RPMS

RPMS is a public domain electronic health Record that is used by the Indian Health Service (IHS). Prior to the 1980s it used a different architecture from VistA, but since the 80's it has shared a large amount of its architecture with VistA. It is strong in population-based and outpatient-based outcomes reporting. It is not currently available for download (because IHS has not made a FOIA release available).
 * Usage of RPMS in West Virginia community clinics