Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Editorial Comment: Increased Missing Data Affects Burden Estimates

Image of MSMR Logo 800 x 480. The Medical Surveillance Monthly Report is published monthly by the Armed Forces Health Surveillance Division

During the preparation of the MSMR’s annual burden of disease issue, Armed Forces Health Surveillance Division epidemiologists and the MSMR staff noted data patterns that indicate incomplete transfer or capture of certain routinely reported elements. As the Military Health System completes its transition to the new MHS GENESIS electronic health record, AFHSD is also in the process of completely transferring or mapping EHR data to the Defense Medical Surveillance System. As a result, some data elements typically reported in the annual MSMR burden issues may not be completely mapped at this time, including duty disposition status and ambulatory appointment type (in-person vs. virtual).

In addition to these data mapping aspects, 2022 was the first year DMSS data were housed and analyzed from the new MHS Information Platform. During this transition to the MIP, the number of records transmitted from MHS GENESIS to DMSS are being continually reviewed for completeness of data capture. While both hospitalization and ambulatory records are routinely updated after the end of each calendar year, data transfer completeness has not yet been fully assessed during the MIP transition. 

To bring our readership as much information as possible, and in a timely fashion, the MSMR staff has elected to mark much of the data in this issue as “provisional.” The MSMR may publish revised figures later this year, after data completeness issues have been fully investigated. While the effect of these missing data is most pronounced on the absolute value comparisons year-to-year, e.g., total number of encounters in 2022 versus 2021, the relative values and rank order of the major diagnostic categories are likely unaffected. Notably, the largest decline in ambulatory encounters was observed for ‘Z’ codes (other factors influencing health status and contact with health services).

While the primary purpose of any EHR is to document care during inpatient and outpatient encounters, extracts of these data are critical to public health surveillance efforts. These extracts are utilized to continuously expand the DMSS as a central repository of medical surveillance data for the U.S. Armed Forces. The AFHSD will continue to monitor data capture from MHS GENESIS to DMSS for quality and completeness and collaborate with health informatics experts within MHS to resolve any remaining data issues.

You also may be interested in...

Report
Aug 1, 2023

MSMR Vol. 30 No. 8 - August 2023

.PDF | 1.02 MB

The August 2023 MSMR provides the most recent data from the active surveillance program for acute respiratory disease and Group A Beta-Hemolytic Streptococcus among U.S. Army basic trainees; then summarizes the case report of an extensively resistant E. coli in a returning traveler at Hawai'i's Tripler Army Medical Center; followed by a Surveillance ...

Article
Aug 1, 2023

Case Report: Complicated Urinary Tract Infection Due to an Extensively Resistant Escherichia coli in a Returning Traveler

This article presents the medical case report of a 76-year-old man who returned to the U.S. following overseas travel and was admitted at Hawai'i's Tri­pler Army Medical Center with a complicated urinary tract infection due to an extensively resistant strain of E. coli.

Article
Aug 1, 2023

Active Surveillance for Acute Respiratory Disease Detected No Outbreaks at Four U.S. Army Basic Training Installations in 2022

This article presents the 2022 results of the active surveillance program for acute respiratory disease and Group A Beta-Hemolytic Streptococcus conducted by the Defense Centers for Public Health-Aberdeen at the four Army installations responsible for basic combat training or one-station unit training. This ARD surveillance program rapidly monitors, ...

Report
Jul 1, 2023

MSMR Vol. 30 No. 7 - July 2023

.PDF | 1.30 MB

This continuation of the June issue, which published the annual quantification of health care provided by the Military Health System, continues with the impacts of various illnesses and injuries in 2022 among deployed service members; medical evacuations out of theaters of military operation; health care provision to non-service member MHS ...

Article
Jul 1, 2023

Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries Among Non-Service Member Beneficiaries of the Military Health System, 2022

This report represents an updated summary of care provided to non-service members in the MHS during calendar year 2022. MHS beneficiaries are diverse and heterogeneous, including active component service members, activated National Guard and Reserve service members, active component immediate family, retirees, and their family members, with differing ...

Article
Jul 1, 2023

Medical Evacuations out of U.S. Central and U.S. Africa Command Among Active and Reserve Components, U.S. Armed Forces, 2022

This report summarizes the nature, numbers, and trends of conditions for which military members were medically evacuated from the U.S. Central Command (CENTCOM) or Africa Central Command (AFRICOM) operations during 2022, with historical comparisons to the previous four years.

Article
Jul 1, 2023

Morbidity Burdens Attributable to Various Illnesses and Injuries Among Deployed Active and Reserve Component Service Members, U.S. Armed Forces, 2022

This annual estimate of illness- and injury-related morbidity and health care burdens on the U.S. Armed Forces and MHS updates previous analyses of these burden distributions among active and reserve component service members in deployed settings. This report focuses on the health encounters of service members during deployment to U.S. Central Command ...

Report
Jun 1, 2023

MSMR Vol. 30 No. 6 - June 2023

.PDF | 1.55 MB

This annual issue quantifies the impacts of various illnesses and injuries in 2022 among members of the active component of the U.S. Armed Forces as well as the U.S. Coast Guard; health care burden metrics include the total number of medical encounters, including hospitalizations and ambulatory services, as well as numbers and types of individuals ...

Article
Jun 1, 2023

Absolute and Relative Morbidity Burdens Attributable to Various Illnesses and Injuries Among Active Component Members, U.S. Armed Forces, 2022

This annual summary uses several health care burden measures to quantify the impacts of various illnesses and injuries in 2022 among members of the active component of the U.S. Armed Forces. Health care burden metrics include the total number of medical encounters, individuals affected, and hospital bed days.

Skip subpage navigation
Refine your search
Last Updated: August 03, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery