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Project Topic: Open Source (free) Electronic Medical Records Software

Project Objective: Install functional Open Source Electronic Medical Records Software at a chinese medicine/acupuncture clinic, which will encompass scheduling, billing, computerized records, inventory, and medications(chinese herbs, supplements, and prescriptions).

STATUS:

Review of Open Source EMR Software Packages – DONE

Choose EMR Software Package – DONE

Modify chosen EMR Software Package – In Progress (15% complete)

1. Herbal database (50% complete)

Install EMR Software at Clinic – Not ready yet

Phases of EMR Installation at clinic - Not ready yet

OpenEMR Virtual Appliance – DONE

Part I:Introduction

Main TOC Link.

I truly have no clue what I am doing.

1. The Players:
   1. The Clinic
      1. Family operated acupuncture, chinese medicine, and naturopathic medicine clinic.
      2. Includes a reception area, chinese herb/supplement pharmacy, 1 office, and 5 treatment rooms.
   2. The People (2 acupuncturist, 1 massage guy, 1 receptionist, and 1 office assistant)
      1. Physicians
         1. Daughter
            1. Acupuncture, Chinese Medicine, Naturopathy
            2. Computer literate
         2. Father
            1. Acupuncture, Chinese Medicine
            2. Computer illiterate
            3. Not fluent in English
         3. Other guy
            1. Massage, Acupressure
            2. Computer illiterate
            3. Not fluent in English
      2. Office Assistant
         1. Mother
            1. Computer illiterate
            2. Not fluent in English
      3. Receptionist
         1. Computer literate
      4. Accountant/billing
         1. Only works half day per week
         2. Computer literate
   3. The Patients:
      1. Differ on payment and type of treatment
         1. Different types of treatment:
            1. Acupuncture
            2. Naturopathy
         2. Different forms of payment:
            1. Motor Vehicle Accident
               1. Requires large amount of medical/billing records
            2. Medical insurance
               1. Requires moderate amount of medical/billing records
            3. Out of pocket
               1. Requires small amount of medical/billing records
   4. The Hardware
      1. 2 desktops(only one being used) and 1 laptop.
2. Workflow analysis: Pending
3. Objectives of electronic medical record system:
   1. Primary(short-term):
      1. Electronic record of individual patients herb formulas and supplements
         1. Allow automatic labels
         2. Allow easy refills
   2. Secondary(long-term):
      1. Insurance billing
      2. Appointments
      3. Electronic Notes
      4. Supplement/herbs inventory
      5. Accounting
4. Electronic Medical Record Software Requirements
   1. Prescriptions
   2. Electronic Notes
   3. Appointments
   4. Insurance Billing
   5. Accounting
   6. Inventory
   7. Easy To Use (GUI preferred)
5. The Open Source EMR Software Package Options
   1. OpenEMR
      1. Definite possibility.
   2. MirrorMed
      1. Still seems to be in development phase, however will still be tested.
   3. FreeMed
      1. Definite possibility.
   4. VistA
      1. Unlikely to fulfill all above requirements, however will still be tested.
   5. OSCAR
      1. This is software based on the Canadian health care system.
      2. It doesn't have support for US insurance billing, so it will not be considered.
   6. Gnu-Med
      1. Still too early in development phase, so it won't be considered.
   7. Care2X
      1. The general clinic module has not been released yet, so it will not be considered.
6. The Plan
   1. Install and review above Open Source EMR Packages
      1. To be done on a development computer utilizing Virtual Computers, which will hopefully speed up the process.
   2. Choose the best one
      1. Apply needed modifications.
   3. Install the chosen EMR with modifications on a production/server computer.
      1. Will initially only use software for medication/supplement/herbs prescriptions.
         1. This should immediately streamline office workflow.
      2. Plan to slowly incorporate other functions over several years as office becomes more comfortable with system (also as the computer illiterates are phased out of clinic).
         1. This transition will not be as straightforward as just utilizing functions in a certain order. Strategy will be more of a patient-centered approach. For example, pt with insurance or MVA claims will utilize the electronic notes, billing, accounting functions much earlier than the out-of-pocket patient.
7. Development Computer Specs:
   1. Processor: Pentium IV 2.4 Ghz
   2. Memory: 2 GB DDR
   3. Storage: 250 GB IDE hard drive
   4. Operating System: Linux Slackware version 10.2.
8. Production Computer Specs: pending

Part II:Building the Development Computer

Main TOC Link.

1. Upgrade memory to 2GB($140)
2. Install 250GB hard drive($80)
3. Install Linux Slackware, version 10.2:

(KDE desktop running on Slackware Linux)

3. Upgrade linux kernel from version 2.4 to version 2.6:

(menuconfig program used for customization/upgrade of linux kernel)

3. Install Vmware Workstation(30 day free trial):
   1. Slackware has a simple work-around for installing VMware(links here)
   2. Install a Windows XP Pro Virtual Computer, which will simulate the client desktops/laptops.:(configuration pictures and move to next section)

(VMware starting up a Windows XP Virtual Computer)

(VMware running a Windows XP Virtual Computer)

Part III:Building the Virtual Computers

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Mandriva 2006

Main TOC Link.

1. VMware Configuration:

Click 'New Virtual Machine'.

Select 'typical'. Then click 'Next'.

Select 'Linux' and 'Mandrake Linux'. Then click 'Next'.

Select 'Use bridged networking'. Then click 'Next'.

Enter 'Disk Size'->'20 GB'. Select 'Split disk into 2GB files'. Then click 'Finish'.

2. Insert the Mandriva2006 DVD/CD.

3. Click 'Power On' via Vmware.

4. Install Mandriva2006:

Change 'Security Level' -> 'Higher'. Type in an administrator log in name. Then click 'Next'.

Select 'Use free space'. Then click 'Next'.

Click 'Next'.

Click 'Ok'.

Select 'Office Workstation', 'Multimedia Station', 'Internet Station', 'Network Computer(client)', 'Configuration', 'Console Tools', 'Development', 'Documentation', 'KDE Workstation'. Do NOT select any Server selections. Then click 'Next'.

Enter a secure password. Then click 'Next'.

Type in a 'Name', 'Login name', and 'Password'. Toggle ON 'xgrp', 'rtools', and 'wheel'. Then click 'Accept user'.

Click 'Next'.

At 'Graphical Interface', click 'Configure'.

Select 'VMware virtual video card'. Then click 'Next'.

Select '1024x768'. Then click 'Next'.

Select '800x600'. Then click 'OK'.

Select 'Yes'. Then click 'Next'.

Click 'Next'.

Select 'No'. Then click 'Next'.

Click 'Reboot'.

5. Install VMtools (Required by VMware software)
   1. This will require installation of kernel source/headers files
   2. Re-insert the Mandriva2006 CD/DVD
   3. Install kernel source/headers files:
      1. Enter below bolded instructions on command line as root user

#log into root

su

#install the kernel header/source files

urpmi kernel-source

4. Set up Vmware:

Click above 'Install Vmware Tools'.

Click 'Install'.

5. Install the VMTools on Mandriva
   1. Enter below bolded instructions on command line as root user:

#log into root

su

#if below doesn't work, try replacing /dev/hda with /dev/cdrom, /dev/hdb, /dev/hdc etc.

mount /dev/hda /mnt/cdrom

#unpack and move file

cd /tmp

tar zxpf /mnt/cdrom/VMwareTools-5.5.0-*.tar.gz

umount /mnt/cdrom

cd vmware-tools-distrib

#install the software

./vmware-install.pl

-answered all questions with defaults

-answered 3 for video mode(“1024x768”)

#need to re-boot or else weird stuff happens

shutdown -r now

8. Enable software package installation over internet:

Click 'System' -> 'Configuration' -> 'Packaging' -> 'Software Media Manager'.

Enter 'root' user password. Then click 'OK'.

Click 'Add...'.

Click 'Distribution sources'.

Select as above. Then click 'Ok'.

8. Disable the screensaver(it's annoying).

Kubuntu 5.1 (breezy)

Main TOC Link.

1. VMware Configuration

   1. (pictures)

2. Insert Kubuntu install CD/DVD in drive

3. “Power-up” via Vmware

4. Install

   1. (pictures)

TO DO: finish this section

Windows XP Professional

Main TOC Link.

Pending (move from section above)

TO DO: finish this section

Part IV:Installing the Electronic Medical Record Software

Main TOC Link.

Installation Overview

Main TOC Link.

This section will cover the installations of OpenEMR, MirrorMed, FreeMed, and VistA. OpenEMR, MirrorMed, and FreeMed require the LAMP (Linux, Apache, MySQL, PHP) platform. VistA is written by the VA (Veterans Administration), and requires a MUMPS compiler.

OpenEMR

Main TOC Link.

Installation on Mandriva 2006 Virtual Computer

Required Software

Quick Index Link.

1. Apache, MySQL, and PHP4
2. OpenEMR
3. FreeB – Insurance billing software (optional)
4. PostgreSQL – Database program required by SQL-ledger (optional)
5. SQL-Ledger – Billing, Accounting, and Inventory software (optional)
6. php-GACL – Access Control software (optional)

Important Issues

Quick Index Link.

1. Complete all of the steps before entering any data into OpenEMR. The SQL-Ledger and OpenEMR software may communicate in strange ways if you enter data into OpenEMR before installing SQL-ledger.
2. Passwords can be confusing during the SQL-Ledger installation. To avoid any confusion it is helpful to know that during the installation you will create a PostGreSQL user called 'sql-ledger' with a password. This user/password combination will be used frequently, and the password will be referred to as 'sql-ledger-password' throughout this document to avoid confusion.

Install the Mandriva 2006 Virtual Computer

Quick Index Link.

1. Follow the above instructions in (Part III, Building Virtual Computers, Mandriva).

Install Apache, MySQL, and PHP4

Quick Index Link.

1. OpenMed requires PHP4. You shouldn't of installed PHP5, since you should not of selected any server packages during the Mandriva install(then you can disregard this, and skip to step 2). However if you have PHP5 on your system, then remove it using below bolded instructions on command line as root user:

#log into root

su

#list all the php5 packages

urpme php

#remove them all by pasting in all of the php5 packages below

urpme (paste)

2. Enter below bolded instructions on command line as root user :

#log into root

su

#Install apache, php, mysql

urpmi apache php4-cli apache-mod_php4 apache-mod_ssl php4-mysql php4-xml php4-xmlrpc htmldoc mysql

-I chose 1- apache-mpm-prefork-2.0.54-13mdk.i586

-I chose 1- MySQL-4.1.12-3mdk.i586

-choose Yes to packages

#start apache and mysql

service httpd start

service mysqld start

#enables apache and mysql to start during boot-up

chkconfig --add httpd

chkconfig --add mysqld

3. Open the firewall for the web server:

Click 'System' -> 'Configuration' -> 'Configure Your Computer'.

Enter 'root' user password. Then click 'OK'.

Click 'Security'.

Click 'Set up a personal firewall...'.

Select 'Web Server'. Then click 'OK'.

Click 'OK'.

Click 'Ok'. Keep defaults.

You are done. Close the window.

Install OpenEMR

Quick Index Link.

1. Download openemr-2.8.1.tar.gz (version 2.8.1) from sourceforge at : http://sourceforge.net/project/showfiles.php?group_id=60081

2. Enter below bolded instructions on command line as root user:

#log into root

su

#edit file /etc/php4.ini:

mcedit /etc/php4.ini

#edit following variables:

change post_max_size = 30M

change upload_max_filesize = 30M

change memory_limit = 128M

change max_execution_time = 45

ensure register_globals = off

change magic_quotes_gpc = off

TEXT EDITOR SAVE AND EXIT

#restart httpd

service httpd restart

#put the OpenEMR program in its place

cd /var/www/html

tar pxzvf /location/to/tar/openemr-*.tar.gz

mv openemr-* /var/www/html/openemr

chown -Rf root:root openemr

#Prepare for install

chmod 666 /var/www/html/openemr/library/sqlconf.php

3. Then use Auto-installer at: http://localhost/openemr/setup.php

Click 'Continue'.

