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

<Requirements xmlns="http://hl7.org/fhir">
  <id value="EHRSFMR2-CPS.3.8"/>
  <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>Provider actions in response to prompts offered from decision support are captured. Management of these actions be accomplished at the patient level or aggregated for patient population, research protocol, or organizational trending.</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;">
            CPS.3.8#01
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture that clinical decision support prompts have been rendered and user response to accept or override those prompts.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CPS.3.8#02
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture the reason for variation from the decision support prompt.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CPS.3.8#03
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHOULD provide the ability to render recorded variances from decision support prompts.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CPS.3.8#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 render a notification to users that a decision support alert has been disabled (e.g., notification to administrators or the user who disabled the alert).</p>
</div>
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ehr"/>
  </extension>
  <url value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CPS.3.8"/>
  <version value="2.1.1"/>
  <name value="CPS_3_8_Manage_Documentation_of_Clinician_Response_to_Decision_Support_Prompts"/>
  <title value="CPS.3.8 Manage Documentation of Clinician Response to Decision Support Prompts (Function)"/>
  <status value="active"/>
  <date value="2025-12-13T09:06:06+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 the decision support prompts and manage provider actions to accept or override decision support prompts."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose value="Provider actions in response to prompts offered from decision support are captured. Management of these actions be accomplished at the patient level or aggregated for patient population, research protocol, or organizational trending."/>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CPS.3.8-01"/>
    <label value="CPS.3.8#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to capture that clinical decision support prompts have been rendered and user response to accept or override those prompts."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.1.8.6#1"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CPS.3.8-02"/>
    <label value="CPS.3.8#02"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to capture the reason for variation from the decision support prompt."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.1.8.6#2"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CPS.3.8-03"/>
    <label value="CPS.3.8#03"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement value="The system SHOULD provide the ability to render recorded variances from decision support prompts."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.1.8.6#3"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CPS.3.8-04"/>
    <label value="CPS.3.8#04"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY provide the ability to render a notification to users that a decision support alert has been disabled (e.g., notification to administrators or the user who disabled the alert)."/>
    <derivedFrom value="PHFP DC.1.8.6#4"/>
  </statement>
</Requirements>