EXHIBIT - O - VA OEHRM Site Infrastructure Requirements_v1_1.pdf

Transforming Health Care for Veterans, Revolutionizing Health Care for All

OEHRM Site Infrastructure Requirements November 19, 2019 | Version 1.1

OEHRM SITE INFRASTRUCTURE REQUIREMENTS | ii

John Short Chief Technology & Integration Officer

Veterans Affairs Office of Electronic Health Record Modernization

Paul Tibbits, MD Executive Director, Office of Technology Integration

Veterans Affairs Office of Information and Technology

Edward A. Litvin, PE, CHFM Deputy to the Assistant Deputy Under Secretary for Health, Administrative Operations

Veterans Health Administration

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Table of Contents 1 Overview

2 Requirements

2.1 Wide Area Networking (WAN)

2.1.1 WAN Requirements

2.1.2 WAN Implementation Specifications and Considerations

2.2 Local Area Networking (LAN)

2.3 Wireless LAN (WLAN) Design Requirements

2.4 Power and Space Design Requirements

2.5 Heating, Ventilation, and Air Conditioning (HVAC) Design Requirements

2.6 End-User Devices (EUD)

2.7 Voice Over Internet Protocol (VOIP) Device Requirements

2.8 Medical Device Requirements

2.9 Physical Security Design Requirements

2.10 Joint Security Architecture Design Requirements

Appendix A: Acronyms

Appendix B: References

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1 Overview The Office of Electronic Health Record Modernization (OEHRM) Program is a large-scale, commercial Electronic Health Record (EHR) implementation. As such, the Department of Veterans Affairs (VA) must ensure that the new EHR is supported by both proper Information Technology (IT) infrastructure as well as physical (i.e., facilities) infrastructure. This document is intended to outline the current set of OEHRM requirements. Specific items evaluated within this document are: Wide Area Networking (WAN), Local Area Networking (LAN), Wireless LAN (WLAN), Power, Heating, Ventilation, and Air Conditioning (HVAC), End User Devices (EUD), Networking and Voice Over Internet Protocol (VOIP).

2 Requirements Sections 2.1 through 2.9 outline the initial set of requirements for support to OEHRM deployment at Initial Operating Capabilities (IOC) and subsequent wave deployments. These high-level requirements need to be communicated across all stakeholders.

This document provides requirements in addition to VA’s existing design guides and enterprise IT requirements. Additional requirements will supplement specific areas, such as wireless networking, that may require further details. Other site-specific requirements may be issued that develop from evaluation of individual locations. This document will be updated annually over the 10-year deployment schedule to incorporate both technology improvements and lessons learned from deployments. In any area of conflict, the more stringent of the two standards will apply.

2.1 Wide Area Networking (WAN)

2.1.1 WAN Requirements

WAN requirements are listed in the following table.

Table 1. VA WAN Requirements for Multiple Locations

Location Community Based Outpatient Clinics (CBOCs) and other non- VA Medical Centers (VAMCs)

Specification

Minimum single 100 Megabits per second (Mbps) (1 x 100 Mbps) circuit with ≥ 50 Mbps committed information rate (CIR) or bandwidth allocation of peak usage plus 50%, whichever is greater for IOC, Wave 1, 2, and 3

Notes After installation, OIT, OEHRM, and Cerner will reassess these sites and the enterprise

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Location VAMCs

Specification

Minimum dual 1 Gigabits per second (Gbps) interface available with ≥ 500 Mbps CIR (2 x 500 Mbps) circuits or bandwidth allocation of peak usage plus 50%, whichever is greater for IOC, Wave 1, 2, and 3. After that OIT, OEHRM, and Cerner will reassess for these sites and the enterprise

Notes After installation OIT, OEHRM, and Cerner will reassess for these sites and the enterprise

Location VAMCs

Specification

Shall have end-to-end, geographically diverse and carrier-diverse circuits with minimum fiber pathways separation:

service provider public rights-of-way 75 ft, Egress 20 ft, and cabinet 10 ft. See below Figure 1 The preferred entry points 180° apart, or 90° acceptable (protected preferred, unprotected acceptable), with the caveat of VHA providing space; all variances to be approved by OEHRM Chief Technology & Integration Officer. See below Figure 2 (when ordering diverse circuits, it is standard acceptable practice to request diversity, provide the alternate diverse carrier, and request route map to validate route diversity)

Location VA Enterprise Cloud (VAEC), Austin Information Technology

Center (AITC), Philadelphia Information Technology Center

(PITC)

Specification Dual 10 Gbps circuit with 1 Gbps CIR minimum from the facility to the Cerner Data Center (2 x 1 Gbps)

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The physical configuration of circuits entering medical facilities is shown in the following figure.

Figure 1: Minimum Geographic Diversity Circuits with Entry Points

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Figure 2: Preferred Geographic Diversity Circuits with Entry Points

2.1.2 WAN Implementation Specifications and Considerations

A. Details on Quality of Service (QoS) can be reference in the existing VA document: *Veterans Affairs Enterprise Infrastructure Standard: Quality of Service (QoS)

B. Active-Active High Availability (HA) Redundancy in accordance with facility type per the VA Enterprise Local Area Network (LAN) Technical Architecture Standard Version 2.1, February 13, C. Encryption Protocol: OEHRM requires an end-to-end WAN encryption solution such that traffic from VA locations can go directly to Cerner enclave without having the encryption broken and re-encrypted

D. Power / Environmental / Switching / Topology TIA-942Tier 3 E. Performance Service Level Agreements (SLA) 99.99% (per Networx SLA)

2.2 Local Area Networking (LAN)

A. Category 6A cable (CAT6A) unshielded twisted pair (UTP), with additional slack, as required, to relocate if telecommunications room (TR) wiring closet pending move. Otherwise, normal Building Industry Consulting Service International (BICSI) Standards; CAT6 will be grandfathered;

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CAT5e is addressed per Electronic Health Record Modernization Cabling Infrastructure (VIEWS 01426385) per the Assistant Secretary and Chief Information Officer for Office of Information and Technology decision memorandum, September 23, 2019

1. Additional cabling (for closet relocation) in ceiling terminated to a CAT6A RJ-45 patch panel in closet and CAT6A RJ-45 Jack at wall plate

2. Consideration must be given to not add additional room cabling that might interfere with cooling/airflow or other environmental factors

3. All new cabling in the building will come with an electronic and paper as-built configuration, for the cable plant in AutoCAD

4. Each TR wiring closets cable plant as-built configuration will be maintained in a folder on the back of the door

B. Compliant with the BICSI standards (ANSI/NECA/BICSI 568, Standard for Installing Commercial Building Telecommunications Cabling and ANSI/TIA-1179-A Healthcare Facility Telecommunications Infrastructure for new installations)

C. 1 GbE connectivity to desktops, and other EUD D. Utilize high-performance network switches with low latency and minimal packet loss for appropriate infrastructure job function and growth per VA business growth forecast. (No site should go-live with any switch that is within one (1) year of Last Day of Support (LDoS) or End of Software Maintenance (EoSW))

E. A cable analyzer will be used to determine cable length (max cable length 90M/295Ft), and certify that cable meets or exceeds TIA-EIA-568-D

F. In areas where there are environmental issues (e.g., steam pipes, lack of ventilation, etc.), the use of thermal curtains and additional vents will be considered as a temporary alternative, if not permanent resolution

G. TR Wiring Closet Environmental Monitoring Solution for temperature and humidity (e.g.

Uninterruptible Power Supply (UPS) with Network Management Card, Temperature & Humidity Sensor, and Central Monitoring by way of a single network connection is required using a RJ-45 Patch Cable) Note: It is the responsibility of Facility Engineering to monitor and control the TR wiring closet environment. They must select the proper unit to accomplish the required monitoring

H. LAN topology from OIT I. Intra-building Fiber (Horizontal and First Level Backbone)

1. Performance Category: OM4 Laser Enhanced to 40 GbE; OM3 will be grandfathered

2. Performance Specifications: Laser Optimized 50/125 μm fibers with effective modal bandwidth of at least 4,700 MHz∙km at 850 nm

3. Mode: Multimode

4. Smoke Rating

i. Riser cable for vertical runs through floors

ii. Plenum rated for plenum spaces

iii. Not rated for other applications

iv. Or as per AHJ requirement

5. Jacket Color: Aqua

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6. Termination Method: Pre-terminated with MPO (Long run cables and campus network cables will have terminations completed in the field, as required)

7. Strand Count: 12 or 24 per assembly

8. Bundling: Loose Tube

9. Polarity: Straight (or Type A-Key up one end, and key down on the other)

J. Campus Area Network (CAN) connection by Single Mode (SM) OS2 Fiber 10 GbE or better for building-to-building

1. Single Jacket Non-armored Loose Tube fiber cable for running in conduit

2. Armored fiber for direct-buried or aerial runs

3. All dielectric

4. Outside Plant, Communications Multipurpose Cable, Riser (CMR) “riser-rated cable”

Rating

5. 96 Count (if not enough room, smaller count cables can be used)

6. Field-Terminated

K. All CAN fiber connections may be homerun back to intermediate distribution switch/fiber distribution panel (FDP). Fiber connections at building should not be run through additional buildings unless pass-through or mesh; no “daisy chain”"

L. CAN – minimum of 10 Gbps LAN links or Small Coarse wavelength division multiplexing (CWDM);

VHA responsible for Fiber and OEHRM will fund small form pluggable (SFP); NOTE: Not required for Go Live at IOC facilities

M. Connections for Core, Distribution and uplink from Access Switch shall provide a minimum of 10 GbE Fiber or better; VHA responsible for Fiber and OEHRM will fund small form pluggable (SFP);

NOTE: Not required for Go Live at IOC facilities

N. Power / Environmental / Switching / TopologyTIA-942 Rating 3 O. Performance Service Level Agreements (SLA) 99.9% excluding scheduled downtime; assumption facility infrastructure supports the SLA P. Network Infrastructure devices connected to UPS and on Emergency Power / Backup Generator

2.3 Wireless LAN (WLAN) Design Requirements

This section covers VA secure WLAN. Detailed WLAN requirements will be contained in a supplemental document, VA OEHRM Wireless Network Infrastructure - Requirements Specification Document.

A. 802.11ac Wave 2 & when commercially available next-generation 802.11ax B. Power over Ethernet (PoE), 802.3at PoE+ C. CAT6A cable to access point (AP) D. VAMC POE Switch connected to UPS and on Emergency Power/Backup Generator E. CBOC POE Switch connected to UPS with 30-minute run-time F. Compliant with VA Telecommunications and Special Telecommunications Systems Design

Manual and TIA TBS-162-A, Telecommunication Cabling Guidelines for Wireless Access Points

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2.4 Power and Space Design Requirements

A. Required Forward Deployed Server Power and Space Design Requirements

1. Specific power requirements for each Forward Deployed Server Stack are specified in the signed IOC Forward Deployed Rack Power Memo, dated April 19, 2019

2. As a guideline, previous installations required 208V,60A supply of 9.984W per circuit (with 2N redundancy) per stack and a total of two stacks. The maximal power required for each stack is estimated to be 14.1kW

3. Racks will be installed at the VAMC Server Rooms only and not needed at leased facilities unless required by Cerner for biomedical equipment / systems

4. Forward Deployed Server cabinets provided by Cerner (45RU, 24" nominal width)

5. Site-specific cabinet requirements will be determined by Cerner and may deviate from this guidance B. UPS Functional Requirements

1. All UPS units to be functional and adequate in all Telecommunication Rooms (VAMC with 20-minute run-time; CBOC with 30-minute run-time) (Reference. The U.S.

Department of Veterans Affairs, Physical Security Design Manual (PSDM) for Mission Critical Facilities, January 2015)

2. All units within one (1) year of end of life by IOC (Go-Live) are to be replaced with new units

i. End of Life for stand-alone units assumed to be six (6) years from date placed into service

ii. End of Life for UPS batteries assumed to be three (3) years from date replaced C. VAMC – Per section 8.2.2 of the Telecommunications Design Manual, Emergency Power /

Backup Generator used in all Telecommunication Rooms Equipment in TR Wiring Closet shall be connected to the critical electrical branch, where required

D. New equipment install must comply with Single point grounding per ANSI/NECA/BICSI 607-C, Generic Telecommunications Bonding and Grounding (Earthing) for Customer Premises November 2015

E. The main facility power feed must meet additional power requirements listed above at paragraph 2.4.A.1

2.5 Heating, Ventilation, and Air Conditioning (HVAC) Design

Requirements

A. The new total cooling (N+1 Redundancy) shall be equal to the existing requirements plus the additional heat releases from the following additional equipment

1. Cerner Forward Deployed Server cooling requirements will be calculated based on the power requirements provided by Cerner in the IOC Forward Deployed Rack Power Memo, dated April 19, 2019

