Release Notes
Abstract
These release notes contain the information required to install and configure Transformation Extender, Pack for Healthcare, V10.2.0.0
Content
IBM Sterling Transformation Extender Pack for Healthcare V10.2.0.0 release notes.
© Copyright IBM Corporation 2006, 2016. All Rights Reserved.
© Copyright HCL Technologies Ltd, 2017, 2021. All Rights Reserved.
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CONTENTS
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ABOUT THIS RELEASE
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Where to find the software to download
To download the software for this version of the IBM Sterling Transformation Extender Pack for Healthcare, go to Passport Advantage. This location will direct you to the Passport Advantage (PA) and Passport Advantage Express (PAE) overview page. Passport Advantage (PA) and Passport Advantage Express (PAE) are comprehensive IBM programs by which Clients may order Eligible Products. Customers can search PA and PAE for the following part numbers to download files for windows install and Red Hat OpenShift which include the project files used with the Design Server and certified containers.
Part numbers for Pack for Healthcare 10.2.0.0, search:
- Windows install - G04NXML
- Red Hat OpenShift - G04TGEN
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WHAT'S NEW IN THIS RELEASE
See the What's new in Packs V10.2.0 for the updates in this release.
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SUMMARY OF STANDARD VERSIONS SUPPORTED
HIPAA
HIPAA mandated transactions per published Implementation guides at the X12 5010 version are supported, with some key transactions that are used in the healthcare industry at 4050, 5010, and 6020 versions also supported. See the section HIPAA EDI for specific transactions supported.
HL7
- Telecom D0
- New ncpdp_vd0_202010.mtt, ncpdp_202010_ecl_202110.mtt
- 2015 through 2019 supported
- Medicaid Subrogation
- New ncpdp_v30_202010.mtt, ncpdp_v30_202010_ecl_202110.mtt
- 2015 through 2019 supported
- Script
- v10_6, with code lists from 20131 through 201910 supported
- PACDR
- V4.2 through 4.7 supported
Documentation notes
View the latest product documentation
See the online documentation for the latest information about this product.
Healthcare latest 10.2.0 documentation is available in the 10.1.1 online documentation, see What's new in Packs V10.2.0 for more details.
Translated documentation:
The online documentation is provided in these languages:
- English (United States)
- French
For the latest product information, see the English version in the online documentation.
To display translated content in the online documentation:
- Open the online documentation. A typical URL to the documentation is shown below:
https://www.ibm.com/support/knowledgecenter/SSVSD8_n.n.n/com.ibm.websphere.dtx.welcome.doc/kc_welcome_nnn.html - Edit the URL to include the desired language code immediately after "/knowledgecenter":
https://www.ibm.com/support/knowledgecenter/<language code>/SSVSD8_n.n.n/com.ibm.websphere.dtx.welcome.doc/kc_welcome_nnn.html - As an example, enter language code "/fr" to display French content.
- Remove the "/<language code>" to return to the English display.
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INSTALLATION
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Installation prerequisites
Before you install this version of the pack, you must install one of the following versions of IBM Sterling Transformation Extender:
- 10.1.1.0
- 10.1.0.0
- 10.0.3.0
- 10.0.0.0
- 9.0.0.0
Installing the pack on Windows systems
To install the Pack for Healthcare on Windows systems, perform the following procedures:
- Obtain the image from Passport Advantage.
- Run either of the commands for the application and accept the license agreement:
hcp_1020_1011.exe
hcp_1020_1010.exe
hcp_1020_1003.exe
hcp_1020_1000.exe
hcp_1020_900.exe -
Follow the prompts to complete the installation.
Installation directories
The pack components are installed in the following directory:
install_dir\packs\healthcare_v10.2.0.0
Deployment to other operating systems
See the individual component documentation for information on deploying to other operating systems.
Uninstalling the pack
Follow these steps to uninstall the pack from Windows systems:
- Click Control Panel > Add/Remove Programs.
- Select the pack that you want to remove.
- Click Change/Remove and follow the prompts.
