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

<Requirements xmlns="http://hl7.org/fhir">
  <id value="DHFPR2-AS.6.6"/>
  <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>Acuity data helps determine appropriate staffing -- as modified by the nurses' level of experience, the organization's characteristics, and the quality of clinical interaction between and among physicians, nurses, and administrators. Research has been done on nurse staffing and patient outcomes; the impact of organizational characteristics on nurse staffing patterns, patient outcomes, and costs; and the impact of nurses' experience on patient outcomes. The research indicates that nurse staffing has a definite and measurable impact on patient outcomes, medical errors, length of stay, nurse turnover, and patient mortality. Also, acuity and severity data is routinely the evidential basis most frequently cited by staff when recommending clinical staffing changes.</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.6.6#01
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHOULD provide the ability to capture (i.e., collect) data to support the patient acuity/severity processes for illness/risk-based adjustment of resources.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.6.6#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 extract and transmit (i.e., export) data to support the patient acuity/severity processes for illness/risk-based adjustment of resources.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.6.6#03
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY render a prompt for the user to provide key data needed to support acuity/severity processes.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            AS.6.6#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 determine patient acuity, and/or severity levels.</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.6.6"/>
  <version value="2.0.0-ballot"/>
  <name value="AS_6_6_Support_Patient_Acuity_and_Severity_Determination"/>
  <title value="AS.6.6 Support Patient Acuity and Severity Determination (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="Provide the data necessary to support and manage patient acuity and severity determination for illness/risk-based adjustment of resources."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose value="Acuity data helps determine appropriate staffing -- as modified by the nurses' level of experience, the organization's characteristics, and the quality of clinical interaction between and among physicians, nurses, and administrators. Research has been done on nurse staffing and patient outcomes; the impact of organizational characteristics on nurse staffing patterns, patient outcomes, and costs; and the impact of nurses' experience on patient outcomes. The research indicates that nurse staffing has a definite and measurable impact on patient outcomes, medical errors, length of stay, nurse turnover, and patient mortality. Also, acuity and severity data is routinely the evidential basis most frequently cited by staff when recommending clinical staffing changes."/>
  <derivedFrom value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-AS.6.6"/>
  <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.6.6-01"/>
    <label value="AS.6.6#01"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement value="The system SHOULD provide the ability to capture (i.e., collect) data to support the patient acuity/severity processes for illness/risk-based adjustment of resources."/>
    <derivedFrom value="AS.6.6#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.6.6-02"/>
    <label value="AS.6.6#02"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY provide the ability to extract and transmit (i.e., export) data to support the patient acuity/severity processes for illness/risk-based adjustment of resources."/>
    <derivedFrom value="AS.6.6#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.6.6-03"/>
    <label value="AS.6.6#03"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY render a prompt for the user to provide key data needed to support acuity/severity processes."/>
    <derivedFrom value="AS.6.6#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.6.6-04"/>
    <label value="AS.6.6#04"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY provide the ability to determine patient acuity, and/or severity levels."/>
    <derivedFrom value="AS.6.6#4"/>
  </statement>
</Requirements>