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

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

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Requirements ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "PHRSFMR2-PH.5.3"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"^^xsd:anyURI ;
    fhir:link <http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir: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>Provide decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations).</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>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.</p>\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>PH.5.3#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 render information regarding health guidelines and best practices.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#02</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>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.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#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 capture from an authoritative source (e.g., provider EHR-S or a care management PHR-S) rules related to abnormal trends.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#04</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>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.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#05</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>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.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#06</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#07</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>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).</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.5.3#08</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <span>MAY</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>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).</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n    </table>\n</div>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "ehr"     ]
      ] ) ; #
      fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.5.3"^^xsd:anyURI] ; #
      fhir:version [ fhir:v "2.0.1-ballot"] ; #
      fhir:name [ fhir:v "PH_5_3_Care_Related_Decision_Support"] ; #
      fhir:title [ fhir:v "PH.5.3 Care-Related Decision Support (Function)"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:date [ fhir:v "2025-04-04T11:42:51+11:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "EHR WG"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/ehr" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Provide decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations)."] ; #
      fhir:purpose [ fhir:v "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."] ; #
      fhir:statement ( [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-01" ] ;
    fhir:label [ fhir:v "PH.5.3#01" ] ;
        ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "The system SHOULD provide the ability to render information regarding health guidelines and best practices." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-02" ] ;
    fhir:label [ fhir:v "PH.5.3#02" ] ;
        ( fhir:conformance [ fhir:v "MAY" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "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." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-03" ] ;
    fhir:label [ fhir:v "PH.5.3#03" ] ;
        ( fhir:conformance [ fhir:v "SHOULD" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "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." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-04" ] ;
    fhir:label [ fhir:v "PH.5.3#04" ] ;
        ( fhir:conformance [ fhir:v "MAY" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "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." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-05" ] ;
    fhir:label [ fhir:v "PH.5.3#05" ] ;
        ( fhir:conformance [ fhir:v "MAY" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "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." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-06" ] ;
    fhir:label [ fhir:v "PH.5.3#06" ] ;
        ( fhir:conformance [ fhir:v "MAY" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-07" ] ;
    fhir:label [ fhir:v "PH.5.3#07" ] ;
        ( fhir:conformance [ fhir:v "MAY" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "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)." ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v false       ]     ] ) ;
    fhir:key [ fhir:v "PHRSFMR2-PH.5.3-08" ] ;
    fhir:label [ fhir:v "PH.5.3#08" ] ;
        ( fhir:conformance [ fhir:v "MAY" ] ) ;
    fhir:conditionality [ fhir:v false ] ;
    fhir:requirement [ fhir:v "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)." ]
      ] ) . #