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VA Technical Reference Model v 26.1

Document Storage System (DSS) Encoder Product Suite (EPS)

General Information

Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

Website:	Go to site
Description:	Document Storage System (DSS) Encoder Product Suite (EPS) is a Windows-based Graphical User Interface (GUI) that provides a number of modules that interface with Veterans Health Information Systems and Technology Architecture (VistA) packages. These modules pass billing and coding data to VistA packages including Patient Care Encounter, Patient Treatment File, Computerized Patient Record System (CPRS), and Surgery. Please note that there is no specific product page for this technology and thus the vendor webpage is used in its place. This technology stores Protected Health Information (PHI) in a Microsoft Structured Query Language (SQL) Server database on VA servers. Transparent Data Encryption (TDE) is supported. This technology also stores report data in memory components for the duration of a user`s session. Additionally, the GUI`s have the ability to turn on log files on demand for trouble shooting purposes.
Technology/Standard Usage Requirements:	Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information System Security Officer (ISSO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information:	This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at Section508@va.gov.
Decision:	View Decisions

Decision Source:	TRM Mgmt Group
Decision Process:	One-VA TRM v24.7
Decision Date:	07/24/2024 at 04:25:11 UTC
Aliases:	Nuance Encoder Product Suite
Introduced By:	SCCM
Vendor Name:	Document Storage Systems, Inc (DSS)
Cage Code:	N/A

Vendor Release Information

The Vendor Release table provides the known releases for the TRM Technology, obtained from the vendor (or from the release source).

You must be logged into the RSAA website prior to clicking the Attestation URLs or the URLs won't open.

Major versions and minor versions of that Major released on or after 09/14/2022 are NOT EXEMPT. Major Versions released before 09/14/2022 are EXEMPT as well as minor versions of that Major regardless of release date.

Version	Release Date	Vendor End of Life Date	Vendor Desupport Date
5
5.2
5.3
6.9 - PCE Rec Mgr	08/01/2014
6.9 - VIP Director	08/01/2014
6.9.1 -VIP Workplace	08/01/2014
6.9.1 - ACM	08/01/2014
13.4 - Interlink	08/01/2014
14.2 - Quantim	08/01/2014
20140701 - Scrubber	08/01/2014
2015	01/01/2015
2016Q4	10/31/2016
2017Q4	10/13/2017
2018.x

Current Decision Matrix (07/18/2024)

Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information System Security Officer (ISSO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.

The VA Decision Matrix displays the current and future VAIT position regarding different releases of a TRM entry. These decisions are based upon the best information available as of the most current date. The consumer of this information has the responsibility to consult the organizations responsible for the desktop, testing, and/or production environments to ensure that the target version of the technology will be supported.

Legend:

White	Authorized: The technology/standard has been authorized for use.
Yellow	Authorized w/ Constraints: The technology/standard can be used within the specified constraints located below the decision matrix in the footnote[1] and on the General tab.
Gray	Unauthorized, Conditions Required^[a] : This technology or standard can be used only if a POA&M review is conducted and signed by the Authorizing Official Designated Representative (AODR) as designated by the Authorizing Official (AO) or designee and based upon a recommendation from the POA&M Compliance Enforcement, has been granted to the project team or organization that wishes to use the technology.
Orange	Unauthorized, Conditions Required^[b] : VA has decided to divest itself on the use of the technology/standard. As a result, all projects currently utilizing the technology/standard must plan to eliminate their use of the technology/standard. Additional information on when the entry is projected to become unauthorized may be found on the Decision tab for the specific entry.
Black	Unauthorized: The technology/standard is not (currently) permitted to be used under any circumstances.
Blue	Unauthorized, Conditions Required^[c] : The period of time this technology is currently being evaluated, reviewed, and tested in controlled environments. Use of this technology is strictly controlled and not available for use within the general population. If a customer would like to use this technology, please work with your local or Regional OI&T office and contact the appropriate evaluation office displayed in the notes below the decision matrix. The Local or Regional OI&T office should submit an inquiry to the TRM if they require further assistance or if the evaluating office is not listed in the notes below.

Release/Version Information:

VA decisions for specific versions may include a ‘.x’ wildcard, which denotes a decision that pertains to a range of multiple versions.

For example, a technology authorized with a decision for 7.x would cover any version of 7.(Anything) - 7.(Anything). However, a 7.4.x decision would cover any version of 7.4.(Anything), but would not cover any version of 7.5.x or 7.6.x on the TRM.

VA decisions for specific versions may include ‘+’ symbols; which denotes that the decision for the version specified also includes versions greater than what is specified but is not to exceed or affect previous decimal places.

For example, a technology authorized with a decision for 12.6.4+ would cover any version that is greater than 12.6.4, but would not exceed the .6 decimal ie: 12.6.401 is ok, 12.6.5 is ok, 12.6.9 is ok, however 12.7.0 or 13.0 is not.

Any major.minor version that is not listed in the VA Decision Matrix is considered Unauthorized, Conditions Required ^[a] .

