Difference between revisions of "EHR Interoperability WG"
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=FHIR STU-3 - EHR-S Record Lifecycle Event Implementation Guide + AuditEvent and Provenance Profiles= | =FHIR STU-3 - EHR-S Record Lifecycle Event Implementation Guide + AuditEvent and Provenance Profiles= | ||
− | *[http://hl7.org/fhir/2016Sep/ehrsrle/ehrsrle.html FHIR EHR-S Record Lifecycle Event Implementation Guide, based on ISO/HL7 Electronic Health Record System Functional Model (EHR-S FM) | + | *[http://hl7.org/fhir/2016Sep/ehrsrle/ehrsrle.html FHIR EHR-S Record Lifecycle Event Implementation Guide, based on ISO/HL7 10781 Electronic Health Record System Functional Model (EHR-S FM) Release 2, Record Infrastructure Section, published as part of the FHIR STU-3 ballot, Aug 2016] |
*[http://www.hl7.org/FHIR/2016Sep/ehrsrle/ehrsrle-auditevent.html FHIR EHR-S Record Lifecycle Event - AuditEvent Profile, published as part of the FHIR STU-3 ballot, Aug 2016] | *[http://www.hl7.org/FHIR/2016Sep/ehrsrle/ehrsrle-auditevent.html FHIR EHR-S Record Lifecycle Event - AuditEvent Profile, published as part of the FHIR STU-3 ballot, Aug 2016] | ||
*[http://www.hl7.org/FHIR/2016Sep/ehrsrle/ehrsrle-provenance.html FHIR EHR-S Record Lifecycle Event - Provenance Profile, published as part of the FHIR STU-3 ballot, Aug 2016] | *[http://www.hl7.org/FHIR/2016Sep/ehrsrle/ehrsrle-provenance.html FHIR EHR-S Record Lifecycle Event - Provenance Profile, published as part of the FHIR STU-3 ballot, Aug 2016] |
Revision as of 23:18, 5 September 2016
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 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 FHIR STU-3 - EHR-S Record Lifecycle Event Implementation Guide + AuditEvent and Provenance Profiles
- 2 Interoperability Assessment
- 3 Meaningful Use 2015 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)
- 4 Meaningful Use 2014 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)
- 5 EHR as Legal Record Project, HL7 EHR/Records Management-Evidentiary Support (RM-ES) WGs
- 6 Record Entry Lifecycle Event Metadata using FHIR (Fast Health Interoperable Resources) - Project Now Complete
- 7 Record Lifecycle, Provenance and Vocabulary Alignment - Project Now Complete
- 8 US ONC Standards and Interoperability Framework
- 9 ISO/HL7 10781:2017 EHR-S FIM Release-3 2014-Planning
- 10 EHR-S and PHR-S FIM, Release-3 2012 Prototype
- 11 US HITECH Act - EHR Incentive Program - Stage 1 - Final Regulations (2011 Edition)
- 12 US HITECH Act - EHR Incentive Program - Stage 2 - Final Regulations (2014 Edition)
- 13 US HITECH Act - EHR Incentive Program - Stage 3 - Final Regulations (2015 Edition)
- 14 US ONC Final 10 Year Interoperability Roadmap
- 15 US ONC Advance Notice of Proposed Rulemaking
- 16 ISO 16223 - Standards Convergence to Promote EHR Interoperability
- 17 HL7 EHR/PHR Standards
- 18 Key Reference Documents
- 19 2009 ANSI HITSP Foundations Framework Simplification Strategy
FHIR STU-3 - EHR-S Record Lifecycle Event Implementation Guide + AuditEvent and Provenance Profiles
- FHIR EHR-S Record Lifecycle Event Implementation Guide, based on ISO/HL7 10781 Electronic Health Record System Functional Model (EHR-S FM) Release 2, Record Infrastructure Section, published as part of the FHIR STU-3 ballot, Aug 2016
- FHIR EHR-S Record Lifecycle Event - AuditEvent Profile, published as part of the FHIR STU-3 ballot, Aug 2016
- FHIR EHR-S Record Lifecycle Event - Provenance Profile, published as part of the FHIR STU-3 ballot, Aug 2016
Interoperability Assessment
- US Office of the National Coordinator for Health Information Technology (ONC); Medicare Access and CHIP Reauthorization Act of 2015; Request for Information Regarding Assessing Interoperability for MACRA
- Interoperability Assessment Based on Truth and Trust, Gary Dickinson, CentriHealth, 19 May 2016
- Interoperability Assessment via Roundtrip Exchange, Gary Dickinson, CentriHealth, 18 May 2016
Meaningful Use 2015 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)
Leads: Gary Dickinson, Diana Warner, Michael Brody, Anneke Goosen
The Worksheet is now available for review and update. There are tabs for:
- A) Current Worksheet Crosswalk from MU 2015 Edition Test Procedures (TPs) to EHR-S FM R2 Functions and Criteria (work in progress)
- B) Prior Crosswalk from MU 2014 Edition TPs to EHR-S FM R2
- C) EHR-S FM R2 Functions and Criteria
- D) Links to 2015 Edition TPs and Assignments
- E) 2015 Edition Cross-Reference
- F) Links to 2014 Edition TPs
- G) 2014 Edition Functional Profile (final)
- Please contact any Project Lead if you wish to analyze one or more TPs - proposing your crosswalk rows for inclusion in Tab A.
