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

Requirements: PH.6.4 Data and Documentation from External Clinical Sources (Function)

Page standards status: Informative
Statement N:

The system should capture, index, and store documentation related to the encounter.

 Description I:

Most encounters generate documentation that can be captured in the PHR-S. Additional supporting data such as diagnostic reports or consultations may be included. A prolonged hospitalization encounter may encompass numerous structured or unstructured documents.

Example(s): The system should capture, index, and store encounter information, including the encounter document or summary, laboratory results, radiographic images, PACS, EKG, and scanned documents.

 Actors:
ehr Criteria N:
PH.6.4#01 dependent conditional SHALL

IF information is received through any electronic interface or is electronically referenced, THEN the system SHALL present it upon request, according to organizational policy and/or jurisdictional law.
PH.6.4#02 dependent SHALL

The system SHALL provide the ability to capture externally-sourced electronic clinical documentation including original, updates and addenda, according to organizational policy and/or jurisdictional law.
PH.6.4#03 SHOULD

The system SHOULD provide the ability to capture and maintain externally-sourced electronic clinical documentation and annotations with structured content including problems, diagnoses, office visit, phone communication, e-mail consultations and laboratory results.
PH.6.4#04 conditional SHALL

IF externally-sourced electronic clinical documentation is captured from encounters with providers, THEN the system SHALL provide the ability to present that documentation to the PHR Account Holder.
PH.6.4#05 SHOULD

The system SHOULD provide the ability to render notes based on filters, search, or sort criteria.
PH.6.4#06 SHOULD

The system SHOULD provide the ability to exchange data using documentation templates.