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

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## Requirements: PH.3.6.1 Public Health Reporting (Function)

Page standards status: Informative

Statement N:

Provide reporting to authorized public health agencies as required by applicable jurisdictional law.

Description I:

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.

Actors:
ehr Criteria N:

PH.3.6.1#01 | dependent SHOULD | 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. Satisfied by: https://www.hl7.org/fhir/measure.html
PH.3.6.1#02 | SHOULD | The system SHOULD provide the PHR Account Holder the ability to manage a subscription to population health web site information.
PH.3.6.1#03 | SHOULD | The system SHOULD capture alerts or warnings regarding population health threats.
PH.3.6.1#04 | conditional SHALL | 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" when providing de-identified data to legally authorized public health agencies.
PH.3.6.1#05 | SHOULD | The system SHOULD provide the ability for the PHR Account Holder to render information from population health web sites.
PH.3.6.1#06 | SHOULD | The system SHOULD provide the ability to de-identify data requested by public health agencies including appropriate consent.
PH.3.6.1#07 | MAY | The system MAY provide the ability to render notification to the PHR Account Holder regarding data requests from Public Health Agencies.