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) - XML Representation

Page standards status: Informative

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    <Requirements xmlns="http://hl7.org/fhir">
      <id value="PHRSFMR2-PH.5.3"/>
      <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 decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations).</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>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>
    </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.5.3#01</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 render information regarding health guidelines and best practices.</p>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#02</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 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>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#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 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>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#04</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 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>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#05</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 PHR Account Holder the ability to analyze assessment data in correlation with the data in the PHR Account Holder's problem list.</p>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#06</span>

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

                    <span>MAY</span>

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

                    <span><div><p>The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment.</p>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#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 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>
    </div></span>

                </td>
            </tr>

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

                    <span>PH.5.3#08</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 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>
    </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.5.3"/>
      <version value="2.0.1-ballot"/>
      <name value="PH_5_3_Care_Related_Decision_Support"/>
      <title value="PH.5.3 Care-Related Decision Support (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 decision support tools (including clinical decision support, best practice guidelines and/or recommendations from payers, employers, researchers, professional associations, or public health organizations)."/>
      <purpose
               value="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 value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-01"/>
        <label value="PH.5.3#01"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="The system SHOULD provide the ability to render information regarding health guidelines and best practices."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-02"/>
        <label value="PH.5.3#02"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="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."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-03"/>
        <label value="PH.5.3#03"/>
        <conformance value="SHOULD"/>
        <conditionality value="false"/>
        <requirement
                     value="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."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-04"/>
        <label value="PH.5.3#04"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="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."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-05"/>
        <label value="PH.5.3#05"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="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."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-06"/>
        <label value="PH.5.3#06"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="The system MAY render a notification to the PHR Account Holder to request additional assessments, testing, or adjunctive treatment."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-07"/>
        <label value="PH.5.3#07"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="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)."/>
      </statement>
      <statement>
        <extension
                   url="http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent">
          <valueBoolean value="false"/>
        </extension>
        <key value="PHRSFMR2-PH.5.3-08"/>
        <label value="PH.5.3#08"/>
        <conformance value="MAY"/>
        <conditionality value="false"/>
        <requirement
                     value="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)."/>
      </statement>
    </Requirements>