> wrote:
> 
> > The guys name is Kai Staats and the link to Terra Soft solutions
> > which is
> > the company he founded to create yellow Dog linux. I have not found
> > an
> > explanation of why he choose the name but here is the link.
> >
> >
> > http://www.yellowdoglinux.com/
> >
> > Thanks
> >
> > Marc Aylesworth
> >
> > C3I Associates
> >
> > AFRL/IFSE
> >
> > Joint Battlespace Infosphere Team
> >
> > 525 Brooks Rd
> >
> > Rome, NY 13441-4505
> >
> > Tel:315.330.2422
> >
> > Fax:315.330.7009
> >
> > Email: [EMAIL PROTECTED]
> >
> >
> > -Original Message-
> > From: [EMAIL PROTECTED]
> > [mailto:[EMAIL PROTECTED] On Behalf Of
> > Greg
> > Woodhouse
> > Sent: Thursday, July 21, 2005 4:55 PM
> > To: hardhats-members@lists.sourceforge.net
> > Subject: RE: [Hardhats-members] Re: OpenVista instructions
> >
> > Now, who came up with THAT name?
> >
> > --- Aylesworth Marc A Ctr AFRL/IFSE <[EMAIL PROTECTED]>
> > wrote:
> >
> > > He could always install Yellow Dog Linux. It is compiled for the
> > > PowerPc
> > > family of chips sets.
> > >
> > > Thanks
> > >
> > > Marc Aylesworth
> > >
> > > C3I Associates
> > >
> > > AFRL/IFSE
> > >
> > > Joint Battlespace Infosphere Team
> > >
> > > 525 Brooks Rd
> > >
> > > Rome, NY 13441-4505
> > >
> > > Tel:315.330.2422
> > >
> > > Fax:315.330.7009
> > >
> > > Email: [EMAIL PROTECTED]
> > >
> > >
> > > -Original Message-
> > > From: [EMAIL PROTECTED]
> > > [mailto:[EMAIL PROTECTED] On Behalf Of
> > > Jim Self
> > > Sent: Thursday, July 21, 2005 4:45 PM
> > > To: hardhats-members@lists.sourceforge.net
> > > Subject: Re: [Hardhats-members] Re: OpenVista instructions
> > >
> > > In the next year or so, you should be able to upgrade to Pentium
> > > based
> > > Macintosh and run
> > > GT.M and VistA on it - and M2Web.
> > >
> > > (p.s. I have a Linux fish on my computer monitor (from ThinkGeek).
> > It
> > > looks
> > > like the
> > > others except for the dorsal fin. I hadn't thought of the Darwin
> > fish
> > > in
> > > that context.
> > > Good idea. I will have to get one for my Mac ;)
> > >
> > > >NEVER! NEVER!
> > > >
> > > >(Didn't you know all those Darwin fish were really Apple customers
> > > >bragging about their operating system?)
> > > >
> > > >--- Nancy Anthracite <[EMAIL PROTECTED]> wrote:
> > > >
> > > >> Once we get you to use a Linux
> > > >> box instead
> > > >> of that MAC, Greg, you will find out about these things!
> > >
> > > ---
> > > Jim Self
> > > Systems Architect, Lead Developer
> > > VMTH Computer Services, UC Davis
> > > (http://www.vmth.ucdavis.edu/us/jaself)
> > >
> > >
> > > ---
> > > SF.Net email is sponsored by: Discover Easy Linux Migration
> > > Strategies
> > > from IBM. Find simple to follow Roadmaps, straightforward articles,
> > > informative Webcasts and more! Get everything you need to get up to
> > > speed, fast.
> > http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click
> > > ___
> > > Hardhats-members mailing list
> > > Hardhats-members@lists.sourceforge.net
> > > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> > >
> > >
> > > ---
> > > SF.Net email is sponsored by: Discover Easy Linux Migration
> > > Strategies
> > > from IBM. Find simple to follow Roadmaps, straightforward articles,
> > > informative Webcasts and more! Get everything you need to get up to
> > > speed, fast.
> > http://ads.osdn.com/?ad_id=7477&alloc_id=16492&op=click
> > > ___
> > > Hardhats-members mailing list
> > > Hardhats-members@lists.sourceforge.net
> > > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> > >
> >
> >
> >
> > ===
> > Gregory Woodhouse  <[EMAIL PROTECTED]>
> >
> > "Design quality doesn't ensure success, but design failure can ensure
> > f

RE: [Hardhats-members] CPRSchart not connection from remote clien t

[Thurman Pedigo]

Lets say we have 30 devices. What is the advantage of DNS/BIND over directly
addressing the IP?