2. As a guideline, previous installations required 208V,60A supply of 9,984W per circuit (with 2N redundancy) per stack and a total of two stacks. The maximal power required for each stack is estimated to be 14.1kW

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B. Room temperature and relative humidity values should adhere to the U.S. Department of Veterans Affairs Office of Construction & Facilities Management HVAC Design Manual, dated May 1, 2019

1. VA data center environmental requirements are classified as Environmental Class A1 per American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) TC9.9 modified for the VA operating environment, IT equipment inlet temperature range of 72°F to 81°F, humidity ≤ 60 percent

2. TR Wiring Closet Class B space temperature range 41°F to 95°F, relative humidity: 8 to 80%

C. Blank panels shall be installed in all open rack units, in Data Center cabinet and racks, to prevent hot exhaust air recirculating to the cold air equipment intake side of the rack. This requirement is shown in the following figure

Figure 2. Blanking Panel Applications

Reference: Section 3.1.3.1, Data Center Facility Environment Conditioning Standards, Figure 8, page 42, Office of Information & Technology (OIT) Infrastructure Standards for Telecommunications Spaces, Version 2.2, April 10, 2019

2.6 End-User Devices (EUD)

This section describes specifications for Desktop, Laptop, Tablet, Document and Scanner and Printers.

All EUDs must meet the recommended or greater requirement levels. EUD requirements to be further detailed in a supplemental OEHRM End User Device Requirements document

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A. General EUD:

1. Processor: Dual or more Core Processor (i5, i7 or equivalent) running at 2.0GHz or greater, Support for AES-NI

2. RAM: 16GB DDR4 SDRAM 2,400MHz

3. Hard Drive: 512 GB NVMe PCIe M.2 SSD

4. Display/Graphics: Integrated High Definition (HD) graphics with of 512 MB shared memory or more provided, dedicated memory preferred, Dual Monitor Support

5. Monitor: 22” (minimum) or 24” (recommended), Resolution of 1920 x 1080 or higher and 32-bit color

i. Appropriate monitor size for locations where physical limitations restrict the use of recommended monitor sizes will be determined on a case by case basis

ii. Display size for laptops shall meet the end user’s requirements for their intended laptop use

iii. If a docking station is provided the docked monitor shall meet the requirements stated above

6. Network: Network Port 1 GbE, RJ-45. Wireless interface shall support 802.11a/n/ac

(2x2) and, a FIPS-140-2 encrypted communications and 5 GHz support

7. Peripheral: 101-key keyboard and mouse or equivalent

8. O/S: Windows 10 Pro 64 with Internet Explorer 11

9. Citrix Receiver: 14.9 or later as required by TRM

10. Access: PIV Card Reader

11. Other Software: VA Image as appropriate

B. Clinical Imaging-Diagnostic Viewing EUD

1. Processor: Intel Skylake Hexa Core w/HT Technology 3.7GHz or better

2. RAM: 32GB

3. Hard Drive: 512 GB PCIe NVMe M.2 SSD

4. Display/Graphics: Barco MXRT-5600 or NVIDIA Quadro P2000, Dual Monitor Support

5. Monitor:

i. 22” (minimum), Resolution of 1920 x 1080 or higher, and 32-bit color

ii. 27” monitors, Resolution of 2560 x 1440 or higher, total of 3 monitors is suggested for the optimal workflow, 2 for viewing images and 1 for charting

iii. Appropriate monitor size for locations where physical limitations restrict the use of recommended monitor sizes will be determined on a case-by-case basis

6. Network: Network Port - 1 GbE RJ-45. Wireless is not recommended

7. Peripheral: 101-key keyboard and mouse or equivalent

8. O/S: Windows 10 64-bit

9. Access: PIV Card Reader

C. Clinical Imaging-Technologist EUD:

1. Processor: Intel Skylake Quad Core w/HT Technology 3.0GHz or better

2. RAM: 16GB

3. Hard Drive: 512 GB PCIe NVMe M.2 SSD

4. Display/Graphics: Barco MXRT-5600 or NVIDIA Quadro P2000, Dual Monitor Support

5. Monitor:

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i. 22” (minimum), Resolution of 1920 x 1080 or higher, and 32-bit color

ii. 27” monitors, Resolution of 2560 x 1440 or higher

iii. Appropriate monitor size for locations where physical limitations restrict the use of recommended monitor sizes will be determined on a case-by-case basis

