Application of PIX PDQ to Provide Patient Identity Service in XDS Environment

1
Application of PIX / PDQ to Provide Patient
Identity Service in XDS Environment

• Glossary
• XDS Cross-Enterprise Document Sharing
• Affinity Domain A group of healthcare
  enterprises that have agreed to work together
  using a common set of policies and to share a
  common infrastructure of repositories and a
  registry.

2
IHE ITI Integration Profile XDS Clinical
Information Sharing in RHIO
XAD Patient Identity Source
Patient Identity Feed
ED Application
Document Registry
PACS
Document Repository
EHR System
Document Repository
Register
Query Document
Provide Register
Retrieve Document
Teaching Hospital
XDS Clinical Affinity Domain
3
Look-Up XDS Affinity Domain Patient ID with Local
PIX Service
XAD Patient Identity Source
Patient Identity Feed
Patient Identity Feed
Patient Identity Feed
Patient Identity Feed
US Exam System
ED Application
Patient Identity Feed
Physician Office
Patient Identity Feed
Document Registry
PACS
Document Repository
PIX Query
PIX Query
EHR System
Document Repository
Register
Query Document
PACS
Provide Register
Retrieve Document
Lab Info. System
Teaching Hospital
Community Clinic
XDS Clinical Affinity Domain
4
Look-Up XDS Affinity Domain Patient ID with
Affinity Domain PIX Service
Patient Identity Feed
Patient Identity Feed
XAD Patient Identity Source
US Exam System
ED Application
Physician Office
Patient Identity Feed
Patient Identity Feed
Document Registry
PACS
Document Repository
PIX Query
PIX Query
EHR System
Document Repository
Query Document
Register
PACS
Provide Register
Retrieve Document
Lab Info. System
Teaching Hospital
Community Clinic
XDS Clinical Affinity Domain
5
Query Affinity Domain PDQ Service for XDS
Affinity Domain Patient ID
XAD Patient Identity Source
US Exam System
ED Application
Physician Office
Patient Identity Feed
Document Registry
PACS
Document Repository
PDQ Query to Acquire XAD Patient ID
PDQ Query to Acquire XAD Patient ID
EHR System
Document Repository
Query Document
Register
PACS
Provide Register
Retrieve Document
Lab Info. System
Teaching Hospital
Community Clinic
XDS Clinical Affinity Domain
6
IHE IT Infrastructure Integration Profiles
Provide a Solid Foundation for EHR Management

• Cross-enterprise Patient Health Information
  Management Architectural Principles
• A Patient Information Source administers patient
  records (demographics) and manages a Patient
  Identification Domain to identify these patient
  records on that domain
• Patient ID is assigned / maintained within a
  managed Patient Identification Domain
• Search patient records (in a patient information
  source)
• ? PDQ Integration Profile
• Look-up Patient ID in federated domains
• ? PIX Integration Profile
• Locate healthcare information (documents or
  services)
• ? XDS Integration Profile

7
IHE PIX / PDQ Profiles Implementation
Considerations
Administration and Service Functions
PIX Notification Service
PIX Query Service
Patient Identity Feed Service
HL7
HL7
PDQ Service
Enhanced PDQ Service
Master Patient ID Domain
Patient Identity Source
MPI Service
Service defined in IHE Technical Framework
Service out of IHE scope