Manage XDS settings

The XDS and XDS-I profiles (defined by Integrating the Healthcare Enterprise, or IHE) provide standards-based cross-enterprise document sharing among healthcare organizations. NilRead can be configured to use these profiles to obtain patient data from multiple healthcare organizations, allowing physicians to build comprehensive patient histories. NilRead XDS configuration requires the following steps.

• XDS registry  Registry that stores meta-data for documents located in multiple XDS repositories (e.g. at multiple healthcare institutions).
• Master Patient Index  Database that maintains a unique index for every patient registered at a healthcare organization. Alternatively, Patient Identity Domains can be specified instead of using the MPI.
• XDS endpoints  Repositories that store patient documents.

Add an XDS server configuration

You can create configurations for different XDS servers.

1. Select Settings.
2. Under Devices, select XDS.
3. In the XDS Context area, select Add.
4. Enter a name for the configuration, then select Save. The configuration has been created.
5. To enter the XDS server configuration settings, select Edit.
6. Enter information in the following sections, then select Save.

XDS Content

• Disable  Disable this XDS server. For example, you may want to exclude a server while it is undergoing maintenance.
• MPI  Use the Master Patient Index (MPI) with this XDS server.
• Reports  Select the report types to include (Approved, Submitted, Deprecated).

XDS Registry

• Address  XDS registry address.

If you selected MPI, enter the following additional information:

• Application  XDS registry application name.
• Facility  XDS registry facility name.

Master Patient Index

This section is shown if you selected MPI. The MPI contains two integration profiles: PDQ (Patient Demographics Query) and PIX (Patient Identifier Cross Referencing).

• Application  MPI application name.
• Facility  MPI facility name.
• PDQ Address  IP address (including port) of the TCP/IP network endpoint that NilRead XDS queries for MPI resolution.
• PIX Address  IP address (including port) of the TCP/IP network endpoint that NilRead XDS queries for MPI resolution.

Patient Identity Domain

This section is shown if you did not select MPI and allows you to enter patient identity domains manually.

1. In the Patient Identify Domain area, select Add. (To edit a domain, select the domain, then select Edit.)
2. Enter the following information, then select Save.
   • Disable  Disable this patient identity domain.
   • UID  Unique IHE identifier for the domain supplied by the issuer of the patient ID.
   • Domain  Patient identity domain (typically ISO).
3. To delete a domain, select the domain, then select Delete.

XDS Endpoints

1. In the XDS Endpoints area, select Add. You can also select an existing endpoint, then select Copy. (To edit an endpoint, select the endpoint, then select Edit.)
2. Enter the following information, then select Save.
   • Name  A unique friendly name to identify the endpoint.
   • UID  Unique identifier supplied by the endpoint provider.
   • Type  Endpoint type:
     • XDS Repository  Endpoint supplying XDS documents.
     • RAD 69 (Retrieve Imaging Document Set)  Endpoint supplying images over the RAD 69 protocol.
     • RAD 55 (WADO Retrieve)  Endpoint supplying images over the RAD 55 protocol.
   • Address  Web service address (URL) of the network endpoint that NilRead XDS queries for document or image resolution.
3. To delete an endpoint, select the endpoint, then select Delete.