Personal Health Record System Functional Model, Release 2
0.1.0 - CI Build

Personal Health Record System Functional Model, Release 2 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Requirements: PH.2.3 Manage Data and Documentation from External Clinical Sources (Function)

Active as of 2024-01-31
PH.2.3#01 SHOULD

The system SHOULD provide the ability to capture externally-sourced clinical documentation as structured content including the original, updates, and addenda.

PH.2.3#02 SHOULD

IF information is received through any electronic interface or is electronically referenced, THEN the system SHOULD provide the ability to render that information upon request.

PH.2.3#03 SHOULD

The system SHOULD provide the ability to capture provider-sourced electronic documents including original, updates, and addenda. Examples of provider-sourced electronic documents include: Discharge instructions, x-rays of teeth, or pictures of lacerations.

PH.2.3#04 SHOULD

The system SHOULD provide the ability to link documentation and annotations with structured content (e.g., an office visit, phone communication, e-mail consultation, laboratory result, problem, or diagnosis).

PH.2.3#05 SHALL

The system SHALL present data and documentation that was captured from External Clinical Sources.

PH.2.3#06 SHOULD

The system SHOULD provide the ability to render structured or unstructured documents based on filter, search, and/or sort criteria.

PH.2.3#07 SHOULD

The system SHOULD conform to RI.1.1.1 (Originate and Retain Record Entry) in order to capture unstructured data and documentation from external clinical sources.

PH.2.3#08 SHALL

The system SHALL conform to RI.1.1.1 (Originate and Retain Record Entry) in order to capture structured data and documentation from external clinical sources.

PH.2.3#09 SHALL

The system SHALL authenticate transmission contents of clinical data received from any external source.

PH.2.3#10 SHOULD

The system SHOULD transmit acknowledgment of the receipt of clinical data from external sources.

PH.2.3#11 SHOULD

The system SHOULD transmit a notification to the PHR Account Holder of the successful receipt and integration of clinical data from external sources according to the PHR Account Holder's preference and/or consent, organizational policy, and/or jurisdictional law.