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

## : TI.1.9 System Operation Measurements (Function)

Page standards status: Normative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="EHRSFMR2-TI.1.9"/>
      <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>A health care delivery relies on services provided by other external facilities such as laboratories or Long Term Care facilities. The status of those facilities is subject to change for example: power outage, flooding or overcapacity. Therefore, the EHR system needs to capture the status of the external facilities, notify appropriate individuals / organizations or even change the workflow based on established business rules. Change of the status of an external facility is patient safety concern because a provider may need to adjust patient care or care workflows accordingly. For example, changes of status of external facility include: laboratory no longer accredited, laboratory power outage, Long Term Care facility at overcapacity. If laboratory loses accreditation an administrator needs to be notified to adjust the workflow. If status change is anticipated on regular basis, the system may automatically trigger workflow adjustment according to established business rule that take in consideration the status of the external facility. The example for later, the local Long Term Care facility may routinely exceed the capacity on the weekends; therefore, the business rule will accommodate for automatic workflow adjustments.</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;">
                TI.1.9#01
                </td>
                <td style="padding-left: 4px;">
                SHOULD

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHOULD provide the ability to manage the change of status of an external facility.</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-TI.1.9"/>
      <version value="2.1.1"/>
      <name value="TI_1_9_System_Operation_Measurements"/>
      <title value="TI.1.9 System Operation Measurements (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="Manage the change of status of an external facility."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
          <display value="World"/>
        </coding>
      </jurisdiction>
      <purpose
               value="A health care delivery relies on services provided by other external facilities such as laboratories or Long Term Care facilities. The status of those facilities is subject to change for example: power outage, flooding or overcapacity. Therefore, the EHR system needs to capture the status of the external facilities, notify appropriate individuals / organizations or even change the workflow based on established business rules. Change of the status of an external facility is patient safety concern because a provider may need to adjust patient care or care workflows accordingly. For example, changes of status of external facility include: laboratory no longer accredited, laboratory power outage, Long Term Care facility at overcapacity. If laboratory loses accreditation an administrator needs to be notified to adjust the workflow. If status change is anticipated on regular basis, the system may automatically trigger workflow adjustment according to established business rule that take in consideration the status of the external facility. The example for later, the local Long Term Care facility may routinely exceed the capacity on the weekends; therefore, the business rule will accommodate for automatic workflow adjustments."/>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-TI.1.9-01"/>
        <label value="TI.1.9#01"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to manage the change of status of an external facility."/>
      </statement>
    </Requirements>