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The following sections provide the details of updates made to this document.
The changes in this construct address the following comments received during the Public Comment and Inspection Testing period (September 29 October 24, 2008).
5089, 5091, 5212, 5215, 5216, 5219, 5223, 5225, 5226, 5227, 5228, 5232, 5234, 5236, 5239, 5240, 5246, 5247, 5248, 5249, 5251, 5252, 5254, 5255, 5256, 5258, 5260, 5263, 5265, 5266, 5268, 5269, 5310, 5314, 5316, 5319, 5321, 5322, 5323, 5324, 5325, 5326, 5327, 5328, 5329, 5330, 5331, 5332, 5345, 5356, 5369, 5606, 5634, 5635, 6263
The full text of the comments along with the Technical Committees disposition can be reviewed on the HITSP Public Web Site.
Incorporated all of the 84 Public Comment dispositions into the document
Added the following gaps in Section 4.2
- Send/Receive accept patient: there is currently no way defined to send an acknowledgement to the facility that the facility can accept the patient
- Identify patients provider preference: there is no specification for interaction with a provider registry that could provide functionality for a patient to select a provider by preference
- Identify/Select a consulting clinician or next setting of care based on capability and health plan association: there is a gap for identifying provider and/or facility that meets preferences
Updated UML diagrams
- Corrected use of HITSP/TP13 Manage Sharing of Documents where it is used
- Added HITSP/T31 Document Reliable Interchange as an option where TP13 is used
- Changed referring clinician to requesting clinician so that it matched other uses of the term in the document
- Updated construct names where needed
- Updated component diagrams to match IER and DR harmonized numbering
- Updated diagrams for clarity
Added missing standards and corresponding copyrights
Made editorial changes as suggested by public comments
- Updated construct names and descriptions
- Updated business actors and stakeholders as per HITSP Harmonized Data Set spreadsheet
- Corrected use of IERs and DRs as per public comments
- Corrected discussion language for clarity
Added text regarding the use of HITSP/T85 Administrative Transport to Health Plan, to Section 3.2
Moved the following tables and figures to the Appendix to allow easier access to the Design Section of the Interoperability Specification:
- Table 2-1 All the tables that provided the Mapping of Use Case Actions to Information Exchange Requirements
- Figure 2-1 All the High Level UML Sequence Diagrams
- Table 3-6 Mapping of HITSP constructs to Requirements
The following changes were applied through-out the document for clarification and consistency.
Added IS business actor in order to consolidate use of HITSP Security, Privacy and Infrastructure constructs
- Removed Locator Service, Data Repository, Patient Identification Service and Registries from UML diagrams, business actor tables and Table 3-7 and replaced them with Infrastructure Services business actor
Renumbered IERs and DRs as part of HITSP IER and DR HITSP Harmonization Data Set
- Updated component diagrams in Section 6.3
Updated IER and DR numbers and names in Table 2-1, Table 2-2, Table 2-3, Table 6-2, and Table 6-3
Upon approval by the HITSP Panel on December 18, 2008, this document is now Released for Implementation.
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