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G Selected DoD, Army, Navy, Air Force, and DVA Databases I. DoD or Tri-Service DMIS (Defense Medical Information System). DMIS provides a large repository of patient level, normative, population and financial data to support the formulation and execution of plans, programs, and policies of the assistant secretary of defense (health affairs) and supports the information needs of the military departments' headquarters staff and health care analyses. DMIS is a centralized, non deployed set of applications software and databases that support the collection, integration, validation, distribution, and analysis of MUSS data concerning population, cost, utilization, and medical treatment data. B. DMDC (Defense Manpower Data Center). DMDC maintains central personnel databases. DMED (Defense Medical Epidemiological Database under development). Computer link of all relevant medical and personnel databases to describe population denominators. This is part of a tri-service effort to provide a means of sharing data between the military services and civilian companies for joint research studies. The Central Research Databases Project consists of several major tasks: identifying the data requirements of researchers in a variety of areas, such as epidemiology, occupational medicine, public health, 184
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APPENDIX G D. E. F. H. 185 preventive medicine, and medical readiness; developing a longitudinal, relational database for data, cross-mapping data between service branches; and developing user-friendly software to permit remote access to the Air Force and Navy data. Future databases will be added to provide TDY data, immunization and outpatient data, and other data of interest to the research community. A duty station location file will allow tracking of the individual's geographical location at any point in hisser career. WCRS (Worldwide Casualty Reporting System). WCRS is a central repository of administrative reports (DD1300, Report of Casualty) of all active duty military deaths. MEPRS (USMEPCOM- Military Entrance Processing Reporting System, U.S. Military Entrance Processing Command). MEPRS is a system with a database of all demographic, limited medical, aptitude tests and other administrative information on applicants to military service (i.e., includes those who do in fact enlist, as well as those rejected). The Army is the executive agent for this system. TEAM (Troop Exposure Assessment Model). The TEAM is a database integrating GIS technology to incorporate USACHPPM air pollution data from the PG, NOAA modeling for the period of the burning oil well fires, satellite imagery of the geographic extent of the oil fire plumes, troop movement data, and PG exposure and toxicologic data as available. CCEP (Comprehensive Clinical Evaluation Program). The DoD Comprehensive Clinical Evaluation Program (CCEP) provides a systematic, in-depth medical evaluation for DoD beneficiaries (Persian Gulf War veterans now on active duty or retired; members of the full-time National Guard who are Persian Gulf veterans; Persian Gulf War veterans who are members of the Ready Reserve/Individual Ready Reserve/Standby Reserve/Reserve who are placed on orders by their units; and eligible family members of such personnel) who are experiencing illnesses that may be related to their service in the Persian Gulf. Once a participant has completed the examination process, copies of examination results are forwarded to the CCEP Program Management Team (PMT), where they undergo quality assurance procedures, and the data are entered into the master CCEP database. ANSR (Army/Navy Serum Repository). This repository is tied to the U. S. Army HIV Data System (USAHDS) maintained by USACHPPM. Database set up to track results
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186 HEALTH CONSEQUENCES OF THE PERSIAN GULF WAR of individual's HIV tests. The Serum Repository is a serum bank of all service members, maintained by the Anny and Navy for sera stored since 1985. ACTUR (Automated Central Tumor Registry). Provides uniformed services medical treatment activities with the capability for registration and tracking of cancer patients' records, course of treatment, outcomes, test results, and quality of life of the patient. ACTUR provides a single system to all DoD inpatient facilities for meeting the services standards, American College of Surgeons and state requirements for cancer programs. The database supports automated research capability and demographic reports. II. ARMY A. AMSA (Army Medical Surveillance Activity). The AMSA currently consists of four major components: a reportable disease surveillance system, the U.S. Army HIV data system (USAHDS), deployment medical surveillance, and acute respiratory disease surveillance. Future components of AMSA are to include disability data (USAPDA), health risk appraisals (HRAs), hospitalizations of active duty Army members in Navy or Air Force medical treatment facilities (MTFs), and Navy and Air Force reportable diseases. B. lIRAs (Health Risk Appraisals). Database of self-reported health-associated behaviors and attitudes and limited measures of health (blood lipids, blood glucose, blood pressure) for active duty soldiers, retirees, beneficiaries, and others. C. PARRTS (Patient Accounting and Reporting Real-Time Tracking System). Automated medical information system that provides real-time in-bed visibility of contingency patients. D. IPDS (Individual Patient Data System). Computerized inpatient record with eight discharge diagnoses, procedures, demographics, length of stay, and disposition. III. NAVY B. CHA1\IPS (Career History Archival Medical and Personnel System). CHAMPS is a Navy database with information maintained from the past 25 years. It has a medical outcome focus, with individual records containing chronological events. DMED (described above) Inpatient Hospitalization Record. Hospitalization database that is comparable to the IPDS, Air Force, and DVA's PTF hospitalization databases.
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APPENDIX G 187 IV. AIR FORCE (AF) A. Inpatient hospitalizations. Hospitalization database that is comparable to the IPDS, Navy, and DVA's PTF hospitalization databases. B. ASIMS (Aeromedical Services Information Management System). The ASIMS is part of the medical surveillance data collection system, which has been fielded to all Air Force locations having a clinic or medical treatment facility. Data on cases of reportable diseases are collected and transmitted to a central repository. These data will be incorporated in the central research database. C. DMED (described above) DVA (Department of Veterans' Affairs) A. PTF (Patient Treatment File). Inpatient hospitalization database similar to the three services. B. D. BIRLS (Beneficiary Identification Record Locator System). Database of claims files, including death claims (verified by requesting copy of death certificate, which is put in the personnel record). NPCD (National Patient Care Database under development). PGHR (PG Health Registry). Health examinations of PG veterans seeking the DVA's registry exam.
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Representative terms from entire chapter: