Difference between revisions of "EHR Interoperability WG"

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NOTE:  We are migrating the RCB Section of this Wiki to its own page:  http://bit.ly/reducing_burden  For now the content of both pages is the same.
 
NOTE:  We are migrating the RCB Section of this Wiki to its own page:  http://bit.ly/reducing_burden  For now the content of both pages is the same.
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==HL7 RCB Project - Overview and Analysis Worksheet==
  
 
*[[media:Reducing_Clinician_Burden-Overview-20190508.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 8 May 2019]]
 
*[[media:Reducing_Clinician_Burden-Overview-20190508.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 8 May 2019]]
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==HL7 RCB Project - Focus Team Drafts==
 
==HL7 RCB Project - Focus Team Drafts==
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*[[media:Schlossman_HL7_RCB_Project_Focus_Teams_Report_20190508.pdf|DRAFT Reducing Clinician Burden - New Approaches to Clinical Workflow, Clinical Documentation, and Electronic Health Record Usability, Clinical Workflow and Documentation Focus Team Report, David Schlossman MD, Lisa Mass MD, Leads, updated 8 May 2019]]
 
*[https://drive.google.com/drive/folders/113pFh5kjX-dLR2K8jLlG-FJkLm-_5IN4?ogsrc=32 DRAFT Team Report - Clinical Documentation: Quality and Usability - Lisa Masson MD, Lead, updated 7 Jan 2019]
 
*[https://drive.google.com/drive/folders/113pFh5kjX-dLR2K8jLlG-FJkLm-_5IN4?ogsrc=32 DRAFT Team Report - Clinical Documentation: Quality and Usability - Lisa Masson MD, Lead, updated 7 Jan 2019]
 
*[[media:EHR_based_cognitive_support_to_Enhance_the_clinician_experience.pdf|DRAFT Team Outline - Clinical decision support, medical logic, artificial intelligence + Alerts, reminders, notifications, inbox management + Information overload - Jim McClay MD, Lead, updated 17 Jan 2019]]
 
*[[media:EHR_based_cognitive_support_to_Enhance_the_clinician_experience.pdf|DRAFT Team Outline - Clinical decision support, medical logic, artificial intelligence + Alerts, reminders, notifications, inbox management + Information overload - Jim McClay MD, Lead, updated 17 Jan 2019]]
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==HL7 RCB Project - Reference Sources==
 
==HL7 RCB Project - Reference Sources==
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*[https://www.beckershospitalreview.com/ehrs/nearly-half-of-physicians-think-ehrs-have-decreased-quality-of-care-survey-finds.html?origin=qualitye&utm_source=qualitye Becker's Healthcare - Nearly half of physicians think EHRs have decreased quality of care, survey finds, Jackie Drees, published 1 May 2019]
 
*[https://searchhealthit.techtarget.com/feature/Physician-burnout-eased-with-homegrown-tech TechTarget - Kaiser Permanente - Physician burnout eased with homegrown tech, Makenzie Holland, published 24 April 2019]
 
*[https://searchhealthit.techtarget.com/feature/Physician-burnout-eased-with-homegrown-tech TechTarget - Kaiser Permanente - Physician burnout eased with homegrown tech, Makenzie Holland, published 24 April 2019]
 
*[https://www.healthaffairs.org/do/10.1377/hblog20190320.244258/full/?utm_source=Newsletter&utm_medium=email&utm_content=Reforming+Observation+Hospital+Care%3B+Price+Transparency%3B+CMS+Report+On+Risk+Adjustment%3B+Medicaid+Programs+That+Incentivize+Health-Promoting+Behaviors&utm_campaign=HAT+3-25-19 Health Affairs - What The Inspector General Gets Wrong About Reforming Observation Hospital Care, Ann M Sheehy,  Charles F S Locke, Bradley Flansbaum, published 25 Mar 2019]
 
