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:

Updated Nursing Terminology references to reflect HITSP standards harmonization

Replaced HL7 V3.0 reference with reference to HL7 V3.0 CDA/CDA R2

Updated Figure 1.2-1

Added ICD10 statement

Removed the Clinical Care Classification (CCC) Version 2.0 standard because it is an example that satisfied the pre-conditions and therefore should not be in the list of standards

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

The following changes have been made to this construct:

Updated PCC Revision 3.0 standard to include XDS-MS

Removed RxNorm and ITI-TF Rev. 4 from Table 2-5 due to the new HITSP standards referencing approach

Added FIPS 5-2 to Table 2-5 to indicate State Code

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

Deleted the following standards from the standards table:

American Medical Association (AMA) Current Procedural Terminology (CPT) Fourth Edition (CPT-4)

Federal Information Processing Standards (FIPS) Codes for the Identification of the States, the District of Columbia and the Outlying Areas of the United States, and Associated Areas Publication # 5-2, May, 1987

Healthcare Common Procedure Coding System (HCPCS) Level II Code Set

Moved the following standard from the Standards table to the Informative Reference table:

International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) to informative

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

Specified HITSP constraints on Referral Summary and Discharge Summary

Removed vocabulary constraints. These are now included in HITSP/C80 Clinical Document and Message Terminology

Removed data constraints. These are now included in HITSP/C83 CDA Content Modules

Removed all terminology standards from the selected standards list as these are now specified in HITSP/C80 Clinical Document and Message Terminology

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

5111, 5085, 5425, 5614, 5615

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

Revised the document based on TN903 HITSP Data Architecture

General Updates:

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