6. Network: Network Port - 1 GbE RJ-45. Wireless is not recommended

7. Peripheral: 101-key keyboard and mouse or equivalent

8. Operating system (OS): Windows 10 64-bit

9. Access: PIV Card Reader

2.7 Voice Over Internet Protocol (VOIP) Device Requirements

A. A POE Switch and Desktop phones feed to EUD B. VOIP Phone / Device capable of 1 GbE pass-through to support EUDs C. Zebra device require Session Initiation Protocol (SIP) trunk with dialing plan (two extension per device; one for the user and one for the device)

2.8 Medical Device Requirements

Additional Medical Device Requirements are to be determined by OEHRM in supplemental documentation

2.9 Physical Security Design Requirements

Rooms undergoing modifications and upgrades will comply with current physical security design requirements. References should be made to U.S. Department of Veterans Affairs Office of Construction & Facilities Management Telecommunications and Special Telecommunications Systems Design Manual, dated February 2016 and The U.S. Department of Veterans Affairs, Physical Security Design Manual (PSDM) for Mission Critical Facilities, January 2015

2.10 Joint Security Architecture Design Requirements

Specific requirement can be found in the OEHRM Joint Security Architecture (JSA) Requirements Specifications Document (RSD)

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Appendix A: Acronyms

Acronym Description

AP Access point

AITC Austin Information Technology Center

ANSI American National Standards Institute

ASHRAE The American Society of Heating, Refrigerating and Air-Conditioning Engineers

BICSI Building Industry Consulting Service International

BTU British Thermal Unit

CAN Campus Area Network

CAT6A Category 6A cable

CBOC Community Based Outpatient Clinic

CIR Committed information rate

CMR Communications Multipurpose Cable, Riser

CWDM Coarse Wavelength Division Multiplexing

DoD Department of Defense

DWDM Dense Wavelength Division Multiplexing her Electronic Health Record

ELTE Ethernet Line Termination Equipment (a term of convenience)

EMCR Emergency Control Room

EoSW End of Software Maintenance

EUD End User Device

FDP Fiber Distribution Panel

Gbps Gigabits per second

HA High Availability

HD High Definition

HVAC Heating, Ventilation and Air Conditioning

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ICT Information and Communications Technology

IOC Initial Operating Capabilities

IT Information Technology

ITU-T International Telecommunications Union – Transport Standardization Sector

LAN Local Area Network

LDoS Last Day of Support

MAC Media Access Control layer

MAN Metropolitan Area Network

Mbps Megabits per second

MDA Main Distribution Area

MIB Management Information Base

NECA National Electrical Contractors Association

OEHRM Office of Electronic Health Record Modernization

OI&T Office of Information & Technology

OS Operating system

OTN Optical Transport Network (defined by ITU-T)

PACs Physical Access Control Systems

PCR Police Control Room

PCS Physical Coding Sublayer

PHY Physical layer comprised of the PCS + PMA + PMD sublayers

PII Personally Identifiable Information

PITC Philadelphia Information Technology Center

PIV Personal Identification Verification

PMA Physical Medium Attachment sublayer

PMD Physical Medium Dependent sublayer

POE Power Over Ethernet

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QoS Quality of Service

SDH Synchronous Digital Hierarchy (ITU-T term)

SFP Small Form Pluggable

SIP Session Initiation Protocol

SLA Service Level Agreements

SM Single Mode

SMS Security Management System

SONET Synchronous Optical Network (ANSI term)

TR Telecommunications room

UPS Uninterruptible Power Supply

UTP Unshielded twisted pair

VA Department of Veterans Affairs

VAEC VA Enterprise Cloud

VAMC VA Medical Centers

VOIP Voice Over Internet Protocol

WAN Wide Area Network

WIS WAN Interface Sublayer (distinguishes the WAN PHY from the LAN PHY)

WLAN Wireless LAN

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Appendix B: References The following were used as references for this document:

1. U.S Department of Veterans Affairs Office of Construction & Facilities Management Telecommunications and Special Telecommunications Systems Design Manual February 2016 https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf

2. U.S Department of Veterans Affairs Office of Information & Technology (OIT) Infrastructure Standards for Telecommunications Spaces Version 2.2 April 10, 2019 https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Supporting_Documents/Infrastruct ure%20Standards%20for%20Telecommunications%20Spaces.pdf

