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Run Date: JUN 18, 2015                     Designation: NHIN*1*7
Package : NHIN - NATIONAL HEALTH INFO NETWORK Priority: Mandatory
Version : 1         SEQ #5                      Status: Released
                  Compliance Date: JUL 19, 2015
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Subject: VLER eHX v6.3.0.12 INFORMATIONAL PATCH

Category: 
  - Informational

Description:
============

 Note: Technical support staff at Austin Information Technology Center 
 (AITC) will install this enhancement release on the eHealth Exchange 
 (formerly VLER and formerly NHIN) servers located there using a 
 pre-approved Request for Change Order and Implementation Plan.  This
 deployment is scheduled to take place on June 18, 2015 from 8:00 PM EST -
 11:00 PM EST.
  
 No effort is required by local sites.  User Acceptance Test is by the 
 direction of the eHealth Exchange Business Owner and no MOUs are required.
 **********************************************************************
   
 eHealth Exchange (formerly VLER and formerly NHIN) Adapter Release 
 6.3.0.12 contains code changes (enhancements) to the eHealth Exchange 
 Adapter module.  These changes are Work Items that were recorded and
 tracked in the eHealth Exchange area of RTC.  This release contains the
 Work Items completed during production deployment.
  
 This eHealth Exchange enhancement release will provide enhancements to 
 the existing VA-generated Consolidated-Clinical Data Architecture (C-CDA) 
 deployed in Increment 2 (v6.1.0.14).  Listed below are the enhancements:
  
         C-CDA Stylesheet; C-CDA Readability Improvements: This feature 
 will provide better readability of the narrative sections in a VA C-CDA 
 CCD document.
         Error Message Enhancements: Error messages have been change to 
 visually distinguish why eHealth Exchange data is not available by 
 providing meaningful prompts and error messages.
         VA C-CDA Embedded Notes: Provide human-readable and clinically 
 relevant patient information to users from clinical notes (unstructured 
 information and text) from the Encounter, Procedure, and Result sections 
 of the CCD.
         Purpose of Use - Emergency: Update the Adapter to support the 
 consumption and sending of Emergency Purpose of Use. 
  
 Test sites - N/A
 The upgraded software will be deployed to a centralized system at AITC.
  
 System Features and Functionality tested in this release to Production 
 included the following:
  
 - The ability to retrieve clinically relevant note content from the 25 
 most recent Outpatient Encounters Progress Notes from the last 36 months 
 with a maximum of 10 Progress Notes per Encounter entry.
 - The ability to retrieve clinically relevant clinical note content from 
 the 25 most recent surgical procedures within the last 12 months with a 
 maximum of 10 Surgical Procedure notes per Procedure entry.
 - The ability to retrieve the clinically relevant note content from the 
 10 most recent Discharge Summaries within the last 36 months.
 - The ability to retrieve the clinically relevant note content from the 
 20 most recent History and Physical Notes in the last 24 months.
 - The ability to retrieve the clinically relevant note content from the 
 20 most recent Embedded notes of Pathology Reports in the Results section 
 in the CCDA within the last 24 months. 
 - The ability to retrieve and include the 20 most recent Consult Notes in 
 the Encounters section of the CCDA within the last 24 months. 
 - The ability for the system to provide a more informative error message 
 to internal VA applications when the response to an outbound query for 
 documents request from a queried partner does not return patient data.
 - The ability for the system to display the existing VA CCDA CCD 
 functionality with readability enhancements.
  
 Release 6.3 testing was focused on the CCDA readability enhancements and 
 the retrieval of notes within a specific date range for the Encounters, 
 Surgical Procedures, Discharge Summaries, History and Physicals, 
 Pathology and Consults sections of the CCDA. Increment 4 testing also 
 includes the enhancements of error messages for outbound query for 
 documents.
  
 Remedy tickets: None

Routine Information:
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No routines included.

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User Information:
Entered By  :                               Date Entered  : JUN 03, 2015
Completed By:                               Date Completed: JUN 18, 2015
Released By :                               Date Released : JUN 18, 2015
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Packman Mail Message:
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No routines included