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=Nationwide Health Information Network Specification Updates=

Pending 2011 Q1 (3/30/2011) Specification Release - The specifications in this table were approved by the NTC and included in the 2011 Q1 Specifications Package. However, **these specifications are NOT yet official** as they are pending materiality review by the NCC and approval by ONC before public release. They should not be implemented until they are published on ONC's website. They are included here for reference only. Once approved, the specifications will be published on the [|Nationwide Health Information Network Inventory]page.

Updates Pending Approval after 2011 Q2 Specification Submission (6/10/2011)
The Specifications in this table contain modifications that were not proposed until after the 6/10/2011 cutoff date for the 2011 Q2 Specifications Release.
 * ~ Specification ||~ Updates ||~ Status ||~ Updated Specification ||~ Description ||
 * **Web Services Registry** || Update tocustom tModels section || draft, pending work group review || [[file:NHIN_WebServicesRegistryProductionSpecification_v2.1.0.2.doc]] || * Moved custom tModels list to an Appendix
 * Added two new custom tModel values requested by SSA ||



Updates Pending Approval after 2011 Q1 Specification Release (3/30/2011)
The Specifications in this table contain modifications that were not proposed or approved until after the 3/30/2011 cutoff date for the 2011 Q1 Specifications Release. The updates in this table will be included in the 2011 Q2 Specifications Release.
 * ~ Specification ||~ Updates ||~ Status ||~ Updated Specification ||~ Description ||
 * **Administrative Distribution Emergence Pilot** || MTOM Support || Reviewed by Core Services onn 3/15/2011. Awaiting revisions from CMS for submission to NTC review on 3/28/2011.

Reviewed at NTC Meeting on 3/28 but could not be approved due to lack of quorum || [|Administrative Distribution Emergence Pilot Specification v1.0.2] || * Added MTOM Support ||
 * **Document Submission** || Various changes || Core Services WG agreed on 3/1/2011 to submit v1.1.0.8_4 (reviewed in October 2010) to the NTC for review and approval at the 3/28/2011 NTC meeting.

Reviewed at NTC Meeting on 3/28 but could not be approved due to lack of quorum || [|Document Submission Emergence Pilot Specification v1.1.0.8_4.doc] || * Support Deferred workflow for Document Submission
 * Added WSDLs for Deferred workflow
 * Updates based on feedback regarding wsdl namespaces
 * Added references to the correct wsdls
 * Clarified language around deferred being optional
 * Replaced use of “asynchronous” with “deferred”
 * Updates to SOAP action namespace and latent reply message body to align with comments from IHE
 * Updated introduction and error messages. ||
 * **Messaging Platform** || Inclusion of port assignment 443 + TBD || Currently under discussion by Spec Factory ||  || * Port assignment - 443+TBD) not yet included in the spec draft. ||
 * **Patient Discovery** || Updated to incorporate closed issues/questions from wiki || Version 1.0.0.11 newly posted on 5/09/2011, ready for Spec Factory review. || __[|NHIN_Patient_Discovery_Production_Specification_v1 0 0 11.doc]__ || * Updates to include ITU E.123 standards
 * Removed term broadcast and included clarifying text
 * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt;">Updated section 3.1.6
 * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt;">Updated Auding section
 * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt;">UPdated tables 4.1-1 and 4.2-1 ||
 * **PQRS Profile** || Updates to Version 1.0 of Profile || Core Services WG agreed on 3/1/2011 to update based on CMS proposal. The updates were reviewed on 3/15/2011 by Core Services WG. Awaiting updates from CMS based on Core Services feedback. Will be submitted to NTC for review and approval in April 2011. || [|PQRS Profile Emergence Pilot Definition v1.0.2] || * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt;">Updates for issues found during the implementation of version 1.0.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt;">Per Information Services consensus added direction for handling intended recipient field ||



Pending 2011 Q1 Specification Release (3/30/2011)
The specifications in this table were approved by the NTC and included in the 2011 Q1 Specifications Package. However, **these specifications are NOT yet official** as they are pending materiality review by the NCC and approval by ONC before public release. They should not be implemented until they are published on ONC's website. They are included here for reference only.
 * ~ Specification ||~ Updates ||~ Status ||~ Updated Specification ||~ Description ||
 * **Authorization Framework** || PurposeOfUse <AttributeValue> || Approved by NTC on 2/1/2011.

