Community A as a XDS Affinity Domain

Communities B, C, D …

Government Services

Identity Provider

Core Community Components

Secondary Systems

MPI

GW

Patient Portal

Health Professional Portal, Primary Systems

i [ITI-45] i [ITI-47] Patient Demographics Query HL7 V3

i [ITI-44]

i [ITI-18]

i [ITI-18]

i [ITI-41] i [ITI-43]

i [ITI-43]

i [ITI-38] Cross Gateway Queryi [ITI-39] Gross Gateway Retrievei [ITI-55] Gross Gateway Patient Discovery

i [ITI-18]

i [ITI-18]i [ITI-18] i [ITI-42] i [ITI-43] i [ITI-43]

i [ITI-1] ih [ITI-19]

i [ITI-20]

i [ITI-20]ih [ITI-19]

ih [ITI-19] h [ITI-20]

h [ITI-20]

i [ITI-1]

i [ITI-48] i [ITI-60]

i [ITI-40]

i [ITI-40] Provide X-User Assertion

Get X-User Assertions other Assertion transcations

i [ITI-1]

i [ITI-43]

h [ITI-38]h [ITI-39]h [ITI-55]

i [ITI-58] i [ITI-59] i [CH:PIDD]

i [ITI-58] Provider Information Queryi [ITI-59] Provider Information Feedi [CH:PIDD] Provider Information Delta Download

i [ITI-48] Retrieve Value Setsi [ITI-60] Retrieve Multiple Value Sets

i [ITI-1] Maintain Time

i [ITI-42] Register Document Seti [CH:ADR]

i [CH:ADR]

i [CH:ADR]

i [CH:PRQ] Privacy Policy Query

i [CH:PRQ]

i [CH:PRQ]

h [CH:ADR] h [CH:XADR]

h [CH:XADR]

i [CH:ADR] Authorization Decision Request

i [CH:XADR]

h [ITI-18]

h [ITI-18]

h [ITI-43]

i [ITI-58] Provider Information Queryi [ITI-59] Provider Information Feedi [CH:PIDD] Provider Information Delta Download

h [ITI-43]

i [ITI-40]

i [ITI-40] i [ITI-41]

i [ITI-48] Retrieve Value Setsi [ITI-60] Retrieve Multiple Value Sets

Authenticate User

i [ITI-41] Provide & Register Document Seti [ITI-43] Retrieve Document Set

i [ITI-18] Registry Stored Query

i [ITI-44]

i [ITI-45] i [ITI-47]i [ITI-48] i [ITI-60]

i [ITI-58] i [ITI-59] i [CH:PIDD] i [ITI-44]

i [ITI-45] PIX V3 Query i [ITI-48] Retrieve Value Setsi [ITI-60] Retrieve Multiple Value Sets

i [ITI-58] Provider Information Queryi [CH:PIDD] Provider Information Delta Download

i [ITI-44] Patient Identity Feed HL7 V3i [ITI-1] Maintain Time ih [ITI-19] Node Authentication

i [ITI-20] Record Audit Event

i [ITI-20]

i [CH:XADR] Cross Community Authorization Decision Request

i [CH:XADR]

Patient DemographicsConsumer

Patient IdentifierCross-reference

Manager

Patient IdentifierCross-reference

Consumer

Patient DemographicsSupplier

DocumentRegistry

DocumentConsumer

InitiatingGateway

DocumentSource

DocumentRepository

ValusetConsumer

ValusetRepository

RespondingGateway

X-ServiceUser

X-ServiceProvider

X-ServiceProvider

User AuthenticationProvider

X-AssertionProvider

CPICommunity / Portal

Index

HPDHealthcare Provider

Directory

Time ServerMDI

Metadata Index Service

ProviderInformation Directory

ValusetConsumer

Provider InformationSource, Consumer

Provider Info.Source, Consumer

DocumentConsumer

X-ServiceUser

Patient IdentitiySource

RespondingGateway

InitiatingGateway

XUA

Policy Manager

PDQ PIX HPD CH:PIDD CH:PRQ

CH:PRQ

SVS XUA

Policy ManagerPIX XDS XDS

HPD SVS XUA XDS

XUA

PDQ CH:PDQ CH:PIX CH:PIX

CH:PDQ CH:PIX CH:PIX

CH:PIX CH:PIX

PIX

HPD

CH:PIDD

CH:PIDD

Time Client

Secure Node

CT

ATNA

CH:ATNA

CH:ATNA

Time Client

Secure Node

CT

ATNA

CH:ATNA

CH:ATNA

Time Client

Secure Node

CT

ATNA

CH:ATNA

CH:ATNA SVS

PolicyRepository

Authorization DecisionConsumer

CH:PPQCH:XUA

CH:XUA

CH:XUA

CH:XUA

CH:XUA

CH:ADR

CH:ADR

CH:XUA

XCA CH:ADRCH:XCPD, CH:ATNACH:XCPD, CH:ATNA

CH:XCPD, CH:ATNACH:XCPD, CH:ATNA

Authorization DecisionProvider

XCAXDS XDS

SVSHPD XCA

Authorization DecisionConsumer

CH:ADR

Authorization DecisionProvider

CH:ADR

XCA

CT SVS

UPIUnique Person

Identification Service

[ITI-41]

DocumentSource

XDS

[ITI-41]

[ITI-18, 43][ITI-44][ITI-45][ITI-47]

Patient IdentifierCross-reference

Consumer

ValusetConsumer

Provider InformationConsumer

Patient IdentitiySource

PIX HPD CH:PIDD SVSPIX

[ITI-44][ITI-45] [ITI-18, 43]

IHE Integration Profiles

IT Infrastructure Technical Framework Vol 12.0 (IHE ITI)XCA-(I) Cross-Community Access XCA (-Imaging)XCPD Cross-Community Patient DiscoveryXUA Cross Enterprise User Assertion HPD Healthcare Provider DirectoryXDS(-I).b Cross-Enterprise Document Sharing (-Imaging) PDQ / PIX Patient Demographics Query, Patient Identifier Cross-referencingATNA/CT Audit Trail and Node Authentication, Consistent TimeSVS Sharing Value Sets

National ExtensionsCH:ATNA Swiss Requirements on ATNA, XDS.b and CT for Audit Trail Consumption CH:PIX Swiss Requirements on PIXv3CH:PDQ Swiss Requirements on PDQv3 CH:PIDD Swiss Requirements on HPD for ReplicationCH:XCPD Swiss Requirements on XCPD for Cross-Community Patient DiscoveryCH:XUA Swiss Requirements on XUA for XDS, ADR and PPQ

National Integration ProfilesCH:ADR Authorization Decision Request CH:PPQ Patient Privacy Policy Query

HL7® trademark owned by Health Level Seven International.03-2016

eHealth Connector support 10/2015

IHE Profile CH:Profile

i [ITI-x] IHE Transactioni [CH:x] National Extension or Integration Profile

Actor

not specified by IHE

Legend

Electronic Patient Dossier (EPD)Overview IHE Integration Profiles with Swiss National Extensions

DocumentConsumer

Document AuditConsumer

CH:ATNA

XDS

Patient IdentitiySource

PIX

Authorization DecisionConsumerX-Service

UserXUA

CH:ADR

Authorization DecisionConsumerX-Service

UserXUA

CH:ATNAAudit RecordRepository

AuditRepository

ATNA

CH:ATNAAudit RecordRepository

AuditRepository

ATNA

Secure Node

Time Client

ATNA

CT

CH:ATNA

CH:ATNA