Thanks,

Thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Thursday, July 21, 2005 9:37 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] CPRSchart not connection from remote clien
> t
> 
> I think it will pick the first one. BTW, I know configuring BIND sounds
> like work you'd rathert not do, but there are a lot advantages to



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RE: [Hardhats-members] U.S. Will Offer Doctors Free Electronic Records System

[Thurman Pedigo]

Nice to chat with the Start - cheers for Nancy/Kevin. And thanks to everyone
for all the help./t
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Maury Pepper
> Sent: Thursday, July 21, 2005 9:33 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] U.S. Will Offer Doctors Free Electronic
> Records System
> 
> The long-expected article by Gina Kolata about VistaOffice is in today's
> NY Times.
> 
>www.nytimes.com/
> 
> Under the "HEALTH" heading, click on the title: "U.S. Will Offer Free
> Electronic Records System".  You should be able to access this without a
> logon, at least for today.  Later, when logon is required, you can
> register for FREE.
> 
> 
> ---
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RE: [Hardhats-members] CPRSchart not connection from remote clien t

[Thurman Pedigo]

The message below makes sense. By the same token, would the following
configuration have problems resolving? 

67.104.173.198  vistasrv
127.0.0.1   localhost
38.113.0.251vistasrv

Does VistA require resolving to "vistasrv", or will it resolve to another
name (such as "worksrv")? As in the following:
67.104.173.198  vistasrv
127.0.0.1   localhost
38.113.0.251worksrv

And:
We use DNS for WWW only, not our LAN. Does that impact the above
configuration?

I think I am starting to get it.

Thanks,

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Aylesworth Marc A Ctr
> AFRL/IFSE
> Sent: Thursday, July 21, 2005 7:22 AM
> To: 'hardhats-members@lists.sourceforge.net'
> Subject: RE: [Hardhats-members] CPRSchart not connection from remote clien
> t
> 
> The host file is for name resolution. If a user puts in a name worksrv a
> program could look into the host file and find out that it has to connect
> to
> the IP address 38.113.0.251. You could also use DNS, it depends on how you
> set up your machine to do name resolution if it uses DNS first or the host
> file to translate a name into an IP address. The entries below look fine
> just remember anything with a # sign is a comment.
> 
> Thanks
> 
> Marc Aylesworth
> 




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RE: [Hardhats-members] CPRSchart not connection from remote clien t

[Thurman Pedigo]

Certainly we need a way to let patients pick up lab reports. However, the
issue at hand contains no live patient info. Strictly trial data...tx/t
 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Todd Berman
> Sent: Wednesday, July 20, 2005 2:49 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] CPRSchart not connection from remote clien
> t
> 
> On Wed, 2005-07-20 at 12:36 -0700, Tomlinson, Steven B wrote:
> > Just as a caution to anyone attempting to use CPRSChart/VistA in thsi
> manner
> > ... all patient data as well as Access and Verify codes will be sent
> through
> > the Internet in clear-text. We wrestled with this problem for several
> months
> > and never got a HIPAA compliant solution without resorting to using a
> VPN or
> > Citrix.
> >
> 
> Is SSL not HIPPA compliant?
> 
> --Todd
> 
> 
> 
> ---
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RE: [Hardhats-members] CPRSchart not connection from remote client

[Thurman Pedigo]

LOL...Lord Russell, brilliant mathematician and philosopher, said several
things best not belabored here. The "paradox" of the host file is enough to
subdue me. I have plenty of curve left on netstat. /tl


 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Greg Woodhouse
> Sent: Wednesday, July 20, 2005 1:25 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] CPRSchart not connection from remote
> client
> 
> As Bertrand Russell would put it, "Seems? Nay, is!"
> 
> --- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> 
> > Gregory
> > Woodhouse alerted us to netstat, which seems a powerful tool, if I
> > can
> > figure how to use it over the net.
> >
> 
> 
> 
> ===
> Gregory Woodhouse  <[EMAIL PROTECTED]>
> 
> "Design quality doesn't ensure success, but design failure can ensure
> failure."
> 
> --Kent Beck
> 
> 
> 
> 
> 
> 
> 
> 
> ---
> SF.Net email is sponsored by: Discover Easy Linux Migration Strategies
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RE: [Hardhats-members] CPRSchart not connection from remote client

[Thurman Pedigo]

This is, I presume, the new broker. The client is 1.0.25.28 and I have it
running fine in a LAN environment. We want to create an accessible
connection, outside the LAN, using CPRS across the internet. The firewall
here is 3COM hardware, programmable, and tested on several outside
connections. What this boils down to is VistA/CPRS is working fine, and we
want to create a connection accessible via internet.  