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USING THE PACK WITH THE DESIGN SERVER
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The ITX Industry packs are provided in a single zip file, containing multiple project zip files. Each zip file is a Design Server project that can be imported into the server database. The project files contain maps, schemas and data files used for various industry standards compliance validation as well as examples and schemas to accelerate implementation for your business processes.
Project summaries
The following projects are extracted from the Pack for Healthcare.zip.
HIPAA – HIPAA Data Compliance – hipaaDataCompliance.zip
Contains maps, schemas and sample data for the new HIPAA Data Compliance with additional Type 5-7 validation. The maps are deployed and executed using one of the ITX API’s or with the command server to validate your data against the HIPAA 5010 Standards. It also contains utility maps to convert legacy parameter and qualifier input files to the new JSON format.
HIPAA - Compliance Check – hipaaCompliance.zip
Contains maps, schemas and sample data for the HIPAA Compliance Checker. The maps are deployed and executed using one of the ITX API’s or with the command server to validate your data against the HIPAA 5010 Standards.
HIPAA -CMS<>HIPAA – hipaaCMS.zip
Contains maps, schemas and sample data to support the transformation and validation of the Centers for Medicare and Medicaid Services 5010 Flat file format for Claims, Claim Status, and Payments.
HIPAA – Examples – hipaaExamples.zip
Contains examples that demonstrate how you can enrich or transform your data using the Pack for Healthcare components. Examples include maps and schemas for the X12n Personal Health Record Example, the Claim to Exposure Tracking example, two transactions at HIPAA 8010 Draft stage, the 278 transactions for Heath Care Services Review, and the HIPAA FFE 834 Enrollment transaction.
HIPAA – Examples – X12N – hipaaExamplesX12n.zip
Contains schemas that support X12 standard integrity checking (WEDI SNIP Type 1 Validation) for a set of healthcare industry implementation guides produced by ASC X12's Insurance Subcommittee (X12N). These trees do not conform to the industry TR3s but to the base X12 standard. They are useful for data transformation purposes; they should not be used for data validation for any WEDI/SNIP level above 1.
HIPAA – Examples – Code Sets – hipaaExamplesCodeSets.zip
Contains a utility map that will load the code set database with the external code sets that we support in the pack. This project also contains additional maps that can convert code set source files into the json format needed to load the database.
HL7 Examples – hl7Examples.zip
The NCPDP-SCRIPT/ HL7 mapping example is based on the NCPDP-HL7 Electronic Prescribing Coordination Mapping Document. This document provides mapping requirements for interactions between systems using HL7, and systems using NCPDP Script. This project also includes FHIR examples to map between FHIR input and HL7 V2 format.
HL7 Schemas – hl7EDI.zip
The schemas describe the data exchange formats associated with Health Level Seven (HL7). The ITX user interface depicts the HL7 message structure as an expandable, contractible, set of hierarchical components. The schemas enforce compliance of HL7 transmission data with EDI Standard Integrity Testing rules.
HL7 Validation - Multiple files:
- hl7Compliance2_5.zip
- hl7Compliance2_5_1.zip
- hl7Compliance2_6.zip
- hl7Compliance2_7.zip
- hl7Compliance2_8.zip
- hl7Compliance2_8_1.zip
- hl7Compliance2_8_2.zip
data/sample/hl7_edi_v2_x_adt_a01.dat
or
data/sample/hl7_xml_v2_x_adt_a01.xml
Where x is the version number. Or, point to another data file to validate, that you added to the project after import.
HL7 Validation – hl7Compliance.zip
This compressed file contains the maps and schemas for the HL7 Validation Utility. These maps and schemas leverage the information in the XSD schemas provided by HL7. These maps and schemas apply structure and data content rules from the schemas to the EDI data. In this project, only version 2.7 level messages are supported. The HL7 component in the Design Studio components supports all HL7 versions for which general schema support is provided.
NCPDP – Examples – ncpdpExamples.zip
Contains maps and schemas to demonstrate the transformation and validation of the National Council of Prescription Drug Programs (NCPDP) Script standard for transmitting prescription information, and PACDR (Post Adjudication Claims Data Reporting) for detailed drug or utilization claim information.
