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3579 E. Foothill Blvd., Suite 587 Pasadena, CA 91107 (626) 376-4100 [email protected]
Cross-Enterprise Document Sharing With XDS Registry & Repository
Gaps in technology integration still hamper healthcare organizations, especially as they expand their clinical networks to support optimal care collaboration. Clinical documents often reside in "data silos" and are not accessible to other care providers at the relevant time and place in the patient’s care journey. Enabling providers to cooperate in the care of a patient, simply by sharing clinical records in the form of documents, is essential to more informed decision making and better patient outcomes.
NextGate, the leader in patient and provider identity management, breaks down these communication barriers by delivering a standards-based clinical document exchange.
XDS REGISTRY & REPOSITORY
DATA SHEET
(626) 376-4100 [email protected]
Flexibility to integrate with any enterprise infrastructure
Efficiency in data sharing between referring providers and specialists
Flexible consent management and enforcement
Exchange capabilities with external or non-affiliated providers and participants
Data flow between inpatient and outpatient systems
XDS OFFERS...
Provider Collaboration to Support Extended Delivery Networks
Organizations looking to communicate and share patient data with other care providers can benefit from an XDS Registry & Repository. This elevated level of document storage and exchange is an ideal fit for ACOs, HIEs, Hospitals and Healthcare Systems, Large Medical Groups, and National Laboratories.
The NextGate XDS Registry & Repos-itory store and index clinical documents so providers can share detailed patient data with other care providers across the continuum. XDS clinical document exchange follows a set of IHE standards and advances interoperability by sharing clinical care summaries for patients. And, XDS can be implemented on top of any existing patient matching technology, like an EMPI, that ensures the accuracy of patient identification.
The NextGate XDS Registry & Repository support document formats you already
use today, minimizing any re-work for your clinical and administrative staff.
� Scanned documents, Plain Text, or PDF/A, in HL7 CDA R2 format
� Medical Summary in HL7 CDA format
� Radiology reports in plain text or PDF format
� Reference to a collection of DICOM SOP instances in a manifest document in the DICOM Key Object Selection format
Any clinical data exchange requires a comprehensive security infrastructure. The NextGate XDS offering supports security and access control through a number of industry standards, and provides both simple and complex access control so that you can manage sharing at specific levels. For example, providers, administrative staff and other care team members can trust document access through simple scenarios such as global level opt-in/opt-out consent. But more complex scenarios are also possible, including VIP patient access, consent override through purpose of use, access based on established relations, and explicit access grants by provider or organization. These access control policies can even be enforced on data access, such as querying for and retrieving documents.
Clinical document exchange in use today:
Patient care summary exchange
eReferral between primary and secondary care providers
Sharing Radiology reports and images
Sharing Laboratory reports
ePharmacy between community pharmacy and ambulatory physicians
Capturing patient medical power of attorney, living wills, DNRs, consent documents
3579 E. Foothill Blvd., Suite 587 Pasadena, CA 91107 (626) 376-4100 [email protected]
� Unique identi�er for every patient in the enterprise (EUID); links to their local IDs
� Maintains consistent, accurate and current demo-graphic and essential medical data
� Central registry of clinical data available for a patient
� Standard way to access clinical data in disparate systems
Sean Patrick Ryan2714 Sunset Blvd.Los Angeles, CA 90511Cell: 213-569-0880DOB: 05/03/1969SSN: 444-55-6666Ins: Blue Cross
EMR: 222 Visit SumaryLAB: 333 Lab ResultRX: 444 Medication HistoryPMS: 555 Patient DemographicsSUR: 666 Surgical Notes PT: 777 Patient Follow-up
EUID: 100100
Access Control and Enforcement
EMR: 222Visit
Summary
LAB: 333Lab Result
RX: 444Medications
History
PMS: 555Patient
Demographics
SUR: 666 Surgical Notes
PT: 777Patient
Follow-up
GE HEALTHCARE SIEMENS
NextGate uses its market leading expertise in patient and provider identification to connect the healthcare ecosystem by accurately identifying and linking patient and provider data. NextGate’s EMPI technology, rated No. 1 by KLAS, is deployed by the nation’s most successful healthcare systems and health information exchanges to manage more than 175 million lives. This technology helps organizations deliver higher quality, better care coordination and greater business and clinical efficiencies. To learn more, visit NextGate.com
ABOUT
3579 E. Foothill Blvd., Suite 587 Pasadena, CA 91107 (626) 376-4100 [email protected]
EUID: 100100 CENTRAL REGISTRY OF PATIENT DEMOGRAPHICS AND DOCUMENTS
Sean Patrick Ryan2714 Sunset Blvd.Los Angeles, CA
Cell: 213-569-0880DOB: 05/03/1969
SSN: 444-55-6666 Ins: Blue Cross
EMR: 222Visit Summary
LAB: 333Lab Result
RX: 444Medications
History
PMS: 555Patient
Demographics
SUR: 666 Surgical Notes
PT: 777Patient
Follow-up
NEXTGEN ALLSCRIPTS
MCKESSON MEDITECH
EPIC CERNER
CHALLENGE
The period following a hospital discharge is crucial for patients, as readmission rates, adverse events and medication errors can disrupt the care plan and hospital to home transition. One HIE was looking for a solution to support its care transitions initiative. Capturing and sharing discharge summaries would give their participating physicians relevant, timely medical data needed during patient follow-up visits. The HIE needed a solution that would standardize and store this discharge summary information.
Today's use of XDS Registry & Repository
Through XDS, this HIE can now facilitate the storage and exchange of a patient's discharge summary. Participating hospitals upload the patient's discharge summary that is associated with the correct patient through an EMPI patient matching solution. The PCP accesses the discharge summary and is prepared for care plan and medication discussions during the patient's follow-up appointment. In addition to HIE access, XDS Registry & Repository can publish patient discharge summaries to an IHE-compliant PHR. This capability allows patients to have access to their own discharge summaries, creating a medical history that can guide their path to wellness and better collaboration with physicians and other care team members.
This HIE can confidently support smoother patient care transitions by storing and exchanging the patient's discharge summary. As a result, inpatient and outpatient physicians have a way to securely share timely medical data while patients and providers can collaborate at a higher level.
For additional customer and industry use cases, IHE technical capabil-ities and further insight on patient and provider identity management, visit us online at NextGate.com.
Use Case: Health Information Exchange