VA118-17-R-2324-026.xlsx
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- Electronic Health Record Modernization Federal contract opportunity
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- VA11817R2324
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VA118-17-R-2324 003 - VA EHRM Non-Functional RTM.xlsx
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| Interface Required Assessment | Functional Area | Presumed Target System for Interface | Reasoning for Assessment | Module/Application | Module/App Description | Interfaces | Message Type | Inbound/ Outbound | Endpoint | QUESTIONS | Answer | Module Exists | Tehcnical Manual | Is there a Question? | Is it Answered? | Data feed to/from VistA (Y/N) | HL7 Name | LLP type (e.g. TCP, Mail) | RPC Names | MailMan | sFTP | ECP | Routines that we should be aware | Item Type | Path | Source | Completed | Original Category | Application(s) | Vendor | Original Spreadsheet | Original sequence | Reporting/Registries Related | Support Assumptions Per Cerner UI | IP Dev Required | Needs Follow-Up | POC / Workgroup for review |
| Yes | audiology | Reporting Data Extract- National Audiology Repository | National Audiology Repository | yes | |||||||||||||||||||||||||||||||||
| Yes | clinical | Remote VistAs- Patient Flags | Patient Record Flags | This VistA module provides the ability to create, assign, inactivate, edit, produce reports on, and view patient record flag alerts. Patient record flags are used to alert VHA medical staff and employees of patients whose behavior, medical status, or characteristics may pose a threat either to their safety, the safety of other patients or employees, or which may otherwise compromise the delivery of quality safe health care. The use of patient record flags must be strictly controlled and implemented following VA Directives.Patient record flags are divided into Category I (national) and Category II (local) flags. Category I flags are nationally approved and distributed by VHA nationally released software for implementation by all facilities. | Category I flags are shared across all known treating facilities for the patient utilizing VistA HL7 messaging, and can only changed or deactivated by the owning facility. Category II flags are locally established by individual VISNs or facilities and are not shared between facilities. Interfaces with Text Integration Utility (TIU) progress notes through TIU document definitions specifically related to Patient Record Flags. | HL7 | Both | Inter-facility | VistA Capability spreadsheet | 35 | No | Yes | Yes | ||||||||||||||||||||||||
| Yes | Dental | Reporting Data Extract- Dental Reporting and Analytics System | Dental Reporting and Analytics System | ||||||||||||||||||||||||||||||||||
| Yes | eligibility & enrollment | Enterprise System- Enrollment System | Enrollment System | The Enrollment System is VHA’s System of Record (SOR) for managing enrollment and eligibility information. The Enrollment System collects and verifies the enrollment and eligibility information, which is used to determine services a Veteran and other VHA health care beneficiaries are entitled to receive | The Enrollment System (ES) is a web-based system that shares patient enrollment and eligibility data and updates with all treating facilities. | both | Inter-facility | VistA Capability spreadsheet | 21 | ||||||||||||||||||||||||||||
| Yes | identity | Enterprise System- MVI | Master Patient Index | The Master Veteran Index (MVI) database (formerly known as the Master Patient Index [MPI]) is the primary vehicle for assigning and maintaining unique patient identifiers. A gateway in VistA establishes connectivity between VA Medical Center (VAMC) systems and patient registration processes and links to the MVI for message processing and patient identification. The MVI was created to support maintenance of a unique patient identifier and a single master index of all Veterans Health Administration (VHA) patients and to allow messaging of patient information among the institutional partners [i.e., VHA, Veterans Benefits Administration (VBA), Board of Veterans Appeals (BVA), National Cemetery Service (NCS), and Department of Defense (DoD).] MVI creates an index that uniquely identifies each active patient treated by the Veterans Administration, identifies the sites where a patient is receiving care, and supports crucial sharing of Veteran patient information across sites. | Request an Integration Control Number (ICN) assignment |
• Query the MVI for known data
• Update the MVI when changes occur to demographic fields stored on the index itself or to other facilities and systems of interest.
| • Obtain a Treating Facility List of sites where the patient is also known by this ICN (Each site becomes part of the network of sites that share key demographic data for patients via HL7 messaging. | VistA Capability spreadsheet | 28 | ||||||||||||||||||
| Yes | Imaging | Enterprise System- VistA Imaging CVIX | VistA Imaging System | CVIX serves as a central middleware connector across all the local VistA Imaging systems | Yes | |||||||||||||||
| Yes | Interoperability | Enterprise System- JLV | Joint Legacy Viewer | The Joint Legacy Viewer (JLV) is a graphical user interface (GUI) that links the Veteran Affairs (VA) electronic medical record (EMR) systems with the Department of Defense (DoD) EMR systems. The interface is a front-end web application that provides a common data view of view-only, real-time patient information from separate and distinct EMR Systems. | provides all authorized DoD Composite Health Care System (CHCS) users and VA VistA users with a combined view of DoD/VA patient record data. | HL7 | Both | DoD AHLTA and VistA | VistA Capability spreadsheet | 7 | Yes | No | No | |||||||
| Yes | Interoperability | External System- CommonWell | CommonWell Network | |||||||||||||||||
