[Federal Register Volume 90, Number 156 (Friday, August 15, 2025)]
[Notices]
[Pages 39470-39475]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-15587]
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DEPARTMENT OF VETERANS AFFAIRS
Privacy Act of 1974; System of Records
AGENCY: Veterans Health Administration (VHA), Department of Veterans
Affairs (VA).
ACTION: Notice of a modified system of records.
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SUMMARY: Pursuant to the Privacy Act of 1974, notice is hereby given
that VA is modifying the system of records titled, ``National Patient
Databases-VA'' (121VA10). VA provides health care services to many
Veterans through VHA. During the course of providing health care, VHA
collects medical and health information about Veterans under their
care. This system is used for planning, distribution, and utilization
of resources; monitoring the performance of VHA programs and Veteran
population health; and statistical analysis of clinical and
administrative support provided within VHA.
DATES: Comments on this modified system of records must be received no
later than 30 days after date of publication in the Federal Register.
If no public comment is received during the period allowed for comment
or unless otherwise published in the Federal Register by VA, the
modified system of records will become effective a minimum of 30 days
after date of publication in the Federal Register. If VA receives
public comments, VA shall review the comments to determine whether any
changes to the notice are necessary.
ADDRESSES: Comments may be submitted through www.Regulations.gov or
mailed to VA Privacy Service, 810 Vermont Avenue NW, (005X6F),
Washington, DC 20420. Comments should indicate that they are submitted
in response to ``National Patient Databases-VA,'' (121VA10). Comments
received will be available at www.regulations.gov for public viewing,
inspection or copies.
FOR FURTHER INFORMATION CONTACT: Stephania Griffin, VHA Chief Privacy
Officer, 810 Vermont Avenue NW, (10DH03A), Washington, DC 20420,
[email protected], or at telephone number 704-245-2492. (Note:
This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: VA is modifying the system of records by
revising the Categories of Individuals Covered by the System;
Categories of Records in the System; Records Source Categories; Routine
Uses of Records Maintained in the System, including Categories of Users
and the Purposes of such Uses; Policies and Practices for Retention and
Disposal of Records; Notification Procedure; and Appendix 4. VA is
republishing the system of records notice in its entirety.
The Categories of Individuals Covered by the System is being
updated to include Veterans and their household members, who are
receiving services through the U.S. Department of Housing and Urban
Development (HUD) as well as beneficiaries and caregivers. Records are
being collected on Veterans and their household members, who are
receiving services through HUD in order to meet the requirements of the
Consolidated Appropriations Act of 2023, Public Law 117-328, Cleland-
Dole Act, Section 309, which requires a system for sharing and
reporting data between Homeless Operational Management & Evaluation
System and Homeless Management Information System (HMIS).
The Categories of Records in the System is being updated to
include, ``(9) disease registries including Veteran demographics (e.g.,
name, age), military information, and screening responses.''
The Records Source Categories is being updated to include
beneficiaries, patients, HMIS, Program of Comprehensive Assistance for
Family Caregivers and Program of General Caregiver Support Services
caregivers.
The Routine Uses of Records Maintained in the System, including
Categories of Users and the Purposes of such Uses is amended to add two
Routine Uses. Routine Use number 32 is added to state, ``To Federal
health care providers, such as DoD, for the purpose of performing
quality improvement activities or other health care operations of the
recipient Federal health care provider.''
Routine Use number 33 is added to state, ``To non-VA entities for
the purpose of performing outreach to Veterans regarding VA health care
benefits to which the Veterans may be eligible as required by the
Promise to Address Comprehensive Toxics Act.''
Policies and Practices for Retention and Disposal of Records is
being updated to include the General Records Schedule 3.1 items 050-
051.
The Notification Procedures Section is being update to state
``Individuals who wish to be notified if a record in this system of
records pertains to them should submit the request following the
procedures described in ``Record Access Procedures,'' above.''
Appendix 4 is being updated to include the following: Clinical Case
Registries, Austin Information Technology Center, 1615 Woodward Street,
Austin, TX 78772; Decision Support System Austin Information Technology
Center, 1615 Woodward Street, Austin, TX 78772; Status Query and
Response Exchange System 44521 Hastings Drive, Ashburn, VA 20147;
Veterans Equitable Resource Allocation, Austin Information Technology
Center, 1615 Woodward Street, Austin, TX 78772. The following is being
removed, ``Master Person Index- VHA, Austin Information Technology
Center, 1615 Woodward Street, Austin, TX 78772.'' National Center for
Patient Safety Public Health System name has changed to Public Health
National Program Office.
