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Note that the OpenMRS SHR will NOT participate in the Patient Identity Feed transactions (ITI-8, ITI-44) when performing transactions in the Document Registry role. In the wider OpenHIE architecture, the Interoperability Layer performs the task of resolving patient identifiers from the Client Registry (acting as Patient Identity Source) before sending transactions to the Shared Health Record. In addition, the SHR will also not provide the ITI-42 Register Document Set.b transaction functionality, which will be provided by the IOL whenever a Provide and Register Document Set.b transaction is received. It is therefore the combination of the SHR and IOL that provides a complete implementation of an XDS Registry and Repository.
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