It seems to me this is a pure play of proper host-file sync.  Gregory
Woodhouse alerted us to netstat, which seems a powerful tool, if I can
figure how to use it over the net. 

The other issue grown out of this experiment is whether one can have more
than one host file address for remote connections.
For instance - how does the following work?
#38.25.63.10 x.acme.com  # x client host
67.104.173.198  vistasrv 
127.0.0.1   localhost
38.113.0.251worksrv

Works ok? Conflict? Corrections?

Thanks,

thurman

 
> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
> Sent: Wednesday, July 20, 2005 11:04 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] CPRSchart not connection from remote
> client
> 
> Are you running the new broker or the old broker?
> If you are running the old broker, you must open ALL the ports on the
> client
> machine. The old broker (from the server) tasks off a sub-task which
> chooses
> a random port to re-connect with on the client machine.
> Also, you must make sure the the client machine has a routable address
> from the server. (if they are both in the same IP range, even if they are
> non-routable addresses, its okay. Most routers refuse to route 192.168.x.x
> addresses as well as 10.x.x.x addresses. This is the Ethernet equivalent
> of
> calling someone on the telephone, and leaving your extension number for
> them
> to call back without telling them the main trunk line number.  The server
> may have an address (non-routable) but there is no possible way to use the
> address to reconnect to the client.
> 
> David
> (713) 870-3834
> 
> 
> >
> > This is a multi-part message in MIME format.
> >
> > --=_NextPart_000_00F2_01C58D08.6F366DE0
> > Content-Type: text/plain;
> > charset="us-ascii"
> > Content-Transfer-Encoding: 7bit
> >
> > Hi
> >
> >
> >
> > If I run CPRSchart 1.0.5.28 on the same machine as VistA, I am able to
> > connect.  If I run from a remote machine, the login screen never
> appears.  I
> > have a port listener on the server, and I see the client reaching it so
> I
> > think my HOSTS file (on the client) is OK.  I have the same port open on
> my
> > client firewall. what else should I check?
> >
> >
> >
> > Thank you,
> >
> > Renee
> >
> >
> > --=_NextPart_000_00F2_01C58D08.6F366DE0
> > Content-Type: text/html;
> > charset="us-ascii"
> > Content-Transfer-Encoding: quoted-printable
> >
> >  > xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
> > xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags" =
> > xmlns=3D"http://www.w3.org/TR/REC-html40";>
> >
> > 
> >  > charset=3Dus-ascii">
> > 
> >  > namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
> >  name=3D"place"/>
> > 
> > 
> > 
> > 
> >
> > 
> >
> > 
> >
> > 
> >
> >  > style=3D'font-size:10.0pt;
> > font-family:Arial'>Hi
> >
> >  > style=3D'font-size:10.0pt;
> > font-family:Arial'> 
> >
> >  > style=3D'font-size:10.0pt;
> > font-family:Arial'>If I run CPRSchart 1.0.5.28 on the same machine as =
> >  > w:st=3D"on">VistA, I am able to connect.  If I run from
> =
> > a remote
> > machine, the login screen never appears.  I have a port listener on
> =
> > the
> > server, and I see the client reaching it so I think my HOSTS file (on =
> > the
> > client) is OK.  I have the same port open on my client =
> > firewall…
> > what else should I check?
> >
> >  > style=3D'font-size:10.0pt;
> > font-family:Arial'> 
> >
> >  > style=3D'font-size:10.0pt;
> > font-family:Arial'>Thank you,
> >
> >  > style=3D'font-size:10.0pt;
> > font-family:Arial'>Renee
> >
> > 
> >
> > 
> >
> > 
> >
> > --=_NextPart_000_00F2_01C58D08.6F36

RE: [Hardhats-members] CPRSchart not connection from remote client

[Thurman Pedigo]

Renee,

 

My host IP is 67.104.173.198 and I connect
to it from other machines fine with 1.0.25.28  

Perhaps we should test your connection on
that machine. I can give you firewall clearance to connect. It does seem the
problem is hostfile conflict. Will be in touch later if you are still
available.

