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HITSP/ISC-37
DOCUMENT CHANGE HISTORY.......................................................................................................................2 5
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1.0 FOREWORD...............................................................................................................................................4
2.0 INTRODUCTION.........................................................................................................................................5
2.1 OVERVIEW.........................................................................................................................................6
2.2 AUDIENCE.........................................................................................................................................7
2.3 TERMS AND DEFINITIONS................................................................................................................7
2.4 CONVENTIONS..................................................................................................................................7
2.5 COMMENTS.......................................................................................................................................7
2.6 COPYRIGHT PERMISSIONS.............................................................................................................7
3.0 STANDARDS REFERENCES.....................................................................................................................8
3.1 LIST OF BASE STADARDS................................................................................................................8
3.2 LIST OF COMPOSITE STANDARDS.................................................................................................9
4.0 COMPONENT.............................................................................................................................................9
4.1 CONTEXT OVERVIEW.......................................................................................................................9
4.1.1 CONTEXTUAL CONSTRAINTS...............................................................................................9
4.1.2 TECHNICAL ACTORS............................................................................................................10
4.2 INFORMATION INTERCHANGE COMPONENTS: RULES FOR IMPLEMENTING........................10
4.2.1 PROCESS PRE-CONDITIONS..............................................................................................10
4.2.2 PROCESS POST-CONDITIONS............................................................................................10
4.2.3 DATA STRUCTURE...............................................................................................................10
4.2.4 ADDITIONAL SPECIFICATIONS...........................................................................................12
5.0 CONSTRAINTS FOR REUSE...................................................................................................................12
6.0 APPENDIX................................................................................................................................................12
6.1 GLOSSARY......................................................................................................................................12
HITSP Interoperability Specification: Lab Report Document Component
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FOREWORD
Healthcare Information Technology Standards Panel (HITSP) is a multi-stakeholder coordinating body designed to provide the process within which affected parties can identify, select, and harmonize standards for communicating healthcare information throughout the healthcare spectrum. HITSP functions as a partnership of the public and private sectors and operates with a neutral and inclusive governance model administered by the American National Standards Institute. The goal of the Panel is to:
?Facilitate the development of harmonized interoperability specifications and information policies, including SDO work products (e.g. standards, technical reports). These policies, profiles and work products are essential for establishing privacy, security and interoperability among healthcare software applications.
?Coordinate, as appropriate, with other national, regional and international groups addressing healthcare informatics to ensure that the resulting standards are globally relevant.
?Be use-case driven, utilize information from stakeholders and base its decisions on industry needs.
The HITSP shall serve the public good by working to ensure that the combined work of various healthcare information standards organizations supports interoperability, accurate use, access, privacy and security of shared health information.
In order to advance the goal of expanding harmonized interoperability specifications and information policies, HITSP was tasked with developing interoperability specifications for three main use case 揵reakthroughs areas?in which specific, near term value to the health care consumer could be realized. The harmonized use case areas are:
1. Biosurveillance
Transmit essential ambulatory care and emergency department visit, utilization, and lab result data from electronically enabled health care delivery and public health systems in standardized and anonymized format to authorized Public Health Agencies with less than one day lag time.
2. Consumer Empowerment
Allow consumers to establish and manage permissions access rights and informed consent for authorized and secure exchange, viewing, and querying of their linked patient registration summaries and medication histories between designated caregivers and other health professionals.
3. Electronic Health Record
Allow ordering clinicians to electronically access laboratory results, and allow non-ordering authorized clinicians to electronically access historical and other laboratory results for clinical care.
The interoperability specification provides a detailed mapping of existing standards and specifications such as implementation guides, integration profiles to actions and actors that satisfy the requirements
HITSP Interoperability Specification: Lab Report Document Component
081806_v1.0
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