HL7 Guidance: Implementation of Standard Attachments for Healthcare Transactions (ACP) - US Realm

DESCRIPTION

This white paper is focused on the business and operational processes of exchanging additional information (Attachments) using the HL7 standards for clinical information and the X12 transaction sets for requesting and receiving the additional information. The detailed technical requirements are not covered in this white paper as the standards development organizations have provided the technical guidance in the standards implementation documents. For definitions of abbreviations, acronyms and other terms used throughout this paper refer to Appendix A of the HL7 CDA R2 Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 1 – US Realm.

This white paper will provide the following:

• An overview of Attachments
• Resources needed to have a successful implementation of Attachments
• A review of some of the current processes for requesting and responding to the need for additional information to help understand the challenges
• Examples of implementation approaches in the industry
• A review of Electronic Attachment Business flows for Claims, Prior Authorizations and Notification
• Business use cases and examples
• A guidance on how to embed additional information within the applicable ASC X12N transaction.

ALTERNATIVE NAMES

HL7 Guidance: Implementation of Standard Attachments for Healthcare Transactions (ACP) - US Realm may also go by the following names or acronyms:

BENEFITS

• Provides a resource to aid the transition from the current, largely manual exchange of health care attachments to a more efficient, electronic process.
• Assists implementers to start their implementation planning for the request and receipt of electronic attachments.

DEVELOPMENT BACKGROUND

Collaboration with WEDI, X12 and HL7 Attachment work group in 2017-2018

RELATED DOCUMENTS

HL7 Guidance: Implementation of Standard Attachments for Healthcare Transactions (ACP) - US Realm

(Download) (702 KB)

TOPIC

• Attachments

BALLOT TYPE

• Informative

STATUS DATE

2021-10-06

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• White Paper

STAKEHOLDERS

• Clinical and Public Health Laboratories
• EHR, PHR Vendors
• Emergency Services Providers
• Healthcare Institutions
• Lab Vendors
• Local and State Departments of Health
• Medical Imaging Service Providers
• Payors
• Standards Development Organizations (SDOs)

FAMILY

• Cross-paradigm

CURRENT STATE

• Stable

REALM

• US Realm