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

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 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.5.1 Manage Guidelines and Protocols (Function)

Page standards status: Normative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Requirements ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PHRSFMR2-PH.5.1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">\n    \n    \n    <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>Guidelines help provide general direction to manage specific health risks or problems. They may be used by the PHR Account Holder to research a specific condition to verify that appropriate care is being provided. They may also be used to help self-manage minor conditions.</p>\n<p>Example(s): Capture guidelines from the Internet for non-operative management of lower back pain.</p>\n</div></div>\n    \n    \n    \n    <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>\n    \n    <table id=\"statements\" class=\"grid dict\">\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#01\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHOULD\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHOULD provide the ability to capture and maintain PHR Account Holder -specific health or treatment guidelines from healthcare providers or other trusted electronic healthcare sources.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#02\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHOULD\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHOULD provide the ability to update PHR Account Holder -specific care plans and guidelines (e.g., isometric exercises in a business office versus swimming in a home pool).</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#03\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHOULD\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHOULD capture the source of the guideline.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#04\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHOULD\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHOULD provide the ability for the PHR Account Holder to annotate the guideline.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#05\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHOULD\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHOULD provide the ability to manage functionality that supports the PHR Account Holder's self-care plans that are based on guidelines (e.g., a task list, calendar entry, regularly scheduled alert, and/or reminders to perform a certain task).</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#06\n            </td>\n            <td style=\"padding-left: 4px;\">\n            MAY\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system MAY render an alert or reminder when the PHR Account Holder is out of compliance with a guideline.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            PH.5.1#07\n            </td>\n            <td style=\"padding-left: 4px;\">\n            MAY\n            \n            \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system MAY provide the ability for external stakeholders (e.g., including a PHR Account Holder Proxy, a physical exercise coach, or a registered dietitian/nutritionist) to present the PHR Account Holder's self-generated care plan(s) and transmit recommendations to the PHR Account Holder (e.g., a nutritionist offers recommendations regarding the PHR Account Holder's weight control plan that is based on a weight-control guideline). Note: The PHR Account Holder is able to accept or reject recommendations from external stakeholders regarding possible adjustment to the PHR Account Holder's self-generated care plan. The PHR Account Holder's self-generated care plan is different than the professional caregiver's care plan.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n    </table>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "normative"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "ehr"     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.5.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.5.1>
  ] ; # 
  fhir:version [ fhir:v "2.0.1"] ; # 
  fhir:name [ fhir:v "PH_5_1_Manage_Guidelines_and_Protocols"] ; # 
  fhir:title [ fhir:v "PH.5.1 Manage Guidelines and Protocols (Function)"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2025-12-07T09:26:53+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "EHR WG"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/ehr" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Guidelines for general direction in managing a specific problem or condition can be acquired from a variety of sources for improved decision making."] ; # 
  fhir:purpose [ fhir:v "Guidelines help provide general direction to manage specific health risks or problems. They may be used by the PHR Account Holder to research a specific condition to verify that appropriate care is being provided. They may also be used to help self-manage minor conditions.\r\n\r\nExample(s): Capture guidelines from the Internet for non-operative management of lower back pain."] ; # 
  fhir:statement ( [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-01" ] ;
fhir:label [ fhir:v "PH.5.1#01" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD provide the ability to capture and maintain PHR Account Holder -specific health or treatment guidelines from healthcare providers or other trusted electronic healthcare sources." ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-02" ] ;
fhir:label [ fhir:v "PH.5.1#02" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD provide the ability to update PHR Account Holder -specific care plans and guidelines (e.g., isometric exercises in a business office versus swimming in a home pool)." ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-03" ] ;
fhir:label [ fhir:v "PH.5.1#03" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD capture the source of the guideline." ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-04" ] ;
fhir:label [ fhir:v "PH.5.1#04" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD provide the ability for the PHR Account Holder to annotate the guideline." ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-05" ] ;
fhir:label [ fhir:v "PH.5.1#05" ] ;
    ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHOULD provide the ability to manage functionality that supports the PHR Account Holder's self-care plans that are based on guidelines (e.g., a task list, calendar entry, regularly scheduled alert, and/or reminders to perform a certain task)." ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-06" ] ;
fhir:label [ fhir:v "PH.5.1#06" ] ;
    ( fhir:conformance [ fhir:v "MAY" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system MAY render an alert or reminder when the PHR Account Holder is out of compliance with a guideline." ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] ) ;
fhir:key [ fhir:v "PHRSFMR2-PH.5.1-07" ] ;
fhir:label [ fhir:v "PH.5.1#07" ] ;
    ( fhir:conformance [ fhir:v "MAY" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system MAY provide the ability for external stakeholders (e.g., including a PHR Account Holder Proxy, a physical exercise coach, or a registered dietitian/nutritionist) to present the PHR Account Holder's self-generated care plan(s) and transmit recommendations to the PHR Account Holder (e.g., a nutritionist offers recommendations regarding the PHR Account Holder's weight control plan that is based on a weight-control guideline). Note: The PHR Account Holder is able to accept or reject recommendations from external stakeholders regarding possible adjustment to the PHR Account Holder's self-generated care plan. The PHR Account Holder's self-generated care plan is different than the professional caregiver's care plan." ]
  ] ) . #