A hotfix is available that
enables support for Health Insurance Portability and Accountability Act (HIPAA)
5010 standards in
BizTalk Server 2009.
This hotfix includes HIPAA 5010 compliant schemas that you can build and deploy in
your BizTalk Electronic Data Interchange (EDI) application.
This hotfix also includes updates that fix an issue with EDI components. When you use a "multiple" schema type to try to split an EDI document
that contains multiple sub-documents, the XML
files that are generated are much larger than expected. Therefore, system
performance when BizTalk Server processes large EDI documents is severely
Information about HIPAA standards
For an introduction to HIPPA Version 5010 standards and to BizTalk Server 2009 support for these standards, see the following information from the hotfix release notes:
HIPAA Version 5010 standardsVersion 5010 of the HIPAA standards includes improvements in
structural, front matter, technical, and data content (such as improved
eligibility responses and better search options). It is more specific in
requiring the data that is needed, collected, and transmitted in a transaction
(such as tightened, clear situational rules, and in misunderstood areas such as
corrections and reversals, refund processing, and recoupments). Further, the
new claims transaction standard contains significant improvements for the
reporting of clinical data, enabling the reporting of ICD–10–CM diagnosis codes
and ICD–10–PCS procedure codes, and distinguishes between principal diagnosis,
admitting diagnosis, external cause of injury and patient reason for visit
codes. These distinctions will improve the understanding of clinical data and
enable better monitoring of mortality rates for certain illnesses, outcomes for
specific treatment options, and hospital length of stay for certain conditions,
as well as the clinical reasons for why the patient sought hospital care.
Finally, Version 5010 also addresses a variety of currently unmet business
needs, including an indicator on institutional claims for conditions that were
"present on admission," and accommodating the use of the ICD-10 code sets,
which are not supported by Version 4010/4010A1.
BizTalk Server 2009 supports the HIPAA 5010 and ICD-10 requirementsBizTalk Server 2009 Microsoft’s supports the required HIPAA 5010
schemas and also the previous 4010A1 schemas. It also supports the ability to
identify the ICD-9 and ICD-10 codes within the schemas. Microsoft has been
working with partners to develop an end-to-end “HIPAA Compliance and Business
Processing Solution” that will facilitate 5010 compliance while enabling
comprehensive and integrated business process automation, management, and
reporting that can be extended to other desktop and server components such as
Microsoft Office, SharePoint, etc.
For more information, refer to
the following file
that is contained in this hotfix package:
Microsoft BizTalk Server 2009 Support for HIPAA 5010-Release Notes.docx
Cumulative updated information
For BizTalk Server 2009, the hotfix that resolves this issue is included in Cumulative Update 1 for BizTalk Server 2009.
For more information about how to obtain the cumulative update package, click the following article number to view the article in the Microsoft Knowledge Base:
Cumulative update package 1 for BizTalk Server 2009
hotfix is available from Microsoft. However, this hotfix is intended to correct
only the problem that is described in this article. Apply this hotfix only to
systems that are experiencing the problem described in this article. This
hotfix might receive additional testing. Therefore, if you are not severely
affected by this problem, we recommend that you wait for the next software
update that contains this hotfix.
If the hotfix is available for
download, there is a "Hotfix download available" section at the top of this
Knowledge Base article. If this section does not appear, contact Microsoft
Customer Service and Support to obtain the hotfix. Note
If additional issues occur or if any troubleshooting is required,
you might have to create a separate service request. The usual support costs
will apply to additional support questions and issues that do not qualify for
this specific hotfix. For a complete list of Microsoft Customer Service and
Support telephone numbers or to create a separate service request, visit the
following Microsoft Web site: Note
The "Hotfix download available" form displays the languages for
which the hotfix is available. If you do not see your language, it is because a
hotfix is not available for that language.
You must have BizTalk Server 2009 installed to apply this hotfix.
You do not have to restart the computer after you apply this
Hotfix replacement information
This hotfix does not replace other hotfixes.
The English version of this hotfix has the file
attributes (or later file attributes) that are listed in the following table.
The dates and times for these files are listed in Coordinated Universal Time
(UTC). When you view the file information, it is converted to local time. To
find the difference between UTC and local time, use the Time
tab in the Date and Time
item in Control
Collapse this tableExpand this table
|File name||File version||File
Before you install the hotfix, back up the following files:
Microsoft.BizTalk.MessageCore.dll and Microsoft.BizTalk.Edi.Shared.dll are
located at <Drive:>\Program
Files\Microsoft BizTalk Server 2009.
- Microsoft.BizTalk.Edi.PipelineComponents.dll is located at <Drive:>\Program
Files\Microsoft BizTalk Server 2009\Pipeline Components.
To install this hotfix, follow these steps:
- Extract the hotfix package,
and run the Setup.exe file.
the BizTalk Server Administration Console, expand
BizTalk Server 2009 Administration,
BizTalk EDI Application,
and then remove the
assembly from this directory.
- Restart the BizTalk host instance.
the same Resources directory
was mentioned in step 2, right-click
Resources, click Add, and then click
- In the Add Resources dialog box, click
and then browse to the following directory:
<Drive:>\Program Files\Microsoft BizTalk Server 2009
this directory, double-click the
- Restart the BizTalk host instance.
- Run the
file that is in this hotfix package to
the latest set of HIPAA5010-compliant
schemas. Save them to the
following suggested directory:
Files\Microsoft BizTalk Server
then follow the standard procedure for
building and deploying schemas.
For more information, refer to the Readme.txt file that is
contained in this hotfix package.
- In HIPAA 4010 schemas, elements of the X12_R
not checked for minimum and maximum lengths. However,
HIPAA 5010 guarantees
that minimum and maximum lengths are checked.
- The ST03 elements in the following schemas are not supposed to be changed because their values are used to identify the correct variant schemas:
This is a HIPAA 5010 standard.
- 837 variants (I, P, D)
has confirmed that this is a problem in the Microsoft products that are listed
in the "Applies to" section.
The EDI message processing performance issue also happens in
BizTalk Server 2006 R2. For more information, click the
following article number to view the article in the Microsoft Knowledge Base.
FIX: The generated XML files are much larger than expected when you try to split an EDI document that contains multiple sub-documents by using a "multiple" type schema in BizTalk Server 2006 R2
For more information about BizTalk Server EDI processing,
visit the following Microsoft Developer Network (MSDN) Web site:
information about BizTalk Server hotfixes, click the following article number
to view the article in the Microsoft Knowledge Base:
Information on BizTalk Server hot fixes