EHRS-FM IG

ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
0.16.0 - CI Build

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: AS.9.4 Support Service Requests and Claims (Function) - XML Representation

Active as of 2024-08-12

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<Requirements xmlns="http://hl7.org/fhir">
  <id value="EHRSFMR2.1-AS.9.4"/>
  <meta>
    <profile value="http://hl7.org/ehrs/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>Support interactions with other systems, applications, and modules to support the creation of health care attachments for submitting additional clinical information in support of service requests and claims.</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>Retrieves structured and unstructured data, including but not limited to laboratory data, imaging data, device monitoring data, and text based data, based on rules or requests for additional clinical information, in support of service requests or claims, at the appropriate juncture in the encounter workflow.</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>AS.9.4#01</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL provide the ability to render available, applicable clinical information to support service requests.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>AS.9.4#02</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL provide the ability to render available, applicable clinical information to support claims.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>AS.9.4#03</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 render available clinical information to support service requests in computer readable formats, according to business rules or the information requested.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>AS.9.4#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 ability to render available clinical information to support claims in computer readable formats, according to business rules or the information requested.</p>
</div></span>
                
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <url value="http://hl7.org/ehrs/Requirements/EHRSFMR2.1-AS.9.4"/>
  <version value="0.16.0"/>
  <name value="AS_9_4_Support_Service_Requests_and_Claims"/>
  <title value="AS.9.4 Support Service Requests and Claims (Function)"/>
  <status value="active"/>
  <date value="2024-08-12T10:56:01+00:00"/>
  <publisher value="EHR WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description
               value="Support interactions with other systems, applications, and modules to support the creation of health care attachments for submitting additional clinical information in support of service requests and claims."/>
  <purpose
           value="Retrieves structured and unstructured data, including but not limited to laboratory data, imaging data, device monitoring data, and text based data, based on rules or requests for additional clinical information, in support of service requests or claims, at the appropriate juncture in the encounter workflow."/>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-AS.9.4-01"/>
    <label value="AS.9.4#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to render available, applicable clinical information to support service requests."/>
    <derivedFrom value="EHR-S_FM_R1.1 S.3.3.4#1"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-AS.9.4-02"/>
    <label value="AS.9.4#02"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to render available, applicable clinical information to support claims."/>
    <derivedFrom value="EHR-S_FM_R1.1 S.3.3.4#2"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-AS.9.4-03"/>
    <label value="AS.9.4#03"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement
                 value="The system MAY provide the ability to render available clinical information to support service requests in computer readable formats, according to business rules or the information requested."/>
    <derivedFrom value="EHR-S_FM_R1.1 S.3.3.4#3"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-AS.9.4-04"/>
    <label value="AS.9.4#04"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement
                 value="The system MAY provide the ability to render available clinical information to support claims in computer readable formats, according to business rules or the information requested."/>
    <derivedFrom value="EHR-S_FM_R1.1 S.3.3.4#4"/>
  </statement>
</Requirements>