 

Thanks,

 

thurman



 

 

 

 













From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Renee Cannon
Sent: Wednesday, July 20, 2005
6:53 AM
To:
hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members]
CPRSchart not connection from remote client



 

Hi

 

If I run CPRSchart 1.0.5.28 on the same machine as VistA, I am able to connect.  If I run from a remote
machine, the login screen never appears.  I have a port listener on the
server, and I see the client reaching it so I think my HOSTS file (on the
client) is OK.  I have the same port open on my client firewall…
what else should I check?

 

Thank you,

Renee

RE: [Hardhats-members] Quotes from Greg

[Thurman Pedigo]

I too, noted that particular quote and wanted to respond then(enjoy them
all). At the risk of chewing bandwidth, I feel compelled to comment on Will
Durant whose almost every sentence seems quotable. I have the rare privilege
of owning "The Story of Civilization" in three media (print, audio, and
digital).  An example of quote power from around 70 years ago.

"For barbarism is always around civilization, amid it and beneath it, ready

to engulf it by arms, or mass migration, or unchecked fertility.
Barbarism is like the jungle; it never admits its defeat; it waits  
patiently for centuries to recover the territory it has lost."

From: Electronically Enhanced Text Copyright 1991 - 1996 World Library, Inc.

thurman


 

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Joseph Puthooran
> Sent: Friday, July 15, 2005 11:44 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: [Hardhats-members] Quotes from Greg
> 
> Hi Greg,
> 
> I remembered this classic quote - all your quotes are classic-
> but this seems have golden words not oft repeated! Had to search
> through a number of your posts to locate it so I could respond
> to an element of intellectual arrogance.
> 
> "Education is a progressive discovery of our own ignorance."
> Will Durant.
> 
> Just to say I always make it a point to look out for new quotes
> in posts!
> 
> Thanks
> Joseph
> 
> __
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RE: [Hardhats-members] Does W ! flush an output buffer?

[Thurman Pedigo]

I want to address a cautionary mantra gaining bandwidth on other EHR lists.

"One size does not fit all."  
I would like feed back on two hypotheses:
1. Mass customization creates a new era of market leadership.
2. Anyone who can effectively use MS Access, and Excel, can learn FileMan. 
Basis:
As a non-programmer building FileMan apps for several years, all this
playing around with code raises my awareness to that oft quoted caution.
The mantra is often put forth interlacing caution that what works fine for
one practice, has no place in another. Such discussions, espoused by vendors
and (former vendor) designers advising organizations, seem oriented to
admonish physicians to stick to VENDORS as their resource for EHR. 

I recall the 70's when service bureau programmers told me a request would
cost (1975) $60,000. When I tricked the computer into filling my request I
realized there is a certain need of vendors to find chargeable events to
justify their existence (all I wanted was a patient count). That is when I
began looking to ownership of hardware and software.  

"One size does not fit all."  This seems a throwback to that time in the
70's when vendors sought control. When we look at VistA today, we see it
effectively deployed in numerous environments, Veterans nationwide
application, psych hospitals, veterinary hospital, primary care private
practice, OccMed private practice, and the Hardhats list is legend. 

All this speaks to me of the effectiveness of FM in mass customization.
Indian Health Services has taken it and advanced the product with additions
and modifications. How can we better describe VistA than "designed for
leadership in mass customization"?


Thanks,
thurman

 


> Like Greg suggests, it's too bad MUMPS is an old language
> and does more for you in terms of IO abstraction than the
> "modern" languages do
> 
> David
> >
> > Maybe that's because MUMPS is an old language.
> >
> > ===
> > Gregory Woodhouse
> > [EMAIL PROTECTED]
> >
> > "The whole of science is nothing more than a refinement
> >   of everyday thinking."  -- Albert Einstein
> >
> >
> > On Jul 13, 2005, at 12:06 PM, Kevin Toppenberg wrote:
> >
> > > I think so.  But a line feed moves the cursor down the
> > > screen, and a carriage return moves the cursor to the
> > > left hand side of the screen like an old
> > > typewriter.
> > >
> > > Kevin



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RE: [Hardhats-members] Data dictionary question...

[Thurman Pedigo]

This speaks volumes. I can get what I wannt from FileMan, though it's a
"greenscreen" telnet program. The general public think it is useless if it's
not "MADISON AVENUE FANCY GLOSSY." New York and Hollywood have long
tentacles. 

