Their outpatient record does flow to us. For quite some time, we've received, for example, laboratory, pharmacy, and radiology information from the Department of Defense. They actually have an older system that was based on the original VistA system, which VA has used for some of those core functions, such as lab, radiology, and admission and discharge transfer files.
So we can view some of the information from the Department of Defense. For example, now we're able to view some of the theatre notes written in Iraq or Afghanistan, maybe when the patient was initially injured.
We also have some workarounds with them. For example, if a severely injured veteran or service member is returned to the United States at Walter Reed in Bethesda, we also get an indexed, scanned copy of their record for the polytrauma sites at VA to be able to access their information. That's certainly not the ideal, but at least the information is available to our providers when we assume care for some of these veterans.
We care for some of them while they're on active duty, as they actually go back to active duty.