4.0 Document Updates

The following sections provide the history of changes made to this document.

4.1 November 6, 2007

The changes in this cycle introduce the optional use of XDS.b and the optional use of XCA. These changes reflect the response of IHE to address identified gaps in the previous versions. Minor updates to text throughout this document have been made where appropriate to indicate where optionality can be exercised and what additional constraints apply when optionality is invoked.

4.1.1 Version Compatibility:

NOTE 1: This is identical to the interoperability supported by HITSP/TP13 Version 2.0

NOTE 2: Gap identified in XDS as defined by HITSP/TP13 Version 2.0, June 2006

4.2 December 5, 2007

The changes in this cycle address the following comments:

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4.3 December 13, 2007

Upon approval by the HITSP Panel on December 13, 2007, this document is now Released for Implementation.

4.4 March 19, 2008

This document has been updated with the HITSP Security and Privacy requirements and has been updated to reflect the new template.

The following changes have been made to the construct:

Updated references to IHE Technical Framework supplements for XDS.b and ITI-18

Removed constraints as these are now inherent in the referenced IHE Framework transactions

4.5 March 27, 2008

Upon approval by the HITSP Panel on March 27, 2008, this document is now Released for Implementation.

The following changes have been made to the construct:

Modified the following standard names/descriptions in Table 2-15 Selected Standardsto provide more clarity and specificity for the optionality described in HITSP/TP13:

- Removed high level reference to IHE ITI-TF Revision 4

- Added specific reference to Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (ITI-TF) Revision 4.0, Section 10 Cross-Enterprise Document Sharing (XDS.a)

- Modified Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (ITI-TF) Volume 2 Supplement 2007 2008 Cross-Enterprise Document Sharing-B (XDS.b) description by moving extraneous content into the narrative of HITSP/TP13

- Modified Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (ITI-TF) Revision 4.0 - Registry Stored Query Transaction for XDS Profile Supplement standard name by adding [ITI-18] for additional clarity

4.6 August 20, 2008

This document has been modified to reflect the updated HITSP approach to categorizing standards as Regulatory Guidance, Selected Standards, and Informative References.

Corrections were made to interface descriptions and transactions.

4.7 August 27, 2008

Upon approval by the HITSP Panel on August 27, 2008, this document is now Released for Implementation.

4.8 December 10, 2008

The changes in this construct address the following comments received during the Public Comment and Inspection Testing period (September 29 October 24, 2008).

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Updated reference to IHE XCA Standard to: Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (ITI-TF) Supplement 2008-2009, Cross-Community Access (XCA), Trial Implementation, October 10, 2008

Minor editorial changes were made to this document.

4.9 December 18, 2008

Upon approval by the HITSP Panel on December 18, 2008, this document is now Released for Implementation.

4.10 June 30, 2009

Minor editorial changes were made to this document. Removed boilerplate text for simplification. The term actor was replaced with interface.

4.11 July 8, 2009

Upon approval by the HITSP Panel on July 8, 2009, this document is now Released for Implementation.



[1] Integrating the Healthcare Enterprise (IHE) IT Infrastructure Technical Framework (ITI-TF), Volume 1, Revision 4.0, Section 10

[2] IHE Transaction descriptions are provided in the Appendix

[3] The IHE ITI Technical Framework 4.0 includes a Query Registry Transaction (ITI-16), which has been made optional and replaced by the ITI-18 Registry Stored Query introduced by the XDS Stored Query Supplement

[4] Optionality = R for Required, R2 for Required if known, O for Optional, or C for Conditional

[5] IHE Transaction descriptions are provided in the Appendix

[6] The IHE ITI Technical Framework 4.0 includes a Query Registry Transaction (ITI-16), which has been made optional and replaced by the ITI-18 Registry Stored Query introduced by the XDS Stored Query Supplement

[7] Optionality = R for Required, R2 for Required if known, O for Optional, or C for Conditional

[8] IHE Transaction descriptions are provided in the Appendix

[9] The IHE ITI Technical Framework 4.0 includes a Query Registry Transaction (ITI-16), which has been made optional and replaced by the ITI-18 Registry Stored Query introduced by the XDS Stored Query Supplement

[10] Optionality = R for Required, R2 for Required if known, O for Optional, or C for Conditional

[11] The specific references to the underlying Web Services standards (e.g., SOAP, WSDL, MTOM, etc.) upon which the listed profiles and standards rely upon, may be found in those documents