HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1 - International flag

HL7 Electronic Health Record System Functional Model, Release 2.1.1, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/mvdzel/ehrsfm-fhir-r5/ and changes regularly. See the Directory of published versions

Requirements: TI.5.1.1 Application Interchange Standards (Function)

Official URL: http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.5.1.1 Version: 2.1.1
Standards status: Normative Active as of 2025-10-31 Computable Name: TI_5_1_1_Application_Interchange_Standards

Support the ability to operate seamlessly with other systems by using applications, and/or structured messages and documents that adhere to interchange standards.

Statement N:

Support the ability to operate seamlessly with other systems by using applications, and/or structured messages and documents that adhere to interchange standards.

Description I:

Placeholder - Not Defined at this time

Criteria N:
TI.5.1.1#01
SHALL

The system SHALL provide the ability to receive and transmit information using interchange standards as required by realm / local -specific profiles, and/or by recognized jurisdictional authorities.
TI.5.1.1#02
SHALL

The system SHALL provide the ability to integrate with the operations of other systems that adhere to interchange standards as required by realm / local -specific authorities and/or by recognized jurisdictional authorities.
TI.5.1.1#03
 dependent
SHALL

The system SHALL conform to function TI.4 (Standard Terminology and Terminology Services) including all child-functions, to support terminology standards according to scope of practice, organizational policy, and/or jurisdictional law.
TI.5.1.1#04
 conditional
SHOULD

IF a standard information model is not available, THEN the system SHOULD provide the ability to exchange information with other systems in a seamless manner by using a formal explicit information model.
TI.5.1.1#05
MAY

The system MAY provide the ability to exchange information with other systems by using an explicit formal information model, and/or by using a standard coded terminology.
TI.5.1.1#06
SHALL

The system SHALL provide the ability to receive and transmit data using standard, coded terminology.
TI.5.1.1#07
SHOULD

The system SHOULD provide the ability to export data using an explicit and formal information model in accordance with industry and governmental-mandated standards.
TI.5.1.1#08
SHOULD

The system SHOULD provide the ability to import data using an explicit and formal information model in accordance with industry and governmental-mandated standards.
TI.5.1.1#09
SHOULD

The system SHOULD provide the ability to harmonize data with another system.
TI.5.1.1#10
SHOULD

The system SHOULD provide the ability to determine whether the information transmitted to another system has been successfully received by that other system.
TI.5.1.1#11
SHALL

The system SHALL store a log record of each data exchange (transaction) when transmitting information with external systems.