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1 | CPAC.zip\Fee-Revenue Enhancements | 03-057 Revenue Enhance RSD v1.02_fully signed.docx | Thu Feb 9 15:03:26 2017 UTC |
2 | CPAC.zip\Fee-Revenue Enhancements | 03-057 Revenue Enhance RSD v1.02_fully signed.docx | Fri Feb 10 15:37:31 2017 UTC |
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1 | Department of Vetera ns Affairs Fee-Reven ue Enhance ments Requ irements S pecificati on Documen t | |
2 | ||
3 | ||
4 | ||
5 | ||
6 | ||
7 | ||
8 | ||
9 | ||
10 | January 20 17 | |
11 | ||
12 | Version 1. 02 | |
13 | ||
14 | Revision H istory | |
15 | ||
16 | Date | |
17 | Version | |
18 | Descriptio n | |
19 | Author | |
20 | Reviewer | |
21 | Issue Date | |
22 | 01/03/2016 | |
23 | 1.02 | |
24 | Updated pe r PMO | |
25 | request | |
26 | S. Quigley | |
27 | K. Marr | |
28 | P. Wild | |
29 | 01/04/2017 | |
30 | 12/16/2016 | |
31 | 1.01 | |
32 | IB Billing Worklist Functions Inactivate d per Cust omer – Req uirements displayed with Strik e Through Text | |
33 | S. Quigley | |
34 | K. Marr | |
35 | 12/22/2016 | |
36 | 09/01/2015 | |
37 | 1.00 | |
38 | Integrate with VA re vision and format, a nd incorpo rate addit ional VA c omments | |
39 | S. Ritter | |
40 | S. Ambrose | |
41 | 09/07/2015 | |
42 | 08/20/2015 | |
43 | 0.02 | |
44 | Updates ba sed on VA | |
45 | comments | |
46 | S. Ritter | |
47 | S. Ambrose | |
48 | 08/20/2015 | |
49 | 07/31/2015 | |
50 | 0.01 | |
51 | Initial dr aft | |
52 | S. Ritter | |
53 | S. Ambrose | |
54 | 07/31/2015 | |
55 | ||
56 | Table of C ontents | |
57 | ||
58 | 1Introduct ion ...... .......... .......... .......... .......... .......... .......... .......... .......... .. 1 | |
59 | 1.1Purpose ......... .......... .......... .......... .......... .......... .......... .......... .......... .......... ......... 1 | |
60 | 1.2Scope . .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... . 1 | |
61 | 1.3Referen ces ...... .......... .......... .......... .......... .......... .......... .......... .......... .......... ....... 7 | |
62 | 2Overall D escription ......... .......... .......... .......... .......... .......... .......... ....... 7 | |
63 | 2.1Accessi bility Spe cification s......... .......... .......... .......... .......... .......... .......... ....... 7 | |
64 | 2.2Busines s Rules Sp ecificatio n ........ .......... .......... .......... .......... .......... .......... ..... 7 | |
65 | 2.3Design Constraint s Specific ation..... .......... .......... .......... .......... .......... .......... .. 7 | |
66 | 2.4Disaste r Recovery Specifica tion ..... .......... .......... .......... .......... .......... .......... ... 7 | |
67 | 2.5Documen tation Spe cification s......... .......... .......... .......... .......... .......... .......... ... 8 | |
68 | 2.6Functio nal Specif ications . .......... .......... .......... .......... .......... .......... .......... ........ 8 | |
69 | 2.6.1Syste m Feature: VistA Fee Basis int erface to IB ....... .......... .......... ....... 8 | |
70 | 2.7Graphic al User In terface (G UI) Specif ications . .......... .......... .......... .......... ... 12 | |
71 | 2.8Multi-d ivisional Specificat ions...... .......... .......... .......... .......... .......... .......... .... 12 | |
72 | 2.9Perform ance Speci fications. .......... .......... .......... .......... .......... .......... .......... ... 12 | |
73 | 2.10 Quali ty Attribu tes Specif ication .. .......... .......... .......... .......... .......... .......... ..... 12 | |
74 | 2.11 Relia bility Spe cification s......... .......... .......... .......... .......... .......... .......... .......... 12 | |
75 | 2.12 Scope Integrati on........ .......... .......... .......... .......... .......... .......... .......... .......... ... 12 | |
76 | 2.13 Secur ity Specif ications . .......... .......... .......... .......... .......... .......... .......... .......... 12 | |
77 | 2.14 Syste m Features ......... .......... .......... .......... .......... .......... .......... .......... .......... ... 12 | |
78 | 2.15 Usabi lity Speci fications. .......... .......... .......... .......... .......... .......... .......... .......... 13 | |
79 | 3Applicabl e Standard s ........ .......... .......... .......... .......... .......... .......... .. 13 | |
80 | 4Interface s......... .......... .......... .......... .......... .......... .......... .......... .......... . 14 | |
81 | 4.1Communi cations In terfaces . .......... .......... .......... .......... .......... .......... .......... ... 14 | |
82 | 4.2Hardwar e Interfac es........ .......... .......... .......... .......... .......... .......... .......... ......... 14 | |
83 | 4.3Softwar e Interfac es........ .......... .......... .......... .......... .......... .......... .......... .......... 14 | |
84 | 4.4User In terfaces . .......... .......... .......... .......... .......... .......... .......... .......... .......... .... 14 | |
85 | 5Legal, Co pyright, a nd Other N otices ... .......... .......... .......... .......... ... 14 | |
86 | 6Purchased Component s ........ .......... .......... .......... .......... .......... ........ 1 5 | |
87 | 6.1Defect Source (TO P 5) ..... .......... .......... .......... .......... .......... .......... .......... ........ 1 5 | |
88 | 7User Clas s Characte ristics... .......... .......... .......... .......... .......... ......... 15 | |
89 | 8Estimatio n ........ .......... .......... .......... .......... .......... .......... .......... .......... 15 | |
90 | Attachment A – Appro val Signat ures ..... .......... .......... .......... .......... ....... 17 | |
91 | Attachment B – Acron ym List .. .......... .......... .......... .......... .......... .......... .. 18 | |
