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GCPR Framework Project. Orientation April 1999. Today’s Presentation. G-CPR Organization and Framework Project Questions and Comments. Presidential Advisory Committee on Gulf War Veterans’ Illnesses.
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GCPR Framework Project Orientation April 1999
Today’s Presentation • G-CPR Organization and Framework Project • Questions and Comments
Presidential Advisory Committee on Gulf War Veterans’ Illnesses “… I am directing the Departments of Defense and Veterans Affairs to create a new Force Health Protection Program. Every soldier, sailor, airman and marine will have a comprehensive, life-long medical record of all illnesses and injuries they suffer, the care and inoculations they receive and their exposure to different hazards. These records will help us prevent illness and identify and cure those that occur…” President Clinton November 8, 1997
G-CPR Organization Established January 1998 includes the following members: • Department of Defense • Department of Veterans Affairs • Indian Health Service
G-CPR Framework Project • First G-CPR project • Common business and technical characteristics for information sharing • Private sector solutions
Project Goals • To create a secure technical environment for sharing sensitive information. • To develop a patient focused national information technology architecture. • To create common information model(s) and terminology models to ensure interoperability between disparate systems.
Project Goals • To adopt and adhere to standards where they exist and to advance the development and establishment of standards where they are absent. • To leverage existing agency and inter-agency systems and workgroup investments.
Phase I - Development • Develop and maintain Government Reference Models (GRM) for clinical information domains. (ongoing activity) • Develop heritage/legacy system interfaces (agency unique activity, ongoing). • Establish security standards and authorities. • Design and develop the technical environment. • Proof-of-Concept Demonstration. • Prototype Demonstration.
Modeling Activities • Government Reference Information Modeling • HL7 Message Development Framework Process • Identification of trigger/events and data elements by domain expert focus groups • Produce electronic format of model to hand-off to PRC • DoD lead • Recurring activity • Government Reference Terminology Modeling • Convergent Medical Terminology (CMT) Process Evaluation • VA lead • Recurring activity
Harmonization • HL7- RIM • United Kindom • Australian • Department of Defense • Vendor Consortium
Model Partitions • Person • Patient Record Architecture • Role Identification/Definition - Security • Continuity of Care • Access to Clinical Information
GCPR FRAMEWORK INTEGRATED PRODUCT TEAMS • Product Development (cross IPT group) • Infrastructure IPT • Data Management IPT • Security IPT • External Interfaces IPT • Communications IPT • *Led by PRC
Infrastructure IPT Scope • ORB, Corba Services, Corba facilities • Resource Directory - Maps Framework object names to the corresponding location. • Communication Services - Addresses the mechanism by which software objects talk to each other. • Message Handling Services - Support of HL7 and X12 • Task Management Services - Launches, controls, and coordinates lower-level operations.
Data Management IPT Scope • Provides users and applications distributed access to data throughout the GCPR agencies systems. • Primary components include: • Query Services • Common Data Representation • Master Patient Index and Master Patient Information Locator • virtual database • Longitudinal Record assembly and storage
Security IPT Scope • Provides the components and the implementation of the business rules, including authentication and roles, for provision of security within the Framework. • Provides security for centralized servers, client workstations, heritage and agency system interfaces, and local servers. • Uses PKI, VPNs, Firewalls and provision for bio-metrics. • Will be based upon CORBA security services and meet HIPAA recommendations.
External Interfaces IPT Scope • The Framework provides an integrated Framework interface layer that subsumes user interfaces, messages, interfaces to heritage systems, and a set of services for external applications. • We have to have considerable representation here since the SOW specifically stated that the contractor would not be responsible for any changes to our heritage systems. This creates a boundry that can be a high risk area but would be mitigated with increased government representation. • Each Agency set aside funds to deal with heritage system interfacing with the Framework.
Communication IPT Scope • The GCPR Framework is based upon Internet technologies and connects distributed systems across agencies and distance. It utilizes TCP/IP as its transport mechanism. • The Communication IPT must deal with the provision of the GCPR Proof of Concept and Prototype access to agency MPIs and Heritage Systems. They must also ensure adequate bandwidth for system response that is user acceptable. • The Government instructed the contractor to assume adequate bandwidth.
GCPR Framework Project • Questions? • Comments www.gcpr.gov