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As an introduction to the HITSP Medication Management Interoperability Specification, this section provides a high level overview of the information sharing scenario enabled by following this specification, provides a document map of the construct relationships for the Interoperability Specification, acknowledges the copyright protections that pertain and provides a list of key reference documents and background material. If you are already familiar with this information, proceed to Section 2.0 Interoperability Requirements.
This section provides a high level definition of this Interoperability Specification and background information about the underlying Use Case that it is based upon.
The HITSP Medication Management Interoperability Specification describes the information flows, issues and system capabilities that apply to the multiple organizations participating in medication management. It is intended to facilitate access to necessary medication and allergy information for consumers, clinicians, pharmacists, health insurance agencies, inpatient and ambulatory care, etc.
Each HITSPInteroperability Specification (IS)is comprised of a suite of constructs that, taken as a whole, define how to integrate and constrain existing standards and specifications to satisfy the requirementsimposed by a given Use Case. ThisIS groups specific actions and actors to describe the relevant context(s) for the use ofHITSP constructs that further identify and constrain standards where necessary. In addition to ISs, there are three other types of HITSP constructs called Transaction Packages (TP), Transactions (T) andComponents (C). The document map depicted in Figure 1-1identifiesthe HITSP constructs used to meet the IS requirements. Implementers should read the documents that describe the constructs depicted in the diagram for their details and specific uses.
Figure 1-1 Interoperability Specification Document Map
The following table lists and describes the HITSP constructs that are shown in the Unified Modeling Language (UML) diagram above and are used by the Interoperability Specification. All references to HITSP specifications are to the current and Panel approved Released for Implementation versions of the specifications.
Table 1-1 List of Constructs
|
Construct |
Description |
|
HITSP/TP13 |
HITSP Manage Sharing of Documents Transaction Package |
|
HITSP/T15 |
HITSP Collect and Communicate Security Audit Trail Transaction |
|
HITSP/T16 |
HITSP Consistent Time Transaction |
|
HITSP/T17 |
HITSP Secured Communication Channel Transaction |
|
HITSP/C19 |
HITSP Entity Identity Assertion Component |
|
HITSP/TP20 |
HITSP Access Control Transaction Package |
|
HITSP/TP22 |
HITSP Patient ID Cross-Referencing Transaction Package |
|
HITSP/T23 |
HITSP Patient Demographics Query Transaction |
|
HITSP Manage Consent Directives Transaction Package |
|
|
HITSP/C32 |
HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component |
|
HITSP/T40 |
HITSP Patient Generic Health Plan Eligibility Verification Transaction |
|
HITSP/T42 |
HITSP Medication Dispensing Status Transaction |
|
HITSP/TP43 |
HITSP Medication Orders Transaction Package |
|
HITSP/TP46 |
HITSP Medication Formulary and Benefits Information Transaction Package |
COPYRIGHT NOTICE
2008 ANSI. This material may be copied without permission from ANSI only if and to the extent that the text is not altered in any fashion and ANSIs copyright is clearly noted.
ASTM International materials used in this document have been extracted, with permission from E-2147-01 Standard Specification for Audit and Disclosure Logs for Use in Health Information Systems, copyright ASTM International, 100 Barr Harbor Drive, West Conshohocken, PA 19428. Copies of this standard are available through the ASTM Web Site at www.astm.org.
Materials reproduced from the Accredited Standards Committee (ASC) X12 Insurance Subcommittee (X12N) Implementation Guide entitled Health Care Eligibility Benefit Inquiry and Response Version 004010 plus Addenda 004010A1 with permission of Washington Publishing Company (WPC). Copies of the Implementation Guide may be purchased from WPC at www.wpc-edi.com.
No part of the material may be copied or reproduced in any form outside of the Interoperability Specification documents, including an electronic retrieval system, or made available on the Internet without the prior written permission of WPC. Material drawn from these standards is credited where used.