Select 'Have setup create the databases'. Then click 'Continue'.

In SERVER section: enter 'Password' -> secure password, otherwise keep defaults. In CLIENT section: keep defaults. In USER section: enter 'Initial User' -> new user login name, Enter 'Initial User's Name' ->new user name, enter 'Initial Group' -> name of practice. (I would recommend keeping the 'Initial User' -> 'admin' and the 'Initial User's Name' -> 'Administrator' to ensure easy installation of the php-GACL software.) Then Click 'Continue'.

Click 'Continue'. (Don't worry, we have already made the mentioned file world-writeable)

Click 'Continue'. (Don't worry, we will 'restore secure permissions' of file later)

This page list some additional instructions. Again, don't worry, we will do all of this stuff in next section below. You can close your browser window now and move onto the next section.

3. Enter below bolded instructions on command line as root user:

#log into root

su

#Re-secure the sqlconf.php file

chmod 644 /var/www/html/openemr/library/sqlconf.php

#Need to change some file/folder ownerships

chown apache:apache -R /var/www/html/openemr/interface/main/calendar/modules/PostCalendar/pntemplates/cache

chown apache:apache -R /var/www/html/openemr/interface/main/calendar/modules/PostCalendar/pntemplates/compiled

chown apache:apache -R /var/www/html/openemr/documents

Install FreeB

Quick Index Link.

1. Download freeb-0.11.tar.gz (version 0.11) from sourceforge: http://sourceforge.net/project/showfiles.php?group_id=60081

2. Enter below bolded instructions on command line as root user :

#log into root

su

#put the program in its place

cd /usr/share

tar xzvf /location/to/tar/freeb-*.tar.gz

mv freeb-* /usr/share/freeb

#secure it

chown root:root -R /usr/share/freeb

#install the necessary packages

urpmi perl-Config-General perl-Date-Calc

-choose yes to packages

#need to install several PERL modules

perl -MCPAN -e shell

-Answer NO to first question, and then it will be auto-configured.

At cpan> prompt type:

install PDF::Create

install ConfigFile

install Frontier::Daemon

exit

#create a directory that apache can write to

mkdir /usr/share/freeb/public

chown apache:apache -R /usr/share/freeb/public

#change ownership of following directory

chown apache:apache -R /var/www/html/openemr/library/freeb

#this will allow the user to use freeb while in openemr

cp /usr/bin/php4 /usr/bin/php

3. Configure FreeB as a service
   1. Download freeb file, which is an init.d script. I wrote this file, and it seems to work alright. But I have to say, please use at your own risk. File can be found at: http://bradymd.com/freeb (to download file, you may need to Right-Click the link and select 'Save Link As...')

   2. Enter below bolded instructions on command line as root user:

#log into root

su

#move file and change ownership/permissions

mv /location/to/file/freeb /etc/init.d/

chown root:adm /etc/init.d/freeb

chmod 740 /etc/init.d/freeb

#start service

service freeb start

-After 'before server setup', just hit 'enter' key once to get back to the prompt. If you saw 'before server setup', then it worked.

#configure freeb to start automatically during computer startup

chkconfig --add freeb

#You are done installing service, it will now start

#up automatically during computer start up.

#If the above service is not working, you can

#manually start the FreeB server by typing:

#'/usr/share/freeb/bin/FreeB_Server.pl &'

3. Next, need to do below “work-around”(Bug in OpenEMR) in order for HCFA billing to work.

Log in to OpenEMR with previously created username and default password 'pass' at http://localhost/openemr:

Click 'Administration'.

Click 'Forms'.

Click 'register' at 'prior_auth' entry.

Click 'Install DB' at 'Prior Authorization Form' entry.

WARNING!! Do NOT click anything on screen below, read below the screenshot first.

Do NOT click the disabled button. You are done with OpenEMR for now. Basically this 'prior_auth' form has to be in the database and disabled for program to function normally. Log out and move on to the next section.(continue to research)

lnstall PostgreSQL

Quick Index Link.

1. Enter below bolded instructions on command line as root user :

#log into root

su

#install postgresql and needed packages

urpmi postgresql postgresql-devel postgresql-server postgresql-docs postgresql-pl php4-pg

-yes to packages

#start service and also have it start at computer boot-up

service postgresql start

chkconfig --add postgresql

Install SQL-Ledger

Quick Index Link.

1. We will do a manual install with version 2.6.3. I'd recommend installing this version also, since we know it works.
2. Download sql-ledger-2.6.3.tar.gz file from: http://sourceforge.net/project/showfiles.php?group_id=4320

3. Enter below bolded instructions on command line as root user :

#log into root

su

#install the needed dependencies

urpmi perl-DBD-Pg LaTeX perl-DBI

-yes to packages

#put the SQL-Ledger program in its place

cd /usr/local

tar xzvf /location/to/file/sql-ledger-2.6.3.tar.gz

mv sql-ledger/sql-ledger.conf.default sql-ledger/sql-ledger.conf

#edit file /usr/local/sql-ledger/sql-ledger.conf:

mcedit /usr/local/sql-ledger/sql-ledger.conf

#add the following to the vars section on first line of file (you must place this within the first line) For example: 'use vars qw($oemr_ar_acc ...)':

$oemr_ar_acc $oemr_cash_acc $oemr_due_days $oemr_username $oemr_services_partnumber

#Paste the entire section below into file:

#Some constants relevant to OpenEMR import.

#sql-ledger user

$oemr_username = 'openemr';

#acc num for acc receivable

$oemr_ar_acc = '1200';

# acc num for check/copay

$oemr_cash_acc = '1060';

# creating a services item for medical services

# OpenEMR billing "part number" here:

$oemr_services_partnumber = 'MS';

# Num of days added to OpenEMR transaction date to

# create the invoice due date when insurance. This affects the

# pat. portion of outstanding balance shown in OpenEMR

# summary, and also SQL-Ledger reports and statements.

$oemr_due_days = 40;

TEXT EDITOR SAVE AND EXIT

#create and edit file /etc/httpd/conf/sql-ledger-httpd.conf:

mcedit /etc/httpd/conf/sql-ledger-httpd.conf

#Paste the entire section below into empty file:

Alias /sql-ledger /usr/local/sql-ledger/

<Directory /usr/local/sql-ledger>

AllowOverride All

AddHandler cgi-script .pl

AddDefaultCharset On

Options ExecCGI Includes FollowSymlinks

Order Allow,Deny

Allow from All

</Directory>

<Directory /usr/local/sql-ledger/users>

Order Deny,Allow

Deny from All

</Directory>

TEXT EDITOR SAVE AND EXIT

#edit file /etc/httpd/conf/httpd.conf:

mcedit /etc/httpd/conf/httpd.conf

#add following line to bottom of file

include /etc/httpd/conf/sql-ledger-httpd.conf

TEXT EDITOR SAVE AND EXIT

#change permissions

cd /usr/local/sql-ledger

chown -hR apache:apache users templates css spool

#restart httpd service

service httpd restart

#Set up PostgreSQL user( use 'sql-ledger'), password, and database

su postgres

createuser -d -P sql-ledger

-type a good password for the sql-ledger user on PostgreSQL

(this password is IMPORTANT and to avoid any severe confusion it will be referred to as the 'sql-ledger-password' during the rest of the install documentation. I mean it, this is important to remember. This password will be typed in many times during instructions below.)

-type y to allow user to make more users

createlang plpgsql template1

exit

1. Load your web browser and connect to: http://localhost/sql-ledger/admin.pl

There is no default password. Just click 'Login'.

Click 'Change Admin Password'.

Enter a secure password. Then click 'Change Password'.

Click 'Pg Database Administration'.

Enter 'User' -> 'sql-ledger'. Enter 'Password' -> 'sql-ledger-password''. Otherwise keep above defaults. Then click 'Create Dataset'.

Enter 'Create Dataset' -> 'openemr'. Toggle 'Create Chart of Accounts' -> 'Default'. Then click 'Continue'.

Click 'Continue'.

Click 'Add User'.

Enter 'Login' ->'openemr'. Enter a secure 'Password'->'openemrpassword'. Enter 'Name'-> 'openemr'. At the 'Database' section: ensure the 'Driver Pg' is toggled to ON , set 'Dataset'->'openemr', set 'User'->'sql-ledger', set 'Password'->'sql-ledger-password'. Keep above defaults for other above entries. Scroll to bottom of page and click 'Save'.

Click 'Logout' and continue below.

1. Enter below bolded instructions on command line as root user:

#log into root

su

#Copy and rename openemr perl script to sql-ledger directory

cp /var/www/html/openemr/accounting/ws_server_26.pl /usr/local/sql-ledger/ws_server.pl

#edit file /usr/local/sql-ledger/ws_server.pl:

mcedit /usr/local/sql-ledger/ws_server.pl

#edit the following bolded path:

use lib qw (/usr/local/sql-ledger);

TEXT EDITOR SAVE AND EXIT

#edit file /var/www/html/openemr/interface/globals.php

mcedit /var/www/html/openemr/interface/globals.php

#edit the following bolded variables :

$sl_income_acc = '4320';

$sl_services_id = 'MS';

$sl_dbname = 'openemr';

$sl_dbuser = 'sql-ledger';

$sl_dbpass = 'sql-ledger-password';

TEXT EDITOR SAVE AND EXIT

#edit file /var/www/html/openemr/includes/config.php:

mcedit /var/www/html/openemr/includes/config.php

#edit the following bolded variables:

$GLOBALS['oer_config']['ws_accounting']['enabled'] = true;

$GLOBALS['oer_config']['ws_accounting']['username'] = "openemr";

$GLOBALS['oer_config']['ws_accounting']['password'] = "openemrpassword";

$GLOBALS['oer_config']['ws_accounting']['income_acct'] = "4320";

TEXT EDITOR SAVE AND EXIT

1. Finish up SQL-Ledger install, go to: http://localhost/sql-ledger/

Enter 'Name' -> 'openemr'. Enter password then click 'Login'.

Click 'Goods & Services'.

Click 'Add Services'.

Enter 'Number' -> 'MS'. Enter 'Description' -> 'Medical Service'. Choose 'Income' -> '4320—Consulting'. Remove checks on the three tax toggles. Otherwise, keep defaults. Then click 'Save'. Your done with SQL-Ledger install, you can log-out now.

Install php-GACL

Quick Index Link.

1. Download phpgacl-3.3.6.tar.gz file from: http://sourceforge.net/project/showfiles.php?group_id=57103

2. Enter below bolded instructions on command line as root user:

#log into root

su

#unpack and place program in its proper place

cd /var/www/html

tar xvzf /location/to/file/phpgacl-3.3.6.tar.gz

mv phpgacl-* phpgacl

#create the mySQL database

mysql

At mysql> prompt type:

CREATE DATABASE gacl;

exit

3. Start phpGACL Installer via : http://localhost/phpgacl/setup.php

Close the window. (Don't worry, we will make the 'Important' directory below.)

4. Enter below bolded instructions on command line as root user:

#log into root

su

#make a phpgacl/admin/templates_c directory, and change owner

mkdir /var/www/html/phpgacl/admin/templates_c

chown -R apache:apache /var/www/html/phpgacl/admin/templates_c

#edit file /var/www/html/openemr/library/acl.inc:

mcedit /var/www/html/openemr/library/acl.inc

#uncomment and edit following line:

$phpgacl_location = "/var/www/html/phpgacl";

TEXT EDITOR SAVE AND EXIT

#Password protect the /var/www/html/phpgacl/admin directory. Will need to: FIRST add entry to apache2 config file, SECOND create a password file, and THIRD re-start apache.

