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VistA, (formerly known as DHCP), has been growing steadily since the mid-80s and today represents an unparalleled number of integrated HIS applications. Designed from the beginning to focus on clinical aspects of healthcare, the applications share a common set of files such as the patient and provider files. Integration, from the very beginning of its design, permits access to clinical data without duplication, thereby increasing accuracy and reducing maintenance costs.

Work is presently under way to provide further enhancements to the computerized patient record system (CPRS) within VistA that can be accessed from a physician's workstation. As of 2003, CPRS is operational in all of the VA medical centers, outpatient clinics, and nursing homes across the country. CPRS currently provides a Delphi generated Graphical User Interface (GUI) that uses the RPC Broker to communicate with the M server.

A regularly updated collection of monographs that describe the VistA applications can be found here.

Platinum Account: Complete VistA Installation

The VistA applications that are available under the Freedom of Information Act, come preinstalled and patched in a set of M routines and globals on the FOIA media or can be downloaded from the VA's web site. The media is released with the latest patches, as KIDS distributions in folders, as well as incorporated in the installed VistA applications. The VA's software web site contains the most up to date list of patches, software releases, etc. The documentation is also available via a very well organized Library page.

Here are sources where you can get assistance in getting Platinum installed and operational on your computer.

  • The Hardhats Installing VistA documentation.
    (Usually the most current and detailed source.)

  • The readme file for the Platinum pre-installed applications describes the files that are and are not included.

  • Detailed instructions, at another website, on how to get the Platinum installation up and running.

Related VistA Application Links

bullet Medical Automation in the VA
bullet

A recent Health Affairs article, Federal Health Information Policy: A Case Of Arrested Development, mentions ""...HHS is exploring how to make VistA, the VA CPR, and a CPR developed by the American Academy of Family Physicians (AAFP) available on an open-source basis to physicians and hospitals that cannot afford commercial installions...".

 

 

 

TYPICAL VISTA APPLICATION SOFTWARE

The following report, pulled from a VistA FOIA CD, lists typical applications that make up VISTA (that can be released into the public domain). A more current list can be found in the readme file at the VA's web site.

Package Name                   Namespace  Ver.
===============================================
ADVERSE REACTION TRACKING         GMRA    4.0
ASISTS                            OOPS    1.0
AUTHORIZATION/SUBSCRIPTION        USR     1.0
AUTO REPLENISHMENT/WARD STOCK     PSGW    2.3
AUTOMATED INFO COLLECTION SYS     IBD     3.0
AUTOMATED LAB INSTRUMENTS         LA      5.2
AUTOMATED MED INFO EXCHANGE       DVBA    2.7
CAPACITY MANAGEMENT - RUM         KMPR    1.0
CLINICAL MONITORING SYSTEM        QAM     1.0
CONSULT/REQUEST TRACKING          GMRC    2.5
CONTROLLED SUBSTANCES             PSD     3.0
CPT/HCPCS CODES                   ICPT    6.0
D&PPM (replaced with PBM)         PSU     2.0
DENTAL                            DENT    1.2
DIETETICS                         FH      5.0
DISCHARGE SUMMARY                 GMRD    1.0
DRG GROUPER                       ICD     15.0
DRUG ACCOUNTABILITY               PSA     3.0
DSS EXTRACTS                      ECX     3.0
EEO COMPLAINT TRACKING            EEO     2.0
ENGINEERING                       EN      7.0
EVENT CAPTURE                     EC      2.0
FEE BASIS                         FB      3.5
GEN. MED. REC. - GENERATOR        GMRG    3.0
GEN. MED. REC. - I/O              GMRY    4.0
GEN. MED. REC. - VITALS           GMRV    4.0
HEALTH LEVEL SEVEN                HL      1.6
HEALTH SUMMARY                    GMTS    2.7
HINQ                              DVB     4.0
HOSPITAL BASED HOME CARE          HBH     1.0
INCIDENT REPORTING                QAN     2.0
INPATIENT MEDICATIONS             PSJ     4.5
INTEGRATED BILLING                IB      2.0
INTEGRATED PATIENT FUNDS          PRPF    3.0
INTERIM MANAGEMENT SUPPORT        ECT     1.05
KERNEL                            XU      8.0
LAB SERVICE                       LR      5.2
LEXICON UTILITY                   LEX     2.0
LIBRARY                           LBR     2.5
LIST MANAGER                      VALM    1.0
MAILMAN                           XM      7.1
MEDICINE                          MC      2.3
MENTAL HEALTH                     YS      5.01
MINIMAL PATIENT DATASET           VAM     1.0
MISSING PATIENT REGISTER          MPR     1.0
MSM CAPACITY MANAGEMENT           XUCS    7.3
NATIONAL DRUG FILE                PSN     3.18
NATIONAL LABORATORY TEST          NLT     5.254
NETWORK HEALTH EXCHANGE           AFJX    5.1
NURSING SERVICE                   NUR     4.0
OCCURRENCE SCREEN                 QAO     3.0
ONCOLOGY                          ONC     2.11
ORDER ENTRY/RESULTS REPORTING     OR      2.5
OUTPATIENT PHARMACY               PSO     6.0
PATIENT FEEDBACK                  A4A8    2.0
PATIENT REPRESENTATIVE            QAC     2.0
PCE PATIENT CARE ENCOUNTER        PX      1.0
PHARMACY BENEFITS MANAGEMENT      PSU     3.0
PHARMACY DATA MANAGEMENT          PSS     1.0
PHARMACY PRESCRIPTION PRACTICE    PPP     1.0
POLICE & SECURITY                 ES      1.0
PROBLEM LIST                      GMPL    2.0
PROGRESS NOTES                    GMRP    2.5
PROSTHETICS                       RMPR    3.0
QUALITY ASSURANCE INTEGRATION     QAQ     1.7
QUALITY IMPROVEMENT CHECKLIST     QIP     4.1
QUASAR                            ACKQ    2.0
RADIOLOGY/NUCLEAR MEDICINE        RA      4.5
RECORD TRACKING                   RT      2.0
REGISTRATION                      DG      5.3
RPC BROKER                        XWB     1.0
SAGG PROJECT                      KMPS    1.8
SCHEDULING                        SD      5.3
SOCIAL WORK                       SOW     3.0
SPINAL CORD DYSFUNCTION           SPN     2.0
SURGERY                           SR      3.0
SURVEY GENERATOR                  QAP     2.0
TEXT INTEGRATION UTILITIES        TIU     1.0
TOOLKIT                           XT      7.3
UTILIZATION MGMT ROLLUP LOCAL     IBQ     1.0
VA FILEMAN                        DI      21.0
VISIT TRACKING                    VSIT    2.0
VISUAL IMPAIRMENT SERVICE TEAM    ANRV    4.0
VOLUNTARY TIMEKEEPING             ABSV    4.0
WOMEN'S HEALTH                    WV      1.0

 

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