Let me expound on something Rob. Here is part of your answer...
"Must Mirror Current Workflow for the Improvement of Care"
This indeed is the beauty of and OpenVista as created by physicians for physicians. Don't try to reinvent the wheel in other words. What the VA did was recreate a doctor's work
like a doctor does it! See the patient, review the records, review the pertinent reports like lab, radiology etc., then do the orders and write the notes. Open source gave all the stakeholders the ability to weigh in and write code to make it work logically for the most part for doctors. Not some computer geeks who don't practice medicine and simply created a way to add a function. Again Dr. Sam would agree to this based on some of the crazy ways proprietary software works in medical settings.
The workflow and design point being, as some companies have tried, is it looks pretty much like a chart. With OpenVista you have the appropriately named tabs along the bottom that are "the chart." And it gives you the flexibility to search by ward, service, doctor, date, etc. to ease a doctor's workday. These are just scratching the surface.
