IHE Patient Care Coordination Technical Framework Vol I

PCC Technical Framework V3.0, vol. 1
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400
Integration
Profile
Depends on Dependency Type Purpose
Cross-
Enterprise
Document
Sharing (XDS)
Implementers of a PCC Content Profile may
implement the XDS Profile to enable sharing
of the clinical documents within an XDS
Affinity Domain. When the XDS profile is
used to provide document interchange, each
PCC Content Creators must be grouped with
an XDS Document Source actor, and each
PCC Content Consumer must be grouped
with an XDS Document Consumer actor.
Ensure that the sharing of
PCC Document Content
Profiles within an XDS
Affinity Domain can coexist
with the sharing of
other types of documents
(e.g. imaging, ECG, etc.)
All PCC Content
Profiles
Cross-
Enterprise
Document
Media
Interchange
(XDM)
Cross-
Enterprise
Document
Reliable
Interchange
(XDR)
Implementers of a PCC Content Profile may
implement the XDM Profile to enable
sharing of the clinical documents using
media. When the XDM profile is used to
provide document interchange, each PCC
Content Creator must be grouped with an
XDM Portable Media Creator actors, and
each PCC Content Consumer must be
grouped with an XDM Portable Media
Consumer.
Implementers of a PCC Content Profile may
implement the XDR Profile to enable
sharing of the clinical documents using
reliable point-to-point network messages.
When the XDR profile is used to provide
document interchange, each PCC Content
Creator must be grouped with an XDR
Document actor, and each PCC Content
Consumer must be grouped with an XDR
Document Recipient.
Ensure that the sharing of
PCC Document Content
Profiles on media can coexist
with the sharing of
other types of documents
(e.g. imaging, ECG, etc.)
Ensure that the sharing of
PCC Document Content
Profiles through reliable
point-to-point messages
can co-exist with the
sharing of other types of
documents (e.g. imaging,
ECG, etc.)
Audit Trail and
Node
Authentication
(ATNA)
Each Content Creator and Content
Consumer actor shall be grouped with the
ATNA Secured Node Actor
Required to manage audit
trail of exported PHI,
node authentication, and
transport encryption.
Consistent Time
(CT)
Each Content Creator and Content
Consumer actor shall be grouped with the
Time Client Actor
Required to manage and
resolve conflicts in
multiple updates.
Exchange of
Personal Health
Record Content
(XPHR)
Document
Digital
Signatures
(DSG)
XPHR Actors should digitally sign the
content, and verify the digital signature of
the content before importing it.
Ensures that content is not
maliciously or even
accidentally altered when
tranmitted between PHR
and EHR systems.
Basic Patient
Privacy
XDS Scanned
Documents
Document Sources publishing Consent
documents must use the XDS-SD profile
When the patient uses wet
signatures (ink on paper),
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Revision 3.0 Public Comment — June 25, 2007
Copyright © 1997-2007: ACC/HIMSS/RSNA