Table 5.1 Interoperability Conformance Requirements for Use Case 5: Patient Mediated Access and Exchange of their Patient Summary


Part A: Patient Requests Access to Their Shareable Patient Summary

PS-CA USE CASE 5 Part A: Patient Requests Access to Their Shareable Patient Summary

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

USE CASE ACTORS

SERVICE SUPPORTED

OPT

TECHNICAL ACTOR

OPT

PROFILE / STANDARD

Patient-facing Application  (e.g. Patient Portal or Mobile App)

Authenticate User

O

Client App

O

Internet User Authorization (IUA)

Identify Patient

O

Client App

O

Use Existing Standards Employed by the Clinical System

O

Patient Demographic Consumer

O

PDQm

Request Generate SHLink (Patient Identifier, passcode) 

R

Client App

R

Use Existing Standards Employed by the Clinical System

Request Generate SHLink (Patient Identifier, passcode) 

R

SHLink Requester

R

CA:SHL

Generate SHLink [CA:SHL-1]

Return Patient Summary SHLink

O

SHLink Requester

O

Use Existing Standards Employed by the Clinical System

Generate QR Code

O

SHLink Requester

O

Use Existing Standards Employed by the Clinical System

Return QR Code


O

SHLink Requester

O

Use Existing Standards Employed by the Clinical System

Download/Save QR Code to Phone/Media


R

Client App

R

Use Existing Standards Employed by the Clinical System

Clinical Data Repository (Local to PS-CA Producer or Central)


Generate SHLink artifacts (manifest URL, encrypt/decrypt key, etc.)

R

SHLink Creator

R

CA:SHL

Generate SHLink (with optional viewer URL)

R

SHLink Creator


CA:SHL

Return Patient Summary SHLink

R

SHLink Creator

R

CA:SHL

Generate SHLink [CA:SHL-1]

Central Infrastructure

Identify Patient

O

Patient Identity Registry

O

PMIR

Table 5.2 Interoperability Conformance Requirements for Use Case 5: Patient Mediated Access and Exchange of their Patient Summary


Part B: Patient presents their QR code or SHL to HCP for access to their Patient Summary

PS-CA USE CASE 5 Part B: Patient presents their QR code or SHL to HCP for access to their Patient Summary

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

USE CASE ACTORS

SERVICE SUPPORTED

OPT

TECHNICAL ACTOR

OPT

PROFILE / STANDARD

PS-CA Consumer

Authenticate User

O

Client App

O

Internet User Authorization (IUA)

Identify Patient

O

Client App

O

Use Existing Standards Employed by the Clinical System

O

Patient Demographic Consumer

O

PDQm

Scan QR Code

O

Client (e.g., EMR)

O

Use Existing Standards Employed by the Clinical System

Request retrieve SHLink data [recipient, passcode]

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Decode SHLink

R

SHLink Consumer

R

Use Existing Standards Employed by the Clinical System

Request retrieve SHLink manifest [recipient, passcode]

R

SHLink Consumer

R

CA:SHL

Retrieve SHLink Manifest [CA:SHL-2]

Request retrieve PS-CA




CA:SHL

Retrieve SHLink Clinical Data [CA:SHL-3]

Decrypt PS-CA data

R

SHLink Consumer

R

Use Existing Standards Employed by the Clinical System

Return PS-CA data

R

SHLink Consumer

R

Use Existing Standards Employed by the Clinical System

Access SHLink viewer URL


O

Client App

O

Use Existing Standards Employed by the Clinical System

Display PS-CA and/or related data

O

Client App

O

Use Existing Standards Employed by the Clinical System

Clinical Data Repository (Local to PS-CA Producer or Central)


Generate SHLink Manifest with updated PS-CA location

R

SHLink Responder

R

Use Existing Standards Employed by the Clinical System

Return SHLink manifest

R

SHLink Responder

R

CA:SHL

Retrieve SHLink Manifest [CA:SHL-2]

Retrieve PS-CA referenced in Manifest


R

SHLink Responder

R

Use Existing Standards Employed by the Clinical System

Return PS-CA Document Bundle


R

SHLink Responder

R

CA:SHL

Retrieve SHLink Clinical Data [CA:SHL-3]

Return PS-CA and/or related data


O

Clinical Solution

O

Use Existing Standards Employed by the Clinical System

Central Infrastructure

Identify Patient

O

Patient Identity Registry

O

PMIR

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