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Cross-Enterprise Document point-to-point Interchange (XDI)

The Cross-Enterprise Document Interchange (XDI) framework enhances point-to-point communication in healthcare, facilitating seamless information exchange among referring physicians, specialists, and primary care providers. With its secure transport methods and compatibility with existing standards like XDS, XDI allows for the efficient sharing of patient-centered documents, discharge letters, and personal health records (PHRs). This innovative approach maximizes the reuse of existing XDS objects and metadata, ensuring a streamlined communication process across various care facilities, ultimately improving patient care and coordination.

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Cross-Enterprise Document point-to-point Interchange (XDI)

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  1. Cross-Enterprise Document point-to-point Interchange (XDI) Emmanuel Cordonnier, ETIAMJohn T. Donnelly, Interpro

  2. Consulting to referring physicians Specialist, Radio or Lab GP / PCP Doctor A Remote advice Hospital-doctor communication Patient Transfer Personal Health Record (PHR)to ED/Primary Care EMR Acute Care Dischargeto Extended Care Facility (ECF) Hospital Acute Care / ED Care Facility Cross-Enterprise Document InterchangeUses Cases

  3. XDIValue proposition • Complementary to sharing documents (XDS), point-to-point communication of documents • Both transports: secure mail & media (CD…) • As XDS, “document content neutral” • Maximal re-use of XDS objects & meta-data • Compatible with exchange of images (PDI…) • Further “content profiles” may occur

  4. XDIScope • Interchange of patient centered documents • Transmission of results, discharge letters or patient referrals (not the "workflow" itself but all the medical information associated with (reports, results, images, signals…) • Personal Health Record medical information (history, etc), snapshots of clinical information (medication list, immunization records, etc), current observations from home care medical devices (e.g. blood pressure, blood sugar level, etc).

  5. XDI Key Technical Properties • Re-use XDS approach for documents • SubmissionSet, DocumentEntry, Folders • ebRS based XML meta-data w. limited extensions • Secure e-mail (ebMS over SMTP, S/MIME) • PDI like media profile w. XDS meta-data • Potential association with XDS & PDI at the actor level (Document Source…) • Further evolution possible for direct inter change over web services (MTOM…)

  6. IHE Web site: www.IHE .net • Frequently Asked Questions • Integration Profiles in Technical Frameworks: • Cardiology • IT Infrastructure • Laboratory • Patient Care Coordination • Radiology • Connectathon Results • Vendor Products Integration Statements • Participation in Committees & Connectathons

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