92 | Attachment C – Enter prise Requ irements . .......... .......... .......... .......... ... 20 | |
93 | ||
94 | List of Ta bles | |
95 | ||
96 | Table 1: G oals and I mpacts ... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... ......... 1 | |
97 | Table 2: F ee-Revenue Enhanceme nts BNs .. .......... .......... .......... .......... .......... .......... .......... .......... .......... ....... 2 | |
98 | Table 3: A cronym Lis t......... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... 18 | |
99 | Table 4: E nterprise Requiremen ts ....... .......... .......... .......... .......... .......... .......... .......... .......... .......... .......... ... 20 | |
100 | ||
101 | List of Fi gures | |
102 | ||
103 | Figure 1: Cumulative Probabili ty (“S-cur ve”) Chart ......... .......... .......... .......... .......... .......... .......... .......... . 16 | |
104 | ||
105 | 1Introduct ion | |
106 | ||
107 | The Chief Business O ffice (CBO ), Purchas ed Care Pr ogram Offi ce is requ esting enh ancements primarily to the Vet erans Heal th Informa tion Syste ms and Tec hnology Ar chitecture (VistA) F ee Basis a nd Integra ted Billin g (IB) app lications that would provide a n interfac e between the variou s modules to automat e current manual pro cesses, wh ich includ e Revenue Operations (RO) staf f manually generatin g third pa rty claims and first party cop ayments fo r cost rec overable s ervices pr ovided by Non-VA pro viders. | |
108 | ||
109 | 1.1 Purpos e | |
110 | ||
111 | This Requi rements Sp ecificatio n Document (RSD) spe cifies the requireme nts for th e Fee Reve nue Enhanc ements of the Electr onic Data Interchang e (EDI) Co nsolidated Patient A ccount Cen ter (CPAC) Revenue E nhancement s Program. The inten ded audien ce is the CBO Purcha sed Care P rogram Off ice, CPAC key stakeh olders inc luding Dep artment of Veterans Affairs Me dical Cent er (VAMC) Non-VA car e staff, C PAC and RO staff, an d the CPAC EDI Reven ue Enhance ments deve lopment te am. | |
112 | ||
113 | 1.2 Scope | |
114 | ||
115 | This docum ent addres ses the Bu siness Nee d (BN) and requireme nts propos ed in the Fee Revenu e Enhancem ents (New Service Re quest [NSR ] # 201103 03) Busine ss Require ments Docu ment (BRD) dated Jul y 2011, wh ich outlin es recomme nded chang es to the VistA Fee Basis and IB applica tions. | |
116 | ||
117 | The goals, impacts, and outcom e measures of the en hancements proposed in the BRD are shown in Table 1. | |
118 | ||
119 | Table 1: G oals and I mpacts | |
120 | ||
121 | Goal/Objec tive and D esired | |
122 | Outcome | |
123 | Impact | |
124 | Measuremen t | |
125 | Automate manual bil ling proce ss to allo w informat ion entere d in VistA Fee Basis to popula te VistA I B. | |
126 | System to automatic ally popul ate in Vis tA IB soft ware, info rmation en tered in V istA Fee B asis autho rizations and claims for Non-V A health c are servic es. | |
127 | Improved accuracy a nd timelin ess in pro cessing of Veterans’ Third-Par ty Insuran ce and Co- Payment C laims. | |
128 | Increased opportuni ties for i ncreased r evenue fro m collecti ons of | |
129 | cost recov erable Non - VA healt h care | |
130 | services c laims. | |
131 | In 100% of cases sub mitted via industry standard b illing, in formation on Non-VA health car e services entered i n VistA Fe e Basis ap plication will auto- populate V istA IB. | |
132 | ||
133 | This docum ent addres ses only t he Fee Rev enue enhan cement, on e of five enhancemen ts compris ing the ED I CPAC Rev enue Enhan cements Pr ogram. Det ails regar ding other enhanceme nts in the program a re describ ed in sepa rate RSDs. | |
134 | ||
135 | During req uirements elaboratio n for this enhanceme nt, the BN and requi rements we re discuss ed from th e perspect ive of the BRD, incl uding the changes re commended in the BRD to addres s the BN. | |
136 | ||
137 | The revise d understa nding of t he BNs and goals has revealed that BNs 2 FRE-2.10 – FRE-2.20 are no lo nger neede d since th ey have be en address ed on othe r projects and don’t need to b e implemen ted. These revised B Ns will be reflected in this R SD. The RS D should b e regarded as the so urce for t he most re cent BNs a nd require ments base d on requi rements el aboration. | |
138 | ||
139 | The BNs/re quirements are shown in Table 2. Table 2 also refl ects the o bsolescenc e of BN2 r equirement s FRE-2.10 – FRE-2.2 0 that are no longer needed on this Enha ncement. | |
140 | ||
141 | Table 2: F ee-Revenue Enhanceme nts BNs | |
142 | ||
143 | BN | |
144 | Owner Requ irement (O WNR) | |
145 | Number | |
146 | OWNR | |
147 | Priority* | |
148 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
149 | FRE-2.1 | |
150 | The system shall hav e the abil ity to rec ord the au thorizatio n and the correspond ing author ization mo dification data. | |
151 | High | |
152 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
153 | FRE-2.2 | |
154 | The system shall hav e the abil ity to tra nsmit the authorizat ion and th e correspo nding auth orization data to th e IB packa ge to supp ort Revenu e pre- cer tification . | |
155 | High | |
156 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
157 | FRE-2.3 | |
158 | The system shall hav e the abil ity to dis play the a uthorizati on and the correspon ding autho rization d ata in rea l-time to include an y authoriz ation upda tes. | |
159 | High | |
160 | ||
161 | ||
162 | BN | |
163 | Owner Requ irement (O WNR) | |
164 | Number | |
165 | OWNR | |
166 | Priority* | |
167 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
168 | FRE-2.4 | |
169 | The system shall hav e the abil ity to aut omatically alert/not ify specif ied Revenu e users of instances of author ized care for member s with ins urance. | |
170 | High | |
171 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