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Tuesday, July 12, 2005 2:44 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Data dictionary question...
> 
> Isn't if funny how we like things to not just to do
> the job, but to also be "beautiful"?  If your code
> gets the job done, then its OK with me.. :-)
> 
> Kevin
> 
> --- Gregory Woodhouse
> <[EMAIL PROTECTED]> wrote:
> 
> > Perhaps the worst thing is that back in the main
> > Triton class, I have
> > code like this.
> >
> >
> >
> >  void setConnected(boolean isConnected) {
> >  l_connected = isConnected;
> >  if (l_connected) {
> >  mi_login.setEnabled(false);
> >  mi_logout.setEnabled(true);
> >  } else {
> >  mi_login.setEnabled(true);
> >
> > mi_logout.setEnabled(false);
> >  }
> >  }
> >
> >  boolean isConnected() {
> >  return(l_connected);
> >  }
> >
> > All this does is toggle the "connected" state, and
> > enables/disables
> > menu items accordingly. I really, really don't like
> > this design.
> >
> > ===
> > Gregory Woodhouse
> > [EMAIL PROTECTED]
> >
> > "Nothing is as powerful than an idea
> > whose time has come."
> > -- Victor Hugo
> >
> >
> > On Jul 12, 2005, at 5:49 AM, Kevin Toppenberg wrote:
> >
> > > I've done very little with java, so let me feel my
> > way
> > > here.
> > >
> > > I assume that function public LoginDialog is the
> > > constructor for class LoginDialog.  I see Frame
> > passed
> > > as a parameter to the constructor, but I don't see
> > > that you use it.  What is it doing?
> > >
> > > Kevin
> > >
> > >
> > > --- Gregory Woodhouse
> > > <[EMAIL PROTECTED]> wrote:
> > >
> > >
> > >> Well, here's some code I wrote to implement a
> > login
> > >> dialog (not that
> > >> I'm all that proud of it -- I think it's ugly).
> > You
> > >> can see that this
> > >> is exactly how the reference passed to the
> > >> constructor is used.
> > >>
> > >>
> > >> import java.awt.*;
> > >> import java.awt.event.*;
> > >> import java.util.*;
> > >> import javax.swing.*;
> > >> import javax.swing.event.*;
> > >> import javax.swing.border.*;
> > >>
> > >>
> > >> public class LoginDialog extends JDialog {
> > >>
> > >>  private JButton l_loginButton;
> > >>  private JButton l_cancelButton;
> > >>  private Container l_content;
> > >>  private Triton l_application;
> > >>
> > >>  public LoginDialog(Frame parent) {
> > >>  super(parent, "Login", true);
> > >>  l_application = (Triton) parent;
> > >>
> > >> setDefaultCloseOperation(DISPOSE_ON_CLOSE);
> > >>  l_content = getContentPane();
> > >>
> > >>  l_loginButton = new JButton("Log
> > >> in");
> > >>
> > l_loginButton.addActionListener(new
> > >> ActionListener() {
> > >>  public void
> > >> actionPerformed(ActionEvent ae) {
> > >>  signIn();
> > >>
> > setVisible(false);
> > >>  dispose();
> > >>  }
> > >>  });
> > >>
> > >>  l_cancelButton = new
> > >> JButton("Cancel");
> > >>
> > >> l_cancelButton.addActionListener(new
> > >> ActionListener() {
> > >>  public void
> > >> actionPerformed(ActionEvent ae) {
> > >>
> > >> l_application.setConnected(false);
> > >>
> > setVisible(false);
> > >>  dispose();
> > >>  }
> > >>  });
> > >>
> > >>  JPanel p = new JPanel();
> > >>  //p.setLayout(new
> > GridLayout(2,1));
> > >>  EmptyBorder empty = new
> > >> EmptyBorder(0, 0, 0, 10);
> > >>  p.setLayout(new
> > GridBagLayout());
> > >>  p.setBorder(new EmptyBorder(new
> > >> Insets(5, 5, 5, 5)));
> > >>
> > >> getContentPane().add(BorderLayout.CENTER, p);
> > >>  GridBagConstraints c = new
> > >> GridBagConstraints();
> > >>  c.insets = new Insets (2, 2, 2,
> > 2);
> > >>  c.anchor =
> > GridBagConstraints.WEST;
> > >>  JLabel name_label = new
> > >> JLabel("Login Name");
> > >>  name_label.setBorder(empty);
> > >>  c.gridwidth = 1;
> > >>  c.weightx = 0.0;
> > >>  p.add(name_label, c);
> > >>  JTextField name = new
> > JTextField();
> > >>  c.gridx = 1; //position
> > >>  c.weightx = 1.0;
> > >

RE: [Hardhats-members] Can't find 'Define Imaging site paramaters option' !!!

