ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local
ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local
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| Active as of 2024-11-26 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @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 "EHRSFMR2.1-CP.8.1"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/ehrs/StructureDefinition/FMFunction"^^xsd:anyURI ; fhir:link <http://hl7.org/ehrs/StructureDefinition/FMFunction> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <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>Generate and record patient-specific instructions related to pre- and post-procedural and post-treatment/discharge requirements.</p>\n</div></span>\n\n \n <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>When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care).</p>\n</div></span>\n \n\n \n\n \n <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>\n \n <table id=\"statements\" class=\"grid dict\">\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#01</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#02</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#03</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to transmit instruction information in electronic format to be provided to the patient.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#04</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#05</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to capture an indication that instructions were given to the patient.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#06</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#07</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to annotate patient-specific instructions.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#08</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to capture and maintain, as discrete data, the reason for variation from rule-based clinical messages and patient information.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#09</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to manage patient instructions in multiple languages.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#10</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to manage a list of appropriate patient instructions based on age.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#11</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to manage a list of appropriate patient instructions based on gender.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#12</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to manage a list of appropriate patient instructions based on diagnosis.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#13</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to manage a list of appropriate patient instructions based on reading level.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#14</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to render educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>" ] ; # fhir:url [ fhir:v "http://hl7.org/ehrs/Requirements/EHRSFMR2.1-CP.8.1"^^xsd:anyURI] ; # fhir:version [ fhir:v "2.1.0"] ; # fhir:name [ fhir:v "CP_8_1_Generate__Record_and_Distribute_Patient_Specific_Instructions"] ; # fhir:title [ fhir:v "CP.8.1 Generate, Record and Distribute Patient-Specific Instructions (Function)"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2024-11-26T16:30:50+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 "Generate and record patient-specific instructions related to pre- and post-procedural and post-treatment/discharge requirements."] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:purpose [ fhir:v "When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care)."] ; # fhir:statement ( [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-01" ] ; fhir:label [ fhir:v "CP.8.1#01" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.9#1" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-02" ] ; fhir:label [ fhir:v "CP.8.1#02" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.9#2" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-03" ] ; fhir:label [ fhir:v "CP.8.1#03" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHOULD provide the ability to transmit instruction information in electronic format to be provided to the patient." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.9#3" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-04" ] ; fhir:label [ fhir:v "CP.8.1#04" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.9#4" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-05" ] ; fhir:label [ fhir:v "CP.8.1#05" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL provide the ability to capture an indication that instructions were given to the patient." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.9#5" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-06" ] ; fhir:label [ fhir:v "CP.8.1#06" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.9#6" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-07" ] ; fhir:label [ fhir:v "CP.8.1#07" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHOULD provide the ability to annotate patient-specific instructions." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-08" ] ; fhir:label [ fhir:v "CP.8.1#08" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHOULD provide the ability to capture and maintain, as discrete data, the reason for variation from rule-based clinical messages and patient information." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-09" ] ; fhir:label [ fhir:v "CP.8.1#09" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHOULD provide the ability to manage patient instructions in multiple languages." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-10" ] ; fhir:label [ fhir:v "CP.8.1#10" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to manage a list of appropriate patient instructions based on age." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-11" ] ; fhir:label [ fhir:v "CP.8.1#11" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to manage a list of appropriate patient instructions based on gender." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-12" ] ; fhir:label [ fhir:v "CP.8.1#12" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to manage a list of appropriate patient instructions based on diagnosis." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-13" ] ; fhir:label [ fhir:v "CP.8.1#13" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to manage a list of appropriate patient instructions based on reading level." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.8.1-14" ] ; fhir:label [ fhir:v "CP.8.1#14" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to render educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment)." ] ] ) . #
IG © 2024 EHR WG. Package hl7.ehrs.ehrsfmr21#2.1.0 based on FHIR 5.0.0. Generated 2024-11-26
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