Recently there was a meeting with Tech companies to discuss upgrading the VistA/CPRS system. The implications of their conclusions are very high stakes for those advocating for VistA as the basic seed for continued open source EHR development.

http://www.nextgov.com/nextgov/ng_20091014_6336.php

A few rays of hope seem to have emerged including discussions on:
1. Updating VistA for public and private sector use
2. What are possible deployment models for VistA to the wider public?
3. Is VistA suitable as a national standard?
4. What are appropriate strategies for modernizing VistA? etc.

Very important questions, indeed.