HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1-ballot - Normative Ballot

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## : CPS.2.4 Support externally-sourced Clinical Images (Function) - JSON Representation

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    {
      "resourceType" : "Requirements",
      "id" : "EHRSFMR2-CPS.2.4",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
        ]
      },
      "text" : {
        "status" : "extensions",
        "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>Incorporate clinical images from external sources and support communication/presentation of images from medical and non-medical devices and entities.</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>Mechanisms for incorporating external clinical images (including identification of source) are available and communication with non-medical devices and entities is supported as appropriate to the care setting such as an office or a patient's home. Externally-sourced images may be presented with locally-sourced documentation and notes wherever appropriate. This covers all types of images received by the provider that would typically be incorporated into a medical record. These image documents are indexed and can be retrieved, e.g., based on the document type, date of the original document, and the date of scanning. Images may also be stored within the system or accessed by reference to an external system (e.g., a hospital's picture archiving and communication system). Examples of image formats include OCR, PDF, JPG or TIFF.\nExamples of externally-sourced images include:</p>\n<ul>\n<li>Laboratory results report images;</li>\n<li>Radiographic images;</li>\n<li>Images of power of attorney forms, living wills or birth certificates;</li>\n<li>Graphs and charts;</li>\n<li>Photographs or drawings of a patient's wounds;</li>\n<li>Wave files of EKG tracings.</li>\n</ul>\n</div></span>\n    \n\n    \n    <span id=\"actors\"><b>Actors:</b><br/> ehr</span>\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>CPS.2.4#01</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, store and render clinical images (e.g., radiographs, pictures, video/audio, waveforms) received from external sources.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>CPS.2.4#02</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 receive from an external source clinical result images (e.g., radiologic images).</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>CPS.2.4#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 receive from an external source other forms of clinical results (e.g., wave files of EKG tracings or psychological assessment results).</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n    </table>\n</div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "ehr"
        }
      ],
      "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CPS.2.4",
      "version" : "2.1.1-ballot",
      "name" : "CPS_2_4_Support_externally_sourced_Clinical_Images",
      "title" : "CPS.2.4 Support externally-sourced Clinical Images (Function)",
      "status" : "active",
      "date" : "2025-04-04T11:04:36+11:00",
      "publisher" : "HL7 International / Electronic Health Records",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/ehr"
            }
          ]
        }
      ],
      "description" : "Incorporate clinical images from external sources and support communication/presentation of images from medical and non-medical devices and entities.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code" : "001",
              "display" : "World"
            }
          ]
        }
      ],
      "purpose" : "Mechanisms for incorporating external clinical images (including identification of source) are available and communication with non-medical devices and entities is supported as appropriate to the care setting such as an office or a patient's home. Externally-sourced images may be presented with locally-sourced documentation and notes wherever appropriate. This covers all types of images received by the provider that would typically be incorporated into a medical record. These image documents are indexed and can be retrieved, e.g., based on the document type, date of the original document, and the date of scanning. Images may also be stored within the system or accessed by reference to an external system (e.g., a hospital's picture archiving and communication system). Examples of image formats include OCR, PDF, JPG or TIFF.\nExamples of externally-sourced images include: \n- Laboratory results report images;\n- Radiographic images;\n- Images of power of attorney forms, living wills or birth certificates;\n- Graphs and charts;\n- Photographs or drawings of a patient's wounds;\n- Wave files of EKG tracings.",
      "statement" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "EHRSFMR2-CPS.2.4-01",
          "label" : "CPS.2.4#01",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to capture, store and render clinical images (e.g., radiographs, pictures, video/audio, waveforms) received from external sources.",
          "derivedFrom" : "EHR-S_FM_R1.1 DC.1.1.3.1#7"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "EHRSFMR2-CPS.2.4-02",
          "label" : "CPS.2.4#02",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to receive from an external source clinical result images (e.g., radiologic images).",
          "derivedFrom" : "EHR-S_FM_R1.1 DC.1.1.3.1#7"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "EHRSFMR2-CPS.2.4-03",
          "label" : "CPS.2.4#03",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to receive from an external source other forms of clinical results (e.g., wave files of EKG tracings or psychological assessment results).",
          "derivedFrom" : "EHR-S_FM_R1.1 DC.1.1.3.1#8"
        }
      ]
    }