1
Scope
2 References
3 Definitions
3.1 Terms defined
elsewhere
3.2 Terms defined in
this Recommendation
4 Abbreviations and acronyms
5 Conventions
6 Overview of the current
data standard challenges in healthcare
6.1 Health data
transactions
6.2 Common health data
schema
6.3 Service
architecture
6.4 Collaborative
development process
7 Systems overview
7.1 Participants
7.2 Transaction types
7.3 Transmission
7.4 Validation and
storage
7.5 Analysis
7.6 Statistics and
insights
7.7 Governance
8 Common health data schema
9 Health transactions
10 Health transactions
transmission
11 Validation
Annex A – Common health data schema
Annex B – Health transactions
Annex C – Validation rules definition
Appendix I – Illustrative governance model
I.1 Collaborative
development framework
Appendix II – Health transactions XML
II.1 ClaimSubmission
II.2 Remittance.Advice
II.3 DataSubmission
Appendix III – Web services definition
III.1 UploadTransaction
III.2 GetNewTransactions
III.3 DownloadTransaction
III.4 SetTransactionDownloaded
III.5 CheckNewPriorAuthorizationTransactions
III.6 GetNewPriorAuthorizationTransactions
III.7 GetPrescriptions
III.8 SearchTransactions
III.9 Web services
returned values
III.10 XML format
Appendix IV – Illustrative use case
Appendix V – Illustrative implementation architecture
V.1 Centralized health
exchange
V.2 Peer-to-peer
health exchange
Appendix VI – Data standards for national workflow and low resource
settings
VI.1 National workflow
in a high resource setting
VI.2 National workflow
in a low resource setting
Appendix VII – Continua Design Guidelines – Illustrative use case
VII.1 Continua pulse
oximeter reading
VII.2 Continua
thermometer reading
Bibliography