172 | FRE-2.5 | |
173 | The system shall hav e the abil ity to tra ck all tra nsmissions of author izations a nd authori zation upd ates to th e IB packa ge. | |
174 | High | |
175 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
176 | FRE-2.6 | |
177 | The system shall hav e the abil ity to tra nsmit all claim data received and proces sed to the IB packag e. | |
178 | High | |
179 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
180 | FRE-2.7 | |
181 | The system shall hav e the abil ity to tra ck all tra nsmissions of claims and claim s updates to the IB package. | |
182 | High | |
183 | ||
184 | ||
185 | BN | |
186 | Owner Requ irement (O WNR) | |
187 | Number | |
188 | OWNR | |
189 | Priority* | |
190 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
191 | FRE-2.8 | |
192 | The system shall hav e the abil ity to ide ntify paid claims as sociated w ith a pati ent whose eligibilit y is copay required | |
193 | High | |
194 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
195 | FRE-2.9 | |
196 | The system shall hav e the abil ity to int erface wit h the Vist A IB Softw are (bi- d irectional ) to send Fee paymen t data on paid claim s for firs t party (c o-pay) and third par ty determi nation. | |
197 | High | |
198 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
199 | FRE-2.10 | |
200 | The system shall hav e the abil ity to rec eive cost recovery a nd recoupm ent detail | |
201 | updates fo r Fee thir d party ac counts rec eivables f rom the | |
202 | IB package . | |
203 | Not | |
204 | Required | |
205 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
206 | FRE-2.11 | |
207 | The system shall hav e a bi- di rectional interface with Finan cial Manag ement Syst em (FMS) t o process recoupment data for Fee claims with over payments, duplicate payments a nd erroneo us payment s. | |
208 | Not | |
209 | Required | |
210 | ||
211 | ||
212 | BN | |
213 | Owner Requ irement (O WNR) | |
214 | Number | |
215 | OWNR | |
216 | Priority* | |
217 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
218 | FRE-2.12 | |
219 | The system shall hav e the abil ity to cre ate workfl ow for all issues th at must be resolved manually. | |
220 | Not | |
221 | Required | |
222 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
223 | FRE-2.13 | |
224 | The system shall hav e the abil ity to man age all wo rkflow ite ms resulti ng from is sues. | |
225 | Not | |
226 | Required | |
227 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
228 | FRE-2.14 | |
229 | The system shall hav e the abil ity to tra ck all wor kflow, inc luding dat e and time stamps fo r each wor kflow | |
230 | stage thro ughout the workflow life cycle for histo rical and reporting purposes. | |
231 | Not | |
232 | Required | |
233 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
234 | FRE-2.15 | |
235 | The system shall hav e the abil ity to esc alate/reas sign workf low items based on u ser specif ic permiss ions. | |
236 | Not | |
237 | Required | |
238 | ||
239 | ||
240 | BN | |
241 | Owner Requ irement (O WNR) | |
242 | Number | |
243 | OWNR | |
244 | Priority* | |
245 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
246 | FRE-2.16 | |
247 | The system shall pro vide the c apability to query w orkflow re sults both in detail and in su mmary. | |
248 | Not | |
249 | Required | |
250 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
251 | FRE-2.17 | |
252 | The system shall hav e the abil ity for au tomatic an d manual r eport gene ration. | |
253 | Not | |
254 | Required | |
255 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
256 | FRE-2.18 | |
257 | The system shall hav e the abil ity for al l reports to be arch ived/store d in a dep ository fo r historic al purpose s to be ac cessed on demand by any user w ith the ap propriate permission s. | |
258 | Not | |
259 | Required | |
260 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
261 | FRE-2.19 | |
262 | The system shall hav e the abil ity for de signated u sers to cr eate ad ho c reports. | |
263 | Not | |
264 | Required | |
265 | ||
266 | ||
267 | BN | |
268 | Owner Requ irement (O WNR) | |
269 | Number | |
270 | OWNR | |
271 | Priority* | |
272 | BN 2: The system sha ll have th e ability to interfa ce with th e VistA IB Software to transmi t authoriz ed care da ta at the time the c are is aut horized an d paid cla ims data, post Fee p ayment. | |
273 | FRE-2.20 | |
274 | The system shall hav e the abil ity to all ow all use rs with th e appropri ate permis sions to e xport data into othe r formats, such as A ccess data tables an d/or Excel workbooks for analy sis and ma nipulation . | |
275 | Not | |
276 | Required | |
277 | ||
278 | 1.3 Refere nces | |
279 | ||
280 | The follow ing docume ntation/hy perlinks c ontain inf ormation r elated to this RSD: | |
281 | ||
282 | Fee Reven ue Enhance ments BRD, July 2011 | |
283 | Please re fer to App endix A of the BRD f or additio nal refere nces relev ant to thi s enhancem ent | |
284 | ||
285 | 2Overall D escription | |
286 | ||
287 | 2.1 Access ibility Sp ecificatio ns | |
288 | ||
289 | This proje ct will ad here to al l applicab le require ments of S ection 508 of the Re habilitati on Act of | |
290 | 1973, as a mended (29 U.S.C. 79 4d). A 508 complianc e review w ill be con ducted in accordance with Proj ect Manage ment Accou ntability System (PM AS) standa rds. | |
291 | ||
292 | 2.2 Busine ss Rules S pecificati on | |
293 | ||
294 | There are no specifi c new busi ness rules applicabl e to this enhancemen t. | |
295 | ||
296 | A high-lev el view of the curre nt (as-is) and futur e (to-be) fee revenu e enhancem ents proce sses/workf lows are a vailable v ia Technic al Service s Project Repository (TSPR) he re: http:/ DNS /warboard/ anotebk.as p?proj=178 3&Type=Act ive | |