| Yes | interoperability | External System- eHealthExchange | Virtual Electronic eHealth Exchange (VLER) | The VA eHealth Exchange program will ensure that appropriate medical information is shared through secure and interoperable information management systems, making the necessary information available to those who need it, when they need it, and in a form that is suited to the stakeholders’ needs. The Department of Veterans Affairs (VA), Department of Defense (DoD), and other partners also understand that there is a compelling need to promote the sharing of health information not only with other government agencies but also with private sector healthcare entities to provide for the continuity and quality care of all veterans. eHealth Exchange is designed to give both VA clinicians as well as external eHealth Exchange partners immediate access to vital Veteran health record information at the point of care, either within a VA facility or at a participating partner facility, and therefore has the potential to improve the quality of care for all Veterans. eHealth Exchange is a query-based exchange where a clinician from one organization can request, receive and display health information from other participating organizations that know the patient. | The health information exchanged is primarily a health summary document knows as a Continuity of Care Document (CCD or C32) and associated clinical notes. | VistA Capability spreadsheet | 12 | Yes | ||||||||||||
| Yes | lab | External System- Reference Lab | miscellaneous external reference labs (e.g. Quest, Labcorp) | The entry represents the Cerner Reference Lab Network capability that enables orders and results from a variety of commercial labs | ||||||||||||||||
| Yes | lab | Local Systems- Cerner CoPath Plus | Laboratory: Anatomic Pathology | The VistA Laboratory Anatomic Pathology module automates record keeping and reporting for all areas of Anatomic Pathology (i.e., Surgical Pathology (SP), Cytopathology, Electron Microscopy (EM), and Autopsy). | Interface with Voice Recognition Systems | VistA Capability spreadsheet | 8 | Yes | No | No | ||||||||||
| Yes | lab | Remote VistAs- Reference Lab (LEDI) | Laboratory: Laboratory Electronic Data Interchange (LEDI) | LEDI uses HL7 messaging providing communication between VA, DoD, and commercial labs that have a local sharing agreement for laboratory services. VAMC and DOD facilities can be identified as either a HOST site or a COLLECTION site. Reference labs are always a HOST site. | ||||||||||||||||
| LEDI has enabled electronic ordering and results retrieval of general laboratory tests between VA and DoD. It also provides reference labs to transmit data back to the VAMC. Microbiology data can also be sent and received. Anatomic Pathology can only transmit orders via a manifest. | LEDI uses HL7 messaging providing communication between VA, DoD, and commercial labs that have a local sharing agreement for laboratory services. | HL7 | Both | DoD, VA and Commercial Labs | VistA Capability spreadsheet | 9 | Yes | No | No | |||||||||||
| Yes | local devices and systems | Local System- TBI Registry | Traumatic Brain Injury Registry (TBI) | The Traumatic Brain Injury Registry application (TBI Registry) supports the maintenance of local and national registries for clinical and resource tracking of care for such Veterans. The TBI Registry software application allows case managers to identify Veterans who participated in Operation Enduring Freedom (OEF) or Operation Iraqi Freedom (OIF) and who sustained a head injury and thus are potential traumatic brain injury (TBI) patients. The TBI Registry permits the case manager to oversee and track the comprehensive evaluation of these patients. It also provides 17 types of reports used for tracking the evaluation and care of individuals identified as possible TBI candidates. |
From Doug Bidelspach:
TBI Registry has two components:
1) TBI Screen - There are health factors created in Vista when a TBI screen is completed which specify the results of the screen.
2) TBI Instruments is the portion of the registry project which captures standardized evaluations, care plan notes, and outcome forms. TBI Instruments connects to Vista through VIA (Vista Integration Adapter). VIA allows TBI Instruments to capture the standardized forms (care plans, outcomes, etc) on the registry platform/database and send the note to Vista for documentation in the medical record.
| None Identified | VistA Capability spreadsheet | 42 | Yes | |||||||||
| Yes | logistics/supply mgt | Enterprise System- COTS/GOTS (DMLSS-Logical) Supply Chain Mgt System | COTS/GOTS Supply chain mgt system | The entry represents a to-be-selected COTS or GOTS Supply Chain Management and utilization management (and related functionality) system. The known GOTS option is Logical (a newer version of the DMLSS product), while COTS options include capabilities from PeopleSoft, SAP, Larson, Maximo and others. | Yes | |||||||
| Yes | logistics/supply mgt | ROES/DALC | Remote Order Entry System (ROES) | The Remote Order Entry System (ROES) is the front-end of the Denver Acquisition & Logistics Center (DALC) supply chain/order fulfillment production system. The most substantial product line handled through ROES is custom hearing aids.Other product lines handled through ROES include stock hearing aids, hearing aid accessories and batteries, prosthetic items, aids for the visually impaired and assistive devices. The hearing aid repair is a line of service provided by the DALC and facilitated by ROES.The ROES application and database integrates the DDC enterprise business functions of contracting/acquisition management, order fulfillment, distribution management, finance, and product life cycle support. Extensive order tracking, serialized device registration, patient/device history, and sales/financial reporting are also supported by the database. | The Remote Order Entry System (ROES) is the front-end of the Denver Acquisition & Logistics Center (DALC) supply chain/order fulfillment production system. | Both | DALC | VistA Capability spreadsheet | 40 | Yes | ||
| Yes | nutrition | Local Systems- Computrition | Computrition Hospitality Suite-Computrition |
Computrition Hospitality Suite is a group of software products to streamline food service operations and manage patient dietary requirements. The primary application component modules are: Foodservice Operations Management (FOM): Helps plan, organize, and manage food service operations including analysis of nutrition information at the food item, recipe and menu level and manages inventory and ordering. Nutrition Care Management (NCM): Monitors and manages patient nutrition information and related data including patient diet and tray orders, menu corrections for food/drug interactions, patient weight gain/loss, tracking of diet order history. SuitePoint! Point-of-Sale: Point-of-sale solution for cafeteria, coffee shop and gift shop food service management. Room allows a food service operation to offer a room service type of meal service to their customers. It provides the ability to build patient menus in a variety of formats: restaurant style, cycle menu with special of the day, etc. Module also provides call center management, optional bedside order entry and optional wireless installation.