Signing Authority
The Senior Agency Official for Privacy, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. Eddie Pool,
Deputy Chief Information Officer, Connectivity and Collaboration
Services, Performing the Delegable Duties of the Assistant Secretary
for Information and Technology and Chief Information Officer, approved
this document on June 13, 2025 for publication.
Dated: 8/13/2025.
Saurav Devkota,
Government Information Specialist, VA Privacy Service, Office of
Compliance, Risk and Remediation, Office of Information and Technology,
Department of Veterans Affairs.
SYSTEM NAME AND NUMBER:
``National Patient Databases-VA'' (121VA10)
[[Page 39471]]
SECURITY CLASSIFICATION:
Unclassified.
SYSTEM LOCATION:
Records are maintained at the Department of Veterans Affairs (VA)
medical centers, VA data processing centers, Veterans Integrated
Service Networks (VISN), and Office of Information Technology Field
Offices. The address for each VA national patient database is listed in
VA Appendix 4 at the end of this document. In addition, information
from these records or copies of these records may be maintained at VA
Enterprise Cloud Data Centers/Amazon Web Services, 1915 Terry Avenue,
Seattle, WA 98101.
SYSTEM MANAGER(S):
Officials responsible for policies and procedures: Veterans Health
Administration (VHA) Chief Informatics Officer, 810 Vermont Avenue NW,
(10DH03), Washington, DC 20420. Officials maintaining this system of
records: Director, National Data Systems, Austin Information Technology
Center, 1615 Woodward Street, Austin, Texas 78772. Telephone number
512-326-6780. (This is not a toll-free number.)
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
38 U.S.C 501.
PURPOSE(S) OF THE SYSTEM:
Records in this system are 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/or outside VA as
relevant; to allocate clinical and administrative support to patient
medical care; to study, monitor, and report epidemiological trends and
disease incidence; for VA's extensive research programs in accordance
with VA policy; 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 management, evaluation, employee
ratings, and performance evaluations. Pursuant to Executive Order 12862
and VHA Customer Service Standards Directive, survey data in this
system will be used to measure and monitor national, VISN, and
facility-level performance on the VHA Veteran Health Care Service
Standards (VHSS). 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. External Peer
Review Program (EPRP) data in this system will be used 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; and to
track and evaluate the goal of ending Veteran homelessness. The Public
Health National Program Office System data will be available to VA
personnel, Federal agencies, and state and local health departments for
the monitoring of infections, emerging pathogens, and environmental
issues of interest that might reasonably affect the health of the
public.
CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
Records include information for all individuals that are: (1)
receiving health care from VHA; (2) providing health care to
individuals for VHA; (3) whose data is provided to VA clinical
registries, including but not limited to the VA Central Cancer
Registry; or (4) Veterans and their household members, who are
receiving services through the Department of Housing and Urban
Development (HUD) in order to meet the requirements of the Consolidated
Appropriations Act of 2023, Public Law 117-328, Cleland-Dole Act,
Section 309, which requires a system for sharing and reporting data
between Homeless Operational Management & Evaluation System and
Homeless Management Information System (HMIS). Individuals encompass
Veterans and their beneficiaries, caregivers and immediate family
members; members of the Armed Services; current and former employees,
trainees, contractors, subcontractors, consultants, and volunteers; and
other individuals working collaboratively with VA.
CATEGORIES OF RECORDS IN THE SYSTEM:
Records include information and health information related to: (1)
patient medical record abstract information including, but not limited
to, information from ``Patient Medical Record-VA'' (24VA10A7); (2)
identifying information (e.g., name, birth date, death date, admission
date, discharge date, gender, Social Security Number, or taxpayer
identification number), address information (e.g., home and/or mailing
address(s), 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 or 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, and resource utilization
such as laboratory tests and x-rays; (5) Patient Satisfaction Survey
Data which include questions and responses; (6) EPRP data capture; (7)
homelessness and prevention services provided to Veteran and household
members which includes electronic information from all Veteran homeless
programs and external sources; (8) clinically oriented information
associated with MyHealtheVet such as secure messages; and (9) disease
registries including Veteran demographics (e.g., name, age), military
information, and screening responses.
