HITSP Administrative Transport to Health Plan Transaction

July 8, 2009

Version 1.1

HITSP Administrative Transport to Health Plan Transaction

HITSP/T85

Healthcare Information Technology Standards Panel (HITSP) logo

Submitted to:

Healthcare Information Technology Standards Panel

Submitted by:

Security, Privacy and Infrastructure Domain Technical Committee
(Formerly Security and Privacy Technical Committee)

Document Change History

Version Number	Description of Change	Name of Author	Date Published
	Template Updated to V2.4	Project Team	July 31, 2008
0.0.1	Review Copy	Security, Privacy, and Infrastructure Domain Technical Committee	September 26, 2008
0.0.2	Review Copy	Security, Privacy, and Infrastructure Domain Technical Committee	December 10, 2008
1.0	Released for Implementation	Security, Privacy, and Infrastructure Domain Technical Committee	December 18, 2008
	Template V2.5	Project Team	June 30, 2009
1.0.1	Review Copy	Security, Privacy, and Infrastructure Domain Technical Committee	June 30, 2009
1.1	Released for Implementation	Security, Privacy, and Infrastructure Domain Technical Committee	July 8, 2009

Table of Contents

1.0 Introduction. 5

1.1 Overview. 5

1.2 Copyright Permissions. 5

1.3 Reference Documents. 5

1.4 Conformance. 5

1.4.1 Conformance Criteria. 5

1.4.2 Conformance Scoping, Subsetting and Options. 6

2.0 Transaction Definition. 7

2.1 Context Overview. 7

2.1.1 Transaction Constraints. 7

2.1.2 Interfaces. 7

2.1.3 Interface Interactions. 7

2.1.4 Pre-conditions. 8

2.1.4.1 Process Triggers. 8

2.1.5 Post-conditions. 8

2.1.5.1 Required Output 8

2.1.6 Data Flows. 8

2.2 List of HITSP Constructs. 9

2.2.1 Construct Dependencies. 9

2.2.2 Additional Constraints on Required Constructs. 9

2.3 Standards. 9

2.3.1 Regulatory Guidance. 9

2.3.2 Selected Standards. 9

2.3.3 Informative Reference Standards. 10

3.0 Appendix. 11

4.0 document updates. 12

4.1 December 10, 2008. 12

4.2 December 18, 2008. 12

4.3 June 30, 2009. 12

4.4 July 8, 2009. 12

Figures and Tables

Figure 2-1 Administrative Transport Interaction. 8

Table 1-1 Reference Documents. 5

Table 2-1 Transaction Constraints. 7

Table 2-2 Interfaces. 7

Table 2-4 Pre-conditions. 8

Table 2-5 Process Triggers. 8

Table 2-6 Post-conditions. 8

Table 2-7 Required Output 8

Table 2-8 List of HITSP Constructs. 9

Table 2-9 Construct Dependencies. 9

Table 2-10 Additional Constraints on Required Constructs. 9

Table 2-11 Regulatory Guidance. 9

Table 2-12 Selected Standards. 9

Table 2-13 Informative Reference Standards. 10