HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1-ballot - Normative Ballot
HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1-ballot - Normative Ballot
HL7 Electronic Health Record System Functional Model, Release 2.1.1, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.1.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ehrsfm-ig/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
<Requirements xmlns="http://hl7.org/fhir">
<id value="EHRSFMR2-AS.6.6"/>
<meta>
<profile
value="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<span id="description"><b>Statement <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b> <div><p>Provide the data necessary to support and manage patient acuity and severity determination for illness/risk-based adjustment of resources.</p>
</div></span>
<span id="purpose"><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></span>
<span id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></span>
<table id="statements" class="grid dict">
<tr>
<td style="padding-left: 4px;">
<span>AS.6.6#01</span>
</td>
<td style="padding-left: 4px;">
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><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></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>AS.6.6#02</span>
</td>
<td style="padding-left: 4px;">
<span>MAY</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><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></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>AS.6.6#03</span>
</td>
<td style="padding-left: 4px;">
<span>MAY</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system MAY render a prompt for the user to provide key data needed to support acuity/severity processes.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>AS.6.6#04</span>
</td>
<td style="padding-left: 4px;">
<span>MAY</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system MAY provide the ability to determine patient acuity, and/or severity levels.</p>
</div></span>
</td>
</tr>
</table>
</div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="ehr"/>
</extension>
<url value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-AS.6.6"/>
<version value="2.1.1-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="2025-08-29T14:03:55+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="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</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."/>
<statement>
<extension
url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2-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="EHR-S_FM_R1.1 S.3.6#1"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2-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="EHR-S_FM_R1.1 S.3.6#2"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2-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="EHR-S_FM_R1.1 S.3.6#3"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2-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."/>
</statement>
</Requirements>
IG © 2025 HL7 International / Electronic Health Records. Package hl7.ehrs.uv.ehrsfmr2#2.1.1-ballot based on FHIR 5.0.0. Generated 2025-08-29
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