XDS

XDS stand for Cross-Enterprise Document Sharing is an interoperability profile that facilitates the registration, distribution and access across health enterprises of patient electronic health records.

Cross-Enterprise Document Sharing (XDS) is focused on providing a standards-based specification for managing the sharing of documents between any healthcare enterprise, ranging from a private physician office to a clinic to an acute care in-patient facility and personal health record systems. This is managed through federated document repositories and a document registry to create a longitudinal record of information about a patient within a given clinical affinity domain. These are distinct entities with separate responsibilities:

• A Document Repository is responsible for storing documents in a transparent, secure, reliable and persistent manner and responding to document retrieval requests.
• A Document Registry is responsible for storing information about those documents so that the documents of interest for the care of a patient may be easily found, selected and retrieved irrespective of the repository where they are actually stored.
• Documents are provided by one or more Document Sources
• They are then accessed by one or more Document Consumers

Actors & Transactions

XDS consist of 10 profiles with respective transactions. Those are XDS.b(ITI-18, ITI-41, ITI-43, ITI-57, ITI-61, ITI-62), XCA(ITI-38, ITI-39), XDR(ITI-41, ITI-62), XDW(XDS.b)(ITI-18, ITI-41, ITI-43), XCF(ITI-63), MPQ(ITI-51), DSUB(ITI-52, ITI-53, ITI-54), XCPD(ITI-55, ITI-56), XCMU(ITI-X1) and CT(ITI-1).

 

Document Consumer

11936, 11937, 11938, 11940, 11941, 11942, 11943, 11944, 11945, 11946, 11947, 11948, 12020, 12023, 12342, 12343, 12363, EVS_ITI-18, EVS_ITI-43

Reference

• Cross-Enterprise Document Sharing
• XDS.b Implementation
• Profile Implementation Template
• Annotated Provide And Register Transaction.b
• XDS Test Kit Test Descriptions
• XDStarClient