1.0 Introduction

HITSP/C19 - Entity Identity Assertion

The Entity Identity Assertion Component provides the mechanisms to ensure that an entity is the person or application that claims the identity provided. An example of this Component is the validation and assertion of a consumer logging on to a Personal Health Record (PHR) system.

HITSP/C32 - Summary Documents Using HL7 Continuity of Care Document (CCD)

The Summary Documents Using HL7 Continuity of Care Document (CCD) Component describes the document content summarizing a consumer's medical status for the purpose of information exchange. The content may include administrative (e.g., registration, demographics, insurance, etc.) and clinical (problem list, medication list, allergies, test results, etc) information. This Component defines content in order to promote interoperability between participating systems such as Personal Health Record Systems (PHRs), Electronic Health Record Systems (EHRs), Practice Management Applications and others.

HITSP/C36 - Lab Result Message

The Lab Result Message Component describes the use of a constrained Health Level Seven (HL7) Version 2.5.1 ORU Unsolicited Observation Message for electronic laboratory results reporting.

HITSP/C37 - Lab Report Document

The Lab Report Document Component prescribes the use of the standard Clinical Document Architecture Release 2 (CDA R2), as in the HL7 V3 2006 normative edition profiled by IHE LAB TF-3 for: transmission of complete, preliminary, final and updated laboratory results to the EHR system (local or remote) of the ordering clinician; transmission of complete, preliminary, final and updated (or notification) to the EHR system (local or remote) or other clinical data system of designated providers of care (with respect to a specific patient); transmission of laboratory result data from electronically enabled healthcare delivery and public health systems in standardized and anonymized format to authorized Public Health Agencies with less than one day lag time.

HITSP/C48 - Encounter Document Using IHE Medical Summary (XDS-MS)

The Encounter Document Using IHE Medical Summary (XDS-MS) Component supports the process of sending patient encounter data (excluding laboratory and radiology) in a document sharing functional flow scenario. Patient encounter data are captured as part of the normal process of care performed by healthcare providers, such as hospitals, emergency departments and outpatient clinics.

HITSP/C62 - Unstructured Document

The Unstructured Document Component is provided for the capture and storage of patient identifiable, unstructured document content, such as text, PDF, and images rendered in PDF. It is based on the Cross-Enterprise Sharing of Scanned Documents (XDS-SD) profile from the Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (ITI-TF).

HITSP/C80 - Clinical Document and Message Terminology

The Clinical Document and Message Terminology Component defines the vocabularies and terminologies utilized by HITSP specifications for Clinical Documents and Messages used to support the interoperable transmission of information.

HITSP/C84 - Consult and History & Physical Note

The Consult and History & Physical Note Component supports two types of commonly used clinical notes, a consult note, and a history and physical note. It is intended for use to support the exchange of information from a consulting provider to a referring provider; and may also be used to provide background information from a referring provider to a consulting provider (e.g., prior reports).

HITSP/C90 - Clinical Genomic Decision Support

The Family History Decision Support for Genetic Risk Analysis Component is used to communicate genetic and family history information from healthcare IT applications to a clinical decision support system that provides an assessment of genetic risk of disease for a patient. It uses the HL7 Version 3 Standard: Clinical Genomics; Pedigree, Release 1 to support the communication of genetic and family history information to the clinical decision support system, and to support the communication of risk information from that system back to the originator.

HITSP/T14 - Send Laboratory Result Message

The Send Laboratory Result Message Transaction supports: transmission of complete, preliminary, final and updated laboratory results to the EHR system (local or remote) of the ordering clinician; and transmission of complete, preliminary, final and updated laboratory results (or notification of the availability of laboratory results) to the EHR system (local or remote) or other clinical data system of designated providers of care (with respect to a specific patient).

HITSP/T15 - Collect and Communicate Security Audit Trail

The Collect and Communicate Security Audit Trail Transaction is a means to provide assurance that security policies are being followed or enforced and that risks are being mitigated. This document describes the mechanisms to define and identify security relevant events and the data to be collected and communicated as determined by policy, regulation or risk analysis. It also provides the mechanism to determine the record format to support analytical reports that are needed.

HITSP/T16 - Consistent Time

The Consistent Time Transaction provides a mechanism to ensure that all of the entities that are communicating within the network have synchronized system clocks.

HITSP/T17 - Secured Communication Channel

The Secured Communication Channel Transaction provides the mechanisms to ensure the authenticity, integrity, and confidentiality of transmissions, and the mutual trust between communicating parties. Its objectives include providing: mutual node authentication to assure each node of the others identity; transmission integrity to guard against improper information modification or destruction while in transit; and transmission confidentiality to ensure that information in transit is not disclosed to unauthorized individuals, entities, or processes.

HITSP/T23 - Patient Demographics Query

The Patient Demographics Query Transaction is intended to provide a list patients and their demographics query / patient(s) and their demographics identified response message pair (QBP^Q22, RSP^K22) for use wherever such needs exist. This Transaction document extracts the Health Level Seven (HL7) version 2.5 Query and Response data mapping. The underlying basis for this extraction can be found in the Integrating the Healthcare Enterprise IT Infrastructure Technical Framework, Patient Demographics Query integration profile.

HITSP/T29 - Notification of Document Availability

The Notification of Document Availability Transaction is based on the Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (TF) Supplement - Notification of Document Availability (NAV). The Notification of Document Availability Transaction defines a mechanism for a healthcare stakeholder (e.g. provider, public health, etc) to notify providers or the patient about information that is available for retrieval pertaining to an identified patient. This Transaction defines the format, content, encoding and transmission of notification messages and acknowledgements between IHE NAV Actors and a known recipient (either a person or system) that participate in the same XDS Affinity Domain.