#FIRST, edit file /etc/httpd/conf/httpd.conf:

mcedit /etc/httpd/conf/httpd.conf

#paste following section at end of file:

<Directory "/var/www/html/phpgacl/admin">

AuthType Basic

AuthName "ACL Administrators"

AuthUserFile /var/www/html/phpgacl/admin/.htpasswd

Require valid-user

</Directory>

TEXT EDITOR SAVE AND EXIT

#SECOND, create the password file(file is .htpasswd and user is admin)

cd /var/www/html/phpgacl/admin

htpasswd -c /var/www/html/phpgacl/admin/.htpasswd admin

-Type in a secure password

#THIRD, Re-start apache

service httpd restart

5. Configure phpGACL to use OpenEMR via: http://localhost/openemr/acl_setup.php

Close window.

6. Start phpGACL via: http://localhost/phpgacl/admin/acl_admin.php

Log in as 'admin', and with password created by the above htpasswd command.

Close window. Learn how to use later. (Your OpenEMR 'admin' user is already configured as an administrator).

Configure SSL

Quick Index Link.

1. SSL is very important, and will ensure encryption of all network traffic. This will allow safe use of a laptop over a wireless network. The protocol uses https instead of http and utilizes port 443 instead of 80. Only two configuration files will need changing. We will also firewall port 80 to ensure that the only available option will be an encrypted connection.

2. Enter below bolded instructions on command line as root user:

#log into root

su

#Edit file /var/www/html/openemr/includes/config.php. This will fix the SQL-Ledger link in the OpenEMR billing page.

mcedit /var/www/html/openemr/includes/config.php

#edit following line (yes, you're just adding an 's'):

$GLOBALS['oer_config']['ws_accounting']['url_path'] = "https://" .

$_SERVER["SERVER_NAME"] . "/sql-ledger/login.pl";

TEXT EDITOR SAVE AND EXIT

#Edit file /etc/httpd/modules.d/41_mod_ssl.default-vhost.conf.

This will ensure only high level secure encryption is used.

mcedit /etc/httpd/modules.d/41_mod_ssl.default-vhost.conf

#REMOVE the entire line below:

SSLCipherSuite ALL:!ADH:!EXPORT56:RC4+RSA:+HIGH:+MEDIUM:+LOW:+SSLv2:+EXP

#PASTE all of below in place of the above removed line:

SSLOptions +StrictRequire

<Directory />

SSLRequireSSL

</Directory>

SSLProtocol -all +TLSv1 +SSLv3

SSLCipherSuite HIGH:MEDIUM:!aNULL:+SHA1:+MD5:+HIGH:+MEDIUM

TEXT EDITOR SAVE AND EXIT

#Re-start apache

service httpd restart

1. Firewall port 80

Click 'System' -> 'Configuration' -> 'Configure Your Computer'.

Enter 'root' user password. Then click 'OK'.

Click 'Security'.

Click 'Set up a personal...'

Ensure 'Web Server' is NOT selected. Then Click on 'Advanced'.

Enter 'Other ports' -> '443/tcp 443/udp'. Then click 'Ok'.

Click 'Ok'. Keep defaults.

Click 'Ok'. Keep defaults.

You are done. Close the window.

Using OpenEMR from 'localhost'

Quick Index Link.

1. Use OpenEMR with the your previously created user name(likely 'admin') and default password 'pass' at: https://localhost/openemr
2. Use SQL- Ledger at: https://localhost/sql-ledger
3. Use php-GACL at: https://localhost/phpgacl/admin

Using OpenEMR from another/virtual computer

Quick Index Link.

1. Networking with the Virtual computer over a LAN. You can get the current IP address thru Mandriva settings, and then use that IP address as the web address in another computers(including virtual) web browser.
   1. First, get your IP address:

Click 'System' -> 'Configuration' -> 'Configure Your Computer'.

Enter 'root' user password. Then click 'OK'.

Click 'Network & Internet'.

Click 'Reconfigure a network interface'.

The circled number above is your Your_Current_IP_address.

2. Then you can use below links to connect to your server
   1. OpenEMR at https://Your_Current_IP_address/openemr
   2. SQL-Ledger at https://Your_Current_IP_address/sql-ledger
   3. php-GACL at https://Your_Current_IP_address/phpgacl/admin

2. You can also change your IP address to a static one, so it doesn't change after the computer is turned off. I'm out of time, so can't go thru it. You'll have to Google this one (It can be changed in above window by clicking on the Protocol toggle and selecting static, then you can choose an IP address, however then you need to type in DNS servers and you need to ensure your router does not assign any other computers your chosen static IP address)

Printer Setup

Quick Index Link.

1. For USB printers, you will need to connect the device by clicking on printer on top of window. Your host computer may no longer be able to see the printer after this step(not permanent, but can be a pain).

In my case I click on the 'Hewlett-Packard...' button at top of VMware window.

This is just to demonstrate that the 'Hewlett-Packard...' button is now shaded.

2. Then install software and printer via Mandriva Control Center, which will first install CUPS, and then look for printers. If your lucky, Mandriva will see your printer.

Click 'System' -> 'Configuration' -> 'Configure Your Computer'.

Enter 'root' user password. Then click 'OK'.

Click 'Hardware'

Click 'Set up the printer(s)...'.

Click 'Yes'.

Select 'Local CUPS printing system'. Then click 'Ok'.

Click 'Yes'.

Just twiddle your thumbs and wait, it takes a while.

Click 'Add Printer'.

Select both auto-detect options. Then Click 'Next'.

No big deal. Close the windows and we will install the printer below thru CUPS.

3. If the above step found your printer, then you can skip to the section below which will have you place the name of the printer into the openemr config file (this will allow printing while creating billing forms via freeb). If Mandriva can't find the printer, don't worry, we will install it via CUPS directly at: http://localhost:631/

Click 'Manage Printers'.

Click 'Add Printer'.

Enter 'User Name' -> 'root'. Enter the root password. Then click 'OK'.

Fill in form, and then click 'Conttinue'. The only important field is the 'Name'. This will be used later when configuring printer for freeb/openemr.

In my case I am selecting the 'USB Printer #1'. If your using a USB printer, this will likely work.

Click 'Continue'.

Select the make of your printer. Then click 'Continue'.

Select the model of your printer. Then click 'Continue'.

It Worked!! Click printer name to see more specifics on your newly added printer.

Done installing printer. I'd rec. testing it with 'Print Test Page'.

4. Confirm seen in Mandriva and get your printer name:

Your printer name is underlined with red line. This will be typed into the below freeb/openemr configuration file.

5. Enter below bolded instructions on command line as root user:

#log into root

su

#edit file /var/www/html/openemr/includes/config.php:

mcedit /var/www/html/openemr/includes/config.php

#change bolded variable to the name of your printer

$GLOBALS['oer_config']['freeb']['printer_name'] = "YourPrinterName";

TEXT EDITOR SAVE AND EXIT

Email Server Setup

Quick Index Link.

1. This will allow only locally produced emails (such as “status” emails during the below 'backup script') to be sent over the internet.

2. Need to update a package called 'msec' if you want to avoid an error email per minute(not exaggerating)
   1. Enter below bolded instructions on command line as root user:

#log into root

su

#Start MandrivaUpdate

MandrivaUpdate

Click 'Yes'.

Click 'Yes'.

Click 'Ok'. (just select the default mirror)

Type 'msec' and click 'Search'.

Select 'msec-0.49.1-...'. Then click 'Install'.

Your done. Close the window.

3. Enter below bolded instructions on command line as root user:

#log into root

su

#This will allow outgoing mail from server.

# Just made up virtual.org, this can be

# anything since this is only an outgoing

# email server. (It does not need to match

# your domain or server name.)

#edit config file /etc/postfix/main.cf:

mcedit /etc/postfix/main.cf

#add to end of file

mydomain = virtual.org

myhostname = $mydomain

myorigin = $mydomain

relayhost = YourOutgoingSMTPMailServerHere

#This will forward the root's email to

# the below email address (needed to

# monitor server emails such as below

# backup script status)

#edit aliases file /etc/postfix/aliases:

mcedit /etc/postfix/aliases

#edit near end of file:

root: YourFullEmailAddressHere

#start postfix service and configure to start on computer boot up

service postfix start

chkconfig --add postfix

Automatic Backup Setup

Quick Index Link.

1. This will enable a full daily backup of the MySQL server, PostGreSQL server, OpenEMR patient documents directory, and FreeB billing documents directory. The script will place a non-encrypted backup in the local hard drive secured /backup directory, and will also copy an encrypted backup to a DVD. The DVD copy works via multi-session, so you basically just need to leave one DVD in the DVD writer until it fills up. Do NOT use RW DVD. This script will work and should be used with R only DVD's. The output of the automated backup script will be emailed to the person's email entered in above email server setup.
   1. The local /backup directory will have to be manually cleaned up occasionally. I'd recommend deleting old backup sub-directories on a monthly basis or so. (of course, a script could be written for this)
   2. There is no restore script yet, will have to be done manually.
   3. The MySQL and PostGreSQL are gzipped. The ...openemr/documents and .../freeb/public backups are compressed via DAR (NOT tar).

2. Download the script file fullbackup.sh. File can be found at: http://bradymd.com/fullbackup.sh (to download file, you may need to Right-Click the link and select 'Save Link As...')

3. Configure file encryption package:
   1. Enter below bolded instructions on command line as root user:

#log into root

su

#Configure file encryption. If you want to be able to decrypt your encrypted files you need to remember (case sensitive) the passphrase that you type below. I'd also remember all the other info you type below.

gpg --gen-key

-'ENTER' to default of 1 for key selection

-'ENTER' to default 2048 keysize bits

-'ENTER' to default '0' so key does not expires

-Type 'Y' to confirm above

-Type your real full name

-Type your real email address

-Type 'openemr secure backup key'

-Type 'O' to confirm

-Type a very secure and long 'passphrase' (the longer your passphrase is the more secure, go for at least 15 characters with numbers, different cases, and strange characters)

#IMPORTANT!!! You NEED to backup the entire contents of directory /root/.gnupg on the most indestructible disk(s) you can find and then keep in a very secure place. This directory contains your secret key file, and without this you will be unable to restore from your encrypted data backup!!! You also need to remember your passphrase, or you won't be able to restore your backed up data.

#The decrypt command, in case you need at some point:

#gpg -o OutputFilename -d InputFilename

4. Configure backup script and automate it:
   1. Enter below bolded instructions on command line as root user:

#log into root

su

#install the DAR backup package

urpmi dar

-yes to packages

#create a secure backup directory

mkdir /backup

chown root:root /backup

chmod 700 /backup

#move the backup script to /root , secure it, and allow execution

mv /location/to/file/fullbackup.sh /root

chown root:root /root/fullbackup.sh

chmod 700 /root/fullbackup.sh

#edit file /root/dailybackup.sh:

mcedit /root/fullbackup.sh

#edit the below DVDDEVICE line to what the

#device for the DVD writer is. It is likely going to

#be /dev/hda , /dev/hdb , /dev/hdc ... A very

#non-scientific way to figure this out is to put

#a DVD with files in the DVD writer, go to root

#command line and then use the

#'mount /dev/hda /mnt/cdrom1'

#command then 'ls /mnt/cdrom1', and continue

#this until you get the right device,

#don't forgot to 'umount /mnt/cdrom1':

DVDDEVICE=/dev/hdb

#edit full name you entered above for encryption key:

YOURFULLNAME='Full Name'

TEXT EDITOR SAVE AND EXIT

#Automate script to cron for a daily run at 1:02 AM. WARNING: This script needs to finish and start on the same day since it plays around with file names using the date command. Basically, don't start this script before midnight unless you are sure it will finish before midnight. This is why I have it set for 1:02AM.

export EDITOR=/usr/bin/mcedit

crontab -e

#paste below into empty file:

02 1 * * * . /root/fullbackup.sh

TEXT EDITOR SAVE AND EXIT

Helpful Tips

Quick Index Link.

