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Government Computerized Patient Record Framework Project

Government Computerized Patient Record Framework Project. January 8, 2001 www.gcpr.gov. What is the GCPR?. The GCPR Framework is middle-ware for the secure exchange of clinical patient data among government organizations responsible for providing healthcare presently including DoD, IHS and VA.

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Government Computerized Patient Record Framework Project

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  1. Government Computerized Patient Record Framework Project January 8, 2001 www.gcpr.gov

  2. What is the GCPR? • The GCPR Framework is middle-ware for the secure exchange of clinical patient data among government organizations responsible for providing healthcare presently including DoD, IHS and VA

  3. What is GCPR? • Adopt and Adhere to Standards where they exist, and advance the development and establishment of standards when they are absent • Composed of • Common Information Model • Common Terminology Models • each borrows from HL7 V3

  4. GCPR Modeling Work • Completed Modeling • Patient Demographics • Laboratory Results and Text-based Reports • Medications • Immunizations • Problem List • Vitals

  5. GCPR Modeling Work • Modeling in Progress • Provider Demographics and Credentialing • Security

  6. Terminology & GCPR • STM - Short Term Model • Registry of Agency Codesets mapped to each other and to RIM Attributes • 11179 Metadata Registry Subset • 714,698 terms; 9,388 codesets • Opportunity for Collaboration/Sharing with HL7

  7. GCPR and Terminology • RTM - Reference Terminology Model • Concept-based • Formal Definitions • More Maintainable, and Robust vs. STM • RTM Demonstration Project: Pilot project to model drugs

  8. GCPR Accomplishments • Successful Proof of Concept Testing - 11/99 • Successful Prototype - 3/00

  9. GCPR Reuse within VA • VAMC to VAMC Medication Interchange Project • Will deliver computer-usable patient-specific medication data between VAMC’s • Reuses “M” based Orb development • Reuses COAS Template work • Reuses Medication Modeling • Plan for testing in January-February time frame

  10. GCPR - Future Direction • “Interim Solutions” • Goal is to provide human usable, but not necessarily computer-usable information between partner agencies • Candidates under evaluation • VA Health Summary, “Slingshot”, PacMedNet T2P2 • Timeline: Partial Implementation by end of FY01.

  11. GCPR - Future Direction • Pilot Testing • Current Scope: Demographics, Labs and Medications • Current Time Frame: End of FY01

  12. GCPR - Future Direction • Project Evolution • New Business Model creates core functionality and builds domain specific capabilities as required

  13. GCPR - Proposed New Business Model Business/Technology Assessment GCPR Framework Enterprise Master Patient Index/Personal Identification Service Terminology Privacy/Security Business Requirements Modeling Deliverable Clinical Observation Access Service (COAS)/Data Collection Service Engineering/ Architecture Transaction Management/ Audit Service Mediation (3M) Test & Evaluation/ Risk Mitigation Cache Messaging Maintenance/Support

  14. GCPR - Future Direction • Project Evolution • Increased requirements for short-term deliverables • Re-evaluation of Framework Goals is underway

  15. Questions? www.gcpr.gov • Project Manager • Dave Camacho • david.camacho@tma.osd.mil • Agency Project Leads: • VA: Michael Mims • michael.mims@med.va.gov • DoD: Phil Dederer • philip.dederer@tma.osd.mil • IHS: George Huggins, Indian Health Service • huggins.george@ihs.gov

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