HL7 Personal Health Record System Functional Model, Release 2
2.0.1-ballot - Normative Ballot

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## : PH.3.6.1 Public Health Reporting (Function) - XML Representation

Page standards status: Informative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="PHRSFMR2-PH.3.6.1"/>
      <meta>
        <profile
                 value="http://hl7.org/ehrs/uv/phrsfmr2/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>Provide reporting to authorized public health agencies as required by applicable jurisdictional law.</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>Government authorities with the mandate of preserving the health of the population have a need for early detection of public health threats such as identifying the early stages of an avian flu pandemic. This may require periodic reporting of certain de-identified personal health information (PHI). Other epidemiological studies for public health issues as well as public or private medical research studies may also request de-identified PHI. Certain public health reporting requires identified PHI and contact information for urgent epidemiologic investigations and countermeasures (such as for a resistant Tuberculosis outbreak).</p>
    <p>Note: When transmitting de-identified bio-surveillance data to a Public Health system, the receiver should understand the possibility that a single case may be inadvertently counted twice: once as an identified case from an EHR system, and once as a de-identified case from a PHR system.</p>
    <p>Example(s): The system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding epidemiological investigations of clinical health within a population.</p>
    </div></span>

        <span id="actors"><b>Actors:</b><br/> ehr</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>PH.3.6.1#01</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 provide the ability to export de-identified and/or anonymized data for bio-surveillance and public health reporting to legally authorized public health agencies with appropriate consent according to organizational policy and/or jurisdictional law.</p>
    </div></span>

                    Satisfied by:<ol>

                        <li><a href="https://www.hl7.org/fhir/measure.html">https://www.hl7.org/fhir/measure.html</a></li>

                    </ol>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.3.6.1#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 PHR Account Holder the ability to manage a subscription to population health web site information.</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.3.6.1#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 capture alerts or warnings regarding population health threats.</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.3.6.1#04</span>

                </td>
                <td style="padding-left: 4px;">

                    <i>conditional</i>

                    <span>SHALL</span>

                </td>
                <td style="padding-left: 4px;" class="requirement">

                    <span><div><p>IF providing de-identified data to legally authorized public health agencies, THEN the system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding “Epidemiological Investigations of Clinical Health Within a Population&quot; when providing de-identified data to legally authorized public health agencies.</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.3.6.1#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 for the PHR Account Holder to render information from population health web sites.</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.3.6.1#06</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 de-identify data requested by public health agencies including appropriate consent.</p>
    </div></span>

                </td>
            </tr>

            <tr>
                <td style="padding-left: 4px;">

                    <span>PH.3.6.1#07</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 notification to the PHR Account Holder regarding data requests from Public Health Agencies.</p>
    </div></span>

                </td>
            </tr>

        </table>
    </div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="ehr"/>
      </extension>
      <url
           value="http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.3.6.1"/>
      <version value="2.0.1-ballot"/>
      <name value="PH_3_6_1_Public_Health_Reporting"/>
      <title value="PH.3.6.1 Public Health Reporting (Function)"/>
      <status value="active"/>
      <date value="2025-04-04T11:42:51+11:00"/>
      <publisher value="EHR WG"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/ehr"/>
        </telecom>
      </contact>
      <description
                   value="Provide reporting to authorized public health agencies as required by applicable jurisdictional law."/>
      <purpose
               value="Government authorities with the mandate of preserving the health of the population have a need for early detection of public health threats such as identifying the early stages of an avian flu pandemic. This may require periodic reporting of certain de-identified personal health information (PHI). Other epidemiological studies for public health issues as well as public or private medical research studies may also request de-identified PHI. Certain public health reporting requires identified PHI and contact information for urgent epidemiologic investigations and countermeasures (such as for a resistant Tuberculosis outbreak).

    Note: When transmitting de-identified bio-surveillance data to a Public Health system, the receiver should understand the possibility that a single case may be inadvertently counted twice: once as an identified case from an EHR system, and once as a de-identified case from a PHR system.

    Example(s): The system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding epidemiological investigations of clinical health within a population."/>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="true"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-01"/>
        <label value="PH.3.6.1#01"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to export de-identified and/or anonymized data for bio-surveillance and public health reporting to legally authorized public health agencies with appropriate consent according to organizational policy and/or jurisdictional law."/>
        <satisfiedBy value="https://www.hl7.org/fhir/measure.html"/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-02"/>
        <label value="PH.3.6.1#02"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the PHR Account Holder the ability to manage a subscription to population health web site information."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-03"/>
        <label value="PH.3.6.1#03"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD capture alerts or warnings regarding population health threats."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-04"/>
        <label value="PH.3.6.1#04"/>
        <conformance value="SHALL"/>
        <conditionality value="true"/>
        <requirement
                     value="IF providing de-identified data to legally authorized public health agencies, THEN the system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding “Epidemiological Investigations of Clinical Health Within a Population&quot; when providing de-identified data to legally authorized public health agencies."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-05"/>
        <label value="PH.3.6.1#05"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability for the PHR Account Holder to render information from population health web sites."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-06"/>
        <label value="PH.3.6.1#06"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to de-identify data requested by public health agencies including appropriate consent."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.3.6.1-07"/>
        <label value="PH.3.6.1#07"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="The system MAY provide the ability to render notification to the PHR Account Holder regarding data requests from Public Health Agencies."/>
      </statement>
    </Requirements>