[Info-vax] New RoadMap out for VMS
Keith Cayemberg
keith.cayemberg at arcor.de
Thu Oct 6 20:24:26 EDT 2011
On 06.10.2011 18:59, Doug Phillips wrote:
> With VistA costing as little as one-tenth as much as commercial
> packages to implement (see the previous wiki link and its references),
> has and is gaining world-wide support, is scalable from the small
> private practice to the largest care providers in the world (both
> private and government), with specialized add-ons being developed as
> needed and it costs $.00 to obtain, it looks to me like VistA has some
> strong legs. I don't see a good future for the commercial packages.
I must agree with Doug.
Vista (DHCP) originated on the OpenVMS Platform, before the port to
Linux OpenVMS was effectively in all 163 VA Hospitals, 800 clinics, and
135 nursing homes. Even after now having variants that run on Linux,
OpenVMS remains the primary VA platform as far as I can determine.
In Vistapedia it is stated:
"The main-stay for the VistA system in the DVA, now is the VMS operating
system, a true, clustered system."
http://vistapedia.net/index.php?title=What_Software_and_Hardware_does_VistA_need%3F
For those who missed it, there was a "VMS in the Medical Field" Thread
earlier THIS YEAR. Don't miss Mark Berryman's enlightening post
concerning CHCS on OpenVMS in "at least 100 DoD facilities."
http://groups.google.com/group/comp.os.vms/msg/5f78c3bab111753b?hl=en
http://groups.google.com/group/comp.os.vms/msg/893a122680c1e997?hl=en
And as far as the idea that OpenVMS has no future in the Health Services
Field, I can only see this as an opinion not based on research of the
field (but rather someone's local personal experience), and/or perhaps
based on the over-emphasis of which "commercial" application is making
the most growth noises at the moment and noted by stock market news
interests for where a fast buck can be made investing in a growing
company. Note that VistA and many M (MUMPS) implementations are open
source. While other OS's may be "good enough" for most average risk
tasks. A mission-critical tasks like EHR, EPR and EMR require a platform
that were designed and engineered as mission-critical system
architectures. Cutting corners here shows a basic ignorance of how
extremely hard it is to make a complex platform even 0.0001 percent more
available on the average. In life-critical environments this small
difference in reliability/quality/availability can be measured
empirically in lives and damaged health. Applying the popular IT market
notion that only the application is important and what OS internals and
architecture it runs on is unimportant is gross and morally criminal
negligence on the part of the many IT Consultants who effectively to do
this in life-critical environments. ONLY OpenVMS and Tandem OS have been
guaranteed by their owner to be (not five 9's, not six 9's but) 100%
platform available in owner audited HW/SW configurations. The Tandem OS
platform however is traditionally much more (in multiples) expensive for
the equivalent OpenVMS capacity due to Tandem OS's higher reliance on
the HW based redundancy of it's architecture..
Additionally, there are a LOT of other successful commercial and
open-source Health Services solutions running on OpenVMS today. And many
custom solutions based on M (MUMPS). For instance, one of the largest
University Medical Centers of Germany near to my home has a custom MUMPS
system on OpenVMS monitoring their Intensive Care Unit. That is my local
experience. So I don't see how the future of OpenVMS in the health care
field can be predicted from the business decisions of just 1 commercial
software provider (Cerner, while Epic has not made any business decision
specifically against OpenVMS as a DB level server to my knowledge).
