How are the words conditional and situational, as they appear in the Implementation Guides, defined? Also, how do these words relate to the use of the word optional in the current NSF specs?
The definition of situational is in section 3 of the Implementation Guides. The definition of “conditional” is in X12, but it does not apply to HIPAA since the definitions in HIPAA are required, not used, and situational. This is what the IGs say: Required: This item must be used to be compliant with this Implementation Guide. Not Used: This item should not be used when complying with this Implementation Guide. Situational: The use of this item varies, depending on data content and business context. The defining rule is generally documented in a syntax or usage note attached to the item. The item should be used whenever the situation defined in the note is true; otherwise, the item should not be used. Note that if no rule appears in the notes, the item should be sent if the data is available to the sender.
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