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FHIR IG Statistics: Requirements/PHRSFMR2-PH.6.6

Packagehl7.ehrs.uv.phrsfmr2
TypeRequirements
IdPHRSFMR2-PH.6.6
FHIR VersionR5
Sourcehttp://hl7.org/ehrs/uv/phrsfmr2/https://build.fhir.org/ig/HL7/phrsfm-ig/Requirements-PHRSFMR2-PH.6.6.html
URLhttp://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.6.6
Version2.0.1-ballot
Statusactive
Date2025-04-03T15:15:30+00:00
NamePH_6_6_Referrals_and_Referral_Process
TitlePH.6.6 Referrals and Referral Process (Function)
Authorityhl7
DescriptionManage information related to referrals for the PHR Account Holder's benefit and convenience.
PurposeFor many referrals to other provider organizations, the PHR Account Holder must manage data, approvals, and appointments related to the referral. The PHR Account Holder may need to ensure that relevant data are received by the provider for the referral encounter. The PHR Account Holder may need to interact with his or her insurance company to secure authorization for payment for a referral to a provider. Examples of methods of transmittal include: secure email or enhanced data sharing. Examples of target referrals includes: referral service organization processing referrals on behalf of multiple healthcare providers that could be regional or jurisdictional. Example(s): The system SHOULD provide the ability to include test and procedure results with a referral.

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Narrative

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Statement N:

Manage information related to referrals for the PHR Account Holder's benefit and convenience.

Description I:

For many referrals to other provider organizations, the PHR Account Holder must manage data, approvals, and appointments related to the referral. The PHR Account Holder may need to ensure that relevant data are received by the provider for the referral encounter. The PHR Account Holder may need to interact with his or her insurance company to secure authorization for payment for a referral to a provider. Examples of methods of transmittal include: secure email or enhanced data sharing. Examples of target referrals includes: referral service organization processing referrals on behalf of multiple healthcare providers that could be regional or jurisdictional.

Example(s): The system SHOULD provide the ability to include test and procedure results with a referral.

Actors:
ehr
Criteria N:
PH.6.6#01 SHOULD

The system SHOULD provide the ability to transmit clinical and administrative data (e.g., insurance information) as part of the referral process to the provider who is receiving the referral.

PH.6.6#02 SHOULD

The system SHOULD provide the ability to render test and procedure results with a referral.

PH.6.6#03 SHOULD

The system SHOULD provide the ability for the PHR Account Holder to control access to the PHR Account Holder's information by allowing temporary privileges to the referring provider or provider's representative (e.g., viewing, printing, downloading, or exporting).

PH.6.6#04 SHOULD

The system SHOULD provide the ability to transmit clinical data, administrative data, test results, and/or procedure results to the provider who is the target of a referral or to a referral service.


Source

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  "resourceType": "Requirements",
  "id": "PHRSFMR2-PH.6.6",
  "meta": {
    "profile": [
      "http://hl7.org/ehrs/uv/phrsfmr2/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/phrsfmr2/Requirements/PHRSFMR2-PH.6.6",
  "version": "2.0.1-ballot",
  "name": "PH_6_6_Referrals_and_Referral_Process",
  "title": "PH.6.6 Referrals and Referral Process (Function)",
  "status": "active",
  "date": "2025-04-03T15:15:30+00:00",
  "publisher": "EHR WG",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/ehr"
        }
      ]
    }
  ],
  "description": "Manage information related to referrals for the PHR Account Holder's benefit and convenience.",
  "purpose": "For many referrals to other provider organizations, the PHR Account Holder must manage data, approvals, and appointments related to the referral. The PHR Account Holder may need to ensure that relevant data are received by the provider for the referral encounter. The PHR Account Holder may need to interact with his or her insurance company to secure authorization for payment for a referral to a provider. Examples of methods of transmittal include: secure email or enhanced data sharing. Examples of target referrals includes: referral service organization processing referrals on behalf of multiple healthcare providers that could be regional or jurisdictional.\r\n\r\nExample(s): The system SHOULD provide the ability to include test and procedure results with a referral.",
  "statement": [
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-PH.6.6-01",
      "label": "PH.6.6#01",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD provide the ability to transmit clinical and administrative data (e.g., insurance information) as part of the referral process to the provider who is receiving the referral."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-PH.6.6-02",
      "label": "PH.6.6#02",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD provide the ability to render test and procedure results with a referral."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-PH.6.6-03",
      "label": "PH.6.6#03",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD provide the ability for the PHR Account Holder to control access to the PHR Account Holder's information by allowing temporary privileges to the referring provider or provider's representative (e.g., viewing, printing, downloading, or exporting)."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-PH.6.6-04",
      "label": "PH.6.6#04",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD provide the ability to transmit clinical data, administrative data, test results, and/or procedure results to the provider who is the target of a referral or to a referral service."
    }
  ]
}