I have no association with this group. However, it seems to be a prime RFI for opensource projects to respond to.
See the announcement at:
http://www.ghdonline.org/tech/resource/rfi-on-personal-health-record-for-community-health/?id=3555373&format=text&type=instant
Monthly Archives: April 2011
VA Electronic Health Record Open Source Custodial Agent
The Department of Veterans Affairs (VA) is seeking to establish a Custodial Agent (CA) that will facilitate the establishment and operations of an Electronic Health Records (EHR) Open Source software development ecosystem and define the relationship between and interactions among developers, users, vendors and service providers.