RECORD SOURCE CATEGORIES:
Records in this system are provided by Veterans and their
beneficiaries; patients; VA employees; VA computer systems; Veterans
Health Information Systems and Technology Architecture; VA medical
centers; VA Health Eligibility Center; VA program offices; VISNs;
Austin Information Technology Center; the Food and Drug Administration
(FDA); Department of Defense (DoD); HUD (i.e., Homeless Management
Information System); Program of Comprehensive Assistance for Family
Caregivers and Program of General Caregiver Support Services
caregivers; Survey of Healthcare Experiences of Patients; EPRP;
National Cancer Institute (NCI) and/or their designee; a state cancer
or tumor registry; ``Patient Medical Records-VA'' (24VA10A7);
``National Prosthetics Patient Database-VA'' (33VA10); ``Income
Verification Records-VA'' (89VA10); VA Veterans Benefits Administration
automated record
[[Page 39472]]
systems (including the ``Compensation, Pension, Education, and
Vocational Rehabilitation and Employment Records-VA'' (58VA21/22/28));
and subsequent iterations of those systems of records.
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES
OF USERS AND THE PURPOSES OF SUCH USES:
Note: To the extent that records contained in the system include
information protected by the HIPAA Privacy Rule and 38 U.S.C. 7332,
that information cannot be disclosed under a routine use unless there
is also specific disclosure authority in both provisions.
1. To a Federal, state, local, territorial, tribal, or foreign law
enforcement authority or other appropriate entity charged with the
responsibility of investigating or prosecuting a violation or potential
violation of law, whether civil, criminal, or regulatory in nature, or
charged with enforcing or implementing such law, provided that the
disclosure is limited to information that, either alone or in
conjunction with other information, indicates such a violation or
potential violation. A disclosure of information about Veterans or
their dependents from VA claims files under this routine use must also
comply with the requirements of 38 U.S.C. 5701(f).
2. 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 improve the quality and safety of health
care for Veterans.
3. To a Federal agency in the executive, legislative, or judicial
branch; state and local government; or the Washington, DC 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. To the National Archives and Records Administration (NARA) in
records management inspections conducted under 44 U.S.C. 2904 and 2906,
or other functions authorized by laws and policies governing NARA
operations and VA records management responsibilities.
5. To the Department of Justice (DoJ), or in a proceeding before a
court, adjudicative body, or other administrative body before which VA
is authorized to appear, when any of the following is a party to such
proceedings or has an interest in such proceedings, and VA determines
that use of such records is relevant and necessary to the proceedings:
(a) VA or any component thereof;
(b) A VA employee in their official capacity;
(c) A VA employee in their individual capacity where DoJ has agreed
to represent the employee; or
(d) The United States, where VA determines that litigation is
likely to affect the agency or any of its components.
6. To a Federal agency, a state or local government licensing
board, the Federation of State Medical Boards, or a similar non-
governmental 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, to inform such 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 in the private sector or
from another Federal agency. These records may also be disclosed as
part of an ongoing computer matching program to accomplish these
purposes.
7. To a former VA employee or contractor, as well as the authorized
representative of a current or former employee or contractor of VA, in
connection with or in consideration of reporting that the individual's
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, to a
Federal agency, a State or local government licensing board, or the
Federation of State Medical Boards or a similar non-governmental 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.
8. To survey teams of the Joint Commission on Accreditation of
Healthcare Organizations, College of American Pathologists, American
Association of Blood Banks, and similar national accreditation agencies
or boards with which VA has a contract or agreement to conduct such
reviews, as relevant and necessary for the purpose of program review or
the seeking of accreditation or certification.
9. 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. To officials of labor organizations recognized under 5 U.S.C.
Ch. 71 provided that the disclosure is limited to information
identified in 5 U.S.C. 7114(b)(4) that is relevant and necessary to
their duties of exclusive representation concerning personnel policies,
practices, and matters affecting working conditions.
11. To the representative of an employee of all 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. To the Merit Systems Protection Board 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 authorized by law.
13. To the Equal Employment Opportunity Commission in connection
with investigations of alleged or possible discriminatory practices,
examination of Federal affirmative employment programs, or other
functions of the Commission as authorized by law.
