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.2.5.7 Manage Surgical History (Function)

Active as of 2024-01-31
PH.2.5.7#01 SHALL

The system SHALL provide the ability to manage the surgical history including the presence or absence of elements and associated annotations that may exist in the provider(s) EHR or other systems, according to organizational policy and/or jurisdictional law.

Satisfied by:
  1. https://www.hl7.org/fhir/procedure.html
PH.2.5.7#02 MAY

The system MAY provide the ability to capture, maintain, and transmit a request-for-correction to surgical history that was captured from an external source. Note: There could be multiple types of errors, both unintentional and intentional; the errors could also reside in multiple storage locations (primary, secondary, and intermediary); the errors could also reside in current records or in archived records; there could also be multiple sources (author, custodian-of-record, transcriptionist).

PH.2.5.7#03 SHOULD

The system SHOULD provide the PHR Account Holder with the ability to annotate the surgical history with text comments.

PH.2.5.7#04 SHOULD

The system SHOULD provide the ability to enter missing information regarding the surgical history list.

PH.2.5.7#05 MAY

The system MAY provide the ability to manage implant information (e.g., by collecting device-identification numbers for a hip, lens, or breast implant; or by capturing the date of the implant).

PH.2.5.7#06 MAY

The system MAY provide the ability to tag surgical history information (e.g., by category type (such as “implant”) or by procedure type (such as "excision" or "biopsy")).