| Yes | R1FHC-COTS | TCP | No | No | Yes | R1FHVC* | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Nutrition and Food Services | Computrition Hospitality Suite | Computrition | COTS non-medical spreadsheet | 235 | Yes | No | No | ||||||||||||||||
| Yes | pharmacy | Enterprise System- CHDR Interface | Clinical Health Data Repository (CHDR) | Clinical Health Data Repository (CHDR) shares computable health record data elements between DoD’s Clinical Data Repository (CDR) and VA’s Health Data Repository (HDR). Data are exchanged for patients identified and matched as Active Dual Consumers (ADCs) of both VA and DoD health care. | Remote Data Interoperability (RDI), which extended the existing local Drug-Drug, and Drug-Allergy order checks to include data from all VA and DoD facilities at which a patient has been treated. | Both | VistA and DoD AHLTA | VistA Capability spreadsheet | 1 | Yes | No | Yes | ||||||||||||||||||||||
| Yes | pharmacy | Enterprise System- CMOP Interface | Consolidated Mail Output Pharmacy (CMOP) | The Consolidated Mail Outpatient Pharmacy (CMOP) package provides a regional system resource to expedite the distribution of mail-out prescriptions to veteran patients. | Prescriptions are transmitted electronically from the medical facility to the automated prescription dispensing equipment, checked by a pharmacist, mailed to the patient, and information on the prescription filled is returned to update the medical center database. All prescriptions are automatically screened by the CMOP software and set for transmission if appropriate. | HL7 | Both | CMOP-VistA | VistA Capability spreadsheet | 3 | Yes | No | Yes | |||||||||||||||||||||
| Yes | pharmacy | Enterprise System- FDA Med guide | FDA Medication Guide-VA | The FDA Med Guides Printer Tool is a Java-based program that automatically prints a copy of an FDA medication guide document when one exists for a requested prescription. The program retrieves copies from original med guides found in a local repository on the host server. If a requested med guide is not found locally, then an attempt is made to download the med guide from the Consolidated Mail Outpatient Pharmacy (CMOP) Portal on the VA’s network. | Yes | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Pharmacy | FDA Medication Guide | VA | COTS non-medical spreadsheet | 250 | Yes | |||||||||||||||||||
| Yes | pharmacy | Local System- Pharmacy Automation systems | miscellaneous local pharmacy automation systems | |||||||||||||||||||||||||||||||
| Yes | pharmacy | Remote VistA- Cross-facility Prescription refilling (future?) | Cross-facility Prescription refilling. | |||||||||||||||||||||||||||||||
| Yes | pharmacy | Reporting Data Extract- PBM national db | Pharmacy: Pharmacy Benefits Management (PBM) | The Pharmacy Benefits Management (PBM) package replaced the Drug and Pharmaceutical Products management (D&PPM) application. The software extracts medication dispensing data elements from the Outpatient Pharmacy, Inpatient Medications IV and Unit Dose, Automatic Replenishment/Ward Stock, and Controlled Substance modules; it also extracts procurement information from Drug Accountability, Integrated Funds Control, Accounting and Procurement (IFCAP), and a limited amount of Laboratory data on a monthly basis. | The software makes data extraction reports available at Veterans Affairs Medical Centers (VAMCs) and allows local management to use the data to project local drug usage and identify potential drug accountability problem areas. The extracted data is transmitted to the PBM using VA Mailman. The Mailman message headers display how many messages were sent for a particular module along with the facility name and number from which the data was extracted. The header easily identifies the module from which the data was extracted, and confirmation messages include the number of Mailman messages generated for each module. Extraction of data to the PBM national database on a monthly basis. | mailman | Outbound | National PBM database | VistA Capability spreadsheet | 11 | Yes | Yes | ||||||||||||||||||||||
| Yes | provider info | Enterprise System- CMS NPI lookup | National Provider Identifier (NPI) | Maintained by Centers for Medicare and Medicaid Services (CMS), NPI serves as the standard unique health identifier for health care providers. A ten-position, numeric identifier used to universally identify trained, licensed individual and organizational providers of health care services and supplies, NPIs must be obtained by health care providers who are covered entities. | NPI Crosswalk Extract report periodically (typically once a month) from all Veteran's Administration provider sites. The scheduling of this report is done via the VA NPI Crosswalk Extract-Administration web site using HL7 messages. The NPI Crosswalk Extract process is automated and runs in the background at each site. Modifications to the 835 message from Austin to VistA. This includes the addition of rendering/servicing provider’s name and NPI, and the billing provider’s NPI to the Account Receivables’ Electronic Explanation of Benefits (EEOB) Work list. | HL7 | Both | VA NPI Crosswalk Extract, 835 Message from Austin to Vista | VistA Capability spreadsheet | 31 | TBD | Yes | ||||||||||||||||||||||
| Yes | quality/safety | Reporting Data Extract- NUMI | National Utilization Management Integration (NUMI) | The National Utilization Management Integration (NUMI) application is a web-based Quality Assurance (QA) application that allows QA nurses to assess and document the effectiveness of inpatient care for each inpatient on a daily basis. NUMI integrates a commercial-off-the-shelf (COTS) software application [Care Enhancement Management Enterprise (CERMe)] with additional NUMI features specific to VAMC's, and admission/transfer/discharge data retrieved from VistA | Automate the retrieval of patient information for the UM review process | Inbound | VistA | VistA Capability spreadsheet | 10 | Yes | Yes | No | Yes | |||||||||||||||||||||
| Yes | radiology | External System- Intellirad MTP PACS (Teleradiology) | need to move full res from Commercial PACS to Intellirad MTP PACS (remote, single storage instance in Sacramento) |
-HL7 ADT, orders to both ****DICOM interaction between Commercial PACS and MTP PACS -Also inter-facility tele radiology (similar to MTP)
