Mobile Health Document Sharing (MHDS)

This profile shows how to build a Document Sharing Exchange using IHE profiled FHIR® standard, rather than the legacy IHE profiles that is dominated by XDS and HL7® v2. This profile will assemble profiles and define a Document Registry.

Summary

The MHDS Profile specifies how a collection of IHE profiles can be used by communities for exchanging health information. These IHE profiles include support for patient identification, health document location and retrieval, provider directories, and the protection of privacy and security. MHDS shows how several IHE profiles work together to provide a standards-based, interoperable approach to community health information sharing. The IHE IT Infrastructure Domain has published several resources to support document sharing:

• ITI Technical Framework: Vol. 3 - Section 4.0 Metadata used in Document Sharing
• Health Information Exchange: Enabling Document Sharing Using IHE Profiles
• Document Sharing Metadata Handbook
• Template for XDS Affinity Domain Deployment Planning

Benefits

This MHDS Profile defines a Document Sharing Exchange that is based around the HL7 FHIR standard, following the principles described in the Health Information Exchange: Enabling Document Sharing Using IHE Profiles whitepaper. This Document Sharing exchange requires the same management of metadata as described in the Document Sharing Metadata Handbook.

Details

This profile orchestrates actors in many existing IHE profiles and creates one new actor. The actor that is specific to this profile is a Document Registry. Figure X.1-1 shows a detailed Actor diagram for the MHDS Document Registry.

The Document Registry is grouped with a set of actors from other profiles.

• MHD - Document Responder supports publication requests by the MHD Document Source. The Comprehensive Metadata Option is required.
• MHD - Document Recipient supports the discovery and retrieval of documents by MHD Document Consumer.
• PMIR - Patient Identity Consumer provides patient identity synchronization and specifically the merge function to be applied to any data managed in the Document Registry.
• SVCM - Consumer enables the Document Registry to gain access to ValueSets that the Registry is enforcing Metadata consistency.
• mCSD - Consumer enables the Registry to have access to Organization and Practitioner resources.
• IUA – Authorization Server and Resource Server enforces access control decisions.
• ATNA - Secure Node enable the Document Registry to be secure, record audit records, and support secure transactions.
• CT - Time Client assures that all records of time done by the Document Registry are aligned with the Time Source.

Systems Affected

<List (in user terms) the types of systems they might expect to have implemented actors from this profile, e.g. RIS, PACS, HIS, CAD Workstation, etc. and for each, how it would participate.>

• PACS systems may store, manage, and/or display Evidence Documents.
• Display systems may query, retrieve and display Evidence Documents.
• Reporting workstations may retrieve, process and include details from Evidence Documents in reports

Actors & Transactions:

<Insert an actor-transaction diagram, and or list of Content Definitions>

Specification

Profile Status: Final Text <Replace "Final Text" with "Trial Implementation" or "Public Comment" as appropriate.>

Documents:

<Provide direct links to the specific volumes or supplements, and list the volume sections relevant to this profile. This is a simple inventory of official normative and informative text. If you would like to provide a reading guide or walkthrough of what is in each of the different sections for implementers or users, do that in the Profile FAQ or the Profile Implementation Page linked below. If the profile uses transactions from multiple Tech. Frameworks, repeat the structure below.>

IHE Radiology Technical Framework:

• Vol. 1 - Section 5 (SWF Profile)
• Vol. 2 - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
• Vol. 3 - Appendix E

Underlying Standards:

<list all the standards on which the profile is based; if possible with links to sources>

• DICOM
• HL7
• ...

See Also

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Related Profiles

<List profiles this one depends on, profiles that depend on this one, profiles that are synergistic with this one. Start with the name of the other profile as a link and then explain the relationship.>

• Reporting Workflow [RWF] may use Evidence Documents as inputs to the reporting process.
• Simple Image & Numeric Reports [SINR] may include data copied from Evidence Documents.
• Cross-enterprise Document Sharing for Imaging [XDS-I] can be used to share Evidence Documents between sites over a network.
• Portable Data for Imaging [PDI] can store Evidence Documents on media such as CDs.
• Import Reconciliation Workflow [IRWF] can fix patient ids, etc. of Evidence Documents when importing.

Consumer Information

The Profile FAQ Template answers typical questions about what the Profile does. <Replace the link with a link to the actual FAQ page for the Profile>

The Profile Purchasing Template describes considerations when purchasing equipment to deploy this Profile. <Replace the link with a link to the actual Purchasing page for the Profile>

Implementer Information

The Profile Implementation Template provides additional information about implementing this Profile in software. <Replace the link with a link to the actual Implementation page for the Profile>

Reference Articles

<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis). Go ahead, Google: IHE <Profile Name> abstract or Google: IHE <Profile Name> and under the "more" select "Scholar". You might be surprised. >

See https://github.com/IHE/IT-Infrastructure/tree/master/MHDS for draft under development

This page is based on the Profile Overview Template