Integrated Electronic Health Record (iEHR) (Tri-Service)

Abstract

iEHR Increment 1 combines risk reduction and proof of concept activities. It will: (1) deliver two user-facing capabilities, Single Sign-On (SSO) and Context Management (CM); (2) conduct a pilot to inform a path forward to allow the practitioner to record (i.e., write-back) patient data to the electronic record in the authoritative data store, and; (3) include supporting activities such as virtualization, a regionalization pilot, establishment of an iEHR Development Test Center/Environment (DTC/DTE) configuration, and critical Clinical Data Repository (CDR) upgrades. iEHR Increment 2 focuses on architecture, design, infrastructure, and initial clinical capabilities. It will deliver: (1) infrastructure and core services to support clinical capability insertion into the new iEHR baseline (Service Oriented Architecture (SOA) Suite/Enterprise Service Bus (ESB), Identity Management, Portal Framework, Access Control); (2) new clinical care graphical user interface; (3) Laboratory, Immunization, and Pharmacy clinical capabilities and; (4) Pharmacy “fixes” at the James A. Lovell Federal Health Care Center (JAL FHCC). In support of an Initial Operating Capability (IOC) in September 2014, iEHR Increment 2 Laboratory and Immunization clinical capabilities (e.g., orders and results management) will be deployed to the Hampton Roads and San Antonio DoD and VA treatment facilities, with Pharmacy “fixes” deployed at JAL FHCC, North Chicago, IL. Full deployment of Increment 2 scheduled to occur by Fiscal Year (FY) 2016 to nine regional data centers (two in the initial deployment, seven additional in the full deployment). Laboratory, Immunization, and Pharmacy clinical capabilities will be operationalized at nine VA facilities, nine DoD facilities, and at least one associated satellite facility per region.

Document Details

Document Type
Accomplishment
Publication Date
Oct 01, 2014
Source ID
b4fe088a2a93d369f48d17d3489ff8f8

Tags

Fields of Study

  • Medicine

Readers

  • Enterprise Information Systems Architecture and Joint Command Capability Interoperability Support.
  • Medical or Health Care Field.

Technology Areas

  • Microelectronics
  • Space
  • Space - Satellites

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