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This proposal introduces a system for linking medical documents with various relationships, improving document organization and accessibility in healthcare settings. By utilizing semantic network structures, it enhances the management of diagnoses, procedures, treatments, and reports. Additionally, it offers external and internal linking capabilities, enabling better information flow and data retrieval. The application of this linking system aims to streamline healthcare processes and ensure comprehensive patient care.
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IHE ITI Proposal (2008-2009):XDS Document Linking Frank Oemig IHE ITI Webinar 02.10.2008
Standard Use Case Registry/Repository Folder 1 Too many Grouping Folder 2 Folder 3 t
summary report about „xxx“ summary report about „xxx“ suspicion of „xxx“ observation for „xxx“ confirmation of „xxx“ treatment on „xxx“ Possible Relationships Documents "filtered record" Actions Diagnosis Procedure Diagnosis Procedure t
Semantic Network any Symptom observation indicates hypothetic diagnosis diagnosis is-a causes order diagnostic procedure results in results in Summary Report assured diagnosis excluded diagnosis indicates therapy plan part of medication therapeutic encounter therapeutic procedure inpatient visit is-a surgery
External Links • Metadata to documents • Visible from outside • Usable in queries relation between documents Add typed Relationship for a document to other documents Doc. 1 Doc. 2 t New option to XDS!
Internal Links • Requires to open the document Can be hidden in record Doc. 1 (Diagnosis under suspect) Doc. 2 (Procedure) Doc. 3 (excluded diagnosis) t
Internal Links with a special View Doc. • Requires to open the document • May provide individual views relation between documents Doc. 1 Doc. 2 Doc. n View Doc. ... t
CDA: built-in Links CDA has several options for links • Related document (versioning) • Authorization/Consent • (Encounter) • External References • Act • Observation • Procedure • External Document • EntryRelationship Provided by XDS Cooperation PCC/DCM?! Requires Additional Specifications New profile for CDA?
Q & A
Thank you for your Attention!