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

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

Official URL: http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.6.4 Version: 2.0.1
Standards status: Normative Computable Name: PH_6_4_Data_and_Documentation_from_External_Clinical_Sources

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.
Criteria N:
PH.6.4#01 SHALL conditional 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 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 SHALL conditional 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.