[Federal Register Volume 77, Number 92 (Friday, May 11, 2012)]
[Notices]
[Pages 27863-27868]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-11487]


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DEPARTMENT OF VETERANS AFFAIRS


Privacy Act of 1974; System of Records

AGENCY: Department of Veterans Affairs.

ACTION: Notice of Amendment of System of Records ``National Patient 
Databases-VA'' (121VA19).

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SUMMARY: As required by the Privacy Act of 1974 (5 U.S.C. 552a(e)(4)), 
notice is hereby given that the Department of Veterans Affairs (VA) is 
amending the system of records entitled ``National Patient Databases-
VA'' (121VA19) as set forth in 75 FR 72873. VA is amending the system 
of records by revising the System Number, Categories of Records in the 
System, Purposes, Routine Uses of Records Maintained in the System, 
Including Categories of Users and the Purposes of Such Uses, and 
Appendix 4. VA is republishing the system notice in its entirety.

DATES: Comments on this new system of records must be received no later 
than June 11, 2012. If no public comment is received during the period 
allowed for comment or unless otherwise published in the Federal 
Register by VA, the new system will become effective June 11, 2012.

ADDRESSES: Written comments concerning the proposed new system of 
records may be submitted through www.regulations.gov; by mail or hand-
delivery to Director, Regulations Management (02REG), Department of 
Veterans Affairs, 810 Vermont Avenue NW., Room 1068, Washington, DC 
20420; or by fax to (202) 273-9026. All comments received will be 
available for public inspection in the Office of Regulation Policy and 
Management, Room 1063B, between the hours of 8:00 a.m. and 4:30 p.m., 
Monday through Friday (except holidays). Please call (202) 461-4902 for 
an appointment. In addition, during the comment period, comments may be 
viewed online through the FDMS) at www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Stephania H. Griffin, Veterans Health 
Administration (VHA) Privacy Officer, Department of Veterans Affairs, 
810 Vermont Avenue NW., Washington, DC 20420, telephone (704) 245-2492.

SUPPLEMENTARY INFORMATION: 
    Background: VHA is the largest health care provider in the country. 
VHA collects health care information from its local facilities to 
evaluate quality of services, clinical resource utilization, and 
patient safety, as well as to distribute medical information, such as 
alerts or recalls, track specific diseases, and monitor patients. 
National-level information is also needed for other activities, such as 
medical research and the development of National Best Clinical Practice 
Guidelines and National Quality Standards. VHA gathers this information 
from a wide variety of sources, including directly from Veterans; from 
information systems located at VHA medical centers, Veterans Integrated 
Service Networks (VISNs), other VHA facilities, such as the Health 
Eligibility Center; and Federal departments and agencies such as the 
U.S. Department of Defense (DoD) and the Food and Drug Administration. 
As the data is collected, VHA stores it in several national patient 
databases.
    The system number is changed from 121VA19 to 121VA10P2 to reflect 
the current organizational alignment.
    The Category of Records in the System is amended to reflect the 
data collected by VHA Homeless Programs Office of information about 
homeless Veterans who receive services provided by VA administered 
programs, as well as services provided by external Federal agencies, 
and other private and public entities. Homeless data includes any 
patient-level records created by the Northeast Program Evaluation 
Center (NEPEC) and homeless data from U.S. Department of Housing and 
Urban Development (HUD) Homeless Management Information System (HMIS), 
Health and Human Services, Department of Labor, Social Security 
Administration, DoD to include Defense Enrollment Eligibility Reporting 
System (DEERS), Transitional Assessment Program (TAP), Post Deployment 
Health Assessment (PDHA), National Death Index (NDI) from the Centers 
for Disease Control, and Department of Justice (DoJ) information. Data 
will include information from the following programs: Online Data 
Collection (ODC) system supported by NEPEC and VHA Support Services 
Center (VSSC) to include electronic information from all homeless 
programs, i.e. Health care for Homeless Veterans (HCHV) Program, Grant 
and Per Diem (GPD) Program, HUD-Veterans Affairs Supported Housing 
(HUD-VASH), Domiciliary Care for Homeless Veterans (DCHV) Program, 
Healthcare for Re-entry Veterans (HCRV) Program, Veterans Justice 
Outreach (VJO) Program, Homeless Veteran Dental Initiative, Community 
Homelessness Assessment, Local Education, and Networking Groups 
(CHALENG), Compensated Work Therapy (CWT), HUD/VA Prevention pilot, and 
Supportive Services for Veterans and Families (SSVF). This information 
is collected so that PCS can support frontline staff with screening and 
case management of homeless Veterans and Veterans at risk for 
homelessness, collection of baseline, periodic updates and information 
about final disposition following completion of VHA homeless programs 
and services and to create a single registry of information about 
homeless Veterans from all available sources in order to

