Automatic Client ID Distribution for USCDI depends on you selecting a limited subset of FHIR resources, but it's painful to manually cross-reference to select exactly which ones (Epic documentation is here with the full list). Automated solution:
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Create a new app at https://fhir.epic.com/Developer/Apps
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On the edit page, deselect any selected APIs, and run in browser console:
$("#WebServicesChosen option[data-uscdi-readonly=True]").each((i, item) => { var id = $(item).val() $(`#availableWebServices li[id=${id}]`).addClass("active") })
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Click the >> button to add the APIs that are now selected
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Verify "Client IDs for this app WILL be automatically downloaded to certain customer systems upon marking it ready for production." is showing
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Save your app
my personal experience is within a single system where i knew the person's email address. it would likely be a clinical IT person implementing the change.