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Patient Safety Reporting (PSR)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Patient Safety Reporting (PSR) system.

Active Directory Domain Services (AD DS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Active Directory Domain Services (AD DS) system.

Pharmacy Data Transaction Service (PDTS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Pharmacy Data Transaction Service (PDTS) system.

Nutrition Management Information System (NMIS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Nutrition Management Information System (NMIS) system.

Health Net Federal Services Information System (HNFS IS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Health Net Federal Services Information System (HNFS IS) system.

Humana Military Healthcare Services Automated Information System (HMHS AIS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Humana Military Healthcare Services Automated Information System (HMHS AIS) system.

Health Artifact and Imaging Management Solution (HAIMS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Health Artifact and Imaging Management Solution (HAIMS) system.

Clinical Information System (CIS)/Essentris ©

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Clinical Information System (CIS)/Essentris © system.

Delta Dental Federal Government Programs Information System (DDFGP-IS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Delta Dental Federal Government Programs Information System (DDFGP-IS) system.

Defense Medical Human Resources System - Internet (DMHRSi)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense Medical Human Resources System - Internet (DMHRSi) system.

Designated Provider Health Care Delivery System (DPHCDS)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Designated Provider Health Care Delivery System (DPHCDS) system.

KARL STORZ Integrated Operating Room (i-OR) System with LiveData

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the KARL STORZ Integrated Operating Room (i-OR) System with LiveData system.

United Concordia Companies Inc. (UCCI) Active Duty Dental Program (ADDP)

Form/Template
7/29/2014

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the United Concordia Companies Inc. (UCCI) Active Duty Dental Program (ADDP) system.

Plan of Action and Milestone Template

Form/Template
6/6/2014

This template is used to track plans of action and milestones regarding potential breaches.

Recommended Content:

Breach Prevention and Response

Formal Appeal Request

Form/Template
6/1/2014

Defense Health Agency - Great Lakes Worksheet (DHA-GL Worksheet-03) Complete this form when submitting a formal appeal for denied medical claims or denied pre-authorization requests by the DHA, Great Lakes.

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Last Updated: October 22, 2021

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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