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.2.5.1 Manage Problem Lists (Function)

Active as of 2024-01-31

PH.2.5.1#01 | SHALL | The system SHALL provide the ability to manage all problems associated with a PHR Account Holder. Satisfied by: https://www.hl7.org/fhir/condition.html
PH.2.5.1#02 | SHALL | The system SHALL provide the ability to manage a history of all problems associated with the PHR Account Holder according to user preference, organizational policy, and/ or jurisdictional law (e.g., a PHR-Account-Holder desires to delete the history of a problem after three years but a federal law indicates that the record cannot be deleted before seven years).
PH.2.5.1#03 | SHALL | The system SHALL provide the ability to capture the date that the problem was documented.
PH.2.5.1#04 | SHOULD | The system SHOULD provide the ability to capture the chronicity (e.g., chronic or acute/self-limiting) of a problem.
PH.2.5.1#05 | SHALL | The system SHALL provide the ability to capture the source, date and time of all updates to the problem list.
PH.2.5.1#06 | SHOULD | The system SHOULD provide the ability to manage the deactivation of a problem according to organizational policy and/or jurisdictional law.
PH.2.5.1#07 | SHOULD | The system SHOULD provide the ability to manage the reactivation of a previously deactivated problem.
PH.2.5.1#08 | SHOULD | The system SHOULD provide the ability to render inactive or resolved problems (e.g., so that a list of childhood earaches (that are no longer problematic for the adult) can be quickly viewed).
PH.2.5.1#09 | SHOULD | The system SHOULD provide the ability to render the problem list based on a manually-specified order.
PH.2.5.1#10 | SHOULD | The system SHOULD provide the ability to link episode, encounters, orders, interventions, including medications and/or other treatments, and/or notes with one or more problems.
PH.2.5.1#11 | MAY | The system MAY provide the ability to manage the consolidation or grouping of multiple problems or related problems under a single problem.
PH.2.5.1#12 | SHOULD | IF problems are combined or consolidated, THEN the system SHOULD maintain any links with episode encounters, orders, interventions, including medications and/or other treatments, or notes previously set.
PH.2.5.1#13 | SHOULD | The system SHOULD provide the ability for the PHR Account Holder to annotate problems.
PH.2.5.1#14 | MAY | The system MAY provide the ability to capture a priority, importance, rank, and/or severity score for problems as defined in a classification scheme.
PH.2.5.1#15 | SHALL | IF the system provides the ability to score problems in a classification scheme, THEN the system SHALL conform to function RI.1.1 (Record Lifecycle) to define classification schemes.
PH.2.5.1#16 | SHOULD | The system SHOULD provide the ability to render a problem list ordered by importance or severity of the problems.
PH.2.5.1#17 | SHOULD | The system SHOULD provide the ability to present a problem list truncated by the number of entries.
PH.2.5.1#18 | MAY | The system MAY provide the ability to link regimen therapy taken (either provider-initiated or PHR Account Holder initiated) and outcomes with a problem. For example, the PHR Account Holder may link the use of St. John's Wort and jogging with the problem of severe migraine headaches.
PH.2.5.1#19 | MAY | The system MAY tag and render an indication that automated logic will not be applied against problems that were entered in free-text format. For example, the system discloses that it will not examine a free-text description of the PHR Account Holder's migraine headaches (or allergies) with respect to the PHR Account Holder's medication list.
PH.2.5.1#20 | MAY | The system MAY conform to PH.5.4 (Integration with Third Party Clinical Decision Support Services) to analyze possible changes to health conditions across multiple factors (e.g., if a woman becomes pregnant she might need to temporarily limit the amount of tuna consumed that have high levels of mercury; or a person who gains an great deal of weight might need to resume taking insulin or adjust the dose of Levothyroxine taken).