[[Page 27864]]

provide periodic reports and/or extracts/updates that will flow 
externally to other agencies and organizations as well as internal 
stakeholders. Also, The Categories of Records in the System is being 
amended to add clinically oriented information associated with My 
HealtheVet such as secure messages.
    The Purpose in this system of records is being amended to reflect 
that the homelessness records and information will be used for 
statistical analysis to produce various management, workload tracking, 
and follow-up reports; to track and evaluate the goal of ending Veteran 
homeless. Healthcare Associated Infections and Influenza Surveillance 
System (HAIISS) data will be available to VHA clinicians to use for 
monitoring of healthcare-associated infections and for transmittal to 
state/local health departments for biosurveillance purposes.
    Routine use two (2) has been amended to add Federal, state or local 
public health, health care or program benefit agencies that improves 
the quality and safety of health care for our Veterans.
    Routine use three (3) has been amended to add Federal, State and 
local Government.
    The following routine use disclosure statements are added:
    Routine use twenty-four (24) states that VA may disclose name(s) 
and address(es) of present or former members of the armed services and/
or their dependents under certain circumstances: (a) To any nonprofit 
organization, if the release is directly connected with the conduct of 
programs and the utilization of benefits under Title 38, or (b) to any 
criminal or civil law enforcement governmental agency or 
instrumentality charged under applicable law with the protection of the 
public health or safety, if a qualified representative of such 
organization, agency, or instrumentality has made a written request for 
such name(s) or address(es) for a purpose authorized by law, provided 
that the records will not be used for any purpose other than that 
stated in the request and that the organization, agency, or 
instrumentality is aware of the penalty provision of 38 U.S.C. 5701(f).
    Routine use twenty-five (25) states that VA may disclose 
information, including demographic information, to HUD for the purpose 
of reducing homelessness among Veterans by implementing the Federal 
strategic plan to prevent and end homelessness and by evaluating and 
monitoring the HUD-VASH program.
    Appendix 4 has been amended to include Homeless Operational, 
Management and Evaluation System (HOMES), Homeless Veterans Registry, 
and Regional Data Warehouses (RDW). Defense and Veterans Eye Injury 
Registry (DVEIR)-VA Service-Related Eye Injury Data Store and Embedded 
Fragment Registry (EFR), and Clinical Case Registries (CCR) was removed 
and are now entered as a single system called Converged Registries 
Solution. Cardiac Assessment Tracking and Reporting for Cardiac 
Cauterization Laboratories (CART-CL) was renamed to VA Clinical 
Assessment Reporting and Tracking (CART) Program. Also, Bidirectional 
Health Information Exchange (BHIE) and Federal Health Information 
Exchange (FHIE) are being amended to reflect a change in address to 
SunGard, 1500 Spring Garden Street, Philadelphia, PA 19130.
    The notice of amendment and an advance copy of the system notice 
have been sent to the appropriate Congressional committees and to the 
Director of Office of Management and Budget (OMB) as required by 5 
U.S.C. 552a(r) (Privacy Act) and guidelines issued by OMB (65 FR 
77677), December 12, 2000.

    Approved: April 23, 2012.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
121VA10P2

SYSTEM NAME:
    National Patient Databases-VA.

