1. XDS.b (Cross-Enterprise Document Sharing)
Sungkee Lee

2. Agenda XDS.b Overview Register Document Set-b [ITI-42]
Retrieve Document Set [ITI-43]
Registry Stored Query [ITI-18]

3. XDS.b ITI TF-1 Ch. 10 10.1 Actors/Transactions
XDS Document Contents Support
10.2 Integration Profile Options
XDS Document Registry Data Model
10.5 Implementation Strategies

4. XDS.b Actors and Transactions
INFINITT
Insung
INFINITT
GNSK
MedicalStandard
ezCaretech
UCareSoft
ezCaretech
Insung
INFINITT
GNSK
MedicalStandard
ezCaretech

5. XDS.b Actors and Transactions

6. XDS.b Actors Document Source Document Repository Document Registry
Source of documents and metadata about documents
Document Repository
Stores documents, requests indexing in Document Registry, supports retrieval
Document Registry
Indexes documents, supports search
Patient Identity Source
Feeds identity of known patients to Document Registry
Document Consumer
Initiates search and retrieval for consumer of documents

7. Patient Identity Source
Patient Registration
Patient Identity Source
Patient Identity Feed
Document Registry

8. Provide and Register Document Set
Document Submission
Document Registry
Register Document Set
Provide and Register Document Set
Document Source
Document Repository

9. Query and Retrieve Query Documents Document Registry Document Consumer
Retrieve Document
Document Repository

10. XDS Document Contents Support

11. Integration Profile Options

12. XDS Registry Data Model Entities
XDS Document Entry
XDS Document
XDS Folder
XDS Submission Set
XDS Submission Request

13. XDS Registry Submission Request

14. XDS Registry Submission Request

15. XDS Document Registry Data Model

16. XDS.b Implementation Strategies
Strategy 1 : Repository at the Source

17. XDS.b Implementation Strategies
Strategy 2 : Third Party Repository

18. XDS.b Implementation Strategies
Strategy 3 : Direct Patient Transfer-Referral

19. Register Document Set-b [ITI-42]
ITI TF-2b 3.42
Scope
Use Case Roles
Referenced Standards
Interaction Diagram
Register Document Set-b Request
Register Document Set-b Response
Protocol Requirements
Sample Register Document Set-b SOAP Request
Sample Register Document Set-b SOAP Response
Message Semantics
Security Considerations

20. Register Document Set-b [ITI-42]
Scope
Metadata describing zero or more documents
XDS Submission Set definition along with the linkage to new documents and references to existing documents
An optional XDS Folder definitions along with linkage to new or existing documents

21. Register Document Set-b [ITI-42]
Use Case Roles

22. Register Document Set-b [ITI-42]
Referenced Standards
ebRIM
OASIS/ebXML Registry Information Model v3.0
ebRS
OASIS/ebXML Registry Services Specifications v3.0
HL7v2
HL7 Version 2.5
Appendix V
ITI TF-2x: Appendix V Web Services for IHE Transactions
Contains references to all Web Services standards and requirements of use

23. Register Document Set-b [ITI-42]
Interaction Diagram

24. Register Document Set-b [ITI-42]
Protocol Requirements
ITI TF-2x Appendix V: Web Services
SOAP 1.2
ftp://ftp.ihe.net/TF_Implementation_Material/ITI/
WSDL
schema
examples

25. Message Structure
SOAP Message
ebXML Message

26. Sample Register Document Set-b SOAP Request
<s:Envelope xmlns:s= xmlns:a=" <s:Header> <a:Action s:mustUnderstand="1">urn:ihe:iti:2007:RegisterDocumentSet-b</a:Action> <a:MessageID>urn:uuid:1ec52e14-4aad-4ba1-b7d3-fc9812a21340</a:MessageID> <a:ReplyTo> <a:Address> </a:ReplyTo s:mustUnderstand="1"> <a:To > </s:Header> <s:Body> <lcm:SubmitObjectsRequest xmlns:lcm="urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0" xmlns:rim="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0" xmlns:rs="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0"> <!—Rest of SubmitObjectsRequest message goes here --> </lcm:SubmitObjectsRequest> </s:Body> </s:Envelope>

27. Sample Register Document Set-b SOAP Response
<s:Envelope xmlns:s=" xmlns:a=" <s:Header> <a:Action s:mustUnderstand="1">urn:ihe:iti:2007:RegisterDocumentSet-bResponse </a:Action> <a:RelatesTo>urn:uuid:1ec52e14-4aad-4ba1-b7d3-fc9812a21340</a:RelatesTo> </s:Header> <s:Body> <rs:RegistryResponse status="urn:oasis:names:tc:ebxml-regrep:ResponseStatusType:Success" xmlns:rs="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0"/> </s:Body> </s:Envelope>