1. NEED to mark bills as 'cleared' (even after hfca processing) on the billing menu to send data to sql-ledger.
2. NEED to leave the the 'Prior Authorization Form' installed and disabled for the hfca form printing to work.
3. NEED to also create your new OpenEMR users in php-GACL or strange things will happen. (I refer you to below OpenEMR User Training section on how to do this.)
4. NEED to ensure clock is set correctly (Virtual computer should not differ from host computer, or there will be cron scheduling problems)
5. NEED to ensure your provider is authorized or you won't be able to send bills to sql-ledger. It's confusing because there are two different authorization options. Screenshots below go thru the process:

Click 'Administration'.

Click 'edit'.

Ensure 'the Authorized:' toggle is on. Ensure the 'See Authorizations:' is set to 'All' or 'only mine'. Then click 'Save Changes'.

OpenEMR User Training

Quick Index Link.

1. There is an excellent web site for learning how to use all of the components of OpenEMR at: http://www.sunsetsystems.com/node/8
2. The above link is also mirrored at the following wiki site, which means it could theoretically contain updates: http://www.oemr.org/modules/cjaycontent/index.php?id=2
3. There is also an older user manual in the /var/www/html/openemr/Documentation directory which can be helpful.
4. You can ask question as the SourceForge OpenEMR forum at: http://sourceforge.net/forum/?group_id=60081
5. The OpenEMR home page is here with a wiki and a new forum: http://www.oemr.org/

MirrorMed

Main TOC Link.

Installation on Mandriva 2006 Virtual Computer

1. See the above instructions(Part III, Building Virtual Computers, Mandriva) on installing the Mandriva Virtual Computer

2. The MirrorMed package will require the following software:
   1. Apache, MySQL, and PHP4
   2. MirrorMed

3. First we need to install Apache, MySQL, and PHP4.
   1. OpenMed requires PHP4. You shouldn't of installed PHP5, since you should not of selected any server packages during the Mandriva install(then you can disregard this, and skip to step 2). However if you have PHP5 on your system then use below bolded instructions on command line as root user:

#log into root

su

#list all the php5 packages

urpme php

#remove them all by pasting in all of the php packages below

urpme (paste)

2. Enter below bolded instructions on command line as root user :

#log into root

su

#Install apache, php, mysql

urpmi apache php4-cli apache-mod_php4 apache-mod_ssl php4-mysql php4-xml php4-xmlrpc htmldoc mysql

-I chose 1- apache-mpm-prefork-2.0.54-13mdk.i586

-I chose 1- MySQL-4.1.12-3mdk.i586

-choose Yes to packages

#start apache and mysql

service httpd start

service mysqld start

#enables apache and mysql to start during boot-up

chkconfig --add httpd

chkconfig --add mysqld

3. Open the firewall for the web server:

Click 'System' -> 'Configuration' -> 'Configure Your Computer'.

Click 'Security'.

Click 'Set up a personal firewall...'.

Select 'Web Server'. Then click 'OK'.

Click 'OK'.

Click 'Ok'. Keep defaults.

You are done. Close the window.

4. Install MirrorMed
   1. Download MirrorMed software from www.mirrormed.com (version-1.0RC2)
   2. Enter below bolded instructions on command line as root user:

#log into root

su

#edit file /etc/php4.ini

mcedit /etc/php4.ini

#edit bolded variables:

change post_max_size = 30M

change upload_max_filesize = 30M

change memory_limit = 128M

change max_execution_time = 45

change register_globals = off

change magic_quotes_gpc = off

TEXT EDITOR SAVE AND EXIT

#restart httpd

service httpd restart

#put program in its place and change permission

cd /var/www/html

tar xzvf /location/to/file/mirrormed*.tgz

mv mirrormed* /var/www/html/mirrormed

chown -R apache:apache /var/www/html/mirrormed

#change permission of /tmp to avoid mirrormed permission errors

chmod a+r /tmp

3. Then run Auto-Installer via link: https://127.0.0.1/mirrormed

Enter 'Database Username'->root. Leave 'Database Password' empty. 'Database Server'->localhost. 'Database Name'->mirrormed. Then click 'Save'.

Click 'Continue'

Toggle ON 'Codes Icd9'. Then click 'Install File'.

Toggle ON 'Codes Hcpcs'. Then click 'Install File'.

FreeMed

Main TOC Link.

Installation on Kubuntu 5.1(breezy) Virtual Computer

1. See the above instructions(Part III, Building Virtual Computers, Kubuntu) on installing the Kubuntu 5.1 Virtual Computer.

2. The FreeMed package requires the following software:
   1. Apache, MySQL, and PHP4
   2. FreeMed
   3. Remitt – insurance billing (optional)

4. Install FreeMed

1. The FreeMed .deb and .rpm files don't work. We will just download the tar version for a manual install.
2. First, download freemed-0.8.2.tar.gz(version 0.8.2) from here: http://sourceforge.net/project/showfiles.php?group_id=1428
3. Enter below bolded instructions on command line:

#edit /etc/apt/sources.list:

sudo nano /etc/apt/sources.list

#Comment out the DVD/CD repository on top line:

## deb cdrom:[Kubuntu 5.10 _Breezy Badger...

#Uncomment the 'universe' repositories

deb http://us.archive.ubuntu.com/ubuntu breezy universe

deb-src http://us.archive.ubuntu.com/ubuntu breezy universe

#Otherwise, leave defaults

TEXT EDITOR SAVE AND EXIT

#update the repository list

sudo apt-get update

#Install Apache, MySQL, PHP4 and all the other needed packages(dependencies)

sudo apt-get -y install mysql-server-4.1 php4 php4-gd php4-cli php4-mysql apache2 libapache2-mod-php4 libxml-parser-perl libtext-iconv-perl djvulibre-bin netpbm imagemagick tetex-bin tetex-extra cupsys cupsys-client gs-common php4-cgi xpdf-utils

-I chose “local only” on postfix question

#put freemed in its place

cd /usr/share

sudo tar zxvf /location/to/tarball/freemed-0.8.2.tar.gz

sudo mv freemed-* freemed

#change ownership of freemed directory

sudo chown -Rf www-data:www-data /usr/share/freemed

#edit file /etc/php4/apache2/php.ini:

sudo nano /etc/php4/apache2/php.ini

#edit bolded variables:

change post_max_size = 30M

change upload_max_filesize = 30M

change memory_limit = 128M

change max_execution_time to 45

ensure register_globals is off

ensure magic_quotes_gpc is on

TEXT EDITOR SAVE AND EXIT

#edit file /usr/share/freemed/lib/settings.php:

sudo nano /usr/share/freemed/lib/settings.php

set username and password at end of file

TEXT EDITOR SAVE AND EXIT

#edit file /etc/apache2/apache2.conf:

sudo nano /etc/apache2/apache2.conf

#add index.php following DirectoryIndex as below:

DirectoryIndex index.php (et cetera...)

#Uncomment below lines:

AddType application/x-httpd-php .php

AddType application/x-httpd-php-source .phps

#Paste all of below at end of file:

Alias /freemed /usr/share/freemed

<Directory /usr/share/freemed>

Options Indexes Includes ExecCGI MultiViews FollowSymLinks

AllowOverride All

Order allow,deny

allow from all

</Directory>

TEXT EDITOR SAVE AND EXIT

#re-start apache

sudo /etc/init.d/apache2 restart

4. Auto-Installer via: http://127.0.0.1/freemed/ Do NOT use 'localhost' or you will get the dreaded “blank screen”!!!
   1. (pictures)

5. Install Remitt

1. Download remitt_0.3.1-1_all.deb(version 0.3.1) from here: http://sourceforge.net/project/showfiles.php?group_id=1428
2. Enter below bolded instructions on command line:

#install Remitt, dependencies are all automatically installed.

sudo dpkg -i /location/to/file/remitt_0.3.1-1_all.deb

sudo apt-get -fy install

#Create Remitt username and password

cd /usr/share/remitt

sudo ./bin/sqlite_user_admin.pl create username password

3. Now configure FreeMed to use Remitt.
   1. Go to http://127.0.0.1/freemed/
   2. log-in
   3. (picture)
   4. 'administration'
   5. (picture)
   6. 'configuration'
   7. (picture)
   8. click 'Remitt Billing System'

Use defaults and click 'Configure' (confirm)

-check to ensure billing running by clicking 'main' (picture) 'billing' (picture)

Ensure it states near top of screen 'REMITT Server Running'

TO DO:

1.Finish pictures

VistA

Main TOC Link.

Installation on Mandriva 2006 Virtual Computer

Required Software for Installation

Quick Index Link.

1. SemiVivaFOIA Gold bundle
   1. Includes the VA FOIA
   2. Also includes GT.M (MUMPS compiler)

Install the Mandriva2006 Virtual Computer

Quick Index Link.

1. Follow the above instructions in (Part III, Building Virtual Computers, Mandriva).

Install VistA

Quick Index Link.

1. Download OpenVistASemiVivAFOIAGold20050825.tgz from: http://prdownloads.sourceforge.net/worldvista

2. Enter below bolded instructions on command line as root user:

#log in to root

su

#Create a vista user and password

useradd vista

passwd vista

-Type a new secure password for your new vista user

#Make a log directory and change ownership to vista user

mkdir /home/vista/log

chown vista:vista /home/vista/log

#Create healthy environment by editing file /home/vista/.bashrc:

mcedit /home/vista/.bashrc

#DELETE all the text in file, then PASTE all of below into file:

# .bashrc

# Get the aliases and functions

if [ -f ~/bashrc ]; then

. ~/bashrc

fi

# User specific environment and startup programs

PATH=$PATH:$HOME/bin

unset USERNAME

## OpenVistA specific environment ##

export gtm_dist=/usr/local/gtm

export gtm_log=/home/vista/log

export gtmgbldir=/home/vista/g/mumps.gld

export gtm_vista=/home/vista/

export vista_home=/home/vista

export gtmroutines="$vista_home/o($vista_home/r) $gtm_dist"

alias GTM="$gtm_dist/mumps -direct"

alias gtm="$gtm_dist/mumps -direct"

alias mupip="$gtm_dist/mupip"

alias gde="$gtm_dist/mumps -r ^GDE"

alias lke="$gtm_dist/lke"

alias dse="$gtm_dist/dse"

alias rundown="$gtm_dist/mupip rundown -r \"*\""

export PATH=$PATH:$gtm_dist

TEXT EDITOR SAVE AND EXIT

#make a garbage directory and move into it

mkdir /tmp/openvista

cd /tmp/openvista

#extract OpenVistASemiVivAFOIAGold20050212.tgz file:

tar -xzvf /to/location/of/OpenVistASemiVivAFOIAGold20050825.tgz

#gtm and OpenVistA are now just symbolic links. Since I don't like links... lets just get rid of them

rm -f gtm

rm -f OpenVistA

#change names of directories

mv gtm* gtm

mv FOIAVistA* OpenVistA

#change the permissions

chown -R root:root gtm

chown -R vista:vista OpenVistA

#put the files in their proper places

mv gtm /usr/local/

mv OpenVistA/* /home/vista/

#unpackage one more file

cd /home/vista/g

gunzip mumps.dat.gz

#remove the garbage directory

rm -rf /tmp/openvista

#Now log out of X-windows. Log back in as 'vista' user. Then continue below in 'configure vista' section.

Start VistA

Quick Index Link.

1. Enter below bolded instructions on command line as vista user:

#start vista

gtm

Basic configuration of VistA

Quick Index Link.

1. This consist of setting up MUMPS routines, a domain, an admin user, taskman, mailman, an RPC broker, and CPRS keys. This HowTo is emulating two other tutorials written by Mark Street and Nancy Anthracite.