EPIC's internal platform landscape includes OpenVMS:
http://careers.epic.com/position-161
Cerner's announcement
http://features.techworld.com/operating-systems/3332/openvms-apps-face-uncertain-migration-path/
OpenVMS-based Health Care Solutions and some known major Customers:
------------------------------------------------------------------------------------------------------------------
HP OpenVMS Systems Healthcare solutions partners portal
http://h71000.www7.hp.com/solutions/healthcare/
» Cerner Corporation
» IDX Systems Corporation
» InterSystems Corporation
» Misys Hospital Systems
» Ross Systems
» Siemens Medical Solutions of Siemens AG
Physician practice management system vendors on OpenVMS
http://tinyurl.com/3hmuugy
Accumedic Computer Systems, Inc. - AccuMed Client/Server
Cerner Corp. - HNA Millennium
Chart Ware, Inc. - Chart Ware
DeLair Systems, Inc.- DSI Practice Management System
Epic Systems Corp. - EpicCare
ESRI - ArcView
Global Health Systems, Inc. - Global Health Information System (GHIS)
IDX Systems Corp. - IDXtendR--The Group Practice
IDX Systems Corp. - IDXtendR--The MSO
GE Healthcare (formerly IDX Systems Corporation) - Flowcast
http://h71000.www7.hp.com/partners/geh/index.html
http://h71000.www7.hp.com/openvms/brochures/idx/idx.html
http://h71000.www7.hp.com/news/idx.html
ABB - PHARMASYST & Flowstream - ABB acquires pharmaceutical software
technologies
http://tinyurl.com/6gwaun2
BetaData Systems, Inc. - BetaMED - Medical Practice Management System
http://www.betadata.net/medical.htm
CareCentric - MestaMed HHA System
http://www.carecentric.com/
http://tinyurl.com/6brsopu
CareTech Solutions, Inc.
Detroit Medical Center operates 10 hospitals and institutions
http://www.openvms.org/stories.php?story=06/08/09/2368544
Cerner is today still providing Operational Management Services for
Cerner Millennium on OpenVMS
https://store.cerner.com/items/258
http://h71000.www7.hp.com/partners/cerner/index.html
Clinicom Pty Ltd - CLIMS (Clinicom Laboratory Interface Management System)
http://www.clinicom.com.au/
http://tinyurl.com/6yamax6
Codat, l'informatique des Laboratoires - SYSLAM version 64 bits "LAB64"
http://www.codat.fr/
http://codat.informatique.pagesperso-orange.fr/lab64.htm
edisolve.com, inc. - Middle Solve/2000 +Claims - health care industry
electronic claims processing
http://www.edisolve.com/
http://www.edisolve.com/SolutionsHealthCare_3.html
http://tinyurl.com/68nbd3n
Excalibur Systems Inc. - Merlin 2000 - Medical Billing Software
http://www.openvms.compaq.com/partners/excalibur/index.htm
http://www.excalibursystems.com/
Fidelity Information Services (formerly Greystone Technology Corp) -
GT.M Database Technology
http://www.fisglobal.com/products-technologyplatforms-gtm
http://sourceforge.net/projects/fis-gtm/
Genesis Health System
http://www.genesishcs.org
http://h71000.www7.hp.com/openvms/brochures/genesis/genesis.pdf
http://www.openvms.org/stories.php?story=04/04/19/7733576
HP - HealthView Connectivity Component (HVCC
http://h18000.www1.hp.com/info/SP4624/SP4624PF.PDF
Information Resource Products, Inc. - APC Ambulatory Grouper with OCE Edits
http://tinyurl.com/3we5clx
Information Resource Products, Inc. - Medicare Inpatient Prospect
Payment System
http://tinyurl.com/3l5fk2l
Instem LSS Limited - Provantis and Artemis II
http://www.instem-lss.com/solutions/provantis.html
http://tinyurl.com/3tjr8lc
InterSystems Caché in Healthcare - InterSystems HealthShare -
InterSystems TrakCare
http://www.intersystems.com/industry/healthcare/
InterSystems demonstrate large-scale Medical Records database capabilities
http://www.intersystems.com/press/2003/emrscalability.html
http://h71000.www7.hp.com/partners/intersystems/index.html
Intersystems M Technologies
http://mtechnology.intersys.com/index.html
DSM for OpenVMS
http://mtechnology.intersys.com/mproducts/dsm7/index.html
Knowledge Based Systems - KB_SQL - SQL/ODBC and reporting environment
for M Technology (MUMPS) databases
http://www.knowledgebasedsys.com/kbsql.html
McKesson Corporation - TRENDSTAR Decision Support System
http://tinyurl.com/635v4qc
http://features.techworld.com/operating-systems/1001/openvms-survives-and-thrives/
http://www.yardleyconsulting.com/index.php?option=com_content&view=article&id=39&Itemid=23