3. ANSI/NECA/BICSI 568, Standard for Installing Commercial Building Telecommunications Cabling

4. ANSI/TIA-1179-A Healthcare Facility Telecommunications Infrastructure for new installations

5. TIA TBS-162-A, Telecommunication Cabling Guidelines for Wireless Access Points

6. ANSI/NECA/BICSI 607-C, Generic Telecommunications Bonding and Grounding (Earthing) for

Customer Premises November 2015

7. Joint Enterprise Architecture Working Group (J-EAWG) Architecture 1.0

8. OEHRM End User Device Deployment Plan

9. VA OEHRM Wireless Network Infrastructure - Requirements Specification Document - v 1.7

10. U.S Department of Veterans Affairs Office of Information and Technology CFM/OIT DESIGN

GUIDE TEMPLATES FOR CRITICAL TELECOMMUNICATIONS SPACES IN CLINICAL AND NON-

CLINICAL ENVIRONMENTS Dec 27, 2018

11. Cerner Forward Deployed Power Supply Decision Memo April 19, 2019 https://vaww.vashare.oit.va.gov/sites/ehrm/ProgramControl/QualityPerfMgmt/Deliverables/v1 -119461343- 20190506_Forward%20Deployed%20Power%20Supply%20Decision%20Memo_Signed.pdf

12. The U.S. Department of Veterans Affairs, Physical Security Design Manual (PSDM) for Mission Critical Facilities, January 2015 https://www.wbdg.org/FFC/VA/VAPHYS/dmphysecmc_2015.pdf

13. U.S Department of Veterans Affairs Enterprise Infrastructure Standard: Quality Of Service(QoS) https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Approved_Baselines/VA%20Enterpr ise%20IT%20Infrastructure%20(QoS)_1-14.pdf

14. U.S. Department of Veterans Affairs Office of Construction & Facilities Management HVAC Design Manual dated Revised May 1, 2019

15. 14.15. VA Drawing Deliverable Requirements, November 2016 https://www.cfm.va.gov/til/bim/DwgDelivRqmts.pdf

16. U.S Department of Veterans Affairs Enterprise Local Area Network (LAN) Technical Architecture Standard, Version 2.1, February 13, 2019 https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Supporting_Documents/Enterprise %20Local%20Area%20Network%20(LAN)%20Technical%20Architecture%20Standard_v2.1.pdf

17. OEHRM Joint Security Architecture (JSA) Requirements Specifications Document (RSD) https://www.cfm.va.gov/til/dManual/dmTelecomm.pdf https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Supporting_Documents/Infrastructure%20Standards%20for%20Telecommunications%20Spaces.pdf https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Supporting_Documents/Infrastructure%20Standards%20for%20Telecommunications%20Spaces.pdf https://vaww.vashare.oit.va.gov/sites/ehrm/ProgramControl/QualityPerfMgmt/Deliverables/v1-119461343-20190506_Forward%20Deployed%20Power%20Supply%20Decision%20Memo_Signed.pdf https://vaww.vashare.oit.va.gov/sites/ehrm/ProgramControl/QualityPerfMgmt/Deliverables/v1-119461343-20190506_Forward%20Deployed%20Power%20Supply%20Decision%20Memo_Signed.pdf https://vaww.vashare.oit.va.gov/sites/ehrm/ProgramControl/QualityPerfMgmt/Deliverables/v1-119461343-20190506_Forward%20Deployed%20Power%20Supply%20Decision%20Memo_Signed.pdf https://www.wbdg.org/FFC/VA/VAPHYS/dmphysecmc_2015.pdf https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Approved_Baselines/VA%20Enterprise%20IT%20Infrastructure%20(QoS)_1-14.pdf https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Approved_Baselines/VA%20Enterprise%20IT%20Infrastructure%20(QoS)_1-14.pdf https://www.cfm.va.gov/til/bim/DwgDelivRqmts.pdf https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Supporting_Documents/Enterprise%20Local%20Area%20Network%20(LAN)%20Technical%20Architecture%20Standard_v2.1.pdf https://vaww.vashare.oit.va.gov/sites/itops/svcs/sma/BCM/Supporting_Documents/Enterprise%20Local%20Area%20Network%20(LAN)%20Technical%20Architecture%20Standard_v2.1.pdf

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18. U.S Department of Veterans Affairs Electronic Health Record Modernization Cabling Infrastructure (VIEWS 01426385) Executive Decision Memorandum, dated September 23, 2019

VACOVogelA Stamp