HITSP Interoperability Specification: Electronic Health
Records Laboratory Results Reporting
HITSP/IS-01
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DOCUMENT CHANGE HISTORY.......................................................................................................................2
1.0 FOREWORD...............................................................................................................................................4
2.0 INTRODUCTION.........................................................................................................................................5
2.1 OVERVIEW.........................................................................................................................................5
10 2.2 AUDIENCE .........................................................................................................................................7
2.3 TERMS AND DEFINITIONS................................................................................................................7
2.4 CONVENTIONS..................................................................................................................................7
2.5 COPYRIGHT PERMISSIONS .............................................................................................................8
3.0 STANDARDS REFERENCES.....................................................................................................................8
15 3.1 LIST OF BASE STANDARDS .............................................................................................................8
3.2 LIST OF COMPOSITE STANDARDS ...............................................................................................10
3.3 BASE STANDARDS GAPS AND OVERLAPS..................................................................................10
4.0 INTEROPERABILITY REQUIREMENTS..................................................................................................12
4.1 USE CASE OVERVIEW ....................................................................................................................12
20 4.1.1 SCENARIO OVERVIEW......................................................................................................... 12
4.2 LIST OF TRANSACTION PACKAGES AND INDEPENDENT TRANSACTIONS ............................18
4.2.1 DEPENDENCIES................................................................................................................... 18
4.2.2 CONSTRAINTS ...................................................................................................................... 19
5.0 TECHNICAL IMPLEMENTATION.............................................................................................................19
25 5.1 CONFORMANCE ..............................................................................................................................19
6.0 APPENDIX................................................................................................................................................19
6.1 HITSP HARMONIZATION FRAMEWORK........................................................................................19
6.2 USE CASE ACTIONS AND EVENTS................................................................................................21
6.3 GLOSSARY ......................................................................................................................................22
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HITSP Interoperability Specification: EHR Laboratory Results Reporting
081806_v 1.0
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1 . 0 FOREWOR D
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
35 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
40 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
45 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.
50 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.
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