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XDS - IHE

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<strong>IHE</strong> Radiology Technical Framework Supplement - <strong>XDS</strong>-I.b______________________________________________________________________________Modify RAD TF-1:18 as follows18 Cross-eEnterprise Document Sharing for Imaging (<strong>XDS</strong>-I.b)Integration Profile200205210215220225230IMPORTANT: The Cross-Enterprise Document Sharing for Imaging (<strong>XDS</strong>-I) IntegrationProfile (originally found here) has been deprecated and is replaced by a functionallyequivalent profile called Cross-Enterprise Document Sharing for Imaging (<strong>XDS</strong>-I.b), whichis described in the remainder of this section.The Cross-Enterprise Document Sharing (<strong>XDS</strong>) Profiles in the <strong>IHE</strong> IT Infrastructure Domainprovides a solution for sharing (publishing, finding and retrieving) documents across a group ofaffiliated enterprises. The <strong>XDS</strong> for Imaging (<strong>XDS</strong>-I.b) Profile, defined here, extends andspecializes the mechanisms defined by <strong>XDS</strong>.b to support imaging “documents”, specificallyincluding the following:Imaging studies that include images acquired on a broad range of different modalities,as well as evidence documents (e.g. post-processing measurements/analysisoutcome), and presentation states.Diagnostic reports resulting from the interpretation of one or more related imagingstudies provided in a ready-for-display formA selection of diagnostically significant images associated with the report content.These document types along with the actor capabilities required to share them are defined by thisprofile.Since the <strong>XDS</strong> for Imaging (<strong>XDS</strong>-I.b) Profile depends on and extends the IT Infrastructure<strong>XDS</strong>.b Profile including the use of terms defined in <strong>XDS</strong> (e.g., <strong>XDS</strong> aAffinity dDomain,submission set, etc.) the reader of <strong>XDS</strong>-I.b is expected to have read and understandsunderstood the <strong>XDS</strong> Profiles (See ITI TF-1: 10). The <strong>XDS</strong>-I.b specification does not repeatrequirements and text for the <strong>XDS</strong>-defined Actors Document Repository, Document Registry,and Document Consumer, and does not place any new requirements on these actors.Both the <strong>XDS</strong>.b and <strong>XDS</strong> for Imaging (<strong>XDS</strong>-I.b) Profiles are not intended to address all crossenterpriseEHR communication needs. Many scenarios may require the use of other <strong>IHE</strong>Integration profiles, such as Patient Identifier Cross-Referencing (PIX), Audit Trail and NodeAuthentication (ATNA), Enterprise User Authentication (EUA), Cross-eEnterprise UserAuthentication (XUA) and Retrieve Information for Display (RID). Other scenarios may be onlypartially supported, while still others may require future <strong>IHE</strong> Integration profiles, which will bedefined by <strong>IHE</strong> as soon as the necessary base standards are available. Specifically:1. The operation of any <strong>XDS</strong>-I Clinical <strong>XDS</strong> Affinity Domain will require that a propersecurity model be put in place. It is expected that a range of security models should be__________________________________________________________________________Rev. 1.1 - 2009-06-2112Copyright © 2009: <strong>IHE</strong> International

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