HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1 - Normative

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 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

## : CPS.2.7 Support Patient Data Derived from Eligibility, Formulary and Benefit Documentation for Electronic Prescribing (Function)

Page standards status: Normative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="EHRSFMR2-CPS.2.7"/>
      <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>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:</p>
    <ul>
    <li>a provider</li>
    <li>a payer, or</li>
    <li>entities that transmit or process eligibility, formulary and benefit data.</li>
    </ul>
    </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.2.7#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 manage patient data derived from eligibility, formulary and benefit information.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                CPS.2.7#02
                </td>
                <td style="padding-left: 4px;">
                SHOULD

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHOULD provide the ability to capture the source of patient data derived from eligibility, formulary and benefit information.</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.2.7"/>
      <version value="2.1.1"/>
      <name
            value="CPS_2_7_Support_Patient_Data_Derived_from_Eligibility__Formulary_and_Benefit_Documentation_for_Electronic_Prescribing"/>
      <title
             value="CPS.2.7 Support Patient Data Derived from Eligibility, Formulary and Benefit Documentation for Electronic Prescribing (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 and explicitly label patient data derived from eligibility, formulary and benefit information; and link the data source with that data."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
          <display value="World"/>
        </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."/>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-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."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-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."/>
      </statement>
    </Requirements>