NCPDP – ncpdpTelecom.zip
Contains schemas that support the NCPDP retail pharmacy telecommunications (version D0), batch data (Version 1.2), and Medicaid (Subrogation Version 3.0) interchange formats as specified by the National Council for Prescription Drug Programs (NCPDP).
NCPDP Validation – ncpdpValidation.zip
This compressed file contains the maps, schemas, and sample data for the NCPDP Validation Utility.
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EXIT LIBRARY HIPAA COMPLIANCE AND HIPAA DATA COMPLIANCE
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In the same location as the project compressed files, there is also a hipaaPlatformSupport_IBM.tar.gz file for Linux Design Server and hipaaPlatformSupport.zip for Windows Design Server.
This is common for both the new HIPAA Data Compliance and Compliance Check.
To use these files with Linux Design Server, follow these steps:
- Make certain that Design Server is installed and started.
- Create a temp directory called packs.
For example: /home/user/packs - FTP (in binary mode) the hipaaPlatformSupport_IBM.tar.gz to the packs directory defined in the previous step.
- Extract the hipaaPlatformSupport_IBM.tar.gz file.
For example: $ tar -zxf hipaaPlatformSupport_IBM.tar.gz - Run the hcsvusetup.sh script.
For example: $ ./hcsvusetup.sh
This script copies the hcsvu.so file to the ITX server. - Restart Design Server: docker restart tx-server
For example: $ ./cleanhcsvu.sh
To use these files with Windows Design Server, follow these steps.
- Make certain that Design Server is installed and started.
- Create a temp directory called packs.
For example: C:\temp\packs
- Extract the hipaaPlatformSupport.zip file.
- Update the hcsvusetup.bat to use the ITX server install folder.
For example: C:\IBM\TransformationExtender_10.1.0 - Run the hcsvusetup.bat script.
This script copies the hcsvu.dll file to the ITX server. - Restart Design Server: Run stop.bat and start.bat.
This script removes the hcsvu.dll file from the ITX server:
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HIPAA TYPE 7 USER EXIT EXAMPLE
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In the same location as the project compressed files, there is also a hipaaType7ExampleConfig.IBM.tar.gz file for Linux Design Server and hipaaType7ExampleConfig.zip for Windows Design Server.
This contains the sample Type7exit.jar file which must be deployed using directions below to run the example with the Design Server. It also contains the source files for the sample jar, and a sample data file that will trigger one of the Type7 checks that this sample implements.
To use these files with Linux Design Server, follow these steps:
- Make certain that Design Server is installed and started.
- Create a temp directory called packs.
For example: /home/user/packs - FTP (in binary mode) the hipaaType7ExampleConfig.IBM.tar.gz to the packs directory defined in the previous step.
- Extract the hipaaType7ExampleConfig.IBM.tar.gz file.
For example: $ tar -zxf hipaaType7ExampleConfig.IBM.tar.gz - Run the setupType7Exit.sh script.
For example: $ ./setupType7Exit.sh
This script copies the Type7exit.jar file to the ITX server. - Restart Design Server: docker restart tx-server
For example: $ ./cleanType7Exit.sh
To use these files with Windows Design Server, follow these steps.
- Make certain that Design Server is installed and started.
- Create a temp directory called packs.
For example: C:\temp\packs
- Extract the hipaaPlatformSupport.zip file.
- Update the setupType7Exit.bat to use the ITX server install folder.
For example: C:\IBM\TransformationExtender_10.1.0 - Run the setupType7Exit.bat script.
This script copies the cleanType7Exit.jar file to the ITX server. - Restart Design Server: Run stop.bat and start.bat.
This script removes the Type7exit.jar file from the ITX server:
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CONFIGURATION FILES FOR NCPDP VALIDATION
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- Make certain that Design Server is installed and started.
- Create a temp directory called packs.
For example: /home/user/packs - FTP (in binary mode) the ncpdpValidationConfig.IBM.tar.gz to the packs directory defined in the previous step.
- Extract the ncpdpValidationConfig.IBM.tar.gz file.
