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) - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Requirements",
      "id" : "PHRSFMR2-PH.5.3",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/ehrs/uv/phrsfmr2/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>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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "ehr"
        }
      ],
      "url" : "http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.5.3",
      "version" : "2.0.1-ballot",
      "name" : "PH_5_3_Care_Related_Decision_Support",
      "title" : "PH.5.3 Care-Related Decision Support (Function)",
      "status" : "active",
      "date" : "2025-04-04T11:42:51+11:00",
      "publisher" : "EHR WG",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/ehr"
            }
          ]
        }
      ],
      "description" : "Provide decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations).",
      "purpose" : "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.",
      "statement" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-01",
          "label" : "PH.5.3#01",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to render information regarding health guidelines and best practices."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-02",
          "label" : "PH.5.3#02",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "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."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-03",
          "label" : "PH.5.3#03",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "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."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-04",
          "label" : "PH.5.3#04",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "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."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-05",
          "label" : "PH.5.3#05",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "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."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-06",
          "label" : "PH.5.3#06",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-07",
          "label" : "PH.5.3#07",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "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)."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.5.3-08",
          "label" : "PH.5.3#08",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "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)."
        }
      ]
    }