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Medical IT | Cross Enterprise Document Sharing (XDS)

Cross Enterprise Document Sharing (XDS)

risThe underlying technology that drives the Health Information Exchange network is the Cross-Enterprise Document Sharing (XDS) profile, issued by the Integrating the Healthcare Enterprise (IHE). This infrastructure dictates the communication rules and ensures interoperability between different vendor systems.

With XDS, a domain is created to share patient data. Institutions with a Picture Archiving Communication System (PACS) can also connect to this XDS domain by using adapters, which are part of our existing XDS solution.

Information sharing

Access to readily available patient data is crucial for making the right decisions and improving patient outcomes.

With an increasing array of healthcare providers, there is a growing number of dedicated diagnostic centres across Europe. Of course, when the data held on an individual patient is spread across several institutions, there is a risk that this will impact the level and speed of healthcare provision issued to that patient. Likewise, collecting and collating data from various locations is time consuming and labour-intensive and can have a negative impact on patient outcomes.

Full diagnostic viewer

In the medical sector, the majority of generated data consists of radiology images. In order to avoid duplication of patient data and, in effect, related costs, we also offer Cross-Enterprise Document Sharing for Images (XDS-I). This provides the means for sharing patient data without the need to build a central archive of patient images.

When the shared images are used for diagnostic purposes, the viewing application must be a medical diagnostic device. We offer View Pro-X, a full diagnostic, CE-marked and FDA-approved image viewer, with all the functionality required in a radiology environment.

Patient privacy and ownership

Privacy issues are a major concern to both healthcare providers and patients. Not only do the Health Insurance Portability and Accountability Act (HIPAA) regulations apply, but the patient understandably wants to be in control of granting access to their personal data. Access needs to be provided or denied and access rights have to be set or reset accordingly.

This process is registered in the Patient Consent Registration System, which is based on the IHE Basic Patient Privacy Consent (BPPC) profile. Implementation of the IHE Audit Trail and Node Authentication (ATNA) assures traceability of access to patient data in an audit log, thus bringing a strong benefit of governance and transparency of data flow to your organisation.

By creating a safe and secure environment based on XDS, the timely availability of relevant and accurate patient data is secured. This data is available to share without any compromise of data ownership, providing a non-intrusive yet fully integrated solution.

With XDS, you will benefit from the following components:

  • XDS Registry
  • XDS Repository
  • Multi-Purpose Viewer (MPV)
  • Document Submission Portal (DSP)
  • Patient Identifier Cross-Reference Manager (PIX manager)
  • Patient Consent Registration (PCR)
  • Audit Trail and Node Authentication (ATNA)
  • Source adapters
  • Viewing adapters

Find out about ISN’s other integrated Medical IT systems:


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