EHR RM-ES

EHR Records Management & Evidentiary Support (RM-ES) Project

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Project Overview

Welcome to HL7's EHR Records Management & Evidentiary Support wiki page.

The charge of the RM-ES project team is to provide expertise to the EHR work group, other standards groups and the healthcare industry on records management, compliance, and data/record integrity for, EHR systems and related to EHR governance to support the use of medical records for clinical care and decision-making, business, legal and disclosure purposes. The project team will meet this charge by completing the following:

1. Develop, ballot and refine the EHR-S RM-ES Functional Profile.
   • First RM-ES Profile developed against EHR-S FM Release 1
2. Inform the EHR-S Functional Model and related standards on records management and evidentiary support functions and conformance criteria.
3. Monitor and/or collaborate with other standards groups (HL7, ISO, HITSP) as appropriate to provide expertise or to work on joint projects that develop, promote or refine RM-ES requirements for EHRs.
   • HL7 other groups such as the Interoperability Model, Structured Documents, Security
   • International standards organization such as ISO through EHR-S FM
   • Non-HL7 Standards Groups such as HITSP, Canada Health Infoway, etc.
4. Advocate for RM-ES issues in the healthcare industry as appropriate.

Refer to the RM-ES Project Team Charter for more information.

The 2010 RM-ES Workplan includes detailed information on the activities and work deliverables currently under development by the RM-ES team.

Task Group Leaders

Michelle Dougherty

AHIMA

Phone: 312.233.1914

email: michelle.dougherty@ahima.org)

Harry Rhodes

AHIMA

Phone: 312.233.1119

Email: harry.rhodes@ahima.org

Work Group Team Members

Meeting Information

The RM-ES project team meets via conference call on a regular basis. The group may schedule a face to face meeting based on need. The RM-ES workgroup will report to the HL7 EHR Workgroup through their regular meetings or at the HL7 meetings.

• Standing Meeting Date/Time: Mondays at 12 Noon EST /11 AM CST/ 10 AM MST/ 9 AM PST
• Full Team: Every other Monday for 90 minutes
• Project teams: Alternate Mondays
• Call Logistics
  • Phone Number: 770-657-9270
  • Participant Passcode: 510269#

Project Documents

1. Crosswalk Project
   • Deliverable: A crosswalk between key criteria between the Lifecycle Model, CDA R2 Header, and RM-ES Profile to determine related metadata concepts and terms and work toward a single list of metadata concepts and definitions where possible.
   • Working Document: RMES CrossWalk Report
2. Evaluation of NPRM Meaningful Use and IFR Standards and Certification
   • Update on Meaningful Use NPRM & Standards/Certification IFR related to the Record management & Evidentiary Support profile
   • Working Documents
3. Gap Analysis to determine whether the functional requirements identified in the Legal EHR-S Functional Profile - Release 1 are met by those HL7 standards dealing with records management functionality: Domain Message Information Models: Medical Records Domain Model(RCMR_DM000050UV), Clinical Document Architecture Release 2(CDA R2)and its Implementation Guides. Secondly, this analysis will look at how the infrastructure functions common across EHR-Systems but identified as essential now by the Legal EHR-S Functional Profile - Release 1 are supported by HL7 security and privacy specifications (e.g. HL7 Role-Based Access Control Specification, and the Composite Privacy Consent Domain Analysis Model DSTU).
   • Deliverable: Analysis of all conformance criteria that are associated with a function with priority "Essential Now" (EN) that meet the following:
     • The Function is NEW in the Legal EHR-S Functional Profile - Release 1 . For Example 2.1.1.1 Legal Hold Notice was added as "NEW" with a priority of "EF" while 2.2.1 Metadata General is marked NEW with a priority fo "EN".
     • The Conformance Criteria are marked to have been "added" (A) or "modified" (M) will constitute gap analysis criteria across standards
     • This gap analysis will use the terms and conventions clarified in the RMES CrossWalk Report.

Completed/Archived Projects

This section contains Projects and associated documents that have been completed and/or archived.

1. ProjectName

RM-ES Standards Projects

1. The RM-ES Funcitonal Proflie Release 1 is registered on the HL7 EHR Work Group’s functional profile website, which is hosted by the National Institute for Standards and Technology (NIST).
2. The RM-ES Functional Profile Release 2 project is scheduled to be launched in July 2010
3. The EHR-S Functional model Release 1 Standard is available from the ANSI Approved Standards website.
4. The EHR-S Functional Model Release 2 project information is available from the EHR Workgroup Wiki

Related HL7 Workgroups and Wikis

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Listserv

The Oncology Functional Profile Listserve is ehrwglegal@lists.HL7.org. To subscribe to this service, go to the HL7 Listservices Welcome Page