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Published byMarlene Gibbs Modified over 6 years ago
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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
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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
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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)
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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 ?)
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Patient Identification Management
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Submission Set & Folders
New Doc Prev Doc Submission Set Collaborative Folder A New Doc Prev Doc New Doc New Doc Collaborative Folder B
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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
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Submission Set & Folders
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Submission Set & Folders-Summary
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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
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