Performance Beyond Expectations Military Health System (MHS) Medical Situational Awareness In Theater/The Theater Medical Data Store (MSAT/TMDS) Situation The Department of Defense (DoD) requires capabilities to meet the urgent operational needs of deployed forces and to support a distributed military medical enterprise at war, including accessing, collecting, and distributing ill or injured Service members’ medical information as they move through the Theater levels of care. Theater medical staff need worldwide visibility of medical requirements and resources to plan for and support operations, as well as analytical tools and decision support systems to provide a broad view of medical information. Service members’ health history information must be compiled from various electronic military systems through a number of complex interfaces to provide a complete Theater electronic medical record. This Protected Health Information (PHI) and Personally Identifiable Information (PII) must be secured and protected and is required in both classified (NIPR) and unclassified (SIPR) environments. Problem Solved DNC provides development and sustainment support for the Theater Medical Data Store (TMDS) and the Medical Situational Awareness in the Theater (MSAT) systems and will soon deploy the Theater Medical Data Gateway (TMDG). TMDS is a web-based application used to view Service members’ medical treatment information recorded in the combat zone. TMDS views and tracks ill or injured patients as they move through Theater levels of care, sustaining base medical treatment facilities (MTFs), and those shared with the Department of Veterans Affairs (VA). TMDS updates Armed Forces Health Longitudinal Technology Application (AHLTA) and provides information to the VA through the Bidirectional Health Information Exchange (BHIE-T) interface. TMDS receives medical data from AHLTA-Mobile, AHLTA-Theater, Composite Health Care System Caché (CHCS), Shipboard Non-tactical Automated Data Processing (SNAP) Automated Medical System (SAMS), and TRANSCOM Regulating and Command & Control Evacuation System (TRAC2ES). MSAT is a web-based application that combines information from multiple communities to provide decision support and a common operating picture to assist the Combatant and Joint Task for Commander’s Surgeon staffs in assessing risks, mitigating operational vulnerabilities, and allocating scarce combat resources during operations planning and execution. MSAT links together information that encompasses disease and non-battle related injuries; physical and psychological trauma; patient tracking; chemical and biological threats; environmental and occupational health; intelligence; medical command and control (C2) data; personnel; unit locations; and weather. The systems are integrated with a blood inventory management tool that provides the ability to receive blood inventory information using manual and scanning technology and monitor and report the same using integrated business intelligence capability. The systems are among the first to make progress migrating ICD-9 to ICD-10. The systems maintain alignment with other EHR products in the MHS environment, such as AHLTA, AHLTA-T, and TC2. TMDS Key Features and Benefits • Gives health care providers the ability to view all Theater clinical information, including history, progress notes, laboratory, drug, and radiological history • Provides central location for all medical data generated in Theater • Allows health care providers to view, track, and manage ill or injured patients and access data on airlifted critically injured patients before arrival at their next point of care • Allows VA to access Theater medical data for a patient who has entered a VA medical facility • Provides total asset management capability for the critical Theater blood inventory including blood donation, transfusion, and tracking along with blood reporting Performance Beyond Expectations The TMDG will provide enhanced, standards-based data exchange capability using Mirth Connect, an open source standards-based healthcare integration engine. Mirth Connect is a cross-platform HL7 interface engine that enables bi-directional sending of HL7 messages between systems and applications. Mirth Connect provides tools for developing, testing, deploying, and monitoring interfaces. Methodology DNC provides systems engineering; development; systems integration; documentation; testing; installation; maintenance; sustainment; technical and training support; and support for the Continuity of Operations Plan (COOP) and Disaster Recovery (DR) site. DNC applies Service Oriented Architecture (SOA) best practices and employs Global Combat Support System and Net-Centric Enterprise Services and Net-Enabled Command and Control emerging technologies in the development of MSAT and TMDS. The systems incorporate the use of open source and Commercial off-the-Shelf (COTS) software, including a Geographic Information System (GIS). The MSAT standards-based information sharing approach enables rapid connection to current and emerging information sets reducing integration costs while adding increased value over time. DNC uses Agile development and conducts software development in accordance with the Software Engineering Institute (SEI) Capability Maturity Model Integration (CMMI) Level 3 appraised processes that align with the Deployment & Readiness Systems Program Office (D&RS) Systems Development Life Cycle (SDLC) requirements. DNC also employs its ISO 9001:2008 Quality Management System in the development and sustainment of the systems. All of the development efforts comply with DoD, Military Health System (MHS), and Defense Information Infrastructure Common Operating Environment technical standards and policies. Technologies and tools include: Java, Oracle, Jenkins, Eclipse, JBoss, Perforce, FogBugz, Fortify, Business Objects, HP Quality Center, HP Quick Test Pro, and Mirth Connect. MSAT Key Features and Benefits • Provides geographical view of outbreaks and potential health threats • Tracks unit movements and patient evacuation routes around the globe • Generates reports for worldwide asset visibility, decision support, and strategic and contingency planning • Provides access to Theater blood inventory reports and queries Results MSAT and TMDS play a critical role in support of the Theater medical enterprise. TMDS is the main repository for all service member medical data generated in any active Theater of operations. MSAT provides the users with Command and Control data, Theater Blood Program data, Disease Surveillance data, and reporting capabilities. The SOA-based systems are very complex and consume and publish data to a variety of third-party organizations. TMDS is deployed on the Unclassified NIPRNET and MSAT is deployed on the Classified SIPRNET. The systems are deployed in multiple Theaters, and both systems have a full ATO. DNC maintains more than 99% Operational Availability of this MAC II system supporting Theater-deployed operational forces. FOR MORE INFORMATION, PLEASE CONTACT Fiona Barshow, Vice President, Business Development Federal Health and Civilian Programs Office: 703-478-2650 x315 Mobile: 571-278-9857 [email protected] DNC MAIN OFFICE LOCATION Data Networks Corporation 1821 Michael Faraday Drive, Suite 401 Reston, VA 20190 703-478-2650 www.dncx.com
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