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Standardized requirements for one health insurance plan to electronically send Personal Health Record (PHR) data to another health insurance plan, called the " Personal Health Record (PHR) Transfer Between Health Plans Technical Report, 005050X274 : ," was released by the Accredited Standards Committee (ASC) X12 : , providing monumental interoperability among insurance companies assisting consumers.

This Implementation Guide provides a standards-based mechanism to electronically send PHR data from a predecessor to a successor health plan," said Dan Kazzaz, Chair, ASC X12. "It provides needed support to health plans in the role of maintaining longitudinal PHRs for individuals and moving PHRs from health plan to health plan whenever individuals' or companies' health plan coverages shift."

This implementation guide builds on the pioneering work of the Blue Cross and Blue Shield Association and America's Health Insurance Plans (AHIP) in their 005010 implementation guide of the same name. The document brings together work of several standards-setting organizations to describe the business process, message structure, data elements and examples and includes a glossary.



"This announcement by ASC X12 is good news for consumers who, when they change coverage, want to transfer their PHRs to their new health plans and continue with all of the advantages that PHRs bring with them," said AHIP President and CEO Karen Ignagni. "We are pleased that the new standard builds on the work of AHIP and BCBSA, which was designed to be consistent with that of the standards organizations, and to be a building block for their future efforts," Ignagni said.



"BCBSA believes the increased use of personal health records will allow consumers to take a greater role in their own healthcare and ultimately improve quality and health outcomes," said Scott P. Serota, BCBSA president and CEO. "BCBSA is proud of its partnership with ASC X12 and other organizations to promote the use of PHR standards."



The Healthcare Information Technology Standards Panel (HITSP), a cooperative partnership between the public and private sectors has named ASC X12 and Health Level Seven (HL7) standards in their Interoperability Specifications. The "Personal Health Record Transfer Between Health Plans Technical Report" benefits from ASC X12 and HL7 standards. This implementation guide for ASC X12's Patient Information Transaction Set 275 describes a standard method to encapsulate an HL7 Plan-to-Plan Personal Health Record Data Transfer (P2PPHR). Neither the ASC X12 guide, nor the HL7 guide are standalone documents. The X12 guide relies on the HL7 guide, which relies on and references other HL7 documents.



X12 standards provide robust acknowledgments at several levels, from transmission to implementation guide adherence. HL7 standards provide a thorough collection of clinical-based data elements and a rich vocabulary gleaned from other well-known standard coding systems, such as, SNOMED, CPT, and LOINC.



Applications of this standard include:



-- When an employer or coverage sponsor changes from one health plan to
another, the new health plan may request the prior plan to transfer PHR
information of covered individuals.
-- When an individual changes jobs and elects coverage under a new health
plan, he may request the transfer of PHR information for covered
individuals. The prior health plan, with the individual's authorization,
will transfer the PHR information to the new health plan.
-- When an individual or subgroup of individuals changes from one health
plan to another, the new health plan may request the prior health plan to
transfer the PHR information of those covered individuals.





The combination of X12 and HL7 specifications incorporate Clinical Document Architecture (CDA) Release 2 (R2)-defined eXtensible Markup Language (XML) in the 275 transaction to delineate the data elements that are supported by health plan claims, administrative functions, clinical actions, medications, providers, facilities, and other data directly entered by individuals into their PHR.



About ASC X12


Celebrating 30 years of Business Process and Technical Expertise in the Development and Adoption of Electronic Data Exchange Standards


The ASC X12, chartered by the American National Standards Institute (ANSI) in 1979, develops EDI standards and documents for national and global markets. With more than 315 X12 EDI standards and increasing X12 XML schemas, ASC X12 enhances business processes, reduces costs and expands organizational reach. Members include standards experts from health care, insurance, transportation, finance, government, supply chain and other industries. To participate in ASC X12's vital standards-setting role, visit www.X12.org :, or call 703-970-4480.

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i been feeling down lately. i cry alot for sometimes no reason at all. i feel like i'm losing all my friends. i feel like no one cares about me. i can't go to sleep right away. i always have thoughts about something bad happening to me. i also get tried and feel like not doing anything. i thought about death but it never got passed that. is it depression? any advice?
Answer:
Wikipedia defines clinical depression as: a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individual's social functioning and/or activities of daily living.
A person suffering from depression may feel tired, sad, irritable, lazy, unmotivated, and apathetic. Clinical depression is generally acknowledged to be more serious than normal depressed feelings. It often leads to constant negative thinking and sometimes substance abuse. Extreme depression can culminate in its sufferers attempting or committing suicide.

To me, it sounds like you have a lot of the symptoms. Some good advice would be to talk to someone you trust - like a close friend/ your mum/ aunt for example about how you are feeling - it can sometimes help to get it all off your chest. If you don't feel like you have anyone to talk to, it can be a good idea to write it down in a diary - trust me, this can be very helpful to organise your feelings and thoughts and help you understand yourself better. If you still find yourself feeling down, go and see a doctor - who may be able to refer you for counselling for example. Practical things you can do to help improve mood can be taking up some kind of physical activity like a sport you enjoy - see if your friends want to join a club or something like that. Sport is very good as it helps to reduce stress and make you feel happier! Also, a healthy diet with plenty of fruit and veg can help keep you from slumping and having mood swings which consequently cause you to feel down! Sorry for the very long winded answer, but i hope it was of some use.

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Remember that active is a key word. Sagittarius may seem to be always on the move, going hiking this weekend, throwing a party the next weekend, and then there's that night class they're taking. Don't worry about keeping up, just listen when they share their adventures. You'll enjoy the stories. Go hiking with them. You'll see the landscape in a way you never have.

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