For example, ICD-9 to ICD-10 update costs

When the taxpayer pays for updating VA VisTa the taxpayer is helping to fund most of the costs of updating commerical versions of VA VisTa

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$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa
Commercial versions of VA VisTa
Updateable using VA updates
For example, ICD-9 to ICD-10 update costs
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