Community A as a XDS Affinity Domain

Other CommunitiesGovernment Services

Identity Provider

Core Community Components

SecondarySystems

Reference Community

Option

MPI

GW

Patient Portal

Health Professional Portal*

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

i [ITI-44]h [ITI-45]

h [ITI-45] i [ITI-18]h [ITI-18]

i [ITI-X1]

h [ITI-X1][ITI-X1] i

[ITI-X1] hh [ITI-X1]

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

i [ITI-43]

i [ITI-38] Cross Gateway Queryi [ITI-39] Gross Gateway Retrievei [RAD-75] Cross Gateway Retrieve Image Document Set

h [ITI-32]h [CH:XADR] i [ITI-32] Distribute Document Set on Media

i [ITI-18]

i [ITI-18]i [ITI-57] i [ITI-42]i [ITI-44]

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

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

CH:XUA Get X-UserAssertions

i [ITI-1]

i [ITI-43][ITI-X1] i

h [ITI-38]h [ITI-39]h [RAD-75]

i [ITI-58] i [ITI-59]

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

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

i [ITI-1] eCH-0213 generate, inactivate, canceleCH-0214 query by demographics, query by ID, compareeCH-0215 broadcast

i [ITI-42] Register Document Set

Provide and Register Img Doc Set [RAD-68] hi [RAD-69] [ITI-81] i

[ITI-81] i

i [CH:ADR]

i [CH:ADR]

i [CH:ADR]

i [CH:PPQ-1] Privacy Policy Feed

i [CH:PPQ-1]

Privacy Policy Retrieve [CH:PPQ-2] iRetrieve [RAD-69] iImaging Doc Set

[CH:PPQ-2] i[RAD-69] i

i [RAD-69]

i [CH:PPQ-1] i [CH:PPQ-2]

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

i [CH:XADR]

Authorization Decision Request [CH:ADR] i

Community Information Query [CH:CIQ] i

[ITI-55] h Gross Gateway [ITI-55] iPatient Discovery

Community Information [CH:CIDD] iDelta Download

i [CH:XADR]

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-41]

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

CH:XUA Authenticate User

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

i [ITI-81] Retrieve Audit Event

i [ITI-18] Registry Stored Query

i [ITI-44]

i [ITI-45] h [ITI-46]

h [ITI-46]

i [ITI-47] i [ITI-58] i [ITI-59]i [ITI-44]

i [ITI-45] PIX V3 Query h [ITI-46] PIX V3 Update Notification

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

i [ITI-58] Provider Information Queryi [ITI-44] Patient Identity Feed HL7 V3i [ITI-1] Maintain Time

ih [ITI-19] Node Authentication

[ITI-20] iRecord Audit Event

i [ITI-X1] Restricted Update Document Set

h [ITI-57] Update Doc Set

[ITI-20] i

[ITI-20] i

[ITI-X1] i

h [CH:XADR] Cross Community Authorization Decision Request

i [CH:XADR]

