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Cross-Enterprise Sharing of Scanned Documents (IHE XDS-SD)

Name: Cross-Enterprise Sharing of Scanned Documents (XDS-SD)

Identifier: XDS-SD

Issuing Organisation: Integrating the Healthcare Enterprise (IHE)

Country: International

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/Cross-enterprise_Sharing_of_Scanned_Documents

Availability: Free to Access

Type: IHE Profile

Issue Year: unknown

Forward Review Date: Not known

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:

Cross Enterprise Sharing of Scanned Documents (XDS-SD) associates structured, healthcare metadata with non-healthcare specific document formats to maintain the integrity of the patient health record as managed by the source system.
Benefits: A variety of legacy paper, film, electronic and scanner outputted formats are used to store and exchange clinical documents. These formats are not designed for healthcare documentation, and furthermore, do not have a uniform mechanism to store healthcare metadata associated with the documents, including patient identifiers, demographics, encounter, order or service information. The association of structured, healthcare metadata with this kind of document is important to maintain the integrity of the patient health record as managed by the source system. It is necessary to provide a mechanism that allows such source metadata to be stored with the document. This profile defines how to couple such information, represented within a structured HL7 CDA R2 header, with a PDF or plaintext formatted document containing clinical information. Furthermore, this profile defines elements of the CDA R2 header necessary to minimally annotate these documents. Such header elements include information regarding patient identity, patient demographics, scanner operator identity, scanning technology, scan time as well as best available authoring information. Portions of CDA R2 header, along with supplemental document registration information, are then used to populate XDS Document Entry metadata.

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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