Description I:

Users and patients will benefit from features that enable rapid checking of spelling and grammar, a medical thesaurus function as well as text shortcuts to expand pre-defined text during clinical documentation. A shortcut may also be defined to trigger a specific system function such as the opening of a pre-defined template. These functions may be defined at an enterprise level based on scope of practice, organizational policy, and/or jurisdictional law. However, pre-defined text may also be configured by provider or provider type.

Criteria N:
CPS.3.12#01 SHOULD

The system SHOULD determine and present the correct medical spelling based on an integrated realm-based medical spelling function.
CPS.3.12#02 SHOULD

The system SHOULD determine and present the correct medical thesaurus based on an integrated realm-based medical thesaurus function.
CPS.3.12#03 SHOULD

The system SHOULD determine and present the correct medical grammar based on an integrated realm-based medical grammar function.
CPS.3.12#04 SHOULD

The system SHOULD determine and present the appropriate pre-defined text when an associated shortcut is entered during clinical documentation.
CPS.3.12#05 SHOULD

The system SHOULD determine and present personally pre-defined text when triggered by the associated macro based on an integrated personally pre-defined-text function.
CPS.3.12#06 SHOULD

The system SHOULD provide the ability to manage shortcut for the insertion of templates (e.g., insert new patient assessment template when Ctrl-A is entered).
CPS.3.12#07 SHOULD

The system SHOULD determine and present the appropriate template when the associated shortcut is entered.
CPS.3.12#08 MAY

The system MAY provide the ability to manage an integrated enterprise pre-defined text function and associated macros.
CPS.3.12#09 MAY

The system MAY provide the ability to manage an integrated personally pre-defined text function and associated macros.
<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="Support grammatical and lexical integrity of the health record by providing medical spelling, thesaurus and grammar ready assistance during clinical documentation as well as enabling shortcuts for pre-defined text."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <purpose value="Users and patients will benefit from features that enable rapid checking of spelling and grammar, a medical thesaurus function as well as text shortcuts to expand pre-defined text during clinical documentation. A shortcut may also be defined to trigger a specific system function such as the opening of a pre-defined template. These functions may be defined at an enterprise level based on scope of practice, organizational policy, and/or jurisdictional law. However, pre-defined text may also be configured by provider or provider type."/> <derivedFrom value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CPS.3.12"/> <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.3.12-01"/> <label value="CPS.3.12#01"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD determine and present the correct medical spelling based on an integrated realm-based medical spelling function."/> <derivedFrom value="CPS.3.12#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.3.12-02"/> <label value="CPS.3.12#02"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD determine and present the correct medical thesaurus based on an integrated realm-based medical thesaurus function."/> <derivedFrom value="CPS.3.12#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-CPS.3.12-03"/> <label value="CPS.3.12#03"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD determine and present the correct medical grammar based on an integrated realm-based medical grammar function."/> <derivedFrom value="CPS.3.12#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-CPS.3.12-04"/> <label value="CPS.3.12#04"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD determine and present the appropriate pre-defined text when an associated shortcut is entered during clinical documentation."/> <derivedFrom value="CPS.3.12#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-CPS.3.12-05"/> <label value="CPS.3.12#05"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD determine and present personally pre-defined text when triggered by the associated macro based on an integrated personally pre-defined-text function."/> <derivedFrom value="CPS.3.12#5"/> </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.3.12-06"/> <label value="CPS.3.12#06"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD provide the ability to manage shortcut for the insertion of templates (e.g., insert new patient assessment template when Ctrl-A is entered)."/> <derivedFrom value="CPS.3.12#6"/> </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.3.12-07"/> <label value="CPS.3.12#07"/> <conformance value="SHOULD"/> <conditionality value="false"/> <requirement value="The system SHOULD determine and present the appropriate template when the associated shortcut is entered."/> <derivedFrom value="CPS.3.12#7"/> </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.3.12-08"/> <label value="CPS.3.12#08"/> <conformance value="MAY"/> <conditionality value="false"/> <requirement value="The system MAY provide the ability to manage an integrated enterprise pre-defined text function and associated macros."/> <derivedFrom value="CPS.3.12#8"/> </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.3.12-09"/> <label value="CPS.3.12#09"/> <conformance value="MAY"/> <conditionality value="false"/> <requirement value="The system MAY provide the ability to manage an integrated personally pre-defined text function and associated macros."/> <derivedFrom value="CPS.3.12#9"/> </statement> </Requirements>