14. To the Federal Labor Relations Authority in connection with the
investigation and resolution of allegations of unfair labor practices,
the resolution of exceptions to arbitration awards when a question of
material fact is raised, matters before the Federal Service Impasses
Panel, and the investigation of representation petitions and the
conduct or supervision of representation elections.
15. To non-Federal research facilities for research purposes
determined to be necessary and proper when approved in accordance with
VA policy; disclosure of medical record data, excluding name
[[Page 39473]]
and address, unless name and address are furnished by the requester.
16. To: (1) a Federal department or agency, at the written request
of the head or designee of that agency; or (2) 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, provided that the disclosure is limited to the names and
addresses of present or former members of the Armed Services or their
beneficiaries, the records will not be used for any purpose other than
that stated in the request, and the organization is aware of the
penalty provision of 38 U.S.C. 5701(f). 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. To contractors, grantees, experts, consultants, students, and
others performing or working on a contract, service, grant, cooperative
agreement, or other assignment for VA, when reasonably necessary to
accomplish an agency function related to the records.
18. To a Member of Congress or staff acting upon the Member's
behalf when the Member or staff requests the information on behalf of,
and at the request of, the individual who is the subject of the record.
19. To a Federal agency for the purpose of conducting research and
data analysis to perform a statutory purpose of that Federal agency
upon the prior written request of that agency.
20. To another Federal agency for the purpose of matching and
acquiring information held by that agency for VHA for the purposes
stated for this system of records, provided that disclosure is of
limited individual identification information.
21. To appropriate agencies, entities and persons when (a) VA
suspects or has confirmed that there has been a breach of the system of
records; (b) VA has determined that as a result of the suspected or
confirmed breach there is a risk of harm to individuals, VA (including
its information systems, programs and operations), the Federal
Government or national security; and (c) the disclosure made to such
agencies, entities, and persons is reasonably necessary to assist in
connection with VA's efforts to respond to the suspected or confirmed
breach or to prevent, minimize or remedy such harm.
22. To the general public, on VA's own initiative, via an internet
website, Primary Care Management Module 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. To other Federal agencies to assist such agencies in preventing
and detecting possible fraud or abuse by individuals in their
operations and programs.
24. To a nonprofit organization if the release is directly
connected with the conduct of programs and the utilization of benefits
under title 38, provided that the disclosure is limited to the names
and addresses of present or former members of the Armed Services or
their beneficiaries, the records will not be used for any purpose other
than that stated in the request, and the organization is aware of the
penalty provision of 38 U.S.C. 5701(f).
25. To HUD, including demographic information, 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-VA Supported Housing program.
26. To the FDA, Department of Health and Human Services concerning
an adverse drug reaction of a patient, for the purpose of quality of
care management, including detection, treatment, monitoring, reporting,
analysis and follow-up actions relating to adverse drug reactions.
27. To an organization with whom VA has a documented partnership,
arrangement or agreement (e.g., Health Information Exchange, Healthcare
internet Service Provider, Direct and CommonWell Health Alliance
Network), for the purpose of identifying and correlating patients. This
information may include Veteran identifiers and demographic information
(e.g., name, Social Security Number, address, date of birth).
28. To the Centers for Disease Control and Prevention and/or their
designee or other Federal or state public health authorities in
response to its request or at the initiation of VA, in connection with
disease-tracking, patient outcomes, bio-surveillance, or other health
information required for program accountability.
29. To another Federal agency or Federal entity, when VA determines
that information from this system of records is reasonably necessary to
assist the recipient agency or entity in (a) responding to a suspected
or confirmed breach; or (b) preventing, minimizing or remedying the
risk of harm to individuals, the recipient agency or entity (including
its information systems, programs and operations), the Federal
Government or national security, resulting from a suspected or
confirmed breach.
30. To health and welfare agencies, housing resources, and
community providers, consistent with good medical-ethical practices,
for Veterans assessed by or engaged in VA homeless programs for
purposes of coordinating care, expediting access to housing, providing
medical and related services, participating in coordinated entry
processes, reducing Veteran homelessness, identifying homeless
individuals in need of immediate assistance, and ensuring program
accountability by assigning and tracking responsibility for urgently
required care.
31. To the NCI and/or their designee and/or a state cancer or tumor
registry in response to its request or at the initiation of VA for the
purpose of population-based activities to improve health and disease
management.