28. Register Document Set-b [ITI-42]
Message Semantics
ITI TF-3 4.1
4.1.7 Document Definition Metadata
4.1.8 Submission Set Metadata

29. Retrieve Document Set [ITI-43]
ITI TF-2b 3.43
Scope
Use Case Roles
Referenced Standard
Interaction Diagram
Retrieve Document Set Request
Retrieve Document Set Response
Protocol Requirements
Sample Retrieve Document Set SOAP Request
Sample Retrieve Document Set SOAP Response
Message Semantics
Security Considerations

30. Retrieve Document Set [ITI-43]
Scope
Obtains the following Ids from Document Registry
XDSDocumentEntry uniqueId
Document Repository repositoryUniqueId

31. Retrieve Document Set [ITI-43]
Use Case Roles

32. Retrieve Document Set [ITI-43]
Referenced Standard
ebRIM
OASIS/ebXML Registry Information Model v3.0
ebRS
OASIS/ebXML Registry Services Specifications v3.0
Appendix V
ITI TF-2x: Appendix V Web Services for IHE Transactions
Contains references to all Web Services standards and requirements of use
MTOM
SOAP Message Transmission Optimization Mechanism
XOP
XML-binary Optimized Packaging

33. Retrieve Document Set [ITI-43]
Interaction Diagram

34. Retrieve Document Set [ITI-43]
Protocol Requirements
ITI TF-2x Appendix V: Web Services
SOAP 1.2
MTOM/XOP
Message Transmission Optimization Mechanism
XML-binary Optimized Packaging
ftp://ftp.ihe.net/TF_Implementation_Material/ITI/
WSDL
schema
examples

35. Sample Retrieve Document Set SOAP Request
POST /tf6/services/xdsrepositoryb HTTP/1.1 Content-Type: multipart/related; boundary=MIMEBoundaryurn_uuid_DCD262C64C22DB ; type="application/xop+xml"; start-info="application/soap+xml"; action="urn:ihe:iti:2007:RetrieveDocumentSet" User-Agent: Axis2 Host: localhost: MIMEBoundaryurn_uuid_DCD262C64C22DB Content-Type: application/xop+xml; charset=UTF-8; type="application/soap+xml" Content-Transfer-Encoding: binary 2945 Content-ID: <?xml version='1.0' encoding='UTF-8'?> <soapenv:Envelope xmlns:soapenv= <!—Rest of SOAP message goes here --> </soapenv:Envelope> --MIMEBoundaryurn_uuid_DCD262C64C22DB —

36. Sample Retrieve Document Set SOAP Request
<soapenv:Envelope xmlns:soapenv=" xmlns:wsa=" <soapenv:Header> <wsa:To> <wsa:MessageID>urn:uuid:DCD262C64C22DB </wsa:MessageID> <wsa:Action>urn:ihe:iti:2007:RetrieveDocumentSet</wsa:Action> </soapenv:Header> <soapenv:Body> <RetrieveDocumentSetRequest xmlns="urn:ihe:iti:xds-b:2007" xmlns:xsi=" <DocumentRequest> <RepositoryUniqueId> </RepositoryUniqueId> <DocumentUniqueId> </DocumentUniqueId> </DocumentRequest> </RetrieveDocumentSetRequest> </soapenv:Body> </soapenv:Envelope>

37. Retrieve Document Set Response Message Structure
SOAP Message
ebXML Message
CDA Document

38. Sample Retrieve Document Set SOAP Response
HTTP/ OK
Server: Apache-Coyote/1.1
Content-Type: multipart/related;
boundary=MIMEBoundaryurn_uuid_F862C3E04D9E35266C ;
type="application/xop+xml";
start-info="application/soap+xml"; action="urn:ihe:iti:2007:RetrieveDocumentSetResponse"
Date: Fri, 23 Oct :19:11 GMT 2975
--MIMEBoundaryurn_uuid_F862C3E04D9E35266C
Content-Type: application/xop+xml; charset=UTF-8; type="application/soap+xml"
Content-Transfer-Encoding: binary
Content-ID:
<?xml version='1.0' encoding='UTF-8'?>
<soapenv:Envelope xmlns:soapenv="
<!—Rest of SOAP message goes here -->
</soapenv:Envelope>
Content-Type: application/octet-stream
Content-ID:
This is the content of the document.
--MIMEBoundaryurn_uuid_F862C3E04D9E35266C —

