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

## : OV.1 Overarching Criteria (Function)

Page standards status: Normative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="EHRSFMR2-OV.1"/>
      <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>The Overarching Section contains Conformance Criteria that apply to all EHR Systems and consequently must be included in all EHR-S FM compliant profiles. These criteria are grouped under a single Function.</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;">
                OV.1#01
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-CP.9.1.html">CP.9.1</a> (Produce a Summary Record of Care).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#02
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-CPS.9.3.html">CPS.9.3</a> (Health Record Output).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#03
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-CPS.9.4.html">CPS.9.4</a> (Standard Report Generation).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#04
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-RI.1.1.html">RI.1.1</a> (Record Lifecycle) and all child functions.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#05
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-RI.1.2.html">RI.1.2</a> (Record Lifespan) and all child functions.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#06
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-RI.2.html">RI.2</a> (Record Synchronization).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#07
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-RI.3.html">RI.3</a> (Record Archive and Restore).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#08
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.1.html">TI.1.1</a> (Entity Authentication).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#09
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.2.html">TI.1.2</a> (Entity Authorization) .</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#10
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.3.html">TI.1.3</a> (Entity Access Control).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#11
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.4.html">TI.1.4</a> (Patient Access Management).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#12
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.5.html">TI.1.5</a> (Non-Repudiation).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#13
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system transmits data to or receives data from a system outside of a secure network, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.6.html">TI.1.6</a> (Secure Data Exchange), to ensure that the data are protected.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#14
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system transmits data to or receives data from a system outside of a secure network, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.7.html">TI.1.7</a> (Secure Data Routing), to ensure that the exchange occurs only among authorized senders and receivers.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#15
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.1.8.html">TI.1.8</a> (Patient Privacy and Confidentiality).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#16
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.2.html">TI.2</a> (Audit) and all child functions.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#17
                </td>
                <td style="padding-left: 4px;">
                SHOULD

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHOULD conform to function <a href="Requirements-EHRSFMR2-TI.3.html">TI.3</a> (Registry and Directory Services).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#18
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.4.html">TI.4</a> (Standard Terminology and Terminology Services).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#19
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system manages data for which standard terminologies have been established, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.4.1.html">TI.4.1</a> (Standard Terminologies and Terminology Models) to support semantic interoperability.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#20
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system manages data for which standard terminologies have been established, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.4.2.html">TI.4.2</a> (Maintenance and Versioning of Standard Terminologies) to preserve the semantics of coded data over time.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#21
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF terminology mapping is implemented within the system, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.4.3.html">TI.4.3</a> (Terminology Mapping).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#22
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system receives or transmits data for which jurisdictionally established interchange standards exist, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.5.1.html">TI.5.1</a> (Application and Structured-Document Interchange Standards) and all child functions to support interoperability.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#23
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system receives and transmits data for which generally accepted interchange standards have been established, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.5.2.html">TI.5.2</a> (Interchange Standards Versioning and Maintenance), to accommodate the inevitable evolution of interchange standards.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#24
                </td>
                <td style="padding-left: 4px;">
                SHOULD

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHOULD conform to function <a href="Requirements-EHRSFMR2-TI.5.3.html">TI.5.3</a> (Standards-based Application Integration).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#25
                </td>
                <td style="padding-left: 4px;">
                SHALL

                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;">conditional</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>IF the system receives and transmits data with other systems outside itself, THEN the system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.5.4.html">TI.5.4</a> (Interchange Agreements), to define how the sender and receiver will exchange data.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#26
                </td>
                <td style="padding-left: 4px;">
                SHOULD

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHOULD conform to function <a href="Requirements-EHRSFMR2-TI.6.html">TI.6</a> (Business Rules Management).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#27
                </td>
                <td style="padding-left: 4px;">
                SHOULD

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHOULD conform to function <a href="Requirements-EHRSFMR2-TI.7.html">TI.7</a> (Workflow Management).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#28
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.8.html">TI.8</a> (Database Backup and Recovery).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#29
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-CPS.10.html">CPS.10</a> (Manage User Help).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                OV.1#30
                </td>
                <td style="padding-left: 4px;">
                SHALL