LEGEND:

INPUT – This color is for user input.

SPECIAL – This color will be explained by my comments.

COMMENTS – This color will contain comments.

Default to the 'ENTER' key if no specific instructions

## First, lets set up the MUMPS routines

GTM>D ^ZTMGRSET

ZTMGRSET Version 8.0 **34,36,69,94,121,127,136,191,275**

HELLO! I exist to assist you in correctly initializing the current account.

THIS MAY NOT BE THE MANAGER UCI.

I think it is VAH,ROU. Should I continue anyway? N//YES

I think you are using GT.M (Unix)

Which MUMPS system should I install?

1 = VAX DSM(V6), VAX DSM(V7)

2 = MSM-PC/PLUS, MSM for NT or UNIX

3 = OpenM for NT, Cache/NT, Cache/VMS

4 = Datatree, DTM-PC, DT-MAX

5 = MVX,ISM VAX

6 = ISM (UNIX, Open VMS)

7 = GT.M (VMS)

8 = GT.M (Unix)

System: 8//8

I will now rename a group of routines specific to your operating system.

Routine: ZOSVGUX Loaded, Saved as %ZOSV

Routine: ZTBKCGUX Missing

Routine: ZIS4GTM . S (%,%1)=$ZGETDVI($I,"TT_ACCPORNAM")

^-----

At column 14, line 44, source module /home/vista/r/ZIS4GTM.m

%GTM-E-FNOTONSYS, Function or special variable is not supported by this operating system

Loaded, Saved as %ZIS4

Routine: ZISFGUX Missing

Routine: ZISHGUX Loaded, Saved as %ZISH

Routine: XUCIGTM Loaded, Saved as %XUCI

Routine: ZISETGUX Missing

Routine: ZOSV2GTM Loaded, Saved as %ZOSV2

Routine: ZISTCPS O NIO:(:SOCK:"AT"::512:512:10):30 Q:'$T S POP=0 U NIO

^-----

At column 9, line 25, source module /home/vista/r/ZISTCPS.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

J CHILDONT^%ZISTCPS(NIO,RTN):(:4:NIO:NIO):10 S %ZA=$ZA

^-----

At column 32, line 30, source module /home/vista/r/ZISTCPS.m

%GTM-E-JOBPARUNK, Job parameter unknown

U IO:(::"-M") ;Work like DSM

^-----

At column 8, line 36, source module /home/vista/r/ZISTCPS.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

Loaded, Saved as %ZISTCPS

NAME OF MANAGER'S UCI,VOLUME SET: VAH,ROU//

The value of PRODUCTION will be used in the GETENV api.

PRODUCTION (SIGN-ON) UCI,VOLUME SET: VAH,ROU//

The VOLUME name must match the one in PRODUCTION.

NAME OF VOLUME SET: ROU//

The temp directory for the system: '/tmp/'//

^%ZOSF setup

Now to load routines common to all systems.

Routine: ZTLOAD Loaded, Saved as %ZTLOAD

Routine: ZTLOAD1 Loaded, Saved as %ZTLOAD1

Routine: ZTLOAD2 Loaded, Saved as %ZTLOAD2

Routine: ZTLOAD3 Loaded, Saved as %ZTLOAD3

Routine: ZTLOAD4 Loaded, Saved as %ZTLOAD4

Routine: ZTLOAD5 Loaded, Saved as %ZTLOAD5

Routine: ZTLOAD6 Loaded, Saved as %ZTLOAD6

Routine: ZTLOAD7 Loaded, Saved as %ZTLOAD7

Routine: ZTM Loaded, Saved as %ZTM

Routine: ZTM0 Loaded, Saved as %ZTM0

Routine: ZTM1 Loaded, Saved as %ZTM1

Routine: ZTM2 Loaded, Saved as %ZTM2

Routine: ZTM3 Loaded, Saved as %ZTM3

Routine: ZTM4 Loaded, Saved as %ZTM4

Routine: ZTM5 Loaded, Saved as %ZTM5

Routine: ZTM6 S ZTNAME=$ZC(%GETJPI,ZTPID,"PRCNAM") Q:ZTNAME["Sub"

^-----

At column 12, line 75, source module /home/vista/r/ZTM6.m

%GTM-E-FNOTONSYS, Function or special variable is not supported by this operating system

S ZTSTATE=$ZC(%GETJPI,ZTPID,"STATE")

^-----

At column 13, line 76, source module /home/vista/r/ZTM6.m

%GTM-E-FNOTONSYS, Function or special variable is not supported by this operating system

Loaded, Saved as %ZTM6

Routine: ZTMS Loaded, Saved as %ZTMS

Routine: ZTMS0 Loaded, Saved as %ZTMS0

Routine: ZTMS1 Loaded, Saved as %ZTMS1

Routine: ZTMS2 Loaded, Saved as %ZTMS2

Routine: ZTMS3 Loaded, Saved as %ZTMS3

Routine: ZTMS4 Loaded, Saved as %ZTMS4

Routine: ZTMS5 Loaded, Saved as %ZTMS5

Routine: ZTMS7 Loaded, Saved as %ZTMS7

Routine: ZTMSH Loaded, Saved as %ZTMSH

Routine: ZTER I ^%ZOSF("OS")["OpenM" D SAVE("$ZU(56,2)",$ZU(56,2))

^-----

At column 45, line 29, source module /home/vista/r/ZTER.m

%GTM-E-INVFCN, Invalid function name

Loaded, Saved as %ZTER

Routine: ZTER1 S @%ZTERRT@("J")=$J_"^"_$ZC(%GETJPI,0,"PRCNAM")_"^"_$ZC(%GETJPI,0,"USERNAME")_"^"_%ZTER11I_"^"_$ZC(%SYSFAO,"!XL",$J),@%ZTERRT@("I")=$IO_"^"_$ZA_"^"_$ZB_"^"_$ZIO K %ZTER11I

^-----

At column 27, line 4, source module /home/vista/r/ZTER1.m

%GTM-E-FNOTONSYS, Function or special variable is not supported by this operating system

S @%ZTERRT@("ZH")=$TR($ZH,",","^")

^-----

At column 25, line 5, source module /home/vista/r/ZTER1.m

%GTM-E-INVSVN, Invalid special variable name

S %ZTER111="%" F D S %ZTER111=$ZSORT(@%ZTER111) Q:%ZTER111="" ;Code from DEC

^-----

At column 35, line 6, source module /home/vista/r/ZTER1.m

%GTM-E-INVFCN, Invalid function name

Loaded, Saved as %ZTER1

Routine: ZIS Loaded, Saved as %ZIS

Routine: ZIS1 Loaded, Saved as %ZIS1

Routine: ZIS2 Loaded, Saved as %ZIS2

Routine: ZIS3 Loaded, Saved as %ZIS3

Routine: ZIS5 Loaded, Saved as %ZIS5

Routine: ZIS6 Loaded, Saved as %ZIS6

Routine: ZIS7 Loaded, Saved as %ZIS7

Routine: ZISC Loaded, Saved as %ZISC

Routine: ZISP Loaded, Saved as %ZISP

Routine: ZISS Loaded, Saved as %ZISS

Routine: ZISS1 Loaded, Saved as %ZISS1

Routine: ZISS2 Loaded, Saved as %ZISS2

Routine: ZISTCP O NIO:(TCPCHAN,ADDRESS=IP):TO G:'$T NOOPN

^-----

At column 9, line 18, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

U NIO::"TCP" W /SOCKET(IP,SOCK) I $KEY="" C NIO G NOOPN

^-----

At column 8, line 23, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

I $$VERSION^%ZOSV'<5 S %A=$ZUTIL(68,55,1)

^-----

At column 29, line 27, source module /home/vista/r/ZISTCP.m

%GTM-E-INVFCN, Invalid function name

O NIO:(IP:SOCK:"-M"::512:512):TO G:'$T NOOPN ;Make work like DSM

^-----

At column 9, line 29, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

I %ZISOS["DSM",%ZISV'<7 S NIO="SYS$NET" O NIO:(TCPDEV):5 D:$T VAR(NIO)

^-----

At column 49, line 63, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

U NIO::"TCP" W /SOCKET("",SOCK)

^-----

At column 8, line 102, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

O NIO:(:SOCK:"AT"::512:512:3):30 Q:'$T S POP=0

^-----

At column 9, line 110, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

U NIO:(::"-M") ;Work like DSM

^-----

At column 9, line 116, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

S NIO=SOCK O NIO:(TCPCHAN):30 Q:'$T S POP=0

^-----

At column 20, line 121, source module /home/vista/r/ZISTCP.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

Loaded, Saved as %ZISTCP

Routine: ZISUTL Loaded, Saved as %ZISUTL

Routine: ZTPP Loaded, Saved as %ZTPP

Routine: ZTP1 Loaded, Saved as %ZTP1

Routine: ZTPTCH Loaded, Saved as %ZTPTCH

Routine: ZTRDEL Loaded, Saved as %ZTRDEL

Routine: ZTMOVE Loaded, Saved as %ZTMOVE

Want to rename the FileMan routines: No//YES

Routine: DIDT Loaded, Saved as %DT

Routine: DIDTC Loaded, Saved as %DTC

Routine: DIRCR Loaded, Saved as %RCR

Setting ^%ZIS('C')

Now, I will check your % globals...........

ALL DONE

## Initialize Fileman

GTM>D ^DINIT

VA FileMan V.22.0

Initialize VA FileMan now? NO//YES

SITE NAME: TECHNICAL INTEGRATION SERVICE// BRADYMD VISTA

## Write down the below SITE NUMBER that you enter. You

## will need this number later on when you type in an

## Institution and Medical Center name.

SITE NUMBER: 50// 4321..........................

Now loading MUMPS Operating System File....

Now loading DIALOG and LANGUAGE Files...........................................

...............

TYPE OF MUMPS SYSTEM YOU ARE USING: CACHE/OpenM// GT.M

1 GT.M(UNIX)

2 GT.M(VAX)

CHOOSE 1-2: 1 GT.M(UNIX)

Now loading other FileMan files--please wait....................................

................................................................................

................................................................................

................

..........

The following files have been installed:

.11 INDEX

.2 DESTINATION

.31 KEY

.4 PRINT TEMPLATE

.401 SORT TEMPLATE

.402 INPUT TEMPLATE

.403 FORM

.404 BLOCK

.44 FOREIGN FORMAT

.46 IMPORT TEMPLATE

.5 FUNCTION

.6 DD AUDIT

.7 MUMPS OPERATING SYSTEM

.81 DATA TYPE

.83 COMPILED ROUTINE

.84 DIALOG

.85 LANGUAGE

1 FILE

1.1 AUDIT

1.11 ARCHIVAL ACTIVITY

1.12 FILEGRAM HISTORY

1.13 FILEGRAM ERROR LOG

1.2 ALTERNATE EDITOR

1.521 SQLI_SCHEMA

1.52101 SQLI_KEY_WORD

1.5211 SQLI_DATA_TYPE

1.5212 SQLI_DOMAIN

1.5213 SQLI_KEY_FORMAT

1.5214 SQLI_OUTPUT_FORMAT

1.5215 SQLI_TABLE

1.5216 SQLI_TABLE_ELEMENT

1.5217 SQLI_COLUMN

1.5218 SQLI_PRIMARY_KEY

1.5219 SQLI_FOREIGN_KEY

1.52191 SQLI_ERROR_TEXT

1.52192 SQLI_ERROR_LOG

Re-indexing entries in the DIALOG file.....................

Compiling all forms ...

