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Table-1-Interoperability-Recommendations-for-Use-Case-1-Create-and-Submit-Document
| USE CASE ACTOR | SERVICE SUPPORTED | TECHNICAL ACTOR | Implementation Expectation | PROFILE/STANDARD |
|---|---|---|---|---|
| Producer | Authenticate User | Client (e.g. EMR) | Optional | Internet User Authorization (IUA) |
| Producer | Retrieve Patient Identifier | Client (e.g. EMR) | Optional | Use Existing Standard Employed by the Clinical System |
| Producer | Retrieve Patient Identifier | Patient Demographic Consumer | Optional | PDQm |
| Central Infrastructure | Return Patient Identifier | Patient Identity Registry | Optional | PMIR |
| Producer | Retrieve Clinical Data (‘Patient Identifier’) | Client (e.g. EMR) | Expected | Use Existing Standard Employed by the Clinical System |
| Producer | Assemble and Review Document | Client (e.g. EMR) | Expected | Use Existing Standard Employed by the Clinical System |
| Producer | Omit or Mask Data based on Jurisdictional Policy | Client (e.g. EMR) | Optional | Jurisdictional Requirement |
| Producer | Submit Document to Clinical Data Repository | Client (e.g. EMR) | Expected | Use Existing Standard Employed by the Clinical System |
| Producer | Submit Document to Clinical Data Repository | Data Source | Expected | Submit FHIR Document [CA:FeX-1A] |
| Recipient | Save Bundle to Clinical Data Repository | Data Recipient | Expected | Submit FHIR Document [CA:FeX-1A] |
Note: These tables are not exhaustive and do not include all components required for a robust production deployment.
Aspects such as security, privacy, consent enforcement, and patient identity resolution are implementation-dependent and governed by jurisdictional or organizational policy. For authentication choices, including SMART on FHIR and IUA, see Relationship to Other Specifications.
Legend
- Expected – Represents interactions that are typically expected in baseline implementations of CA:FeX.
- Optional – Represents interactions that may apply based on local context, system configuration, or jurisdictional policy.