HL7 CDA R2 AIS Implementation Guide

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HL7 Additional Information Specification Implementation GuideCDAR2AIS0000R030Figure 2.6-7 scanned image in TIFF format2.7 Additional Information SpecificationsAdditional Information Specifications provide information specific to a given attachment orattachment category and supplement this implementation guide. The following is a list ofAdditional Information Specifications available at the time of this publication. Other Attachmenttypes are in various stages of development at HL7 and will be available for use when published.Currently this is the list of AIS documents expected to be named in the final rule for HIPAAclaims attachments. Others may be named in future regulations.• Additional Information Specification 0001: Ambulance Service Attachment(CDAR2AIS0001R030)Page 34March 2007Copyright © 1998-2007Health Level Seven, Inc. All rights reserved.Release 3.0 Draft Standard
HL7 Additional Information Specification Implementation GuideCDAR2AIS0000R030• Additional Information Specification 0003: Rehabilitation Services Attachment(CDAR2AIS0003R030)• Additional Information Specification 0004: Clinical Reports Attachment(CDAR2AIS0004R030)• Additional Information Specification 0005: Laboratory Results Attachment(CDAR2AIS0005R030)• Additional Information Specification 0006: Medications Attachment(CDAR2AIS0006R030)2.8 Contents of an Additional Information SpecificationThe codes and message variants for each type of electronic supporting documentation are definedin an Additional Information Specification. Each specification contains:• The LOINC code or codes that are used to identify the attachment in its entirety or theattachment type category in the 277 transaction and the CDA /ClinicalDocument/codeelement.• XML elements of the CDA header that must be present in a compliant CDA document• The LOINC codes that are used to identify individual attachment components or parts ofclinical reports in the 275 and 277 transactions, and the computer-decision variant of theCDA document.• Note that in some specifications, the implementer is referred to the more comprehensivelists available in the RELMA tool, available at no cost from the Regenstrief Institute.(See http://www.LOINC.org.)• A value table, which includes the LOINC codes for each attachment data component orreport category with the associated answer part LOINC codes, data type, and answer codeinformation• A coding example• Code sets, which are lists of the codes used for specific attachment data component parts.• Code set Object IDs (OIDs), which are required for coded answers (see Section 2.5.6).These are described below.2.9 Additional Information Specification Value TableFigure 2.9-1 is an example of the value tables that are included in the Additional InformationSpecification documents.[mike: Need to re-do the figure with current Rehab, and fix the explanatory pointers.]Editor’s note: this example is for illustration purposes only; some of the referenced information may be changed through the HL7balloting process. Refer to Additional Information Specification 0003: Rehabilitation Services Attachment.Copyright © 1998-2007 Health Level Seven, Inc. All rights reserved.Release 3.0 Draft StandardPage 35March 2007
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HL7 CDA R2 AIS Implementation Guide

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