What’s Ahead For
What’s Ahead For
Architectures
Architectures
What’s Ahead For
What’s Ahead For
Architectures
Architectures
Architectures
Architectures
in the DoD?
in the DoD?
Architectures
Architectures
in the DoD?
in the DoD?
Mr Dave DeVries
Mr.
Dave
DeVries
Mr.
Martin
Westphal
What Has Happened
What Has Happened
•
Organization
changes
and
declining
budgets
•
Progress
made
in
•
Electronic
Health
Record
•
Data
Center
Consolidation
•
Revised JCIDS and NR KPP policy
•
Revised
JCIDS
and
NR
KPP
policy
•
Agile
IT
Acquisition
reform
•
Joint
Information
Environment
(JIE)
Engagement
•
FMN
Framework
What We Have Heard This Week
What We Have Heard This Week
•
Secure
Information
Sharing
g
with
Mission
Partners
•
Interoperability
•
Data
•
Securityy
•
Identity
Management
and
Access
Management
Th
P
i
(O
PfM
A hi
)
•
Three
Perspectives:
(Operator,
PfMgmt,
Architect)
DoD Enterprise
DoD
Enterprise
Business
Warfighting
Intelligence
Business
Warfighting
Intelligence
Information Enterprise Architecture
g
g
te ge ce
Enabling Information Enterprise
g
g
te ge ce
Dept
of
Air
Force
C
OMS
DIS
A
DLA
NSA
NR
O
NGA
DIA
Army
DON
DON
Air
Air
Force
Force
Information Enterprise Architecture
DoD
IEA
v2.0
Dept
of
Air
Force
C
OMS
DISA
DLA
NSA
NRO
NGA
DIA
Army
DON
DON
Air
Air
Force
Force
Enabling Information Enterprise
DoD
IEA
v2.0
CO
C
CO
C
4
Tech
Stds
DISR
Arch
Guidance
DODAF
Reference
Models
OMB
FEA
Laws,
Regs,
and
Policy
Laws
Regs
Policy
Tools
DITPR
DARS
4
Tech Stds
DISR
Arch Guidance
DODAF
Reference
Models
OMB
FEA
Laws, Regs, and Policy
Laws
Regs
Policy
Tools
DITPR
DARS
Partnering for Success
Partnering for Success
Joint
Staff
DoD
CIO
DoD Mission Areas
Warfighting
Business
C/S/A
Intelligence
C/S/A
IC
JC2 Objective Architecture Efforts
JC2 Objective Architecture Efforts
Data Cloud Services
• Redirection
• Dynamic allocation
• C2 services integration with ESM
Enterprise Services
• E2E security services
E2E f d
ti
f
•Crypto Binding
• REST Security
• E2E federation of messages
• Unified approach for mediation
• Federated Collaboration
• Widget Framework
Further define
Info Exchange
Patterns
Data Cloud
• Data sync &
Cross Domain
access control &
info exchange
(non-DoD partners)
Data sync &
distribution
• Federation
• Caching
DI2E
DI2E
Architectures
Architecture
Architecture –
– Driving Change
Driving Change
Presentation
(Common GUI)
Presentation
Common DoD-VA Requirements: HL7 EHR-S Functional Model with DoD and VA vetted Extensions (SV-4)
Common DoD-VA Integrated Health Business Reference Model (OV-5)
Common DoD-VA “To Be” Process Flow Model (OV-6C)
(Common GUI)
Presentation
Layer Team
Systems
Capabilities
Pharmacy
Health Record
Personal
Laboratory
Nursing
Home
Long Term
Care
DoD Unique (16)
Common (Joint) Applications & Services (30)
VA Unique (6)
Battlefield
Care
Pediatrics
Blood Mgmt
Applications and Services
Common Interface Standards
p
Team
Mission
Requirements
& Performance
Outcomes
Team
Disability
Evaluation
Dental Care
Inpatient
Orders Mgmt
Consult &
Referral Mgmt
Immunization
Emergency
Dept Care
Rehabilitative
Care
Transient
Outreach
Military
Readiness
Obstetrics
Enroute
Care
Veterinary
Operating
Room Mgmt
Document
Mgmt
Occupational
Health (VA)
Pharmacy
Mail Order
Common Interface Standards
Co
o
te ace Sta da ds
C
D t C t
Common Services Broker
(includes Enterprise Service Bus (ESB) and Infrastructure Services)
Enterprise
Architecture
Team
Business
Process
Common Data Centers
Data
Inter-operability
Team
Team
Common Information Interoperability Framework (CIIF)
Common Information Model, Common Terminology Model,
Information Exchange Specifications, Translation Service
C
D t St d d SNOMED CT d E t
i
LOINC d R N
8
Common Data Standards: SNOMED CT and Extensions, LOINC and RxNorm
DoD Only
VA Only
Joint DoD/VA
iEHRWF
iEHRWF Potential Architecture
Potential Architecture
cmp ESB Interface
Clinical Serv ices
Behavioral Health Services
Inpatient Surgery Sevices
Outpatient Surgery
Services Labor and Delivery Primary Care Services Laboratory Services Pathology Services
iEHRWF
iEHRWF Potential Architecture
Potential Architecture
ESB Interface ESB Interface ESB Interface ESB Interface ESB Interface ESB
Interface ESB Interface ESB
Interface ESBInterface ESBInterface
TBI/Behav ioral Health Services Service Requests Surgery (Inpatient) Sevices Service Requests Surgery (Outpatient) Services Service Requests Labor and Deliv ery Services Service Requests Primary Care y Service Requests Laboratory y Service Requests Pathology Pathology Services Service Requests M M Pharmacy Service Requests Pharmacy Services Radiology Service Requests Radiology Services Others Service Requests
Enterprise Serv ice Bus
ESB Interface ESB Interface ESB Interface ESB Interface ESB
Interface ESB Interface ESB Interface ESB
Interface ESB Interface
ESB Interface ESB ESB Interface Interface
ESB Interface
Infrastructure Serv ices Administrativ e Serv ices Clinical WorkflowClinicalCommunication Security Services I/F Registry and Directory Services I/F Mediation Mediated Message Process Message Translation Process Message
Send Translated Message Message
Routing
Message
Send Message
Care Management Serv ices
A Record Management Patient History Summary Lists Assessments Orders/Refs Docs Preferences PatientInstructions
Health InformationPlansMeds
Orders Health Main Pop HealthAccess Operations Management & Communications Serv ices
Clinical Support Serv ices
Analyis Admin/Financial
Security Serv ices
I/F
Health Record Information and Management Serv ices
Health Record I&M Services I/F
Registry and Directory Serv ices Standard Terminologies and Terminology Serv ices Terminology Services I/F Interoperability S i I/F Business Rules Management Serv ices
Business Rules Management Services I/F Workflow S Utiliites
Clinical Decision Support Serv ices Standards-based Interoperability Serv ices Services I/F Workflow Management Serv ices Management Services I/F
Utility Serv ices
Medical Situational Aw areness Tool
MSAT Data
HAIMS
HAIMS Data