July 8, 2009 Version 1.0 HITSP Data Archiitecture Techniicall Note HITSP/TN903 Submitted to: Healthcare Information Technology Standards Panel Submitted by: Data Architecture (Elements/Templates/Value Sets) Tiger Team HITSP Data Architecture Technical Note Released for Implementation 20090708 V1.0 DOCUMENT CHANGE HISTORY Version Number Description of Change Name of Author Date Published 0.0.1 Review Copy Data Architecture (Elements/Templates/Value Sets) June 30, 2009 Tiger Team 1.0 Released for Implementation Data Architecture (Elements/Templates/Value Sets) July 8, 2009 Tiger Team HITSP Data Architecture Technical Note Released for Implementation 20090708 V1.0 2 TABLE OF CONTENTS 1.0 INTRODUCTION.................................................................................................................................6 1.1 Purpose and Scope ...................................................................................................................6 1.2 Intended Audience.....................................................................................................................6 1.3 Conventions used in this document ..........................................................................................6 1.4 Document Organization and Structure ......................................................................................6 1.5 Copyright Information ................................................................................................................7 2.0 EXECUTIVE SUMMARY ....................................................................................................................8 3.0 BACKGROUND ................................................................................................................................10 3.1 Definitions................................................................................................................................10 3.2 Overview of Healthcare Related Standards ............................................................................12 3.2.1 ASC X12.....................................................................................................................12 3.2.2 DICOM........................................................................................................................13 3.2.3 HL7 Version 2.............................................................................................................14 3.2.4 HL7 Version 3 including the HL7 Clinical Document Architecture .............................15 3.2.5 NCPDP SCRIPT.........................................................................................................15 3.2.6 NCPDP Telecommunication Guide ............................................................................16 3.2.7 NCPDP Formulary and Benefit ..................................................................................16 3.2.8 OASIS ebXML ............................................................................................................16 3.2.9 OASIS EDXL ..............................................................................................................17 3.3 HITSP Data Architecture in the Context of the HITSP Framework .........................................18 4.0 HITSP DATA ARCHITECTURE .......................................................................................................20 4.1 Component ..............................................................................................................................21 4.2 Module.....................................................................................................................................21 4.3 Data Elements .........................................................................................................................22 4.3.1 Data Element Definition..............................................................................................22 4.3.2 Data Element Mapping...............................................................................................23 4.4 Value Sets ...............................................................................................................................25 4.4.1 Value Set Definition ....................................................................................................25 4.4.2 Code System Metadata..............................................................................................28 4.4.3 Value Set Member Metadata......................................................................................29 4.4.4 Value Set Versioning..................................................................................................30 4.5 Templates................................................................................................................................30 4.5.2 Other Mechanisms to Apply Business Rules to Exchanges ......................................33 4.5.3 Template Versioning...................................................................................................33 4.6 Constraints...............................................................................................................................34 4.6.1 Constraint Language ..................................................................................................34 5.0 METADATA REGISTRIES ...............................................................................................................37 5.1 Relationship of HITSP and Data Registries ............................................................................37 5.1.1 Rights to Information ..................................................................................................37 5.1.2 Lack of Barriers and Ease of Access .........................................................................38 5.1.3 Maintenance ...............................................................................................................38 5.1.4 Versioning...................................................................................................................38 5.2 Data Registry “Audience Views”..............................................................................................39 5.2.1 Information Views .......................................................................................................39 5.2.2 Uploads.......................................................................................................................39 HITSP Data Architecture Technical Note Released for Implementation 20090708 V1.0 3 5.2.3 Interface with HITSP Production Tools ......................................................................39 6.0 APPENDIX ........................................................................................................................................40 6.1 XPath Locations in XML ..........................................................................................................40 7.0 DOCUMENT UPDATES ...................................................................................................................43 7.1 June 30, 2009..........................................................................................................................43 7.2 July 8, 2009 .............................................................................................................................43 HITSP Data Architecture Technical Note Released for Implementation 20090708 V1.0 4 FIGURES AND TABLES Figure 2-1 HITSP Data Architecture ............................................................................................................. 8 Figure 3-1 ASC X12 Message Example ..................................................................................................... 13 Figure 3-2 Example DICOM Data Object.................................................................................................... 14 Figure 3-3 HL7 Version 2 Example............................................................................................................. 14 Figure 3-4 CDA Example ............................................................................................................................ 15 Figure 3-5 NCPDP SCRIPT Example......................................................................................................... 15 Figure 3-6 Example NCPDP SCRIPT......................................................................................................... 16 Figure 3-7 ebXML Example ........................................................................................................................ 17 Figure 3-8 HAVE Example.......................................................................................................................... 18 Figure 3-9 Data Architecture in the HITSP Framework .............................................................................. 19 Figure 4-1 HITSP Data Architecture ........................................................................................................... 20 Table 3-1 Relationship between HITSP and SDO Concepts...................................................................... 12 Table 3-2 Addressing X12 Data Elements.................................................................................................. 13 Table 3-3 Addressing DICOM Data Elements ............................................................................................ 14 Table 3-4 Addressing HL7