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XDM / XDR Point-to-Point Transmission of Documents ITI Planning Committee.

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Presentation on theme: "XDM / XDR Point-to-Point Transmission of Documents ITI Planning Committee."— Presentation transcript:

1 XDM / XDR Point-to-Point Transmission of Documents ITI Planning Committee

2 IT Infrastructure Planning Committee Point-to-Point Transmission of Documents XDS is the base – –XDM = exchange of XDS metadata and documents on Media – –XDR = exchange of XDS metadata and documents over reliable protocols

3 IT Infrastructure Planning Committee XDM XDM – Media Interchange (email, CD, etc.) – –Documents and XDS Metadata shared via media – –Options USB CD-R ZIP over email – –Imposes File/Directory structure on the media – –Transport Multiple XDS Submission Sets Each Submission Set has Metadata describing documents – –Documents Protocol structure of XDS imposed on file/directory organization

4 IT Infrastructure Planning Committee XDM – Media Interchange (email, CD, etc.) – –Uses Release of documents to patient Manual (in pocket or email) transfer of documents – –Local display after receipt – –Index.htm file required to support display – –These are manual operations! – –Works with XDS XDS Query/Retrieve can feed XDM transmission Point-to-point transfer via XDM can feed XDS submission XDM

5 IT Infrastructure Planning Committee Health Information Exchange Generally more than two trading partners, e.g. Physician Office e.g. A Hospital Discharge summary +Lab report Write Read Interchange Media Discharge summary + Lab report Read e.g. Home XDM

6 IT Infrastructure Planning Committee XDR – Reliable Interchange – –Single Submission Set per transfer – –Optionally identify intended recipients – –More like XDS than XDM Reliable asynchronous point-to-point transmission of XDS content (metadata and documents) over reliable communications A new profile but really just documents how to use Provide and Register transaction [ITI-15] (same as XDS) to perform point-to-point transfers. XDR

7 IT Infrastructure Planning Committee XDR – Reliable Interchange Reliable transfer comes from ebMS Messaging Services Specification v2.0 Online vs. Offline Online = over direct TCP connection Offline = over SMTP Works with XDS XDS Query/Retrieve can feed XDR transmission Point-to-point transfer via XDR can feed XDS submission XDR

8 IT Infrastructure Planning Committee Health Information Exchange Send to Switch Send to e.g. A Specialist Office e.g. A Clinic A referral summary + lab report Two specific trading partners, XDR

9 IT Infrastructure Planning Committee Combining XDM / XDR Specialist, Radio or Lab GP / PCP Doctor A Care Facility Hospital Acute Care / ED Patient Transfer Personal Health Record (PHR) to ED/Primary Care EMR Acute Care Discharge to Extended Care Facility (ECF) Remote advice Consulting to referring physicians Hospital-doctor communication

10 IT Infrastructure Planning Committee Flexible Infrastructure Health Information Exchange Publish Pull Structured objects Pull Send to Switch Send to Write Read Interchange Media XDS XDR XDM

11 IT Infrastructure Planning Committee Complementary to sharing documents (XDS), point-to- point communication of documents Both transports: secured mail & media (CD…) As XDS, document content agnostic Maximal re-use of XDS objects & meta-data Compatible with exchange of images (PDI…) All XDS content profiles apply Point-to-Point Transmission of Documents

12 IT Infrastructure Planning Committee Interchange of patient centered documents Transmission 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). Point-to-Point Transmission of Documents


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