DHIMS: Defense Health Information Management System

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Theater Medical Data Store (TMDS)

Theater Medical Data Store (TMDS) serves as the authoritative Theater database for collecting, distributing and viewing Service members' pertinent medical information. It provides one central location for healthcare providers to view Theater medical data. TMDS views and tracks ill or injured patients as they move through the Theater levels of care, Sustaining Base military treatment facilities (MTFs) and those shared with the Department of Veterans Affairs (VA).

TMDS updates the AHLTA Clinical Data Repository (CDR), where all Service members' Electronic Health Records (EHR) reside. This information is also made available to the VA through an interface known as Bidirectional Health Information Exchange-Theater (BHIE-T). Using TMDS, medical staff can view airlifted critically injured patients' history, progress notes, laboratory, drug and radiological history before arrival at their next location. TMDS supports the collection of information from first responder, battalion aid station and Theater hospitals and makes the information readable in Theater and back to OCONUS and CONUS hospitals and ultimately to the CDR and to the VA.

Key Features and Capabilities

• Provides a central location for all medical data generated in Theater so that it's integrated into the life-long longitudinal health record
• Services-oriented collection and distribution point for medical data for TMIP and makes the information visible to providers and feeds other MHS enterprises and VA systems
• TMDS-BHIE interface allows the VA to query the TMDS system and obtain all Theater medical data for a patient who has entered a VA medical facility; the VA now has access to patient care data from point of injury through all levels of care, which is ideal when support care is given at VA facilities
• TMDS allows for the viewing of Theater medical data and the passing of medical data to the CDR; this data becomes a part of the consolidated Theater medical record

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