<span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">**Awaiting materiality review by NCC.** || [|Authorization Framework v2.0.1] || * The Nationwide Health Information Network Spec Factory has identified an error in the Authorization Framework specification related to the PurposeOfUse <AttributeValue>, as well as inconsistencies in OASIS XSPA and XUA.
 * Added SAML PurposeForUse vs. PurposeOfUse AttributeValue implementation note. Caution: __Pending potentially breaking change__. Please read this section carefully. ||
 * **Messaging Platform** || Deferred (Asynchronous) Messaging and WS Addressing || Approved by NTC on 2/1/2011.

<span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">**Awaiting materiality review by NCC.** || [|Messaging Platform v2.0.0.5] || * Added and moved section 3.5 “WS addressing” and edited to clarify Nationwide Health Information Network support for WS addressing.
 * Removed deferred transaction option for two-one way
 * Added and edited Section 3.6 “Deferred Message Workflow”. Defined Nationwide Health Information Network support for a deferred workflow profile. Includes two figures describing the transaction.
 * Added and edited section 3.6.1 “Use of the WS-Addressing RelatesTo Element” and section 3.6.2 “WS-Security Processing.” ||
 * **Patient Discovery** ||  || <span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">Approved by NTC on 2/28/2011.

<span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">**Awaiting materiality review by NCC.** || [|Patient Discovery v 1.0.0.7] || * Added section 3.1.1 “WS Addressing” to clarify Nationwide Health Information Network support for WS Addressing
 * Added and edited sections 3.1.8 “Deferred Patient Discovery”, 3.1.8.1 “Deferred Patient Discovery Request”(Includes sample coding), 3.1.8.2 “Deferred Patient Discovery Response” (Includes sample coding), 3.1.8.3 “Illustration of Use”(Includes figure to represent transaction), 3.1.8.4 “Deferred Patient Discovery Response Priority Code”, 3.1.8.5 “Request Response Correlation”, and 3.1.8.6 “Deferred Patient Discovery and WS Addressing”.
 * Added and edited section 3.1.9. “Patient Discovery Implementation Requirements”
 * Added Appendix A.2 “Deferred Mode”. Includes Deferred Patient Discovery Request, Request Acknowledgment, Response and Response Acknowledgment Messages
 * Changed “NoHealthDataLocator” to “NotHealthDataLocator” in section 3.1.7 ||
 * **Query for Documents** || Updates to reference latest versions of the IHE specifications || <span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">Approved by NTC on 2/28/2011.


 * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">Awaiting materiality review by NCC. ** || [|Query for Documents v2.0.3] || * Updates to reference latest versions of the IHE specifications
 * Changed HealthcareFacilityType Code value in Appendix A to 2.16.840.1.113883.6.96
 * <span style="font-family: 'Arial','sans-serif'; font-size: 10pt;">Changed “Stored Query” to “Cross Gateway Query” in section 4 ||
 * **Retrieve Documents** || Updates to reference latest versions of the IHE specifications || Approved by NTC on 2/1/2011.


 * Awaiting materiality review by NCC** || [|Retrieve Documents v2.0.1] || * Updates to reference latest versions of the IHE specifications ||
 * **Web Services Registry** || Support for Nationwide Health Information Network profiles and emergent specifications. Correction of standard service names and removal of publickey string || Approved by NTC on 2/1/2011.

<span style="font-family: 'Arial','sans-serif'; font-size: 10pt; line-height: 115%;">**Awaiting materiality review by NCC.** || [|Web Services Registry v2.1.0.1] || * Expanded tModel to include Nationwide Health Information Network Profiles and Profile versions supported by a given Nationwide Health Information Network Service
 * Added plural versions of Query for Documents and Retrieve Documents. The erroneous singular versions will be deprecated at a later date.
 * Added HIEM service name, notificationproducer service name, QueryForDocuments service name to custom, and RetrieveDocuments service name to custom tModel.
 * Deleted publickey entry from datamodel. Information will be maintained by ONC but not published in UDDI
 * Noted QueryForDocument, notificationproducer, RetrieveDocument will be deprecated at a future date
 * Removed the publickey string of Nationwide Health Information Network issued certificates from the UDDI entry for each Nationwide Health Information Network Exchange participant. Although this string will be removed from the UDDI, ONC will continue to collect publickey values as part of the Nationwide Health Information Network on-boarding process in case it is ever decided to publish this information by some alternative means.
 * Added and edited section 3.2.2 “Non-Production, Pilot or Emergent Specifications or Profiles”, which defines how each will be presented in the UDDI. ||