gistfile1.txt

participant Electronic\nClinical Register as SS
participant Interoperability\nLayer as IL
participant Client Registry as CR
participant Shared Health\nRecord as SHR


SS->SS: Case report generated
opt
  SS->IL: Search for or create client\nUse Case #5
  IL->IL: ensure access controls
  IL->CR: Search for or create client
  CR->IL: Return ECID
  IL->SS: Return ECID
end
SS->IL: generate record of clinical encounter\nHL7 FHIR resource CREATE
IL->IL: ensure access control\nrewrite local client identifiers to ECID
IL->SHR: generate record of clinical encounter

loop monthly
  IL->SHR: query for particular clinical encounters\nHL7 FHIR resource search
  SHR->IL: return matching resources
  IL->IL: aggregate clinical encounters
  IL->HMIS: report public health indicator\nADX
end