Query for Documents Within a Specific Health Information Exchange Domain

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	IHE-XDS (Cross-enterprise document sharing)	Final	Production		No	Free	Yes Yes
Implementation Specification	IHE-PDQ (Patient Demographic Query)	Final	Production		No	Free	Yes Yes
Implementation Specification	IHE-PIX (Patient Identifier Cross-Reference)	Final	Production		No	Free	Yes Yes
Implementation Specification	HL7® FHIR® DaVinci Clinical Data Exchange (CDex) Implementation Guide	Balloted Draft	Pilot		No	Free	No
Implementation Specification	HL7 FHIR DaVinci Provider Data Exchange (PDex) Implementation Guide	Balloted Draft	Pilot		No	Free	No
Emerging Implementation Specification	IHE – MHD (Mobile Access to Health Documents	Balloted Draft	Pilot		No	Free	Yes
Emerging Implementation Specification	IHE-PIXm (Patient Identifier Cross-Reference for Mobile)	Balloted Draft	Pilot		No	Free	No
Emerging Implementation Specification	IHE-PDQm (Patient Demographics Query-Reference for Mobile)	Balloted Draft	Pilot		No	Free	No
Emerging Implementation Specification	IHE - MHDS (Mobile Health Document Sharing)	Balloted Draft	Pilot	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
IHE-PIX and IHE-PDQ are used for the purposes of patient matching and to support this interoperability need along with IHE-XDS. The MHD Supplement Revision 2.2 published in April 2016 is based on FHIR DSTU2. IHE-PIXm and IHE-PDQm are used for the purposes of patient matching and to support this interoperability need along with MHD. The Document Sharing exchange infrastructure is a family of implementation guides specifically designed to support this setting. This includes the FHIR based Mobile Health Document Sharing (MHDS) comprehensive community exchange. Both XDS and MHDS enable the automation of discovery and retrieve of document content by more advanced health information systems.	Secure Communication – Create a secure channel for client-to-server and server-to-server communication. Secure Message Router – Securely route and enforce policy on inbound and outbound messages without interruption of delivery. Authentication Enforcer – Centralized authentication processes. Authorization Enforcer – Specifies access control policies. Credential Tokenizer – Encapsulate credentials as a security token for reuse (e.g., SAML, Kerberos). Assertion Builder – Define processing logic for identity, authorization and attribute statements. User Role – Identifies the role asserted by the individual initiating the transaction. Purpose of Use – Identifies the purpose for the transaction.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

IHE-PIX and IHE-PDQ are used for the purposes of patient matching and to support this interoperability need along with IHE-XDS.
The MHD Supplement Revision 2.2 published in April 2016 is based on FHIR DSTU2.
IHE-PIXm and IHE-PDQm are used for the purposes of patient matching and to support this interoperability need along with MHD.
The Document Sharing exchange infrastructure is a family of implementation guides specifically designed to support this setting. This includes the FHIR based Mobile Health Document Sharing (MHDS) comprehensive community exchange. Both XDS and MHDS enable the automation of discovery and retrieve of document content by more advanced health information systems.

Secure Communication – Create a secure channel for client-to-server and server-to-server communication.
Secure Message Router – Securely route and enforce policy on inbound and outbound messages without interruption of delivery.
Authentication Enforcer – Centralized authentication processes.
Authorization Enforcer – Specifies access control policies.
Credential Tokenizer – Encapsulate credentials as a security token for reuse (e.g., SAML, Kerberos).
Assertion Builder – Define processing logic for identity, authorization and attribute statements.
User Role – Identifies the role asserted by the individual initiating the transaction.
Purpose of Use – Identifies the purpose for the transaction.

Comment

Submitted by John Moehrke on 2021-09-08

IHE - Document Sharing

The Document Sharing exchange infrastructure is a family of implementation guides specifically designed to support this setting.

https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html

This includes the FHIR based Mobile Health Document Sharing (MHDS) comprehensive community exchange.

Both XDS and MHDS enable the automation of discovery and retrieve of document content by more advanced health information systems.