| Yes | radiology | Local System- PACS | Philips PACS server-Various | LINK Title: PPACS1 | ||||||||||||||||||||||||||
| Philips PACS server | Yes | PPACS1 | TCP | from Composite list, Class I entries | Radiology | Philips PACS server | Various | COTS non-medical spreadsheet | 181 | Yes | No | |||||||||||||||||||
| Yes | radiology | Local System- PowerScribe 360 | PowerScribe 360 System-Nuance | PowerScribe 360 Reporting is a front-end speech recognition reporting solution designed for incorporation into existing radiology workflow in healthcare organizations. The solution provides four primary dictation styles to accommodate individual physician dictation preferences: Speech Recognition with Delegated Editing (a combination of front-end speech recognition with transcription/correction workflow), Real-time Speech Recognition with Self-Editing (real-time speech recognition allows radiologists to view text as it is dictated), Real-time Speech Recognition with Auto-Loading Macros and Real-time Speech Recognition with Auto-Structured Reporting. | Yes | RA-PS360, RA-PSCRIBE | TCP/IP | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Radiology | PowerScribe 360 System | Nuance | COTS non-medical spreadsheet | 284 | Yes | No | ||||||||||||
| Yes | Referrals | Remote VistAs- Interfacility Consults/Referrals | CPRS: Consult/Request Tracking | The Consult/Request Tracking package provides an efficient way for clinicians to order consultations and procedures from other providers or services within the VHA system, at their own facility or another facility. It also provides a framework for tracking consults and reporting the results. It uses a patient's computerized patient record to store information about consult requests. | Enables clinicians to order an inter-facility consult to another VA Healthcare System. Allows HL7 communication between the consult system and the Healthcare Claims Processing System (HPCS). | HL7 | Both | VistA | VistA Capability spreadsheet | 4 | Yes | |||||||||||||||||||
| Yes | Revenue Cycle/Finance | Enterprise System- Central Fee System | Enrollment Application System, Nutrition and Food Service-Managerial Cost Accounting Program | Yes | VASI Interface list | financial | Enrollment Application System, Nutrition and Food Service | Managerial Cost Accounting Program | COTS non-medical spreadsheet | 338 | Yes | |||||||||||||||||||
| Yes | Revenue Cycle/Finance | External System- DoD DFAS | Wounded, Injured and Ill Veterans | Wounded Injured and Ill Warriors (WII) module was developed as a tool to provide accurate and timely personnel and health related data to the Department of Defense/Defense Finance and Accounting Service (DoD/DFAS) supporting adequate maintenance of pay and entitlements for all wounded warriors. | Through a collaborative effort between VHA and DoD/DFAS, a Memorandum of Understanding (MOU) was reached to provide defined data elements to DFAS for tracking of active duty service members who were admitted to VA inpatient facilities. | flat file email | Outbound | DFAS | VistA Capability spreadsheet | 13 | Yes | |||||||||||||||||||
| Yes | Revenue Cycle/Finance | Reporting Data Extract- DSS (MCAO) | Decision Support System (DSS) Extracts (aka Medical Cost Accounting System, MCAO) | The VistA Decision Support System (DSS) Extracts software provides a means of exporting data from selected VistA software modules and transmitting it to a Decision Support System (DSS) resident at the Austin Information Technology Center (AITC). This transfer is accomplished through a set of extract routines, intermediate files, audit reports, transmission, and purge routines. | Extracts data from the following VistA software packages: |
• Admissions (PIMS)
• Audiology and Speech Pathology (QUASAR)
• BCMA Extract
• Blood Bank (Laboratory)
• Clinic Visit (PIMS)
• Event Capture
• Inpatient Medications (IV-Pharmacy)
• Laboratory
• Laboratory Results
• Pharmacy Prescriptions (Pharmacy)
• Prosthetics • Radiology
• Surgery
• Transfer and Discharge (PIMS)
• Treating Specialty Change (PIMS)
• Unit Dose (Pharmacy)
• Uses a roll-and-scroll format that allows users to perform the various functions by selecting the appropriate menu options.
| • Uses VA Mailman to transmit data to commercial software resident at the AITC. | VistA Capability spreadsheet | 19 | yes | Yes | ||||||||||||||||||||||
| Yes | Revenue Cycle/Finance | Reporting Data Extract- FMS/FMBT (CGI Momentum) | FMBT | Financial Management Transformation Service (FMTS) is leading the Department’s Financial Management Business Transformation (FMBT) program. This initiative aligns with Office of Management and Budget (OMB) M13-08, Improving Financial Systems through Shared Services and supports the VA’s strategic objective to “Enhance Productivity and Improve the Efficiency of the Provision of Veteran Benefits and Services.” The FMBT program intends to provide a comprehensive financial management system that enables VA to meet financial management goals and objectives and compliance with financial management legislation and directives. | yes | TBD | TBD | Yes | ||||||||||||||||||
| Yes | Revenue Cycle/Finance | Reporting Data Extract- Medical Care Cost Recovery db | Accounts Receivable-Medical Care Cost Recovery National Database | Yes | VASI Interface list | Financial Coding/Billing | Accounts Receivable | Medical Care Cost Recovery National Database | COTS non-medical spreadsheet | 316 | Yes | |||||||||||||||
| Uncertain | crisis line | Enterprise System- Veterans Call Center (Suicide Prevention) | Veterans Call Center (Suicide Prevention)-VA | 1-877-WAR-VETS is an around the clock confidential call center where combat Veterans and their families can call to talk about their military experience or any other issue they are facing in their readjustment to civilian life. The staff is comprised of combat Veterans from several eras as well as families members of combat Veterans. see https://www.va.gov/VDL/documents/Clinical/Mental_Health/vcl_user_guide.pdf | Yes | TCP | numerous | Workforce Management in ESL4 | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Clinical | Veterans Call Center (Suicide Prevention) | VA | COTS non-medical spreadsheet | 310 | Yes | ||||||||
