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

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## : PH.3.6.1 Public Health Reporting (Function) - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Requirements",
      "id" : "PHRSFMR2-PH.3.6.1",
      "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 reporting to authorized public health agencies as required by applicable jurisdictional law.</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>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).</p>\n<p>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.</p>\n<p>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.</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.3.6.1#01</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                <i>dependent</i>\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 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.</p>\n</div></span>\n                \n                \n                Satisfied by:<ol>\n                \n                    <li><a href=\"https://www.hl7.org/fhir/measure.html\">https://www.hl7.org/fhir/measure.html</a></li>\n                \n                </ol>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.3.6.1#02</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 PHR Account Holder the ability to manage a subscription to population health web site information.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.3.6.1#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 capture alerts or warnings regarding population health threats.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.3.6.1#04</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <i>conditional</i>\n                \n                \n                <span>SHALL</span>\n                \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                \n                <span><div><p>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&quot; when providing de-identified data to legally authorized public health agencies.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.3.6.1#05</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 for the PHR Account Holder to render information from population health web sites.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.3.6.1#06</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 de-identify data requested by public health agencies including appropriate consent.</p>\n</div></span>\n                \n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n                \n                <span>PH.3.6.1#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 provide the ability to render notification to the PHR Account Holder regarding data requests from Public Health Agencies.</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.3.6.1",
      "version" : "2.0.1-ballot",
      "name" : "PH_3_6_1_Public_Health_Reporting",
      "title" : "PH.3.6.1 Public Health Reporting (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 reporting to authorized public health agencies as required by applicable jurisdictional law.",
      "purpose" : "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).\r\n\r\nNote: 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.\r\n\r\nExample(s): The system SHALL conform to function S.3.3.1 (Manage Consents and Authorizations) regarding epidemiological investigations of clinical health within a population.",
      "statement" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : true
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-01",
          "label" : "PH.3.6.1#01",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "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.",
          "satisfiedBy" : [
            "https://www.hl7.org/fhir/measure.html"
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-02",
          "label" : "PH.3.6.1#02",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the PHR Account Holder the ability to manage a subscription to population health web site information."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-03",
          "label" : "PH.3.6.1#03",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD capture alerts or warnings regarding population health threats."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-04",
          "label" : "PH.3.6.1#04",
          "conformance" : [
            "SHALL"
          ],
          "conditionality" : true,
          "requirement" : "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."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-05",
          "label" : "PH.3.6.1#05",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability for the PHR Account Holder to render information from population health web sites."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-06",
          "label" : "PH.3.6.1#06",
          "conformance" : [
            "SHOULD"
          ],
          "conditionality" : false,
          "requirement" : "The system SHOULD provide the ability to de-identify data requested by public health agencies including appropriate consent."
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
              "valueBoolean" : false
            }
          ],
          "key" : "PHRSFMR2-PH.3.6.1-07",
          "label" : "PH.3.6.1#07",
          "conformance" : [
            "MAY"
          ],
          "conditionality" : false,
          "requirement" : "The system MAY provide the ability to render notification to the PHR Account Holder regarding data requests from Public Health Agencies."
        }
      ]
    }