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Source1

{
  "resourceType": "Requirements",
  "id": "PHRSFMR2-PH.3.6.1",
  "meta": {
    "profile": [
      "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/FMFunction"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "normative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "ehr"
    }
  ],
  "url": "http://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-PH.3.6.1",
  "version": "2.0.2",
  "name": "PH_3_6_1_Public_Health_Reporting",
  "title": "PH.3.6.1 Public Health Reporting (Function)",
  "status": "active",
  "date": "2026-01-28T20:43:35+00:00",
  "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."
    }
  ]
}