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The SHR can act as a Document Repository for Provide and Register Document Set.b transactions. The transaction must be sent to the IOL; which will act as a Patient Feed Consumer for resolving the patient id as well as act as a Document Repository for sending an ITI-42 Register Document Set.b transaction. The SHR will act as a Document Registry for receiving the Register Document Set.b transaction, but if required, another external registry can be used. In this case the SHR will not act as Registry for the particular Provide and Register Document Set.b transaction. After patient id validation/enrichment and sending the Register Document Set.b transaction, the IOL will forward the Provide and Register Document Set.b transaction to the SHR (acting as Document Repository) for handling.

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