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DOD, VA move to SOA architecture to build interoperable systems

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Veterans Affairs
VA
SOA
service oriented architecture
government health
Electronic Medical Records (EMRs)
EHRs
Department of Defense (DoD)
Department Of Defense
Booz Allen Hamilton
AHLTA EHR

After struggling for years to bring their clinical databases together, the Department of Defense and the Veterans Affairs department have decided to move their EMR systems over to a service-oriented architecture. The new SOA architecture will help the two entities share outpatient clinical data.

DoD and the VA are migrating to an SOA infrastructure on the recommendation of Booz Allen Hamilton, whose study recommended the web-services-based architecture, modeled after loosely-coupled, reusable components. The move puts to bed rumors that the DoD might ditch its AHLTA EHR in favor of the VA's VistA.

One would hope that this ends the long, long struggle the two agencies have faced in attempting to integrate EMR data, largely without success. Combined, the agencies have spent $1.8 billion on health records initiatives since 1998.

To learn more about technical decision:
- read this Government Health IT piece

Related Articles:
DoD, VA still struggling to share EMR data
Bureaucracy holds up military EMR deployment
Congress seeks single EMR for military

Comments

Anyone who believes this is going to happen soon doesn't understand basic politics. The VA has MUMPS/Cache programmers who would swear Vista is epitomy of all systems, and I'm sure DOD programmers would do the same.

But the bottom line is that these systems have almost no capability to insure interoperability with administrative systems needed for billing third party insurers and business models for disability compensation and neither "management teams" want to enhance the system to accurately and speedily process these claims. It goes against the established fundamental philosophies of both to deny compensation to vets whenever possible.

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