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HITSP C32 Summary Documents Using HL7 Continuity of Care Document (CCD) Component V2.4


Type:Data Agreement
Start Date:2008-12-18
Scope:This section describes the contents of this specification and provides a high level definition of this Component and background information about the underlying standards that the Component is based on.
The HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component describes the document content summarizing a consumer´s medical status for the purpose of information exchange. The content may include administrative (e.g., registration, demographics, insurance, etc.) and clinical (problem list, medication list, allergies, test results, etc) information. Any specific use of this Component by another HITSP specification may constrain the content further based upon the requirements and context of the document exchange. This specification defines content in order to promote interoperability between participating systems. Any given system creating or consuming the document may contain much more information than conveyed by this specification. Such systems may include Personal Health Record Systems (.1.s), Electronic Health Record Systems (EHRs), Practice Management Applications and other persons and systems as identified and permitted.
This Component is essentially a subset of the healthcare data that has been developed for specific business Use Cases. This subset contains the minimum critical or pertinent medical information sections as specified by the business case. Information conveyed according to the Component Construct is a representative extract of the information available on the creating system. The information in the HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component and the creating systems must be consistent. Furthermore there should be no data elsewhere in the creating systemthat would contradict the meaning of any data in this construct. The expectation is that consuming systems will be able to use this specification as a source of information to input and/or update information in their instantiation of the healthcare record. This specification does not define the policies applicable to the import of this information.
It is anticipated and desirable that some implementers of the HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component will want to add data and sections to permit greater communication between systems. The underlying standards (primarily HL7 CCD - Continuity of Care Document) have additional modules that may serve such purposes. This practice is beyond the scope of this HITSP Component. Implementers should be aware that they must assume that receivers of the document may only be able to view or process content modules as described in this specification, and may not be able to use the additional modules in the document. This means that the HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component must be able to stand-alone. Applications may wish to display the document in two different user-selected views, one of which is restricted to the minimal dataset contents of this component. Adding optional sections and data elements should not generate errors. Optional data should be used if understood by the receiving system, but must not change the meaning of the document.
This Component refers to the HITSP 2008 work cycle. It expands upon the prior version of the specification for a consumer's registration/medication history information to include content to support the consumer´s access to clinical information, medication management activities and supportive information for quality of care assessment.HITSP Summary Documents Using HL7 Continuity of Care Document (CCD) Component
Released for Implementation
20081218 V2.4
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Relationship Organization Item
is referenced in HITSP HITSP IS06 Quality Interoperability Specification January 25, 2010 Compare these items   
Relationship Organization Item
Is composed of HITSP 8.35 Provider   
Is composed of HITSP 8.36 Location   
Is composed of HITSP Administered Date   
Is composed of HITSP Administered Date   
Is composed of HITSP Administration of Treatment   
Is composed of HITSP Administration Timing   
Is composed of HITSP Admission Date   
Is composed of HITSP Advance Directive Free Text Type   
Is composed of HITSP Advance Directive Type   
Is composed of HITSP Adverse Event Date   
Is composed of HITSP Adverse Event Type   
Is composed of HITSP Age (at Death)   
Is composed of HITSP Age (at Onset)   
Is composed of HITSP Author Name   
Is composed of HITSP Author Time   
Is composed of HITSP Birth Weight   
Is composed of HITSP Cause of Death   
Is composed of HITSP Coded Brand Name   
Is composed of HITSP Coded Brand Name   
Is composed of HITSP Coded Product Name   
Is composed of HITSP Concomitant Medical Product Name   
Is composed of HITSP Contact Address   
Is composed of HITSP Contact Name   
Is composed of HITSP Contact Phone/Email/URL   
Is composed of HITSP Contact Relationship   
Is composed of HITSP Contact Type   
Is composed of HITSP Current Medications (Medwatch concomitant meds)   
