{ "resourceType" : "Requirements", "id" : "DHFPR2-CP.8.1", "meta" : { "profile" : ["http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "
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Description I:

When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care).

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Criteria N:
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\n CP.8.1#01\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events.

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\n CP.8.1#02\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider.

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\n CP.8.1#03\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD provide the ability to transmit instruction information in electronic format to be provided to the patient.

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\n CP.8.1#04\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care.

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\n CP.8.1#05\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL provide the ability to capture an indication that instructions were given to the patient.

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\n CP.8.1#06\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions.

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\n CP.8.1#07\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD provide the ability to annotate patient-specific instructions.

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\n CP.8.1#08\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD provide the ability to capture and maintain, as discrete data, the reason for variation from rule-based clinical messages and patient information.

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\n CP.8.1#09\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD provide the ability to manage patient instructions in multiple languages.

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\n CP.8.1#10\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY provide the ability to manage a list of appropriate patient instructions based on age.

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\n CP.8.1#11\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY provide the ability to manage a list of appropriate patient instructions based on gender.

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\n CP.8.1#12\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY provide the ability to manage a list of appropriate patient instructions based on diagnosis.

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\n CP.8.1#13\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY provide the ability to manage a list of appropriate patient instructions based on reading level.

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\n CP.8.1#14\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY provide the ability to render educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment).

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" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "informative" }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "ehr" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 1, "_valueInteger" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2" }] } }], "url" : "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CP.8.1", "version" : "2.0.0-ballot", "name" : "CP_8_1_Generate__Record_and_Distribute_Patient_Specific_Instructions", "title" : "CP.8.1 Generate, Record and Distribute Patient-Specific Instructions (Function)", "status" : "active", "date" : "2025-12-19T08:44:27+00:00", "publisher" : "HL7 International / Electronic Health Records", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/ehr" }] }], "description" : "Generate and record patient-specific instructions related to pre- and post-procedural and post-treatment/discharge requirements.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "US" }] }], "purpose" : "When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care).", "derivedFrom" : ["http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.8.1"], "statement" : [{ "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-01", "label" : "CP.8.1#01", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events.", "derivedFrom" : "CP.8.1#1" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-02", "label" : "CP.8.1#02", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider.", "derivedFrom" : "CP.8.1#2" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-03", "label" : "CP.8.1#03", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD provide the ability to transmit instruction information in electronic format to be provided to the patient.", "derivedFrom" : "CP.8.1#3" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-04", "label" : "CP.8.1#04", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care.", "derivedFrom" : "CP.8.1#4" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-05", "label" : "CP.8.1#05", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL provide the ability to capture an indication that instructions were given to the patient.", "derivedFrom" : "CP.8.1#5" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-06", "label" : "CP.8.1#06", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions.", "derivedFrom" : "CP.8.1#6" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-07", "label" : "CP.8.1#07", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD provide the ability to annotate patient-specific instructions.", "derivedFrom" : "CP.8.1#7" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-08", "label" : "CP.8.1#08", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD provide the ability to capture and maintain, as discrete data, the reason for variation from rule-based clinical messages and patient information.", "derivedFrom" : "CP.8.1#8" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-09", "label" : "CP.8.1#09", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD provide the ability to manage patient instructions in multiple languages.", "derivedFrom" : "CP.8.1#9" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-10", "label" : "CP.8.1#10", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on age.", "derivedFrom" : "CP.8.1#10" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-11", "label" : "CP.8.1#11", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on gender.", "derivedFrom" : "CP.8.1#11" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-12", "label" : "CP.8.1#12", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on diagnosis.", "derivedFrom" : "CP.8.1#12" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-13", "label" : "CP.8.1#13", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on reading level.", "derivedFrom" : "CP.8.1#13" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-CP.8.1-14", "label" : "CP.8.1#14", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY provide the ability to render educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment).", "derivedFrom" : "CP.8.1#14" }] }