Is there a significant delay to access updated patient records in Theater Medical Data Store (TMDS) after encounters are submitted from level I and II medical treatment facilities (MTFs)?
Historically, outpatient encounters appear in TMDS approximately two to five hours after they are signed and closed by providers. This delay is typically not a bandwidth issue but more with the time the software needs to process and display the new data. In cases where bandwidth does not exist, usually at the level I facility, there is a process to manually export encounters and import them into a facility with connectivity. Additionally, MC4 does not transfer data via the SIPRNet. MC4 networks operate on NIPRNet or very small aperture terminal (VSAT) connectivity. As for the inpatient data, the recent upgrade to Theater Medical Information Program Composite Health Care System Cach (TC2) introduced a new, much more efficient method for transmitting encounters called the Expeditionary Framework (EF). Recent testing proves that inpatient data is transmitted and visible in TMDS within minutes after a provider signs a patient record. The addition of EF to the outpatient software Composite
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- Is there a significant delay to access updated patient records in Theater Medical Data Store (TMDS) after encounters are submitted from level I and II medical treatment facilities (MTFs)?
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