7.0 Change History

The following sections provide the details of updates made to this document.

7.1 December 5, 2007

The changes in this cycle address the following comments:

2365, 2375, 2405, 2407, 2408, 2409, 2410, 2412, 2413

The full text of the comments along with the Technical Committee's disposition can be reviewed on the HITSP Public Web Site.

1. The Consumer Empowerment Interoperability Specification (IS) deliverables represent the joint analysis of both of the Consumer Empowerment (CE) Use Cases (Consumer Empowerment and Clinical Access to Clinical Information). The ISs are differentiated solely by the transport by which the consumer has access to and shares clinical information via Networks (IS03) and using Media (HITSP/IS05). As such, Section 2.0 for each of these ISs identical. Section 2 Tables and their associated UMLs have been completely redone to reflect a concatenation, where appropriate, of the events/actions from both of both CE Use Cases. This integration of the events/actions resulted in scenario one being fully merged into a single scenario entitled Consumer creates account to host and Access Registration Summary and Clinical Information. Scenario 2 and 3 of the Consumer Empowerment Use Case were likewise edited to include operationally equivalent events/actions from the Consumer Access Use Case. Scenario 2 and 3 of the Consumer Access Use Case remained intact as originally presented.

2. Section 3.0 has been revised to reflect the new template (effective 11/29/07) which was the result of a Cross-TC and project management assessment of the IS readability and usability for implementation and certification purposes. The following changes were made to the document in this regard:

Table 3.2.1-1 was revised to only list the technical actor names and their descriptions

The UMLs in Section 3.2.2 were completely redesigned to improve the segmentation of business actor-to-business actor interactions and technical actor-to technical actor transactions

Table 3.2.3-1 was completely redesigned to improve the clarity of the requirements (and optionality) for a business actor in terms of what technical actors need to be supported AND what specific transactions for those technical actors are required, optional, or conditional

The conformance subsets previously included in Section 5.1.2 were relocated to Section 3.2.3 as paragraphs 3.2.3.x, where x = the subset number. These subsets were also included in Table 3.2.3-1 accordingly.

The Conformance Section 5.1 was revised to direct the reader to Section 3.2.3 for the mandatory requirements to claim conformance to this specification.

3. Transactions and Content were differentiated in Table 3.2.3-1 to clarify how specific technical actors (e.g., Portable Media Creator) needed to support both Content Technical Actors (Content Creator and Content Consumer), specified with the detailed subsets of clinical information, and the transaction to transport that information (e.g., HITSP/T33 Transfer of Documents on Media).

4. All relevant Security and Privacy constructs, including their applicable transactions, have been included in Section 3.0, with particular specificity regarding their association to business actors requirements highlighted via Table 3.2.3-1.

5. The results of TC dispositions of public comments received against this IS have been appropriately reflected in the text, tables, and UML diagrams of the IS. Specifically, comment dispositions for the following comment topic categories have been effectively included:

Confirmation that known gaps have been identified comments #2375, 2405, 2407-2413

Improvement in Construct format comment #2374

Additional Clinical Info Content comment #2490

7.2 December 13, 2007

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

7.3 August 20, 2008

This document has been modified to reflect the updated HITSP approach to categorizing standards as Regulatory Guidance, Selected Standards, and Informative References. Please refer to the underlying constructs for specific changes to standards.

Changed all instances of HITSP/C37 to Lab Report Document.

7.4 December 10, 2008

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

5387

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

Two major changes have been completed in this version of the IS05 document.

The document has been updated to include the specifications to resolve two of the gaps identified in the previous release. Namely,
1. Medication/Labs Information in Consumer-friendly Manner
2. A partial resolution of the Advance Directives by the specification of an Unstructured Document construct to accommodate a scanned version of an advance directive

This document also includes the comment dispositions of any comments received against it in the public comment period of the 2008 cycle, specifically comments #5387 which was related to the harmonization of IERs and DRs across HITSP deliverables.

Minor editorial changes were made to this construct.

7.5 December 18, 2008

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

[1] Optionality = R for Required, O for Optional, or C for Conditional

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