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Subject: Groups - Enhancing IHE XDS for Federated Clinical Affinity Domain Support (DogacLaleciAdenEichelberg.pdf) uploaded
One of the key problems in healthcare informatics is the inability to share patient records across enterprises. To address this problem, an important industry initiative called "Integrating the Healthcare Enterprise (IHE)" specified the "Cross Enterprise Document Sharing (XDS)" Profile. In the IHE XDS, healthcare enterprises that agree to work together form a "Clinical Affinity Domain" and store healthcare documents in an ebXML registry/repository architecture to facilitate their sharing. The affinity domains also agree on a common set of policies such as coding lists to be used to annotate clinical documents in the registry/repository and the common schemes for patient identification. However, since patients expect their records to follow them as they move from one clinical affinity domain to another, there is a need for affinity domains to be federated to enable information exchange. In this article we describe how IHE XDS can be enhanced to support federated clinical affinity domains. We demonstrate that federation of affinity domains are facilitated when ontologies, rather than coding term lists, are used to annotate clinical documents. Furthermore we describe a patient identification protocol that eliminates the need to keep a master patient index file for the federation. This work is performed within the scope of the Artemis project (http://www.srdc.metu.edu.tr/webpage/projects/artemis/) supported by the European Commission and a shorter version of this article is submitted for publication. -- Ms. Asuman Dogac* The document named Enhancing IHE XDS for Federated Clinical Affinity Domain Support (DogacLaleciAdenEichelberg.pdf) has been submitted by Ms. Asuman Dogac* to the OASIS International Health Continuum (IHC) TC document repository. Document Description: One of the key problems in healthcare informatics is the inability to share patient records across enterprises. To address this problem, an important industry initiative called "Integrating the Healthcare Enterprise (IHE)" specified the "Cross Enterprise Document Sharing (XDS)" Profile. In the IHE XDS, healthcare enterprises that agree to work together form a "Clinical Affinity Domain" and store healthcare documents in an ebXML registry/repository architecture to facilitate their sharing. The affinity domains also agree on a common set of policies such as coding lists to be used to annotate clinical documents in the registry/repository and the common schemes for patient identification. However, since patients expect their records to follow them as they move from one clinical affinity domain to another, there is a need for affinity domains to be federated to enable information exchange. In this paper we describe how IHE XDS can be enhanced to support federated clinical affinity domains. We demonstrate that federation of affinity domains are facilitated when ontologies, rather than coding term lists, are used to annotate clinical documents. Furthermore we describe a patient identification protocol that eliminates the need to keep a master patient index file for the federation. View Document Details: http://www.oasis-open.org/apps/org/workgroup/ihc/document.php?document_id=13347 Download Document: http://www.oasis-open.org/apps/org/workgroup/ihc/download.php/13347/DogacLaleciAdenEichelberg.pdf PLEASE NOTE: If the above links do not work for you, your email application may be breaking the link into two pieces. You may be able to copy and paste the entire link address into the address field of your web browser. -OASIS Open Administration
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