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Pharmacist initiates MTM HIE Pharmacist sends MTM consult transaction set to Provider 1. ? Generates Notification to Provider Provider EHR Pharmacy System Use Case #18: Pharmacist sends medication therapy management consult to provider Receives Notification Optional Sends Transaction Set to Providers Receives Transaction Set Sends Transaction Set Initiates Request to receive Transaction Set Receives Transaction Set Reviews Transaction Seet and determines whether to mapke part of internal EHR HIE Pharmacy System ePrescribe Vendor Provider’ s EMR Use Case #35: Provider prescribes medication for patient Provider initiates ePrescribe Provider prescribes medication and sends the prescription through their ePrescribe vendor. Receives and processes the Request Sends the Request to the Pharmacy (may be fax or electronic) Receives the transaction and facilitates the filling of the prescription Sends prescription information to HIE Receive prescription information Provider sends quality data Creates Quality Reporting Transaction Set Content depends on Quality Report to be sent State or CMS Quality Receiving System HIE Provider’ s EMR system Use Case #13: Provider or Hospital reports quality measures to the State or CMS Sends Quality Reporting Transaction Set Receives Transaction Set Sends Notification of receipt and/or feedback (optional) Determines appropriate report destination Creates Feedback Sends Transaction Set Processes Data Receives Transaction Set