32. To Federal health care providers, such as DoD, for the purpose
of performing quality improvement activities or other health care
operations of the recipient Federal health care provider.
33. To non-VA entities for the purpose of performing outreach to
Veterans regarding VA health care benefits to which the Veterans may be
eligible as required by the Promise to Address Comprehensive Toxics
Act.
POLICIES AND PRACTICES FOR STORAGE OF RECORDS:
Records are maintained in electronic storage media including
magnetic tape, disk, laser optical media, and the VA Enterprise Cloud.
POLICIES AND PRACTICES FOR RETRIEVAL OF RECORDS:
Records are retrieved by name, Social Security Number, or other
assigned identifiers of the individuals on whom they are maintained.
POLICIES AND PRACTICES FOR RETENTION AND DISPOSAL OF RECORDS:
Records in this system are retained and disposed of in accordance
with the schedule approved by the Archivist of the United States,
General Records Schedule (GRS) 3.1 items 050-051 and GRS 5.2, item 020.
ADMINISTRATIVE, TECHNICAL AND PHYSICAL 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
[[Page 39474]]
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 and Non-Disclosure
Agreements with contracted resources in order to maintain the
confidentiality of the information.
3. Physical access to computer rooms housing national patient
databases are 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 SharePoint 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 backup computer files are maintained at
off-site locations.
6. VA Enterprise Cloud data storage conforms to security protocols
as stipulated in VA Directives 6500 and 6517. Access control standards
are stipulated in specific agreements with Cloud vendors to restrict
and monitor access.
RECORD ACCESS PROCEDURE:
Individuals seeking information on the existence and content of
records in this system pertaining to them should contact the system
manager in writing as indicated above, or may write or visit the VA
facility location where they normally receive their care. A request for
access to records must contain the requester's full name, address and
telephone number, be signed by the requester and describe the records
sought in sufficient detail to enable VA personnel to locate them with
a reasonable amount of effort.
CONTESTING RECORD PROCEDURES:
Individuals seeking to contest or amend records in this system
pertaining to them should contact the system manager in writing as
indicated above, or may write or visit the VA facility location where
they normally receive their care. A request to contest or amend records
must state clearly and concisely what record is being contested, the
reasons for contesting it, and the proposed amendment to the record.
NOTIFICATION PROCEDURE:
Individuals who wish to be notified if a record in this system of
records pertains to them should submit the request following the
procedures described in ``Record Access Procedures,'' above.
EXEMPTIONS PROMULGATED FOR THE SYSTEM:
None.
HISTORY:
69 FR 18436 (April 7, 2004); 73 FR 16103 (March 26, 2008); 75 FR
72873 (November 26, 2010); 77 FR 27863 (May 11, 2012); 79 FR 8245
(February 11, 2014); 83 FR 6094 (February 12, 2018); 88 FR 22112 (April
12, 2023).
VA Appendix 4
------------------------------------------------------------------------
Database name Location
------------------------------------------------------------------------
Addiction Severity Index (ASI).... VA Medical Center, 7180 Highland
Drive, Pittsburgh, PA 15206.
Bidirectional Health Information SunGard, 1500 Spring Garden Street,
Exchange (BHIE). Philadelphia, PA 19130.
Breast Care Registry.............. Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
VA Clinical Assessment, Reporting Digital Realty, 350 E Cermak Road,
and Tracking (CART) Program. Main Building 7th Transport RM,
Chicago, IL 60616, Evoque Data
Centers, 11830 Webb Chapel Road,
Suite 200, Dallas, TX 75234.
Clinical Case Registries.......... Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Consolidated Mail Outpatient Southwest CMOP, 3675 East Britannia
Pharmacy (CMOP) Centralized Drive, Tucson, AZ 85706.
Database System.
Converged Registries Solution Austin Information Technology
(CRS). Center, 1615 Woodward Street,
Austin, TX 78772.
Cruetzfelet-Jakob Disease Lookback Cincinnati VA Medical Center, 3200
Dataset (CJDLD). Vine Street, Cincinnati, OH 45220.
Decision Support System (DSS)..... Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Defense and Veterans Eye Injury Austin Information Technology
Registry (DVEIR). Center, 1615 Woodward Street,
Austin, TX 78772.