297 | ||
298 | 2.3 Design Constrain ts Specifi cation | |
299 | Departmen t of Veter ans Affair s (VA) Sta ndards and Conventio ns for Mas sachusetts | |
300 | General Ho spital Uti lity Multi -Programmi ng System (MUMPS) de velopment | |
301 | VA Techni cal Refere nce Model (TRM) | |
302 | ||
303 | 2.4 Disast er Recover y Specific ation | |
304 | ||
305 | There are no new or specific d isaster re covery spe cification s for this project. The disast er recover y specific ations per taining to any VistA system ar e applicab le to this project. | |
306 | ||
307 | 2.5 Docume ntation Sp ecificatio ns | |
308 | ||
309 | System doc umentation to be del ivered wil l be in ac cordance w ith PMAS a nd ProPath System | |
310 | Developmen t Processe s. | |
311 | ||
312 | Documentat ion to be delivered includes b ut is not limited to : | |
313 | ||
314 | Installat ion Guide | |
315 | User Guid e | |
316 | Technical Manual | |
317 | Security Guide | |
318 | Contingen cy Plan | |
319 | Disaster Recovery P lan (DRP) | |
320 | Deploymen t Plan | |
321 | Release N otes | |
322 | ||
323 | 2.6 Functi onal Speci fications | |
324 | ||
325 | This enhan cement see ks modific ations to various Vi stA applic ations, pr imarily Vi stA Fee Ba sis and IB . The scop e of these enhanceme nts involv es an inte rface betw een the va rious modu les that w ould autom ate curren t manual p rocesses w here RO st aff manual ly generat es third p arty claim s and firs t party co payments f or cost re coverable services p rovided by Non-VA pr oviders. | |
326 | ||
327 | *Note: req uirements that have been strik ed through have been removed p er Custome r request and will n ot be acce ssible by End Users upon patch national release. | |
328 | ||
329 | 2.6.1 Syst em Feature : VistA Fe e Basis in terface to IB | |
330 | ||
331 | The system shall hav e the abil ity to int erface wit h the Vist A IB Softw are to tra nsmit to t ransmit th ird party billable p atient aut horized ca re data at the time of authori zation and paid clai m data aft er fee pay ment has b een author ized. | |
332 | ||
333 | 2.6.1.1 Fu nctional R equirement : FRFEE-2. 1 | |
334 | ||
335 | The system shall hav e the abil ity to rec ord the au thorizatio n and the correspond ing author ization mo dification data in a new VistA file that will allo w the IB s ystem to " point" to the author ization da ta in Fee Basis syst em at the time the a uthorizati on is crea ted. | |
336 | ||
337 | 2.6.1.1.1 Functiona l Requirem ent: FRFEE -2.1-01 | |
338 | ||
339 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e name of the orderi ng physici an (Nation al Provide r Identifi er [NPI] # , Taxonomy Code, Las t Name, Fi rst Name M I). | |
340 | ||
341 | 2.6.1.1.2 Functional Requireme nt: FRFEE- 2.1-02 | |
342 | ||
343 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e Diagnosi s/Procedur e for serv ices autho rized in f ree text w ith unlimi ted charac ters. | |
344 | ||
345 | 2.6.1.1.3 Functional Requireme nt: FRFEE- 2.1-03 | |
346 | ||
347 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e schedule d date of service wh ich includ e date ran ges (MM/DD /YY). | |
348 | ||
349 | 2.6.1.1.4 Functional Requireme nt: FRFEE- 2.1-04 | |
350 | ||
351 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e name of Non-VA loc ation (whe n availabl e). | |
352 | ||
353 | 2.6.1.1.5 Functional Requireme nt: FRFEE- 2.1-05 | |
354 | ||
355 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e billable insurance informati on on file . | |
356 | ||
357 | 2.6.1.1.6 Functional Requireme nt: FRFEE- 2.1-06 | |
358 | ||
359 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e last dat e of billa ble insura nce verifi ed (MM/DD/ YY). | |
360 | ||
361 | 2.6.1.1.7 Functional Requireme nt: FRFEE- 2.1-07 | |
362 | ||
363 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e type of service (i npatient/o utpatient) . | |
364 | ||
365 | 2.6.1.1.8 Functional Requireme nt: FRFEE- 2.1-08 | |
366 | ||
367 | The system shall pro vide the a bility to record aut horization and autho rization m odificatio n data in the IB sys tem that i ncludes th e existing special a uthority a nd/or serv ice connec ted condit ions in fr ee text (i f applicab le). | |
368 | ||
369 | 2.6.1.2 Fu nctional R equirement : FRFEE-2. 2 | |
370 | ||
371 | The system shall hav e the abil ity to int erface aut horization and the c orrespondi ng authori zation dat a to the I B package to support Revenue p re-certifi cation. | |
372 | ||
373 | 2.6.1.2.1 Functional Requireme nt: FRFEE- 2.2-01 | |
374 | ||
375 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the name o f the orde ring physi cian (NPI #, Taxonom y Code, La st Name, F irst Name MI). | |
376 | ||
377 | 2.6.1.2.2 Functional Requireme nt: FRFEE- 2.2-02 | |
378 | ||
379 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the Diagno sis/Proced ure for se rvices aut horized in free text with unli mited char acters. | |
380 | ||
381 | 2.6.1.2.3 Functional Requireme nt: FRFEE- 2.2-03 | |
382 | ||
383 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the schedu led date o f service which incl ude date r anges (MM/ DD/YY). | |
384 | ||
385 | 2.6.1.2.4 Functional Requireme nt: FRFEE- 2.2-04 | |
386 | ||
387 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the name o f Non-VA l ocation (i f availabl e). | |
388 | ||
389 | 2.6.1.2.5 Functional Requireme nt: FRFEE- 2.2-05 | |
390 | ||
391 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the billab le insuran ce informa tion on fi le. | |
392 | ||
393 | 2.6.1.2.6 Functional Requireme nt: FRFEE- 2.2-06 | |
394 | ||
395 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the last d ate of bil lable insu rance veri fied (MM/D D/YY). | |
396 | ||
397 | 2.6.1.2.7 Functional Requireme nt: FRFEE- 2.2-07 | |
398 | ||
