FHIR IG Statistics: Requirements/EHRSFMR2-TI.3

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{
  "resourceType": "Requirements",
  "id": "EHRSFMR2-TI.3",
  "meta": {
    "profile": [
      "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "ehr"
    }
  ],
  "url": "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.3",
  "version": "2.1.1-ballot",
  "name": "TI_3_Registry_and_Directory_Services",
  "title": "TI.3 Registry and Directory Services (Function)",
  "status": "active",
  "date": "2025-05-13T15:11:00+00:00",
  "publisher": "HL7 International / Electronic Health Records",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/ehr"
        }
      ]
    }
  ],
  "description": "Enable the use of registry services and directories to uniquely identify, locate and supply links for retrieval of information related to:\n- patients and providers for healthcare purposes;\n- payers, health plans, sponsors, and employers for administrative and financial purposes;\n- public health agencies for healthcare purposes, and- healthcare resources and devices for resource management purposes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "Registry and directory service functions are critical to successfully managing the security, interoperability, and the consistency of the health record data across an EHR-S. These services enable the linking of relevant information across multiple information sources within, or external to, an EHR-S for use within an application. This applies to directories/registries internal to the EHR-S as well as directories/registries external to the EHR-S. Transmission may occur automatically or manually and may include small or large amounts of data. Directories and registries support communication between EHR Systems and may be organized hierarchically or in a federated fashion. For example, a patient being treated by a primary care physician for a chronic condition may become ill while out of town. The new provider's EHR-S interrogates a local, regional, or national registry to find the patient's previous records. From the primary care record, a remote EHR-S retrieves relevant information in conformance with applicable patient privacy and confidentiality rules.\n\nAn example of local registry usage is an EHR-S application sending a query message to the Hospital Information System to retrieve a patient's demographic data.",
  "statement": [
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-01",
      "label": "TI.3#01",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL provide the ability to manage internal registry services and directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#1"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-02",
      "label": "TI.3#02",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL provide the ability to exchange information with external registry services and directories."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-03",
      "label": "TI.3#03",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL provide the ability to exchange information securely with external registry services and directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#2"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-04",
      "label": "TI.3#04",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL conform to function [TI.5.1](Requirements-EHRSFMR2-TI.5.1.html) (Application and Structured-Document Interchange Standards) to exchange information with external registry services and directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#3"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-05",
      "label": "TI.3#05",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD capture and render local registry services and directory information through standards-based interfaces.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#4"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-06",
      "label": "TI.3#06",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": true,
      "requirement": "IF the system communicates with external registry services and directories (i.e., external to an EHR-S), THEN the system SHOULD capture and render information using standards-based interfaces.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#5"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-07",
      "label": "TI.3#07",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD provide the ability to determine the unique identity of a patient through the use of internal, and/or external registry services or directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#6"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-08",
      "label": "TI.3#08",
      "conformance": [
        "MAY"
      ],
      "conditionality": false,
      "requirement": "The system MAY provide the ability to determine links to healthcare information regarding a patient through the use of internal, and/or external registry services or directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#8"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-09",
      "label": "TI.3#09",
      "conformance": [
        "MAY"
      ],
      "conditionality": false,
      "requirement": "The system MAY provide the ability to determine the unique identity of a provider through the use of internal, and/or external registry services or directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#7"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-10",
      "label": "TI.3#10",
      "conformance": [
        "MAY"
      ],
      "conditionality": false,
      "requirement": "The system MAY provide the ability to determine the identity of payers, health plans and sponsors for administrative or financial purposes through the use of internal, and/or external registry services or directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#10"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-TI.3-11",
      "label": "TI.3#11",
      "conformance": [
        "MAY"
      ],
      "conditionality": false,
      "requirement": "The system MAY provide the ability to determine the identity of employers for administrative or financial purposes through the use of internal, and/or external registry services or directories.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.3#11"
    }
  ]
}