24 November 2014 01:02


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‘VistA for NHS’ ready for trusts

3 July 2014   Sam Sachdeva

An Anglicised version of the VistA electronic patient record system is now ready to be deployed at NHS trusts, according to one of the companies behind its development.

General Dynamics Information Technology has worked with fellow US company Medsphere to develop a UK-specific version of the US Veterans Health Administration system.

The companies prepared a “first cut” of the system in December 2013 with Tony Shannon, the chief clinical information officer of Leeds Teaching Hospitals NHS Trust.

Mark Meudt, General Dynamics IT’s vice president of communications, told EHI that this version has now “advanced considerably”.

He said it is now ready to be deployed by trusts with configuration only needed to meet specific local requirements. Meudt said ‘Vista for NHS’ is substantially different from the VA version.

The differences include a more intuitive and modern interface, the introduction of different modules not typically provided in the VA - such as maternity and child health - and the addition of implementation, maintenance and support services.

Meudt said the system includes a focus on e-prescribing, clinical decision support, medication orders, clinical notes and medication administration – where “most NHS trusts are looking to increase their digital maturity”.

“By providing a complete end-to-end closed loop medication administration module, we are providing clinicians a single source where all information for the patient can be viewed and processed.”

He said General Dynamics IT has also been working with First Databank to make sure that UK drug knowledge is incorporated into the NHS VistA for better medication decision support.

It has also addressed UK demographic differences by introducing the NHS Number as VistA’s primary patient identifier, adding UK address and post code look-ups, and updating the VistA data model to support the inbound interface of all UK patient administration system data attributes.

Meudt said the UK-specific version of VistA is not intended to replace trusts’ existing systems.

However, VistA and its modules can integrate with any legacy patient administration or electronic patient record systems that support HL7 bi-directional messaging, or via an integration engine.

Meudt said the company is now working with a number of trusts interested in VistA, while it is also responding to open OJEU tenders.

Peter Coates, NHS England’s open source programme manager, told EHI the news is an “exciting step” for NHS open source.

“It has a track record of use and it is a very mature product…It’s good to have a wider range of solutions available.”

Coates said trusts have expressed particular interest in using VistA’s prescribing and imaging modules as areas of greatest need for them.

NHS England at one point considered funding an NHS version of VistA, before later deciding against it.

Coates said trusts will need to decide whether VistA is appropriate for them, with NHS England taking a “vendor-agnostic” approach to open source solutions.

“It’s not about saying we’d like to see particular software in use, it’s more of an overall approach to broaden the options that are available.”


Related Articles:

33 News: First cut of VistA for NHS developed | 11 December 2013
9 News: HP plans open source offer for NHS | 5 December 2013
10 News: £20m of tech fund to go on open source | 5 November 2013
10 News: NHS England says no to VistA | 30 September 2013
News: IMS Maxims open to open source | 31 July 2013
4 News: NHS England wants open source option | 28 June 2013
Last updated: 4 July 2014 11:24

© 2014 EHealth Media.


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Mel 20 weeks ago

Responding to the comment below, for more information or a demonstration please email info-uk@gdit.com and we will be happy to respond to any further questions.


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davespod1 20 weeks ago

If this is open source software, surely trusts can get hold of a copy to play with without making contact with a supplier? At the very least, get the source code for any developers they may have to compile and install for them.


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rtweed 20 weeks ago

The US (non-anglicised) version is available via OSEHRA (the custodial agent for VistA in the USA). See osehra.org

You can fire up a copy by following the instructions at:

https://github.com/OSEHRA/VistA/tree/master/Documentation/Install

Also see:

robtweed.wordpress.com/2014/03/04/vista-the-hackable-open-source-ehr-hackable-platform/

A good resource to ask technical questions about VistA is the Hardhats Google Group:

https://groups.google.com/forum/#!forum/hardhats

However, if you're not into hacking about in code, and you want to try out the anglicised version described in the main article, I'd recommend you contact GDIT.


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interestedparty 20 weeks ago

I think the thing is, at least GDIT being very familiar with it will have a decent demonstrable version so that a trust wouldn't have to dedicate valuable resources to just get something up an running (admittedly if they liked what they saw this may be the next step though). I doubt that this will just be a click of a MSI installer to set up.

They may also be able to explain some of the quirks that it will invariably have, which may be taken as negatives by a team just downloading and compiling some code.

(note, not affiliated with GDIT in any way)


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Daniel Defoe 20 weeks ago

er...Perhaps http://www.ehi.co.uk/news/ehi/9094/first-cut-of-vista-for-nhs-developed might be a useful starting point?


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von Bismark 20 weeks ago

Perhaps a long shot.. Is it deployable to Primary Care (GPs) as well?


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mrtablet 20 weeks ago

Do you mean using Vista as an alternative to the big 7, 6, 5....(?) UK Primary Care system suppliers? That's a big ask.

There would be much UK Primary Care specific work to be done even to get Vista up to RFA circa 1999 level. Never mind since then we've had GPSoc circa 2007 and now Son of GPSoc.

Implementing QOF, ETP, GP2GP, Summary Care Record etc would be very sizable tasks.

That's not to say it could not or should not be done in Vista and it might be a great opportunity to build in SNOMED from the ground up. However I doubt enthusiasts alone could deliver all this gratis during their lunchbreaks in less than a geological time frame. Someone would have to make a serious resource commitment AND very soon indeed.

Hasn't the Framework boat for participating suppliers already sailed for GPSoc 2?

systems.hscic.gov.uk/gpsoc/framework


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Jack Barker 20 weeks ago

Is it mumps? Is there an appetite in the OS community to develop in mumps?


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rtweed 20 weeks ago

Yes VistA is written in Mumps, but all new development on top of VistA can now be done in JavaScript via Node.js and EWD.js. See http://www.mgateway.com

This is how Tony Shannon's browser-based NHS VistA demonstrator was built - see:

frectal.com/2013/12/30/2-clinicians-2-developers-20-days-agile-development-towards-nhs-vista/


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CertaCitrus 20 weeks ago

At it's core it is mumps.

I do know of developers who are keen to get involved but not sure how far that got. (Von Bismark - these are mostly ex-GP system developers)


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Jack Barker 20 weeks ago

How can we get a look? Thanks


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Chris.casey 19 weeks ago

There is a you tube video that I did that shows a quick demo of the original version http://www.youtube.com/watch?v=I7LMFzkN5_s


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GDIT 20 weeks ago

Hi Jack, please email info-uk@gdit.co.uk to arrange a demonstration.


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ehmonkey 19 weeks ago

You are listed as Open Source though?

http://www.technologystrategy.england.nhs.uk/pg/cv_blog/content/view/124842/99205?cview=124775


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