Emmanuel Cordonnier, John Donnelly Point-to-Point and Media Document Interchange (PMI) or Cross-Enterprise Document Interchange (XDI)

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange1Overview generic mechanism for conveying a set of medical documents between parties "neutral" vis-à-vis the document content as much as possible compatible with XDS as much as possible compatible with PDI using two transport mechanisms: –(secure) mail –portable media (CD / USB key)

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange2 Use cases consulting to referring physicians communication specialized healthcare networks hospital-doctor communication remote advice and patient transfer personal health record (PHR) to ED/primary care EMR acute care discharge to extended care facility (ECF)

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange3 Japanese Merit-9 specs Hospital Clinic Patients home CD DICOM Images Referral Lab Px IHE-PDI MERIT-9

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange4 French EDISanté GT11 specs.rtf.txt.xml Report or letter, including presentation features Text note, or message encoded in ASCII (HL7…) Structured document referencing files (CDA…) Hidden files, used by other documents (XSLT…) Tile of DICOM images Vocal comment, dictation or signal John Smith 12/30/1957 Envelope header: patient demographics, Patient ID(s), author, recipient…

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange5 German DICOM

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange6 HL7 Attachments

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange7 Open Issues ebMS vs. MTOM over SMTP ? => re-use ebMS (for the moment) with the MTOM multipart/related « flavors » Meta-data to be added (sender, recipients…) One vs. Set of submissionSets on a media => set of, without « metadata manifest », only index.html Links from documents to images « conveyed » together => use the XDS-I manifest

Dec 8th, 2005IHE ITI Point-to-Point & Media Document Interchange8 Effort Estimates « middle » (would be large w/o XDS) => re-use the XDS approach, explanations (« document neutrality… ») and meta-data Create 1, 2 3 or 4 new actors –Document [Sender /][Exporter /] [Source] –Document Receiver [/ Importer] Create 3 new transactions –Send document set –Export document set(s) / Import document set(s)