[Thurman Pedigo]

This story IS legend, reported over and over. My recollections it made
headlines when it occurred - not that long ago. Numerous technologies need
some performance protection. ECG, spirometry, ultrasound, and yes, x-ray
machines come to mind.  Image storage has no radiation, or any other
dangerous, exposure. One could make the case of lousy quality, however, that
isn't storage. I could even see some standard about acceptable document
format (or DICOM).

That such events control common sense is also legend. Of course, I need to
acknowledge I don't really know what we are missing on image. 

Kevin, does your interface work in windows/Cache? Maybe we just need to
convert pdf to HTML. Or will it handle pdf with URL address? The more I look
at this the more I think the URL/pdf may work without a lot of extra
programming.

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> Sent: Saturday, July 09, 2005 10:23 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Can't find 'Define Imaging site paramaters
> option' !!!
> 
> I think the issue here is patient safety for medical
> DEVICES.
> 
> I was griping about this issue to a friend of mine who
> works in IT in a hospital.  He is familiar with the
> FDA regulations.  He told me a story that gave me some
> perspective.  Perhaps its an urban legand, but I don't
> think so.
> 
> At one point, a radiation therapy equipment vender was
> trying to change from a hardware control system to a
> software control system for one of its machines.  For
> awhile they use a software method with a hardware
> backup.  It seemed to work great.  Occasionally the
> equipment would freeze up, and the users would simply
> reboot.  The vender apparently didn't realize this was
> happening.  Then the day came with they removed the
> hardware backup controls and went to software only.
> Not long after, the machine encountered a software
> glitch and delivered a lethal dose of radiation to a
> patient, who subsequently died.
> 
> I turned out that when the machine was freezing up, it
> was a conflict between the software and hardware
> controls.  But the real moral of the story is that
> software is an integral part of the functioning of a
> machine.  The FDA *SHOULD* regulate such machines for
> patient safety.
> 
> Now, in our situation, we are trying to take that
> machine and turn it into a toaster, or web browser, or
> perhaps part of a non-radiology software package.  It
> would be unreasonable for the FDA to evaluate all
> these non-devices use of the brains of their regulated
> software.  My guess is that if someone took the
> imaging software and used it in a means that was not
> connected to a DEVICE, that they would be able to
> defend themselves in court.
> 
> But is it worth it?  Why don't we just develop another
> option?  I have found a way to imbed a web browser in
> CPRS so that it will fetch any image referenced in an
> HTML-formatted note.  If someone would work on the
> scanning end of things (which I don't think is part of
> VistA imaging anyway), we would be all set.
> 
> Just some thoughts.
> 
> Kevin
> 
> --- Thurman Pedigo <[EMAIL PROTECTED]> wrote:
> 
> > This seems to have become dysfunctional. Is
> > PaperPort FDA approved?
> > Practices, including mine, use it all time (have for
> > years) to store paper
> > copies. Perhaps the FDA issue IS overblown as is so
> > common with HIPAA. What
> > we need is capability to store (and effectively
> > retrieve) a PDF, or other
> > acceptable standard. Perhaps the standard needs a
> > sledge.
> >
> > thurman
> >
> 
> 
> 
> 
> Sell on Yahoo! Auctions - no fees. Bid on great items.
> http://auctions.yahoo.com/
> 
> 
> ---
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RE: [Hardhats-members] Can't find 'Define Imaging site paramaters option' !!!

[Thurman Pedigo]

Great suggestions. Will hold this for access, in case "Image" remains
obscure.