McKesson ClaimCheck and Autocoder were to be ported to OpenVMS
Misys Healthcare Systems - Misys Laboratory
http://www.misys.com/
Misys Healthcare Systems - Hospital Systems (formerly Sunquest)
http://h71000.www7.hp.com/solutions/healthcare/misys.html
http://tinyurl.com/6yjhjoy
Muir Computer Consulting - Healthcare Services Specialist
http://www.amuir.com/
Philips Healthcare - CT Scanners
http://www.healthcare.philips.com/main/products/ct/products/scanners/index.wpd
Philips Healthcare - Magnetic Resonance Imaging - Intera Family MRI
Products - GyroScan Intera
http://www.healthcare.philips.com/main/products/mri/index.wpd
PLATTON TECHNOLOGIES - Clinicians Gateway - Web Interfaces for Legacy
Databases
http://www.platton.com/
http://tinyurl.com/5rzddnk
Quest Diagnostics - Clinical Diagnostic Testing Services Worldwide using
OpenVMS
http://h20195.www2.hp.com/V2/GetPDF.aspx/4AA0-8461ENW.pdf
Ross Systems, Inc. - OpenVMS Healthcare Solutions
http://h71000.www7.hp.com/solutions/healthcare/ross.html
SAIC - supports U.S. Military Healthcare System (MHS) based on OpenVMS
platform
http://www.saic.com/
Siemens Medical Solutions of Siemens AG
» Siemens Pharmacy, a drug therapy and patient information system
» Medication Management, a software suite designed to manage medication
delivery cycles
» UNITY, an information integration suite
http://h71000.www7.hp.com/partners/sms/index.html
Tech Time - Health Information Services - STAT! Enterprise Medical
Management
http://www.techtimeinc.com/products/products.htm
http://www.techtimeinc.com/products/Stat_Brochure.pdf
http://www.techtimeinc.com/products/source/CLINICAL%20NOTES.htm
http://www.na-tech.com/creightonpressrelease10.11.2005.html
Technologie Diffusion - ISIS 3D - image processing and planning system
for modern radiotherapy
http://tinyurl.com/5ssnqho
Thomson MICROMEDEX
http://www.micromedex.com/
UK National Health Service - Blood and Transplant Services
http://h71000.www7.hp.com/openvms_nhsbt_jan2010_4aa1-3908eew.pdf
NHS Supply Chain - NHS Logistics
http://www.openvms.org/stories.php?story=08/01/23/5121119
http://www.prlog.org/11227378-nhs-supply-chain-delivers-with-connx.html
Savant Enterprises Limited - PULSE - Blood Transfusion and Tissue
Banking System
http://www.savant.co.uk/project/pulse
SBPA Systems, Inc. - Group Benefit Administration System (GBAS)
http://tinyurl.com/6gs5wze
http://foresightcorp.info/news_events/releases/012904pr.htm
Sec 1.01 - Paradocs
http://www.sec101.ch/web/guest
http://www.openvms.compaq.com/partners/sec/index.htm
Vedant (formerly Cyrano) - TestStream
http://www.vedanthealth.com/products/teststream/
VistA - Veterans Health Information Systems and Technology Architecture
http://www.va.gov/VISTA_MONOGRAPH/index.asp
http://www.worldvista.org/
http://www.hardhats.org/
http://www.hardhats.org/adopters/vista_adopters.html
http://tinyurl.com/6aflgkv
WM-Data Novo Oy (formerly WM-Data Medical Systems)
- Blood Center Information Systems (BCIS)
- HIS Systems: P-INFO
- HIS Systems: PQ-Manager
- RADU-radiology information system
http://www.max-serv.com/pdf/members/member_14.pdf
http://investing.businessweek.com/research/stocks/private/snapshot.asp?privcapId=877701
Woodward Associates (UK) Limited - autoGROUPER - "Grouping" of Episode
data to determine Healthcare Resource Groups (HRGs)
http://www.woodwardassoc.co.uk/autogrouper.html
http://tinyurl.com/6x7dvyt
Xybion Medical Systems - PATH/TOX System - the most comprehensive
Preclinical Data Management System - PDF
http://www.xybion.com/Products/VitalPathSuite.aspx
http://tinyurl.com/5sme4ht
I find Health Informations Systems is a typical example of a software
market where OpenVMS's influence and penetration is grossly
underestimated by casual observers. To understand how widespread OpenVMS
solutions are or not, you must first research it intensely, and not take
statements from single persons or companies at face value. I could
provide similar long lists of OpenVMS solutions and customers if I had
the time for many other vertical software markets where people in this
forum have claimed there is no OpenVMS market (any more).
Cheers!
Keith Cayemberg
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