SYSTEM LOCATION:
    Records are maintained at VA medical centers, VA data processing 
centers, VISNs and Office of Information (OI) field offices. Address 
location for each VA national patient database is listed in VA Appendix 
4 at the end of this document.

CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
    The records contain information for all individuals (1) receiving 
health care from VHA, and (2) Providing the health care. Individuals 
encompass Veterans and their immediate family members, members of the 
armed services, current and former employees, trainees, contractors, 
subcontractors, consultants, volunteers, and other individuals working 
collaboratively with VA.

CATEGORIES OF RECORDS IN THE SYSTEM:
    The records may include information and health information related 
to:
    1. Patient medical record abstract information, but not limited to, 
including information from Patient Medical Record--VA (24VA19).
    2. Identifying information (e.g., name, birth date, death date, 
admission date, discharge date, gender, Social Security number, 
taxpayer identification number); address information (e.g., home and/or 
mailing address, home telephone number, emergency contact information 
such as name, address, telephone number, and relationship); prosthetic 
and sensory aid serial numbers; medical record numbers; integration 
control numbers; information related to medical examination or 
treatment (e.g., location of VA medical facility providing examination 
or treatment, treatment dates, medical conditions treated or noted on 
examination); information related to military service and status;
    3. Medical benefit and eligibility information;
    4. Patient workload data such as admissions, discharges, and 
outpatient visits; resource utilization such as laboratory tests, x-
rays;
    5. Patient Satisfaction Survey Data which include questions and 
responses;
    6. External Peer Review Program (EPRP) data capture;
    7. ODC system supported by NEPEC and VHA VSSC to include electronic 
information from all Veteran homeless programs and external sources; 
and
    8. Clinically oriented information associated with My HealtheVet 
such as secure messages.

AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
    Title 38, United States Code, Section 501.

PURPOSES:
    The records and information may be used for statistical analysis to 
produce various management, workload tracking, and follow-up reports; 
to track and evaluate the ordering and delivery of equipment, services, 
and patient care; for the planning, distribution, and utilization of 
resources; to monitor the performance of VISNs; and to allocate 
clinical and administrative support to patient medical care. The data 
may be used for VA's extensive research programs in accordance with VA 
policy. In addition, the data may be used to assist in workload 
allocation for patient treatment services including provider panel 
management, nursing care, clinic appointments, surgery, prescription 
processing, diagnostic and therapeutic procedures; to plan and schedule 
training activities for employees; for audits, reviews, and 
investigations conducted by the network directors office and VA Central 
Office; for quality assurance audits, reviews, and investigations; for 
law enforcement investigations; and for personnel

[[Page 27865]]

management, evaluation and employee ratings, and performance 
evaluations. Survey data will be collected for the purpose of measuring 
and monitoring national, VISN, and facility-level performance on VHA's 
Veteran Health Care Service Standards (VHSS) pursuant to Executive 
Order 12862 and VHA Customer Service Standards Directive. The VHSS are 
designed to measure levels of patient satisfaction in areas that 
patients have defined as important in receiving quality, patient-
centered health care. Results of the survey data analysis are shared 
throughout the VHA system. The EPRP data are collected in order to 
provide medical centers and outpatient clinics with diagnosis and 
procedure-specific quality of care information. EPRP is a contracted 
review of care, specifically designated to collect data to be used to 
improve the quality of care. The Veteran Homeless records and 
information will be used for case management in addition to statistical 
analysis to produce various management, workload tracking, and follow-
up reports; to track and evaluate the goal of ending Veteran 
homelessness. HAIISS data will be available to VHA clinicians to use 
for monitoring of health care-associated infections and for transmittal 
to state/local health departments for biosurveillance purposes.