Thanks,

thurman  

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Saturday, July 09, 2005 9:13 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Can't find 'Define Imaging site paramaters
> option' !!!
> 
> My assumption (perhaps wrong) was that depending on Imaging to do
> this was causing problems for you. FWIW, if I were to try and design
> an independent solution, I'd do something like this:
> 
> 1. Create a new SCANNED DOCUMENT file.
> 2. I assume you want to associate documents with patients, and
> provide a convenient way to view these documents in CPRS. Assuming
> this to be the case, I would consider making the .01 field a pointer
> to file 2. In truth, I'm not overly crazy about this design and would
> probably consider other alternatives, too, but this is the most
> typical approach in Vista. (Not to be overly pedantic, this design
> reminds me of the overuse of inheritance in OO designs, discussed,
> for example by Gamma et al, in "Design Patterns".)
> 3. I'd then create a subfile to store URLs for the scanned documents.
> 4. I'd make the .01 field a numeric identifier or a label of some
> sort, and put the URL in an extract (free text) field on a separate
> node.
> 5. Additional fields in the subfile would be for various types of
> metadata, and I'd be sure to include a word processing COMMENTS field.
> 6. I would use Apache  as a document repository.
> 7. Documents would be uploaded with POST (possibly requiring a new
> module) or PUT. OR, you  could use WebDAV. Now, that I think about
> it, WebDAV is probably the best solution here.
> 8. I would add a list box control to select a document, probably
> using the FM Delphi components.
> 9. Finally, I'd create a component to download the document (via
> HTTP) and display it as a text area or image (not being a Delphi
> programmer, I can't tell you the actual class names).
> 
> Of course, if you know you are going to have Imaging installed and
> working, this may all be moot. It's just a suggestion.
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "Design quality doesn't ensure success, but design failure can ensure
> failure."
> 
> --Kent Beck
> 
> On Jul 9, 2005, at 6:22 PM, Thurman Pedigo wrote:
> 
> > Don't think you are missing anything. What we need is someway to
> > link a
> > patient, ideally a visit, to a server that contains pdf files, so
> > that that
> > clicking on the link produces/retrieves the image(s).
> >
> > You are correct it is a much less than needed for a PAC system. One
> > thought
> > I had is click a link that loads "path\yourimage1.pdf" and displays on
> > screen. However, it gets sort of complicated. Maybe it (path) could be
> > stored in a multiple.
> >
> > I am not into templates enough to predict if this strategy can
> > work. I hope
> > to be there soon. I have a hunch it won't, or someone would have it
> > solved.
> > Just thinking operationally - not a programmer.
> >
> > thurman
> >
> 
> 
> 
> ---
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RE: [Hardhats-members] Can't find 'Define Imaging site paramaters option' !!!

[Thurman Pedigo]

> I think Nancy is right that if you do use OCR to produce a text file,
> you'd still want to retain the scanned image.

Agree with this on merit. Retrieval ease is not as compelling/t

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Saturday, July 09, 2005 8:53 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Can't find 'Define Imaging site paramaters
> option' !!!
> 
> Actually, word processing (WP) is just Fileman jargon for plain old
> text (of arbitrary length). There is a choice between word wrap and
> no word wrap, and some rudimentary formatting capabilities, but very
> little.
> 
> I think Nancy is right that if you do use OCR to produce a text file,
> you'd still want to retain the scanned image.
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "Design quality doesn't ensure success, but design failure can ensure
> failure."
> 
> --Kent Beck
> 
> On Jul 9, 2005, at 7:45 PM, Ruben Safir wrote:
> 
> > On Sat, 2005-07-09 at 22:27, Thurman Pedigo wrote:
> >
> >> Of course the ideal is OCR to a WP file - which we already do when
> >> the
> >> quality is good enough. We also have a radiology group that allows
> >> web
> >> access to the image report. Very nice.
> >>
> >>
> >
> > Better to a post script file than a weirdo work processing file
> >
> > As for handwriting, as a Pharmacist, I'll make no comment
> >
> > Ruben
> >
> 
> 
> 
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RE: [Hardhats-members] Can't find 'Define Imaging site paramaters option' !!!

[Thurman Pedigo]

Of course the ideal is OCR to a WP file - which we already do when the
quality is good enough. We also have a radiology group that allows web
access to the image report. Very nice. 

Hand written is a loss - and truth be told probably not worth the scan
anyway.

