GITBOOK-36: change request with no subject merged in GitBook

docs/README.md

@@ -1,11 +1,10 @@
 ---
 description: >-
   This guide serves as a comprehensive resource for prospective and current
-  participants seeking to integrate with the HCX platform.
+  participants seeking to integrate with the HCX platform
 ---
 
 # HCX Integrations Participants Guide
 
-**Glossary**
+By following the detailed instructions and leveraging the resources provided within this guide, you will gain the necessary knowledge and tools to seamlessly integrate with HCX, enabling you to contribute to building a more efficient and interconnected healthcare ecosystem.
 
-<table><thead><tr><th width="162">Term</th><th>Definition</th><th data-hidden>S.no</th></tr></thead><tbody><tr><td>API (Application Programming Interface)</td><td>A set of protocols, definitions, and tools that enable software applications to communicate with each other.</td><td></td></tr><tr><td>Beneficiary</td><td>An individual covered by a health insurance plan.</td><td></td></tr><tr><td>Claim</td><td>A formal request for payment from a healthcare provider to a payer for services rendered to a beneficiary.</td><td></td></tr><tr><td>Data Exchange</td><td>The electronic transmission of healthcare data between different entities, such as providers, payers, and patients.</td><td></td></tr><tr><td>FHIR (Fast Healthcare Interoperability Resources)</td><td>A standardized data format for healthcare information exchange.</td><td></td></tr><tr><td>HIPAA (Health Insurance Portability and Accountability Act)</td><td>A federal law that protects the privacy of individually identifiable health information.</td><td></td></tr><tr><td>Integration</td><td>The process of connecting your application with the HCX platform to enable communication and data exchange.</td><td></td></tr><tr><td>Open-Source</td><td>Software that is freely available for anyone to use, modify, and distribute.</td><td></td></tr><tr><td>Payer</td><td>An entity that pays for healthcare services, such as an insurance company or government agency.</td><td></td></tr><tr><td>Pre-Authorization</td><td>The process of obtaining approval from a payer for a specific medical service before it is rendered to the beneficiary.</td><td></td></tr><tr><td>Provider</td><td>A healthcare professional or facility that delivers healthcare services to patients.</td><td></td></tr><tr><td>SDK (Software Development Kit)</td><td>A collection of tools and libraries that simplifies the development of software applications for a specific platform.</td><td></td></tr><tr><td>TPA (Third-Party Administrator)</td><td>An organization that manages claims processing and other administrative tasks on behalf of a payer.</td><td></td></tr><tr><td>Workflow</td><td>A sequence of steps followed to complete a specific task or process.</td><td></td></tr><tr><td>Beneficiary Service Platform (BSP)</td><td>Digital platforms dedicated for assisting beneficiaries to track and file claims.</td><td></td></tr><tr><td>Coverage Eligibility</td><td>Process of checking if the beneficiary's policy is in force and cover the proposed goods, products and services.</td><td></td></tr><tr><td>FHIR Profile</td><td>A JSON data structure that defines a domain model eligible to be carried as part of JWE payload in the HCX protocol APIs.</td><td></td></tr><tr><td>HCX Switch</td><td>Instance of the HCX gateway, implemented as per the HCX protocol, that facilitates the information exchange between its participants</td><td></td></tr><tr><td>HCX Network</td><td>Instance(s) of HCX and their participating systems governed by a common network policy</td><td></td></tr><tr><td>In-patient department (IPD)</td><td>Inpatient care, often referred to as the In-patient department (IPD), is a dedicated section within a healthcare facility specifically designed to deliver comprehensive medical care and treatment to patients or beneficiaries who require admission or an extended stay within the hospital</td><td></td></tr><tr><td>Network participants</td><td>Any platform that has implemented the HCX protocol and becomes the part of a network as above</td><td></td></tr><tr><td>Notification</td><td>A logical unit of information sent to relevant network participants. Notifications can be triggered by an event, activity or time trigger on the network.</td><td></td></tr><tr><td>Notify</td><td>Act of sending a notification</td><td></td></tr><tr><td>Outpatient department (OPD)</td><td>The Outpatient Department (OPD) is a distinct component of a healthcare facility, such as a hospital or clinic, dedicated to delivering medical services to patients who do not necessitate overnight hospitalization</td><td></td></tr><tr><td>Registry</td><td>A tamper proof, audited collection of entries with their provenance</td><td></td></tr><tr><td>Reimbursement</td><td>Service delivery context in which beneficiary initially pays for the service expenses to the service provider, and then seeking reimbursement from their respective paye</td><td></td></tr><tr><td>Schema</td><td>A JSON data structure that defines an entity as per OpenAPI 3.0 schema specifications</td><td></td></tr><tr><td>Template</td><td>Message structure with placeholder for context dependent data variable that helps in standardising the message parsing on the network</td><td></td></tr><tr><td>Technical Service Provider (TSP)</td><td>Organisation that offers specialised technical support, services, or solutions to assist HCX network participants like providers, payers. etc</td><td></td></tr><tr><td>Third party administrator (TPA)</td><td>Third-Party Administrator (TPA) in healthcare manages administrative tasks, such as claims processing and provider network management, on behalf of health insurance companies or self-funded employers</td><td></td></tr></tbody></table>

docs/SUMMARY.md

@@ -1,6 +1,7 @@
 # Table of contents
 
 * [HCX Integrations Participants Guide](README.md)
+* [Glossary](glossary.md)
 * [Overview](hcx-overview/README.md)
 * [HCX Participants](reading-this-guide/README.md)
   * [Healthcare Providers](reading-this-guide/key-concepts.md)

