Table 4.1 Interoperability Conformance Requirements for Use Case 4: HCP Requests PS-CA On Demand


Option 1: Clinical FHIR Data Sources are internal to the Clinical Data Repository

PS-CA USE CASE 4: HCP Requests PS-CA On Demand

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 (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

Request Patient Summary on-demand (Patient Identifier)

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Request Patient Summary on-demand (Patient Identifier)

R

Data Consumer

R

CA:FeX (CA:FeX-3D with $summary)

Return Patient Summary Document Bundle

R

Data Consumer

R

Use Existing Standards Employed by the Clinical System

Perform transformation between different formats 

O

Client (e.g., EMR)

O

Use Existing Standards Employed by the Clinical System (Render to Specific Format (PDF))

OClient (e.g., EMR)OCA:FMT (e.g., FHIR to CDA, Export to PDF, etc.) 
Download/Print PS-CAOClient (e.g., EMR)OUse Existing Standards Employed by the Clinical System

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


Retrieve patient FHIR data resources from internal data sources

R

Data Responder

R

Use Existing Standards Employed by the Clinical System

Assemble Patient Summary from discrete FHIR resources

R

Data Responder

R

Use Existing Standards Employed by the Clinical System

Return Patient Summary Document Bundle

R

Data Responder

R

CA:FeX (CA:FeX-3D with $summary)

Central Infrastructure

Identify Patient

O

Patient Identity Registry

O

PMIR

Table 4.2 Interoperability Conformance Requirements for Use Case 4: HCP Requests PS-CA On Demand


Option 2: Clinical FHIR Data Sources are internal and/or external to the Clinical Data Repository

PS-CA USE CASE 4: HCP Requests PS-CA On Demand

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 (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

Request Patient Summary on-demand Document Reference (Patient Identifier)

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Request Patient Summary on-demand Document Reference (Patient Identifier)

R

Data Consumer

R

CA:FeX (CA:FeX-2B with $docref)

Return Patient Summary Document Reference (include URL to Document Bundle)

R

Data Consumer

R

Use Existing Standards Employed by the Clinical System

Request Patient Summary (Document Location/Bundle ID)

R

Client (e.g., EMR)

R

Use Existing Standards Employed by the Clinical System

Request Patient Summary (Document Location/Bundle ID)

R

Data Consumer

R

CA:FeX (CA:FeX-3B)

Return Patient Summary Document Bundle

R

Data Consumer

R

Use Existing Standards Employed by the Clinical System

Perform transformation between different formats 

O

Client (e.g., EMR)

O

Use Existing Standards Employed by the Clinical System (Render to Specific Format (PDF))

OClient (e.g., EMR)OCA:FMT (e.g., FHIR to CDA, Export to PDF, etc.) 
Download/Print PS-CAOClient (e.g., EMR)OUse Existing Standards Employed by the Clinical System

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




Retrieve patient FHIR data resources from internal and/or external data sources [Sync or Async]

R

Data Responder

R

Use Existing Standards Employed by the Clinical System

Assemble Patient Summary when FHIR resource data is retrieval is complete [Sync or Async]

R

Data Responder

R

Use Existing Standards Employed by the Clinical System

Generate Patient Summary Document Reference (include URL where Document Bundle is or will be available)

R

Data Responder

R

Use Existing Standards Employed by the Clinical System

Return Patient Summary on-demand Document Reference (include URL to Document Bundle)

R

Data Responder

R

CA:FeX (CA:FeX-2B with $docref)

Return Patient Summary Document Bundle

R

Data Responder

R

CA:FeX (CA:FeX-3B)

Central Infrastructure

Identify Patient

O

Patient Identity Registry

O

PMIR

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