399 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the type o f service (inpatient /outpatien t). | |
400 | ||
401 | 2.6.1.2.8 Functional Requireme nt: FRFEE- 2.2-08 | |
402 | ||
403 | The system shall pro vide the a bility to transmit a uthorizati on and aut horization modificat ion data t o the IB s ystem that includes the existi ng special authority and/or se rvice conn ected cond itions | |
404 | in free te xt (if app licable). | |
405 | ||
406 | 2.6.1.3 Fu nctional R equirement : FRFEE-2. 3 | |
407 | ||
408 | The system shall hav e the abil ity to dis play the a uthorizati on and the correspon ding autho rization d ata (Fee B asis Claim s System [ FBCS] data elements available in VistA F ee) in rea l-time to include an y authoriz ation upda tes in a n ew IB Work list. | |
409 | ||
410 | 2.6.1.3.1 Functional Requireme nt: FRFEE- 2.3-01 | |
411 | ||
412 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the n ame of the ordering physician (NPI #, Ta xonomy Cod e, Last Na me, First Name MI). | |
413 | ||
414 | 2.6.1.3.2 Functional Requireme nt: FRFEE- 2.3-02 | |
415 | ||
416 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the D iagnosis/P rocedure f or service s authoriz ed in free text with unlimited character s. | |
417 | ||
418 | 2.6.1.3.3 Functional Requireme nt: FRFEE- 2.3-03 | |
419 | ||
420 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the s cheduled d ate of ser vice which include d ate ranges (MM/DD/YY ). | |
421 | ||
422 | 2.6.1.3.4 Functional Requireme nt: FRFEE- 2.3-04 | |
423 | ||
424 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the n ame of Non -VA locati on (if ava ilable). | |
425 | ||
426 | 2.6.1.3.5 Functional Requireme nt: FRFEE- 2.3-05 | |
427 | ||
428 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the b illable in surance in formation on file. | |
429 | ||
430 | 2.6.1.3.6 Functional Requireme nt: FRFEE- 2.3-06 | |
431 | ||
432 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the l ast date o f billable insurance verified (MM/DD/YY) . | |
433 | ||
434 | 2.6.1.3.7 Functional Requireme nt: FRFEE- 2.3-07 | |
435 | ||
436 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the t ype of ser vice (inpa tient/outp atient). | |
437 | ||
438 | 2.6.1.3.8 Functional Requireme nt: FRFEE- 2.3-08 | |
439 | ||
440 | The system shall pro vide the a bility to display au thorizatio n and auth orization data in IB system vi a Worklist that incl udes the e xisting sp ecial auth ority and/ or service connected condition s in free text (if a pplicable) . | |
441 | ||
442 | 2.6.1.4 Fu nctional R equirement : FRFEE-2. 4 | |
443 | ||
444 | The system shall hav e the abil ity to aut omatically alert/not ify specif ied Revenu e users of instances of author ized care for member s with bil lable insu rance usin g a new IB Worklist that has o n demand r efresh cap abilities. | |
445 | ||
446 | 2.6.1.5 Fu nctional R equirement : FRFEE-2. 5 | |
447 | ||
448 | The system shall hav e the abil ity to tra ck each tr ansmission of author izations a nd authori zation upd ates to th e IB packa ge using t he IB Work list. | |
449 | ||
450 | 2.6.1.6 Fu nctional R equirement : FRFEE-2. 6 | |
451 | ||
452 | The system shall pro vide an in terface so once paym ent has be en approve d/issued ( output of VistA Fee Basis), it would cre ate/revise a revisio n of the p aid Non-VA care clai m and push into IB. | |
453 | ||
454 | 2.6.1.7 Fu nctional R equirement : FRFEE-2. 7 | |
455 | ||
456 | The system shall pro vide the a bility to track deli very of pa id Non-VA care claim s and clai ms updates from Vist A Fee Basi s to the I B package. | |
457 | ||
458 | 2.6.1.8 Fu nctional R equirement : FRFEE-2. 8 | |
459 | ||
460 | The system shall pro vide the a bility to identify u npaid/paid Non-VA ca re claims with the a ppropriate copay eli gibility s tatus, suc h as membe r "co-pay required" in the new IB Workli st. | |
461 | ||
462 | 2.6.1.9 Fu nctional R equirement : FRFEE-2. 9 | |
463 | ||
464 | The system shall pro vide the a bility to interface Fee Basis with the V istA IB So ftware (bi - directio nal) to se nd Fee pay ment data on paid No n-VA claim s for firs t party (c o-pay) and third par ty determi nation via the new I B worklist . | |
465 | ||
466 | 2.6.1.10Fu nctional R equirement : FRFEE-2. 10 | |
467 | ||
468 | The system shall pro vide the a bility to enter time frame para meters whe n generati ng the IB Worklist b ased on pa id date an d date of service. | |
469 | ||
470 | 2.7 Graphi cal User I nterface ( GUI) Speci fications | |
471 | ||
472 | This enhan cement doe s not invo lve a GUI. | |
473 | ||
474 | 2.8 Multi- divisional Specifica tions | |
475 | ||
476 | No new mul ti-divisio nal requir ements are being int roduced as part of t his enhanc ement. Thi s enhancem ent will u se existin g multi-di visional f unctionali ty and wil l continue to operat e in a mul ti-divisio n and/or m ulti-site environmen t. | |
477 | ||
478 | 2.9 Perfor mance Spec ifications | |
479 | ||
480 | No perform ance speci fications have been identified . | |
481 | ||
482 | It is impl ied that t his enhanc ement will not intro duce perfo rmance deg radation t o the exis ting syste m. | |
483 | ||
484 | 2.10Qualit y Attribut es Specifi cation | |
485 | ||
486 | The softwa re associa ted with t his enhanc ement shal l be relea sed with z ero high o r medium i mpact defe cts. Test defect log s will be submitted after inte rnal Quali ty Assuran ce (QA) an d site tes ting for V A review. | |
487 | ||
488 | The MUMPS code devel oped for t his projec t will be compliant to all VA MUMPS Codi ng | |
489 | Standards and Conven tions. | |
490 | ||
491 | 2.11Reliab ility Spec ifications | |
492 | ||
493 | As specifi ed in the BRD, syste m availabi lity shoul d be 24 ho urs per da y, 365 day s per year except du ring perio ds of sche duled main tenance. | |
