<?xml version="1.0" encoding="UTF-8"?>

<Requirements xmlns="http://hl7.org/fhir">
  <id value="DHFPR2-AS.4.1"/>
  <meta>
    <profile value="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/><div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en">
    
             
    
    
    <div id="description"><b>Description <a href="https://hl7.org/fhir/versions.html#std-process" title="Informative Content" class="informative-flag">I</a>:</b> <div><p>The system can provide for automated or user-initiated exchange of individuals' health information to disease-specific registries or other notifiable registries (such as immunization registries). These exchanges should use standard data transfer protocols or messages. The systems should allow for updating and configuration of communication with new registries.</p>
</div></div>
    
    
    
    <div id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></div>
    
    <table id="statements" class="grid dict">
        
        <tr>
            <td style="padding-left: 4px;">
            AS.4.1#01
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to exchange structured demographic and clinical information with registries (e.g., local, disease specific, notifiable, patient, provider, organization, or health services registries).</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.4.1#02
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY provide the ability to render and tag registry information as reviewed and the information's related assessment of validity or applicability for clinical, financial or administrative activities.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.4.1#03
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHOULD provide the ability to maintain information received from registries (e.g., local, disease specific, notifiable, patient, provider, organization, or health services registries).</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.4.1#04
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY provide the ability to receive structured demographic and clinical information from registries.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.4.1#05
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHOULD provide the ability to harmonize system information with registry information.</p>
</div>
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative"/>
  </extension>
  <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
    <valueCode value="NC"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ehr"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2"/>
      </extension>
    </valueInteger>
  </extension>
  <url value="http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-AS.4.1"/>
  <version value="2.0.0-ballot"/>
  <name value="AS_4_1_Manage_Registry_Communication"/>
  <title value="AS.4.1 Manage Registry Communication (Function)"/>
  <status value="active"/>
  <date value="2025-12-19T08:44:27+00:00"/>
  <publisher value="HL7 International / Electronic Health Records"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description value="Enable the exchange of structured demographic and clinical information with registries (e.g., local disease-specific, notifiable, patient, provider, organization, and health services registries) for patient monitoring and subsequent epidemiological analysis."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose value="The system can provide for automated or user-initiated exchange of individuals' health information to disease-specific registries or other notifiable registries (such as immunization registries). These exchanges should use standard data transfer protocols or messages. The systems should allow for updating and configuration of communication with new registries."/>
  <derivedFrom value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-AS.4.1"/>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-AS.4.1-01"/>
    <label value="AS.4.1#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to exchange structured demographic and clinical information with registries (e.g., local, disease specific, notifiable, patient, provider, organization, or health services registries)."/>
    <derivedFrom value="AS.4.1#1"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-AS.4.1-02"/>
    <label value="AS.4.1#02"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY provide the ability to render and tag registry information as reviewed and the information's related assessment of validity or applicability for clinical, financial or administrative activities."/>
    <derivedFrom value="AS.4.1#2"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-AS.4.1-03"/>
    <label value="AS.4.1#03"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement value="The system SHOULD provide the ability to maintain information received from registries (e.g., local, disease specific, notifiable, patient, provider, organization, or health services registries)."/>
    <derivedFrom value="AS.4.1#3"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-AS.4.1-04"/>
    <label value="AS.4.1#04"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY provide the ability to receive structured demographic and clinical information from registries."/>
    <derivedFrom value="AS.4.1#4"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-AS.4.1-05"/>
    <label value="AS.4.1#05"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement value="The system SHOULD provide the ability to harmonize system information with registry information."/>
    <derivedFrom value="AS.4.1#5"/>
  </statement>
</Requirements>