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES 
OF USERS AND THE PURPOSES OF SUCH USES:
    To the extent that records contained in the system include 
information protected by 38 U.S.C. 7332, i.e., medical treatment 
information related to drug abuse, alcoholism or alcohol abuse, sickle 
cell anemia or infection with the human immunodeficiency virus; 
information protected by 38 U.S.C. 5705, i.e., quality assurance 
records; or information protected by 45 CFR Parts 160 and 164, i.e., 
individually identifiable health information, such information cannot 
be disclosed under a routine use unless there is also specific 
statutory authority permitting the disclosure. VA may disclose 
protected health information pursuant to the following routine uses 
where required or permitted by law.
    1. VA may disclose on its own initiative any information in this 
system, except the names and home addresses of Veterans and their 
dependents, that is relevant to a suspected or reasonably imminent 
violation of law, whether civil, criminal, or regulatory in nature and 
whether arising by general or program statute or by regulation, rule or 
order issued pursuant thereto, to a Federal, state, local, tribal, or 
foreign agency charged with the responsibility of investigating or 
prosecuting such violation, or charged with enforcing or implementing 
the statute, regulation, rule, or order. On its own initiative, VA may 
also disclose the names and addresses of Veterans and their dependents 
to a Federal agency charged with the responsibility of investigating or 
prosecuting civil, criminal, or regulatory violations of law, or 
charged with enforcing or implementing the statute, regulation, rule, 
or order issued pursuant thereto.
    2. Disclosure may be made to any source from which additional 
information is requested (to the extent necessary to identify the 
individual, inform the source of the purpose(s) of the request, and 
identify the type of information requested), when necessary to obtain 
or provide information relevant to an individual's eligibility, care 
history, or other benefits across different Federal, state, or local, 
public health, health care, or program benefit agencies that improves 
the quality and safety of health care for our Veterans.
    3. Disclosure may be made to a Federal agency in the executive, 
legislative, or judicial branch, State and local Government or the 
District of Columbia government in response to its request or at the 
initiation of VA, in connection with disease tracking, patient 
outcomes, or other health information required for program 
accountability.
    4. Disclosure may be made to the National Archives and Records 
Administration (NARA) and the General Services Administration (GSA) for 
records management inspections under authority of Title 44, Chapter 29, 
of the United States Code.
    5. VA may disclose information in this system of records to the 
DoJ, either on VA's initiative or in response to DoJ's request for the 
information, after either VA or DoJ determines that such information is 
relevant to DoJ's representation of the United States or any of its 
components in legal proceedings before a court or adjudicative body, 
provided that, in each case, the agency also determines prior to 
disclosure that disclosure of the records to the DoJ is a use of the 
information contained in the records that is compatible with the 
purpose for which VA collected the records. VA, on its own initiative, 
may disclose records in this system of records in legal proceedings 
before a court or administrative body after determining that the 
disclosure of the records to the court or administrative body is a use 
of the information contained in the records that is compatible with the 
purpose for which VA collected the records.
    6. Records from this system of records may be disclosed to a 
Federal agency or to a state or local government licensing board and/or 
to the Federation of State Medical Boards or a similar non-government 
entity that maintains records concerning individuals' employment 
histories or concerning the issuance, retention, or revocation of 
licenses, certifications, or registration necessary to practice an 
occupation, profession, or specialty, in order for the agency to obtain 
information relevant to an agency decision concerning the hiring, 
retention, or termination of an employee.
    7. Records from this system of records may be disclosed to inform a 
Federal agency, licensing boards, or appropriate non-governmental 
entities about the health care practices of a terminated, resigned, or 
retired health care employee whose professional health care activity so 
significantly failed to conform to generally accepted standards of 
professional medical practice as to raise reasonable concern for the 
health and safety of patients receiving medical care in the private 
sector or from another Federal agency.
    8. For program review purposes and the seeking of accreditation 
and/or certification, disclosure may be made to survey teams of the 
Joint Commission, College of American Pathologists, American 
Association of Blood Banks, and similar national accreditation agencies 
or boards with whom VA has a contract or agreement to conduct such 
reviews but only to the extent that the information is necessary and 
relevant to the review.
    9. Disclosure may be made to a national certifying body that has 
the authority to make decisions concerning the issuance, retention, or 
revocation of licenses, certifications, or registrations required to 
practice a health care profession, when requested in writing by an 
investigator or supervisory official of the national certifying body 
for the purpose of making a decision concerning the issuance, 
retention, or revocation of the license, certification, or registration 
of a named health care professional.
    10. Records from this system that contain information listed in 5 
U.S.C. 7114(b)(4) may be disclosed to officials of labor organizations 
recognized under 5 U.S.C. chapter 71 when relevant and necessary to 
their duties of exclusive representation concerning personnel policies, 
practices, and matters affecting working conditions.
    11. Disclosure may be made to the representative of an employee of 
all

