Difference between revisions of "EHR Interoperability WG"

From HL7Wiki
Jump to navigation Jump to search
(22 intermediate revisions by the same user not shown)
Line 22: Line 22:
  
  
=HL7 "Reducing Clinician Burden" Project=
+
=HL7 "Reducing Clinician Burden" (RCB) Project=
  
==HL7 RCB Project - Overview and Analysis Worksheet==
+
This project is now hosted on its own Wiki Page:  http://bit.ly/reducing_burden
  
*[[media:Reducing_Clinician_Burden-Overview-20190520.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 20 May 2019]]
+
==HL7 RCB Project - Presentations==
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20190508.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 8 May 2019]]
+
 
 +
*[[media:Reducing_Clinician_Burden-Overview-20190918.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 18 Sep 2019]]
 +
*[[media:Schlossman_AMDIS_RCB_Presentation_final.pdf|Reducing Clinician Burden Project - New Directions in Alleviating Clinical Workflow and Documentation Burdens - Association of Medical Directors of Information Systems (AMDIS) Presentation, David Schlossman MD, presented 20 Jun 2019]]
 +
*[[media:HL7_EHR_S_and_Usability_DS_20190617.pdf|Update on HL7 EHR System Usability Functional Profile Project, HL7 Da Vinci Project, CMS Patients over Paperwork RFI, David Schlossman MD, presented 17 Jun 2019]]
 +
 
 +
==HL7 RCB Project - Analysis Worksheet==
 +
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-201908019.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 19 Aug 2019]]
  
 
=="See What We Mean"==
 
=="See What We Mean"==
Line 36: Line 42:
 
*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke University - Duke Heart Business Unit – Procedure Reporting, James Tcheng MD, posted 4 Feb 2019]]
 
*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke University - Duke Heart Business Unit – Procedure Reporting, James Tcheng MD, posted 4 Feb 2019]]
 
*[[media:Greta_Branford-UMich-HIMSS_2019.pdf|University of Michigan - Burnout: How EHR Usability Improves Efficiency & Satisfaction, Greta Branford MD, presented 14 Feb 2019 (Posted with Permission)]]
 
*[[media:Greta_Branford-UMich-HIMSS_2019.pdf|University of Michigan - Burnout: How EHR Usability Improves Efficiency & Satisfaction, Greta Branford MD, presented 14 Feb 2019 (Posted with Permission)]]
*[[media:Monica_Jones-SNOMED_Clinical_Forum-20190409a.pdf|National Health Service - Rotherham Foundation Trust (UK) - Benefits of SNOMED CT from a clinical perspective, The Rotherham experience, Monica Jones, presented 9 Apr 2019]]
+
*[[media:Monica_Jones-SNOMED_Clinical_Forum-20190409a.pdf|National Health Service - Rotherham Foundation Trust (UK) - Benefits of SNOMED CT from a clinical perspective, The Rotherham experience, Monica Jones, presented 9 Apr 2019 (Posted with Permission)]]
*[[media:ClinAC128 Optimization in the Ambulatory Setting.pdf|University of Pennsylvania - Getting Time Back in Your Day!  Implementing a Multi-Faceted Approach to Optimizing Epic in the Ambulatory Setting, Jeff Tokazewski MD, Carole Rosen, Shane Thomas, May 2019 (Posted with Permission)]]
+
*[[media:HL7_-_CCA_Optimization_Presentation_7.15.19.pdf|University of Pennsylvania - Getting Time Back in Your Day!  Implementing a Multi-Faceted Approach to Optimizing Epic in the Ambulatory Setting, Jeff Tokazewski MD, Carole Rosen, Shane Thomas, 15 Jul 2019 (Posted with Permission)]]
*[https://www.aha.org/system/files/media/file/2019/05/plf-well-being-playbook.pdf?utm_source=newsletter&utm_medium=email&utm_content=05162019%2Dat%2Dpub&utm_campaign=aha%2Dtoday American Hospital Association - Well-Being Playbook, A Guide for Hospital and Health System Leaders, May 2019]
+
*[[media:AHA-well-being-playbook.pdf|American Hospital Association - Well-Being Playbook, A Guide for Hospital and Health System Leaders, May 2019]]
 +
*[[media:AHA-HL7_Burnout_Webinar-Arespacochaga-20190818.pdf|American Hospital Association - Well-Being Playbook Presentation, Elisa Arespacochaga, 19 Aug 2019]]
 +
 
