July 8, 2009

Version 2.6

HITSP Manage Sharing of Documents Transaction Package

HITSP/TP13   Click here to download the PDF version of this document

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

1.0

Final Draft

Electronic Health Record Technical Committee

August 18, 2006

1.1

Ready for Public Comment

Biosurveillance Technical Committee

Consumer Empowerment Technical Committee

Electronic Health Record Technical Committee

September 12, 2006

1.2

Ready for Implementation Testing

Biosurveillance Technical Committee

Consumer Empowerment Technical Committee

Electronic Health Record Technical Committee

October 20, 2006

1.3

Review Copy

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

April 27, 2007

2.0

Released for Implementation

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

May 11, 2007

2.0.1

Review Copy

Security and Privacy Technical Committee

July 20, 2007

2.0.2

Review Copy

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

Security and Privacy Technical Committee

October 5, 2007

2.1

Released for Implementation

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

Security and Privacy Technical Committee

October 15, 2007

2.1.1

Review Copy

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

Security and Privacy Technical Committee

November 6, 2007

2.2

Released for Implementation

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

Security and Privacy Technical Committee

December 13, 2007

2.2.1

Review Copy

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

Security and Privacy Technical Committee

March 19, 2008

2.3

Released for Implementation

Population Health Technical Committee

Consumer Empowerment Technical Committee

Care Delivery Technical Committee

Security and Privacy Technical Committee

March 27, 2008

Template Updated to V2.4

Project Team

July 31, 2008

2.3.1

Review Copy

Security, Privacy, and Infrastructure Domain Technical Committee

August 20, 2008

2.4

Released for Implementation

Security, Privacy, and Infrastructure Domain Technical Committee

August 27, 2008

2.4.1

Review Copy

Security, Privacy and Infrastructure Domain Technical Committee

December 10, 2008

2.5

Released for Implementation

Security, Privacy and Infrastructure Domain Technical Committee

December 18, 2008

Template V2.5

Project Team

June 30, 2009

2.5.1

Review Copy

Security, Privacy and Infrastructure Domain Technical Committee

June 30, 2009

2.6

Released for Implementation

Security, Privacy and Infrastructure Domain Technical Committee

July 8, 2009

Table of Contents

1.0 INTRODUCTION. 7

1.1 Overview. 7

1.2 Copyright Permissions. 8

1.3 Reference Documents. 8

1.4 Conformance. 8

1.4.1 Conformance Criteria. 8

1.4.2 Conformance Scoping, Subsetting and Options. 8

1.4.2.1 Intra-Community Sharing of Documents (XDS.a Option) 9

1.4.2.2 Intra-Community Sharing of Documents (XDS.b Option) 9

1.4.2.3 Cross-Community Sharing of Documents (XCA Option) 9

2.0 Transaction Package Definition. 10

2.1 Context Overview. 10

2.1.1 Interfaces. 14

2.1.2 Interface Interactions. 16

2.1.2.1 Cross-Enterprise Document Sharing XDS.a Option. 16

2.1.2.2 Cross-Enterprise Document Sharing XDS.b. 17

2.1.2.3 Document Integrity Option. 17

2.1.2.4 XCA Cross Community Access. 18

2.1.2.5 Gaps. 18

2.1.2.5.1 Terminology. 18

2.1.2.5.2 Cross-Affinity Domain Document Sharing. 19

2.1.3 Pre-conditions. 20

2.1.3.1 Process Triggers. 21

2.1.4 Post-conditions. 21

2.1.4.1 Required Outputs. 22

2.1.5 Data Flows. 22

2.2 List of HITSP Constructs. 22

2.2.1 Construct Dependencies. 22

2.2.2 Additional Constraints on Required Constructs. 23

2.3 Standards. 23

2.3.1 Regulatory Guidance. 23

2.3.2 Selected Standards. 23

2.3.3 Informative Reference Standards. 24

3.0 Appendix. 25

3.1 IHE Transactions. 25

4.0 Document Updates. 26

4.1 November 6, 2007. 26

4.1.1 Version Compatibility: 26

4.2 December 5, 2007. 26

4.3 December 13, 2007. 26

4.4 March 19, 2008. 26

4.5 March 27, 2008. 26

4.6 August 20, 2008. 27

4.7 August 27, 2008. 27

4.8 December 10, 2008. 27

4.9 December 18, 2008. 27

4.10 June 30, 2009. 27

4.11 July 8, 2009. 27

Figures and Tables

Figure 1-1 Intra and Cross-Community Document Sharing . 7

Figure 2-1 XCA Interface Diagram.. 12

Figure 2-2 Initiating Gateway grouped with Document Consumer 13

Figure 2-3 Responding Gateway grouped with Document Consumer 14

Figure 2-4 Cross-Enterprise Document Sharing XDS.a Diagram.. 17

Figure 2-5 Cross-Enterprise Document Sharing XDS.b Diagram.. 17

Figure 2-6 Optional Document Integrity Sequence Diagram.. 18

Figure 2-7 XDS Affinity Domain. 19

Table 1-1 Reference Documents. 8

Table 1-2 XDS.a Options by Interfaces. 9

Table 1-3 XDS.b Options by Interfaces. 9

Table 1-4 XCA Options by Interfaces. 9

Table 2-1 Interfaces for XDS.a Option. 15

Table 2-2 List of Transactions for XDS.b Option. 15

Table 2-3 Interfaces for XCA Option. 16

Table 2-4 Pre-conditions for XDS.a and XDS.b Options. 20

Table 2-5 Pre-conditions for XCA Option. 21

Table 2-6 Process Triggers for XDS.a and XDS.b Options. 21

Table 2-7 Process Triggers for XCA Option. 21

Table 2-8 Post-conditions for XDS.a and XDS.b Options. 22

Table 2-9 Post-conditions for XCA Option. 22

Table 2-10 Required Outputs. 22

Table 2-11 List of Constructs. 22

Table 2-12 Construct Dependencies. 22

Table 2-13 Additional Constraints on Required Constructs. 23

Table 2-14 Regulatory Guidance. 23

Table 2-15 Selected Standards. 23

Table 2-16 Informative Reference Standards. 24

Table 3-1 IHE Transaction Descriptions. 25