Dental Encounter System (DES)..... Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Eastern Pacemaker Surveillance Washington, DC VA Medical Center, 50
Center Database. Irving Street NW, Washington, DC
20422.
Emerging Pathogens Initiative Austin Information Technology
(EPI). Center, 1615 Woodward Street,
Austin, TX 78772.
Federal Health Information SunGard, 1500 Spring Garden Street,
Exchange (FHIE). Philadelphia, PA 19130.
Financial Clinical Data Mart Austin Information Technology
(FCDM). Center, 1615 Woodward Street,
Austin, TX 78772.
Former Prisoner of War Statistical Austin Information Technology
Tracking System. Center, 1615 Woodward Street,
Austin, TX 78772.
Functional Status and Outcome Austin Information Technology
Database (FSOD). Center, 1615 Woodward Street,
Austin, TX 78772.
Home Based Primary Care (HBC)..... Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Homeless Operational, Management Austin Information Technology
and Evaluation System (HOMES). Center, 1615 Woodward Street,
Austin, TX 78772.
Homeless Veterans Registry........ Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Implant Tracking Registry......... Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
[[Page 39475]]
Inpatient Evaluation Centers Austin Information Technology
(IPEC) Legionella Case Report Center, 1615 Woodward Street,
Module. Austin, TX 78772.
Mammography Quality Standards Durham VA Medical Center, 508 Fulton
(MQS) VA. Street, Durham, NC 27705.
Medical Software as a Service Austin Information Technology
(SAS) File Medical District Center, 1615 Woodward Street,
Planning (MDP) (Medical District Austin, TX 78772.
Initiated Peer Review
Organization (MEDIPRO)).
Multiple Sclerosis Surveillance Austin Information Technology
Registry (MSSR). Center, 1615 Woodward Street,
Austin, TX 78772.
Public Health National Program Palo Alto VA Medical Center, 3801
Office (PHNPO). Miranda Avenue, Palo Alto, CA
94304.
National Mental Health Database VA Medical Center, 7180 Highland
System (NMHDS). Drive, Pittsburgh, PA 15206.
National Medical Information Austin Information Technology
System (NMIS). Center, 1615 Woodward Street,
Austin, TX 78772.
National Survey of Veterans (NSV). Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Patient Assessment File (PAF)..... Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Pharmacy Benefits Management (PBM) Edward Hines Junior Hospital VA
Medical Center, 5000 Avenue, Hines,
IL 60141.
Remote Order Entry System (ROES).. VA Denver Regional Office, 155 Van
Gordon Street, Lakewood, CO 80228-
1709.
Resident Assessment Instrument/ Austin Information Technology
Minimum Data Set (RAI/MDS). Center, 1615 Woodward Street,
Austin, TX 78772.
Status Query and Response Exchange Salesforce, 44521 Hastings Drive,
System (SQUARES). Ashburn, VA 20147.
Traumatic Brain Injury (TBI) Austin Information Technology
Registry. Center, 1615 Woodward Street,
Austin, TX 78772.
VA National Clozapine Coordinating Dallas VA Medical Center, 4500 South
Center (NCCC) Registry. Lancaster Road, Dallas, TX 75216.
VA Surgical Quality Improvement VA Central Office (VACO), National
Program (VASQIP). Surgery Office (11SURG), 810
Vermont Avenue NW, Washington, DC
20420.
VA Vital Status File (VSF)........ Austin Information Technology
Center, 1615 Woodward Street,
Austin, TX 78772.
Veterans Administration Central Washington, DC VA Medical Center, 50
Cancer Registry (VACCR). Irving Street NW, Washington, DC
20422.
Veterans Equitable Resource Austin Information Technology
Allocation (VERA). Center, 1615 Woodward Street,
Austin, TX 78772.
Veterans Health Administration Austin Information Technology
Support Service Center (VSSC). Center, 1615 Woodward Street,
Austin, TX 78772.
Veterans Integrated Registry Austin Information Technology
Platform. Center, 1615 Woodward Street,
Austin, TX 78772.
War Related Illness and Injury Palo Alto VA Medical Center, 3801
Study Center (WRIISC) Database. Miranda Avenue, Mail Code 151Y,
Palo Alto, CA 94304.
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[FR Doc. 2025-15587 Filed 8-14-25; 8:45 am]
BILLING CODE 8320-01-P