Is composed of HITSP Custodian of the Document   
Is composed of HITSP Date of Administration of Treatment   
Is composed of HITSP Date of Birth   
Is composed of HITSP Date Range   
Is composed of HITSP Delivery Method   
Is composed of HITSP Delivery Method   
Is composed of HITSP Dispense Date   
Is composed of HITSP Dispense Date   
Is composed of HITSP Dose   
Is composed of HITSP Dose   
Is composed of HITSP Dose Indicator   
Is composed of HITSP Dose Indicator   
Is composed of HITSP Dose Restriction   
Is composed of HITSP Dose Restriction   
Is composed of HITSP Drug Manufacturer   
Is composed of HITSP Drug Manufacturer   
Is composed of HITSP Duration   
Is composed of HITSP Duration   
Is composed of HITSP Effective Date   
Is composed of HITSP Effective Date of Financial Responsibility   
Is composed of HITSP Encounter Date/Time   
Is composed of HITSP Encounter Free Text Type   
Is composed of HITSP Encounter ID   
Is composed of HITSP Encounter Provider   
Is composed of HITSP Encounter Type   
Is composed of HITSP Ethnicity   
Is composed of HITSP Family Member Age (at Onset)   
Is composed of HITSP Family Member Demographics   
Is composed of HITSP Family Member Genetic Test Code   
Is composed of HITSP Family Member Genetic Test Date   
Is composed of HITSP Family Member Genetic Test Information   
Is composed of HITSP Family Member Genetic Test Name   
Is composed of HITSP Family Member Genetic Test Result   
Is composed of HITSP Family Member Information   
Is composed of HITSP Family Member Medical History   
Is composed of HITSP Family Member Multiple Birth Status   
Is composed of HITSP Family Member Name   
Is composed of HITSP Family Member Race   
Is composed of HITSP Family Member Relationship   
Is composed of HITSP Family Member Relationship (to other family member)   
Is composed of HITSP Family Member Relationship (to patient)   
Is composed of HITSP Family Member Relationship Free Text   
Is composed of HITSP Fill number   
Is composed of HITSP Fill number   
Is composed of HITSP Fill Status   
Is composed of HITSP Fill Status   
Is composed of HITSP Fills   
Is composed of HITSP Fills   
Is composed of HITSP Financial Responsibility Party Address   
Is composed of HITSP Financial Responsibility Party Name   
Is composed of HITSP Financial Responsibility Party Phone/Email/URL   
Is composed of HITSP Financial Responsibility Party Type   
Is composed of HITSP Free Text Brand Name   
Is composed of HITSP Free Text Product Name   
Is composed of HITSP Free Text Product Name   
Is composed of HITSP Free Text Sig   
Is composed of HITSP Free Text Sig   
Is composed of HITSP Frequency   
Is composed of HITSP Frequency   
Is composed of HITSP Fulfillment History   
Is composed of HITSP Fulfillment History   
Is composed of HITSP Fulfillment Instructions   
Is composed of HITSP Fulfillment Instructions   
Is composed of HITSP Gender   
Is composed of HITSP Group Number   
Is composed of HITSP Group Number   
Is composed of HITSP Health Insurance Type   
Is composed of HITSP Health Plan Coverage Dates   
Is composed of HITSP Health Plan Coverage Dates   
Is composed of HITSP Health Plan Insurance Information Source Address   
Is composed of HITSP Health Plan Insurance Information Source Address   
Is composed of HITSP Health Plan Insurance Information Source ID   
Is composed of HITSP Health Plan Insurance Information Source ID   
Is composed of HITSP Health Plan Insurance Information Source Name   
Is composed of HITSP Health Plan Insurance Information Source Name   
Is composed of HITSP Health Plan Name   
Is composed of HITSP Health Plan Name   
Is composed of HITSP Indicate Medication Stopped   
Is composed of HITSP Indicate Medication Stopped   
Is composed of HITSP Indication   
Is composed of HITSP Indication   
Is composed of HITSP Information Source Name   
Is composed of HITSP Interval   
Is composed of HITSP Language   
Is composed of HITSP Location   
Is composed of HITSP Lot Number   
Is composed of HITSP Lot Number   
Is composed of HITSP Marital Status   
Is composed of HITSP Medication Series Number   
Is composed of HITSP Medication Series Number   
Is composed of HITSP Member ID   
Is composed of HITSP Member ID   
Is composed of HITSP No Immunization Reason   
Is composed of HITSP Order Date/Time   
Is composed of HITSP Order Date/Time   
Is composed of HITSP Order Expiration Date/Time   
Is composed of HITSP Order Expiration Date/Time   
Is composed of HITSP Order Number   
Is composed of HITSP Order Number   
Is composed of HITSP Ordering Provider   
Is composed of HITSP Ordering Provider   
Is composed of HITSP Patient Address   
Is composed of HITSP Patient Address   
Is composed of HITSP Patient Date of Birth   
Is composed of HITSP Patient Date of Birth   
Is composed of HITSP Patient Instructions   
Is composed of HITSP Patient Instructions   
Is composed of HITSP Patient Name   
Is composed of HITSP Patient Name   
Is composed of HITSP Patient Phone/Email/URL   
Is composed of HITSP Patient Phone/Email/URL   
Is composed of HITSP Patient Relationship to Subscriber   
Is composed of HITSP Patient Relationship to Subscriber   
Is composed of HITSP Performer   
Is composed of HITSP Performer   
Is composed of HITSP Person Address   
