EMS Interoperability Solutions
0.1.1-current - ci-build International flag

EMS Interoperability Solutions, published by IHE Patient Care Coordination Technical Committee. This is not an authorized publication; it is the continuous build for version 0.1.1-current). This version is based on the current content of https://github.com/IHE/EMS-Overall/ and changes regularly. See the Directory of published versions

Consuming Document Sharing

This is the general flow for interaction with an IHE-based HIE.

Breaks down to: Patient Discovery, Query for Documents, and Retrieve Document. This pattern is available in XDS community, XCA that provides federated support for multiple communities, MHDS that provides a FHIR based community, and MHD which provides a FHIR simplified API to these communities.

Consumption HIE FlowConsumerConsumerHealth Information ExchangeHealth Information ExchangePatient Discovery (PD)XCPD, PDQ*, PIX*, PMIR1Patient lookup by demographics or identityProvide whatever details are known2Here are closest matches3Review results for best matchQuery for Documents (QD)XDS, XCA, MHD, MHDS4Look for Medical SummaryQuery for typeCode=LOINC34133-9Likely OnDemand Document Entry.5Here is the list of possible Medical Summaries6Pick the freshest or best entry from available document entriesRetrieve Document (RD)XDS, XCA, MHD, MHDS7RetrievethisdocumentDocument location may be HIE or sourceCCD / IHE-XPHR,C-CDAorIPS8Utilize Medical Summary to treat patient


Figure: Use Case 0 General Consumer Process Flow