494 | ||
495 | 2.12Scope Integratio n | |
496 | ||
497 | This enhan cement wil l be limit ed to chan ges to the VistA Fee Basis and IB applic ations. Th is enhance ment will also inclu de a new i nterface b etween the VistA Fee Basis and IB applic ations tha t would au tomate cur rent manua l processe s. | |
498 | ||
499 | 2.13Securi ty Specifi cations | |
500 | ||
501 | There are no explici t security specifica tions for this enhan cement. | |
502 | ||
503 | All VA and Veterans Health Adm inistratio n (VHA) se curity req uirements will be ad hered to. Cross-cutt ing securi ty require ments are contained in the VA Enterprise Requireme nts Reposi tory (ERR) . Efforts that invol ve the col lection an d maintena nce of ind ividually identifiab le informa tion must be covered by a Priv acy Act sy stem of re cords noti ce. | |
504 | ||
505 | 2.14System Features | |
506 | ||
507 | This enhan cement mod ifies an e xisting Vi stA applic ation. | |
508 | ||
509 | The System Features introduced by this p roject are detailed in Section 2.6. | |
510 | ||
511 | 2.15Usabil ity Specif ications | |
512 | ||
513 | The existi ng Fee Bas is interfa ce will be used for this enhan cement, in cluding ex isting usa bility spe cification s. The use r interfac e features of the ex isting Vis tA Fee Bas is Applica tion will not be mod ified, and therefore no perfor mance degr adation wi ll be intr oduced. | |
514 | ||
515 | Additional functiona lity will be describ ed from a user stand point in t he user gu ide. Train ing needed to begin using the new functi onality is expected to be mini mal. | |
516 | ||
517 | 3Applicabl e Standard s | |
518 | ||
519 | Configurat ion Manage ment (CM) processes provide th e release and contro l of the s ystem, har dware, and software to which t his docume nt applies , includin g identifi cation num ber(s), ti tle(s), ab breviation (s), versi on number( s), and re lease numb er(s). | |
520 | ||
521 | Listed bel ow are VA reference and guidan ce documen tation and standards applicabl e to or ta ilored for the CPAC EDI Projec t. This gu idance is used to fu lfill the performanc e requirem ents of th is contrac t. | |
522 | ||
523 | 44 U.S.C. § 3541, “ Federal In formation Security M anagement Act (FISMA ) of 2002” | |
524 | Federal I nformation Processin g Standard s (FIPS) P ublication 140-2, “S ecurity | |
525 | Requiremen ts For Cry ptographic Modules” | |
526 | Software Engineerin g Institut e, Softwar e Acquisit ion-Capabi lity Matur ity Modeli ng (SA- CM M) Level 3 procedure s and proc esses | |
527 | VA Direct ive 6102, “Internet/ Intranet S ervices,” July 15, 2 008 | |
528 | 36 C.F.R. Part 1194 “Electron ic and Inf ormation T echnology (IT) Acces sibility | |
529 | Standards, ” July 1, 2003 | |
530 | Office of Managemen t and Budg et (OMB) C ircular A- 130, “Mana gement of Federal | |
531 | Informatio n Resource s,” Novemb er 28, 200 0 | |
532 | 32 C.F.R. Part 199, “Civilian Health an d Medical Program of the Unifo rmed Servi ces | |
533 | (CHAMPUS)” | |
534 | An Introd uctory Res ource Guid e for Impl ementing t he Health Insurance Portabilit y and | |
535 | Accountabi lity Act ( HIPAA) Sec urity Rule , March 20 05 | |
536 | Sections 504 and 50 8 of the R ehabilitat ion Act (2 9 U.S.C. § 794d), as amended b y the | |
537 | Workforce Investment Act of 19 98 (P.L. 1 05-220), A ugust 7, 1 998 | |
538 | Homeland Security P residentia l Directiv e (12) (HS PD-12) | |
539 | VA Direct ive 6500, “Informati on Securit y Program, ” August 4 , 2006 | |
540 | VA Handbo ok 6500, “ Informatio n Security Program,” September 18, 2007 | |
541 | VA Handbo ok, 6500.5 , Incorpor ating Secu rity and P rivacy in System Dev elopment | |
542 | Lifecycle. | |
543 | VA Handbo ok 6500.6, “Contract Security, ” March 12 , 2010 | |
544 | PMAS port al (refere nce Perfor mance Work Statement [PWS] Ref erences) – Technical | |
545 | Library | |
546 | ||
547 | Office of Enterpris e Developm ent (OED) ProPath Pr ocess Meth odology (r eference P WS Referen ces) – Tec hnical Lib rary and P roPath Lib rary. Note : In the e vent of a conflict, OED ProPat h takes pr ecedence o ver other processes or methodo logies. | |
548 | TRM | |
549 | National Institute Standards and Techno logy (NIST ) Special Publicatio ns (SP) 80 0-60 and 8 00-53 | |
550 | IT Asset Management (ITAM) an d Enterpri se Managem ent Founda tion (EMF) BR-0006, version 00 2.1-140520 08, dated 10/30/2007 [Note inf ormational , Context, and ITAM- EMF Conce ptual link ] | |
551 | HIPAA of 1996; Pub. L 104-191. | |
552 | VA Sectio n 508 poli cies and p rocedures 6221 Acces sible Elec tronic and IT, Direc tive/Handb ook, publi shed by VA ’s Section 508 Produ ct Develop ment Produ ct Assessm ent Compet ency Divis ion | |
553 | VA M Prog ramming St andards an d Conventi ons. Revis ed 04/03/2 007 | |
554 | VA Sectio n 508 poli cies and p rocedures 6221 Acces sible Elec tronic and IT, Direc tive/Handb ook, publi shed by VA ’s Section 508 Produ ct Develop ment Produ ct Assessm ent Compet ency Divis ion (refer ence at ht tp:// DNS /vapubs/vi ewPublicat ion.asp?Pu b_ID=435&F Type=2) | |
555 | ||
556 | 4Interface s | |
557 | ||
558 | 4.1 Commun ications I nterfaces | |
559 | ||
560 | No new com munication s interfac es are req uired for this enhan cement. | |
561 | ||
562 | 4.2 Hardwa re Interfa ces | |
563 | ||
564 | No new har dware inte rfaces are required for this e nhancement . | |
565 | ||
566 | 4.3Softwar e Interfac es | |
567 | ||
