Document Metadata Subscription - IHE

IHE Technical Framework Supplement - Document Metadata Subscription (DSUB)21526.2.1 Document Metadata Publish Recipient OptionIf the Document Metadata Notification Broker supports this option, it shall accept and processDocument Metadata Publish transactions, representing applicable events for which there may bevalid subscriptions.26.3 Grouping220Each DSUB Actor shall be grouped with Secure Node or Secure Application Actor in order tomanage audit trail of exported PHI, node authentication and transport security. As a consequenceof this requirement, each DSUB Actor shall be grouped with the Time Client Actor as well.26.4 Document Metadata Subscription Process Flow26.4.1 Unexpected Notification Use Case225230A patient in the emergency department has all her relevant available documents retrieved viaXDS transactions. As initial triage of the patient is done, an additional document regardingdiagnostic results for this patient is registered in the XDS Document Registry. Currently, there isno way for the Emergency department to learn about the existence of this new information. Witha publish/subscribe infrastructure, the initial query to the XDS Document Registry would beaccompanied with a subscription request, as a result of which a notification would be sent to theemergency department. The subscription will be terminated once the patient is no longer underthe care of the emergency department's institution.2009-08-10 9 Copyright © 2009: IHE International