1. September, 2005What IHE Delivers 1 Presenters Scanned Documents

2. 2 CDA Scanned Documents Use Case XDS Repository XDS Registry Legacy Clinic Paper Records Legacy Clinic Electronic Documents Document Source

3. 3 Scanned Documents Value Proposition Enable the registration of a variety of current electronic formats used to store and exchange textual clinical documents. Maintain the integrity of the patient health record by associating standardized healthcare metadata with the document. Ultimately, aid legacy systems in adopting electronic health systems and standards.

4. 4 Scanned Documents Scope Use a CDA R2 Wrapper around the electronic document to support the storage of healthcare metadata.  Scanned Text Chart Notes – PDF, TIFF  Scanned Graphs, Charts or Line Drawings – PDF, TIFF, PNG  OCR Scanned Documents – PDF + JPEG, PNG  Electronically created documents – PDF Outside Scope  Medical imagery supported by DICOM  Audio, video recordings

5. 5 Scanned Documents Key Technical Properties Borrow from the HL7 Care Record Summary Implementation Guide constraints on the CDA Release 2.0 header, and apply it to any document type. Imbed the “scanned document” (PDF, TIFF, JPEG, PNG):  Encode the document in a single text element, whose mediaType attribute describes the underlying mime type of the content element, in the nonXMLBody.  Associate the source system CDA header with the document by linking them in a MIME multipart.

6. 6 Scanned Documents Example Wrapping a PDF in the nonXMLbody of a CDA R2 Document … JVBERi0xLjMKJcfsj6IKOCAwIG9iago8PC9MZW5ndGgg JVBERi0xLjMKJcfsj6IKOCAwIG9iago8PC9MZW5ndGgg OSAwIFIvRmlsdGVyIC9GbGF0ZURlY29kZT4+CnN0cmVhb OSAwIFIvRmlsdGVyIC9GbGF0ZURlY29kZT4+CnN0cmVhb Qp4nO1dSZMltRG+9694R3C4C+3LXAjALHbYZhtDOIILn Qp4nO1dSZMltRG+9694R3C4C+3LXAjALHbYZhtDOIILn hkYTNewzIxt/r0lpbKkqszq1ntdE0AABESGnjIrlcuX2qr6h5O hkYTNewzIxt/r0lpbKkqszq1ntdE0AABESGnjIrlcuX2qr6h5O … … </ClinicalDocument>

7. 7 IHE Web site: www.IHE.net Frequently Asked Questions Integration Profiles in Technical Frameworks:  Cardiology  IT Infrastructure  Laboratory  Patient Care Coordination  Radiology Connectathon Results Vendor Products Integration Statements Participation in Committees & Connectathons

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