39. Sample Retrieve Document Set SOAP Response
<soapenv:Envelope xmlns:soapenv=" xmlns:wsa=" <soapenv:Header> 2985 <wsa:Action>urn:ihe:iti:2007:RetrieveDocumentSetResponse</wsa:Action> <wsa:RelatesTo>urn:uuid:DCD262C64C22DB </wsa:RelatesTo> </soapenv:Header> <soapenv:Body> <xdsb:RetrieveDocumentSetResponse xmlns:xdsb="urn:ihe:iti:xds-b:2007"> <rs:RegistryResponse xmlns:rs="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0" status="urn:oasis:names:tc:ebxml-regrep:ResponseStatusType:Success"/> <xdsb:DocumentResponse> <xdsb:RepositoryUniqueId> </xdsb:RepositoryUniqueId> <xdsb:DocumentUniqueId> </xdsb:DocumentUniqueId> <xdsb:mimeType>application/pdf</xdsb:mimeType> <xdsb:Document> <xop:Include xmlns:xop=" </xdsb:Document> </xdsb:DocumentResponse> </xdsb:RetrieveDocumentSetResponse> </soapenv:Body> </soapenv:Envelope>

40. Retrieve Document Set [ITI-43]
Message Semantics
ITI TF-3 4.1

41. Registry Stored Query [ITI-18]
ITI TF-2a 3.18
Scope
Use Case Roles
Referenced Standards
Interaction Diagram
Web Services Transport
Sample Registry Stored Query SOAP Request
Sample Registry Stored Query SOAP Response
Sample Query Request
Sample Query Response
Security Considerations

42. Registry Stored Query [ITI-18]
Scope
Query by patient (Id) for a time interval, by document type(s), by practice setting(s), by author person
Query by Document Source
Query for XDS Folders updated during a time interval
Query for all documents in a Folder or Submission Set
Query by time of submission
All queries return:
Metadata for one or more registry objects, or
Object references for one or more registry objects (registry UUIDs)

43. Registry Stored Query [ITI-18]
Use Case Roles

44. Registry Stored Query [ITI-18]
Referenced Standards
ebRIM
OASIS/ebXML Registry Information Model v3.0
ebRS
OASIS/ebXML Registry Services Specifications v3.0
HL7v2
HL7 Version 2.5
Appendix V
ITI TF-2x: Appendix V Web Services for IHE Transactions
Contains references to all Web Services standards and requirements of use

45. Registry Stored Query [ITI-18]
Interaction Diagram

46. Registry Stored Query [ITI-18]
Web Services Transport
ITI TF-2x Appendix V: Web Services
SOAP 1.2
ftp://ftp.ihe.net/TF_Implementation_Material/ITI/
WSDL
schema
examples

47. Sample Registry Stored Query SOAP Request
<s:Envelope xmlns:s= xmlns:a=" <s:Header> <a:Action s:mustUnderstand="1">urn:ihe:iti:2007:RegistryStoredQuery</a:Action> <a:MessageID>urn:uuid:def119ad-dc13-49c1-a3c7-e f9b3</a:MessageID> <a:ReplyTo s:mustUnderstand="1">> <a:Address> </a:ReplyTo> <a:To> </s:Header> <s:Body> <query:AdhocQueryRequest <!—Rest of Query message goes here --> </query:AdhocQueryRequest> </s:Body> </s:Envelope>

48. Sample Registry Stored Query SOAP Request
<query:AdhocQueryRequest xmlns:query="urn:oasis:names:tc:ebxml-regrep:xsd:query:3.0" xmlns:rim="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0" xmlns:rs="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0"> <query:ResponseOption returnComposedObjects="true" returnType="LeafClass"/> <rim:AdhocQuery id=" urn:uuid:14d4debf-8f a74-a90016b0af0d "> <rim:Slot name="$XDSDocumentEntryPatientId"> <rim:ValueList><rim:Value>‟st ^^^& &ISO‟</rim:Value> </rim:ValueList></rim:Slot> <rim:Slot name="$XDSDocumentEntryStatus"> <rim:ValueList><rim:Value>('urn:oasis:names:tc:ebxml-regrep:ResponseStatusType:Approved')</rim:Value> <rim:Slot name="$XDSDocumentEntryCreationTimeFrom"> <rim:ValueList><rim:Value> </rim:Value> <rim:Slot name="$XDSDocumentEntryCreationTimeTo"> <rim:ValueList><rim:Value> </rim:Value> <rim:Slot name="$XDSDocumentEntryHealthcareFacilityTypeCode"> <rim:ValueList><rim:Value>(„Emergency Department‟)</rim:Value> </rim:AdhocQuery> </query:AdhocQueryRequest>

49. Sample Registry Stored Query SOAP Response
<s:Envelope xmlns:s=" xmlns:a=" <s:Header> <a:Action s:mustUnderstand="1">urn:ihe:iti:2007:RegistryStoredQueryResponse</a:Action> <a:RelatesTo>urn:uuid:def119ad-dc13-49c1-a3c7-e f9b3</a:RelatesTo> </s:Header> <s:Body> <query:AdhocQueryResponse xmlns:query="urn:oasis:names:tc:ebxml-regrep:xsd:query:3.0"/> </s:Body> </s:Envelope>

50. Patient Identity Feed [ITI-8]
ITI TF-2a 3.8

51. Q & A