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

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.

Benefits

<If the profile can improve Cost, Safety, Quality or Efficiency then list the specific examples of that benefit (e.g. error reduction, increased throughput) and how they come about (e.g. SWF reduces patient errors due to mistyped demographics at the modality by transfering demographics electronically from the Order Filler). Consider using a bullet list for readability. Such benefits help users and vendors make the business case for the profile. If the profile does not improve any aspect of Cost, Safety, Quality or Efficiency feel free to talk about something else here.>

Details

<A few paragraphs, if appropriate, providing more details (mostly in user-speak, not tech-speak) on what the profile does and how it works.>

<If the user might be familiar with the mechanisms used by the profile, you can mention them here. E.g. Evidence Documents is based on DICOM Structured Report (SR) Templates.>

<If the user might have an appreciation for the problems addressed in the profile, you can mention them here, but keep it short. E.g. Mapping HL7 Order fields to DICOM Modality Worklist attributes can be inconsistent in the marketplace, so Scheduled Workflow provides vendors with more detailed instructions.>

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

<The following sections can be left out if there is nothing to point to. This is just to show where such information can go.>

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