XDS

H.WJuly19,2012XDSCross-EnterpriseDocumentSharing2Repository&RegistryDocument&Metadata3MetaDataDocumentSOAPwithAttachmentsevolvedintoMTOM/XOPThebigunwrittenruleis:theresponsemessageshallbeinthesameformatastherequestmessage.AnytransactionthatexpectstoreceivedocumentsbackinaresponsemustsendtherequestinMTOM/XOPformatsotheresponsecanbeinMTOM/XOP.WhatdoesthisunwrittenrulemeanforXDS.bandXCA?AnytransactionthatsendsdocumentsusesMTOM/XOP.ItsresponsemessagewillbeinMTOM/XOPaswell.TheoriginalSOAPwithAttachmentsspecificationwasneverfullyacceptedintheWSindustryandwasneverfullysupportedwithgoodimplementationsonmanyplatforms.4The2.1specificationwasreplacedwiththe3.0specificationSupportMTOM/XOPforXDS.bWhenthisstandardwaswritten,WebServiceswereintheirrelativeinfancyandtheruleswerenotyetwellestablished.ThisstandardreferencedtwoformsofSOAPmessages.TheterminologyusedwasroughlySOAPmessageandSOAPwithAttachmentsmessage.TheebXMLRegistry2.1specificationdescribedanon-symmetricaluseofthesemessages.OnwhatXDScallsProvideandRegister,theregistrystandardcalledfortherequestmessagetobeformattedasSOAPwithAttachmentsandtheresponsewasabasicSOAPmessage.ASOAPmessagecouldnotcarrydocuments(attachments)butaSOAPwithAttachmentsmessagecould5DocumentRegistry相关的2个transcationsRegisterDocumentSet-b[ITI-42]RRegisterStoredQuery[ITI-18]R6RegisterDocumentSet-b7MetaDataDocumentReferencedStandardsRegisterDocumentSet-bebRIMOASIS/ebXMLRegistryInformationModelv3.0ebRSOASIS/ebXMLRegistryServicesSpecificationsv3.0HL7V2HL7Version2.5ITITF-2x:AppendixVWebServicesforIHETransactionsContainsreferencestoallWebServicesstandardsandrequirementsofuseRegisterDocumentSet-aebRIMOASIS/ebXMLRegistryInformationModelv2.1ebRSOASIS/ebXMLRegistryServicesSpecificationsv2.1HTTPHyperTextTransferProtocolHTTP/1.1(IETFRFC2616)CDAHL7ClinicalDocumentArchitecture(ANSI/HL7CDAR1-2000)HL7V2HL7Version2.58ModifiedmetadataRegisterDocumentSet-bTherepositoryUniqueId(XDSDocumentEntry.repositoryUniqueId)Ahashvalue(XDSDocumentEntry.hash)Asize(XDSDocumentEntry.size)RegisterDocumentSet-aAURIidentifier(xdsDocumentEntry.URI)Ahashvalue(xdsDocumentEntry.hash)Asize(xdsDocumentEntry.size)9AsetofprimaryXDSdefinesawellfocusedsetofprimaryattributesthatsupportthemostcommonusecasestosearchthemostrelevantdocuments当然也是关键的元数据和查询字段10XDSDocumentRegistryDataModel11ebRIM相关ebXMLClassDiagramoftheRegisterDocumentMetadataebRIM引用例子12DocumentLifecycleDocumentAvailabilityStatusApproved:Availableforpatientcare(assumesthatitisauthenticated,ifapplicable)Deprecated:Obsolete,butmaystillbequeriedandretrievedDocumentRelationshipsReplacement,AddendumTransformationTransformation-Replacement13ebRS相关DocumentAvailabilityStatuslcm:urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0LifeCycleManagerSubmitObjectsProtocolUpdateObjectsProtocolApproveObjectsProtocolDeprecateObjectsProtocolUnderprecateObjectsProtocolRemoveObjectsProtocolRegistryManagedVersionControl14ebRIM相关处理DocumentRelationshipsTocreateadocumentrelationshipintheregistry,submit:Anewdocument(XDSDocumentEntry)AnAssociationlinkingthenewdocumenttoanexistingdocument15ExampleofDocumentRelationship16XDSRegistryAdaptorValidatepatientIDValidatesubmittedmetadataVerifycodedvaluesEnsuresubmissionsareatomicSupportdocumentreplacementValidatepatientIDsinFoldersValidateMIMEtypesMaintainFolderattribute‘lastUpdateTime’ValidatepatientIDondocumentsbeingaddedtoaFolderValidatecodingAcceptsubmissionscontainingmultipledocuments17RegisterStoredQuery18MetaDataDocumentReferencedStandardsRegistryStoredQueryebRIMOASIS/ebXMLRegistryInformationModelv3.0ebRSOASIS/ebXMLRegistryServicesSpecificationsv3.0QueryRegistryebRSOASIS/ebXMLRegistryServicesSpecificationsv2.1SQLISO/IEC9075DatabaseLanguageSQL19TheQueryRegistryTransactionsupportsavarietyoftypesofqueriesQuerybypatient(Id)foratimeinterval,bydocumenttype(s),bypracticesetting(s),byauthorpersonQuerybyDocumentSourceQueryforXDSFoldersupdatedduringatimeintervalQueryforalldocumentsinaFolderorSubmissionSetQuerybytimeofsubmission20QueryRequestParametersRegistryStoredQueryreturnType–‘LeafClass’or‘ObjectRef’QueryID–aUUIDfromtheStoredQueryIDssection(ITITF-2a:3.18.4.1.2.4)belowQueryParameters–asdefinedintheQueryParameterssection(ITITF-2a:3.18.4.1.2.3.7)belowQueryRegistryreturnTypeSQLquerytext21ParameterreturnTypeRegistryStoredQueryObjectRef–alistofobjectUUIDs(references)LeafClass–listofXMLelementsrepresentingtheleafclassoftheobjectreturnedQueryRegistryObjectRef–alistofobjectUUIDs(references)LeafClass–listofXMLelementsrepresentingtheleafclassoftheobjectreturned22DocumentQueryAlistofRegistryObjectsValues(e.g.,XDSDocumentEntries)AlistofRegistryObjectsUUIDs.ThisallowsanXDSDocumentConsumertoreceiveapotentiallylonglistofmatchingentriesandtorequestthembysubsets.23ebRS相关处理registrystoredqueryQueryManagerAdHocQueryProtocolSQLQueryFilterQueryStoredParameterizedQuerySubmittingaStoredQueryInvokingaStoredQueryIterativeQuery2425DocumentRegistry和病人标识源相关的TranscationPatientIdentityFeed[ITI-8]PatientIdentityFee