Glossary

this section defines acronyms, abbreviations, and technical terms used or referenced throughout this guide term definition assigning authority the organization, identified by an oid, that guarantees an identifier's uniqueness within its namespace; carried in the hl7 cx data type ca (direct certificate authority) an authority that issues and manages direct certificates surescripts is an accredited direct ca c cda (consolidated clinical document architecture) an hl7 library of templated clinical document formats commonly exchanged through cdm ccr (continuity of care record) a clinical document format summarizing a patient's health information; may be attached to xdr messages classcode an xds metadata classification giving the high level class of a document clinical direct message a secure, standards based electronic message used to exchange patient related clinical documents between health care participants over the surescripts network custodian the party that holds and manages a subscriber's private keys; surescripts acts as custodian for its customers' direct keys cx the hl7 data type representing an identifier together with its assigning authority, for example patid1234^^^&1 3 6 1 4 1 99999 1\&iso direct address an email like address used in direct messaging to identify senders and recipients (for example, user\@domain direct example com) directtrust the accreditation body and trust framework that governs direct exchange among hisps and maintains the policies referenced in section 8 document recipient the ihe iti 41 role for the system that receives a provide and register document set b transaction document source the ihe iti 41 role for the system that initiates a provide and register document set b transaction dsn (delivery status notification) an asynchronous message communicating the outcome of an xdr message delivery attempt, indicating success or failure for each recipient edge system a customer's connecting system that sits outside the hisp boundary and exchanges messages with surescripts on behalf of its end users hisp (health information service provider) an organization that provides the trust and transport services for direct messaging surescripts is a directtrust accredited hisp ihe (integrating the healthcare enterprise) an initiative that promotes the coordinated use of health it standards, including xdr iti 41 (provide and register document set b) the ihe it infrastructure transaction used in xdr to submit clinical documents and associated metadata limitedmetadata an xds classification node indicating that a submission set or document was produced under the minimal (limited) metadata profile mdn (message disposition notification) an email based notification used in smtp based direct messaging for xdr based messaging, delivery outcomes are conveyed by a dsn, not an mdn minimal metadata a reduced xds metadata profile defined by the xdr and xdm specifications, flagged with limitedmetadata classification nodes; the default for most direct messaging full xds metadata the complete xds metadata profile, used when integrating with an xds registry or repository or when otherwise required mtom (message transmission optimization mechanism) a w3c mechanism for efficiently transmitting binary content in soap messages; used by xdr for document attachments mtls (mutual transport layer security) two way tls authentication in which both client and server present and validate certificates (section 2 5) oid (object identifier) a globally unique identifier used to identify organizations, systems, and assigning authorities within hl7 and ihe standards phi (protected health information) individually identifiable health information as defined under hipaa ra (direct registration authority) an authority that verifies the identity of organizations and individuals before certificates are issued surescripts is an accredited direct ra registryerror an element within a registryerrorlist describing a single application level error, including an errorcode registryresponse the xdr response element indicating success or failure of a provide and register document set b transaction soap (simple object access protocol) a messaging protocol for exchanging structured information in web services, used for xdr transactions soap fault an error generated when a soap request cannot be processed (for example, authentication or formatting issues) xdm (cross enterprise document media interchange) an ihe specification for document exchange using media based packaging, referenced by the xdr and xdm specification xdr (cross enterprise document reliable interchange) an ihe integration profile for secure, reliable, point to point exchange of clinical documents using web services xds (cross enterprise document sharing) an ihe document sharing standard referenced for metadata handling and full xds metadata support