| Uncertain | homeless | Enterprise System- HOMES | Homeless Operations Management and Evaluation System (HOMES) | HOMES is an online data collection system that tracks homeless Veterans as they move through VA’s system of care. The system streamlines data collection processes and facilitates communication between VA homeless program staff and leadership on the local, regional, and national levels. By providing a centralized data collection system, HOMES enables VA to efficiently and effectively collect, manage and access homeless Veteran data. Documentation is at: http://www.vfwsc.org/homes.pdf | No current interface known. Notional planned interface for HOMES user to submit note to CPRS. | Yes | ||||||||||||||||||||
| Uncertain | logistics/supply mgt | Enterprise System- Electronic Contract Mgt System (eCMS) | Integrated Funds Distribution, Control Point Activity, Accounting and Procurement, Veterans Health Information Systems and Technology Architecture-Electronic Contract Management System | Enterprise System- Electronic Contract Mgt System, this is external to VistA. An interface to it is characterized under IFCAP. | Yes | VASI Interface list | financial | Integrated Funds Distribution, Control Point Activity, Accounting and Procurement, Veterans Health Information Systems and Technology Architecture | Electronic Contract Management System | COTS non-medical spreadsheet | 346 | Yes | ||||||||||||||
| Uncertain | patient engagement | Enterprise System- MyHealtheVet | My HealtheVet | My HealtheVet (MHV) (www.myhealth.va.gov) is VA’s award-winning Personal Health Record (PHR) online portal. The mission of MHV is to transform the delivery of health and health care for all Veterans, independent of where they receive care, by providing one-stop, online access to better manage their overall health, make informed health decisions, and record and store important health and military history information. | The My HealtheVet system extracts data from various VistA applications including Laboratory, Outpatient Pharmacy, Scheduling, Adverse Reaction Tracking, and Clinical Reminders. | Cache Objects | Inbound | VistA | VistA Capability spreadsheet | 30 | Yes | |||||||||||||||
| Uncertain | patient engagement | Local Systems- PATS | Patient Advocate Tracking System (PATS) | The PATS software tracks and trends compliments and complaints and measures the facility’s types of complaints as they relate to the Customer Services Standards and the National Patient Satisfaction Survey. This package supports the Patient Advocate with the collection and categorization of complaints and compliments that give the medical center an opportunity to meet and exceed the customer’s expectations. The issue codes provide the opportunity to track types of complaints and provide trends of specific complaints. Included within the issue codes are the Customer Service Standards. | Enhanced in April 2013 to introduce the IRIS functionality. A new feature allows the IRIS Agent to transmit an IRIS inquiry to PATS, as a new Report of Contact (ROC). |
PATS automatically rolls up data to the VISN Support Service Center (VSSC) to provide additional National reports. The PATS system is deployed at the Enterprise Infrastructure Engineering (EIE) Health. Send Informational Notifications to communicate an issue to an employee involved in a Report of Contact and/or the employee’s supervisor.
• Send Action Request Notifications, which require a response from the individual regarding action to be taken or next steps.
| • Generate site-specific and National reports | Both | IRIS, VSSC, Notifications | VistA Capability spreadsheet | 34 | Yes | |||||||||||||||||||||||||||
| Uncertain | Patient TV and communications | Local System- GetWellNetwork | GetWellNetwork-GetWellNetwork Inc | The GetWellNetwork system is an interactive patient communication system allowing the patient to obtain scheduling, pharmacy, and other data and to submit requests to the Veterans Health Information Systems and Technology Architecture (VistA) system for tasks such as diet selection and pain management. The technology provides patients access to health information through television monitors at their bedsides. | Yes | DSIHK | TCP | DSIHK | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Clinical | GetWellNetwork | GetWellNetwork Inc | COTS non-medical spreadsheet | 252 | TBD | TBD | Yes | ||||||||||||
| Uncertain | pharmacy | External System- FDA | CPRS: Adverse Reaction Tracking (ART) | The Adverse Reaction Tracking (ART) program provides a common and consistent data structure for adverse reaction data. This module has options for data entry and validation, supported references for use by external software modules, and the ability to report adverse drug reaction data to the Food and Drug Administration (FDA). | Combined with Remote Data Interoperability (RDI), it includes remote allergy data when determining drug-allergy order checks. Includes ART event points in an Application Programmers Interface (API) allowing other VistA packages to know when specific ART events take place so package tasks can be performed. | VistA Capability spreadsheet | 18 | Yes | ||||||||||||||||||||||||
| Uncertain | pharmacy | Local System- Pharmacy Automation ScripTalk | Script Talk-En-Vision America | The ScripTalk Station is a low-impact, low-cost system that utilizes text-to-speech and RFID technologies to provide visually impaired pharmacy customers the ability to hear their prescription information. A Talking Label is securely affixed to any type of prescription medication container. Software allows pharmacists to program prescription medication information from their computer system via USB or serial cable connection. | Yes | N/A | Serial Connection | N/A | This is a network-connected printer with a label formtted using Zebral Printing Langauge (ZPL) | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Pharmacy | Script Talk | En-Vision America | COTS non-medical spreadsheet | 295 | Yes | |||||||||||||
| Uncertain | reporting/registries | Reporting Data Extract- ADR | Repositories: Administrative Data Repository (ADR) | The Administrative Data Repository (ADR) Project includes the Data Migration Initiative (DMI) and Site Demographic Data Migration (SDDM) initiative. The ADR Project primarily supports the Enrollment System (ES) and Person Service applications and may support several additional VistA re-engineering projects. ADR incorporates standard administrative reference data from Standards & Terminology Services | VistA Capability spreadsheet | 41 | yes | Yes | ||||||||||||||||||||||||
