GCPR Framework Project

OrientationApril 1999

Today’s Presentation

G-CPR Organization and Framework Project

Questions and Comments

Presidential Advisory Committeeon Gulf War Veterans’ Illnesses

“… “… I am directing the Departments of Defense and I am directing the Departments of Defense and Veterans Affairs to create a new Force Health Veterans Affairs to create a new Force Health Protection Program. Every soldier, sailor, airman and Protection Program. Every soldier, sailor, airman and marine will have a comprehensive, life-long medical marine will have a comprehensive, life-long medical record of all illnesses and injuries they suffer, the care record of all illnesses and injuries they suffer, the care and inoculations they receive and their exposure to and inoculations they receive and their exposure to different hazards. These records will help us prevent different hazards. These records will help us prevent illness and identify and cure those that occur…”illness and identify and cure those that occur…”

President ClintonPresident ClintonNovember 8, 1997November 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 projectCommon 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.

GCPRModelingWG

PM Support Sta ff Le ga l W G

F ina ncia l W G A c quisit ions W G

M ar ke ting W G

Chie f C linic a l O ffice r C h ief Te ch n ic al O ffic e r

G CP R Te chn ic al/A r chit ect ur e W G

G C PR External In te rfac es IP TG C PR Secu rity IP TG CP R Data Man agem ent IP TG CP R Mo del in g IP TGC PR In fra stru cture IP TGCPR C om m uni cat io ns IP T

G CP R Pro jec t M an ager&

Dep uty Pro jec t M an ager

Ex ec utive Co m m ittee

B o ar d o f D ir ec to rs

GCPR Project Organization

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 IPTData Management IPTSecurity IPTExternal Interfaces IPTCommunications 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 ServicesCommon Data RepresentationMaster Patient Index and Master Patient

Information Locatorvirtual databaseLongitudinal 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

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Comments

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