*[https://www.healthaffairs.org/do/10.1377/hblog20190320.244258/full/?utm_source=Newsletter&utm_medium=email&utm_content=Reforming+Observation+Hospital+Care%3B+Price+Transparency%3B+CMS+Report+On+Risk+Adjustment%3B+Medicaid+Programs+That+Incentivize+Health-Promoting+Behaviors&utm_campaign=HAT+3-25-19 Health Affairs - What The Inspector General Gets Wrong About Reforming Observation Hospital Care, Ann M Sheehy,  Charles F S Locke, Bradley Flansbaum, published 25 Mar 2019]
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*[https://www.kff.org/other/poll-finding/data-note-publics-experiences-with-electronic-health-records/?utm_campaign=KFF-2019-The-Latest&utm_source=hs_email&utm_medium=email&utm_content=70975474&_hsenc=p2ANqtz-_zM5rU_7EC28KiimXl3-En6Q0qCLLCuTKU4nBEtMlhaffCojvfzfDF1cSv_ZS-AJ2NEkgOAnzf8Tso_yGxoIUrXEf99w&_hsmi=70975474 Henry J Kaiser Family Foundation - Public’s Experiences With Electronic Health Records, Cailey Muñana, Ashley Kirzinger, Mollyann Brodie, 18 Mar 2019]
 
*[https://www.kff.org/other/poll-finding/data-note-publics-experiences-with-electronic-health-records/?utm_campaign=KFF-2019-The-Latest&utm_source=hs_email&utm_medium=email&utm_content=70975474&_hsenc=p2ANqtz-_zM5rU_7EC28KiimXl3-En6Q0qCLLCuTKU4nBEtMlhaffCojvfzfDF1cSv_ZS-AJ2NEkgOAnzf8Tso_yGxoIUrXEf99w&_hsmi=70975474 Henry J Kaiser Family Foundation - Public’s Experiences With Electronic Health Records, Cailey Muñana, Ashley Kirzinger, Mollyann Brodie, 18 Mar 2019]
 
*[https://histalk2.com/2019/03/13/readers-write-to-douse-the-flames-of-physician-burnout-target-the-four-biggest-time-wasters-in-the-ehr/ HIStalk - To Douse the Flames of Physician Burnout, Target the Four Biggest Time-Wasters in the EHR, David Butler MD, published 13 Mar 2019]
 
*[https://histalk2.com/2019/03/13/readers-write-to-douse-the-flames-of-physician-burnout-target-the-four-biggest-time-wasters-in-the-ehr/ HIStalk - To Douse the Flames of Physician Burnout, Target the Four Biggest Time-Wasters in the EHR, David Butler MD, published 13 Mar 2019]
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*[https://www.hcinnovationgroup.com/clinical-it/patient-safety/news/21071783/ehrrelated-issues-top-patient-safety-concern-list Healthcare Innovation Group - EHR-Related Issues Top Patient Safety Concern List, David Raths, published 12 Mar 2019]
 
*[https://www.healthcareitnews.com/news/epic-ceo-judy-faulkner-apple-docs-who-actually-their-ehrs-and-warren-buffett Healthcare IT News - Epic CEO Judy Faulkner on Apple, docs who actually like their EHRs..., Mike Miliard, published 13 Feb 2019]
 
*[https://www.healthcareitnews.com/news/epic-ceo-judy-faulkner-apple-docs-who-actually-their-ehrs-and-warren-buffett Healthcare IT News - Epic CEO Judy Faulkner on Apple, docs who actually like their EHRs..., Mike Miliard, published 13 Feb 2019]
 
*[https://thriveglobal.com/stories/physician-burnout-public-health-crisis-solutions-report/?utm_source=HR19000+WHCC+Care+Delivery+Integration+02012019&utm_medium=email&utm_campaign=HR19000 Thrive Global - Here’s Why Physician Burnout is Officially “A Public Health Crisis”, Jane Burnett, published 31 Jan 2019]
 
*[https://thriveglobal.com/stories/physician-burnout-public-health-crisis-solutions-report/?utm_source=HR19000+WHCC+Care+Delivery+Integration+02012019&utm_medium=email&utm_campaign=HR19000 Thrive Global - Here’s Why Physician Burnout is Officially “A Public Health Crisis”, Jane Burnett, published 31 Jan 2019]

Revision as of 09:23, 15 May 2019

The HL7 Electronic Health Record (EHR) Interoperability Work Group is an activity of the HL7 EHR Work Group.