[[Page 27866]]

notices, determinations, decisions, or other written communications 
issued to the employee in connection with an examination ordered by VA 
under medical evaluation (formerly fitness-for duty) examination 
procedures or Department-filed disability retirement procedures.
    12. VA may disclose information to officials of the Merit Systems 
Protection Board, or the Office of Special Counsel, when requested in 
connection with appeals, special studies of the civil service and other 
merit systems, review of rules and regulations, investigation of 
alleged or possible prohibited personnel practices, and such other 
functions, promulgated in 5 U.S.C. 1205 and 1206, or as may be 
authorized by law.
    13. VA may disclose information to the Equal Employment Opportunity 
Commission when requested in connection with investigations of alleged 
or possible discriminatory practices, examination of Federal 
affirmative employment programs, or for other functions of the 
Commission as authorized by law or regulation.
    14. VA may disclose information to the Federal Labor Relations 
Authority (including its General Counsel) information related to the 
establishment of jurisdiction, the investigation and resolution of 
allegations of unfair labor practices, or information in connection 
with the resolution of exceptions to arbitration awards when a question 
of material fact is raised; to disclose information in matters properly 
before the Federal Services Impasses Panel, and to investigate 
representation petitions and conduct or supervise representation 
elections.
    15. Disclosure of medical record data, excluding name and address, 
unless name and address are furnished by the requester, may be made to 
non-Federal research facilities for research purposes determined to be 
necessary and proper when approved in accordance with VA policy.
    16. Disclosure of name(s) and address(s) of present or former 
personnel of the Armed Services, and/or their dependents, may be made 
to: (a) A Federal department or agency, at the written request of the 
head or designee of that agency; or (b) directly to a contractor or 
subcontractor of a Federal department or agency, for the purpose of 
conducting Federal research necessary to accomplish a statutory purpose 
of an agency. When disclosure of this information is made directly to a 
contractor, VA may impose applicable conditions on the department, 
agency, and/or contractor to insure the appropriateness of the 
disclosure to the contractor.
    17. Disclosure may be made to individuals, organizations, private 
or public agencies, or other entities or individuals with whom VA has a 
contract or agreement to perform such services as VA may deem 
practicable for the purposes of laws administered by VA, in order for 
the contractor, subcontractor, public or private agency, or other 
entity or individual with whom VA has an agreement or contract to 
perform the services of the contract or agreement. This routine use 
includes disclosures by the individual or entity performing the service 
for VA to any secondary entity or individual to perform an activity 
that is necessary for individuals, organizations, private or public 
agencies, or other entities or individuals with whom VA has a contract 
or agreement to provide the service to VA.
    18. Disclosure may be made to a congressional office from the 
record of an individual in response to an inquiry from the 
congressional office made at the request of that individual.
    19. VA may disclose information to a Federal agency for the conduct 
of research and data analysis to perform a statutory purpose of that 
Federal agency upon the prior written request of that agency, provided 
that there is legal authority under all applicable confidentiality 
statutes and regulations to provide the data and the VHA OI has 
determined prior to the disclosure that VHA data handling requirements 
are satisfied.
    20. Disclosure of limited individual identification information may 
be made to another Federal agency for the purpose of matching and 
acquiring information held by that agency for VHA to use for the 
purposes stated for this system of records.
    21. VA may, on its own initiative disclose any information or 
records to appropriate agencies, entities, and persons when (1) VA 
suspects or has confirmed that the integrity or confidentiality of 
information in the system of records has been compromised; (2) VA has 
determined that as a result of the suspected or confirmed compromise 
there is a risk of embarrassment or harm to the reputations of the 
record subjects, harm to economic or property interests, identity theft 
or fraud, or harm to the security, confidentiality, or integrity of 
this system or other systems or programs (whether maintained by VA or 
another agency or entity) that rely upon the potentially compromised 
information; and (3) the disclosure is to agencies, entities, or 
persons whom VA determines are reasonably necessary to assist or carry 
out VA's efforts to respond to the suspected or confirmed compromise 
and prevent, minimize, or remedy such harm. This routine use permits 
disclosures by VA to respond to a suspected or confirmed data breach, 
including the conduct of any risk analysis or provision of credit 
protection services as provided in 38 U.S.C. 5724, as the terms are 
defined in 38 U.S.C. 5727.
    22. On its own initiative, VA may disclose to the general public 
via an Internet Web site, Primary Care Management Module (PCMM) 
information, including the names of its providers, provider panel sizes 
and reports on provider performance measures of quality when approved 
in accordance with VA policy.
    23. Disclosure to other Federal agencies may be made to assist such 
agencies in preventing and detecting possible fraud or abuse by 
individuals in their operations and programs.
    24. VA may disclose name(s) and address(es) of present or former 
members of the armed services and/or their dependents under certain 
circumstances: (a) to any nonprofit organization, if the release is 
directly connected with the conduct of programs and the utilization of 
benefits under Title 38, or (b) to any criminal or civil law 
enforcement governmental agency or instrumentality charged under 
applicable law with the protection of the public health or safety, if a 
qualified representative of such organization, agency, or 
instrumentality has made a written request for such name(s) or 
address(es) for a purpose authorized by law, provided that the records 
will not be used for any purpose other than that stated in the request 
and that the organization, agency, or instrumentality is aware of the 
penalty provision of 38 U.S.C. 5701(f).
    25. VA may disclose information, including demographic information, 
to U.S. Department of Housing and Urban Development (HUD) for the 
purpose of reducing homelessness among Veterans by implementing the 
Federal strategic plan to prevent and end homelessness and by 
evaluating and monitoring the HUD-Veterans Affairs Supported Housing 
(VASH) program.

POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, 
AND DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
    Records are maintained on electronic storage media including 
magnetic tape, disk, laser optical media.

RETRIEVABILITY:
    Records are retrieved by name, Social Security number, or other 
assigned

[[Page 27867]]

identifiers of the individuals on whom they are maintained.

SAFEGUARDS:
    1. Access to and use of national patient databases are limited to 
those persons whose official duties require such access, and VA has 
established security procedures to ensure that access is appropriately 
limited. Information security officers and system data stewards review 
and authorize data access requests. VA regulates data access with 
security software that authenticates users and requires individually 
unique codes and passwords. VA provides information security training 
to all staff and instructs staff on the responsibility each person has 
for safeguarding data confidentiality.
    2. VA maintains Business Associate Agreements (BAA) and Non-
Disclosure Agreements with contracted resources in order to maintain 
confidentiality of the information.
    3. Physical access to computer rooms housing national patient 
databases is restricted to authorized staff and protected by a variety 
of security devices. Unauthorized employees, contractors, and other 
staff are not allowed in computer rooms. The Federal Protective Service 
or other security personnel provide physical security for the buildings 
housing computer rooms and data centers.
    4. Data transmissions between operational systems and national 
patient databases maintained by this system of record are protected by 
state-of-the-art telecommunication software and hardware. This may 
include firewalls, encryption, and other security measures necessary to 
safeguard data as it travels across the VA Wide Area Network. Data may 
be transmitted via a password protected spreadsheet and placed on the 
secured share point Web portal by the user that has been provided 
access to their secure file. Data can only be accessed by authorized 
personnel from each facility within the Polytrauma System of Care and 
the Physical Medicine and Rehabilitation Program Office.
    5. In most cases, copies of back-up computer files are maintained 
at off-site locations.

RETENTION AND DISPOSAL:
    The records are disposed of in accordance with General Records 
Schedule 20, item 4. Item 4 provides for deletion of data files when 
the agency determines that the files are no longer needed for 
administrative, legal, audit, or other operational purposes.

