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EHR Interoperability WG

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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. 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.

Co-Facilitators

Gora Datta, gora@cal2cal.com

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


HL7 EHR System Functional Model Release 2

Ballot in Progress


HL7 EHR Interoperability Activities


US ONC Standards and Interoperability Framework

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

Cross Initiative - Use Case Simplification Subgroup


EHR System Function and Information Model (EHR-S FIM)R2.1 or 3.0

EHR-S FIM Release 2.1 or 3.0 has the purpose to:

- add core information models for each EHR-S FM function
- make the EHR-S FM easier  to use for 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, DCLS).

Immunization, HL7 EHR Diabetes project, ISO 13940 Continuity-of-Care harmonization are proposed as a set of demonstration prototypes of increasing complexity. IMMUNIZATION MAGAGEMENT PROTOTYPE ANALYSIS FILES (as they become available):

Clinical Information Modeling Initiative


ISO 16223 - Standards Convergence to Promote EHR Interoperability


HL7 EHR/PHR Standards

System Functionality Standards

Record Interoperability Standards


US ONC Advance Notice of Proposed Rulemaking

Metadata Standards to Support Nationwide Electronic Health Information Exchange


US HITECH Act - EHR Incentive Program - Final Regulations

Bookmarked Rules and White Board Story Courtesy of Robin Raiford


Key Reference Documents


2009 ANSI HITSP Foundations Framework Simplification Strategy


2006-2009 US ONC/AHIC/HITSP Use Cases

Worksheets for Use Case Sketch Analysis


Use Case Alignment with HL7 EHR/PHR Models

Year 1 Care Delivery - COMPLETE

> Sherry Selover, Lead - sherry.selover@selover.com

Year 1 Population Health - COMPLETE

> Gora Datta, Lead - gora@cal2cal.com

Year 1 Consumer Empowerment - COMPLETE

> Kim Salamone, Lead - KSalamone@hsag.com

Year 2 Quality Reporting - COMPLETE

> Kim Salamone, Lead - KSalamone@hsag.com

Year 3 Remote Monitoring - COMPLETE

> Sherry Selover, Lead - sherry.selover@selover.com