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 24 Aug 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 10 Aug 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 27 Jul 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 20 Jul 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 11 Jul 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 6 Jul 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 27 Jun 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 13 Jun 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 8 Jun 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, Revised 7 Jun 2016
- DRAFT Meaningful Use 2015 Edition Functional Profile WORKSHEET, revised 6 Jun 2016
- Meaningful Use 2015 Edition, Certified Health Information Technology (CHIT), Test Procedures
Meaningful Use 2014 Edition Functional Profile (of ISO/HL7 10781 EHR-S FM Release 2)
Leads: Gary Dickinson, Diana Warner, Hetty Kahn, Anneke Goosen
- List of EHR System Functional Profiles and Language Translations (of ISO/HL7 10781 EHR System Functional Model), revised 25 Mar 2016
- Meaningful Use Functional Profile - Overview - 28 Jul 2014
- Meaningful Use Functional Profile - Test Procedure Analysis Worksheet - Ready for Informative Ballot, revised 14 Jul 2014
- Meaningful Use Stage 1 (2011), EHR Certification Criteria, 45 Test Procedures
- Meaningful Use Stage 2 (2014), EHR Certification Criteria, 50 Test Procedures
- 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
EHR as Legal Record Project, HL7 EHR/Records Management-Evidentiary Support (RM-ES) WGs
Lead: Gary Dickinson
Record Entry Lifecycle Event Metadata using FHIR (Fast Health Interoperable Resources) - Project Now Complete
Lead: Gary Dickinson
- Fast Health Interoperable Resources (FHIR) Main Page
- Current FHIR Resource Index
- DRAFT EHR-S FM Record Lifecycle Events on FHIR - OVERVIEW, Gary Dickinson, 26 Jun 2015
- FHIR DSTU-2 Record Lifecycle Event Implementation Guide (Ballot Draft), 3 Apr 2015
- DRAFT FHIR DSTU-2 Record Lifecycle Event Implementation Guide, Gary Dickinson, 10 Sep 2015
- DRAFT FHIR W5 Report Analysis and Planning for October FHIR Connectathon 10 - OVERVIEW, Gary Dickinson, 11 Sep 2015
- FHIR W5 Report (Continuous Build Version), FHIR Management Group
- DRAFT FHIR W5 Analysis Worksheet, Gary Dickinson, 21 Aug 2015
- DRAFT Use Case - Security Audit Prompts Investigation, Glen Marshall, 10 Sep 2015
- DRAFT Use Case - Pharmacy Medication Tracking, Julia Chan, 11 Sep 2015
- Reflections on AuditEvent and Provenance, Grahame Grieve, 12 Aug 2015
- DRAFT FHIR W5 Recommendations, Gary Dickinson, 30 Sep 2015
- DRAFT AuditEvent.Object.lifecycle Code Set (as proposed), Gary Dickinson, 15 Mar 2015
- DRAFT EHR-S FM Record Lifecycle Events on FHIR - USE CASE WORKSHEET, Gary Dickinson, 29 Aug 2014
- DRAFT S&I Data Provenance System Event Matrix, Gary Dickinson, 30 Nov 2015
- Introduction to ISO/HL7 Standards for EHR Record Lifecycle and Lifespan, Gary Dickinson, presented 26 Jun 2014 to S&I Data Provenance Community Teleconference
- EHR Record Lifecycle Events and Data Provenance Across S&I Initiatives, Gary Dickinson, 2 July 2014
- S&I Data Provenance Examples - User Stories with Record Lifecycle & Provenance Events, Gary Dickinson, 18 Aug 2014
- Record Entry Lifecycle Event Metadata using FHIR Project Scope Statement, 22 Jul 2014
- Patient, Provider, Community Pharmacy Perspectives - Presentation, Version 11, Julia Chan, work in progress
- Patient, Provider, Community Pharmacy Perspectives - Scenario Worksheet, Julia Chan, work in progress
- FHIR Resources - States and State Transitions - 1 min Video - Julia Chan, work in progress
- FHIR Financial Domain - Resource/Attribute States and Statuses - Julia Chan
Record Lifecycle, Provenance and Vocabulary Alignment - Project Now Complete
Record Lifecycle, Security, Privacy, and Provenance Vocabulary Alignment
Leads: Reed Gelzer, MD, Diana Proud-Madruga
- EHR Record Lifecycle Event Model supporting Vocabulary, Mike Davis and Diana Proud-Madruga, 11 May 2016
- 2014-06-10 EHR Interop Teleconference: Methodology for Action / Operation Taxonomy by Tony Weida, [1]
- 2014-06-10 EHR Interop Teleconference: Verb Harmonization Matrix, Definitions and Notes
- 2014-06-03 EHR Interop Teleconference: EHRS FM Verbs vs. Record Lifecycle Events vs. Security Verbs
REFERENCES
- Project Scope Statement for Vocabulary Alignment Project, revised 22 Jul 2014, as approved by Security WG
