Projects
Clinical Terminology Services
Clinical Terminology Standards Support
The J P Systems Clinical Terminology Standards Support team provides comprehensive terminology services for VHA and Joint VA/DoD Health Information Exchange systems. These services include terminology mapping, data standardization, and modeling to enable accurate and computable clinical data exchange. Our experts support VHA Knowledge Based Systems (KBS) by aligning clinical domains such as medications and allergies with international standards like SNOMED CT, RxNorm, UMLS, and LOINC.
Standardized Reference Terminology Maintenance
Additionally, we maintain the VA Extension to SNOMED CT. JPSys maintains and releases a standardized reference terminology called Medication Reference Terminology (MED-RT) which is distributed nationwide by NIH. We manages mappings between VA legacy systems and Oracle Health. We utilize tools such as Symedical, Protégé, DTS, and TDE. These efforts make critical improvements to direct patient support and data quality while significantly increasing data interoperability with DoD and 22,000 clinics and hospitals, contributing to the technical functionality of electronic patient record systems.
Terminologies for Health Factors
Health Factors Terminology Matching, Modeling, and Maintenance
What are Health Factors? Health Factors are structured clinical data elements used within electronic health record systems. These capture observations, patient characteristics, behaviors, risks, screenings, interventions, and other healthcare related information. They may not be fully represented through standard diagnosis or procedure codes. They are created by the VA National Program offices and the local VA facilities.
Health Factors are important because they allow healthcare providers to capture detailed, patient-specific information that supports more personalized, comprehensive, and coordinated care. Unlike standard procedure codes, Health Factors document clinical observations, health risks, screenings, lifestyle behaviors, exposures, SDOH, and care interventions. Consequently, these contribute to a Veteran’s overall health status and treatment plan. This structured information helps clinicians make informed decisions, identify care gaps, monitor outcomes, and ensure continuity of care across multiple providers and VA facilities.
An example of a Health Factors that J P Systems has completed is: Home Telehealth Continuum of Care Forms In summary, Health Factors play a critical role in supporting comprehensive, data-driven healthcare by enabling the capture of meaningful clinical and patient-specific information that extends beyond traditional coding systems.
VHIE Support
VHIE Transition
We directly support the Veterans Health Information Exchange Program Office and its Community Care provider partners. VHA external providers actively exchange Veteran health data through HL7 standards based messaging approach. Our team applies deep expertise in Health Informatics, HL7 FHIR, and Direct Secure Messaging program to increase interoperability for Clinical Decision Support (CDS). These capabilities consistently deliver measurable value to our government clients and their provider partners.
Stakeholder Engagement for Direct Secure Messaging Workflows
Our rapid stakeholder engagement strategies onboarded over 22,000 hospitals and clinics into the Joint VA/DOD Health Information Exchange (JHIE) network. This project effort now includes outreach to rural health providers to increase interoperability to better serve the Veteran patient population in accordance with the Elizabeth Dole Act. To this end, we introduce them to new clinical use cases, such as referrals to a specialist. Subsequently, this includes training and technical support case resolution.
SAFe Agile Project Management
Furthermore, JPSys provide services for Scaled Agile Framework (SAFe) and Agile Project Management. We are responsible for working with VHIE, DoD, OEHRM, FEHRM, OI&T and other subject matter experts, as necessary, for the creation of UAT Plans, test scenarios, test cases, test scripts and identification of acceptance criteria.
Veteran's Health Information Exchange (VHIE) Business Analysis of System Performance Metrics
The Mission of the Health Information Exchange
J P Systems supports the VHIE office, the Joint DoD Health Information Exchange (JHIE), and VA Community Care healthcare providers. Our team analyzes VistA and Oracle Health data to evaluate query performance and measure patient data transmission speed and accuracy. Notably, In one month the JHIE network saw the exchange of a half a billion patient records. Subsequently, our think tank of SMEs are working to develop a vision to meet the future needs of Veteran.
VHIE System Performance Analysis
We monitor network traffic and identify bottlenecks and delays that hinder data exchange. Our network analysts perform root cause analysis recommend targeted improvements to boost system efficiency. The JPSys team reports the improved response times to demonstrate the improved network transmission times. Our User Acceptance Testing (UAT) Team conducts and verifies the accuracy of reported transaction response times.
J P Systems analyzes system performance data from the Joint HIE, VDIF, networks and other sources as available. We monitor and report on trending performance metrics for both VA and external partners. Support entails the tracking of system degradations to keep visibility for the VHIE business.
