EHR Interoperability WG
The HL7 Electronic Health Record (EHR) Interoperability Work Group is an activity of the HL7 EHR Work Group. The Work Group meets Tuesdays at 2PM ET.
GoToMeeting: https://www3.gotomeeting.com/join/798931918 Meeting ID: 798-931-918 (GoToMeeting facilities provided courtesy of Dr. Michael Brody.)
Dialin: + 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.) 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.
Contents
- 1 Co-Facilitators
- 2 Meaningful Use Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)
- 3 ISO/HL7 10781:2017 EHR-S FIM Release-3 2014-Planning
- 4 EHR-S and PHR-S FIM, Release-3 2012 Prototype
- 5 US ONC Standards and Interoperability Framework
- 6 US HITECH Act - EHR Incentive Program - Stage 1 - Final Regulations (2011 on)
- 7 US HITECH Act - EHR Incentive Program - Stage 2 - Final Regulations (2014 on)
- 8 US ONC Advance Notice of Proposed Rulemaking
- 9 Clinical Information Modeling Initiative
- 10 ISO 16223 - Standards Convergence to Promote EHR Interoperability
- 11 HL7 EHR/PHR Standards
- 12 Key Reference Documents
- 13 2009 ANSI HITSP Foundations Framework Simplification Strategy
Co-Facilitators
- Gora Datta, gora@cal2cal.com
- Gary.Dickinson@ehr-standards.com
- Stephen.Hufnagel.HL7@gmail.com
Meaningful Use Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)
Leads: Gora Datta, Gary Dickinson
- List of EHR System Functional Profiles (of ISO/HL7 10781 EHR System Functional Model), revised 4 Mar 2014
- Meaningful Use Functional Profile - Overview - 28 Mar 2014
- Meaningful Use Functional Profile - Test Procedure Analysis - Final - Ready for Comment Only Ballot, revised 28 Mar 2014
- Guidance Document on How to Build the ONC/NIST MU to HL7 EHRS FM Profile, revised 1 Aug 2013
- Meaningful Use Stage 1 (2011), EHR Certification Criteria, 45 Test Procedures
- Meaningful Use Stage 2 (2014), EHR Certification Criteria, 50 Test Procedures
- EHR-S FM MU FP Presentation to CDC on 10 Sep 2013
- 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 10781:2017 EHR-S FIM Release-3 2014-Planning
Gary Dickinson, co-chair and Steve Hufnagel PhD, project-facilitator
EHR-S FIM is EHR System Function-and-Information Model, release-3 planned for '2017 joint ISO/HL7-International ballot
- Release 3 - EHR-WG_Jan-2014_TSC-Presentation
- Release 3 - Jan 2014 Immunization-Management Prototype-Report for San Antonio WG Presentation
- Release 3 - Dec 2013 Immunization-Management Prototype Requirements-Specifications, Use-Cases, Information Models and Scenarios
- Release 3 - Dec 2013 EHR-S FIM Summary Report
- Release 3 - Dec 2013 EHR-S FIM Summary Presentation
- Release 3 - Dec 2013 EHR and PHR System Reference Model, presented l7-Dec-2013
- Release 3 - Nov 2013 EHR-S FIM Summary Report
- Release 3 - Nov 2013 EHR-S FIM Summary Presentation
- Release 3 - Nov 2013 CP.6.2 Immunization-Management Interoperability-Specification Prototype
- Release 3 - Oct 2013 EHR-S FIM Summary Report
- Release 3 - Oct 2013 EHR-S FIM Summary Presentation
- Release 3 - Jul 2013 Analysis of Immunization Administration (CP.6.2) Conformance Criteria, Gary Dickinson, revised 28 July 2013
- Release 3 - Jun 2013 EHR-S FIM Overview and Objectives, Steve Hufnagel, revised 4 June 2013
EHR-S and PHR-S FIM, Release-3 2012 Prototype
Steve Hufnagel, Facilitator and Gary Dickinson, co-chair
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/vzilknooyzv9c5f/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
RESULTS MAGAGEMENT PROTOTYPE
RECORDS INFRASTRUCTURE (RI) PROTOTYPE
US ONC Standards and Interoperability Framework
2011-2014 Use Case Initiatives - Transitions of Care, Lab Results, Provider Directory, Digital Certificate...
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
- HITECH White Board Story - Stage 2, Version 1, Robin Raiford (Advisory Board), published 10 Feb 2014
- Quick Guide Comparison―Stage 1 to Stage 2 Objectives and Measures, courtesy of Robin Raiford (Advisory Board), published 7 Sep 2012
US ONC Advance Notice of Proposed Rulemaking
Metadata Standards to Support Nationwide Electronic Health Information Exchange
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
- EU/US eHealth Cooperation Initiative - "Interoperability", Gary Dickinson, CentriHealth, revised 17 Feb 2014
- "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