| Uncertain | reporting/registries | Reporting Data Extract- Blind Rehab 5.0 | Blind Rehabilitation | Blind Rehabilitation Service. BR5.0 is a tier 1 referral and transaction software package using ViStAlink and MyHealthyVet backbone infrastructure. It extracts large volumes of patient record data into the BR5.0 data system as a transaction request. It is is unidirectional, it does not push data into VistA. Blind Rehabilitation Service VACO is the business owner..The Blind Rehabilitation Service program consists of the following four elements: VA Headquarters, Blind Rehab Centers (BRC), Visual Impairment Service Teams (VIST), and Blind Rehabilitation Outpatient Specialists (BROS). | None Identified | VistA Capability spreadsheet | 15 | TBD | TBD | Yes | ||||||||||||||||||||||
| Uncertain | reporting/registries | Reporting Data Extract- Cancer Registries | Oncology | The Oncology module automates the tumor registry and supports tumor registrars in abstracting cancer cases, following up on cancer patients and producing the Hospital Annual Report. Functions are grouped according to order of use: Case Finding and Suspense; Abstracting, Printing and Quality Management; Follow-up; Registry Lists; Annual Reports; Statistical Reports; and Utilities. | The program automatically finds cases by searching the database from Anatomical Pathology (Surgery, Cytology, Electron Microscopy, and Autopsy), Radiology, and Patient Treatment File (PTF)). Cases can be entered into the Suspense File by date of diagnosis, and chart request pull lists can be printed. | |||||||||||||||||||||||||||
| Demographics are drawn directly from Patient Information Management System (PIMS) patient file and stored permanently. Cancer identification data is obtained from the local database (e.g., laboratory and radiology test results). Reports to the ACOS can be generated using special routines that extract data onto floppy disk | Both | Inbound: VistA; Outbound ACOS | VistA Capability spreadsheet | 33 | yes | Yes | ||||||||||||||||||||||||||
| Uncertain | Reporting/Registries | Reporting Data Extract- Clinical Case Registries | Fee Basis, Medicine, Order Entry/Results Reporting, Pharmacy-Clinical Case Registries | Yes | VASI Interface list | Administrative | Fee Basis, Medicine, Order Entry/Results Reporting, Pharmacy | Clinical Case Registries | COTS non-medical spreadsheet | 340 | yes | Yes | ||||||||||||||||||||
| Uncertain | Reporting/Registries | Reporting Data Extract- HAI & Flu surveillance | HAI and Influenza Surveillance System | Yes | VASI Interface list | Ancillary | Veterans Health Information Systems and Technology Architecture | HAI and Influenza Surveillance System | COTS non-medical spreadsheet | 357 | yes | Yes | ||||||||||||||||||||
| Uncertain | Reporting/Registries | Reporting Data Extract- MS registry | CPRS-Multiple Sclerosis Surveillance Registry | Yes | VASI Interface list | Administrative | CPRS | Multiple Sclerosis Surveillance Registry | COTS non-medical spreadsheet | 335 | yes | Yes | ||||||||||||||||||||
| Uncertain | reporting/registries | Reporting Data Extract- National Quality Assurance db | Incident Reporting | The Incident Reporting module supports VHA policy by compiling data on patient incidents. It organizes the data into defined categories for reporting and tracking at medical facility level and for transmission to the National Quality Assurance Database for Headquarters review and tracking. | transmission to the National Quality Assurance Database for Headquarters review and tracking. | Outbound | National Quality Assurance Database | VistA Capability spreadsheet | 24 | Yes | Yes | |||||||||||||||||||||
| Uncertain | telehealth | Enterprise System- Home Telehealth | Home Telehealth/Integrated Home Telehealth (IHTA) | The goal of the Home Telehealth IT program is to integrate vendor-supported Home Telehealth services into the VistA medical information infrastructure. The Home Telehealth program builds on the excellent existing and evolving VistA system | VistA extracts all the pertinent patient data and sends a Health Level Seven (HL7) Sign-Up message to the vendor server. Measurement data gathered by devices in the veteran’s home are stored in the vendor server and available for review, and are sent to the VA’s Health Data Repository (HDR) using HL7 messages sent through the VistA Interface Engine (VIE) Infrastructure. Monthly, vendor servers send HL7 messages to the Sign-Up VistA facility for the Care Coordinator to review draft progress notes summarizing patient activity from the previous month. The Home Telehealth data in the HDR along with VistA data from facility VistA systems is viewed using VistAWeb, which is available through the Computerized Patient Records System (CPRS) by using the Remote Data View (RDV) function. This is dependent on Consults, PIMS for sign up, Progress Notes, TIU, VIE, Master Veteran Index (MVI), HDR, Clinical Data Services (CDS), Clinical Context Object Workgroup (CCOW) for patient context, VistAWeb, and CPRS | HL7 | Both | Vendor Systems, HDR | VistA Capability spreadsheet | 22 | Yes | |||||||||||||||||||||
| Uncertain | Telehealth | Enterprise System- Patient Generated Data (PGD) repository | PGD | Yes | ||||||||||||||||||||||||||||
| Uncertain | Telehealth | Enterprise System- VA Mobile Framework | VA Mobile Framework | |||||||||||||||||||||||||||||
| Uncertain | Telehealth | Local System- TeleICU (Philips eICU) | TeleICU (Philips eICU) | |||||||||||||||||||||||||||||
| Uncertain | Transportation | Enterprise System- Veterans Transportation Service | Veterans Transportation Service | Yes | VASI Interface list | Administrative | Veterans Health Information Systems and Technology Architecture | Veterans Transportation Service | COTS non-medical spreadsheet | 356 | Yes | |||||||||||||||||||||
| Uncertain | VBA | Enterprise System- CAPRI | Compensation and Pension Record Interchange | Compensation and Pension Record Interchange (CAPRI) is an information technology initiative to improve service to disabled veterans by promoting efficient communications between the Veterans Health Administration (VHA) and Veterans Benefits Administration (VBA). Using CAPRI, VBA employees have a standardized, user-friendly method to rapidly access veterans' electronic medical records throughout the VA. | Automatic Mailman bulletins to AMIE mail groups. Automatic sending of completed exam Requests. Load new patients into VistA system. View FHIE/DoD data, if available. | VistA Capability spreadsheet | 17 | Yes | ||||||||||||||||||||||||