HITSP/T31 - Document Reliable Interchange

The Document Reliable Interchange Transaction provides a standards-based mechanism for conveying a set of medical documents in a point-to-point network-based communication. This Transaction uses the IHE Cross-Enterprise Document Reliable Interchange (XDR) Integration Profile, a companion to the IHE Cross-Enterprise Document Sharing (XDS) Integration Profile. Cross-Enterprise Document Reliable Interchange (XDR) uses the XDS defined metadata formats in a simpler environment in which the communicating parties have agreed to a point-to-point interchange rather than communicating via document sharing.

HITSP/T33 - Transfer of Documents on Media

The Transfer of Documents on Media Transaction describes both the type of media (CD-ROM, USB Memory, and e-Mail) that may be used to write the documents and provides a directory structure that must be followed in order for the contents to be successfully accessed and processed by systems. An example might be to transport data from one healthcare provider to another healthcare provider, or a healthcare consumer may wish to move the contents of a Personal Health Record (PHR) using physical media or e-Mail. This Transaction uses the IHE Cross-Enterprise Document Media Interchange Integration Profile developed by Integrating the Healthcare Enterprise (IHE), a companion to the IHE Cross-Enterprise Document Sharing (XDS) Integration Profile.

HITSP/T40 - Patient Health Plan Eligibility Verification Transaction

The Patient Health Plan Eligibility Verification Transaction is intended to provide the status of a health plan covering the individual, along with details regarding patient liability for deductible, co-pay and co-insurance amounts for a defined base set of generic benefits or services. The base set of benefits includes, but is not limited to, coverage status and patient liability for medical, chiropractic, dental, hospital inpatient, hospital outpatient, emergency, physician office visit, pharmacy and vision services that are included in the patients generic health plan benefit.

HITSP/T64 - Identify Communication Recipients

The Identify Communication Recipients Transaction is intended to serve the purpose of identification of communication recipients and the subsequent purpose of delivery of alerts and bi-directional communications (e.g., public health agencies notifying a specific group of service providers about an event.) The method and criteria by which individuals are added to a directory is a policy decision, which is out of scope for this construct. It uses the Integrating the Healthcare Enterprise (IHE) Personnel White Pages profile which provides access to basic directory information for identifying one or more recipients.

HITSP/T66 - Retrieve Value Set

The Retrieve Value Set Transaction is used to transform human or computer vocabularies. For example, it can be used to convert the initial capture of a human-readable concept into a computer vocabulary captured in a document or message that will be communicated. It may also be used in the reverse, to take computer vocabulary and convert to human-readable form.

HITSP/T68 - Patient Health Plan Authorization Request and Response

The Patient Health Plan Authorization Request and Response Transaction provides a mechanism for a healthcare provider (other than a retail pharmacy) to request approval from a health plan to authorize certain healthcare services, when required by the patients health plan contract. The information exchanged includes, but is not limited to, approval status for coverage, allowed service provider(s), and certification dates for services that are included in the patients health plan benefits. The response from the health plan indicates that the health plan has determined that the particular service(s) will or will not be covered, and what is the level of coverage if that information is available from the health plan.

HITSP/T81 - Retrieval of Medical Knowledge

The Retrieval of Medical Knowledge Transaction enables the request and receipt of additional knowledge about a medical concept based on specific context parameters. This transaction does not prescribe the knowledge content of the message returned but provides the specifications for the query for and receipt of additional knowledge. It uses the Health Level 7 (HL7) Context-Aware Information Retrieval (Infobutton) Specification: URL Implementation Guide as the base standard for implementation.

HITSP/T85 - Administrative Transport to Health Plan

The Administrative Transport to Health Plan Transaction will be used as the transport for administrative transactions between a provider and a health plan. Examples include a pharmacy obtaining health plan eligibility, and a physician requesting referral or authorization information from a health plan. This construct is based on the CAQH Phase II CORE #270 Connectivity Rule v2.0.0, which addresses the message envelope metadata, the message envelope standards, and the submitter authentication standards for administrative transactions, as well as communications-level errors, and acknowledgements.

HITSP/TP13 - Manage Sharing of Documents

The Manage Sharing of Documents Transaction Package supports the sharing of patient records in the form of source attested objects called documents. A healthcare document is a composite of structured and coded health information, both narrative and tabular, that describes acts, observations and services for the purpose of exchange. No assumption is made by this construct in terms of the format and structure of the content of documents shared.

HITSP/TP20 - Access Control

The Access Control Transaction Package provides the mechanism for security authorizations which control the enforcement of security policies including: role-based access control; entity based access control; context based access control; and the execution of consent directives. An example of this is a functional role that has the permission to perform an act (e.g., consumer updating a Personal Health Record (PHR). In an emergency, this construct must support the capability to alter access privileges to the appropriate level (failsafe/emergency access), which may include override of non-emergency consents.

HITSP/TP22 - Patient ID Cross-Referencing

The Patient ID Cross-Referencing Transaction Package is used for identifying and cross-referencing different attributes for the same patient. It contains a query for cross-reference and patient identity feed transactions. These transactions are used to identify patients from a list of potentials, and/or to communicate patient demographic data.

HITSP/TP30 - Manage Consent Directives

The Manage Consent Directives Transaction Package describes the messages needed to capture, manage, and communicate rights granted or withheld by a consumer to one or more identified entities in a defined role to access, collect, use or disclose individually identifiable health information (IIHI), and also supports the delegation of the patients right to consent. The transactions described in this construct are intended to be carried out by HITSP/TP13 Manage Sharing of Documents.

HITSP/TP89 - Sharing Imaging Results

The Sharing Imaging Results Transaction Package supports the process of sharing medical imaging results data. Imaging results data are captured as part of the normal process of care performed by healthcare providers. This data can be made available through document sharing for both clinical care and public health purposes.