Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

VA Technical Reference Model v 24.3

Collaborative Health Outcomes Information Registry (CHOIR)
Collaborative Health Outcomes Information Registry (CHOIR) Technology

General InformationGeneral Information help

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: The Collaborative Health Outcomes Information Registry (CHOIR) is a patient pain collection software. Patients are given self-assessments which are then presented to a clinician in a print-ready, portable document format (PDF) document. A staff member enters a consenting patient`s email address into CHOIR, which then sends the patient an email with a web link to the `New Patient survey`. The email asks the patient to either fill out the survey at home on a computer, tablet, or smartphone, or to arrive 30 minutes early for their appointment to fill out the survey at a clinic. The survey collects between 50 and 100 pieces of information on demographics, pain reliefs and treatments, and Patient-Reported Outcomes Measurement Information System (PROMIS) measures such as pain intensity, pain behavior, sleep disturbance, and pain catastrophizing. Summary results of repeated measures are graphed, showing patient progress over the course of treatment.

This technology stores patient data in an Oracle or PostgreSQL database.
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 Security Officer (ISO), 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
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v21.3
Decision Date: 03/30/2021 at 18:58:09 UTC
Introduced By: TRM Request
Vendor Name: Stanford Medicine, Systems Neuroscience and Pain Lab (SNAPL)
- The information contained on this page is accurate as of the Decision Date (03/30/2021 at 18:58:09 UTC).