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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,
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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:
medical treatment
