In the Backend Service App requirements provided in Section 11.3, the following is stated:

"If required and specified in the Knowledge Artifact, the Backend Service App SHALL allow display and approval of query results before submitting them to the researcher."

This requirement captures a critical need for healthcare organizations and should be reflected in the workflow described in Section 4.3.

Suggest adding a step between Q5 and Q6 that describes the fact that there may be manual result review prior to sending the results to the Query Translator and Submitter.