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Note: Upsert allows the sender to ignore whether the data entity exists or not. (A , a capability that may be needed by certain data collection systems.) This capability is potentially dangerous and may be removed in future versions of this standard.


A TransactionType of Context means that the data is explicitly being resent for context purposes only. An example of this would be sending an ItemGroup containing demographic data every time (with a TransactionType of Context) to permit matching and checking of Patient IDs between the sender and receiver systems.

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