Ignacio Valdes Implementation Log

Ignacio Valdes, a psychiatrist in Houston Texas with Astronaut, LLC [1] has been charged with implementing VistA for a psychiatric facilities. He has posted his 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 unedited discussions quoted here give a taste of the skill and wackiness of such a gathering.

In this case however, the ultimate goal 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.

==Episode 1 The Layer Cake== The Layer Cake

==Episode 2== Multiple Sign-ons

==Episode 3== IPv4 vs. IPv6 ==Episode 4 Billing and Management Software== Keane records integration/population ==Episode 5== Patient picture? ==Episode 6== (missing) ==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== WorldVistA configuration Utility, KIDS Patch Install

==Episode 12 How do you create a new patient?== 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== 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.== 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.