FHIR IG analytics| Package | hl7.ehrs.us.dhfpr2 |
| Resource Type | Requirements |
| Id | Requirements-DHFPR2-CPS.3.12.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7/dhfp-ig/Requirements-DHFPR2-CPS.3.12.html |
| URL | http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CPS.3.12 |
| Version | 2.0.0-ballot |
| Status | active |
| Date | 2025-12-19T08:44:27+00:00 |
| Name | CPS_3_12_Manage_Health_Information_Record_Quality |
| Title | CPS.3.12 Manage Health Information Record Quality (Function) |
| Realm | us |
| Authority | hl7 |
| Description | Support grammatical and lexical integrity of the health record by providing medical spelling, thesaurus and grammar ready assistance during clinical documentation as well as enabling shortcuts for pre-defined text. |
| Purpose | Users and patients will benefit from features that enable rapid checking of spelling and grammar, a medical thesaurus function as well as text shortcuts to expand pre-defined text during clinical documentation. A shortcut may also be defined to trigger a specific system function such as the opening of a pre-defined template. These functions may be defined at an enterprise level based on scope of practice, organizational policy, and/or jurisdictional law. However, pre-defined text may also be configured by provider or provider type. |
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Users and patients will benefit from features that enable rapid checking of spelling and grammar, a medical thesaurus function as well as text shortcuts to expand pre-defined text during clinical documentation. A shortcut may also be defined to trigger a specific system function such as the opening of a pre-defined template. These functions may be defined at an enterprise level based on scope of practice, organizational policy, and/or jurisdictional law. However, pre-defined text may also be configured by provider or provider type.
| CPS.3.12#01 | SHOULD |
The system SHOULD determine and present the correct medical spelling based on an integrated realm-based medical spelling function. |
| CPS.3.12#02 | SHOULD |
The system SHOULD determine and present the correct medical thesaurus based on an integrated realm-based medical thesaurus function. |
| CPS.3.12#03 | SHOULD |
The system SHOULD determine and present the correct medical grammar based on an integrated realm-based medical grammar function. |
| CPS.3.12#04 | SHOULD |
The system SHOULD determine and present the appropriate pre-defined text when an associated shortcut is entered during clinical documentation. |
| CPS.3.12#05 | SHOULD |
The system SHOULD determine and present personally pre-defined text when triggered by the associated macro based on an integrated personally pre-defined-text function. |
| CPS.3.12#06 | SHOULD |
The system SHOULD provide the ability to manage shortcut for the insertion of templates (e.g., insert new patient assessment template when Ctrl-A is entered). |
| CPS.3.12#07 | SHOULD |
The system SHOULD determine and present the appropriate template when the associated shortcut is entered. |
| CPS.3.12#08 | MAY |
The system MAY provide the ability to manage an integrated enterprise pre-defined text function and associated macros. |
| CPS.3.12#09 | MAY |
The system MAY provide the ability to manage an integrated personally pre-defined text function and associated macros. |
FHIR
FHIRsmith{
"resourceType": "Requirements",
"id": "DHFPR2-CPS.3.12",
"meta": {
"profile": [
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"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
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"valueCode": "informative"
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"valueCode": "NC"
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{
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"valueCode": "ehr"
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{
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"valueInteger": 1,
"_valueInteger": {
"extension": [
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],
"url": "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CPS.3.12",
"version": "2.0.0-ballot",
"name": "CPS_3_12_Manage_Health_Information_Record_Quality",
"title": "CPS.3.12 Manage Health Information Record Quality (Function)",
"status": "active",
"date": "2025-12-19T08:44:27+00:00",
"publisher": "HL7 International / Electronic Health Records",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/ehr"
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],
"description": "Support grammatical and lexical integrity of the health record by providing medical spelling, thesaurus and grammar ready assistance during clinical documentation as well as enabling shortcuts for pre-defined text.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"purpose": "Users and patients will benefit from features that enable rapid checking of spelling and grammar, a medical thesaurus function as well as text shortcuts to expand pre-defined text during clinical documentation. A shortcut may also be defined to trigger a specific system function such as the opening of a pre-defined template. These functions may be defined at an enterprise level based on scope of practice, organizational policy, and/or jurisdictional law. However, pre-defined text may also be configured by provider or provider type.",
"derivedFrom": [
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],
"statement": [
{
"extension": [
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"valueBoolean": false
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{
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"valueCode": "NC"
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],
"key": "DHFPR2-CPS.3.12-01",
"label": "CPS.3.12#01",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD determine and present the correct medical spelling based on an integrated realm-based medical spelling function.",
"derivedFrom": "CPS.3.12#1"
},
{
"extension": [
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"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
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"valueCode": "NC"
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],
"key": "DHFPR2-CPS.3.12-02",
"label": "CPS.3.12#02",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD determine and present the correct medical thesaurus based on an integrated realm-based medical thesaurus function.",
"derivedFrom": "CPS.3.12#2"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-03",
"label": "CPS.3.12#03",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD determine and present the correct medical grammar based on an integrated realm-based medical grammar function.",
"derivedFrom": "CPS.3.12#3"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-04",
"label": "CPS.3.12#04",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD determine and present the appropriate pre-defined text when an associated shortcut is entered during clinical documentation.",
"derivedFrom": "CPS.3.12#4"
},
{
"extension": [
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"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
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"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-05",
"label": "CPS.3.12#05",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD determine and present personally pre-defined text when triggered by the associated macro based on an integrated personally pre-defined-text function.",
"derivedFrom": "CPS.3.12#5"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
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{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-06",
"label": "CPS.3.12#06",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD provide the ability to manage shortcut for the insertion of templates (e.g., insert new patient assessment template when Ctrl-A is entered).",
"derivedFrom": "CPS.3.12#6"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-07",
"label": "CPS.3.12#07",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD determine and present the appropriate template when the associated shortcut is entered.",
"derivedFrom": "CPS.3.12#7"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-08",
"label": "CPS.3.12#08",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY provide the ability to manage an integrated enterprise pre-defined text function and associated macros.",
"derivedFrom": "CPS.3.12#8"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CPS.3.12-09",
"label": "CPS.3.12#09",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY provide the ability to manage an integrated personally pre-defined text function and associated macros.",
"derivedFrom": "CPS.3.12#9"
}
]
}