For example: $ tar -zxf ncpdpValidationConfig.IBM.gz - Run the ncpdpsetup.sh script.
For example: $ ./ncpdpsetup.sh
This script copies the ncpdp_jexit.jar file to the ITX server. - Restart Design Server: docker restart tx-server
For example: $ ./cleanncpdp.sh
Restart Design Server: docker restart tx-server
- Make certain that Design Server is installed and started.
- Create a temp directory called packs.
For example: C:\temp\packs
- Extract the hipaaPlatformSupport.zip file.
- Update the ncpdpsetup.bat to use the ITX server install folder.
For example: C:\IBM\TransformationExtender_10.1.0 - Run the ncpdpsetup.bat script.
This script copies the ncpdp_jexit.jar file to the ITX server. - Restart Design Server: Run stop.bat and start.bat
This script removes the ncpdp_jexit.jar file from the ITX server:
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KNOWN LIMITATIONS, PROBLEMS, AND WORKAROUNDS
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Versions of HIPAA trees to support ICD9 and Fail on Excess Trailing Spaces
The use of International Classification of Disease, 10th Revision (ICD-10) in HIPAA had a compliance date of October 1, 2015. In order to be compliant, the type trees in the HIPAA EDI Component have been modified to allow only ICD-10 codes. The HIPAA EDI stand-alone component does not enforce the actual codes, but only the qualifiers that indicate the version of the ICD in the data.
To assist with the ICD-10 transition, the following type trees are now provided in the component to allow both the ICD-9 and ICD-10 qualifiers:
hipaa_x12_type_2_icd9_icd10.mtt
hipaa_x12_icd9_icd10.mtt
hipaa_x12_ruleless_icd9_icd10.mtt
hipaa_x12_segment_icd9_icd10.mtt
In addition, if you wish HIPAA compliance to report an error on fields that have excess trailing spaces that are not needed for a minimum size requirement, the following trees are provided that have the item property "Allow Excess Trailing Pads" set to "No".
For ICD-9 and ICD-10 Qualifiers,
hipaa_x12_type_2_icd9_icd10_no_ets.mtt
hipaa_x12_icd9_icd10_no_ets.mtt
hipaa_x12_ruleless_icd9_icd10_no_ets.mtt
hipaa_x12_segment_icd9_icd10_no_ets.mtt
For ICD-10 only,
hipaa_x12_type_2_no_ets.mtt
hipaa_x12_no_ets.mtt
hipaa_x12_ruleless_no_ets.mtt
hipaa_x12_segment_no_ets.mtt
If these type trees are required, the following steps must be followed to replace the type trees in the compliance check application.
Replacing the ICD-10 compliant type trees
If both the ICD-9 and ICD-10 codes are required, you must replace the type trees in the following maps as described in the table.
| Maps impacted | Input card (number and name) | Default type tree | Fail on excess spaces | ICD-9 and ICD-10 type tree compliance check maps |
| x12t2precontentcheck | #1 X12_Func_Group | hipaa_x12_type_2.mtt | hipaa_x12_type_2_no_ets.mtt | hipaa_x12_type_2_icd9_icd10.mtt, hipaa_x12_type_2_icd9_icd10_no_ets.mtt |
| x12t4precontentcheck | #1 X12_Func_Group | hipaa_x12.mtt | hipaa_x12_no_ets.mtt | hipaa_x12_icd9_icd10.mtt, hipaa_x12_icd9_icd10_no_ets.mtt |
| xhipaasegmentdataaudit | #1 Transaction_Set_Segments | hipaa_x12_segment.mtt | hipaa_x12_segment_no_ets.mtt |
hipaa_x12_segment_icd9_icd10.mtt, hipaa_x12_segment_icd9_icd10_no_ets.mtt
|
Changes for each map impacted in compliance_check.mms
For each map impacted in the table above, make these changes:
- Open compliance_check.mms in the Design Studio.
- Double click on the executable map to select it for modification.
- Edit the input card for the map to point to the appropriate *_icd9_icd10 type tree instead of the default type tree.
