It appears that when importing manually, there is built-in error checking to ensure that the demographics match:
I ran a SQL-profiler trace to determine the matching logic used and found that Options 1, 6, 7, 9 and 10 are utilized – see the patient matching wiki article: http://wiki.galenhealthcare.com/Patient ... g_Criteria
In terms of auditing of which user imported the data, the imported CCR shows in the chart associated to the user whom imported the CCR and also the day of import.
This is dictated by settings in the Clinical Document Target dictionary:
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