VA VHIE System Performance Report
Concurrently, JPSys collaborates with EHRM IO, Cerner, VDIF, COTS vendors, OI&T, and DOD to baseline and routinely to monitor VHIE systems performance utilizing tools per SLAs and Objectives, including availability, reachability, volume, errors, and average response times.
Projects
Clinical Terminology Services
Clinical Terminology Standards Support
The J P Systems Clinical Terminology Standards Support team provides comprehensive terminology services for VHA and Joint VA/DoD Health Information Exchange systems. These services include terminology mapping, data standardization, and modeling to enable accurate and computable clinical data exchange. Our experts support VHA Knowledge Based Systems (KBS) by aligning clinical domains such as medications and allergies with international standards like SNOMED CT, RxNorm, UMLS, and LOINC.
Standardized Reference Terminology Maintenance
Additionally, we maintain the VA Extension to SNOMED CT. JPSys maintains and releases a standardized reference terminology called Medication Reference Terminology (MED-RT) which is distributed nationwide by NIH. We manages mappings between VA legacy systems and Oracle Health. We utilize tools such as Symedical, Protégé, DTS, and TDE. These efforts make critical improvements to direct patient support and data quality while significantly increasing data interoperability with DoD and 22,000 clinics and hospitals, contributing to the technical functionality of electronic patient record systems.
Terminologies for Health Factors
Health Factors Terminology Matching, Modeling, and Maintenance
What are Health Factors? Health Factors are structured clinical data elements used within electronic health record systems. These capture observations, patient characteristics, behaviors, risks, screenings, interventions, and other healthcare related information. They may not be fully represented through standard diagnosis or procedure codes. They are created by the VA National Program offices and the local VA facilities.
Health Factors are important because they allow healthcare providers to capture detailed, patient-specific information that supports more personalized, comprehensive, and coordinated care. Unlike standard procedure codes, Health Factors document clinical observations, health risks, screenings, lifestyle behaviors, exposures, SDOH, and care interventions. Consequently, these contribute to a Veteran’s overall health status and treatment plan. This structured information helps clinicians make informed decisions, identify care gaps, monitor outcomes, and ensure continuity of care across multiple providers and VA facilities.
An example of a Health Factors that J P Systems has completed is: Home Telehealth Continuum of Care Forms In summary, Health Factors play a critical role in supporting comprehensive, data-driven healthcare by enabling the capture of meaningful clinical and patient-specific information that extends beyond traditional coding systems.
VHIE Support
VHIE Transition:
We directly support the Veterans Health Information Exchange Program Office and its Community Care provider partners. VHA external providers actively exchange Veteran health data through a secure, HL7 messaging standards based approach. Our team applies deep expertise in Health Informatics, HL7 FHIR, and Direct Secure Messaging program to increase interoperability for Clinical Decision Support (CDS). These capabilities consistently deliver measurable value to our government clients and their provider partners.
Our rapid stakeholder engagement strategies onboarded over 22,000 hospitals and clinics into the Joint VA/DOD Health Information Exchange (JHIE) network. Now we are transitioning the VHIE Direct Secure Messaging hub over to the Oracle HISP. This project effort includes outreach to rural providers to increase interoperability to better serve the Veteran patient population in accordance with the Elizabeth Dole Act. We are supporting the rural providers to introduce them to new use cases for data exchanges such as referrals to a specialist. We are planning the processes to onboard them into the new Oracle HISP. This includes training and technical support case resolution.
Veteran's Health Information Exchange (VHIE) Business Analysis of System Performance Metrics
Systems Performance:
In one month the JIHIE network saw the exchange of a half a billion patient records. Designing the future of a health information exchange of this magnitude requires significant subject matter expertise (SME) to predict the workflows needed 5 years in the future. Our think tank of SMEs are working to develop a vision for meeting the future needs of Veteran care. The JPSys technical and business analysis are tasked with developing a plan for technical continuity and optimization.
J P Systems supports the VHIE office, the Joint DoD Health Information Exchange, and VA Community Care healthcare providers. VHA’s external healthcare partners actively exchange Veteran health data with VHA, DHA, and Oracle Health platforms. Our team analyzes Oracle Health data to evaluate query performance and measure patient data transmission speed and accuracy. The end goal is to identify performance issues that violate our client's contract requirements.
For JHIE, we monitor network traffic and identify bottlenecks and delays that hinder data exchange. Our network analysts perform root cause analysis recommend targeted improvements to boost system efficiency. Next we engage the internal and external clinical data exchange partners and EHR vendors to resolve the delays and bottlenecks. The JPSys team reports the improved response times to demonstrate the improved network transmission times to better comply with contractual requirements. Our User Acceptance Testing (UAT) Team conducts and verifies the accuracy of reported transaction response times.