ebXML and XDS XDS Patient Identifier Source XDS Validation:

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Presentation transcript:

ebXML and XDS XDS Patient Identifier Source XDS Validation: Feed XDS Validation: Patient Id is known Vocabulary Checking Set to approve if registration OK otherwise, roll-back registration XDS Registry ebXML Registry XDS Validation ebXML Compliance: All transaction are valid ebXML transactions Sequencing may be simplified ebXML query against a valid Registry model specialisation Validate Document Register Document Set XDS Repository Provide & Register Document Set

Querying for Documents Patient Id The five primary search keys for finding a document: Which Patient ? What Type of Practice Setting ? Between 10 and 100 What Type of Facility ? Between 10 and 50 What Type of Document ? Between 100 and 1000 What timeframe ? Practice Setting Facility Type Document Type Time of Services 3 Independent dimensions. One with 3 interrelated sub-dimensions

Document Availability Management Registration in progress Available for Patient Care Availability Status Visible to a Document Consumer Availability Status Visible to a Document Source Deprecated (or Obsolete) Deleted Availability Status Change under the Control of Original Document Source and Patient (if allowed in Affinity Domain)

Document LifeCycle Management Addendum and Original Registry Entries shall be similar. Consumer may always find all original and addendum by Doc SetId. Document Parent Id Addendum Doc Set Id Document 1 (Available) Replacement doc and availability status change shall be part of the same submission set. Parent Id Document 1 (Deprecated) Replacement Document Doc Set Id Parent Id A transformed document may be part of the same submission set or not. Only way to find if a document has transforms is to query using SetId. Document 1 Document 2 (transform) Doc Set Id Document Set Id shall be under the control of the Source of Original Version number is an optional/unused field (policy to increment ?)

Patient Identification Management

Submission Set & Folders New Doc Prev Doc Submission Set Collaborative Folder A New Doc Prev Doc New Doc New Doc Collaborative Folder B

Submission Set or Submission Folder ? New Doc New Doc Prev Doc New Doc Prev Doc New Doc New Doc Query: Views only Folders Collaborative Folder B Collaborative Folder A Add a single clinical meaning code ! Suggests making Collaborative Folders a Source and Registry Option

Submission Set & Folders

Submission Set & Folders-Summary

Re-Submission Goal is to detect and solve re-submission when happen Submission Set Submission Set (Reqested) New Doc New Doc A Alternatives ? Multiple Registry Entry/Doc with same UID confuses Consumer One Registry Entry with multiple Docs complex, not useful for Consumer, and likelihood of exact same Registry Entry with same Doc UID+Hash in re-submission is small. New Doc A New Doc Registry/Repository detects re-submission Prev Doc Submission Set (Registered) New Doc Goal is to detect and solve re-submission when happen Suggest making this detection and correction an option