Secure Peer Review and Feedback on Medical Findings via IHE XDS.

BACKGROUND: There is a lack of secure official communication channels for peer review and peer feedback on medical findings. OBJECTIVES: We aimed to utilize the existing Austrian eHealth infrastructure to enable review and feedback processes. METHODS: We extended the IHE XDW workflow document to enable the exchange of text messages (i.e., comments on documents or images) over an XDS infrastructure. RESULTS: The workflow enables the exchange of comments on specific sections of CDA documents or radiological images and was verified in an XDS test environment. CONCLUSION: The presented solution is a proof of concept and the potential basis for the specification of a new IHE workflow definition.