                </td>
                <td style="padding-left: 4px;" class="requirement">
                    <div><p>The system SHALL conform to function <a href="Requirements-EHRSFMR2-TI.9.html">TI.9</a> (System Management Operations and Performance).</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-OV.1"/>
      <version value="2.1.1"/>
      <name value="OV_1_Overarching_Criteria"/>
      <title value="OV.1 Overarching Criteria (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="Overarching criteria are those that apply to all EHR Systems."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
          <display value="World"/>
        </coding>
      </jurisdiction>
      <purpose
               value="The Overarching Section contains Conformance Criteria that apply to all EHR Systems and consequently must be included in all EHR-S FM compliant profiles. These criteria are grouped under a single Function."/>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-01"/>
        <label value="OV.1#01"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [CP.9.1](Requirements-EHRSFMR2-CP.9.1.html) (Produce a Summary Record of Care)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-02"/>
        <label value="OV.1#02"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [CPS.9.3](Requirements-EHRSFMR2-CPS.9.3.html) (Health Record Output)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-03"/>
        <label value="OV.1#03"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [CPS.9.4](Requirements-EHRSFMR2-CPS.9.4.html) (Standard Report Generation)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-04"/>
        <label value="OV.1#04"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [RI.1.1](Requirements-EHRSFMR2-RI.1.1.html) (Record Lifecycle) and all child functions."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-05"/>
        <label value="OV.1#05"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [RI.1.2](Requirements-EHRSFMR2-RI.1.2.html) (Record Lifespan) and all child functions."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-06"/>
        <label value="OV.1#06"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [RI.2](Requirements-EHRSFMR2-RI.2.html) (Record Synchronization)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-07"/>
        <label value="OV.1#07"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [RI.3](Requirements-EHRSFMR2-RI.3.html) (Record Archive and Restore)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-08"/>
        <label value="OV.1#08"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.1.1](Requirements-EHRSFMR2-TI.1.1.html) (Entity Authentication)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-09"/>
        <label value="OV.1#09"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.1.2](Requirements-EHRSFMR2-TI.1.2.html) (Entity Authorization) ."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-10"/>
        <label value="OV.1#10"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.1.3](Requirements-EHRSFMR2-TI.1.3.html) (Entity Access Control)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-11"/>
        <label value="OV.1#11"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.1.4](Requirements-EHRSFMR2-TI.1.4.html) (Patient Access Management)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-12"/>
        <label value="OV.1#12"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.1.5](Requirements-EHRSFMR2-TI.1.5.html) (Non-Repudiation)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-13"/>
        <label value="OV.1#13"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system transmits data to or receives data from a system outside of a secure network, THEN the system SHALL conform to function [TI.1.6](Requirements-EHRSFMR2-TI.1.6.html) (Secure Data Exchange), to ensure that the data are protected."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-14"/>
        <label value="OV.1#14"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system transmits data to or receives data from a system outside of a secure network, THEN the system SHALL conform to function [TI.1.7](Requirements-EHRSFMR2-TI.1.7.html) (Secure Data Routing), to ensure that the exchange occurs only among authorized senders and receivers."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-15"/>
        <label value="OV.1#15"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.1.8](Requirements-EHRSFMR2-TI.1.8.html) (Patient Privacy and Confidentiality)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-16"/>
        <label value="OV.1#16"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.2](Requirements-EHRSFMR2-TI.2.html) (Audit) and all child functions."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-17"/>
        <label value="OV.1#17"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD conform to function [TI.3](Requirements-EHRSFMR2-TI.3.html) (Registry and Directory Services)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-18"/>
        <label value="OV.1#18"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.4](Requirements-EHRSFMR2-TI.4.html) (Standard Terminology and Terminology Services)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-19"/>
        <label value="OV.1#19"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system manages data for which standard terminologies have been established, THEN the system SHALL conform to function [TI.4.1](Requirements-EHRSFMR2-TI.4.1.html) (Standard Terminologies and Terminology Models) to support semantic interoperability."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-20"/>
        <label value="OV.1#20"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system manages data for which standard terminologies have been established, THEN the system SHALL conform to function [TI.4.2](Requirements-EHRSFMR2-TI.4.2.html) (Maintenance and Versioning of Standard Terminologies) to preserve the semantics of coded data over time."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-21"/>
        <label value="OV.1#21"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF terminology mapping is implemented within the system, THEN the system SHALL conform to function [TI.4.3](Requirements-EHRSFMR2-TI.4.3.html) (Terminology Mapping)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-22"/>
        <label value="OV.1#22"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system receives or transmits data for which jurisdictionally established interchange standards exist, THEN the system SHALL conform to function [TI.5.1](Requirements-EHRSFMR2-TI.5.1.html) (Application and Structured-Document Interchange Standards) and all child functions to support interoperability."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-23"/>
        <label value="OV.1#23"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system receives and transmits data for which generally accepted interchange standards have been established, THEN the system SHALL conform to function [TI.5.2](Requirements-EHRSFMR2-TI.5.2.html) (Interchange Standards Versioning and Maintenance), to accommodate the inevitable evolution of interchange standards."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-24"/>
        <label value="OV.1#24"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD conform to function [TI.5.3](Requirements-EHRSFMR2-TI.5.3.html) (Standards-based Application Integration)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-25"/>
        <label value="OV.1#25"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF the system receives and transmits data with other systems outside itself, THEN the system SHALL conform to function [TI.5.4](Requirements-EHRSFMR2-TI.5.4.html) (Interchange Agreements), to define how the sender and receiver will exchange data."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-26"/>
        <label value="OV.1#26"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD conform to function [TI.6](Requirements-EHRSFMR2-TI.6.html) (Business Rules Management)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-27"/>
        <label value="OV.1#27"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD conform to function [TI.7](Requirements-EHRSFMR2-TI.7.html) (Workflow Management)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-28"/>
        <label value="OV.1#28"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.8](Requirements-EHRSFMR2-TI.8.html) (Database Backup and Recovery)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-29"/>
        <label value="OV.1#29"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [CPS.10](Requirements-EHRSFMR2-CPS.10.html) (Manage User Help)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-OV.1-30"/>
        <label value="OV.1#30"/>
        <conformance value="SHALL"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHALL conform to function [TI.9](Requirements-EHRSFMR2-TI.9.html) (System Management Operations and Performance)."/>
      </statement>
    </Requirements>