Glossary

The organization, identified by an OID, that guarantees an identifier's uniqueness within its namespace; carried in the HL7 CX data type.

An authority that issues and manages Direct certificates. Surescripts is an accredited Direct CA.

An HL7 library of templated clinical document formats commonly exchanged through CDM.

A clinical document format summarizing a patient's health information; may be attached to XDR messages.

An XDS metadata classification giving the high-level class of a document.

A secure, standards-based electronic message used to exchange patient-related clinical documents between health care participants over the Surescripts network.

The party that holds and manages a subscriber's private keys; Surescripts acts as Custodian for its customers' Direct keys.

The HL7 data type representing an identifier together with its assigning authority, for example PATID1234^^^&1.3.6.1.4.1.99999.1&ISO.

An email-like address used in Direct messaging to identify senders and recipients (for example, [email protected]).

The accreditation body and trust framework that governs Direct exchange among HISPs and maintains the policies referenced in Section 8.

The IHE ITI-41 role for the system that receives a Provide and Register Document Set-b transaction.

The IHE ITI-41 role for the system that initiates a Provide and Register Document Set-b transaction.

An asynchronous message communicating the outcome of an XDR message delivery attempt, indicating success or failure for each recipient.

A customer's connecting system that sits outside the HISP boundary and exchanges messages with Surescripts on behalf of its end users.

An organization that provides the trust and transport services for Direct messaging. Surescripts is a DirectTrust-accredited HISP.

An initiative that promotes the coordinated use of health IT standards, including XDR.

The IHE IT Infrastructure transaction used in XDR to submit clinical documents and associated metadata.

An XDS classification node indicating that a submission set or document was produced under the minimal (limited) metadata profile.

An email-based notification used in SMTP-based Direct messaging. For XDR-based messaging, delivery outcomes are conveyed by a DSN, not an MDN.

A reduced XDS metadata profile defined by the XDR and XDM specifications, flagged with limitedMetadata classification nodes; the default for most Direct messaging.

The complete XDS metadata profile, used when integrating with an XDS registry or repository or when otherwise required.

A W3C mechanism for efficiently transmitting binary content in SOAP messages; used by XDR for document attachments.

Two-way TLS authentication in which both client and server present and validate certificates (Section 2.5).

A globally unique identifier used to identify organizations, systems, and assigning authorities within HL7 and IHE standards.

Individually identifiable health information as defined under HIPAA.

An authority that verifies the identity of organizations and individuals before certificates are issued. Surescripts is an accredited Direct RA.

An element within a RegistryErrorList describing a single application-level error, including an errorCode.

The XDR response element indicating success or failure of a Provide and Register Document Set-b transaction.

A messaging protocol for exchanging structured information in web services, used for XDR transactions.

An error generated when a SOAP request cannot be processed (for example, authentication or formatting issues).

An IHE specification for document exchange using media-based packaging, referenced by the XDR and XDM specification.

An IHE integration profile for secure, reliable, point-to-point exchange of clinical documents using web services.