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Genesis of MHS GENESIS

MHS GENESIS is the new, modern electronic health record for the Military Health System. Over the years, it has endured improvements, congressional mandates, and has evolved from 1979 into the health record for military service members, families and retirees today.

MHS GENESIS Timeline Primary Graphic

 

1979

In 1979, the Department of Defense (DoD) started its journey toward electronic health care documentation with computerized physician order entry (CPOE) which allowed physicians to record prescribed medications and view alerts for drug allergies or adverse interactions.

In 1979, the Department of Defense started its journey toward electronic health care documentation with computerized physician order entry which allowed physicians to record prescribed medications and view alerts for drug allergies or adverse interactions.

1988 - 1992

Deployment of CHCS Began

The Composite Health Care System development began in 1988. The Department of Defense's initial health record system made the technological leap from paper to electronic order entry. It also focused on delivering a military treatment facility-centric electronic health record that supported computerized physician order entry and integrated outpatient ancillary services. CHCS worlwide deployment began in 1992.

1996

CHCS was deployed worldwide in 1996.  It integrated laboratory, radiology and pharmacy and provided the first hospital-centric clinical support system.

The Composite Health Care System was deployed worldwide in 1996. CHCS integrated laboratory, radiology and pharmacy; and provided the first hospital-centric clinical support system.

1997

CHCS was deployed worldwide in 1996.  It integrated laboratory, radiology and pharmacy and provided the first hospital-centric clinical support system.

The end of the Gulf War resulted in recognition that an electronic health record was needed. President Bill Clinton directed creation of "a new Force Health Protection program. Every Soldier, Sailor, Airman and Marine will have a comprehensive, life-long medical record..."

1998 - 2003

CHCS was deployed worldwide in 1996.  It integrated laboratory, radiology and pharmacy and provided the first hospital-centric clinical support system.

The concept of the Composite Health Care System II is born. CHCS II would become the largest system of its kind designed to use structured documentation to collect patient health care information. By 2003, CHCS II deployed to seven facilities for operational testing.

2004 - 2005

AHLTA Logo

The Composite Health Care System II deployed worldwide in 2004 and was rebranded as the Armed Forces Health Longitudinal Technology Application. Today, AHLTA is still in use in 77 military treatment facilities.

2007

Essentris®, the military’s inpatient electronic health record, was first launched at Landstuhl Regional Medical Center in Germany in 2007 as a counterpart to the Armed Forces Health Longitudinal Technology Application (AHLTA). Essentris provides worldwide documentation of inpatient care for all beneficiaries and a secure, bidirectional data system link for real-time, viewable electronic health information between the Department of Defense and the Department of Veterans Affairs.

Essentris®, the military’s inpatient electronic health record, was first launched at Landstuhl Regional Medical Center in Germany in 2007 as a counterpart to the Armed Forces Health Longitudinal Technology Application. Essentris provides worldwide documentation of inpatient care for all beneficiaries and a secure, bidirectional data system link for real-time, viewable electronic health information between the Department of Defense and the Department of Veterans Affairs.

2008

Deployment of AHLTA

Worldwide deployment of the Armed Forces Health Longitudinal Technology Application 3.3 begins. The software was enhanced based on user requests and lessons learned, and improvements focused on upgrading operational availability, speed, provider capabilities and interoperability with the Department of Veterans Affairs.

2008 - 2009

The services added their own input to AHLTA improvements.

The services added their own input to Armed Forces Health Longitudinal Technology Application improvements. 

  • The Army created the MEDCOM AHLTA Provider Satisfaction program, or MAPS, which made it possible for providers to reduce time required to record notes.
  • The Navy piloted voice recognition and spell check software applications.
  • The Air Force launched the Clinical Optimization Military Provider AHLTA Satisfaction Strategy, or COMPASS, which focused on streamlining the workflow process. 

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2009 - 2011

To expedite DoD and VA interoperability efforts, Congress mandated in NDAA for FY2008.

To expedite Department of Defense and Department of Veterans Affairs interoperability efforts, Congress mandated in the FY2008 NDAA that the DoD and VA establish a joint interagency program office to act as a single point of accountability in the development of the electronic health record. As work progressed, it became increasingly clear that the architecture of the Armed Forces Health Longitudinal Technology Application wouldn't provide a suitable platform for a joint EHR. Plans begin for a new EHR. In March 2011, the DoD and VA recommitted to the joint common EHR platform known as the integrated EHR (iEHR).

2013

On February 5, 2013 the Secretary of Defense Panetta and Secretary of Veterans Affairs Shinseki announced changes in their approach to increasing interoperability between the Departments.

On Feb. 5, 2013, the Secretary of Defense, Leon Panetta, and Secretary of Veterans Affairs, Eric Shinseki, announced changes in their approach to increasing interoperability between the Departments. Joint actions were identified to accelerate seamless transfer of information across the Departments and replace systems by using a "core" set of applications from existing electronic health record technology. The DoD announces that it is reviewing available commercial and governmental options and the VA decided to use VistA as its core.

2015

MHS GENESIS Logo

The Department of Defense awards Cerner, Leidos, Henry Schein and Accenture the electronic health record contract, and the EHR is branded as MHS GENESIS.

2017 - 2019

In 2017, the Initial Operating Capability sites go live with MHS GENESIS

In 2017, the Initial Operating Capability sites go live in the Pacific Northwest with MHS GENESIS. The new, modern electronic health record for patients and health care professionals is designed to transfer a beneficiary's medical information within the Military Health System and with the Department of Veterans Affairs. Lessons learned are recorded from the IOC sites for future deployments.

2019

MHS GENESIS goes live at Wave Travis sites.

On Sept. 7, 2019, MHS GENESIS went live at military treatment facilities in California at Travis Air Force Base, Naval Air Station Lemoore, and the Presidio of Monterey, and at Mountain Home Air Force Base in Idaho, as part of Wave Travis, named for the largest wave participant site. Lessons learned from the Initial Operational Capability sites, rigorous testing and improvements to training and change management played a huge role in the successful deployment at those four sites. 

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