2 Point-to-Point Transmission of Documents XDS is the baseXDM = exchange of XDS metadata and documents on MediaXDR = exchange of XDS metadata and documents over reliable protocols2
3 XDM XDM – Media Interchange (email, CD, etc.) Documents and XDS Metadata shared via mediaOptionsUSBCD-RZIP overImposes File/Directory structure on the mediaTransport Multiple XDS Submission SetsEach Submission Set has Metadata describing documentsDocumentsProtocol structure of XDS imposed on file/directory organization
4 XDM XDM – Media Interchange (email, CD, etc.) Uses Works with XDS Release of documents to patientManual (in pocket or ) transfer of documentsLocal display after receiptIndex.htm file required to support displayThese are manual operations!Works with XDSXDS Query/Retrieve can feed XDM transmissionPoint-to-point transfer via XDM can feed XDS submission4
5 Health Information Exchange XDMHealth Information Exchangee.g. AHospitale.g. HomeReadDischarge summary + Lab reportWriteInterchangeMediaDischarge summary +Lab reportReade.g. PhysicianOfficeGenerally more than two trading partners,
6 XDR XDR – Reliable Interchange Single Submission Set per transfer Optionally identify intended recipientsMore like XDS than XDMReliable asynchronous point-to-point transmission of XDS content (metadata and documents) over reliable communicationsA new profile but really just documents how to use Provide and Register transaction [ITI-15] (same as XDS) to perform point-to-point transfers.6
7 XDR XDR – Reliable Interchange Reliable transfer comes from ebMS Messaging Services Specification v2.0Online vs. OfflineOnline = over direct TCP connectionOffline = over SMTPWorks with XDSXDS Query/Retrieve can feed XDR transmissionPoint-to-point transfer via XDR can feed XDS submission7
8 Health Information Exchange XDRHealth Information Exchangee.g. A SpecialistOfficee.g. AClinicSend toSend toSwitchA referral summary + lab reportA referral summary + lab reportTwo specific trading partners,
9 Specialist, Radio or Lab Hospital Acute Care / ED Combining XDM / XDRConsulting to referring physiciansSpecialist, Radio or LabGP / PCP Doctor AHospital-doctorcommunicationRemote advicePatient TransferHospital Acute Care / EDPersonal Health Record (PHR) to ED/Primary Care EMRCare FacilityAcute Care Discharge to Extended Care Facility (ECF)
10 Flexible Infrastructure Health Information ExchangeXDSStructured objectsPullPublishPullSend toSwitchXDRWriteReadInterchangeMediaXDM
11 Point-to-Point Transmission of Documents Complementary to sharing documents (XDS), point-to-point communication of documentsBoth transports: secured mail & media (CD…)As XDS, “document content agnostic”Maximal re-use of XDS objects & meta-dataCompatible with exchange of images (PDI…)All XDS “content profiles” apply
12 Point-to-Point Transmission of Documents Interchange of patient centered documentsTransmission of results, discharge letters or patient referrals (not the "workflow" itself but all the medical information associated with - e.g. reports, results, images, signals…)Personal Health Record medical information (history, etc), snapshots of clinical information (medication list, immunization records, etc), current observations from home care medical devices (e.g. blood pressure, blood sugar level, etc).
Your consent to our cookies if you continue to use this website.