docs/glossary.md

@@ -0,0 +1,3 @@
+# Glossary
+
+<table><thead><tr><th width="175">Term</th><th>Definition</th><th data-hidden>S.no</th></tr></thead><tbody><tr><td>API (Application Programming Interface)</td><td>A set of protocols, definitions, and tools that enable software applications to communicate with each other.</td><td></td></tr><tr><td>Beneficiary</td><td>An individual covered by a health insurance plan.</td><td></td></tr><tr><td>Claim</td><td>A formal request for payment from a healthcare provider to a payer for services rendered to a beneficiary.</td><td></td></tr><tr><td>Data Exchange</td><td>The electronic transmission of healthcare data between different entities, such as providers, payers, and patients.</td><td></td></tr><tr><td>FHIR (Fast Healthcare Interoperability Resources)</td><td>A standardised data format for healthcare information exchange.</td><td></td></tr><tr><td>HIPAA (Health Insurance Portability and Accountability Act)</td><td>A federal law that protects the privacy of individually identifiable health information.</td><td></td></tr><tr><td>Integration</td><td>The process of connecting your application with the HCX platform to enable communication and data exchange.</td><td></td></tr><tr><td>Open-Source</td><td>Software that is freely available for anyone to use, modify, and distribute.</td><td></td></tr><tr><td>Payer</td><td>An entity that pays for healthcare services, such as an insurance company or government agency.</td><td></td></tr><tr><td>Pre-Authorization</td><td>The process of obtaining approval from a payer for a specific medical service before it is rendered to the beneficiary.</td><td></td></tr><tr><td>Provider</td><td>A healthcare professional or facility that delivers healthcare services to patients.</td><td></td></tr><tr><td>SDK (Software Development Kit)</td><td>A collection of tools and libraries that simplifies the development of software applications for a specific platform.</td><td></td></tr><tr><td>TPA (Third-Party Administrator)</td><td>An organisation that manages claims processing and other administrative tasks on behalf of a payer.</td><td></td></tr><tr><td>Workflow</td><td>A sequence of steps followed to complete a specific task or process.</td><td></td></tr><tr><td>Beneficiary Service Platform (BSP)</td><td>Digital platforms dedicated for assisting beneficiaries to track and file claims.</td><td></td></tr><tr><td>Coverage Eligibility</td><td>Process of checking if the beneficiary's policy is in force and cover the proposed goods, products and services.</td><td></td></tr><tr><td>FHIR Profile</td><td>A JSON data structure that defines a domain model eligible to be carried as part of JWE payload in the HCX protocol APIs.</td><td></td></tr><tr><td>HCX Switch</td><td>Instance of the HCX gateway, implemented as per the HCX protocol, that facilitates the information exchange between its participants</td><td></td></tr><tr><td>HCX Network</td><td>Instance(s) of HCX and their participating systems governed by a common network policy</td><td></td></tr><tr><td>In-patient department (IPD)</td><td>Inpatient care, often referred to as the In-patient department (IPD), is a dedicated section within a healthcare facility specifically designed to deliver comprehensive medical care and treatment to patients or beneficiaries who require admission or an extended stay within the hospital</td><td></td></tr><tr><td>Network participants</td><td>Any platform that has implemented the HCX protocol and becomes the part of a network as above</td><td></td></tr><tr><td>Notification</td><td>A logical unit of information sent to relevant network participants. Notifications can be triggered by an event, activity or time trigger on the network.</td><td></td></tr><tr><td>Notify</td><td>Act of sending a notification</td><td></td></tr><tr><td>Outpatient department (OPD)</td><td>The Outpatient Department (OPD) is a distinct component of a healthcare facility, such as a hospital or clinic, dedicated to delivering medical services to patients who do not necessitate overnight hospitalization</td><td></td></tr><tr><td>Registry</td><td>A tamper proof, audited collection of entries with their provenance</td><td></td></tr><tr><td>Reimbursement</td><td>Service delivery context in which beneficiary initially pays for the service expenses to the service provider, and then seeking reimbursement from their respective paye</td><td></td></tr><tr><td>Schema</td><td>A JSON data structure that defines an entity as per OpenAPI 3.0 schema specifications</td><td></td></tr><tr><td>Template</td><td>Message structure with placeholder for context dependent data variable that helps in standardising the message parsing on the network</td><td></td></tr><tr><td>Technical Service Provider (TSP)</td><td>Organisation that offers specialised technical support, services, or solutions to assist HCX network participants like providers, payers. etc</td><td></td></tr><tr><td>Third party administrator (TPA)</td><td>Third-Party Administrator (TPA) in healthcare manages administrative tasks, such as claims processing and provider network management, on behalf of health insurance companies or self-funded employers</td><td></td></tr></tbody></table>

docs/hcx-overview/README.md

@@ -11,11 +11,7 @@ This system offers several benefits:
 * **Improved transparency:** Gains real-time visibility into the claim lifecycle, fostering better communication and collaboration among stakeholders.
 * **Superior patient experiences:** Offers patients faster claim processing, improved access to information, and a more streamlined healthcare experience
 
-For more information kindly visit- [v0.9 HCX protocol](https://docs.hcxprotocol.io/)
-
-**How this guide can help you**
-
-By following the detailed instructions and leveraging the resources provided within this guide, you will gain the necessary knowledge and tools to seamlessly integrate with HCX, enabling you to contribute to building a more efficient and interconnected healthcare ecosystem.\
+For more information kindly visit- [v0.9 HCX protocol](https://docs.hcxprotocol.io/)\
 
 
 \