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Military Health System Electronic Health Record

The Military's Electronic Health Record enables health care documentation from the Battlefield to the Home Front.

The Department of Defense’s Electronic Health Record (EHR) is an enterprise‐wide clinical information management system that provides secure online access to active duty Service members, retirees and their beneficiaries’ health care records.

This EHR is used by the military’s medical community to capture, manage and share data on care provided in garrison and on the battlefield, as well as share pertinent health information with the Department Veteran’s Affairs.

The development of the military's EHR is directly related to a presidential directive issued in 1997 that focused on and reinforced the need for a centralized, longitudinal patient record. This prompted the deployment of the of the theater environment information management solution, the Theater Medical Information Program, in 2003 followed by the worldwide implementation of the global system, AHLTA in 2004. In 2007, deployment of the military’s inpatient care documentation solution began. Today, the military’s EHR is used by more than 100,000 medical clinicians at military hospitals and clinics worldwide.

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DHA IPM 18-021: Guidance for Immediate Completion and Closure of Open Encounters and Records in Legacy Systems

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) and (e): • Establishes the Defense Health Agency’s (DHA) procedures to complete and close open encounters within the legacy systems in preparation for the implementation of Military Health System (MHS) GENESIS. • Identifies and delineates responsibilities associated with completing and closing open encounters within the legacy systems in preparation for the implementation of MHS GENESIS. • Should be used by DoD military treatment facilities (MTFs) to update procedures and workflows that pertain to the DoD Health Record Management, Patient Administration, and other MTF functions impacted by these decisions. • Is effective immediately; it must be incorporated into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

DHA IPM 18-018: Physical Custody and Control of the DoD Health Record

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (p): • Establishes the Defense Health Agency’s (DHA) procedures for the physical custody and control of DoD Health Records at all DoD Military Treatment Facilities (MTFs) and the management, monitoring, review, and evaluation of DoD Health Record availability at MTFs. • This DHA-IPM is effective immediately and will expire effective 12 months from the date of issue. It must be incorporated into the forthcoming DHA-Procedural Instruction, “Health Records Management”.

DHA IPM 18-016: DHA IPM 18 016 Medical Coding of the DoD Health Records

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (s): • Establishes the Defense Health Agency’s (DHA) procedures for centralized oversight, standardized operations, and ensured quality and performance for the coding of DoD Health Records. • This DHA-IPM is effective immediately; it will be converted into a DHA-Procedural Instruction. This DHA-IPM will expire 12 months from the date of issue.

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