DICATT (#.001)

DIPTED (#.1001)

DIKC EDIT (#.1101)

DIKC EDIT UI (#.1102)

DIKK EDIT (#.3101)

DIBTED (#.40001)

DIETED (#.40101)

DIEDIT (#.40201)

DDGF BLOCK EDIT (#.40301)

DDGF PAGE ADD (#.40302)

DDGF PAGE EDIT (#.40303)

DDGF PAGE SELECT (#.40304)

DDGF FORM EDIT (#.40305)

DDGF HEADER BLOCK EDIT (#.40306)

DDGF FIELD ADD (#.40401)

DDGF FIELD CAPTION ONLY (#.40402)

DDGF FIELD DD (#.40403)

DDGF FIELD FORM ONLY (#.40404)

DDGF FIELD COMPUTED (#.40405)

DDGF BLOCK ADD (#.40406)

DDGF BLOCK DELETE (#.40407)

DDGF HEADER BLOCK SELECT (#.40408)

DDXP FF FORM1 (#.441)

DDMP SPECIFY IMPORT (#.461)

XPD EDIT BUILD (#1)

XUEDIT CHARACTERISTICS (#2)

XUEXISTING USER (#3)

XUDEVICE MT (#4)

XUDEVICE SDP (#5)

XUDEVICE SPL (#6)

XUDEVICE HFS (#7)

XUDEVICE CHAN (#8)

XU OPTION SCHEDULE (#9)

XUSERDEACT (#10)

XUTM UCI ASSOC (#11)

XUSITEPARM (#12)

XUAUDIT (#13)

XUREACT USER (#14)

PRSA TD EDIT (#15)

PRSA OT REQ (#16)

PRSA TD DISP (#17)

PRSA TL EDIT (#18)

PRSA TL DISP (#19)

PRSA LV REQ (#20)

PRSA ED REQ (#21)

PRSA VC POST (#22)

PRSA PM POST (#23)

PRSA TD TL (#24)

PRSA TP POST1 (#25)

PRSA TE EDIT (#26)

PRSA FEE POST (#27)

NURA-I-SERVICE (#28)

XU-PERSON CLASS (#29)

XUNEW USER (#30)

SPNLPFM1 (#31)

SPNFFRM1 (#32)

SPNFFRM2 (#33)

SPNLPFM2 (#34)

XPD EDIT MP (#35)

XPD EDIT GP (#36)

PRCHQ1 (#37)

PRCHQ2 (#38)

PRCHQ3 (#39)

PRCHQ4 (#40)

PRCHQ5 (#41)

SPNLP FUN MES (#42)

SPNLP FIM FM1 (#43)

SPNLP CHART FM1 (#44)

SPNLP MS FM1 (#45)

SPNE ENTER/EDIT SYNONYM (#46)

LREPI (#47)

ENPR MS (#48)

ENPR ALL (#49)

ENPR PRELIM (#50)

ENPR AE (#51)

ENPR CO (#52)

ENPR CHG (#53)

ABSV ADD/EDIT MASTER (#54)

XQEDTOPT (#55)

XU-INST-EDIT (#56)

LREPIPROT (#57)

XUTMKE ADD (#58)

WV PROC-FORM-1 (#59)

WV NOTIF-FORM-1 (#60)

WV PATIENT-FORM-1 (#61)

WV NOTIF-FORM-2 (#62)

WV PROC-FORM-2-COLP (#63)

WV NOTIFPURPOSE-FORM-1 (#64)

WV SITE PARAMS-FORM-1 (#65)

WV REFUSED PROCEDURE-ENTRY (#66)

WV PROC-FORM-LAB (#67)

XDR RESFILE FORM (#68)

HL SITE PARAMETERS (#69)

PSB PRN EFFECTIVENESS (#70)

PSB MED LOG EDIT (#71)

PSBO DL (#72)

PSBO WA (#73)

PSBO ML (#74)

PSBO MM (#75)

PSBO PE (#76)

PSB MISSING DOSE REQUEST (#77)

PSBO MH (#78)

PSBO MV (#79)

PSB MISSING DOSE FOLLOWUP (#80)

PSBO BL (#81)

PSBO MD (#82)

PSB NEW UD ENTRY (#83)

PSB NEW IV ENTRY (#84)

HL7 APP (#85)

HL7 LOGICAL LINK (#86)

HL7 INTERFACE (#87)

SPNLP ASIA MES (#88)

PSB MED LOG EDIT IV (#89)

SPNLP FAM FM1 (#90)

SPNLP DIENER FM1 (#91)

SPNLP DUSOI FM1 (#92)

XU-CLINICAL TRAINEE (#93)

XUSSPKI (#94)

INSTITUTION EDIT (#95)

PRSA LD POST (#96)

XUDEVICE LPD (#97)

XUDEVICE TRM (#98)

KMPD PARAMETERS EDIT (#99)

LREPI9 (#100)

BPS EOB TO BATCH (#101)

BPS BPSOSPW (#102)

BPS INPUT 1 (#103)

PXRM DIALOG EDIT (#104)

INITIALIZATION COMPLETED IN 20 SECONDS.

## Begin to set up your DOMAIN

GTM>S DUZ=1

GTM>D Q^DI

VA FileMan 22.0

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: RACE// DOMAIN (17 entries)

EDIT WHICH FIELD: ALL//

Select DOMAIN NAME: VISTA.BRADYMD.COM

Are you adding 'VISTA.BRADYMD.COM' as a new DOMAIN (the 18TH)? No// YES

(Yes)

FLAGS: ^

Select DOMAIN NAME:

Select OPTION:

GTM>D CHRISTEN^XMUDCHR

* * * * WARNING * * * *

You are about to change the domain name of this facility

in the MailMan Site Parameters file.

Currently, this facility is named: VISTA.PLATINUM.MED.VA.GOV

You must be extremely sure before you proceed!

Are you sure you want to change the name of this facility? NO// YES

Select DOMAIN NAME: VISTA.PLATINUM.MED.VA.GOV// VISTA.BRADYMD.COM

The domain name for this facility is now: VISTA.BRADYMD.COM

PARENT: FORUM.VA.GOV//

TIME ZONE: MDT// PST PACIFIC STANDARD

FORUM.VA.GOV has been initialized as your 'parent' domain.

(Forum is usually the parent domain, unless this is a subordinate domain.)

You may edit the MailMan Site Parameter file to change your parent domain.

We will not initialize your transmission scripts.

Use the 'Subroutine editor' option under network management menu to add your

site passwords to the MINIENGINE script, and the 'Edit a script' option

to edit any domain scripts that you choose to.

## Determine the entry number of our DOMAIN. This number

## is in blue and will be used in the next section.

GTM>D Q^DI

VA FileMan 22.0

Select OPTION: 5 INQUIRE TO FILE ENTRIES

OUTPUT FROM WHAT FILE: DOMAIN//

Select DOMAIN NAME: VISTA.BRADYMD.COM

ANOTHER ONE:

STANDARD CAPTIONED OUTPUT? Yes// (Yes)

Include COMPUTED fields: (N/Y/R/B): NO// BOTH Computed Fields and Record Number

(IEN) . S (%,%1)=$ZGETDVI($I,"TT_ACCPORNAM")

^-----

At column 14, line 44, source module /home/vista/r/_ZIS4.m

%GTM-E-FNOTONSYS, Function or special variable is not supported by this operating system

NUMBER: 19 NAME: VISTA.BRADYMD.COM

LEVEL 1 NAME (c): COM LEVEL 2 NAME (c): BRADYMD.COM

LEVEL 3 NAME (c): VISTA.BRADYMD.COM LEVEL 4 NAME (c): VISTA.BRADYMD.COM

Select DOMAIN NAME:

Select OPTION:

## Re-direct some important system parameters to the

## DOMAIN entry number, which was determined above.

## The numbers in blue you type below should match the

## blue number above.

GTM>S $P(^XTV(8989.3,1,0),"^")=19

GTM>S $P(^XWB(8994.1,1,0),"^")=19

## Re-index a couple parameter files with the DOMAIN

GTM>D Q^DI

VA FileMan 22.0

Select OPTION: UTILITY FUNCTIONS

Select UTILITY OPTION: RE-INDEX FILE

MODIFY WHAT FILE: DOMAIN// KERNEL SYSTEM PARAMETERS (1 entry)

THERE ARE 13 INDICES WITHIN THIS FILE

DO YOU WISH TO RE-CROSS-REFERENCE ONE PARTICULAR INDEX? No// (No)

OK, ARE YOU SURE YOU WANT TO KILL OFF THE EXISTING 13 INDICES? No// YES (Yes)

DO YOU THEN WANT TO 'RE-CROSS-REFERENCE'? Yes// (Yes)

...EXCUSE ME, THIS MAY TAKE A FEW MOMENTS...

FILE WILL NOW BE 'RE-CROSS-REFERENCED'................

Select UTILITY OPTION: RE-INDEX FILE

MODIFY WHAT FILE: KERNEL SYSTEM PARAMETERS// RPC BROKER SITE PARAMETERS

(1 entry)

THERE ARE 5 INDICES WITHIN THIS FILE

DO YOU WISH TO RE-CROSS-REFERENCE ONE PARTICULAR INDEX? No// (No)

OK, ARE YOU SURE YOU WANT TO KILL OFF THE EXISTING 5 INDICES? No// YES (Yes)

DO YOU THEN WANT TO 'RE-CROSS-REFERENCE'? Yes// (Yes)

...SORRY, LET ME THINK ABOUT THAT A MOMENT...

FILE WILL NOW BE 'RE-CROSS-REFERENCED'......

Select UTILITY OPTION:

Select OPTION:

## We need to collect some information about the system.

## The command below will give us the UCI, VOLUME SET,

## NODE, BOX, and VOLUME. Please note the possible

## confusion between the similarly named VOLUME SET

## and VOLUME variable. The command below will return

## these values in the following format:

## UCI^VOLUMESET^NODE^BOX:VOLUME.

## The blue output below can be broken down then into

## UCI=VAH, VOLUME SET=ROU, NODE=localhost,

## BOX=ROU, VOLUME=localhost. You will likely have the

## same variables as me. However if you don't, then write

## yours down and ensure to substitute appropriately at the

## blue input values throughout the rest of this configuration.

GTM>D GETENV^%ZOSV W Y

VAH^ROU^localhost^ROU:localhost

## Enter a new VOLUME SET

GTM>D Q^DI

VA FileMan 22.0

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: VOLUME SET// VOLUME SET (1 entry)

EDIT WHICH FIELD: ALL//

Select VOLUME SET: ??

VISTA

You may enter a new VOLUME SET, if you wish

Answer should be the name of a volume set.

When each cpu can have only one volume set, this is also the cpu name.

Answer will be used in extended global references to reach this volume.

Select VOLUME SET: ROU

Are you adding 'ROU' as a new VOLUME SET (the 2ND)? No// YES (Yes)

TYPE: GENERAL PURPOSE VOLUME SET GENERAL PURPOSE VOLUME SET

INHIBIT LOGONS?: NO NO

LINK ACCESS?: YES YES

OUT OF SERVICE?: NO NO

REQUIRED VOLUME SET?: NO NO

TASKMAN FILES UCI: VAH

TASKMAN FILES VOLUME SET: ROU

REPLACEMENT VOLUME SET:

DAYS TO KEEP OLD TASKS: 4

SIGNON/PRODUCTION VOLUME SET: YES Yes

Select VOLUME SET:

## Set the BOX:VOLUME pair

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: VOLUME SET// TASKMAN SITE PARAMETERS

(1 entry)

EDIT WHICH FIELD: ALL//

Select TASKMAN SITE PARAMETERS BOX-VOLUME PAIR: ?

Answer with TASKMAN SITE PARAMETERS BOX-VOLUME PAIR:

VISTA:PLATINUM

You may enter a new TASKMAN SITE PARAMETERS, if you wish

Answer must be 3-30 characters in length.

