Table 3.1 Interoperability Conformance Requirements for Use Case 3: Patient Views/Consumes PS-CA 


Option 1: Document Repository/Registry Pattern

PS-CA USE CASE 3: Patient Views/ Consumes 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

Patient Portal

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 Patient Summary References (Patient Identifier) 

R

Client App

R

Use Existing Standards Employed by the Clinical System

Request Patient Summary (Patient Summary References)

R

Client App

R

Use Existing Standards Employed by the Clinical System

Return Patient Summary References RDocument ConsumerRMHD
Return Patient Summary RDocument ConsumerRMHD

Perform transformation between different formats 

O

Client App

O

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

O

Client App

O

CA:FMT (e.g., FHIR to CDA,  Export to PDF, etc.) 

Download/Print PS-CA

O

Client App

O

Use Existing Standards Employed by the Clinical System

Save to Portable Media

O

Client App

O

Use Existing Standards Employed by the Clinical System

O

Portable Media Creator

O

XDM (Future scope)

Document Repository (Local or Central)

Retrieve PS-CA References from Document Repository

R

Document Responder

R

MHD

Retrieve PS-CA from Document Repository

R

Document Responder

R

MHD

Central Infrastructure

Identify Patient

O

Patient Identity Registry

O

PMIR

Table 3.2 Interoperability Conformance Requirements for Use Case 3: Patient Views/Consumes PS-CA


Option 2: FHIR Health Information Exchange (HIE) Pattern

PS-CA USE CASE 3: Patient Views/ Consumes 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

Patient Portal

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 Search Patient Summary (Patient Identifier)

R

Client App

R

Use Existing Standards Employed by the Clinical System

Request Patient Summary (Bundle ID) RClient AppRUse Existing Standards Employed by the Clinical System
Return Patient Summary Compositions RData ConsumerRCA:FeX

Return Patient Summary 

R

Data Consumer

R

CA:FeX

Perform transformation between different formats 

O

Client App

O

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

O

Client App

O

CA:FMT (e.g., FHIR to CDA, CDA to FHIR, Export to PDF, etc.)

Download/Print PS-CA

O

Client App

O

Use Existing Standards Employed by the Clinical System

Save to Portable Media

O

Client App

O

Use Existing Standards Employed by the Clinical System

O

Portable Media Creator

O

XDM (Future scope)

Document Repository (Local or Central)*

Retrieve Patient Summary Compositions from Document Repository

R

Data Responder

R

CA:FeX

Retrieve Patient Summary Bundle from Document Repository

R

Data Responder

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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