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33 <br />a. ADT Feed –Establish identity with the NC HIEA <br />i. Standard HL7 v2 or v3 PIF or ADT message. This may vary <br />with each approved participant <br />b. ITI-41 –Provide and register document set (PnR) <br />i. CCDA is the preferred document format, but other formats <br />may be acceptable <br />2. Query Interface from NC HealthConnex <br />a. ITI-9 –PIX Query (Patient Identity) <br />b. ITI-18 –Registry Stored Query (RSQ) <br />c. ITI-43 –Retrieve Document Set (RDS) <br />i. The response may include CCD (C32), CCDA documents, any <br />other document format submitted by other NC HealthConnex <br />participants <br />E+/6XEPLVVLRQWR1&+,($3DUWLFLSDQWVZKRFDQQRWVHQGWKHGDWDHOHPHQWVDQGIHHGV <br />FRQWDLQHGLQVXEVHFWLRQ D RIWKLV$WWDFKPHQWVKDOOVXEPLWWKHIROORZLQJPHVVDJHW\SHVWRWKH <br />H[WHQWSRVVLEOHIRUDWDPLQLPXPDOOGDWDSHUWDLQLQJWR0HGLFDLG6WDWH+HDOWK3ODQDQG6WDWH <br />IXQGHGKHDOWKVHUYLFHVSURYLGHGE\3DUWLFLSDQWDVUHTXLUHGE\$SSOLFDEOH/DZ <br />L +/9HUVLRQ[ <br /> $'7 <br />D 5HTXLUHG6HJPHQWV06+(913,' <br />E 2SWLRQDO±3'1.3939 SUHIHUUHG $/ SUHIHUUHG '* <br /> SUHIHUUHG 35 SUHIHUUHG <br /> 258 <br />D 5HTXLUHG6HJPHQWV±06+(913,' <br />E 2SWLRQDO±3925&2%517(2%; SUHIHUUHG 2%;17( <br /> SUHIHUUHG <br /> 0HGLFDWLRQ <br />D 2032±3KDUPDF\7UHDWPHQW2UGHU <br />E 5'(23KDUPDF\7UHDWPHQW(QFRGHG2UGHU <br />F 5'623KDUPDF\7UHDWPHQW'LVSHQVH <br />G 5$62±3KDUPDF\7UHDWPHQW$GPLQLVWUDWLRQ <br />H <br />F ,I3DUWLFLSDQWFKRRVHVWRVXEPLWDGGLWLRQDOGDWDUHODWHGWRQRQ6WDWHIXQGHGKHDOWKFDUHVHUYLFHV <br />LQDGGLWLRQWRZKDWLVUHTXLUHGE\ODZ3DUWLFLSDQWVKRXOGDOVRVXEPLWWKHDIRUHPHQWLRQHGGDWD <br />HOHPHQWVLQ D DQG E WRWKHH[WHQWSRVVLEOH3DUWLFLSDQWPD\DOVRVXEPLWGDWDEH\RQGWKH <br />7DUJHWHG'DWD6WDQGDUGVIRU6WDWHIXQGHGDQGQRQ6WDWHIXQGHGKHDOWKFDUHVHUYLFHV <br />Onboarding Process Summary <br />This summary presents a high level overview of the process to connect your organization to NC HealthConnex. <br />These steps are subject to change based on the availability of technical resources and functionality of your <br />organization, your EHR vendor, and NC HIEA and SAS. <br />1.NC HIEA will notify SAS of the receipt of your organization’s fully executed Participation Agreement <br />and of the contact information you provided in Attachment 2. Please note: Failure to provide contact <br />information in Attachment 2 will slow the processing of your agreement and your connection to NC <br />HealthConnex. <br />2. SAS will contact your technical services contact person to verify the technical information requested <br />above and to gather contact information for other technical partners your organization may have. <br />3.NC HIEA will contact your organization to discuss your organization’s user training needs along with <br />clinician and patient education on NC HealthConnex. <br />DocuSign Envelope ID: 47B4445A-C7CA-4D2E-9075-2AFD82F82DEC