Government Computerized Patient Record Framework Project

1
Government Computerized Patient Record Framework
Project

• January 8, 2001
• www.gcpr.gov

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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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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

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GCPR Modeling Work

• Modeling in Progress
• Provider Demographics and Credentialing
• Security

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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

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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

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GCPR Accomplishments

• Successful Proof of Concept Testing - 11/99
• Successful Prototype - 3/00

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GCPR Reuse within VA

• VAMC to VAMC Medication Interchange Project
• Will deliver computer-usable patient-specific
  medication data between VAMCs
• Reuses M based Orb development
• Reuses COAS Template work
• Reuses Medication Modeling
• Plan for testing in January-February time frame

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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.

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GCPR - Future Direction

• Pilot Testing
• Current Scope Demographics, Labs and Medications
• Current Time Frame End of FY01

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GCPR - Future Direction

• Project Evolution
• New Business Model creates core functionality and
  builds domain specific capabilities as required

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GCPR - Proposed New Business Model
Business/Technology Assessment
GCPR Framework
Enterprise Master Patient Index/Personal Identific
ation 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
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GCPR - Future Direction

• Project Evolution
• Increased requirements for short-term
  deliverables
• Re-evaluation of Framework Goals is underway

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Questions? www.gcpr.gov

• Project Manager
• Dave Camacho
• david.camacho_at_tma.osd.mil
• Agency Project Leads
• VA Michael Mims
• michael.mims_at_med.va.gov
• DoD Phil Dederer
• philip.dederer_at_tma.osd.mil
• IHS George Huggins, Indian Health Service
• huggins.george_at_ihs.gov