| Package | hl7.ehrs.ehrsfmr21 |
| Type | Requirements |
| Id | Id |
| FHIR Version | R5 |
| Source | http://hl7.org/ehrs/https://build.fhir.org/ig/mvdzel/ehrsfm-fhir-r5/Requirements-EHRSFMR2.1-CP.8.1.html |
| Url | http://hl7.org/ehrs/Requirements/EHRSFMR2.1-CP.8.1 |
| Version | 2.1.0 |
| Status | active |
| Date | 2024-11-26T16:30:50+00:00 |
| Name | CP_8_1_Generate__Record_and_Distribute_Patient_Specific_Instructions |
| Title | CP.8.1 Generate, Record and Distribute Patient-Specific Instructions (Function) |
| Experimental | False |
| Realm | uv |
| Authority | hl7 |
| Description | Generate and record patient-specific instructions related to pre- and post-procedural and post-treatment/discharge requirements. |
| Purpose | When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care). |
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Note: links and images are rebased to the (stated) source
Generate and record patient-specific instructions related to pre- and post-procedural and post-treatment/discharge requirements.
When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care).
| CP.8.1#01 | SHALL |
The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events. |
| CP.8.1#02 | SHALL |
The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider. |
| CP.8.1#03 | SHOULD |
The system SHOULD provide the ability to transmit instruction information in electronic format to be provided to the patient. |
| CP.8.1#04 | SHALL |
The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care. |
| CP.8.1#05 | SHALL |
The system SHALL provide the ability to capture an indication that instructions were given to the patient. |
| CP.8.1#06 | SHALL |
The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions. |
| CP.8.1#07 | SHOULD |
The system SHOULD provide the ability to annotate patient-specific instructions. |
| CP.8.1#08 | SHOULD |
The system SHOULD provide the ability to capture and maintain, as discrete data, the reason for variation from rule-based clinical messages and patient information. |
| CP.8.1#09 | SHOULD |
The system SHOULD provide the ability to manage patient instructions in multiple languages. |
| CP.8.1#10 | MAY |
The system MAY provide the ability to manage a list of appropriate patient instructions based on age. |
| CP.8.1#11 | MAY |
The system MAY provide the ability to manage a list of appropriate patient instructions based on gender. |
| CP.8.1#12 | MAY |
The system MAY provide the ability to manage a list of appropriate patient instructions based on diagnosis. |
| CP.8.1#13 | MAY |
The system MAY provide the ability to manage a list of appropriate patient instructions based on reading level. |
| CP.8.1#14 | MAY |
The system MAY provide the ability to render educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment). |
FHIR{
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"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>Generate and record patient-specific instructions related to pre- and post-procedural and post-treatment/discharge requirements.</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>When a patient is scheduled for a test, procedure, or discharge, specific instructions about diet, clothing, transportation assistance, convalescence, follow-up with physician, etc., may be generated and recorded, including the timing relative to the scheduled event. In an outpatient scenario, similar instructions for post-diagnosis, and/or post-treatment needs may also be generated and recorded (e.g., exercise instructions for low back pain, wound or burn care).</p>\n</div></span>\n \n\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>CP.8.1#01</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#02</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#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 provide the ability to transmit instruction information in electronic format to be provided to the patient.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#04</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#05</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to capture an indication that instructions were given to the patient.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#06</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#07</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 annotate patient-specific instructions.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#08</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 and maintain, as discrete data, the reason for variation from rule-based clinical messages and patient information.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#09</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 manage patient instructions in multiple languages.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#10</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 manage a list of appropriate patient instructions based on age.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#11</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 manage a list of appropriate patient instructions based on gender.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#12</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 manage a list of appropriate patient instructions based on diagnosis.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#13</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 manage a list of appropriate patient instructions based on reading level.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.8.1#14</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 educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>"
},
"url" : "http://hl7.org/ehrs/Requirements/EHRSFMR2.1-CP.8.1",
"version" : "2.1.0",
"name" : "CP_8_1_Generate__Record_and_Distribute_Patient_Specific_Instructions",
"title" : "CP.8.1 Generate, Record and Distribute Patient-Specific Instructions (Function)",
"status" : "active",
"date" : "2024-11-26T16:30:50+00:00",
"publisher" : "EHR WG",
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"conditionality" : false,
"requirement" : "The system SHALL provide the ability to determine and render standardized instruction sets pertinent to the patient condition, for procedures, or scheduled events.",
"derivedFrom" : "EHR-S_FM_R1.1 DC.1.9#1"
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"conditionality" : false,
"requirement" : "The system SHALL provide the ability to render instructions pertinent to the patient as selected by the provider.",
"derivedFrom" : "EHR-S_FM_R1.1 DC.1.9#2"
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"key" : "EHRSFMR2.1-CP.8.1-03",
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"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to transmit instruction information in electronic format to be provided to the patient.",
"derivedFrom" : "EHR-S_FM_R1.1 DC.1.9#3"
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"requirement" : "The system SHALL provide the ability to render as part of patient instructions details on further care such as follow up, return visits and appropriate timing of further care.",
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"requirement" : "The system SHALL provide the ability to capture the actual instructions given to the patient or a reference to the document(s) containing those instructions.",
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"requirement" : "The system SHOULD provide the ability to annotate patient-specific instructions."
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"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-CP.8.1-09",
"label" : "CP.8.1#09",
"conformance" : [
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"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to manage patient instructions in multiple languages."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-CP.8.1-10",
"label" : "CP.8.1#10",
"conformance" : [
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],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on age."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-CP.8.1-11",
"label" : "CP.8.1#11",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on gender."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-CP.8.1-12",
"label" : "CP.8.1#12",
"conformance" : [
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],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on diagnosis."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-CP.8.1-13",
"label" : "CP.8.1#13",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to manage a list of appropriate patient instructions based on reading level."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-CP.8.1-14",
"label" : "CP.8.1#14",
"conformance" : [
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"conditionality" : false,
"requirement" : "The system MAY provide the ability to render educational materials using alternative modes to accommodate patient sensory capabilities (e.g., vision impairment, hearing impairment)."
}
]
}
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