SYSTEMS AND MANAGER(S) AND ADDRESS:
    Officials responsible for policies and procedures; Assistant Deputy 
Under Secretary for Health for Informatics and Analytics (10P2), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420. Officials maintaining this system of records; Director, National 
Data Systems (10P2C), Austin Automation Center, 1615 Woodward Street, 
Austin, Texas 78772.

NOTIFICATION PROCEDURE:
    Individuals who wish to determine whether this system of records 
contains information about them should contact the Director of National 
Data Systems (10P2C), Austin Automation Center, 1615 Woodward Street, 
Austin, Texas 78772. Inquiries should include the person's full name, 
Social Security number, location and dates of employment or location 
and dates of treatment, and their return address.

RECORD ACCESS PROCEDURE:
    Individuals seeking information regarding access to and contesting 
of records in this system may write or call the Director of National 
Data Systems (10P2C), Austin Automation Center, 1615 Woodward Street, 
Austin, Texas 78772, or call the VA Austin Automation Center Help Desk 
and ask to speak with the VHA Director of National Data Systems at 
(512) 326-6780.

CONTESTING RECORD PROCEDURES:
    (See Record Access Procedures above.)

RECORD SOURCE CATEGORIES:
    Information in this system of records is provided by Veterans, VA 
employees, VA computer systems, Veterans Health Information Systems and 
Technology Architecture (VistA), VA medical centers, VA Health 
Eligibility Center, VA program offices, VISNs, VA Austin Automation 
Center, the Food and Drug Administration, DoD, HUD, Survey of 
Healthcare Experiences of Patients, EPRP, and the following Systems of 
Records: `Patient Medical Records--VA' (24VA19), `National Prosthetics 
Patient Database--VA' (33VA113), `Healthcare Eligibility Records--VA' 
(89VA16), VA Veterans Benefits Administration automated record systems 
(including the Veterans and Beneficiaries Identification and Records 
Location Subsystem--VA (38VA23)), and subsequent iterations of those 
systems of records.

                              VA Appendix 4
------------------------------------------------------------------------
             Database name                           Location
------------------------------------------------------------------------
Addiction Severity Index...............  Veteran Affairs Medical Center,
                                          7180 Highland Drive,
                                          Pittsburgh, PA 15206.
Bidirectional Health Information         SunGard, 1500 Spring Garden
 Exchange (BHIE).                         Street, Philadelphia, PA
                                          19130.
VA Clinical Assessment Reporting and     Denver VA Medical Center, 1055
 Tracking (CART) Program.                 Clermont Street, Denver, CO
                                          80220.
Care Management Information System.....  Veterans Affairs Medical
                                          Center, University and
                                          Woodland Aves., Philadelphia,
                                          PA 19104.
Consolidated Mail Outpatient Pharmacy    Southwest CMOP, 3675 East
 (CMOP) Centralized Database System.      Britannia Drive, Tucson, AZ
                                          85706.
Continuous Improvement in Cardiac        Veteran Affairs Medical Center,
 Surgery.                                 820 Clermont Street, Denver,
                                          CO 80220.
Converged Registries Solution..........  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Corporate Data Warehouse...............  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Cruetzfelet-Jakob Disease Lookback       Cincinnati VA Medical Center,
 Dataset.                                 3200 Vine Street, Cincinnati,
                                          OH 45220.
Decision Support System................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Dental Encounter System................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Eastern Pacemaker Surveillance Center    Veteran Affairs Medical Center,
 Database.                                50 Irving Street NW.
                                          Washington, DC 20422.
The Electronic Surveillance System for   Austin Information Technology
 the Early Notification of Community-     Center, 1615 Woodward Street,
 Based Epidemics (ESSENCE).               Austin, TX 78772.
Emerging Pathogens Initiative..........  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Federal Health Information Exchange      SunGard, 1500 Spring Garden
 (FHIE).                                  Street, Philadelphia, PA
                                          19130.
Financial Clinical Data Mart...........  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Former Prisoner of War Statistical       Austin Information Technology
 Tracking System.                         Center, 1615 Woodward Street,
                                          Austin, TX 78772.