- Way with Verbs, Diana Proud-Madruga, linked 27 May 2014
- EHR Action Verbs and Security Operations, Tony Weida, presented 7 May 2014 to HL7 EHR WG meeting in Phoenix
- Mind Map of HL7 Security and Privacy Ontology, Diana Proud-Madruga, presented 7 May 2014 to HL7 EHR WG meeting in Phoenix
- EHRS FM Verbs vs. Record Lifecycle Events vs. Security Verbs, Steve Hufnagel, presented 7 May 2014 to HL7 EHR WG meeting in Phoenix
- EHRS FM Release 2 Verb Hierarchy
- HL7 Electronic Health Record Lifecycle Model - Draft Standard for Trial Use, published Jan 2008
- Lifecycle Events in ISO/HL7 Standards, revised 26 Jun 2014
- EHRS FM Functions – Relationship to Record Lifecycle Events and Audit Triggers, revised 23 April 2014
- EHRS FM Record Infrastructure - Record Lifecycle Events (RI.1.1.x) with Corresponding Metadata Requirements (RI.1.1.x.1) - Worksheet, revised 25 Feb 2013
- EHRS FM Record Lifecycle Events - Opportunity for Standards Convergence?, revised 30 May 2013
- 2014-06-10 EHRS-FM vs. Record Lifecycle vs Security Verb Harmonization Matrix & Definitions.xlsx
- 2014-09-02-P EHR Verb Categorization by Record Entry Events.docx
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
- Link to ONC S&I Simplification (cross-initiative Work Group) Wiki Page
- Link to ONC S&I Simplification Reference Materials Wiki Page
- S&I Simplification Overview, published 8 Aug 2014
- DRAFT Simplification Core Matrix, Version 3.2, published 27 Nov 2014
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 - Analysis of Immunization Administration (CP.6.2) Conformance Criteria, Gary Dickinson, revised 20 Feb 2015
- 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 - 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 HITECH Act - EHR Incentive Program - Stage 1 - Final Regulations (2011 Edition)
- 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, courtesy of the late Robin Raiford, published 2 Aug 2010
- HITECH White Board Story - Stage 1, Version 2, courtesy of the late Robin Raiford, published 5 Jun 2011
US HITECH Act - EHR Incentive Program - Stage 2 - Final Regulations (2014 Edition)
- Meaningful Use - CMS Stage 2 - Electronic Health Record Incentive Program - Final, Bookmarked Version courtesy of the late 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 the late Robin Raiford (Advisory Board), Rule published 4 Sep 2012
- HITECH White Board Story - Stage 2, Version 1, courtesy of the late Robin Raiford (Advisory Board), published 10 Feb 2014
- Quick Guide Comparison―Stage 1 to Stage 2 Objectives and Measures, courtesy of the late Robin Raiford (Advisory Board), published 7 Sep 2012
US HITECH Act - EHR Incentive Program - Stage 3 - Final Regulations (2015 Edition)
- Meaningful Use - CMS Stage 3 - Electronic Health Record Incentive Program - Final, published 16 Oct 2015
- Meaningful Use - ONC Stage 3 - Standards, Implementation Specifications and Certification Criteria - Final, published 16 Oct 2015
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
- 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
- HL7 Electronic Health Record System Functional Model Release 2, April 2014 (also published as ISO 10781)
- HL7 Personal Health Record System Functional Model Release 1, May 2014 (also published as ISO 16527
- 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
- ISO 21089 - Trusted End-to-End Information - Overview Presentation to S&I Data Provenance (DPROV) Community, Gary Dickinson, published 20 Nov 2014
- 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
- "End-to-End Interoperability of Health Data/Records - Validation Framework to ensure Affirmative Trust Decision", Gary Dickinson, CentriHealth, 13 Nov 2015
- "Comments on ONC Interoperability Roadmap", Gary Dickinson, CentriHealth, 3 Apr 2015
- "Comments on ONC 2015 Standards Advisory", Gary Dickinson, CentriHealth, 1 May 2015
- "Comments on MU3 NPRM for System Certification", Gary Dickinson, CentriHealth, 29 May 2015
- "Truth, Trust, Fitness for Use (Purpose)", Gary Dickinson, CentriHealth, 10 Mar 2015
- "Achieving Interoperability and Safe Exchange of Health Information/Records - How Meaningful Use Stage 2 Falls Short", Gary Dickinson, CentriHealth, 26 Aug 2013
- EU/US eHealth Cooperation Initiative - "Interoperability", Gary Dickinson, CentriHealth, 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