Patient Summary sharing with “pull” of the information
Related Use Case
Patient summary sharing on a National/regional scale
Scenario context
In this Realisation Scenario, the Patient Summary (along with other necessary documents and/or images) is retrieved by information system B in healthcare organisation B from the information system in healthcare organisation A. This is sometimes being referred to as “pull”. In the case of an emergency intake of a patient, available information is drawn from another system. At the time of arrival of the patient in the A&E department, no information about the patient is available.
Actors/Roles
- Document Consumer
- Document Registry
- Document Repository
Transactions
- Record patient consent
- Requesting Patient Summary
- Retrieval of Patient Summary
Health Information Domain and EHDS Priority Data Category
- Patient Consent
- Patient Summary
Data flow
- Store Patient Consent
- Request information from another healthcare organisation, including the patient consent
- Retrieve Patient Summary
Technical process flow
- Healthcare information system A (HIS A) stores the patient consent
- After selection of the relevant documents by the HCP, HIS A sends the relevant documents to HIS B through a secure electronic connection
- HIS B receives the documents, and stores them. It shows a notification for the HCP in healthcare organisation B.
Associated profiles, standards, and HL7 FHIR Implementation guides
- Policy: —
- Care process: —
- Information: XDS-MS (or other Patient Summary)
- IT Infrastructure: XDS, CT, ATNA, PIX/PDQ
- Cross-domain: XUA, XCPD
- Access control: BPPC
Possible issues
Governance, versioning of the Patient Summary.
Implementation examples
…