2. <Presentation element for schema’s Font used: Calibri (or Arial if Calibri is not available) Horizontal alignment: Left Vertical alignment: Middle Content Creator Content Updater Content Consumer Share

3. XDS Source XDS Registry Facade Secure XDS XDS Repository XDS Consumer XDS Registry BPPC Document Enforces the BPPC constraints by shielding the actual XDS Registry Same web service functionality as the XDS Registry Connects to XDS Sources, Consumers and Repository Not a registry-implementation, but a front-end around the actual XDS Registry No data are stored in the XDS Registry Facade

4. Document Source Document Repository Document Registry Document Consumer 1 – Register document 2 – Query Document Set 3 – Retrieve Document Set

5. Early Hearing Detection and Intervention - Workflow Definition (EHDI-WD) Create Hearing Plan of Care Clinical Guidelines, Admission Message Hearing Plan of Care Conduct Hearing Screening (NHS Order Request &Screening Consent) NHS Outcome Report XDW profile: BSR-WD (Basic Study Request) Generate QM Report Update Hearing Plan of Care Newborn Admission& (NHS Outcome Report| Discharge Summary) Patient-level QRDA NHS Outcome Report| Discharge Summary| ADT Update Message Hearing Plan of Care Repeat Hearing Screening Clinical Guidelines, NHS Outcome Report Input documentsOutput documents Tasks Discharge Newborn Discharge Summary Discharge Message

6. Input documentsOutput documents Tasks (NHS Order Request &Screening Consent) Request Study Schedule Study Perform Study Study Order Study Appointment Study Result Complete Study Study Result NHS Results XDW profile: BSR-WD (Basic Study Request) Note: because the BSR workflow is performed on an NHS Order Request, the Results report produced is a NHS Results report. Study: is used to generally describe a Test performed EHDI-WD: Conduct Hearing Screening Task Workflow Conduct Hearing Screening (NHS Order Request &Screening Consent) NHS Outcome Report

8. XDW Workflow Document profile: EHDI-WD (Early Hearing Detection and Intervention) (Continued) Generate Hearing Plan of Care Outcome Report Discharge Summary Hearing Plan of Care Input documentsOutput documents Tasks Reconcile Care Plan Hearing Plan of Care Pt Care Plan Update Plan of Care Pt Care Plan Hearing Plan of Care

9. XDW profile: XTB-WD (Cross-enterprise Tumor Board Workflow Definition) Request TBR Schedule TBR Prepare TBR TBR Meeting Finalize TBR Clinical DocumentsRequest Document Decision NoteRequest Document Decision NoteDiscussion thread (All documents)TBR Report (prelim.) Tumor Board ReportTBR Report (prelim.) Input documentsOutput documentsTasks

10. Request TBR (COMPLETED) Request TBR (COMPLETED) Schedule TBR (COMPLETED) Schedule TBR (COMPLETED) Prepare TBR (COMPLETED) Prepare TBR (COMPLETED) TBR Meeting (COMPLETED) TBR Meeting (COMPLETED) Finalize TBR (COMPLETED) Finalize TBR (COMPLETED) Start Stop Request TBR (FAILED) Request TBR (FAILED) Schedule TBR (FAILED) Schedule TBR (FAILED) Prapare TBR (FAILED) Prapare TBR (FAILED) TBR Meeting (FAILED) TBR Meeting (FAILED) TBR Request is revoked Rejection by task owner Review cancelled Preparation canceled TBR Request is sent Patient is scheduled TBR is prepared Finalized XTB-WD process (workflow closed) Preliminary TBR report is ready

