The only requirement for the transfer layer is that requests are sent to a known location and responses are returned to the source of the request. The exact mechanism of transfer is irrelevant to framework, but may include file transfer, HTTP based transfer,MLLP (HL7 minimal lower layer protocol), MQ series messaging or anything else. The FHIR messaging framework assumes that content will be delivered from one application to another by some delivery mechanism, and then one or more responses will be returned to the source application. This version of the BSeR FHIR Implementation Guide make use of FHIR messaging framework as the primary paradigm for the exchange of a Referral Request from the Referral Initiator to the Referral Recipient and the Referral Feedback from the Referral Recipient to the Referral Initiator.
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