Personal Health Record System Functional Model, Release 2
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: PH.6.4 Data and Documentation from External Clinical Sources (Function) - XML Representation

Active as of 2024-01-31

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<Requirements xmlns="http://hl7.org/fhir">
  <id value="PHRSFMR2-PH.6.4"/>
  <meta>
    <profile value="http://hl7.org/ehrs/StructureDefinition/FMFunction"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <table id="statements" class="grid dict">
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.6.4#01</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>IF information is received through any electronic interface or is electronically referenced, THEN the system SHALL present it upon request, according to organizational policy and/or jurisdictional law.</p>
</div></span>
                

                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.6.4#02</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL provide the ability to capture externally-sourced electronic clinical documentation including original, updates and addenda, according to organizational policy and/or jurisdictional law.</p>
</div></span>
                

                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.6.4#03</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to capture and maintain externally-sourced electronic clinical documentation and annotations with structured content including problems, diagnoses, office visit, phone communication, e-mail consultations and laboratory results.</p>
</div></span>
                

                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.6.4#04</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>IF externally-sourced electronic clinical documentation is captured from encounters with providers, THEN the system SHALL provide the ability to present that documentation to the PHR Account Holder.</p>
</div></span>
                

                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.6.4#05</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to render notes based on filters, search, or sort criteria.</p>
</div></span>
                

                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.6.4#06</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to exchange data using documentation templates.</p>
</div></span>
                

                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <url value="http://hl7.org/ehrs/Requirements/PHRSFMR2-PH.6.4"/>
  <version value="0.1.0"/>
  <name value="PH_6_4_Data_and_Documentation_from_External_Clinical_Sources"/>
  <title
         value="PH.6.4 Data and Documentation from External Clinical Sources (Function)"/>
  <status value="active"/>
  <date value="2024-01-31T14:45:34+00:00"/>
  <publisher value="EHR WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description
               value="Most encounters generate documentation that can be captured in the PHR-S. Additional supporting data such as diagnostic reports or consultations may be included. A prolonged hospitalization encounter may encompass numerous structured or unstructured documents.

Example(s): The system should capture, index, and store encounter information, including the encounter document or summary, laboratory results, radiographic images, PACS, EKG, and scanned documents."/>
  <statement>
    <key value="PHRSFMR2-PH.6.4-01"/>
    <label value="PH.6.4#01"/>
    <conformance value="SHALL"/>
    <conditionality value="true"/>
    <requirement
                 value="IF information is received through any electronic interface or is electronically referenced, THEN the system SHALL present it upon request, according to organizational policy and/or jurisdictional law."/>
  </statement>
  <statement>
    <key value="PHRSFMR2-PH.6.4-02"/>
    <label value="PH.6.4#02"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to capture externally-sourced electronic clinical documentation including original, updates and addenda, according to organizational policy and/or jurisdictional law."/>
  </statement>
  <statement>
    <key value="PHRSFMR2-PH.6.4-03"/>
    <label value="PH.6.4#03"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to capture and maintain externally-sourced electronic clinical documentation and annotations with structured content including problems, diagnoses, office visit, phone communication, e-mail consultations and laboratory results."/>
  </statement>
  <statement>
    <key value="PHRSFMR2-PH.6.4-04"/>
    <label value="PH.6.4#04"/>
    <conformance value="SHALL"/>
    <conditionality value="true"/>
    <requirement
                 value="IF externally-sourced electronic clinical documentation is captured from encounters with providers, THEN the system SHALL provide the ability to present that documentation to the PHR Account Holder."/>
  </statement>
  <statement>
    <key value="PHRSFMR2-PH.6.4-05"/>
    <label value="PH.6.4#05"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to render notes based on filters, search, or sort criteria."/>
  </statement>
  <statement>
    <key value="PHRSFMR2-PH.6.4-06"/>
    <label value="PH.6.4#06"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to exchange data using documentation templates."/>
  </statement>
</Requirements>