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 |
<Requirements xmlns="http://hl7.org/fhir">
<id value="EHRSFMR2.1-POP.1.1"/>
<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>Identify patient-specific suggestions/reminders, screening tests/exams, and other preventative services in support of routine preventative and wellness care.</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>At the time of an encounter, the provider or patient is presented with due or overdue activities based on protocols for preventative care and wellness. Examples include routine immunizations, adult and well child care, age and gender appropriate screening exams, such as PAP smears.</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>POP.1.1#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 manage criteria for disease management, wellness, and preventative services based on patient demographic data (minimally age and gender).</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#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 capture and maintain the rules or parameters upon which guideline-related alerts are based.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#03</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 manage clinical decision support criteria for disease management, wellness, and preventative services based on clinical data (e.g., problem/diagnosis list or current medications).</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#04</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 alerts based on recognized-standard guidelines, and/or locally-defined standard guidelines.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#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 provide the ability to render a list of all alerts along with the scheduled date and time for the preventative care and wellness.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#06</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 a history of all alerts that were generated for the patient in the record.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#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 capture and maintain reasons disease management or preventative services/wellness prompts were overridden.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#08</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 capture and maintain documentation that a preventative or disease management service has been performed based on activities documented in the record (e.g., vitals signs taken).</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#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 capture and maintain documentation that a disease management or preventative service has been performed with associated dates or other relevant details recorded.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#10</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 capture, maintain and render alerts to individual patients regarding their specific clinical situation.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#11</span>
</td>
<td style="padding-left: 4px;">
<i>dependent</i>
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD determine when the patient's monitored health parameters have exceeded threshold values according to scope of practice, and/or organizational policy, and transmit an alert to a patient's provider or to the patient's care team.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>POP.1.1#12</span>
</td>
<td style="padding-left: 4px;">
<i>dependent</i>
<span>SHOULD</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHOULD determine and render notifications regarding drug-drug interaction(s) (e.g., drug-drug, drug duplication, drug-disease, drug-allergy, and/or drug-food) to the patient's provider or to the patient's care team when changes are made to a population health decision support rule set according to scope of practice, organizational policy, and/or jurisdictional law.</p>
</div></span>
</td>
</tr>
</table>
</div>
</text>
<url value="http://hl7.org/ehrs/Requirements/EHRSFMR2.1-POP.1.1"/>
<version value="2.1.0"/>
<name
value="POP_1_1_Present_Alerts_for_Preventative_Services_and_Wellness"/>
<title
value="POP.1.1 Present Alerts for Preventative Services and Wellness (Function)"/>
<status value="active"/>
<date value="2024-11-26T16:30:50+00:00"/>
<publisher value="EHR WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/ehr"/>
</telecom>
</contact>
<description
value="Identify patient-specific suggestions/reminders, screening tests/exams, and other preventative services in support of routine preventative and wellness care."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<purpose
value="At the time of an encounter, the provider or patient is presented with due or overdue activities based on protocols for preventative care and wellness. Examples include routine immunizations, adult and well child care, age and gender appropriate screening exams, such as PAP smears."/>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-01"/>
<label value="POP.1.1#01"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL provide the ability to manage criteria for disease management, wellness, and preventative services based on patient demographic data (minimally age and gender)."/>
<derivedFrom value="EHR-S_FM_R1.1 DC.2.5.1#1"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-02"/>
<label value="POP.1.1#02"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture and maintain the rules or parameters upon which guideline-related alerts are based."/>
<derivedFrom value="EHR-S_FM_R1.1 DC.2.5.1#2"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-03"/>
<label value="POP.1.1#03"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to manage clinical decision support criteria for disease management, wellness, and preventative services based on clinical data (e.g., problem/diagnosis list or current medications)."/>
<derivedFrom value="EHR-S_FM_R1.1 DC.2.5.1#3"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-04"/>
<label value="POP.1.1#04"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL provide the ability to render alerts based on recognized-standard guidelines, and/or locally-defined standard guidelines."/>
<derivedFrom value="EHR-S_FM_R1.1 DC.2.5.1#4"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-05"/>
<label value="POP.1.1#05"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to render a list of all alerts along with the scheduled date and time for the preventative care and wellness."/>
<derivedFrom value="EHR-S_FM_R1.1 DC.2.5.1#5"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-06"/>
<label value="POP.1.1#06"/>
<conformance value="MAY"/>
<conditionality value="false"/>
<requirement
value="The system MAY provide the ability to render a history of all alerts that were generated for the patient in the record."/>
<derivedFrom value="EHR-S_FM_R1.1 DC.2.5.1#6"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-07"/>
<label value="POP.1.1#07"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture and maintain reasons disease management or preventative services/wellness prompts were overridden."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-08"/>
<label value="POP.1.1#08"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture and maintain documentation that a preventative or disease management service has been performed based on activities documented in the record (e.g., vitals signs taken)."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-09"/>
<label value="POP.1.1#09"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture and maintain documentation that a disease management or preventative service has been performed with associated dates or other relevant details recorded."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-10"/>
<label value="POP.1.1#10"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD provide the ability to capture, maintain and render alerts to individual patients regarding their specific clinical situation."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="true"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-11"/>
<label value="POP.1.1#11"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD determine when the patient's monitored health parameters have exceeded threshold values according to scope of practice, and/or organizational policy, and transmit an alert to a patient's provider or to the patient's care team."/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="true"/>
</extension>
<key value="EHRSFMR2.1-POP.1.1-12"/>
<label value="POP.1.1#12"/>
<conformance value="SHOULD"/>
<conditionality value="false"/>
<requirement
value="The system SHOULD determine and render notifications regarding drug-drug interaction(s) (e.g., drug-drug, drug duplication, drug-disease, drug-allergy, and/or drug-food) to the patient's provider or to the patient's care team when changes are made to a population health decision support rule set according to scope of practice, organizational policy, and/or jurisdictional law."/>
</statement>
</Requirements>