thurman

> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Thurman Pedigo
> Sent: Saturday, July 09, 2005 7:23 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: RE: [Hardhats-members] Can't find 'Define Imaging site paramaters
> option' !!!
> 
> Don't think you are missing anything. What we need is someway to link a
> patient, ideally a visit, to a server that contains pdf files, so that
> that
> clicking on the link produces/retrieves the image(s).
> 
> You are correct it is a much less than needed for a PAC system. One
> thought
> I had is click a link that loads "path\yourimage1.pdf" and displays on
> screen. However, it gets sort of complicated. Maybe it (path) could be
> stored in a multiple.
> 
> I am not into templates enough to predict if this strategy can work. I
> hope
> to be there soon. I have a hunch it won't, or someone would have it
> solved.
> Just thinking operationally - not a programmer.
> 
> thurman
> 
> 
> > -Original Message-
> > From: [EMAIL PROTECTED] [mailto:hardhats-
> > [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> > Sent: Saturday, July 09, 2005 5:49 PM
> > To: hardhats-members@lists.sourceforge.net
> > Subject: Re: [Hardhats-members] Can't find 'Define Imaging site
> paramaters
> > option' !!!
> >
> > I guess I'm missing something. Adding a new Delphi component to
> > display PDF or PaperPort documents doesn't strike me as
> > extraordinarily complex, but I gather this isn't an option for you
> > right now. Originally, I responded to this message because it
> > appeared there was a version conflict (there was), so I pointed out
> > that there are alternatives to using Vista imaging for the type of
> > application you have in mind (and alternatives that are actually
> > likely to cause fewer headaches, to boot). I realize that my
> > suggestion won't help you to use Vista imaging for scanned documents,
> > so take it in the spirit it was intended.
> >
> > ===
> > Gregory Woodhouse
> > [EMAIL PROTECTED]
> >
> > "Before one gets the right answer, one must ask the right question."
> > -- S. Barry Cooper
> >
> >
> > On Jul 9, 2005, at 4:34 PM, Thurman Pedigo wrote:
> >
> > > Exactly!
> > >
> > >
> > >> -Original Message-
> > >> From: [EMAIL PROTECTED] [mailto:hardhats-
> > >> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> > >> Sent: Saturday, July 09, 2005 5:30 PM
> > >> To: hardhats-members@lists.sourceforge.net
> > >> Subject: Re: [Hardhats-members] Can't find 'Define Imaging site
> > >> paramaters
> > >> option' !!!
> > >>
> > >> BTW Thurman, I too use Paperport, but I would love a nice seamless
> > >> link to
> > >> VistA and CPRS.  I have thought of barcoding and scanning for easy
> > >> entry
> > >> and
> > >> all sorts of tweaks, but a nice, simple, work around right now
> > >> would be
> > >> great.
> > >>
> > >
> >
> >
> >
> > ---
> > This SF.Net email is sponsored by the 'Do More With Dual!' webinar
> > happening
> > July 14 at 8am PDT/11am EDT. We invite you to explore the latest in dual
> > core and dual graphics technology at this free one hour event hosted by
> > HP,
> > AMD, and NVIDIA.  To register visit http://www.hp.com/go/dualwebinar
> > ___
> > Hardhats-members mailing list
> > Hardhats-members@lists.sourceforge.net
> > https://lists.sourceforge.net/lists/listinfo/hardhats-members
> 
> 
> 
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RE: [Hardhats-members] Can't find 'Define Imaging site paramaters option' !!!

[Thurman Pedigo]

Don't think you are missing anything. What we need is someway to link a
patient, ideally a visit, to a server that contains pdf files, so that that
clicking on the link produces/retrieves the image(s).

You are correct it is a much less than needed for a PAC system. One thought
I had is click a link that loads "path\yourimage1.pdf" and displays on
screen. However, it gets sort of complicated. Maybe it (path) could be
stored in a multiple.

I am not into templates enough to predict if this strategy can work. I hope
to be there soon. I have a hunch it won't, or someone would have it solved.
Just thinking operationally - not a programmer. 

thurman


> -Original Message-
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Gregory Woodhouse
> Sent: Saturday, July 09, 2005 5:49 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Can't find 'Define Imaging site paramaters
> option' !!!
> 
> I guess I'm missing something. Adding a new Delphi component to
> display PDF or PaperPort documents doesn't strike me as
> extraordinarily complex, but I gather this isn't an option for you
> right now. Originally, I responded to this message because it
> appeared there was a version conflict (there was), so I pointed out
> that there are alternatives to using Vista imaging for the type of
> application you have in mind (and alternatives that are actually
> likely to cause fewer headaches, to boot). I realize that my
> suggestion won't help you to use Vista imaging for scanned documents,
> so take it in the spirit it was intended.
> 
> ===
> Gregory Woodhouse
> [EMAIL PROTECTED]
> 
> "Before one gets the right answer, one must ask the right question."
> -- S. Barry Cooper
> 
> 
> On Jul 9, 2005, at 4:34 PM, Thurman Pedigo wrote:
> 
> > Exactly!
> >
> >
> >> -Original Message-
> >> From: [EMAIL PROTECTED] [mailto:hardhats-
> >> [EMAIL PROTECTED] On Behalf Of Nancy Anthracite
> >> Sent: Saturday, July 09, 2005 5:30 PM
> >> To: hardhats-members@lists.sourceforge.net
> >> Subject: Re: [Hardhats-members] Can't find 'Define Imaging site
> >> paramaters
> >> option' !!!
> >>
> >> BTW Thurman, I too use Paperport, but I would love a nice seamless
> >> link to
> >> VistA and CPRS.  I have thought of barcoding and scanning for easy
> >> entry
> >> and
> >> all sorts of tweaks, but a nice, simple, work around right now
> >> would be
> >> great.
> >>
> >
> 
> 
> 
> ---
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