| Uncertain | VBA | Enterprise System- CRM Unified Desktop | Customer Relationship Management Unified Desktop | Yes | VASI Interface list | Administrative | Veterans Health Information Systems and Technology Architecture | Customer Relationship Management Unified Desktop | COTS non-medical spreadsheet | 351 | Yes | |||||||||||||||||||||
| Uncertain | VBA | Enterprise System- VETSNET | Veterans Service Network | Yes | VASI Interface list | Administrative | Veterans Health Information Systems and Technology Architecture | Veterans Service Network | COTS non-medical spreadsheet | 355 | Yes | |||||||||||||||||||||
| Uncertain | VBA | VBMS | VBMS | |||||||||||||||||||||||||||||
| No | Audiology | Local Systems- Audiology NOAH | NOAH-HIMSA | NOAH is a software product developed by the Hearing Instrument Manufacturers` Software Association (HIMSA) to allow hearing care health care professionals to combine measurement and fitting modules from many different suppliers into one integrated system. With NOAH, users can measure a client`s hearing loss by conducting audiograms, speech tests, or loudness scaling. The results will then be passed automatically to the common database, for use by any of several fitting systems from other suppliers. | No | Item | applications/cots/Lists/COTS Applications | Original to the table | Audiology | NOAH | HIMSA | COTS non-medical spreadsheet | 267 | Yes | No | |||||||||||||||||
| No | audiology | Local VistA- QUASAR | Quality Audiology and Speech Analysis and Reporting (QUASAR) | Quality Audiology and Speech Analysis and Reporting (QUASAR) is a VistA software package written for the Audiology and Speech Pathology Service. QUASAR is used to enter, edit, and retrieve data for each episode of care. | Provides automatic transmission of visit data to the Patient Care Encounter (PCE) program in order to incorporate QUASAR visit data in Ambulatory Care Reporting Program (ACRP) and in the Decision Support System (DSS). | HL7 | Outbound | PCE, ACRP, DSS | VistA Capability spreadsheet | 39 | ||||||||||||||||||||||
| No | clinical | Anticoagulation Management Tool | Anticoagulation Management Tool | The tool enables the user to enter, review, and continuously update all information connected with patient anticoagulation management. | None Identified | VistA Capability spreadsheet | 48 | |||||||||||||||||||||||||
| No | clinical | Automated Information Collection System (AICS) | Automated Information Collection System (AICS) | The Automated Information Collection System (AICS) software supports outpatient clinical efforts through the creation and printing of encounter forms that display relevant clinical information, and provides for the entry of clinical encounter data for local and national needs. | None Identified | VistA Capability spreadsheet | 49 | |||||||||||||||||||||||||
| No | clinical | Bed Management Solution | Bed Management Solution | Bed Management Solution (BMS) provides real-time, user friendly, web-based VistA interface to track patient movement and determine bed availability. | None Identified | VistA Capability spreadsheet | 54 | Yes | ||||||||||||||||||||||||
| No | clinical | Behavioral Health Laboratories | Behavioral Health Laboratories | Yes | VASI Interface list | Mental Health | Veterans Health Information Systems and Technology Architecture | Behavioral Health Laboratories | COTS non-medical spreadsheet | 361 | ||||||||||||||||||||||
| No | clinical | Behavioral Health Laboratory (BHL)-Capital Solution Design | Behavioral Health Laboratory (BHL)-Capital Solution Design | BHL is software that supports the delivery of evidence-based mental health care within primary care settings. Collecting mental health assessment data captured during structured interviews with patients, the software provides customizable patient tracking, health screening, decision support, assessment tools, and generates patient and program level data. Additionally, BHL provides a mechanism for providers maintaining a registry of active patients and produces patient feedback on responses and treatment goals. The software can integrate with a variety of Electronic Health Record (EHR) systems, including the Veterans Health Information Systems and Technology Architecture (VistA) system. | Yes | yes | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Psychology | Behavioral Health Laboratory (BHL) | Capital Solution Design | COTS non-medical spreadsheet | 215 | |||||||||||||||||
| No | clinical | Care Management | Care Management | Care Management is the first application to offer a convenient way for health care providers to view on a single screen, pertinent information about multiple patients. | None Identified | VistA Capability spreadsheet | 58 | |||||||||||||||||||||||||
| No | clinical | CART-CL-HP/Wavemark | CART-CL-HP/Wavemark | A Computerized Record System (CPRS)-integrated application, the Cardiovascular Assessment Reporting and Tracking System for Cath Labs (CART-CL) has been developed by VHA to facilitate the data capture and reporting of Cath Lab procedures. | Yes | N/A | TCP/IP | TIU CREATE RECORD among others | Item | applications/cots/Lists/COTS Applications | Original to the table | Medical Services - Cardiology | CART-CL | HP/Wavemark | COTS non-medical spreadsheet | 222 | ||||||||||||||||
| No | clinical | Clinical Assessment, Reporting and Tracking | Clinical Assessment, Reporting and Tracking | Yes | VASI Interface list | Clinical | Veterans Health Information Systems and Technology Architecture | Clinical Assessment, Reporting and Tracking | COTS non-medical spreadsheet | 358 | ||||||||||||||||||||||
| No | clinical | Clinical Monitoring System | Clinical Monitoring System | The main function of this software is to capture data for patients meeting specified conditions. All monitors within the framework of this software are ultimately based upon patient data. Some conditions require a group be defined, such as a group of wards, drug classes, MAS movement types, etc. | None Identified | VistA Capability spreadsheet | 63 | |||||||||||||||||||||||||
