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Clinical Document Architecture

Clinical Document Architecture. Open Standards-based EPR Incorporating Radiology. Michael LaRocca. Agenda. Why are XDS, XDR, and CDA a perfect match? How do XDS, XDR, and CDA come together to achieve an Electronic Patient Record? How do RIS concepts and metadata map to XDS, XDR, and CDA?.

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Clinical Document Architecture

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  1. Clinical Document Architecture Open Standards-based EPR Incorporating Radiology Michael LaRocca

  2. Agenda Why are XDS, XDR, and CDA a perfect match? How do XDS, XDR, and CDA come together to achieve an Electronic Patient Record? How do RIS concepts and metadata map to XDS, XDR, and CDA?

  3. Roles of CDA, XDS, and XDR Clinical Content Community Sharing Direct Exchange CDA XDS XDR • Document Submission • Document Storage • Document Registration • Document Sharing • Document Submission • Document Receipt Patient Summary Referral Summary Discharge Summary Lab Report More…

  4. Goals of CDA

  5. Overlapping Goals of CDA, XDS, and XDR

  6. Agenda Why are XDS, XDR, and CDA a perfect match? How do XDS, XDR, and CDA come together to achieve an Electronic Patient Record? How do RIS concepts and metadata map to XDS, XDR, and CDA?

  7. XDSb Document Registry Global ID: XYZ IHE Core Services: Patient Identification via PIX(v3) Document Consumers EHR PHR Image Viewer Clinician Portal PIX(v3) / PDQ(v3) Manager Global ID: XYZ Local ID: ABC Local ID: DEF Local ID: GHI Local ID: JKL Document Sources EMR Registration System Lab System Radiology System

  8. Document 1 Document 2 Document 3 IHE Core Services: Document Submission via XDSb Document Consumers EHR PHR Image Viewer Clinician Portal PIX(v3) / PDQ(v3) Manager XDSb Document Registry Global ID: XYZ Global ID: XYZ Local ID: ABC Local ID: DEF Local ID: GHI Local ID: JKL XDSb Document Repository XDSb Document Repository Repository ID: 123 Repository ID: 456 Document ID: 1 Document ID: 2 Document ID: 3 Content Content Content Document Sources EMR Registration System Lab System Radiology System

  9. IHE Core Services: Document Consumption via XDSb Document Consumers EHR PHR Image Viewer Clinician Portal PIX(v3) / PDQ(v3) Manager XDSb Document Registry Global ID: XYZ Global ID: XYZ Local ID: ABC Local ID: DEF Document 1 Document 2 Local ID: GHI Local ID: JKL Document 3 XDSb Document Repository XDSb Document Repository Repository ID: 123 Repository ID: 456 Document ID: 1 Document ID: 2 Document ID: 3 Content Content Content Document Sources EMR Registration System Lab System Radiology System

  10. IHE Core Services: Cross Community Access via XCA Document Consumers EHR PHR Image Viewer Clinician Portal PIX(v3) / PDQ(v3) Manager XDSb Document Registry XCA Initiating Gateway Global ID: XYZ Global ID: XYZ Local ID: ABC Local ID: DEF Document 1 Document 2 Local ID: GHI Local ID: JKL Document 3 XDSb Document Repository XDSb Document Repository Repository ID: 123 Repository ID: 456 Document ID: 1 Document ID: 2 Document ID: 3 Content Content Content Document Sources EMR Registration System Lab System Radiology System

  11. IHE Core Services: Document Exchange via XDR Point-to-Point Source Destination Point-to-Point through intermediary components Source HISP Destination HISP Source Destination

  12. Agenda Why are XDS, XDR, and CDA a perfect match? How do XDS, XDR, and CDA come together to achieve an Electronic Patient Record? How do RIS concepts and metadata map to XDS, XDR, and CDA?

  13. Metadata Mapping: RIS to CDA to XDS and/or XDR

  14. Metadata Mapping: RIS to CDA to XDS and/or XDR

  15. Clinical Mapping: RIS to CDA

  16. DICOM SR “Basic Diagnostic Imaging Report” in CDA http://www.hl7.org/documentcenter/public/wg/imagemgt/SrCdaMapping01.pdf

  17. Clinical Document Architecture Open Standards-based EPR Incorporating Radiology Michael LaRocca

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