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HLCCompendium
HLCCompendium
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NDHI<br />
NAT IONAL DIALOGUE FOR<br />
Healthcare Innovation<br />
• Common ordering semantics for laboratory, radiology,<br />
and consult orders<br />
• Terminology mapping and transformation services,<br />
which ensure optimal communication between both<br />
EHR systems<br />
Two noteworthy aspects of the solution are:<br />
• Algorithms used to match patient identity between<br />
the DoD and VA identity management systems and<br />
the two EHRs<br />
• Semantic interoperability of the orders traversing<br />
between the two EHRs<br />
Path Forward<br />
• Although the implementation at the JAL FHCC was<br />
successful, the following policy recommendations<br />
should be addressed to expand the JAL FHCC<br />
Interoperability Solution enterprise-wide:<br />
––<br />
A patient identification process that is standardized<br />
across CHCS and VistA, as well as both<br />
national identity management systems, MVI<br />
and DEERS<br />
––<br />
A common process for user credentialing and<br />
security for CHCS and VistA to ensure crossagency<br />
domain trust<br />
––<br />
A national terminology standard and common<br />
data model that allows CHCS and VistA to<br />
exchange computable data at multiple facilities<br />
––<br />
A rigorous analysis, recommendation, and<br />
decision-making process that considers existing<br />
business process evaluations and reengineering<br />
activities along with the technology changes<br />
and implementation<br />
• In the long term, Leidos also aims to add pharmacy,<br />
allergy, and common decision support to the interoperability<br />
solution<br />
JAL FHCC Order Portability Project<br />
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