4.0 Document Updates

Upon approval by the HITSP Panel on December 13, 2007, this document is now Released for Implementation.

The following changes have been made to the construct:

Removed the standards below from Table 2.3.1-1 and Figure 1.2-1 because they were only included in the construct for mapping purposes:

- Accredited Standards Committee (ASC) X12 Insurance Subcommittee (X12N) Implementation Guides Version 004010 plus Addenda 004010A1

- Accredited Standards Committee (ASC) X12 Standards Release 004010

- American Society for Testing and Materials (ASTM) Standard Specification for Coded Values Used in the Electronic Health Record: # E1633-02

- American Society for Testing and Materials (ASTM) Standard Specification for Continuity of Care Record (CCR): # E2369-05

- National Council for Prescription Drug Programs (NCPDP) SCRIPT Standard Version 8.1

Upon approval by the HITSP Panel on March 27, 2008, this document is now Released for Implementation.

Correction to Table 4.4.1.18-2 Procedure Data Mapping Table Requirements to change 17.1 from Optional to Required per the descriptive text for this section.

Editorial Changes

Applied formatting to keywords in conformance statements

Applied formatting to xpath statements for clarity

Clarification of R2 designation; inserted source definition (IHE)

Moved the templateID constraints statements into constraint statement tables, applied numbering for consistency (all constraints are numbered, use keywords, etc.)

This document has been modified to reflect the updated HITSP approach to categorizing standards as Regulatory Guidance, Selected Standards, and Informative References.

The following standards have been added asselected:

Internet Engineering Task Force (IETF), The tel URI (Uniform Resource Identifier) for Telephone Numbers (RFC 3966) Proposed Standard

Internet Engineering Task Force (IETF), The mailto URL (Uniform Resource Locators) scheme (RFC 2368) Proposed Standard

Unified Code for Units of Measure (UCUM)

The following standards have been designated as informative references:

Council for Affordable Quality Health Care (CAQH) Committee on Operating Rules for Information Exchange (CORE) Phase I Operating Rules

Health Level Seven (HL7) Version 3.0

Integrating the Healthcare Enterprise (IHE) Patient Care Coordination (PCC) Technical Framework Revision 1.0

Integrating the Healthcare Enterprise (IHE) Patient Care Coordination (PCC), Revision 3.0, 2007 - 2008

National Cancer Institute (NCI) Thesaurus: Route of Administration

Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity

This document has been modified to:

Remove all specification of Content Module data element constraints. These are now specified in HITSP/C83 CDA Content Modules.

The Appendix material showing mappings of the HITSP/C32 Summary Documents Using HL7 Continuity of Care Document (CCD) Document Component elements to NCPDP SCRIPT element names, X12N 271 Implementation Guide element names and ASTM E2369-5 CCR element names have been removed.

The changes in this construct address the following comments received during the Public Comment and Inspection Testing period (September 29 October 24, 2008).

5641, 5642

Upon approval by the HITSP Panel on December 18, 2008, this document is now Released for Implementation.

Revised the document based on HITSP/TN903 Data Architecture

General Updates:

Section 2.2 Rules for Implementing

- Addition of Note on usage of HITSP Constraints

- Section 2.2.1 Data Mapping
Added Constraint IDs to identify all HITSP Constraints

Appendix 4.0

- Addition of links to all C32 CCD Data Element and Constraints

Changes based upon Public Comment:

- 7059

- The full text of the comments along with the Technical Committees disposition can be reviewed on the HITSP Public Web Site.

Minor editorial changes were made to this document. Removed boilerplate text for simplification. The term actor was replaced with interface.

Upon approval by the HITSP Panel on July 8, 2009, this document is now Released for Implementation.