Sending a Notification of a Patient’s Admission, Discharge and/or Transfer Status to Other Providers

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Rating 5
Implementation Specification
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Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • A variety of transport protocols are available for use for ADT message delivery. Trading partners will need to determine which transport tools best meet their interoperability needs, however, Direct (referenced further in Section III-A), has been noted as a prominent option for transport, particularly where HIE networks are not in place or not being used for this purpose. 
  • See HL7 V2 projects in the Interoperability Proving Ground.
  • Secure Communication – create a secure channel for client-to-server and server-to-server communication.
  • Secure Message Router – securely route and enforce policy on inbound and outbound messages without interruption of delivery.
  • Authentication Enforcer – centralized authentication processes.
  • Authorization Enforcer – specifies access control policies.
  • Credential Tokenizer – encapsulate credentials as a security token for reuse  (e.g., – SAML, Kerberos).
  • Assertion Builder – define processing logic for identity, authorization and attribute statements.
  • User Role – identifies the role asserted by the individual initiating the transaction.
  • Purpose of Use - Identifies the purpose for the transaction.


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