EHR Interoperability WG

Following is a collection of documents and development work of the HL7 Electronic Health Record (EHR) Interoperability Work Group (an activity of the HL7 EHR Work Group).

The Work Group meets Tuesdays at 2PM ET for 60 minutes. Dial: 1-770-657-9270, passcode 510269# All are welcome! (Please subscribe to the HL7 EHR Interoperability listserver for meeting announcements, agendas and updates on current work.)

  1st and 3rd Tuesdays - ISO/HL7 10781 EHR System Functional Model - Release 3 Planning
  2nd and 4th Tuesdays - EHRS Meaningful Use Functional Profile

Note: DRAFT documents may be incomplete and are posted for Team review and discourse. Please take care to note their draft (tentative) status if referencing or sharing with others.

Co-Facilitators

Gora Datta, gora@cal2cal.com

Gary Dickinson, gary.dickinson@ehr-standards.com

Stephen Hufnagel, PhD, shufnagel@tiag.net

Meaningful Use Functional Profile (of ISO/HL7 10781 EHR System Functional Model Release 2)

Leads: Gora Datta, Julie Richards

• EHR-S FM MU FP Presentation to CDC on Sep 10, 2013
• EHR-S FM MU FP analysis sections completed as of August 26, 2013
• EHRS-FM-R2-MU-FP-Assignments Tracking sheet, as of Oct 8, 2013
• Updated 2013.08.01 - Guidance Document on How to Build the ONC MU to EHRS FM Profile
• Version 2 Updated 2013.08.01 EHRS FM MU-FP Test Procedure Analysis Spreadsheet V1-20130626.xlsx
• Project Priorities, revised 18 June 2013
• Meaningful Use Stage 1 (2011), EHR Certification Criteria, 45 Test Procedures
• Meaningful Use Stage 2 (2014), EHR Certification Criteria, 50 Test Procedures
• Meaningful Use - Demographics, Julie Richards (Atlanta), presented 6 May 2013
• DRAFT Crosswalk - US Meaningful Use Stage 2 Certification Criteria (as proposed for 2014 on) and ISO/HL7 10781 EHR System Functional Model Release 2 Functions and Conformance Criteria, revised 7 May 2012

ISO/HL7 10781 - EHR System Functional Model - Release 3 Planning

Leads: Steve Hufnagel, Gary Dickinson

• Release 3 - Summer Project - Overview and Objectives, Steve Hufnagel, revised 4 June 2013
• Release 3 - Analysis of Immunization Administration (CP.6.2) Conformance Criteria, Gary Dickinson, revised 28 July 2013
• Release 3 - Presentation on October 2013 EHR-S FIM work by Steve Hufnagel

EHR System Function and Information Model (EHR-S FIM), R2.1

Steve Hufnagel, Facilitator

PURPOSE

- add conceptual information and data model for each Release 2.0 EHR-S FM function
- make the EHR-S FM easier  to use for architects, analysts and engineers
- verify and validate EHR-S FM Release 2.0
- DSTU demonstration for Service Aware Interoperability Framework (SAIF) 
- Support specific profiles (e.g., WG project DAMS, DIMS, DCMS).

REFERENCE DOCUMENTS

• EHRS FIM (for EHR-S FM R2.1), Immunization Example, revised 8 Nov 2011
• File:HL7 Project Scope Statement for EHR-S FIM 2012-1-3.doc
• File:EHR-S FIM Request for PSS co-sponsorship 2012-01-02-E.pptx
• File:ISO 13940 Continuity-of-Care Concepts Jan-11.pptx
• UML: You can download the current Sparx EA EAP file for the models at: https://www.dropbox.com/s/row2p018mjbas7r/EHR-S%20FIM.eap

IMMUNIZATION MAGAGEMENT PROTOTYPE

• Executive Summary for EHR-S FIM Immunization Management Capability and its Function and Information Models, 9-Feb-12 (Original), 15-Mar-12 (Last Update)
• CP.1.2_Manage_Allergy,_Intolerance_and_Adverse_Reaction_List, 23-Jan-12 (Original), 24-Feb-12 (Last Update)‎
• CP.1.3_Manage_Medication_List, 23-Jan-12 (Original), 24-Feb-12 (Last Update)
• CP.1.6 Manage Immunization List, 14-Jan-12 (Original), 24-Feb-12 (Last Update)
• CP.3.3 Manage Clinical Documents and Notes, 14-Jan-12 (Original), 24-Feb-12 (Last Update)
• CP 6.2 Manage Immunization Administration, 5-Dec-11 (Original), 28-Feb-12 (Last Update)
• CPS.1.7.2 Manage Patient Advance Directives, 20-Jan-12 (Original), 24-Feb-12 (Last Update)
• CPS.3.9 Clinical Decision Support System Guidelines Updates, 27-Jan-12 (Original), 24-Feb-12 (Last Update)
• CPS.9.4_Standard_Report_Generation, 27-Jan-12 (Original), 24-Feb-12 (Last Update)
• AS.4.1_Manage_Registry_Communication, 27-Jan-12 (Original), 24-Feb-12 (Last Update)

ORDERS MAGAGEMENT PROTOTYPE

• Executive Summary for EHR-S FIM Orders Management Capability and its Function and Information Models, 18-Apr-12 (Original), 5-Jul-12 (Last Update)

RESULTS MAGAGEMENT PROTOTYPE

• Executive Summary for EHR-S FIM Orders Management Capability and its Function and Information Models, 29-May-12 (Original), 5-Jul-12 (Last Update)

RECORDS INFRASTRUCTURE (RI) PROTOTYPE

• RI.1.1.3 Translate Record Entry Content, 13-Mar-12 (Original), 23-Aug-12 (Last Update)

US ONC Standards and Interoperability Framework

2011-2013 Use Case Initiatives - Transitions of Care, Lab Results, Provider Directory, Digital Certificate...