 +
==HL7 RCB Project - Survey and Responses==
 +
*[[media:Reducing_Clinician_Burden-Survey_Responses-20190819.docx|RCB Project Survey and Responses, dated 19 Aug 2019]]
 +
*[[media:ACS-CMS_Mango_v3.0-Opelka-201906.pdf|"The Value Expression" Presentation to CMS, Frank Opelka MD, Medical Director, American College of Surgeons, Quality and Health Policy, published Jun 2019]]
  
 
==HL7 RCB Project - Focus Team Drafts==
 
==HL7 RCB Project - Focus Team Drafts==
*[[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]]
+
*[[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 Masson 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]]
Line 60: Line 71:
  
  
=CURRENT US Notices of Proposed Rule-Making=
+
=US Office of National Coordinator (ONC), Trusted Exchange Framework/Common Agreement (TEFCA)=
*[https://www.federalregister.gov/documents/2019/03/04/2019-02200/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-and US Centers for Medicare and Medicaid Services - Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-facilitated Exchanges and Health Care Providers, posted 4 Mar 2019, comments due 3 May 2019]
+
*[https://www.hhs.gov/about/news/2018/01/05/draft-trusted-exchange-framework-and-common-agreement-released-hhs.html TEFCA Draft 1, DRAFT Documents and Request for Comment, published 5 Jan 2018]
*[https://www.federalregister.gov/documents/2019/03/04/2019-02224/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification US Office of National Coordinator for Health Information Technology - 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program, posted 4 Mar 2019, comments due 3 May 2019]
+
*[https://www.healthit.gov/topic/interoperability/trusted-exchange-framework-and-common-agreement TEFCA Draft 2, DRAFT Documents and Request for Comment, published 19 Apr 2019]
*[https://www.healthit.gov/topic/laws-regulation-and-policy/notice-proposed-rulemaking-improve-interoperability-health ONC Summary of Proposed Rule, including Commenting Template]
+
*[[media:HL7_Response_Letter_TEFCA_2_06.14.19_FINAL.pdf|HL7 Response Letter, HL7 Policy Advisory Committee, published 17 Jun 2019]]
 +
*[[media:CentriHealth-Comments_on_TEFCA_2-20190617.pdf|Comments on TEFCA Draft 2, Gary Dickinson, CentriHealth, dated 17 Jun 2019]]
 +
*[[media:TEFCA_Scatter_vs_Individual_at_the_Center-20190617.pdf|TEFCA Scatter vs Individual at the Center, Gary Dickinson, CentriHealth, dated 17 Jun 2019]]
  
  
=US Office of National Coordinator (ONC), Trusted Exchange Framework/Common Agreement (TEFCA)=
+
=US Office of National Coordinator (ONC) - 21st Century Cures Act: Interoperability, Information Blocking...=
*[https://www.hhs.gov/about/news/2018/01/05/draft-trusted-exchange-framework-and-common-agreement-released-hhs.html TEFCA Press Release, DRAFT Documents and Request for Comment, published 5 Jan 2018]
+
*[https://www.federalregister.gov/documents/2019/03/04/2019-02224/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification US Office of National Coordinator for Health Information Technology - 21st Century Cures Act - Notice of Proposed Rule-Making (NPRM): Interoperability, Information Blocking, and the ONC Health IT Certification Program, published 4 Mar 2019]
*[[media:CentriHealth-Comments_on_ONC_DRAFT_TEFCA.pdf|CentriHealth Comments on DRAFT TEFCA, Gary Dickinson, dated 20 Feb 2018]]
+
*[[media:HL7_Response_Letter_TEFCA_2_06.14.19_FINAL.pdf|HL7 Response Letter, HL7 Policy Advisory Committee, published 3 Jun 2019]]
*[[media:Hrba_tefca_comments_20180220.pdf|Health Record Banking Alliance (HRBA) Comments on DRAFT TEFCA, dated 20 Feb 2018]]
+
*[[media:CentriHealth-Comments_on_ONC_NPRM-20190603.pdf|Comments on ONC NPRM - 21st Century Cures Act: Interoperability, Information Blocking, et al, Gary Dickinson, CentriHealth, published 3 Jun 2019]]
  
