Technical Specifications

Official eHealth Exchange Change/Service Advisory Log

The following specifications have been approved by the eHealth Exchange Coordinating Committee and are not intended to be linked to any particular use case, but are available for implementation across a myriad of use cases.

Current Specifications

Note that Participants should consult with their key Exchange partners to coordinate their adoption of 2010 vs. 2011 specifications.

Web Services Registry Web Service Interface Specification v 3.1 3/6/2012 [PDF – 405 KB] Messaging Platform v3.0 approved by NTCon 6/27/2011 [PDF – 232 KB] Patient Discovery v2.0 approved by NTCon 6/27/2011 [PDF – 234 KB] Query for Documents v3.0 approved by NTCon 6/27/2011 [PDF – 201 KB] Retrieve Documents v3.0 approved by NTCon 6/27/2011 [PDF – 153 KB] Authorization Framework v3.0 approved by NTCon 7/25/2011 [PDF – 226 KB] Web Services Registry v3.0 approved by NTCon 7/25/2011 [PDF – 376 KB] CAQH CORE X12 Document Submission Service Interface Specification v 1.0 3/6/2012 [PDF – 390 KB] Electronic Submission of Medical Documentation (esMD) X12 Profile v 1.0 3/6/2012 [PDF – 783 KB] Electronic Submission of Medical Documentation (esMD) XDR Production Specification v1.0 [PDF – 324 KB] Administrative Distribution Production Specification v2.0 [PDF – 144 KB] Document Submission Production Specification v2.0 [PDF – 192 KB] Identity Assurance Level (IAL) Level 2 or Level 3 as described in NIST Special Publication 800-63A [Online]

Initial Production Specifications

These production specifications are in effect now, and are currently being used by a limited number of existing production participants but they are being sunset at a date to be determined by the eHealth Exchange Coordinating Committee.

Performance and Service Specifications

** Specifications flagged with an asterisk (*) are supported now, and are currently being used by a limited number of existing production participants, but the specification will be sunset at a date to be determined by the eHealth Exchange Coordinating Committee.

Commonly Referenced Soap-Based Message Specifications

Authorization Framework
eHealth Exchange Authorization Framework v4 (Optional Specifications)
Messaging Platform
Patient Discovery
Query for Documents
Retrieve Documents
Document Submission

Clinical Document Specifications (Production Effective Date 1/10/2017)

Hub message transformation Inventory

Hub Message Transformation Inventory Table

HL7 DA VINCI BURDEN REDUCTION

Implementation processes for “Networked FHIR” approach to accelerate adoption, prepare for TEFCA and other regulations including CMS-0057-F interoperability and prior authorization final rule.

eHealth Exchange Da Vinci Burden Reduction Technical Specifications and Implementation Processes

HL7 Standards Product Brief – HL7 FHIR® Implementation Guide: Clinical Data Exchange (CDex), Release 1 STU 2.0 – US Realm | HL7 International

HL7 Standards Product Brief – HL7 FHIR® Implementation Guide: SMART Application Launch Framework, Release 2.2 | HL7 International

HL7 Standards Product Brief – HL7 FHIR® Implementation Guide: Prior-Authorization Support (PAS), Edition 2 – US Realm | HL7 International

HL7 Standards Product Brief – HL7 FHIR® Implementation Guide: Coverage Requirements Discovery (CRD), Edition 2 – US Realm | HL7 International

Directory Access

Accessing the eHealth Exchange Participant Directories via FHIR

Directory implementation guides

Since the eHealth Exchange FHIR R4 Implementation Guide references the foundational Base FHIR R4 Implementation Guide, you might find it helpful to access the two artifacts simultaneously.

FHIR R4 Directory Implementation Guide (eHealth Exchange R4 IG) FHIR R4 Directory Implementation Guide (Base R4 IG) STU3 Implementation Guide

Participants

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