Perform an IHE XCA Cross-Gateway Query to discover documents across federated health information exchanges

domain: profiles.ihe.net · 5 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Construct a Cross-Gateway Query (ITI-38) request as a standard XDS AdhocQueryRequest but addressed to the Initiating Gateway endpoint rather than a local registry
  2. Include the homeCommunityId attribute on the AdhocQueryRequest to indicate the target community, or omit it to allow the Initiating Gateway to fan the query to all known Responding Gateways
  3. The Initiating Gateway forwards the query to each Responding Gateway's ITI-38 endpoint and aggregates the RegistryObjectList responses
  4. Inspect the returned ExtrinsicObjects for the homeCommunityId attribute on each entry — this identifies which community holds the document
  5. Issue a Cross-Gateway Retrieve (ITI-39) targeting the appropriate Responding Gateway, supplying DocumentRequest elements that each include homeCommunityId, repositoryUniqueId, and documentUniqueId

Known gotchas

Related routes

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profiles.ihe.net · 5 steps · unrated
Implement IHE Mobile access to Health Documents (MHD) to publish and retrieve clinical documents using FHIR DocumentReference and List resources as an alternative to XDS
profiles.ihe.net/ITI/MHD · 5 steps · unrated
Use IHE PDQm (Patient Demographics Query for Mobile) to search for a patient across health information exchange participants using FHIR Patient search parameters
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