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Cross-2-Enterprise Sharing of Medical Summaries (IHE XDS-MS)

Name: Cross-Enterprise Sharing of Medical Summaries (IHE XDS-MS 2)

Identifier: IHE XDS-MS 2

Issuing Organisation: Integrating the Healthcare Enterprise (IHE)

Country: Int

Language: English

Organization website (opens in new window): https://www.ihe.net/

Link to standard (opens in new window): https://wiki.ihe.net/index.php/Medical_Summaries_Profile

Availability: Free to Access

Type: IHE Profile

Issue Year: unknown

Forward Review Date: unknown

Fields: Communication and Information  Digital Health  Health and Wellbeing 

Intended Audiences: Third (Voluntary) Sector Bodies, Private Sector Bodies, Professional and Trade Bodies, and Governmental and Public Sector Bodies

Abstract:

The Cross-Enterprise Sharing of Medical Summaries profile provides a mechanism to automate the sharing process between care providers of Medical Summaries, a class of clinical documents that contain the most relevant portions of information about the patient intended for a specific provider or a broad range of potential providers in different settings. Patient transfers and, therefore, the summary documents that accompany these transfers can be categorized into 3 primary types: Episodic, Collaborative, or Permanent. Medical Summaries are commonly created and consumed by electronic medical record systems at points in time of one of these types of transfers of care. For example, a referral note is a medical summary used for a collaborative transfer of care whereby a discharge summary is a medical summary reflecting an episodic transfer.

It uses HL7 Clinical Document Architecture (CDA) Release 2 and Care Record Summary as its base standard and constrains this to level 3 encoding for medications, allergies and problem lists.

Relevance to Active and Healthy Ageing: Medium

Older Person Specific: No

Usage / Adoption status: IHE Profile endorsed by European Commission for Public Procurement

Comments:

This IHE Profile is an essential building block in establishing interoperable digital tools in support of healthcare, thereby supporting seamless integrated healthcare for all generations incl. the elderly. This IHE Profile is mentioned in COMMISSION DECISION (EU) 2015/1302 of 28 July 2015 on the identification of ‘Integrating the Healthcare Enterprise’ profiles for referencing in public procurement (see Official Journal of the European Union, L199/43): (7) On 2 October 2014, the European multi-stakeholder platform on ICT standardisation evaluated 27 ‘Integrating the Healthcare Enterprise’ (IHE) profiles against the requirements set out in Annex II to Regulation (EU) No 1025/2012 and gave a positive advice to their identification for referencing in public procurement. The evaluation of the 27 IHE profiles was subsequently submitted to consultation of the eHealth network established by Article 14 of Directive 2011/24/EU of the European Parliament and of the Council (2) that confirmed the positive advice to their identification. (8) IHE develops ICT technical specifications in the field of healthcare information technology. The 27 IHE profiles are detailed specifications developed over a period of 15 years within the committees of IHE that optimise the selection of well-established standards describing the different layers of interoperability (i.e. protocol communication, technical, syntactical, semantic and application levels) with a view to find interoperability solutions for exchanging or sharing medical data. (9) The 27 IHE profiles have the potential to increase interoperability of eHealth services and applications to the benefit of patients and medical community. The 27 IHE profiles should therefore be identified as ICT technical specifications eligible for referencing in public procurement.

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