568 | Upon imple mentation of the req uested enh ancements to VistA, continued interface is expecte d at estab lished int ervals for data tran smission a nd upload in all VHA informati on systems . All inte rfacing pa rtners wil l need sys tem capabi lity to pr ocess thes e enhancem ents. Thes e should i nclude int erfaces wi th the FBC S, the Aus tin IT Cen ter (AITC) , the Non- VA Fee Bas is Medical System co mmonly ref erred to a s Central Fee, local VAMC’s Vi stA, FMS, the Fee Pa yment Proc essing Sys tem (FPPS) , the VHA Support Se rvice Cent er (VSSC), and the V APM (VISN 6 | |
569 | Pilot). | |
570 | ||
571 | 4.4 User I nterfaces | |
572 | ||
573 | This enhan cement wil l use the existing V istA Fee B asis user interface. No modifi cations ar e specifie d for the user inter face. | |
574 | ||
575 | 5Legal, Co pyright, a nd Other N otices | |
576 | ||
577 | This effor t is spons ored by an agency of the Unite d States G overnment. Neither t he United States | |
578 | Government nor any a gency ther eof, nor a ny of its subcontrac tors, nor any of the ir employe es, | |
579 | ||
580 | makes any warranty, express or implied, or assumes any legal liability or respon sibility f or the acc uracy, com pleteness, or useful ness of an y informat ion, appar atus, prod uct, or pr ocess disc losed, or represents that its use would not infrin ge on priv ately owne d rights. Reference herein to any specif ic commerc ial produc t, process , or servi ce by trad e name, tr ademark, m anufacture r, or othe rwise does not neces sarily con stitute or imply its endorseme nt, recomm endation, or favorin g by the U nited Stat es Governm ent or any agency th ereof, or any of its subcontra ctors. The views and opinions of authors expressed herein do not neces sarily sta te or refl ect those of the Uni ted States Governmen t or any a gency ther eof. | |
581 | ||
582 | 6Purchased Component s | |
583 | ||
584 | Not applic able. | |
585 | ||
586 | 6.1 Defect Source (T OP 5) | |
587 | ||
588 | Not applic able. | |
589 | ||
590 | 7User Clas s Characte ristics | |
591 | ||
592 | The Fee Ba sis enhanc ements des cribed in this docum ent will b e used by VAMC Reven ue/RO staf f, CBO Nat ional Fee Program Of fice (NFPO ) and Purc hased Care Program O ffice staf f, Veteran s Integrat ed Service Network ( VISN) staf f, and VA Central Of fice (VACO ) CBO staf f. | |
593 | ||
594 | 8Estimatio n | |
595 | ||
596 | TBD | |
597 | ||
598 | Project So ftware Fun ctional Si ze and Siz e-Based | |
599 | Effort and Duration Estimate | |
600 | ||
601 | ||
602 | Applicatio n | |
603 | ||
604 | Item | |
605 | A | |
606 | B | |
607 | C | |
608 | D | |
609 | E | |
610 | Total | |
611 | Counted Fu nction | |
612 | Points | |
613 | ||
614 | ||
615 | ||
616 | ||
617 | ||
618 | TBD | |
619 | Estimated Scope | |
620 | Growth | |
621 | ||
622 | ||
623 | ||
624 | ||
625 | ||
626 | TBD | |
627 | Estimated Size at | |
628 | Release | |
629 | ||
630 | ||
631 | ||
632 | ||
633 | ||
634 | TBD | |
635 | ||
636 | Size-Based Effort Es timates | |
637 | Labor Hour s | |
638 | Probabilit y | |
639 | Low-Effort Estimate – With ind icated pro bability, project wi ll consume no more t han: | |
640 | TBD | |
641 | ||
642 | High-Effor t Estimate – With in dicated pr obability, project w ill consum e no more than: | |
643 | TBD | |
644 | ||
645 | ||
646 | Size-Based Duration Estimates | |
647 | Work Days | |
648 | Probabilit y | |
649 | Low-Durati on Estimat e – With i ndicated p robability , project will consu me no more than: | |
650 | TBD | |
651 | ||
652 | High-Durat ion Estima te -- With indicated probabili ty, projec t will con sume no mo re than: | |
653 | TBD | |
654 | ||
655 | ||
656 | ||
657 | ||
658 | ||
659 | ||
660 | ||
661 | TBD | |
662 | Figure 1: Cumulative Probabili ty (“S-cur ve”) Chart | |
663 | ||
664 | Attachment A – Appro val Signat ures | |
665 | ||
666 | ||
667 | ||
668 | ||
669 | ||
670 | ||
671 | Signed:Dat e: | |
672 | ||
673 | Greg Estes | |
674 | Business S ponsor | |
675 | ||
676 | ||
677 | ||
678 | ||
679 | ||
680 | ||
681 | Signed:Dat e: | |
682 | ||
683 | Charles Du nn | |
684 | CPAC Progr am Manager , Integrat ed Project Team (IPT ) Co-Chair | |
685 | ||
686 | ||
687 | ||
688 | ||
689 | ||
690 | ||
691 | Signed:Dat e: | |
692 | ||
693 | Ann Kliegl | |
694 | CPAC Proje ct Manager , IPT Co-C hair | |
695 | ||
696 | Attachment B – Acron ym List | |
697 | ||
698 | Table 3: A cronym Lis t | |
699 | ||
700 | Term | |
701 | Meaning | |
702 | AITC | |
703 | Austin IT Center | |
704 | BN | |
705 | Business N eed | |
706 | BRD | |
707 | Business R equirement s Document | |
708 | CBO | |
709 | Chief Busi ness Offic e | |
710 | CCD | |
711 | Continuity of Care D ocument | |
712 | CHAMPUS | |
713 | Civilian H ealth and Medical Pr ogram of t he Uniform ed Service s | |
714 | CM | |
715 | Configurat ion Manage ment | |
716 | CPAC | |
717 | Consolidat ed Patient Account C enter | |
718 | DRP | |
719 | Disaster R ecovery Pl an | |
720 | EDES | |
721 | Emergency Department Encounter Summary | |
722 | EDI | |
723 | Electronic Data Inte rchange | |
724 | EMF | |
725 | Enterprise Managemen t Foundati on | |
726 | ERR | |
727 | Enterprise Requireme nts Reposi tory | |
728 | FBCS | |
729 | Fee Basis Claims Sys tem | |
730 | FIPS | |
731 | Federal In formation Processing Standards | |
732 | FISMA | |
733 | Federal In formation Security M anagement Act | |
734 | FMS | |
735 | Financial Management System | |
736 | FPPS | |
737 | Fee Paymen t Processi ng System | |
738 | GUI | |
739 | Graphical User Inter face | |
740 | HIPAA | |
741 | Health Ins urance Por tability a nd Account ability Ac t | |
742 | HITSP | |
743 | Health IT Standards Panel | |
744 | HL7 | |
745 | Health Lev el Seven | |
746 | HSPD-12 | |
747 | Homeland S ecurity Pr esidential Directive (12) | |
748 | IB | |
749 | Integrated Billing | |
750 | IHE | |
751 | Integratin g the Heal thcare Ent erprise | |
752 | IPT | |
753 | Integrated Project T eam | |
754 | IT | |
755 | Informatio n Technolo gy | |
756 | ITAM | |
757 | IT Asset M anagement | |
758 | MUMPS | |