The value for the current account is ROU:localhost

## Type the above 'value for the current account'(in blue) below

## We will also use this entry in the next section

Select TASKMAN SITE PARAMETERS BOX-VOLUME PAIR: ROU:localhost

Are you adding 'ROU:localhost' as

a new TASKMAN SITE PARAMETERS (the 2ND)? No// YES (Yes)

RESERVED:

LOG TASKS?: NO NO

DEFAULT TASK PRIORITY:

TASK PARTITION SIZE:

SUBMANAGER RETENTION TIME: 10

TASKMAN JOB LIMIT: 990

TASKMAN HANG BETWEEN NEW JOBS: 0

MODE OF TASKMAN: GENERAL PROCESSOR GENERAL PROCESSOR

VAX DSM ENVIROMENT FOR DCL:

OUT OF SERVICE: NO NO

MIN SUBMANAGER CNT:

TM MASTER:

Balance Interval:

LOAD BALANCE ROUTINE:

Auto Delete Tasks: NO No

Manager Startup Delay: 1

Select TASKMAN SITE PARAMETERS BOX-VOLUME PAIR:

## Update the RPC BROKER SITE PARAMETERS file

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: TASKMAN SITE PARAMETERS// RPC BROKER SITE PARAMETERS

(1 entry)

EDIT WHICH FIELD: ALL//

Select RPC BROKER SITE PARAMETERS DOMAIN NAME: VISTA.BRADYMD.COM

...OK? Yes// (Yes)

DOMAIN NAME: VISTA.BRADYMD.COM//

MAIL GROUP FOR ALERTS:

## Type the above 'value for the current account'(in blue) below

Select BOX-VOLUME PAIR: VISTA:PLATINUM// ROU:localhost

Are you adding 'ROU:localhost' as a new LISTENER (the 2ND for this RPC BROKER

SITE PARAMETERS)? No// YES (Yes)

Select PORT: 9200

Are you adding '9200' as a new PORT (the 1ST for this LISTENER)? No// YES

(Yes)

TYPE OF LISTENER: Original Original

STATUS: STOPPED//

CONTROLLED BY LISTENER STARTER: NO NO

Select RPC BROKER SITE PARAMETERS DOMAIN NAME:

## Set up a System Administrator Account

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: RPC BROKER SITE PARAMETERS// NEW PERSON

(12 entries)

EDIT WHICH FIELD: ALL// .01 NAME

THEN EDIT FIELD: ACCESS CODE Want to edit ACCESS CODE (Y/N)

THEN EDIT FIELD: VERIFY CODE

1 VERIFY CODE Want to edit VERIFY CODE (Y/N)

2 VERIFY CODE never expires

CHOOSE 1-2: 1 Want to edit VERIFY CODE (Y/N)

THEN EDIT FIELD:

Select NEW PERSON NAME: ADMINISTRATOR, SYSTEM

Are you adding 'ADMINISTRATOR,SYSTEM' as a new NEW PERSON (the 13TH)? No// YE

S (Yes)

Checking SOUNDEX for matches.

No matches found.

NEW PERSON INITIAL: SA

NEW PERSON MAIL CODE:

Want to edit ACCESS CODE (Y/N): Y

Enter a new ACCESS CODE <Hidden>: *********

Please re-type the new code to show that I have it right: *********

OK, Access code has been changed!

The VERIFY CODE has been deleted as a security measure.

The user will have to enter a new one the next time they sign-on.

Want to edit VERIFY CODE (Y/N): Y

Enter a new VERIFY CODE: ********

Please re-type the new code to show that I have it right: ********

OK, Verify code has been changed!

Select NEW PERSON NAME:

## Get the System Administrator account number, which will

## be needed below.

Select OPTION: 5 INQUIRE TO FILE ENTRIES

OUTPUT FROM WHAT FILE: NEW PERSON// NEW PERSON

Select NEW PERSON NAME: ADMINISTRATOR,SYSTEM SA

ANOTHER ONE:

STANDARD CAPTIONED OUTPUT? Yes// (Yes)

Include COMPUTED fields: (N/Y/R/B): NO// BOTH Computed Fields and Record Number

(IEN)

NUMBER: 11 NAME: ADMINISTRATOR,SYSTEM

INITIAL: SA ACCESS CODE: <Hidden>

DATE VERIFY CODE LAST CHANGED: MAR 15,2006

VERIFY CODE: <Hidden> DATE ENTERED: MAR 15, 2006

CREATOR: SCHLEHUBER,CAMERON Entry Last Edit Date: MAR 15, 2006

NAME COMPONENTS: 200

SIGNATURE BLOCK PRINTED NAME: SYSTEM ADMINISTRATOR

DATE ACCESS CODE LAST CHANGED (c): MAR 15,2006

PROVIDER KEY (c): 0

Select NEW PERSON NAME:

Select OPTION:

## Set the DUZ equal to the above account number.

GTM>SET DUZ=11

GTM>S $P(^VA(200,DUZ,0),"^",4)="@"

## Assign keys to the System Administrator

GTM>D ^XUP

Setting up programmer environment

This is a TEST account.

Select TERMINAL TYPE NAME: C-VT100

1 C-VT100 Digital Equipment Corporation VT-100 video

2 C-VT100HIGH Normal display of characters in BOLD !

CHOOSE 1-2: 1 C-VT100 Digital Equipment Corporation VT-100 video

Terminal Type set to: C-VT100

Select OPTION NAME: XUMAINT Menu Management

Select Menu Management Option: KEY Management

Select Key Management Option: ALLOCATION of Security Keys

Allocate key: XUMGR

Another key: XMMGR

Another key: XUPROGMODE

Another key: XUPROG

1 XUPROG

2 XUPROGMODE

CHOOSE 1-2: 1 XUPROG

Another key:

Holder of key: ADMINISTRATOR,SYSTEM SA

Another holder:

You've selected the following keys:

XUPROG XUMGR XUPROGMODE XMMGR

You've selected the following holders:

ADMINISTRATOR,SYSTEM

You are allocating keys. Do you wish to proceed? YES//

XUPROG being assigned to:

ADMINISTRATOR,SYSTEM

XUMGR being assigned to:

ADMINISTRATOR,SYSTEM

XUPROGMODE being assigned to:

ADMINISTRATOR,SYSTEM

XMMGR being assigned to:

ADMINISTRATOR,SYSTEM

Select Key Management Option:

Select Menu Management Option:

Do you really want to halt? YES//

Halting at 7:36 pm

## Add an institution and medical center division.

GTM>SET XUMF=1

GTM>D Q^DI

VA FileMan 22.0

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: 4 INSTITUTION (66 entries)

EDIT WHICH FIELD: ALL// STATION NUMBER

THEN EDIT FIELD:

Select INSTITUTION NAME: BRADYMD MEDICAL CENTER

Are you adding 'BRADYMD MEDICAL CENTER' as

a new INSTITUTION (the 67TH)? No// YES (Yes)

## The STATION NUMBER should be the same number that

## you typed in the 'Initialize Fileman' section (it was labeled

## the SITE NUMBER there). Hopefully you wrote this down

## as previously instructed, or I suppose you could just

## scroll up to find it...

STATION NUMBER: 4321

Select INSTITUTION NAME:

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: INSTITUTION// 40.8 MEDICAL CENTER DIVISION

(1 entry)

EDIT WHICH FIELD: ALL// FACILITY NUMBER

THEN EDIT FIELD: INSTITUTION FILE POINTER

THEN EDIT FIELD:

Select MEDICAL CENTER DIVISION NAME: BRADYMD MEDICAL CENTER

Are you adding 'BRADYMD MEDICAL CENTER' as

a new MEDICAL CENTER DIVISION (the 2ND)? No// YES (Yes)

MEDICAL CENTER DIVISION NUM: 2//

## Again, use the same above number with an 'A' after it.

MEDICAL CENTER DIVISION FACILITY NUMBER: 4321A

FACILITY NUMBER: 4321A//

INSTITUTION FILE POINTER: BRADYMD MEDICAL CENTER 4321

Select MEDICAL CENTER DIVISION NAME:

Select OPTION:

## Set up System Administrator access codes and menus.

GTM>D ^XUP

Setting up programmer environment

This is a TEST account.

Terminal Type set to: C-VT100

Select OPTION NAME: XUSEREDIT

1 XUSEREDIT Edit an Existing User

2 XUSEREDITSELF Edit User Characteristics

CHOOSE 1-2: 1 XUSEREDIT Edit an Existing User

Edit an Existing User

Select NEW PERSON NAME: ADMINISTRATOR,SYSTEM SA

NAME: ADMINISTRATOR,SYSTEM Page 1 of 5

_______________________________________________________________________________

NAME... ADMINISTRATOR,SYSTEM INITIAL: SA

TITLE: NICK NAME: admin

SSN: DOB:

DEGREE: MAIL CODE:

DISUSER: TERMINATION DATE:

Termination Reason:

PRIMARY MENU OPTION: EVE

Select SECONDARY MENU OPTIONS: OR CPRS GUI CHART

Want to edit ACCESS CODE (Y/N): FILE MANAGER ACCESS CODE: @

Want to edit VERIFY CODE (Y/N):

Select DIVISION: BRADYMD MEDICAL CENTER

SERVICE/SECTION: IRM

_______________________________________________________________________________

Exit Save Next Page Refresh

Enter a command or '^' followed by a caption to jump to a specific field.

GTM>D ^XUP

Setting up programmer environment

This is a TEST account.

Terminal Type set to: C-VT100

Select OPTION NAME: XUMAINT Menu Management

Select Menu Management Option: EDIT OPTIONS

Select OPTION to edit: EVE

1 EVE Systems Manager Menu

2 EVENT CAPTURE (ECS) EXTRACT AU ECX ECS SOURCE AUDIT Event Capture

(ECS) Extract Audit

3 EVENT CAPTURE DATA ENTRY ECENTER Event Capture Data Entry

4 EVENT CAPTURE EXTRACT ECXEC Event Capture Extract

5 EVENT CAPTURE MANAGEMENT MENU ECMGR Event Capture Management Menu

Press <RETURN> to see more, '^' to exit this list, OR

CHOOSE 1-5: 1 EVE Systems Manager Menu

NAME: EVE// ^10 MENU

Select ITEM: HL MAIN MENU// DIUSER VA FileMan

Are you adding 'DIUSER' as a new MENU (the 13TH for this OPTION)? No// YES

(Yes)

MENU SYNONYM:

SYNONYM:

DISPLAY ORDER:

Select ITEM: XMMGR

1 XMMGR Manage Mailman

2 XMMGR-BACKGROUND-FILER Background Filer (XMAD)

3 XMMGR-BKFILER-ACT Active Users/Deliveries Report

4 XMMGR-BKFILER-EDIT-NORMALIZED Edit numbers to Normalize Reports

5 XMMGR-BKFILER-GROUP Deliveries by Group

Press <RETURN> to see more, '^' to exit this list, OR

CHOOSE 1-5: 1 XMMGR Manage Mailman

Are you adding 'XMMGR' as a new MENU (the 14TH for this OPTION)? No// YES

(Yes)

MENU SYNONYM:

SYNONYM:

DISPLAY ORDER:

Select ITEM:

CREATOR: SCHLEHUBER,CAMERON// ADMINISTRATOR,SYSTEM SA

HELP FRAME:

PRIORITY:

Select TIMES PROHIBITED:

Select TIME PERIOD:

RESTRICT DEVICES?:

Select PERMITTED DEVICE:

Select OPTION to edit: XUCOMMAND SYSTEM COMMAND OPTIONS

NAME: XUCOMMAND// ^10 MENU

Select ITEM: XQALERT// XMUSER MailMan Menu

Are you adding 'XMUSER' as a new MENU (the 8TH for this OPTION)? No// YES

(Yes)

MENU SYNONYM:

SYNONYM:

DISPLAY ORDER:

Select ITEM:

CREATOR: SCHLEHUBER,CAMERON// ^

Select OPTION to edit:

Select Menu Management Option:

Do you really want to halt? YES//

Halting at 7:59 pm

## Change the default time before users are kicked off. This

## is done so you don't keep getting kicked off while

## learning the system.

GTM>D ^ZU

Volume set: ROU:localhost UCI: VAH Device: /dev/pts/1

ACCESS CODE: *********

VERIFY CODE: ********

Good evening admin

You last signed on today at 19:54

WARNING -- TASK MANAGER DOESN'T SEEM TO BE RUNNING!!!!

