# CPS.3.4 Support for Context-Sensitive Care Plans, Guidelines, Protocols (Function) - HL7 Electronic Health Record System Functional Model, Release 2.1.1 v2.1.1

## Requirements: CPS.3.4 Support for Context-Sensitive Care Plans, Guidelines, Protocols (Function) 

 
Identify and present the appropriate care plans, guidelines, protocols, and/or clinical pathways for the management of patient-specific conditions that are identified in a patient clinical encounter. 



## Resource Content

```json
{
  "resourceType" : "Requirements",
  "id" : "EHRSFMR2-CPS.3.4",
  "meta" : {
    "profile" : [
      "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
    ]
  },
  "language" : "en",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "normative"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "ehr"
    }
  ],
  "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CPS.3.4",
  "version" : "2.1.1",
  "name" : "CPS_3_4_Support_for_Context_Sensitive_Care_Plans__Guidelines__Protocols",
  "title" : "CPS.3.4 Support for Context-Sensitive Care Plans, Guidelines, Protocols (Function)",
  "status" : "active",
  "date" : "2025-12-13T09:06:06+00:00",
  "publisher" : "HL7 International / Electronic Health Records",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/ehr"
        }
      ]
    }
  ],
  "description" : "Identify and present the appropriate care plans, guidelines, protocols, and/or clinical pathways for the management of patient-specific conditions that are identified in a patient clinical encounter.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "purpose" : "At the time of the clinical encounter (problem identification), recommendations for tests, treatments, medications, immunizations, referrals and evaluations are presented based on evaluation of patient-specific data such as age, gender, developmental stage, their health profile, and any site-specific considerations. These may be modified on the basis of new clinical data at subsequent encounters.",
  "statement" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-01",
      "label" : "CPS.3.4#01",
      "conformance" : ["SHALL"],
      "conditionality" : false,
      "requirement" : "The system SHALL provide the ability to render care and treatment plans that are sensitive to the context of patient data and assessments.",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#1"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-02",
      "label" : "CPS.3.4#02",
      "conformance" : ["SHOULD"],
      "conditionality" : false,
      "requirement" : "The system SHOULD provide the ability to capture and maintain the choice of action in response to care plan suggestions.",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#4"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-03",
      "label" : "CPS.3.4#03",
      "conformance" : ["SHOULD"],
      "conditionality" : false,
      "requirement" : "The system SHOULD determine and render alerts, notifications, and reports about variances from standard care plans, guidelines, protocols, and clinical pathways.",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#5"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-04",
      "label" : "CPS.3.4#04",
      "conformance" : ["SHALL"],
      "conditionality" : false,
      "requirement" : "The system SHALL conform to function [CPS.3.1](Requirements-EHRSFMR2-CPS.3.1.html) (Support for Standard Assessments).",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#7"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-05",
      "label" : "CPS.3.4#05",
      "conformance" : ["SHALL"],
      "conditionality" : false,
      "requirement" : "The system SHALL conform to function [CPS.3.2](Requirements-EHRSFMR2-CPS.3.2.html) (Support for Patient Context-Driven Assessments).",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#8"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-06",
      "label" : "CPS.3.4#06",
      "conformance" : ["SHALL"],
      "conditionality" : false,
      "requirement" : "The system SHALL conform to function [CPS.3.3](Requirements-EHRSFMR2-CPS.3.3.html) (Support for Standard Care Plans, Guidelines, Protocols).",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#6"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-07",
      "label" : "CPS.3.4#07",
      "conformance" : ["SHOULD"],
      "conditionality" : false,
      "requirement" : "The system SHOULD provide the ability to capture, maintain, and render specialized medical treatment guidelines and protocols for unique physical, chemical, biological, and radiologic exposures."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-08",
      "label" : "CPS.3.4#08",
      "conformance" : ["SHOULD"],
      "conditionality" : false,
      "requirement" : "The system SHOULD provide the ability to manage biometric data, such as age-specific, weight-specific or height-specific normative data, to identify, track and provide alerts, notifications and reports about variances, care plans, guidelines and protocols.",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.2.2.1.2#9"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-09",
      "label" : "CPS.3.4#09",
      "conformance" : ["SHALL"],
      "conditionality" : false,
      "requirement" : "The system SHALL provide the ability to capture, maintain and render care plan templates to be used as a basis for the creation of new plans of care and treatment.",
      "derivedFrom" : "EHR-S_FM_R1.1 DC.1.6.2#3"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2-CPS.3.4-10",
      "label" : "CPS.3.4#10",
      "conformance" : ["SHOULD"],
      "conditionality" : false,
      "requirement" : "The system SHOULD provide the ability to capture care plan templates from previously developed care plans."
    }
  ]
}

```