Committee on Operating Rules for Information Exchange (CORE) materials used in this document have been extracted from relevant copyrighted materials with permission of the Council for Affordable Quality Health Care (CAQH). Copies of this standard are available from the CAQH Web Site at www.caqh.org.
Certain materials contained in this Interoperability Specification are reproduced from Health Level Seven (HL7) Clinical Document Architecture Release 2 (CDA R2), HL7 U.S. Realm Interoperability Specification: Lab Result Message to EHR, HL7 Role Based Access Control (RBAC) Healthcare Permissions Catalog, HL7 Version 2.5, HL7 Version 2.5/2.5.1, HL7 Version 3.0 Privacy Consent related specifications with permission of Health Level Seven, Inc. No part of the material may be copied or reproduced in any form outside of the Interoperability Specification documents, including an electronic retrieval system, or made available on the Internet without the prior written permission of Health Level Seven, Inc. Copies of standards included in this Interoperability Specification may be purchased from the Health Level Seven, Inc. Material drawn from these standards is credited where used.
IHE materials used in this document have been extracted from relevant copyrighted materials with permission of Integrating the Healthcare Enterprise (IHE) International. Copies of this standard may be retrieved from the IHE Web Site at www.ihe.net.
OASIS materials used in this document have been extracted from relevant copyrighted materials with permission of the Organization for the Advancement of Structured Information Standards (OASIS). Copies of this standard are available from OASIS at www.oasis-open.org.
NCPDP materials used in this document have been extracted from relevant copyrighted materials with permission of the National Council for Prescription Drug Programs (NCPDP). Copies of this standard are available from the NCPDP Web Site at www.ncpdp.org.
This material includes SNOMED Clinical Terms (SNOMED CT) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT was originally created by The College of American Pathologists.
"SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This section provides a list of key reference documents and background material. If you are already familiar with this information, proceed to Section 2.0.
A list of key reference documents and background material is provided in the table below. These documents can be retrieved from the www.hitsp.org Web Site.
Table 1-2 Reference Documents
|
Reference Document |
Document Description |
|
HITSP Interoperability Specification Overview |
Provides background information about the HITSP and its role in the overall U.S. efforts to realize large scale interoperability of health information. The document also provides a description of the HITSP process for healthcare standards harmonization and explains how to use the Interoperability Specifications and other related documents to inform your health IT product development or product refinement. |
|
HITSP Conventions List |
Describes the conventions that are used to convey the full descriptions and usage of standards in the HITSP specifications |
|
HITSP Acronyms List |
Lists and defines the acronyms used in this document |
|
HITSP Glossary |
Provides definitions for relevant terms used by HITSP documents |
|
HITSP Harmonization Framework |
Describes the current framework within which the Interoperability Specifications are built |
|
Medication Management Detailed Use Case, June 18, 2007 |
AHIC Use Case that is the basis of this Interoperability Specification. |
|
TN900 - Security and Privacy Technical Note |
Developed as a reference document to provide the overall context for use of the HITSP Security and Privacy constructs. It includes the following: The scope, reference policy background, and Security and Privacy principles used in the development of the constructs A detailed description and schematics of the conceptual relationship between the Security and Privacy constructs A mapping of existing standards and constructs to be used in meeting the stated requirements of the AHIC Use Cases A list of identified gaps and the recommended approaches to resolving those gaps A roadmap for how the Security and Privacy constructs will evolve and eventually align with other HITSP Interoperability Specifications A conceptual framework for Security and Privacy management, including reference information on privacy policies, risk assessment, and risk management A glossary of terms used in all the Security and Privacy construct documents A description of the application of the Security and Privacy constructs to the HITSP Interoperability Specifications for the three initial AHIC Use Cases Biosurveillance, Electronic Health Records - Laboratory Results Reporting, and Consumer Empowerment HITSP will periodically update this Technical Note as required by the introduction of new contexts for use. |
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