HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot

HL7 Personal Health Record System Functional Model, Release 2, published by EHR WG. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phrsfm-ig/ and changes regularly. See the Directory of published versions

: PH.3.6.1 Public Health Reporting (Function) - XML Representation

Page standards status: Informative

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<Requirements xmlns="http://hl7.org/fhir">
  <id value="PHRSFMR2-PH.3.6.1"/>
  <meta>
    <profile
             value="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <span id="description"><b>Statement <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b> <div><p>Provide reporting to authorized public health agencies as required by applicable jurisdictional law.</p>
</div></span>

    
    <span id="purpose"><b>Description <a href="https://hl7.org/fhir/versions.html#std-process" title="Informative Content" class="informative-flag">I</a>:</b> <div><p>Government authorities with the mandate of preserving the health of the population have a need for early detection of public health threats such as identifying the early stages of an avian flu pandemic. This may require periodic reporting of certain de-identified personal health information (PHI). Other epidemiological studies for public health issues as well as public or private medical research studies may also request de-identified PHI. Certain public health reporting requires identified PHI and contact information for urgent epidemiologic investigations and countermeasures (such as for a resistant Tuberculosis outbreak).</p>
<p>Note: When transmitting de-identified bio-surveillance data to a Public Health system, the receiver should understand the possibility that a single case may be inadvertently counted twice: once as an identified case from an EHR system, and once as a de-identified case from a PHR system.</p>
<p>Example(s): The system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding epidemiological investigations of clinical health within a population.</p>
</div></span>
    

    
    
    

    
    <span id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></span>
    
    <table id="statements" class="grid dict">
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#01</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                <i>dependent</i>
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to export de-identified and/or anonymized data for bio-surveillance and public health reporting to legally authorized public health agencies with appropriate consent according to organizational policy and/or jurisdictional law.</p>
</div></span>
                
                
                Satisfied by:<ol>
                
                    <li><a href="https://www.hl7.org/fhir/measure.html">https://www.hl7.org/fhir/measure.html</a></li>
                
                </ol>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#02</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the PHR Account Holder the ability to manage a subscription to population health web site information.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#03</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD capture alerts or warnings regarding population health threats.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#04</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                <i>conditional</i>
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>IF providing de-identified data to legally authorized public health agencies, THEN the system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding “Epidemiological Investigations of Clinical Health Within a Population&quot; when providing de-identified data to legally authorized public health agencies.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#05</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability for the PHR Account Holder to render information from population health web sites.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#06</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to de-identify data requested by public health agencies including appropriate consent.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>PH.3.6.1#07</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>MAY</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system MAY provide the ability to render notification to the PHR Account Holder regarding data requests from Public Health Agencies.</p>
</div></span>
                
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ehr"/>
  </extension>
  <url
       value="http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.3.6.1"/>
  <version value="2.0.1-ballot"/>
  <name value="PH_3_6_1_Public_Health_Reporting"/>
  <title value="PH.3.6.1 Public Health Reporting (Function)"/>
  <status value="active"/>
  <date value="2025-08-29T14:03:44+00:00"/>
  <publisher value="EHR WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description
               value="Provide reporting to authorized public health agencies as required by applicable jurisdictional law."/>
  <purpose
           value="Government authorities with the mandate of preserving the health of the population have a need for early detection of public health threats such as identifying the early stages of an avian flu pandemic. This may require periodic reporting of certain de-identified personal health information (PHI). Other epidemiological studies for public health issues as well as public or private medical research studies may also request de-identified PHI. Certain public health reporting requires identified PHI and contact information for urgent epidemiologic investigations and countermeasures (such as for a resistant Tuberculosis outbreak).

Note: When transmitting de-identified bio-surveillance data to a Public Health system, the receiver should understand the possibility that a single case may be inadvertently counted twice: once as an identified case from an EHR system, and once as a de-identified case from a PHR system.

Example(s): The system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding epidemiological investigations of clinical health within a population."/>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="true"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-01"/>
    <label value="PH.3.6.1#01"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to export de-identified and/or anonymized data for bio-surveillance and public health reporting to legally authorized public health agencies with appropriate consent according to organizational policy and/or jurisdictional law."/>
    <satisfiedBy value="https://www.hl7.org/fhir/measure.html"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-02"/>
    <label value="PH.3.6.1#02"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the PHR Account Holder the ability to manage a subscription to population health web site information."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-03"/>
    <label value="PH.3.6.1#03"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD capture alerts or warnings regarding population health threats."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-04"/>
    <label value="PH.3.6.1#04"/>
    <conformance value="SHALL"/>
    <conditionality value="true"/>
    <requirement
                 value="IF providing de-identified data to legally authorized public health agencies, THEN the system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding “Epidemiological Investigations of Clinical Health Within a Population&quot; when providing de-identified data to legally authorized public health agencies."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-05"/>
    <label value="PH.3.6.1#05"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability for the PHR Account Holder to render information from population health web sites."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-06"/>
    <label value="PH.3.6.1#06"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to de-identify data requested by public health agencies including appropriate consent."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="PHRSFMR2-PH.3.6.1-07"/>
    <label value="PH.3.6.1#07"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement
                 value="The system MAY provide the ability to render notification to the PHR Account Holder regarding data requests from Public Health Agencies."/>
  </statement>
</Requirements>