- Select YES when prompted, to replace all similar type tree paths in all maps.
- Build the map.
Pass through maps
| Maps impacted | Input card (number and name) | Default type tree | Fail on excess spaces | ICD-9 and ICD-10 type tree |
| hipaa_x12_pass_through | #1 HIPAA_X12_Inbound_Transmission | hipaa_x12.mtt | hipaa_x12_no_etc.mtt | hipaa_x12_icd9_icd10.mtt, hipaa_x12_icd9_icd10_no_ets.mtt |
| hipaa_x12_pass_through | #2 HIPAA_X12_Outbound_Transmission | hipaa_x12.mtt | hipaa_x12_no_ets.mtt | hipaa_x12_icd9_icd10.mtt, hipaa_x12_icd9_icd10_no_ets.mtt |
| hipaa_x12_type_2 | #1 HIPAA_X12_Inbound_Transmission | hipaa_x12_type_2.mtt | hipaa_x12_type_2_no_ets.mtt | hipaa_x12_type_2_icd9_icd10.mtt, hipaa_x12_type_2_icd9_icd10_no_ets.mtt |
| hipaa_x12_type_2 | #2 HIPAA_X12_Outbound_Transmission | hipaa_x12_type_2.mtt | hipaa_x12_type_2_no_ets.mtt | hipaa_x12_type_2_icd9_icd10.mtt, hipaa_x12_type_2_icd9_icd10_no_ets.mtt |
Changes to maps impacted in hipaa_x12_pass_through.mms
Follow these steps to change each map impacted in hipaa_x12_pass_through.mms:
- Use Design Studio to open hipaa_x12_pass_through.mms.
- Double-click on the executable map to select it for modification.
- Edit the input card listed to point to the appropriate *_icd9_icd10 type tree instead of the default type tree.
- Select NO when prompted to replace all similar type tree paths in all maps.
- Edit the Output card with the same number as the input card just modified to point to the appropriate *_icd9_icd10 type tree instead of to the default type tree.
- Select NO when prompted to replace all similar type tree paths in all maps.
- After all the maps are updated, build the maps.
Changes to configurable rules in the HIPAA EDI Component
- Make a back up of hipaa_x12_rule_stub.mts
- Rename hipaa_x12_rule_stub_no_ets.mts to hipaa_x12_rule_stub.mts
- Run configurable rules process as documented.
- For the tress created in /configurable_rules/trees:
- Rename hipaa_x12.mtt to hipaa_x12_no_ets.mtt
- Rename hipaa_x12_type_2.mtt to hipaa_x12_type_2_no_ets.mtt
- Rename hipaa_x12_ruleless.mtt to hipaa_x12_ruleless_no_ets.mtt
Use new trees in compliance check as documented above.
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DEPRECATED MAPS AND TYPE TREES
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Deprecated NCPDP report maps
The report maps listed below were previously located in the NCPDP directory: \ncpdp\maps. The maps listed have been removed as of this release.
These maps were only produced correctly if the NCPDP transactions had no errors. They are now superseded by the true validation utility.
- ncpcp_v3_0_request_report.mms
- ncpcp_v3_0_response_report.mms
- ncpcp_v5_1_request_report.mms
- ncpcp_v5_1_ response_report.mms
- ncpcp_vd_0_request_report.mms
- ncpcp_vd_0_ response_report.mms
NCPDP Telecom type trees located in the NCPDP directory: \ncpdp\trees are removed. The only version mandated by HIPAA is VD.0. As a result, the following type tress are deprecated
* ncpdp_v3_2.mtt
* ncpdp_v5_1.mtt
Versions of Telecom D.0 and Med Subrogation based on 2014 updates and earlier.
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RESOLVED AUTHORIZED PROGRAM ANALYSIS REPORTS (APARs)
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For a list of APARs that are fixed in this version of the product, see the fix list.
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CONTACTING CUSTOMER SUPPORT
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Contact Customer Support at 1-800-IBM-SERV, or go to the support portal.
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NOTICES AND TRADEMARKS
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Modified date:
03 October 2022
UID
ibm16516450