Release	Q1	Q2	Q3	Q4	Q1	Q2	Q3	Q4	Q1	Q2	Q3	Q4
<Past	CY2025				CY2026				CY2027				Future>
5	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
5.2	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
5.3	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
6.9 - PCE Rec Mgr	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
6.9 - VIP Director	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
6.9.1 -VIP Workplace	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
6.9.1 - ACM	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
13.4 - Interlink	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
14.2 - Quantim	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
20140701 - Scrubber	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
2015	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
2016Q4	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
2017Q4	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
2018.x	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Authorized w/ Constraints (POA&M)	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]	Unauthorized, Conditions Required^[a]
Note:	At the time of writing, version 2018.0 is the most current version.

Type	Name	Source	Description
There are no references identified for this entry.

Technology Components

Note: This list may not be complete. No component, listed or unlisted, may be used outside of the technology in which it is released. The usage decision for a component is found in the Decision and Decision Constraints.

Name	Description
Audit Compliance Module (ACM)	The Audit Compliance Module (ACM) module is the reporting module for outpatient encounters and audits Patient Care Encounter (PCE) and VistA Integrated Billing (IB) modules.
Clintegrity 360 Quantim (Encoder)	The Encoder consists of facility and physician coding, coding compliance, and abstracting (reporting) functions and incorporates ICD-9 and ICD-10 coding standards.
Clintegrity 360 VA Clinical Document Improvement (CDI) Pro	Clintegrity 360 VA Clinical Document Improvement (CDI) Pro module is designed to help improve a facility`s inpatient clinical documentation and facilitates the gathering of pertinent clinical indicators to accurately represent the Veteran`s severity, acuity, and risk of mortality.
Clintegrity 360 Veteran Equitable Resource Allocation (VERA) Analyzer	The Clintegrity 360 software module targets inpatient admissions that may need coding revisions or clinical documentation improvements to ensure a patient is assigned to the appropriate Veteran Equitable Resource Allocation (VERA) Patient Class and Price Group.
Clintegrity Enterprise Claim Scrubber	The Clintegrity Enterprise Claim Scrubber scans bills for errors and outputs a list of possible edits, warnings, and informational messages in order to meet insurance requirements before being filed.
Coding Compliance Module (CCM)	The Coding Compliance Module (CCM) module is the front-end coding and compliance editing utility for professional fee encounters.
Interlink	Interlink is an interface between the user modules (Veterans In-Patient (VIP) Workplace, Veterans Information Portal (VIP) Director, and Patient Care Encounter (PCE) Record Manager) and the Encoder.
Patient Care Encounter (PCE) Record Manager	The Patient Care Encounter (PCE) Record Manager is the outpatient coding module and interfaces with VistA PCE data.
VA DocViewer	The VA DocViewer allows end users to view VistA Text Integration Utility (TIU) notes within the Clintegrity Coding Screen GUI.
Veterans Information Portal (VIP) Director	The Veterans Information Portal (VIP) Director is the inpatient reporting module.
Veterans In-Patient (VIP) Workplace	The Veterans In-Patient (VIP) Workplace module is a user graphic user interface (GUI) used to code inpatient data. This module interacts with VistA Patient Transfer File (PTF) data and Clintegrity 360 Quantim.


Health Care Administrative	Health Delivery Support
Collaboration and Electronic Workplace Productivity Software	Accounting and Finance

General Analysis

Adoption Benefits

This technology utilizes built-in Authentication and Authorization (A&A) capabilities.
At the time of writing, no National Institute of Standards and Technology (NIST) vulnerabilities had been reported and no VA Cyber Security Operations Center (CSOC) bulletins had been issued for the latest versions of this technology.

Adoption Risks

This technology may transmit data over the VA Wide Area Network (WAN).
There is limited publicly available technical documentation for this technology.
There is no indication based on either the vendor documentation or the Cryptographic Module Validation Program (CMVP) that this technology is Federal Information Processing Standard (FIPS) 140-2 compliant.
The potential exists to store Personally Identifiable Information (PII), Protected Health Information (PHI) and/or VA Sensitive data and proper security standards must be followed in these cases.
Due to the rapid release schedule of this technology, the VA may be unable to update to the most recent patch and may require a deployment model requiring the use of specific versions.
Clintegrity components contract expires June 30, 2021.
Microsoft Internet Explorer, a dependency of this technology, is in End-of-Life status and must no longer be used.
There are other authorized solutions that provide similar functionality available on the TRM. The use of several similar solutions may increase organization requirements for support and maintenance.

Architectural Benefits

This technology can interface with Veterans Health Information Systems and Technology Architecture (VistA) and Computerized Patient Record System (CPRS).
This technology can use a VA-preferred database.
This technology is compatible with virtual machines, therefore consistent with the enterprise Server Virtualize First Policy (VAIQ 7266972 08-27-2012).

Architectural Risks

This technology is not portable as it runs only on Windows platforms.

- The information contained on this page is accurate as of the Decision Date (07/24/2024 at 04:25:11 UTC).

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VA Technical Reference Model v 26.1

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VA Technical Reference Model v 26.1

General Information

Vendor Release Information

Current Decision Matrix (07/18/2024)

References

Technology Components

VA Categories View the VA Categorization Framework

Operating Systems Supported by the Technology

Technologies/Standards Relationships

Runtime Dependencies:

Optional Dependencies:

Comparable Technologies:

Companion Technologies/Supported Standards:

General Analysis

Adoption Benefits

Adoption Risks

Architectural Benefits

Architectural Risks

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