Release of VA NATIONAL HEALTH INFO NETWORK (NHIN) (Version 1.0) - October 28, 2010 RELEASE INFORMATION: ==================== The NHIN RPC Package (NHIN 1.0) will be used with the Department of Veterans Affairs (VA) Nationwide Health Information Network (NHIN) Gateway Adapter Version 2.0. The purpose of the VA NHIN Gateway Adapter is to implement the actions necessary to exchange electronic health records (EHRs) generated from the VA and received from authorized NHIN Health Information Exchanges (HIEs). The VA NHIN Gateway Adapter uses a service-oriented architecture (SOA) to share patient health data and to communicate between systems. The VA NHIN Adapter interfaces with the VA NHIN CONNECT Gateway, which is an implemented instance of the Federal CONNECT Gateway software. The Federal NHIN CONNECT Gateway is the product deliverable of the Federal Health Architecture (FHA), under the Department of Health and Human Enter RETURN to continue or '^' to exit: ^ Enter message action (in FOIA FILES basket): Ignore// Print Print recipient list? No// NO DEVICE: HOME// ;;99999999999 VIRTUAL TELNET MailMan message for MOODY,SUSAN G Printed at VAHACG.FO-ALBANY.MED.VA.GOV 03/21/11@15:52 Subj: Release of VA NATIONAL HEALTH INFO NETWORK (NHIN) (Version 1.0) [#47620] 28 Oct 2010 16:07:52 -0400 (EDT) 124 lines From: In 'FOIA FILES' basket. Page 1 ------------------------------------------------------------------------------- Release of VA NATIONAL HEALTH INFO NETWORK (NHIN) (Version 1.0) - October 28, 2010 RELEASE INFORMATION: ==================== The NHIN RPC Package (NHIN 1.0) will be used with the Department of Veterans Affairs (VA) Nationwide Health Information Network (NHIN) Gateway Adapter Version 2.0. The purpose of the VA NHIN Gateway Adapter is to implement the actions necessary to exchange electronic health records (EHRs) generated from the VA and received from authorized NHIN Health Information Exchanges (HIEs). The VA NHIN Gateway Adapter uses a service-oriented architecture (SOA) to share patient health data and to communicate between systems. The VA NHIN Adapter interfaces with the VA NHIN CONNECT Gateway, which is an implemented instance of the Federal CONNECT Gateway software. The Federal NHIN CONNECT Gateway is the product deliverable of the Federal Health Architecture (FHA), under the Department of Health and Human Services (HSS). This product is the result of the collaboration and shared development cost of a group of more than twenty government agencies known as the Federal Consortium. The VA has been exchanging medical information with the Department of Defense (DoD) for several years. By using the VA CONNECT Gateway together with the VA NHIN Adapter, the VA will now be able to share patient health data with other federal partners, as well as private providers, such as Kaiser Permanente. The VA NHIN Gateway Adapter is a HealtheVet-VistA application that acts as a gateway between the VA and other Health Information Exchanges (HIEs) to share patient clinical records. The VA NHIN Gateway Adapter is deployed as a single, national instance at AITC (Austin Information Technology Center). Payloads are standards-based CDA (Clinical Document Architecture) XML documents. VistA data is retrieved through the use of VistALink-mediated RPC calls; HIE data retrieved by the NHIN Adapter is displayed by VistAWeb. The NHIN Adapter provides a read-only service: it does not create a clinical repository with the data it mediates. SOFTWARE CHANGES: ================= This package release of NHIN Version 1.0 will add the following VistA file entries: NHIN APPLICATION PROXY to the OPTION file (#19). NHIN GET VISTA DATA to the REMOTE PROCEDURE FILE (#8994). The post-install routine will create a new proxy user in the NEW PERSON file (#200). The user name will be NHIN,APPLICATION PROXY. SOFTWARE RETRIEVAL: =================== Sites should download the following two files: File Name Contents FTP Retrieval Format ------------- ------------ --------------------------- NHIN1_0.KID KIDS Build ASCII NHIN_TM.PDF Installation Guide Binary and Technical Manual Sites may retrieve the file listed above in one of the following ways: (1) The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. (2) Sites may also elect to retrieve these files directly from a specific server as follows: OI FIELD OFFICE FTP ADDRESS DIRECTORY -------------------- -------------------------- ---------------- Albany ftp.fo-albany.med.va.gov [anonymous.software] Hines ftp.fo-hines.med.va.gov [anonymous.software] Salt Lake City ftp.fo-slc.med.va.gov [anonymous.software] DOCUMENTATION: ================ NHIN_TM.PDF will also be posted within the next few days within the Clinical Section on the VistA Documentation Library (VDL) at http://www4.va.gov/vdl/ File Name Contents ------------- ----------- NHIN_TM.PDF Installation Guide and Technical Manual MANDATE: ========= Installation of the NHIN RPC Package (NHIN V1.0) supports VA compliance with Executive Order 13410 "Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs". The NHIN RPC Package enhances the data elements that can be exchanged among HIEs, which is foundational to VA meeting the President's goal of development of the Virtual Lifetime Electronic Record (VLER), an open architecture, non-proprietary, standards-based approach to exchange of health care information. Sites are mandated to install this KIDS build to support NHIN-related efforts. Due to the high visibility of this project, at the VA Secretary and White House levels, the compliance date for installing this KIDS build has been set at 14 days. M COMPONENT COMPLIANCE DATE: ============================= November 12, 2010 ADDITIONAL INFORMATION: ======================= If you have any questions concerning the installation or implementation of this package, please call the VA Service Desk at 1-888-596-HELP (4357) or log a Remedy Ticket for NHIN: Category = Applications-HealtheVet-VistA, TYPE=NHIN, ITEM = Other VISTAWEB V. 12 versus V. 13: ============================ Installation of the NHIN RPC Package at all 129 VistA systems is the first step in completing a national delivery of NHIN. Only the clinicians at the sites that have Initial Operating Capability (IOC) approval for installing VistAWeb Version 13 will have access to NHIN data when the RPC package is installed. (IOC sites include: San Diego, Hampton, East Orange, North Chicago and Puget Sound) Clinicians at the remaining VA Medical Centers will not have access to NHIN data until VistAWeb Version 13 (WEBV*1.0*20) is nationally released, tentatively scheduled for early- to mid-November 2010.