Patient DemographicsConsumer

Patient IdentifierCross-reference

Manager

Patient IdentifierCross-reference

Consumer

Patient DemographicsSupplier

DocumentRegistryUpdate

Responder

DocumentConsumer

Initiating(Imaging)Gateway

DocumentSource

DocumentRepository

Value SetConsumer

Responding(Imaging)Gateway

X-ServiceUser

X-ServiceProvider

User AuthenticationProvider

CPIProvider

HPDHealthcare Provider

Directory

Time ServerMDI

Metadata Index Service

ProviderInformation Directory Value Set

Consumer

Provider InformationSource, Consumer

Provider Info.Source, Consumer

Update ResponderDocumentConsumer

Update Initiator

X-ServiceUser

Patient IdentitiySource

Responding(Imaging)Gateway

Initiating(Imaging)Gateway

XUAPolicy Source

Policy Consumer

PDQ PIX HPD CH:HPD

CH:PPQ

CH:PPQ

Policy Source

Policy Consumer

CH:PPQ

CH:PPQ

SVS XUA

Imaging DocumentConsumer

Imaging DocumentConsumer

PIX XDS XDS

HPD SVS XUA XDSPDQ CH:PDQ CH:PIX

CH:PDQ CH:PIX CH:PIX

CH:PIX CH:PIX

PIX

HPD

CH:HPD

CH:HPD

Patient Identitiy Source

PIX CH:PIX

Time Client

Secure Node

CT

ATNAUpdate Initiator

CH:CT

CH:ATNA

Time Client

Secure Node

CT

ATNA

CH:CT

CH:ATNA

Time Client

Secure Node

CT

ATNA

CH:CT

CH:ATNA

X-AssertionProvider

CH:XUA

Patient Audit Record Repository

CH:ATC

CH:XUA

Imaging DocumentSource

XDS-I

CH:XUA

CH:XUA

CH:ADR

CH:XUA

XCA(-I) CH:ADRCH:XCPDCH:XCPD

CH:XCPDCH:XCPD

Authorization DecisionProvider

PolicyRepository

Authorization DecisionConsumer

CH:PPQ

CH:ADR

Portable Media Creator

Portable Media Importer

XCA(-I)XDS

RMU

RMU

RMU

DocumentAdministrator

XDS MU

Patient IdentifierX-ref Consumer

XDS

CH:PIXPIX

CH:CPIeCH

HPD

XCA(-I)

Authorization DecisionConsumer

CH:ADR

Authorization DecisionProvider

CH:ADR

XCA(-I)

CT SVS

UPIUnique Person

Identification Service

[ITI-41]

DocumentSource

XDSXDS-I

XDS-I

XDM

[ITI-41]

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

Patient IdentifierCross-reference

Consumer

Value SetConsumer

Provider InformationConsumer

Patient IdentitiySource

PIX HPD CH:HPD SVSPIX

[ITI-44][ITI-45]

RMU

[ITI-18, 43]

EPR Projectathon 2018Bern, 17. – 21.09.2018

V1.5 04.06.2018

eHealth Connector support

IHE Profile CH:Profile

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

Actor

not specified by IHE

IHE Transactions grouped with [ITI-40] including EPR-SPID

Legend

DocumentConsumer

Swiss Electronic Patient Record (EPR)Overview of Profiles, Metadata and Exchange Formats (SR 816.111)

Patient AuditConsumer

CH:ATC

XDS

Authorization DecisionConsumerX-Service

UserXUA

CH:ADR

Authorization DecisionConsumerX-Service

UserXUA

CH:ATNA

AuditRepository

ATNA

eCH

UPIClient

CH:CPI

CPIConsumer

Secure Node

Time Client

ATNA

CT

CH:ATNA

CH:CT

Update Initiator

Update Responder

RMU

RMU

CH:HPD

Patient Audit Record Repository

CH:ATC

*Primary Systems can reference the same actors as a Health Professional Portal

IHE Profiles (Annex 5), CH:Extension (Annex 5, Extension 1)CH:ATNA Audit Trail and Node AuthenticationCH:CT Consistent Time (basic functionality)CH:HPD Health Provider DirectoryCH:PDQV3 Patient Demographics Query HL7 V3CH:PIXV3 Patient Identifier Cross-referencing HL7 V3RMU Restricted Metadata UpdateSVS Sharing Value SetsXCA Cross-Community AccessXCA-I Cross-Community Access for Imaging CH:XCPD Cross-Community Patient DiscoveryXDM Cross-Enterprise Document Media InterchangeXDS Cross-Enterprise Document SharingXDS-I Cross-Enterprise Document Sharing for ImagingXDS MU Document Metadata UpdateXDS-SD Scanned DocumentsCH:XUA Cross-Enterprise User Assertion*

Swiss XDS Metadata (Annex 3)

National Integration Profiles (Annex 5, Extension 2)CH:ADR Authorization Decision Request CH:ATC Audit Trail Consumption*CH:CPI Community Portal IndexCH:PPQ Privacy Policy Query

eCH213, 214, 215 Unique Person Identification Service

Electronic Authentication Means and Their Issuers (Annex 8)PP Protection Profile for Authentication Means

from here on ready for testing*Specification will be released on June 18th, 2018

Exchange Formats (Annex 4)CDA-CH EMED eMedication CDA-CH LREP Laboratory ReportCDA-CH VACD eVACDOC

from here on ready for testing

Specification/Revision startedSpecification/Revision in progress Specification/Revision completed (or close to completion); ready for verificationVerified at projectathon with peer-to-peer or simulator testsVerified at projectathon additionally with group tests

Maturity Level (06/2018)