  
=US Office of National Coordinator (ONC), Technical Interoperability Forum, 15-16 August 2017=
+
=US Office of National Coordinator (ONC) - Interoperability Standards Advisory (ISA)=
*[https://oncprojectracking.healthit.gov/wiki/pages/viewpage.action?pageId=35127443 Agendas, Panel Presentations, Discussions and Input]
+
*[https://www.healthit.gov/isa/sites/isa/files/inline-files/2019ISAReferenceEdition.pdf ISA 2019 Edition]
 +
*[https://www.healthit.gov/isa/sites/default/files/2018%20ISA%20Reference%20Edition.pdf ISA 2018 Edition]
 +
*[https://www.healthit.gov/standards-advisory ISA 2017 Edition]
  
  
=US Office of National Coordinator (ONC), Interoperability Forum, 6-8 August 2018=
+
=US Office of National Coordinator (ONC) - Interoperability Forums=
*[https://www.healthit.gov/news/events/oncs-2nd-interoperability-forum Agendas, Panel Presentations, Discussions and Videos]
+
*[https://oncprojectracking.healthit.gov/wiki/pages/viewpage.action?pageId=35127443 1st: 15-16 Aug 2017]
 +
*[https://www.healthit.gov/news/events/oncs-2nd-interoperability-forum 2nd: 6-8 Aug 2018]
 +
*[https://www.healthit.gov/news/events/oncs-3rd-interoperability-forum 3rd: 21-22 Aug 2019]
  
  
=US Office of National Coordinator (ONC), "Record to Rely On" Workshop, 29 November 2016=
+
=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==
 
==Leads:  Mark Knee JD, Elise Sweeney Anthony JD, Mike Lipinski JD==
 
*[[media:ONC-EHR_as_Record_to_Rely_On-Slides-20161129.pdf|Truth (Authenticity) as Evidence for Trust (Assurance), slide set developed/presented by Gary Dickinson, dated 29 Nov 2016]]
 
*[[media:ONC-EHR_as_Record_to_Rely_On-Slides-20161129.pdf|Truth (Authenticity) as Evidence for Trust (Assurance), slide set developed/presented by Gary Dickinson, dated 29 Nov 2016]]
 
*[http://wiki.hl7.org/index.php?title=EHR_RM-ES#ONC_.22Record_to_Rely_On.22_Workshop.2C_29_November_2016 "Record to Rely On" Documents and Links]
 
*[http://wiki.hl7.org/index.php?title=EHR_RM-ES#ONC_.22Record_to_Rely_On.22_Workshop.2C_29_November_2016 "Record to Rely On" Documents and Links]
 
 
=US Office of National Coordinator - Interoperability Standards Advisory (ISA)=
 
*[https://www.healthit.gov/isa/sites/isa/files/inline-files/2019ISAReferenceEdition.pdf ISA 2019 Edition]
 
*[https://www.healthit.gov/isa/sites/default/files/2018%20ISA%20Reference%20Edition.pdf ISA 2018 Edition]
 
*[https://www.healthit.gov/standards-advisory ISA 2017 Edition]
 
  
  

Revision as of 11:46, 18 September 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

This project is now hosted on its own Wiki Page: http://bit.ly/reducing_burden

HL7 RCB Project - Presentations

HL7 RCB Project - Analysis Worksheet

"See What We Mean"

HL7 RCB Project - Reducing Burden and Addressing Burnout - Success Stories

HL7 RCB Project - Survey and Responses

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

RCB Reference Sources (and related links) are available at the RCB Wiki: http://bit.ly/reducing_burden


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


US Office of National Coordinator (ONC) - 21st Century Cures Act: Interoperability, Information Blocking...


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


US Office of National Coordinator (ONC) - Interoperability Forums


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


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