[[Page 27868]]

 
Functional Status and Outcome Database.  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Healthcare Associated Infections &       Veteran Affairs Medical Center,
 Influenza Surveillance System (HAIISS)   3801 Miranda Avenue, Palo
 Data Warehouse.                          Alto, CA 94304.
Home Based Primary Care................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Homeless Operational Management &        Austin Information Technology
 Evaluation System (HOMES).               Center, 1615 Woodward Street,
                                          Austin, Texas 78772.
Homeless Veterans Registry.............  Austin Automation Center, 1615
                                          Woodward Street, Austin, TX
                                          78772.
Injury Data Store......................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Mammography Quality Standards VA.......  Veteran Affairs Medical Center,
                                          508 Fulton Street, Durham, NC
                                          27705.
Master Patient Index...................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Medical SAS File (MDP) (Medical          Austin Information Technology
 District Planning (MEDIPRO)).            Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Missing Patient Register...............  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
National Mental Health Database System.  Veteran Affairs Medical Center,
                                          7180 Highland Drive,
                                          Pittsburgh, PA 15206.
National Medical Information System....  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
National Survey of Veterans............  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Office of Quality and Performance (OQP)  OQP Data Center, 601 Keystone
                                          Park Dr., Suite 800,
                                          Morrisville, NC 27560.
Parkinson's Disease Research,            Veterans Affairs Medical
 Education, and Clinical Centers          Center, 4150 Clement St., San
 Registry.                                Francisco,, CA 94121.
Patient Assessment File................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Pharmacy Benefits Management...........  Veterans Affairs Medical
                                          Center, 5th Avenue and
                                          Roosevelt Road, Hines, IL
                                          60141.
Radiation Exposure Inquiries Database..  Office of Information Field
                                          Office, 1335 East/West Hwy.,
                                          Silver Spring, MD 20910.
Remote Order Entry System..............  Denver Distribution Center, 155
                                          Van Gordon Street, Lakewood,
                                          CO 80228-1709.
Regional Data Warehouses (RDW).........  Region 1 Data Warehouse,
                                          Herakles Data Center, 1100
                                          North Market Blvd, Sacramento,
                                          CA 95834.
                                         Region 2 Data Warehouse, Little
                                          Rock VA Medical Center, IRM/
                                          Bldg 102, 2200 Ft. Roots
                                          Drive, North Little Rock, AR
                                          72114.
                                         Region 3 Data Warehouse, Durham
                                          VAMC, 508 Fulton Street,
                                          Durham, NC 27705.
                                         Region 4 Data Warehouse,
                                          Sungard Availablity Services,
                                          401 N. Broad Street, Suite
                                          11.803, Philadelphia, PA
                                          19108.
Resident Assessment Instrument/Minimum   Austin Information Technology
 Data Set.                                Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Short Form Health Survey for Veterans..  Veterans Affairs Medical
                                          Center, 200 Springs Rd.,
                                          Bedford, MA 01730.
VA National Clozapine Registry.........  Veteran Affairs Medical Center,
                                          4500 South Lancaster Road,
                                          Dallas, TX 75216.
VA Polytrauma Rehabilitation Center/     Craig Hospital, 3425 S.
 Traumatic Brain Injury (TBI) Model       Clarkson St., Englewood, CO
 System Database.                         80113.
VA Vital Status File...................  Austin Information Technology
                                          Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Veterans Administration Central Cancer   Veteran Affairs Medical Center,
 Registry.                                50 Irving Street NW.,
                                          Washington, DC 20422.
Veterans Informatics, Information and    Austin Information Technology
 Computing Infrastructure (VINCI).        Center, 1615 Woodward Street,
                                          Austin, TX 78772.
Veterans Integrated Service Network      Austin Information Technology
 Support Service Center Databases.        Center, 1615 Woodward Street,
                                          Austin, TX 78772.
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[FR Doc. 2012-11487 Filed 5-10-12; 8:45 am]
BILLING CODE 8320-01-P