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Patient Summary sharing with “push” 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 sent by information system A in healthcare organisation A to the information system in healthcare organisation B. This is sometimes being referred to as “push”. Usually, this will be the scenario, especially if the sender of the information knows exactly to which HCP and hospital the patient is referred.

Actors/Roles

  • Document Source
  • Document Consumer

Transactions

  • Record patient consent
  • Notification of document availability
  • Sending of documents

Health Information Domain and EHDS Priority Data Category

  • Patient Consent
  • Referral Note
  • Patient Summary
  • Other relevant documents

Data flow

  • Storing of patient consent to repository
  • Sending selected documents to remote location
  • Viewing these documents from an external location

Technical process flow

  1. Healthcare information system A (HIS A) stores the patient consent
  2. After selection of the relevant documents by the HCP, HIS A sends the relevant documents to HIS B through a secure electronic connection
  3. 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: XDR
  • Access control: BPPC

Possible issues

Governance of the data definition of the national Patient Summary

Implementation examples