ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
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: CPS.5 Support for Results (Function) - XML Representation

Active as of 2024-11-23

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<Requirements xmlns="http://hl7.org/fhir">
  <id value="EHRSFMR2.1-CPS.5"/>
  <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>Evaluate results and notify provider and patient of results within the context of the patient's healthcare data.</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>The system suggests result interpretations and notifications including those for, abnormal results, trending of results (such as discrete laboratory values over time), evaluation of pertinent results at the time of provider order entry (such as evaluation of laboratory results at the time of ordering a radiology exam), evaluation of incoming results against active medication orders.</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>CPS.5#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 render alerts for a result that is outside of a normal value range.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#02</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to render trend results.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#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 pertinent results for analysis at the time of order entry (e.g., evaluation of laboratory results at the time of ordering a radiology exam).</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#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 capture and render the abnormal result value that triggered the display of alerts and flags (e.g., a value to trigger an high-high (HH) or low-low (LL) flag).</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#05</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD present alerts for a result that is outside of age specific normal value ranges.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#06</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL tag critical value results that have not been acknowledged.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#07</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to render notifications to the providers who participate in the care team when monitored events/parameters indicate irregularities.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#08</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 notifications to the patient when monitored events/parameters indicate irregularities.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CPS.5#09</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHOULD</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHOULD provide the ability to determine and render decision support algorithms based upon results.</p>
</div></span>
                
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <url value="http://hl7.org/ehrs/Requirements/EHRSFMR2.1-CPS.5"/>
  <version value="2.1.0"/>
  <name value="CPS_5_Support_for_Results"/>
  <title value="CPS.5 Support for Results (Function)"/>
  <status value="active"/>
  <date value="2024-11-23T08:20:40+00:00"/>
  <publisher value="EHR WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description
               value="Evaluate results and notify provider and patient of results within the context of the patient's healthcare data."/>
  <purpose
           value="The system suggests result interpretations and notifications including those for, abnormal results, trending of results (such as discrete laboratory values over time), evaluation of pertinent results at the time of provider order entry (such as evaluation of laboratory results at the time of ordering a radiology exam), evaluation of incoming results against active medication orders."/>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-01"/>
    <label value="CPS.5#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL render alerts for a result that is outside of a normal value range."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.2.4.3#1"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-02"/>
    <label value="CPS.5#02"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to render trend results."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.2.4.3#2"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-03"/>
    <label value="CPS.5#03"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement
                 value="The system MAY provide the ability to render pertinent results for analysis at the time of order entry (e.g., evaluation of laboratory results at the time of ordering a radiology exam)."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.2.4.3#3"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-04"/>
    <label value="CPS.5#04"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement
                 value="The system MAY provide the ability to capture and render the abnormal result value that triggered the display of alerts and flags (e.g., a value to trigger an high-high (HH) or low-low (LL) flag)."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.2.4.3#4"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-05"/>
    <label value="CPS.5#05"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD present alerts for a result that is outside of age specific normal value ranges."/>
    <derivedFrom value="PHFP DC.2.4.3#5"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-06"/>
    <label value="CPS.5#06"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL tag critical value results that have not been acknowledged."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-07"/>
    <label value="CPS.5#07"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to render notifications to the providers who participate in the care team when monitored events/parameters indicate irregularities."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-08"/>
    <label value="CPS.5#08"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement
                 value="The system MAY provide the ability to render notifications to the patient when monitored events/parameters indicate irregularities."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2.1-CPS.5-09"/>
    <label value="CPS.5#09"/>
    <conformance value="SHOULD"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHOULD provide the ability to determine and render decision support algorithms based upon results."/>
  </statement>
</Requirements>