11. Request TBR (COMPLETED) Request TBR (COMPLETED) Schedule TBR (COMPLETED) Schedule TBR (COMPLETED) Prepare TBR (COMPLETED) Prepare TBR (COMPLETED) TBR Meeting (COMPLETED) TBR Meeting (COMPLETED) Finalize TBR (COMPLETED) Finalize TBR (COMPLETED) Start Stop Request TBR (FAILED) Request TBR (FAILED) Schedule TBR (FAILED) Schedule TBR (FAILED) Prapare TBR (FAILED) Prapare TBR (FAILED) TBR Meeting (FAILED) TBR Meeting (FAILED) TBR Request is revoked Rejection by task owner Review cancelled Preparation canceled TBR Request is sent Patient is scheduled TBR is prepared Finalized XTB-WD process (workflow closed) Preliminary TBR report is ready

12. XTB-WD Document Request TBR XTB-WD workflow steps Request TBR Schedule TBR PrepareTBR TBR Meeting Finalize TBR Create Workflow Document XTB-WD Document Schedule TBR Header/status update Input: Request Document Output: Decision Note Request TBR Header/status update Input: Clinical Documents Output: Request Document Consume Workflow Document XTB-WD Document Prepare TBR Header/status update Input: Decision Note Output: Extra Documents Request TBR Schedule TBR XTB-WD Document TBR meeting Header/status update Input: (All documents) Output: TBR Report Request TBR Schedule TBR Prepare TBR XTB-WD Document Finalize TBR Header/status update Input: TBR Report Output: validated TBR Report Request TBR Schedule TBR Prepare TBR TBR meeting Update Workflow Document

13. XTB-WD Document Request TBR EHDI-WD workflow steps Request TBR Schedule TBR PrepareTBR TBR Meeting Finalize TBR Create Workflow Document XTB-WD Document Schedule TBR Header/status update Input: Request Document Output: Decision Note Request TBR Header/status update Input: Clinical Documents Output: Request Document Create Output Document(s) Consume Output Document(s) Consume Workflow Document XTB-WD Document Prepare TBR Header/status update Input: Decision Note Output: Extra Documents Request TBR Schedule TBR XTB-WD Document TBR meeting Header/status update Input: (All documents) Output: TBR Report Request TBR Schedule TBR Prepare TBR XTB-WD Document Finalize TBR Header/status update Input: TBR Report Output: validated TBR Report Request TBR Schedule TBR Prepare TBR TBR meeting Update Workflow Document

14. Request TBR COMPLETED TBR is requested TBR meeting Schedule TBR COMPLETED TBR is scheduled Prepare TBR IN PROGRESS TBR is prepared COMPLETED TBR meeting COMPLETED TBR meeting is held TBR meeting Finalize TBR COMPLETED TBR report is finalized

15. Payers Advance Directives Support Functional Status Problems Family History Social History Alerts (e.g. Allergies, Adverse Events) Medications Medical Equipment Immunizations Vital Signs Results Procedures Encounters Plan of Care 17 CCD Sections

16. XOP-WD XTB-WD Diagnosis Screening TBR (pre-op) Chemotherapy Surgery Radiotherapy TBR (post-op) Follow-up Request TBR Schedule TBR Prepare TBR TBR Meeting Finalize TBR Palliative care Therapy Referral Hormone therapy XbER-WD Referral Requested Referral Scheduled Referral Referred Treatment plan

17. <Presentation element for schema’s Task 1 Task 2 Document 1 Document 2 Task 3 Document 3 Document 4 Task 4 Task 6 Document 7

18. Guidelines and protocols Guidelines and protocols Care pathway Scientific research Scientific research Evaluation Reporting and Registrations Protocols Research Literature Guidelines Evid. Based Med. Treatment Care Plan Palliative care Analysis Indicators Consultations Orders / referrals Legislation Studies Care Plan(s) Appointments

19. XDW profile: XTB-WD (Cross-enterprise Tumor Board Workflow Definition) Request TBR Schedule TBR Prepare TBR TBR Meeting Finalize TBR Clinical DocumentsRequest Document Decision NoteRequest Document Decision NoteDiscussion thread (All documents)TBR Report (prelim.) Tumor Board ReportTBR Report (prelim.) Input documentsOutput documentsTasks