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IHE XDS mapping to HL7 v3

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Actors/Transactions in the IHE XDS Profile

This section contains a mapping from the IHE XDS artifacts to the HL7 Act Reference shared message topic.

Mapping of IHE Actors to Application Roles

Document Registry:

  • COMT (Shared Messages) Act Reference Registry [ITI-14]
  • RCMR (Medical Records) Shared Clinical Document Directory [ITI-14]
  • COMT (Shared Messages) Act Reference Registry [ITI-16]

Document Repository:

  • RCMR (Medical Records) Content Required Document Management System
  • COMT (Shared Messages) Act Reference Comprehensive Requester [ITI-14]

Document Source:

  • RCMR (Medical Records) Document Originator [ITI-15]

Document Consumer:

  • RCMR (Medical Records) xxxxxx [ITI-16]
  • COMT (Shared Messages) Act Reference Query Fulfiller [ITI-16]

Mapping of IHE Transactions to HL7 Domains/Interactions

ITI-14: Register Document Set:

  • COMT (Shared Messages) – Active/Revise/Nullify Act Reference interactions
  • RCMR (Medical Records) – Document .. Notification

ITI-15: Provide and Register Document Set:

  • RCMR (Medical Records) – Various “Document …” interactions

ITI-16: Query Documents:

  • COMT (Shared Messages) – Find Act Reference Registries Query/Response

ITI-17: Retrieve Document:

  • RCMR (Medical Records) – xxxxxx

Terminology Mapping

Document Entry: Act Reference (of any class, in any mood) Folder: Act (and Act Reference) of class FOLDER Submission Set: Batch Transmission wrapper. The purpose of a submission set is to guarantee atomicity of a set of submissions. A Submission Set is a persistent entity, whereas a batch wrapper in HL7 isn’t.

Metadata attribute mapping

IHE XDS Attribute HL7 v3 mapping Comments
XDSDocument. availabilitystatus RegistrationProcess. statusCode Approved = completed; Deprecated = obsolete; Deleted = nullified.
XDSDocument. recordTargetId ActReference.recordTarget
XDSDocument. uniqueId / XDSSubmissionSet. id / XDSFolder. id ActReference.id
XDSDocument. documentEntryUUID No support. IHE ebXML implementation issue. Not required in messages; the UUID (if used at all) is internal to the registry
XDSDocument. URI ActReference.id + Message.sender.device.id
XDSDocument. Code ActReference.code Document type
XDSDocument. codeDisplayName / XDSFolder. codeDisplayNameList ActReference.code (displayName)
XDSDocument. eventCode A DOC association with an identified Act in EVN mood.
XDSDocument. eventCodeDisplayName See previous row.
XDSSubmissionSet .code / XDSFolder. codeList Type of clinical activity that caused these documents/ this folder to be submitted. DOC association with an Act in DEF mood ?
XDSDocument. Title ActReference.code (displayName)
XDSDocument. confidentialityCode ActReference. confidentialityCode
XDSDocument. serviceStartTime ActReference. effectiveTime, start of interval
XDSDocument. serviceStopTime ActReference. effectiveTime, end of interval
XDSDocument. languageCode ???
XDSDocument. authorInstitution ActReference.author
XDSDocument. authorPerson ActReference.author
XDSDocument. legalAuthenticator ActReference.author, with signature ?
XDSDocument. sourceRecordTargetId ActReference.recordTarget
XDSDocument. sourceRecordTargetInfo ActReference.recordTarget
XDSDocument. parentDocumentRelationship Association of type RPLC (replacement), APND (addendum) or XFRM (transformation) with the related (and identified) Act.
XDSDocument. parentDocumentId See previous row.
XDSDocument. healthcareFacilityTypeCode ActReference.author, RoleCode of the Organization entity
XDSDocument. formatCode ActReference.classCode (not a 100% match) Format of the originall/full act (e.g. CDA document, v3 messaging act)
XDSDocument. Size Not available No plans to support this
XDSDocument. Hash Not available No plans to support this
RegistryEntry. status ???
XDSSubmissionSet. SourceId Message.sender.device.id
XDSSubmissionSet. submissionTime / XDSFolder. lastUpdateTime ControlActProcess. effectiveTime Time of the submission/ update event
XDSSubmissionSet. contactInfo Batch Transmission wrapper. sender. device. agent. organization. contactPerson
XDSSubmissionSet. comments Not supported. Free text.