United States Department of Veterans Affairs
United States Department of Veterans Affairs

VA/DoD Health IT Sharing Program

FHIE

The Federal Health Information Exchange (FHIE) Program is a Federal IT health care initiative that enables the secure electronic one-way exchange of patient medical information from DoD's legacy health information system, the Composite Health Care System (CHCS), for all separated service members to VA's VistA Computerized Patient Record System (CPRS) - the point of care in VA. 

Using FHIE, VA clinicians are able to view all clinically pertinent available electronic data in CHCS on separated service members who have come to VA for care or benefits.  FHIE data include patient demographics, laboratory results and radiology reports, outpatient pharmacy data, allergy data, admission, disposition and transfer data, consults, and coding from the Standard Ambulatory Data Record (SADR). VBA disability claims processors are able to view this data via the Compensation and Pension Records Interchange (CAPRI) interface.

FHIE also supports the one-way transmission of electronic health data from the DoD Pre- and Post-Deployment Health Assessment (PPDHA) surveys and the Post-Deployment Health Reassessments (PDHRA) surveys.  These data are invaluable to VA clinicians treating combat veterans and demobilized Reserve and National Guard members.  PPDHA and PDHRA data provide useful information to clinicians about deployment-related illnesses or health status for combat veterans after their deployment.

VA and DoD successfully leveraged FHIE architecture and technology to develop the Bidirectional Health Information Exchange  (BHIE).  BHIE reuses the FHIE infrastructure to support the bidirectional sharing of VA and DoD beneficiary data for shared patients.