FileMan
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A 40-Year 'Conspiracy' at the VA
Four decades ago, in 1977, a conspiracy began bubbling up from the basements of the vast network of hospitals belonging to the Veterans Administration. Across the country, software geeks and doctors were puzzling out how they could make medical care better with these new devices called personal computers. Working sometimes at night or in their spare time, they started to cobble together a system that helped doctors organize their prescriptions, their CAT scans and patient notes, and to share their experiences electronically to help improve care for veterans...
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Case Study: MD Anderson Successfully Implements Tools to Migrate Clinical Research Data from MUMPS to Oracle
The University of Texas MD Anderson Cancer Center has successfully completed the initial stages of a major migration of their MUMPS-based Clinical Trials Databases to Oracle as one of the critical stages in MD Anderson’s multiyear eResearch project to modernize management of Clinical Trials. The MD Anderson Cancer Center chose CAV Systems' Evolve Suite to carry out the migration. The institutions have produced a case study outlining the background and results of this extraordinary project. Read More »
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Chuck Hagel and the Secret War Over DOD & VA Electronic Health Records
...Today, the agencies are moving down separate modernization paths, with DOD working on its Defense Healthcare Management System Modernization program (DHMSM) and VA planning commercial acquisitions for the next generation of its Veterans Integrated System Technology Architecture, known as VistA. But analysts, including one of the founding developers of VistA, point to years of missed opportunities for DOD to leverage what many consider to be superior existing capabilities in VA’s VistA system — an ecosystem of modular application components that in most cases have become industry standards (VA’s troubled scheduling system notwithstanding)...
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Fileman Lab Agile Project releases project plan
We are now halfway through phase 1 of the Fileman Lab Agile Project [FLAP], with three months done and three to go. During the next three months we will be doing the following... Read More »
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Medsphere Contributes Enhanced Database Management System to VistA Open Source Community
Medsphere Systems Corporation...this week announced that the company is contributing the enhanced Medsphere Systems File Manager (MSC FileMan) database management system to OSEHRA, the nonprofit open-source organization dedicated to accelerating innovation in health care information technology. Read More »
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Medsphere Joins ProSphere in VA VistA Enhancement Project
Medsphere Systems Corporation...today announced that the company is partnering with ProSphere Tek to develop File Manager (FileMan) version 23. FileMan, VA VistA’s core data management utility, enables the operation of VistA applications and modules, all working with integrated data. Medsphere will focus specifically on enhancing FileMan to develop VistA’s fundamental data architecture and internal data management. “We appreciate the trust both ProSphere and VA have shown in Medsphere’s VistA experience and expertise, especially with regard to FileMan,” said Medsphere President and CEO Irv Lichtenwald.
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Medsphere Makes Key Code Contribution to OSEHRA VistA EHR Core
Medsphere Systems Corporation (MSC) has contributed its latest version of FILEMAN to the Open Source Electronic Health Record Alliance (OSEHRA) code repository. FILEMAN 22.2 is arguably the single most important component of the Veterans Health Information Systems and Technology Architecture (VistA), and is one of the largest open source contributions to date. Read More »
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Open Source EHRs: Will They Support Clinical Data Needs of the Future? (Part 2 of 2)
The first part of this article provided a view of the current data needs in health care and asked whether open source electronic health records could solve those needs. I’ll pick up here with a look at how some open source products deal with the two main requirements I identified: interoperability and analytics. Interoperability, in health care as in other areas of software, is supported better by open source products than by proprietary ones. Read More »
OSEHRA 2014: Tweed, Rhodes and Timson Receive Awards During Open Source EHR Summit
The Open Source Electronic Health Record Alliance (OSEHRA) announced today the recipients of the 2014 OSEHRA Awards presented at the widely-attended 2014 OSEHRA Open Source Summit. Three outstanding individuals were recognized by the OSEHRA community for their leadership and contributions to health information technology and innovative healthcare. Read More »
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OSEHRA 2016 Summit to Address Range of Open Health Projects from Global Health IT to the Next Steps for VistA
Can you believe that we are less than 2 weeks from the OSEHRA Summit? We and the open source community have had an interesting year full of changes and success stories. Our speakers will address all of these topics, including various aspects of VistA. Many things have been said about VistA both publically and privately in the past couple of months, so I want to point your attention to our Summit’s approach.
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OSEHRA Proposes Visionary Open Digital Health Platform for the VA
The Veterans Health Administration (VHA) recently released a Request for Information (RFI) calling for advice on how to build an open, "interoperable digital health platform." The RFI received 40 responses. Only one of those was publicly released, the one from OSEHRA. That the open source EHR organization was the only one that has been open in their submissions, by itself, tells a story. There are some in the VA proposing replacing the open source VistA EHR with a "Commercial" lock-in product. Proprietary EHR vendors are circling the VA like sharks smelling blood in the water, and they don't want the public to know what they are up to...The OSEHRA response below. Note that several dozen OSEHRA member companies and associates participated in drafting this response.
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Q&A: Dave Peters on open source adoption within Veterans Affairs
The high-profile attention open source adoption within the Veterans Affairs Department received from some now-retired political appointee executives was a spur to action – but also led over the past year to worries that with those executives gone, open source would no longer be a priority. Read More »
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VA sparks VistA and OSEHRA innovation efforts
From adding the enhanced Medsphere Systems File Manager (MSC FileMan) database management system to Open Source Electronic Health Record Agent (OSEHRA) to Veterans Affairs (VA) throwing the down the gauntlet regarding medical scheduling software, Veterans Health Information Systems and Technology Architecture (VistA) has made quite a bit of news this week. Read More »
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VistA EHR Community and OSEHRA Experiences Extraordinary Growth in 2014
We have recorded a robust year of growth during 2014 and have laid a solid foundation for market expansion in 2015. OSEHRA corporate membership doubled during 2014. Corporate Members include large, medium and small corporations, nonprofits, academic institutions and international organizations that are leaders in health information technology...our primary open source electronic health record product, VistA, was rated by a MedScape survey as the most preferred EHR by physician users again in 2014. Further, our corporate members collaborate on policy, marketing, education and software initiatives. We expect the business opportunities for corporate members to grow considerably next year as the marketplace for open source health IT continues to expand. Read More »
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VistA is Going Places, and Also Staying Put
The Veterans Health Administration's hospital software, VistA, is a computing legend. Few pieces of software have become the subject of a popular book (Best Care Anywhere), won repeated awards for their usability, or been credited with a 180-degree turn-around in an organization's quality. But VistA is getting long in the tooth, and many--including now the VA itself--are questioning whether it's time for something new.The speculations aren't just about VistA. They extend to all health care software of that generation, including the industry's leading electroinc health record (EHR) system--Epic--and the venerable Intermountain Healthcare.
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