Is composed of HITSP Person Date of Birth   
Is composed of HITSP Person ID   
Is composed of HITSP Person Name   
Is composed of HITSP Person Phone/Email/URL   
Is composed of HITSP Pregnancy   
Is composed of HITSP Prescription Number   
Is composed of HITSP Prescription Number   
Is composed of HITSP Problem Code   
Is composed of HITSP Problem Code   
Is composed of HITSP Problem Date   
Is composed of HITSP Problem Date   
Is composed of HITSP Problem Event Entry   
Is composed of HITSP Problem Name   
Is composed of HITSP Problem Name   
Is composed of HITSP Problem Type   
Is composed of HITSP Problem Type   
Is composed of HITSP Product Coded   
Is composed of HITSP Product Concentration   
Is composed of HITSP Product Concentration   
Is composed of HITSP Product Form   
Is composed of HITSP Product Form   
Is composed of HITSP Product Free-Text   
Is composed of HITSP Provider Name   
Is composed of HITSP Provider Role Coded   
Is composed of HITSP Provider Role Free Text   
Is composed of HITSP Provider Type   
Is composed of HITSP Provider´s Organization Name   
Is composed of HITSP Provider´s Patient ID   
Is composed of HITSP Quantity Dispensed   
Is composed of HITSP Quantity Dispensed   
Is composed of HITSP Quantity Ordered   
Is composed of HITSP Quantity Ordered   
Is composed of HITSP Race   
Is composed of HITSP Race   
Is composed of HITSP Reaction   
Is composed of HITSP Reaction   
Is composed of HITSP Reaction Coded   
Is composed of HITSP Reaction Free-Text   
Is composed of HITSP Reference   
Is composed of HITSP Reference Document ID   
Is composed of HITSP Reference Document URL   
Is composed of HITSP Refusal   
Is composed of HITSP Refusal   
Is composed of HITSP Refusal Reason   
Is composed of HITSP Refusal Reason   
Is composed of HITSP Religious Affiliation   
Is composed of HITSP Result Date/Time   
Is composed of HITSP Result Date/Time   
Is composed of HITSP Result ID   
Is composed of HITSP Result ID   
Is composed of HITSP Result Interpretation   
Is composed of HITSP Result Interpretation   
Is composed of HITSP Result Reference Range   
Is composed of HITSP Result Reference Range   
Is composed of HITSP Result Status   
Is composed of HITSP Result Status   
Is composed of HITSP Result Type   
Is composed of HITSP Result Type   
Is composed of HITSP Result Value   
Is composed of HITSP Result Value   
Is composed of HITSP Route   
Is composed of HITSP Route   
Is composed of HITSP Severity Coded   
Is composed of HITSP Severity Free-Text   
Is composed of HITSP Site   
Is composed of HITSP Site   
Is composed of HITSP Social History Date   
Is composed of HITSP Social History Free Text   
Is composed of HITSP Social History Observed Value   
Is composed of HITSP Social History Type   
Is composed of HITSP Status of Medication   
Is composed of HITSP Status of Medication   
Is composed of HITSP Subscriber Address   
Is composed of HITSP Subscriber Date of Birth   
Is composed of HITSP Subscriber Date of Birth   
Is composed of HITSP Subscriber ID   
Is composed of HITSP Subscriber ID   
Is composed of HITSP Subscriber Phone/Email/URL   
Is composed of HITSP Subscriber Phone/Email/URL   
Is composed of HITSP Treating Provider   
Is composed of HITSP Treating Provider   
Is composed of HITSP Type of Medication   
Is composed of HITSP Type of Medication   
Is composed of HITSP Vaccine Administered   
Is composed of HITSP Vehicle   
Is composed of HITSP Vehicle   
Relationship Organization Item
is further defined by HITSP ENTRY CONTENT MODULES   
is further defined by HITSP PLAN OF CARE SECTION   
Relationship Organization Item
is composed of HITSP Administrative Gender V3 _VD   
is composed of HITSP Advance Directive Type_VD   
is composed of HITSP Allergies/Adverse Event (Reaction)_VD   
is composed of HITSP Allergy/Adverse Event Product_VD   
is composed of HITSP Allergy/Adverse Event Severity_VD   
is composed of HITSP Allergy/Adverse Event Type_VD   
is composed of HITSP Body Site_VD   
is composed of HITSP Contact Type_VD   
is composed of HITSP ContactRelationship_VD   
is composed of HITSP Country_VD   
is composed of HITSP Encounter Type_VD   
is composed of HITSP Ethnicity_VD2   
is composed of HITSP Family Relation Type_VD   
is composed of HITSP Financially Responsible Party Type_VD   
is composed of HITSP Health Insurance Type_VD   
is composed of HITSP Laboratory Observations_VD   
is composed of HITSP Language_VD   
is composed of HITSP Marital Status V3_VD   
is composed of HITSP No Immunization Reason_VD   
is composed of HITSP ObservationInterpretation_VD   
is composed of HITSP Problem Type_VD   
is composed of HITSP Problem_VD   
is composed of HITSP Procedures_VD   
is composed of HITSP Provider Role_VD2   
is composed of HITSP Provider Type_VD2   
is composed of HITSP Race_VD2   
is composed of HITSP ReligiousAffiliation_VD2   
is composed of HITSP Subscriber Relationship_VD   
is composed of HITSP Vaccine Administered_VD   
is composed of HITSP Vital Signs Result Type_VD   
HITSP Acronyms List
HITSP Harmonization Framework
HITSP Interoperability Specification Overview
HITSP TN 901 -Technical Note for Clinical Documents
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