| No | clinical | Clinicomp Essentris-CliniComp International | Clinicomp Essentris-CliniComp International | CliniComp Essentris is a clinician documentation and electronic medical record (EMR) system for the emergency room, that helps hospitals and health systems address pressing concerns about patient safety. Essentris enables providers to review, document and manage high acuity patients through the hospital environment. | Yes | DSIHF* (multiple) | TCP/IP | N/A | Item | applications/cots/Lists/COTS Applications | Original to the table | Yes | Medical Records Staff | Clinicomp Essentris | CliniComp International | COTS non-medical spreadsheet | 226 | |||||||||||||||
| No | clinical | CPRS: Authorization/Subscription (ASU) | CPRS: Authorization/Subscription (ASU) | The Authorization/Subscription Utility (ASU) provides a method for identifying who is authorized to perform various actions on clinical documents. These actions include signing, co-signing, and amending. ASU originated in response to Text Integration Utilities' document definition needs. Current security key capabilities were unable to efficiently manage the needs of clinical documentation (Discharge Summaries, Progress Notes, etc.). | None Identified | VistA Capability spreadsheet | 64 | |||||||||||||||||||||||||
| No | clinical | CPRS: Clinical Reminders | CPRS: Clinical Reminders | Clinical Reminders may be used for both clinical and administrative purposes. However, the primary goal is to provide relevant information to providers at the point of care, for improving care for veterans. The package benefits clinicians by providing pertinent data for clinical decision-making, reducing duplicate documenting activities, assisting in targeting patients with particular diagnoses and procedures or site-defined criteria, and assisting in compliance with VHA performance measures and with Health Promotion and Disease Prevention guidelines. | None Identified | VistA Capability spreadsheet | 65 | |||||||||||||||||||||||||
| No | clinical | CPRS: Health Summary | CPRS: Health Summary | A Health Summary is a clinically oriented and structured report that extracts many kinds of data from VistA and displays it in a defined and standard format. The data displayed covers a wide range of health related information such as demographic data, allergies, current active medical problems, laboratory results, Notes, Clinical Reminder, Visits, Pharmacy data, Radiological, Surgery and more. | Health Summary now exports components that allow staff to view remote patient data through CPRS. Additionally, remote clinical data can be viewed using any Health Summary Type that has an identically named Health Summary Type installed at both the local and remote sites. | VistA Capability spreadsheet | 66 | |||||||||||||||||||||||||
| No | clinical | CPRS: Problem List | CPRS: Problem List | A Problem List is used to document and track a patient’s problems. It provides the clinician with a current and historical view of the patient’s health care problems across clinical specialties, and allows each identified problem to be traceable through the VistA system in terms of treatment, test results, and outcome. | Supports display of problem information from other clinical settings outside the immediate VAMC, i.e., DOD and Remote Data. | VistA Capability spreadsheet | 67 | |||||||||||||||||||||||||
| No | clinical | CPRS: Text Integration Utilities (TIU) | CPRS: Text Integration Utilities (TIU) | Text Integration Utilities (TIU) simplifies the use and management of clinical documents for both clinical and administrative medical facility personnel. Along with Authorization/Subscription Utility (ASU), a facility can set up policies and practices for determining who is responsible or has the privilege for performing various actions on required documents. | Interfaces with Problem List, Automated Information Capture System (AICS), Patient Care Encounter (PCE), Authorization/Subscription Utility (ASU), Incomplete Record Tracking, Health Summary, and Visit Tracking. Interfaces with VistA Imaging allowing clinicians to link TIU documents to all types of clinical images such as X-rays, MRIs, and CAT scans. | VistA Capability spreadsheet | 68 | |||||||||||||||||||||||||
| No | clinical | CPRS: Text Integration Utilities (TIU) Group Notes | CPRS: Text Integration Utilities (TIU) Group Notes | This program was designed to assist providers in documenting group therapy sessions and events such as immunization clinics. | None Identified | VistA Capability spreadsheet | 69 | |||||||||||||||||||||||||
| No | clinical | Electronic Signature (Esig) | Electronic Signature (Esig) | The Electronic Signature (ESig) service provides an interim solution for the use of electronic codes during certain VistA security infrastructure and architecture evolutions. Applications that implement the ESig service must provide a user interface (UI) to prompt users for their secret codes when authorizing orders, prescriptions, financial transactions, or other business processes. | VistA Esig applications are required to authorize and authenticate their users. | |||||||||||||||||||||||||||
| • Infrastructure tools such as KAAJEE (Kernel Authentication and Authorization for J2EE) and FatKAAT (rich-client Kernel Authentication and Authorization) are mandated for use in indicated VistA Web-based and rich-client applications, respectively. | VistA Capability spreadsheet | 77 | ||||||||||||||||||||||||||||||
| No | clinical | Emergency Department Integration Software (EDIS) | Emergency Department Integration Software (EDIS) | Emergency Department Integration Software (EDIS) incorporates several Web-based views that extend the current Computerized Patient Record System (CPRS) to help healthcare professionals track and manage the flow of patient care in the emergency-department setting. | None Identified | VistA Capability spreadsheet | 78 | |||||||||||||||||||||||||
| No | clinical | Enterprise Health Management Platform | Enterprise Health Management Platform | eHMP is a read-only version which has been slated to replace VistaWeb. The system will provide enhanced presentations of clinical data that will range from trend views that provide a quick snapshot of easily understandable data, to detailed views that provide the user with a full range of options for examining longitudinal patient medical records. | Need list of systems | VistA Capability spreadsheet | 83 |
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