• Link to ONC S&I Framework Initiative Wiki Pages

Cross Initiative Work Group - S&I Simplification

• Link to ONC S&I Framework Cross Initiative Use Case Simplification Wiki Page
• S&I Simplification Overview, published 7 May 2013
• DRAFT Simplification Core Matrix, Version 2.5, published 10 June 2013

US HITECH Act - EHR Incentive Program - Stage 1 - Final Regulations (2011 on)

• Meaningful Use - CMS Stage 1 - Electronic Health Record Incentive Program - Final, published 28 Jul 2010
• Meaningful Use - CMS Stage 1 - Measures, published 28 Jul 2010
• Meaningful Use - ONC Stage 1 - Standards, Implementation Specifications and Certification Criteria, published 28 Jul 2010
• Meaningful Use - ONC Stage 1 - Certification Program - Final, published 7 Jan 2011
• HITECH White Board Story - Stage 1, Version 1, Robin Raiford, published 2 Aug 2010
• HITECH White Board Story - Stage 1, Version 2, Robin Raiford, published 5 Jun 2011

US HITECH Act - EHR Incentive Program - Stage 2 - Final Regulations (2014 on)

• Meaningful Use - CMS Stage 2 - Electronic Health Record Incentive Program - Final, Bookmarked Version courtesy of Robin Raiford (Advisory Board), Rule published 4 Sep 2012
• Meaningful Use - ONC Stage 2 - Standards, Implementation Specifications and Certification Criteria - Final, Bookmarked Version courtesy of Robin Raiford (Advisory Board), Rule published 4 Sep 2012
• Meaningful Use - White Board Story - Stage 2, courtesy of Robin Raiford (Advisory Board), published 7 Sep 2012
• Quick Guide Comparison―Stage 1 to Stage 2 Objectives and Measures, courtesy of Robin Raiford (Advisory Board), published 7 Sep 2012
• Meaningful Use - Stage 2 - Proposed Rule - Standards and Certification Criteria, Steve Posnack (Director, Federal Policy Division, US Office of National Coordinator), published 29 Feb 2012
• A First Look at Meaningful Use Stage 2, John Halamka, MD (Vice Chair, HIT Standards Committee), published 24 Feb 2012

US ONC Advance Notice of Proposed Rulemaking

Metadata Standards to Support Nationwide Electronic Health Information Exchange

• 45 CFR Part 170 RIN 0991-AB78, as proposed, Federal Register publication date 9 Aug 2011

Clinical Information Modeling Initiative

• CIMI Initial Public Release, Stan Huff, MD, dated 14 December 2011
• CIMI - Seeking Clarity (Questions and Issues), Gary Dickinson, revised 8 January 2012

ISO 16223 - Standards Convergence to Promote EHR Interoperability

• DRAFT Standards Convergence Slide Set, revised 5 October 2009 ("Standards Convergence" accepted as Preliminary Work Item by ISO TC215, April 2010)
• DRAFT EHR Source Journal, Supplement to Standards Convergence Work Item, revised 3 Dec 2009

HL7 EHR/PHR Standards

System Functionality Standards

• Electronic Health Record (EHR) System Functional Model, Normative HL7/ANSI Standard, published Mar 2007 (5 MB)
• Personal Health Record (PHR) System Functional Model, Draft Standard for Trial Use, published Dec 2008 (3.6MB)

Record Interoperability Standards

• EHR Interoperability Model, Draft Standard for Trial Use, published Mar 2007
• EHR Lifecycle Model DSTU, published Feb 2008
• Implementation Guide for CDA Release 2: Reference Profile for EHR Interoperability DSTU, published Feb 2008

Key Reference Documents

• "Achieving Interoperability and Safe Exchange of Health Information/Records - How Meaningful Use Stage 2 Falls Short", Gary Dickinson, CentriHealth, revised 26 Aug 2013
• "Interoperability Framework Overview", Presentation to HIT Standards Committee, Doug Fridsma, MD, PhD, 24 Mar 2010
• "Coming to Terms" White Paper on Interoperability, Pat Gibbons ( Mayo Clinic) et al, published Mar 2007
• "Integrating Standards to Achieve Semantic Interoperability", NHS Connecting for Health (UK), Dr. Ken Lunn, Director of NHS Data Standards and HL7 Board Member, Presentation to HL7/OMG Service Oriented Architecture Conference, Apr 2008
• EHR WG Document Library

2009 ANSI HITSP Foundations Framework Simplification Strategy

• HITSP - Simplification Strategy Slide Set
• HITSP - 2006 Biosurveillance Example (Includes references from Slide Set)
• HITSP - Use Case Template (for additional ONC/AHIC or other Use Cases)