Table 1.1 Interoperability Conformance Requirements for Use Case 1: HCP Creates PS-CA


Option 1: Document Repository/Registry Pattern

PS-CA USE CASE 1: HCP Creates PS-CA

Mapping of Use Case Actor to Technical Actor and its related Profile or Standard

USE CASE ACTOR

SERVICE SUPPORTED

OPT

TECHNICAL ACTOR

OPT

PROFILE / STANDARD

PS-CA Producer

Authenticate User

O

Client (e.g., EMR)

O

Internet User Authorization (IUA)

Identify Patient

O

Client (e.g., EMR)

O

Use Existing Standards Employed by the Clinical System

O

Patient Demographic Consumer

O

PDQm

Retrieve clinical data from local data sources (Patient Identifier)

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Assemble and review Patient Summary

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Update Current Valuesets and ConceptMaps

O

Client (e.g., EMR)

O

SVCM

Omit or Mask Data based on Jurisdictional Policy

O

Client (e.g., EMR)

O

Jurisdictional Requirement

Save PS-CA to Document Repository

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

R

Document Source

R

MHD

Document Repository (Local to PS-CA Producer or Central)

Save PS-CA to Document Repository

R

Document Recipient

R

MHD

Central InfrastructureIdentify PatientOPatient Identity RegistryOPMIR

Table 1.2 Interoperability Conformance Requirements for Use Case 1: HCP Creates PS-CA


Option 2: FHIR Health Information Exchange (HIE) Pattern

PS-CA USE CASE 1: HCP Creates PS-CA

Mapping of Use Case Actor to Technical Actor and its related Profile or Standard

USE CASE ACTOR

SERVICE SUPPORTED 

OPT

TECHNICAL ACTOR

OPT

PROFILE / STANDARD

PS-CA Producer  

Authenticate User

O

Client (e.g., EMR)

O

Internet User Authorization (IUA)

Identify Patient

O

Client (e.g., EMR)

O

Use Existing Standards Employed by the Clinical System

O

Patient Demographic Consumer

O

PDQm

Retrieve clinical data from local data sources (Patient Identifier) 

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Assemble and review Patient Summary

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Update Current Valuesets and ConceptMaps

O

Client (e.g., EMR)

O

SVCM

Omit or Mask Data based on Jurisdictional Policy

O

Client (e.g., EMR)

O

Jurisdictional Requirement

Save PS-CA to Document  Repository

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

R

Data Source

R

CA:FeX

Document Repository (Central)*

Save PS-CA to Document  Repository

R

Data Recipient  

R

CA:FeX

Central Infrastructure

Identify Patient

O

Patient Identity Registry

O

PMIR

*For Option 2, Document Repository use case actor is a logical role enacted by the Data Recipient which is described in detail in the 'Companion Guide: Reference Architecture'. 




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