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
Page standards status: Informative |
<Requirements xmlns="http://hl7.org/fhir">
<id value="PHRSFMR2-PH.5.3"/>
<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 decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations).</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>The system should aid the PHR Account Holder with making his or her self-assessments and treatment plans for self-care. Some decision support algorithms are straightforward and can be provided as part of the PHR-S service. Others may be more complex and are detailed in function PH.5.4 (Integration with Third Party Clinical Decision Support Services). For example, a child's weight and height can be plotted on a growth curve chart which graphically displays growth progress. Another example, is the ability for a pregnant woman to plot weight changes over time against a norm.</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.5.3#01</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 render information regarding health guidelines and best practices.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#02</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 PHR Account Holder the ability to analyze health data and context-driven assessments in comparison to practice standards in order to prompt additional testing, possible diagnoses, or adjunctive treatment.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#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 provide the ability to capture from an authoritative source (e.g., provider EHR-S or a care management PHR-S) rules related to abnormal trends.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#04</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 PHR Account Holder the ability to analyze health data and context-driven assessments in comparison to practice standards in order to prompt additional testing, possible diagnoses, or adjunctive treatment.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#05</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 PHR Account Holder the ability to analyze assessment data in correlation with the data in the PHR Account Holder's problem list.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#06</span>
</td>
<td style="padding-left: 4px;">
<span>MAY</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#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 render a notification to the PHR Account Holder to follow a provider-designated care plan related to assessment results (e.g., peak flow results, blood glucose readings, weight, or blood pressure).</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>PH.5.3#08</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 integrate health information contained in the PHR with appropriate health education materials (e.g., consumer self-identified as a smoker vis-à-vis smoking cessation materials sent to the PHR-S).</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.5.3"/>
<version value="2.0.1-ballot"/>
<name value="PH_5_3_Care_Related_Decision_Support"/>
<title value="PH.5.3 Care-Related Decision Support (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 decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations)."/>
<purpose
value="The system should aid the PHR Account Holder with making his or her self-assessments and treatment plans for self-care. Some decision support algorithms are straightforward and can be provided as part of the PHR-S service. Others may be more complex and are detailed in function PH.5.4 (Integration with Third Party Clinical Decision Support Services). For example, a child's weight and height can be plotted on a growth curve chart which graphically displays growth progress. Another example, is the ability for a pregnant woman to plot weight changes over time against a norm."/>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-01"/>
<label value="PH.5.3#01"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to render information regarding health guidelines and best practices."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-02"/>
<label value="PH.5.3#02"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY provide the PHR Account Holder the ability to analyze health data and context-driven assessments in comparison to practice standards in order to prompt additional testing, possible diagnoses, or adjunctive treatment."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-03"/>
<label value="PH.5.3#03"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture from an authoritative source (e.g., provider EHR-S or a care management PHR-S) rules related to abnormal trends."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-04"/>
<label value="PH.5.3#04"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY provide the PHR Account Holder the ability to analyze health data and context-driven assessments in comparison to practice standards in order to prompt additional testing, possible diagnoses, or adjunctive treatment."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-05"/>
<label value="PH.5.3#05"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY provide the PHR Account Holder the ability to analyze assessment data in correlation with the data in the PHR Account Holder's problem list."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-06"/>
<label value="PH.5.3#06"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-07"/>
<label value="PH.5.3#07"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY render a notification to the PHR Account Holder to follow a provider-designated care plan related to assessment results (e.g., peak flow results, blood glucose readings, weight, or blood pressure)."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="PHRSFMR2-PH.5.3-08"/>
<label value="PH.5.3#08"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY provide the ability to integrate health information contained in the PHR with appropriate health education materials (e.g., consumer self-identified as a smoker vis-à-vis smoking cessation materials sent to the PHR-S)."/>
</statement>
</Requirements>