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.2.4 Support externally-sourced Clinical Images (Function)

Page standards status: Normative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="EHRSFMR2-CPS.2.4"/>
      <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>Mechanisms for incorporating external clinical images (including identification of source) are available and communication with non-medical devices and entities is supported as appropriate to the care setting such as an office or a patient's home. Externally-sourced images may be presented with locally-sourced documentation and notes wherever appropriate. This covers all types of images received by the provider that would typically be incorporated into a medical record. These image documents are indexed and can be retrieved, e.g., based on the document type, date of the original document, and the date of scanning. Images may also be stored within the system or accessed by reference to an external system (e.g., a hospital's picture archiving and communication system). Examples of image formats include OCR, PDF, JPG or TIFF.
    Examples of externally-sourced images include:</p>
    <ul>
    <li>Laboratory results report images;</li>
    <li>Radiographic images;</li>
    <li>Images of power of attorney forms, living wills or birth certificates;</li>
    <li>Graphs and charts;</li>
    <li>Photographs or drawings of a patient's wounds;</li>
    <li>Wave files of EKG tracings.</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.2.4#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 capture, store and render clinical images (e.g., radiographs, pictures, video/audio, waveforms) received from external sources.</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                CPS.2.4#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 receive from an external source clinical result images (e.g., radiologic images).</p>
    </div>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">
                CPS.2.4#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 receive from an external source other forms of clinical results (e.g., wave files of EKG tracings or psychological assessment results).</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.2.4"/>
      <version value="2.1.1"/>
      <name value="CPS_2_4_Support_externally_sourced_Clinical_Images"/>
      <title
             value="CPS.2.4 Support externally-sourced Clinical Images (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="Incorporate clinical images from external sources and support communication/presentation of images from medical and non-medical devices and entities."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
          <display value="World"/>
        </coding>
      </jurisdiction>
      <purpose
               value="Mechanisms for incorporating external clinical images (including identification of source) are available and communication with non-medical devices and entities is supported as appropriate to the care setting such as an office or a patient's home. Externally-sourced images may be presented with locally-sourced documentation and notes wherever appropriate. This covers all types of images received by the provider that would typically be incorporated into a medical record. These image documents are indexed and can be retrieved, e.g., based on the document type, date of the original document, and the date of scanning. Images may also be stored within the system or accessed by reference to an external system (e.g., a hospital's picture archiving and communication system). Examples of image formats include OCR, PDF, JPG or TIFF.
    Examples of externally-sourced images include:
    - Laboratory results report images;
    - Radiographic images;
    - Images of power of attorney forms, living wills or birth certificates;
    - Graphs and charts;
    - Photographs or drawings of a patient's wounds;
    - Wave files of EKG tracings."/>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-CPS.2.4-01"/>
        <label value="CPS.2.4#01"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to capture, store and render clinical images (e.g., radiographs, pictures, video/audio, waveforms) received from external sources."/>
        <derivedFrom value="EHR-S_FM_R1.1 DC.1.1.3.1#7"/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-CPS.2.4-02"/>
        <label value="CPS.2.4#02"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to receive from an external source clinical result images (e.g., radiologic images)."/>
        <derivedFrom value="EHR-S_FM_R1.1 DC.1.1.3.1#7"/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="EHRSFMR2-CPS.2.4-03"/>
        <label value="CPS.2.4#03"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to receive from an external source other forms of clinical results (e.g., wave files of EKG tracings or psychological assessment results)."/>
        <derivedFrom value="EHR-S_FM_R1.1 DC.1.1.3.1#8"/>
      </statement>
    </Requirements>