Xdm xdr point to point transmission of documents
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XDM / XDR Point-to-Point Transmission of Documents. ITI Planning Committee. Point-to-Point Transmission of Documents. XDS is the base XDM = exchange of XDS metadata and documents on Media XDR = exchange of XDS metadata and documents over reliable protocols. XDM.

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XDM / XDR Point-to-Point Transmission of Documents

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Xdm xdr point to point transmission of documents

XDM / XDR Point-to-Point Transmission of Documents

ITI Planning Committee


Point to point transmission of documents

Point-to-Point Transmission of Documents

XDS is the base

XDM = exchange of XDS metadata and documents on Media

XDR = exchange of XDS metadata and documents over reliable protocols


Xdm xdr point to point transmission of documents

XDM

  • XDM – Media Interchange (email, CD, etc.)

    • Documents and XDS Metadata shared via media

    • Options

      • USB

      • CD-R

      • ZIP over email

    • Imposes File/Directory structure on the media

    • Transport Multiple XDS Submission Sets

      • Each Submission Set has Metadata describing documents

    • Documents

      • Protocol structure of XDS imposed on file/directory organization


Xdm xdr point to point transmission of documents

XDM

XDM – Media Interchange (email, CD, etc.)

Uses

Release of documents to patient

Manual (in pocket or email) transfer of documents

Local display after receipt

Index.htm file required to support display

These are manual operations!

Works with XDS

XDS Query/Retrieve can feed XDM transmission

Point-to-point transfer via XDM can feed XDS submission


Xdm xdr point to point transmission of documents

XDM

Health Information Exchange

e.g. A

Hospital

e.g. Home

Read

Discharge summary + Lab report

Write

Interchange

Media

Discharge summary +Lab report

Read

e.g.Physician

Office

Generally more than two trading partners,


Xdm xdr point to point transmission of documents

XDR

XDR – Reliable Interchange

Single Submission Set per transfer

Optionally identify intended recipients

More like XDS than XDM

Reliable asynchronous point-to-point transmission of XDS content (metadata and documents) over reliable communications

A new profile but really just documents how to use Provide and Register transaction [ITI-15] (same as XDS) to perform point-to-point transfers.


Xdm xdr point to point transmission of documents

XDR

XDR – Reliable Interchange

Reliable transfer comes from ebMS Messaging Services Specification v2.0

Online vs. Offline

Online = over direct TCP connection

Offline = over SMTP

Works with XDS

XDS Query/Retrieve can feed XDR transmission

Point-to-point transfer via XDR can feed XDS submission


Xdm xdr point to point transmission of documents

XDR

Health Information Exchange

e.g. A Specialist

Office

e.g. A

Clinic

Send to

Send to

Switch

A referral summary + lab report

A referral summary + lab report

Two specific trading partners,


Combining xdm xdr

Combining XDM / XDR

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


Flexible infrastructure

Flexible Infrastructure

Send to

Send to

Switch

Interchange

Media

Write

Read

Health Information Exchange

XDS

Structuredobjects

Pull

Publish

Pull

XDR

XDM


Point to point transmission of documents1

Point-to-Point Transmission of Documents

  • Complementary to sharing documents (XDS), point-to-point communication of documents

  • Both transports: secured mail & media (CD…)

  • As XDS, “document content agnostic”

  • Maximal re-use of XDS objects & meta-data

  • Compatible with exchange of images (PDI…)

  • All XDS “content profiles” apply


Point to point transmission of documents2

Point-to-Point Transmission of Documents

  • Interchange of patient centered documents

  • Transmission of results, discharge letters or patient referrals (not the "workflow" itself but all the medical information associated with - e.g. 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).


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