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.6.6 Referrals and Referral Process (Function)

Official URL: http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.6.6 Version: 2.0.1
Standards status: Normative Active as of 2025-12-07 Computable Name: PH_6_6_Referrals_and_Referral_Process

Manage information related to referrals for the PHR Account Holder's benefit and convenience.

Description I:

For many referrals to other provider organizations, the PHR Account Holder must manage data, approvals, and appointments related to the referral. The PHR Account Holder may need to ensure that relevant data are received by the provider for the referral encounter. The PHR Account Holder may need to interact with his or her insurance company to secure authorization for payment for a referral to a provider. Examples of methods of transmittal include: secure email or enhanced data sharing. Examples of target referrals includes: referral service organization processing referrals on behalf of multiple healthcare providers that could be regional or jurisdictional.

Example(s): The system SHOULD provide the ability to include test and procedure results with a referral.

Criteria N:
PH.6.6#01 SHOULD

The system SHOULD provide the ability to transmit clinical and administrative data (e.g., insurance information) as part of the referral process to the provider who is receiving the referral.
PH.6.6#02 SHOULD

The system SHOULD provide the ability to render test and procedure results with a referral.
PH.6.6#03 SHOULD

The system SHOULD provide the ability for the PHR Account Holder to control access to the PHR Account Holder's information by allowing temporary privileges to the referring provider or provider's representative (e.g., viewing, printing, downloading, or exporting).
PH.6.6#04 SHOULD

The system SHOULD provide the ability to transmit clinical data, administrative data, test results, and/or procedure results to the provider who is the target of a referral or to a referral service.