759 | Massachuse tts Genera l Hospital Utility M ulti-Progr amming | |
760 | System | |
761 | ||
762 | ||
763 | Term | |
764 | Meaning | |
765 | NFPO | |
766 | National F ee Program Office | |
767 | NIST | |
768 | National I nstitute S tandards a nd Technol ogy | |
769 | NPI | |
770 | National P rovider Id entifier | |
771 | NSR | |
772 | New Servic e Request | |
773 | OED | |
774 | Office of Enterprise Developme nt | |
775 | OI&T | |
776 | Office of Informatio n and Tech nology | |
777 | OMB | |
778 | Office of Management and Budge t | |
779 | OWNR | |
780 | Owner Requ irement | |
781 | PMAS | |
782 | Project Ma nagement A ccountabil ity System | |
783 | PWS | |
784 | Performanc e Work Sta tement | |
785 | QA | |
786 | Quality As surance | |
787 | RMR | |
788 | Requiremen ts Managem ent Reposi tory | |
789 | RO | |
790 | Revenue Op erations | |
791 | RSD | |
792 | Requiremen ts Specifi cation Doc ument | |
793 | SA-CMM | |
794 | Software A cquisition -Capabilit y Maturity Modeling | |
795 | SDS | |
796 | Standard D ata Servic es | |
797 | SP | |
798 | Special Pu blications | |
799 | TRM | |
800 | Technical Reference Model | |
801 | TSPR | |
802 | Technical Services P roject Rep ository | |
803 | VA | |
804 | Department of Vetera ns Affairs | |
805 | VACO | |
806 | VA Central Office | |
807 | VAMC | |
808 | VA Medical Center | |
809 | VETS | |
810 | VA Enterpr ise Termin ology Serv ices | |
811 | VHA | |
812 | Veterans H ealth Admi nistration | |
813 | VISN | |
814 | Veterans I ntegrated Service Ne twork | |
815 | VistA | |
816 | Veterans H ealth Info rmation Sy stems and Technology | |
817 | Architectu re | |
818 | VSSC | |
819 | VHA Suppor t Service Center | |
820 | ||
821 | Attachment C – Enter prise Requ irements | |
822 | ||
823 | Below is a subset of Enterpris e-level Re quirements that are of particu lar intere st to the business c ommunity. These requ irements M UST be add ressed wit hin each p roject res ulting fro m this wor k effort. If Office of Informa tion and T echnology (OI&T) can not addres s these En terprise- level requ irements, the Busine ss Owners responsibl e for each area MUST be engage d in any w aiver disc ussions pr ior to any decisions being mad e. This se ction is n ot meant t o be a com prehensive list of a ll Enterpr ise-level requiremen ts that ma y apply to this work effort an d should n ot preclud e the tech nical comm unity from reviewing all Enter prise-leve l requirem ents, and identifyin g others t hat should apply to this work effort as well. | |
824 | ||
825 | Enterprise -level req uirements are contai ned in the VA Requir ements Man agement Re pository ( RMR). Cont act the RM R Team to gain acces s to the R MR and to obtain the comprehen sive alloc ation of E nterprise- level requ irements f or the pro ject devel opment ite ration at PI I
|
|
826 | ||
827 | Table 4: E nterprise Requiremen ts | |
828 | ||
829 | ReqPro | |
830 | Tag | |
831 | Requiremen t | |
832 | Type | |
833 | Descriptio n | |
834 | ENTR99 | |
835 | Security | |
836 | All VA sec urity requ irements w ill be adh ered to. B ased on FI PS 199 and NIST SP 8 00-60, rec ommended S ecurity Ca tegorizati on is High . | |
837 | ||
838 | ||
839 | The Securi ty Categor ization wi ll drive t he initial set of mi nimal secu rity contr ols requir ed for the informati on system. Minimum s ecurity co ntrol requ irements a re address ed in NIST SP 800-53 and VA Ha ndbook 650 0, Appendi x D. | |
840 | ENTR10 | |
841 | Privacy | |
842 | All VA Pri vacy requi rements wi ll be adhe red to. Ef forts that involve t he collect ion and ma intenance of individ ually iden tifiable i nformation must be c overed by a Privacy Act system of record s notice. | |
843 | ENTR95 | |
844 | 508 Compli ance | |
845 | All Sectio n 508 requ irements w ill be adh ered to. C ompliance with Secti on 508 wil l be deter mined by f ully meeti ng the app licable re quirements as set fo rth in the VHA Secti on 508 che cklists (1 194.21, 11 94.22, 119 4.24, | |
846 | 1194.31 an d 1194.41) located a t: | |
847 | http:// DNS /508/resou rces_508.h tml
|
|
848 | ENTR7 | |
849 | Executive Order | |
850 | All execut ive order requiremen ts will be adhered t o. | |
851 | ||
852 | ||
853 | ReqPro | |
854 | Tag | |
855 | Requiremen t | |
856 | Type | |
857 | Descriptio n | |
858 | ENTR8 | |
859 | Identity | |
860 | Management | |
861 | All Enterp rise Ident ity Manage ment requi rements wi ll be adhe red to. Th ese requir ements are applicabl e to any a pplication that adds , updates, or perfor ms lookups on person s. | |
862 | ENTR103 | |
863 | Terminolog y | |
864 | Services | |
865 | Applicatio n/services shall ref erence the Standard Data Servi ces (SDS) as the aut horitative source to access no n- clinica l referenc e terminol ogy. | |
866 | ENTR104 | |
867 | Terminolog y | |
868 | Services | |
869 | Applicatio n/Services shall use the VA En terprise T erminology Services (VETS) as the author itative so urce to ac cess clini cal refere nce termin ology. | |
870 | ENTR105 | |
871 | Terminolog y | |
872 | Services | |
873 | Applicatio ns recordi ng the ass essments a nd care de livered in response to an Emer gency Depa rtment vis it shall c onform to standards defined by the VHA-e ndorsed ve rsion of C 28 – Heal th IT Stan dards Pane l (HITSP) Emergency Care Summa ry Documen t Using In tegrating the Health care Enter prise (IHE ) Emergenc y Departme nt Encount er Summary (EDES) Co mponent. | |
874 | ENTR106 | |
875 | Terminolog y | |
876 | Services | |
877 | Applicatio ns exchang ing data s ummarizing a patient ’s medical status sh all confor m to stand ards defin ed by the VHA-endors ed version of C 32 – HITSP Sum mary Docum ents Using Health Le vel Seven (HL7) Cont inuity of Care Docum ent (CCD) Component. |
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