Please subscribe to the HL7 EHR Interoperability listserver for meeting announcements, agendas and updates regarding 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

HL7 EHR/PHR Standards

System Functionality Standards


Record Interoperability Standards


HL7 "Reducing Clinician Burden" (RCB) Project

Project team meets via teleconference on the 1st and 3rd Mondays each month - at 3PM ET (US). To join the teleconference: https://global.gotomeeting.com/meeting/join/798931918

NOTE: We are migrating the RCB Section of this Wiki to its own page: http://bit.ly/reducing_burden For now the content of both pages is the same.

HL7 RCB Project - Overview and Analysis Worksheet

"See What We Mean"

HL7 RCB Project - Reducing Burden - Success Stories

HL7 RCB Project - Focus Team Drafts

US Office of National Coordinator for Health Information Technology (ONC) DRAFT "Strategy on Reducing Burden"

HL7 RCB Project - Reference Sources


CURRENT US Notices of Proposed Rule-Making


US Office of National Coordinator (ONC), Trusted Exchange Framework/Common Agreement (TEFCA)


US Office of National Coordinator (ONC), Technical Interoperability Forum, 15-16 August 2017


US Office of National Coordinator (ONC), Interoperability Forum, 6-8 August 2018


US Office of National Coordinator (ONC), "Record to Rely On" Workshop, 29 November 2016

Leads: Mark Knee JD, Elise Sweeney Anthony JD, Mike Lipinski JD


US Office of National Coordinator - Interoperability Standards Advisory (ISA)


HL7 FHIR Standard Release 4

FHIR EHR-S Record Lifecycle Event Implementation Guide

FHIR AuditEvent and Provenance Profiles

FHIR Five W's Pattern (Who, What, When, Where, Why)

FHIR Implementer's Safety Check List


Interoperability Assessment


Blockchain for Health/Healthcare (Public Journal)


International Patient Summary (INTERPAS/IPS)


PUBLICATION PACKAGE - Meaningful Use 2015 Edition Functional Profile

Leads: Gary Dickinson, Anneke Goossen, Michael Van Der Zel


Meaningful Use 2015 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)

Leads: Gary Dickinson, Mark Janczewski MD, Anneke Goossen

Meaningful Use 2014 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)

Leads: Gary Dickinson, Diana Warner, Hetty Kahn, Anneke Goossen


EHR as Legal Record Project

HL7 EHR and Records Management-Evidentiary Support (RM-ES) WGs

Leads: Gary Dickinson, Reed Gelzer MD, Diana Warner


Record Entry Lifecycle Event Metadata using FHIR (Fast Health Interoperable Resources) - Project Now Complete

Lead: Gary Dickinson


Record Lifecycle, Provenance and Vocabulary Alignment - Project Now Complete

Record Lifecycle, Security, Privacy, and Provenance Vocabulary Alignment

Leads: Reed Gelzer, MD, Diana Proud-Madruga

REFERENCES


US ONC Standards and Interoperability Framework

2011-2016 Use Case Initiatives - Transitions of Care, Lab Results, Provider Directory, Digital Certificate, et al.

Cross Initiative Work Group - S&I Simplification


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


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

IMMUNIZATION MAGAGEMENT PROTOTYPE

ORDERS MAGAGEMENT PROTOTYPE

RESULTS MAGAGEMENT PROTOTYPE

RECORDS INFRASTRUCTURE (RI) PROTOTYPE


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


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


US HITECH Act - EHR Incentive Program - Stage 3 - Final Regulations (2015 Edition)


US ONC Final 10 Year Interoperability Roadmap


US ONC Advance Notice of Proposed Rulemaking

Metadata Standards to Support Nationwide Electronic Health Information Exchange


ISO 16223 - Standards Convergence to Promote EHR Interoperability


Key Reference Documents


2009 ANSI HITSP Foundations Framework Simplification Strategy