Cambridge / Intracare Implementation Log

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Astronaut, LLC [1] has been charged with implementing VistA for a psychiatric hospital. Posted is the progress on the Hardhats discussion group [2]. Some of the threads are reproduced here.

The traditional method for implementing a new VistA instance has been likened to an old-fashioned barn-raising: at the appointed time the holders of "institutional memory" would gather and put the thing together. There was no written blueprint, yet at the end of the day there would be a solid, usable structure in place.

The ultimate goal of this is not just a new VistA instance, but also a blueprint for how to do it.

Note that this page is a work in progress; see Hardhats [3] for logs that do not appear here.

Contents

Episode 1 The Layer Cake

Episode 2 Multiple Sign-ons

Episode 3 IPv4 vs. IPv6

[[Episode4| Episode 4 Billing/Management Keane Records integration/population]]

Episode 5 Patient picture?

Episode 6 Implementation funding?

Episode 7 iptables and other useful port commands

Episode 8 Power outage restart

Episode 9 Initial hospital configuration terminal session

Episode 10 Psychiatry specific DSM Axis II-V diagnosis, precaution ordering

Episode 11 VistA configuration Utility, KIDS Patch Install

Episode 12 How do you create a new patient?

==Episode 13 Ordering Configuration == Ordering Configuration ==Episode 14 Hardware, multi-user systems?== Hardware, multi-user systems?

==Episode 15 Non-proprietary signature consenting of patients== Non-proprietary signature consenting of patients.

==Episode 16 KIDs VA DHCP style login How to== VA DHCP style login HowTo How to

==Episode 17 KIDs Patch Install Best Practice.== KIDs Patch Install Best Practice.

==Episode 18 Adding Locations to Hospital Location File Using Fileman.== Adding Locations to Hospital Location File Using Fileman.

==Episode 19 Adding Locations to Hospital Location File Using Fileman.== Adding Locations to Hospital Location File Using Fileman.

==Episode 20 Location for Current Activities Dialog Box== Location for Current Activities Dialog Box

==Episode 21 Little graphics in templates?== Little graphics in templates?

==Episode 22 How to allow editing of Template Fields.== How to allow editing of Template Fields.

==Episode 23 AIMS Examination template?== AIMS Examination template?

Episode 24 Changing Intro Message

==Episode 25 Demystifying Templating, Document Classes and Titles for Dummies.== Demystifying Templating, Document Classes and Titles for Dummies.

==Episode 26 Scheduling patients for a Clinic== Scheduling patients for a Clinic


==Episode 27 Suppressing WORK COPY -- NOT FOR MEDICAL Record== Suppressing WORK COPY -- NOT FOR MEDICAL RECORD

==Episode 28 Easy template importing and exporting== Easy template importing and exporting

==Episode 29 Adding Appointment Schedule Menu to Clerk ID.== Adding Appointment Schedule Menu to Clerk ID.

==Episode 30 Change Access/Verify code text to UserID/Password?== Change Access/Verify code text to UserID/Password?

==Episode 31 'Cowboy' System Backup== 'Cowboy' System Backup ==Episode 32 Merge Records?== Merge Records? ==Episode 33 The Whole Enchilada Admissions Workflow== The Whole Enchilada Admissions Workflow ==Episode 34 Entering Insurance Information?== Entering Insurance Information?

==Episode 35 CPRS options, Number of Days, Default Date?== CPRS options, Number of Days, Default Date?

==Episode 36 Patient movement and tracking?== Patient movement and tracking? ==Episode 37 Maximum number of users already signed on to this processor == Maximum number of users already signed on to this processor

==Episode 38 Hospital Electronic Signature Policy?== Hospital Electronic Signature Policy?

==Episode 39 Patient lab reports connection== Patient lab reports connection ==Episode 40 Kevin Toppenberg's GUI_Config easy(er) install package.== Kevin Toppenberg's GUI_Config easy(er) install package.

==Episode 41 Option to Security Key mapping, Granting of a Key or Keys, Key management menus.== [[Episode41|Option to Security Key mapping, Granting of a Key or Keys, Key management menus.]]

==Episode 42 Is there such a thing as: Introduction to programming vista with mumps?== Is there such a thing as: Introduction to programming vista with mumps? ==Episode 43 Pharmacy.== Pharmacy. ==Episode 44 Editable CPRS handout for clinicians.== Editable CPRS handout for clinicians. ==Episode 45 Page number printout revisited.== Page number printout revisited.

==Episode 46 A (Very) brief Programming VistA with MUMPS page numbering example== A (Very) brief Programming VistA with MUMPS page numbering example

==Episode 47 Slow text login problem and a resolution== Slow text login problem and a resolution. ==Episode 48 Updating software on a production system?== Updating software on a production system? ==Episode 49 Destination unreachable (Host administratively prohibited)== Destination unreachable (Host administratively prohibited)

==Episode 50 KIDs Patch Creation?== KIDs Patch Creation? ==Episode 51 Extreme training/development tip with screen/cloud/Astronaut.)== Extreme training/development tip with screen/cloud/Astronaut.

Episode 52 Death of a Patient.

Death of a Patient.

Episode 53 User Roles and Permissions Management.

User Roles and Permissions Management.

Episode 54 Discharge Summaries.

Discharge Summaries.

Episode 55 Consult Service.

Consult Service.

Episode 56 Same Access Code Disentangling..

Same Access Code Disentangling.

Episode 57 Appropriate keys for a social worker id?

Appropriate keys for a social worker id?

Episode 58 Printed Labels?

Printed Labels?

Episode 59 Linking a Template with a Title

Linking a Template with a Title

Episode 60 Example of setting Institution file Station Number

Example of setting Institution file Station Number

Episode 61 Bringing CPRS, TMG-CPRS back onto the screen when it is off screen

Bringing CPRS, TMG-CPRS back onto the screen when it is off screen

Episode 62 Hardware Price/Performance as of 6/29/2010

Hardware Price/Performance as of 6/29/2010

Episode 63 Non-provider and their assistant co-signing?

Non-provider and their assistant co-signing?

Episode 64 Setting user Electronic Signature Code through Text Based Interface.

Episode 64 Setting user Electronic Signature Code through Text Based Interface.

Episode 65 Template title ascending sort

Episode 65 Template title ascending sort

Episode 66 Windows 7 TMG-CPRS formatted text printer truncation problem/solution.

Episode 67 Taskman Job Limit Exceeded

Episode 68 Provider appear on Primary Provider Selection Box?

Episode 69 Aftercare Interdisciplinary note editing and signing?

Episode 70 Listing Installed KIDS builds or patches.

Episode 71 Deleting the WorldVistA drug file.

Episode 72 Taskman Cleanup.

Episode 73 More Taskman Cleanup.

Episode 74 Medication Ordering Keys.

Episode 75 List of unsigned notes by provider.

Episode 76 Set CPRS Timeout Value.

Episode 77 Add/Change Patient Data Object.

Episode 78 ePrescribing(eRX) Certification with NewCrop

Episode 79 Report Creation for the CPRS Reports Tab

Episode 80 Purge or Clear Access Verify Code History