Description I:

Sources of eligibility, formulary and benefit may provide data for entry into the electronic prescribing or be given a mechanism for entering this data directly. The data must be explicitly labeled as derived from eligibility, formulary and benefit information. Patient data that is derived from eligibility, formulary and benefit data may be provided by:

  • a provider
  • a payer, or
  • entities that transmit or process eligibility, formulary and benefit data
Criteria N:
CPS.2.7#01 SHALL

The system SHALL provide the ability to manage patient data derived from eligibility, formulary and benefit information.
CPS.2.7#02 SHOULD

The system SHOULD provide the ability to capture the source of patient data derived from eligibility, formulary and benefit information.
<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="Capture and explicitly label patient data derived from eligibility, formulary and benefit information; and link the data source with that data."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <purpose value="Sources of eligibility, formulary and benefit may provide data for entry into the electronic prescribing or be given a mechanism for entering this data directly. The data must be explicitly labeled as derived from eligibility, formulary and benefit information. Patient data that is derived from eligibility, formulary and benefit data may be provided by: - a provider - a payer, or - entities that transmit or process eligibility, formulary and benefit data"/> <derivedFrom value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CPS.2.7"/> <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-CPS.2.7-01"/> <label value="CPS.2.7#01"/> <conformance value="SHALL"/> <conditionality value="false"/> <requirement value="The system SHALL provide the ability to manage patient data derived from eligibility, formulary and benefit information."/> <derivedFrom value="CPS.2.7#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-CPS.2.7-02"/> <label value="CPS.2.7#02"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD provide the ability to capture the source of patient data derived from eligibility, formulary and benefit information."/> <derivedFrom value="CPS.2.7#2"/> </statement> </Requirements>