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Identity, registration and scheduling · C0554

Who has to approve a patient merge or unmerge, and does it notify other systems?

In the pilot (v0.2.0, synthetic data)

Short answer

The pilot covers part of this. The rest is designed, not built. In the pilot: Unknown-patient registration and two-person MERGE (virtual, unmerge supported); no ADT A40/A37 or FHIR Linkage emission. REQ-0207 says merge and unmerge must require two-person approval and must emit ADT A40/A37 (or FHIR Linkage/Patient replaced-by) to interfaces. Its acceptance check: single-person merge attempt is blocked; downstream systems receive the event.

This exists in the synthetic-data pilot only.

Specification item
REQ-0207
Specification priority
P1 (of P0 to P3)
Tiers
Small, Medium, Large

Status as of September 30, 2026. Version 0.2.0, synthetic data only. See what's built today. Not legal, medical or security advice.

Related answers

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