Clinical Document Exchange System Using Protocol Translation
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Solution Overview
Problem
Current methods for exchanging clinical documents between healthcare organizations are insecure, inefficient, and lack interoperability due to reliance on outdated technologies like fax and email, and the absence of a universal standard for secure data exchange.
Innovation Solution
A cloud-based system that provisions organizational sub-domains and user addresses, verifies registrations according to specific protocols, and sends messages securely using asymmetric cryptography and other protocols to ensure interoperable and secure data exchange between diverse healthcare organizations.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If fax or email technology is used to exchange clinical documents, then convenience of communication is improved, but security and confidentiality of patient information deteriorates
Solution Approach 1:
The patent introduces a document exchange system with centralized registry and protocol-based messaging as an intermediary between healthcare organizations. This mediator enables secure, authenticated communication while maintaining ease of use, resolving the contradiction between convenience and security by providing a trusted third-party infrastructure that handles authentication, encryption, and message routing.
2Adaptability or versatility
If multiple different systems and protocols are used by different care organizations, then adaptability to various organizational requirements is improved, but interoperability and ease of data exchange deteriorates
Solution Approach 1:
The patent creates a universal document exchange system that can handle multiple protocols (Direct, SMTP, FTP, SFTP) and communication methods within a single unified platform. The system provides universal address resolution, centralized registry, and protocol translation capabilities, enabling organizations to maintain their preferred protocols while achieving seamless interoperability through the universal exchange infrastructure.
3Ease of operation
If a single global standard for document exchange is implemented, then interoperability is improved, but adaptability to varying jurisdictional privacy requirements deteriorates
Solution Approach 1:
The patent segments the document exchange standard into multiple protocol layers (Direct protocol, SMTP, FTP, SFTP) that can be selectively applied. This segmentation allows the system to implement a unified core architecture for interoperability while permitting jurisdiction-specific protocol selections and customization at the implementation level, resolving the contradiction between global standardization and local adaptability.
4Reliability
If secure protocol verification and authentication are implemented, then security and confidentiality are improved, but complexity of registration and message exchange increases
Solution Approach 1:
The patent implements self-service capabilities where organizations and users can autonomously register, obtain credentials, and exchange messages through automated protocol verification. The centralized registry automatically manages authentication credentials, and the system performs automatic protocol verification and message routing without requiring manual intervention, reducing the perceived complexity while maintaining strong security through automated cryptographic verification.
Data Source
AI summary
A method of exchanging messages between users over a network includes receiving a registration request from an organization and provisioning an organizational sub-domain, verifying the registration request according to requirements of a first protocol and provisioning a first user address that is part of the organizational sub-domain, and sending a message from the first user address to a second user address according to the first protocol.