Select Systems Manager Menu Option: OPERations Management

Select Operations Management Option: KERnel Management Menu

Select Kernel Management Menu Option: ENTer/Edit Kernel Site Parameters

Note: the TaskMan site parameters have been moved out of this file.

Use the Edit TaskMan Parameters option to edit those values.

Kernel Site Parameter edit

DOMAIN:VISTA.BRADYMD.COM

DEFAULT # OF ATTEMPTS: 5 AGENCY CODE: VA

DEFAULT LOCK-OUT TIME: 600

DEFAULT MULTIPLE SIGN-ON: YES MULTIPLE SIGN-ON LIMIT:

DEFAULT AUTO-MENU: NO DEFAULT AUTO SIGN-ON: Disabled

DEFAULT LANGUAGE:

DEFAULT TYPE-AHEAD: YES

DEFAULT TIMED-READ (SECONDS): 3600 BROKER TIMEOUT: 180

BYPASS DEVICE LOCK-OUT: ASK DEVICE TYPE AT SIGN-ON:

LIFETIME OF VERIFY CODE: 90

DEFAULT INSTITUTION: SOFTWARE SERVICE

AUTO-GENERATE ACCESS CODES:

LOG RESOURCE USAGE?:

_______________________________________________________________________________

Exit Save Next Page Refresh

Select Kernel Management Menu Option:

Select Operations Management Option:

Select Systems Manager Menu Option:

Do you really want to halt? YES//

Halting at 8:06 pm

## Update the devices

bash-3.00$ GTM

GTM>D Q^DI

VA FileMan 22.0

Your Identity(DUZ) is 0(zero).

Please identify yourself.

Access Code:********

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: MEDICAL CENTER DIVISION// 3.5 DEVICE

(44 entries)

EDIT WHICH FIELD: ALL//

Select DEVICE NAME: CONSOLE

1 CONSOLE CONSOLE |TNT|

2 CONSOLE GTM-UNIX-CONSOLE Console (GT.M) /dev/tty

CHOOSE 1-2: 2 GTM-UNIX-CONSOLE Console (GT.M) /dev/tty

NAME: GTM-UNIX-CONSOLE//

LOCATION OF TERMINAL: Console (GT.M)//

Select MNEMONIC: CONSOLE//

LOCAL SYNONYM:

$I: /dev/tty//

VOLUME SET(CPU):

SIGN-ON/SYSTEM DEVICE: YES YES

TYPE: VIRTUAL TERMINAL//

SUBTYPE: C-VT100//

ASK DEVICE: YES//

ASK PARAMETERS:

ASK HOST FILE:

ASK HFS I/O OPERATION: ^

Select DEVICE NAME: TELNET

1 TELNET TELNET TNA VISTA

2 TELNET GTM-UNIX-TELNET TELNET /dev/pts/

CHOOSE 1-2: 2 GTM-UNIX-TELNET TELNET /dev/pts/

NAME: GTM-UNIX-TELNET//

LOCATION OF TERMINAL: TELNET//

Select MNEMONIC: TELNET//

LOCAL SYNONYM:

$I: /dev/pts///

VOLUME SET(CPU):

SIGN-ON/SYSTEM DEVICE: YES//

TYPE: VIRTUAL TERMINAL//

SUBTYPE: C-VT320// C-VT100

1 C-VT100 Digital Equipment Corporation VT-100 video

2 C-VT100HIGH Normal display of characters in BOLD !

CHOOSE 1-2: 1 C-VT100 Digital Equipment Corporation VT-100 video

ASK DEVICE: YES//

ASK PARAMETERS: ^

Select DEVICE NAME: HFS Host File Server USER$:[TEMP]TMP.DAT

NAME: HFS//

LOCATION OF TERMINAL: Host File Server//

Select MNEMONIC:

LOCAL SYNONYM:

$I: USER$:[TEMP]TMP.DAT//

VOLUME SET(CPU):

SIGN-ON/SYSTEM DEVICE: ^

Select DEVICE NAME: NULL

1 NULL NT SYSTEM NLA0:

2 NULL GTM-UNIX-NULL Bit Bucket (GT.M-Unix) /dev/null NULL

3 NULL-DSM Bit Bucket _NLA0:

CHOOSE 1-3: 2 GTM-UNIX-NULL Bit Bucket (GT.M-Unix) /dev/null NULL

NAME: GTM-UNIX-NULL//

LOCATION OF TERMINAL: Bit Bucket (GT.M-Unix) Replace

Select MNEMONIC: NULL//

LOCAL SYNONYM:

$I: /dev/null//

VOLUME SET(CPU):

SIGN-ON/SYSTEM DEVICE: NO//

TYPE: TERMINAL//^

Select DEVICE NAME:

Select OPTION:

## Check the Task Manager's Environment

GTM>D ^ZTMCHK

Checking Task Manager's Environment.

Checking Taskman's globals...

^%ZTSCH is defined!

^%ZTSK is defined!

^%ZTSK(-1) is defined!

^%ZIS(14.5,0) is defined!

^%ZIS(14.6,0) is defined!

^%ZIS(14.7,0) is defined!

Checking the ^%ZOSF nodes required by Taskman...

All ^%ZOSF nodes required by Taskman are defined!

Checking the links to the required volume sets...

There are no volume sets whose links are required!

Checks completed...Taskman's environment is okay!

Press RETURN to continue or '^' to exit:

Here is the information that Taskman has:

Operating System: GT.M (Unix)

Volume Set: ROU

Cpu-volume Pair: ROU:localhost

TaskMan Files UCI and Volume Set: VAH,ROU

Log Tasks? N

Default Task Priority:

Submanager Retention Time: 10

Min Submanager Count:

Taskman Hang Between New Jobs: 0

TaskMan running as a type: GENERAL

Logons Inhibited?: N

Taskman Job Limit: 990

Max sign-ons:

Current number of active jobs:

End of listing. Press RETURN to continue:

## Start the Task Manager. It seems to work well despite all the

## errors. These errors are only seen the first time the task

## manager is started. Errors are likely benign, will continue

## to research though.

GTM>D ^ZTMB

I ZTOS["M/SQL-PDP" J START^%ZTM0:ZTUCI Q

^-----

At column 35, line 12, source module /home/vista/r/ZTMB.m

%GTM-E-JOBPARUNK, Job parameter unknown

I ZTOS'["VAX DSM" J START^%ZTM0[ZTUCI] Q

^-----

At column 33, line 15, source module /home/vista/r/ZTMB.m

%GTM-E-SPOREOL, Either a space or an end-of-line was expected but not found

DTM I ZTMB="START" D NULLDEV F DEV=10:1:19 O DEV:("W":NULLDEV):0 C DEV

^-----

At column 51, line 29, source module /home/vista/r/ZTMB.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

I ZTOS["VAX DSM" I $ZC(%GETJPI,$J,"CURPRIV")["SHARE" D Q

^-----

At column 22, line 39, source module /home/vista/r/ZTMB.m

%GTM-E-FNOTONSYS, Function or special variable is not supported by this operating system

I ZTOS["M/SQL-PDP" J RESTART^%ZTM0:ZTUCI D DONE Q

^-----

At column 37, line 48, source module /home/vista/r/ZTMB.m

%GTM-E-JOBPARUNK, Job parameter unknown

I ZTOS'["VAX DSM" J RESTART^%ZTM0[ZTUCI] D DONE Q

^-----

At column 35, line 51, source module /home/vista/r/ZTMB.m

%GTM-E-SPOREOL, Either a space or an end-of-line was expected but not found

## Use the Task Manager Monitor

GTM>D ^ZTMON

Checking Taskman. Current $H=60339,74736 (Mar 15, 2006@20:45:36)

RUN NODE=60339,74734 (Mar 15, 2006@20:45:34)

Taskman is current..

Checking the Status List:

Node weight status time $J

ROU:localhost RUN T@20:45:34 6020 Main Loop

Checking the Schedule List:

Taskman has no tasks scheduled.

Checking the IO Lists:

There are no tasks waiting for devices.

Checking the Job List:

There are no tasks waiting for partitions.

Checking the Task List:

There are no tasks currently running.

On node ROU:localhost there is 1 free Sub-Manager(s). Status: Run

Enter monitor action: UPDATE//^

## Start RPC Broker (client/server software)

GTM>D STRT^XWBTCP(9200)

Start TCP Listener...

I XWBOS="DSM" O XWBTSKT:TCPCHAN:5 S %T=$T ;Open listener

^-----

At column 26, line 43, source module /home/vista/r/XWBTCPL.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

I XWBOS="OpenM" S XWBTDEV="|TCP|"_XWBTSKT O XWBTDEV:(:XWBTSKT:"A":$C(4):512:512:10):5 S %T=$T ;(*p35)

^-----

At column 55, line 45, source module /home/vista/r/XWBTCPL.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

. I XWBOS="MSM" S XWBTDEV=56 O 56 U 56::"TCP" W /SOCKET("",XWBTSKT)

^-----

At column 41, line 63, source module /home/vista/r/XWBTCPL.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

. U XWBTSKT:DISCONNECT ; release this socket

^-----

At column 14, line 159, source module /home/vista/r/XWBTCPL.m

%GTM-E-DEVPARUNK, Deviceparameter unknown

Checking if TCP Listener has started...

TCP Listener started successfully.

## Give the System Administrator some Keys to enable CPRS

GTM>D Q^DI

VA FileMan 22.0

Your Identity(DUZ) is 0(zero).

Please identify yourself.

Access Code:******

Select OPTION: 1 ENTER OR EDIT FILE ENTRIES

INPUT TO WHAT FILE: DEVICE// NEW PERSON (13 entries)

EDIT WHICH FIELD: ALL// KEYS

1 KEYS (multiple)

2 KEYSTROKES FROM LM WP

CHOOSE 1-2: 1 KEYS (multiple)

EDIT WHICH KEYS SUB-FIELD: ALL//

THEN EDIT FIELD: CPRS TAB (multiple)

EDIT WHICH CPRS TAB SUB-FIELD: ALL//

THEN EDIT FIELD: RESTRICT PATIENT SELECTION

THEN EDIT FIELD:

Select NEW PERSON NAME: SA ADMINISTRATOR,SYSTEM SA

Select KEY: XMMGR// ORES

REVIEW DATE:

Select KEY: PROVIDER

1 PROVIDER

2 PROVIDER ID EDIT IB PROVIDER EDIT

CHOOSE 1-2: 1 PROVIDER

REVIEW DATE:

Select KEY:

Select CPRS TAB: RPT Reports tab.

Are you adding 'RPT' as a new CPRS TAB (the 1ST for this NEW PERSON)? No// YE

S (Yes)

EFFECTIVE DATE: APRIL 1,2005 (APR 01, 2005)

EXPIRATION DATE: APRIL 1,2020 (APR 01, 2020)

Select CPRS TAB: COR CPRS GUI "core" tabs.

Are you adding 'COR' as a new CPRS TAB (the 2ND for this NEW PERSON)? No// YE

S (Yes)

EFFECTIVE DATE: APRIL 1,2005 (APR 01, 2005)

EXPIRATION DATE: APRIL 1,2020 (APR 01, 2020)

Select CPRS TAB:

RESTRICT PATIENT SELECTION: NO NO

Select NEW PERSON NAME:

Select OPTION:

##Need to exit and continue to follow below instructions

GTM>HALT

Registering a New Patient

Quick Index Link.