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

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## Requirements: PH.5.3 Care-Related Decision Support (Function)

Page standards status: Informative

Statement N:

Provide decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations).

Description I:

The system should aid the PHR Account Holder with making his or her self-assessments and treatment plans for self-care. Some decision support algorithms are straightforward and can be provided as part of the PHR-S service. Others may be more complex and are detailed in function PH.5.4 (Integration with Third Party Clinical Decision Support Services). For example, a child's weight and height can be plotted on a growth curve chart which graphically displays growth progress. Another example, is the ability for a pregnant woman to plot weight changes over time against a norm.

Actors:
ehr Criteria N:

PH.5.3#01 | SHOULD | The system SHOULD provide the ability to render information regarding health guidelines and best practices.
PH.5.3#02 | MAY | The system MAY provide the PHR Account Holder the ability to analyze health data and context-driven assessments in comparison to practice standards in order to prompt additional testing, possible diagnoses, or adjunctive treatment.
PH.5.3#03 | SHOULD | The system SHOULD provide the ability to capture from an authoritative source (e.g., provider EHR-S or a care management PHR-S) rules related to abnormal trends.
PH.5.3#04 | MAY | The system MAY provide the PHR Account Holder the ability to analyze health data and context-driven assessments in comparison to practice standards in order to prompt additional testing, possible diagnoses, or adjunctive treatment.
PH.5.3#05 | MAY | The system MAY provide the PHR Account Holder the ability to analyze assessment data in correlation with the data in the PHR Account Holder's problem list.
PH.5.3#06 | MAY | The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment.
PH.5.3#07 | MAY | The system MAY render a notification to the PHR Account Holder to follow a provider-designated care plan related to assessment results (e.g., peak flow results, blood glucose readings, weight, or blood pressure).
PH.5.3#08 | MAY | The system MAY provide the ability to integrate health information contained in the PHR with appropriate health education materials (e.g., consumer self-identified as a smoker vis-à-vis smoking cessation materials sent to the PHR-S).