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==System Functionality Standards==
 
==System Functionality Standards==
 
*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=269 HL7 Electronic Health Record System Functional Model (EHR-S FM) Release 2, April 2014 (also published as ISO 10781)]
 
*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=269 HL7 Electronic Health Record System Functional Model (EHR-S FM) Release 2, April 2014 (also published as ISO 10781)]
−
*[[media:EHRS_FM-Functional_Profiles-20170116.pdf|EHR-S FM Functional Profiles, revised 16 Jan 2017]]
+
*[[media:EHRS_FM-Functional_Profiles-20190114.pdf|EHR-S FM Functional Profiles, revised 14 Jan 2019]]
−
*[[media:EHRS_FM-National_Initiatives-20170508.pdf|EHR-S FM Known National Initiatives, revised 8 May 2017]]
+
*[[media:EHRS_FM-National_Initiatives-20180516.pdf|EHR-S FM Known National Initiatives, revised 16 May 2018]]
 
*[[media:LegacyVistA_To_HL7_EHR-FM.xlsx|US Department of Veterans Administration - VISTA Legacy EHR System Functions - Mapping to EHR-S FM Release 1.1]]
 
*[[media:LegacyVistA_To_HL7_EHR-FM.xlsx|US Department of Veterans Administration - VISTA Legacy EHR System Functions - Mapping to EHR-S FM Release 1.1]]
 
*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=88 HL7 Personal Health Record System Functional Model (PHR-S FM) Release 1, May 2014 (also published as ISO 16527)]
 
*[http://www.hl7.org/implement/standards/product_brief.cfm?product_id=88 HL7 Personal Health Record System Functional Model (PHR-S FM) Release 1, May 2014 (also published as ISO 16527)]
−
 
  
 
==Record Interoperability Standards==
 
==Record Interoperability Standards==
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=Reducing Clinician Burden=
+
=HL7 EHR Work Group - Reducing Clinician Burden Project=
−
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20180703b.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, Topics and Recommendations, COMMENTS WELCOME!!, dated 3 Jul 2018]]
+
Note that the HL7 EHR WG Reducing Clinician Burden Project now has its own Wiki page:  http://bit.ly/reducing_burden
−
*[http://whitepapers.himssmedia.com/sites/whitepapers.himssmedia.com/files/Vocera_HIMSS_Analytics_HIMSS18-Survey-Report.pdf?aliId=986721793 HIMSS Analytics Research Findings - Frequent Interruptions Distract Clinicians from Patient Care, Contribute to Stress and Burnout, published 22 May 2018]
+
 
−
*[https://ehrintelligence.com/news/physicians-seek-mips-changes-reduced-administrative-burden EHR Intelligence - Physicians urge CMS to Adjust the 2018 MIPS Reporting Period from One Year to 90 days for Reduced Administrative Burden, Kate Monica, published 23 Apr 2018]
+
==HL7 RCB Project - Presentations==
−
*[https://www.healthdatamanagement.com/list/7-challenges-physicians-face-getting-access-to-patient-data Health Data Management - Seven Challenges Physicians Face Accessing Patient Data, Joseph Goedert, published 18 Apr 2018]
+
 
−
*[https://ehrintelligence.com/news/nqf-advises-cms-align-quality-measures-cut-administrative-burden EHR Intelligence - NQF Advises CMS Align Quality Measures, Cut Administrative Burden, Kate Monica, published 3 Apr 2018]
+
*[[media:Reducing_Clinician_Burden-Overview-20190918.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 18 Sep 2019]]
−
*[http://www.physicianspractice.com/himss/reducing-clinician-burnout-five-ehr-related-areas Physician Practice - Reducing Clinician Burnout in Five EHR-Related Areas, Gabriel Perna, published 9 Mar 2018]
+
*[[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]]
−
*[https://www.healthcare-informatics.com/article/ehr/clinicians-cms-onc-right-ship-simplify-reporting-ease-regulatory-burdens Healthcare Informatics - Clinicians to CMS, ONC: “Right the Ship” to Simplify Reporting, Ease Regulatory Burdens, Heather Landi, published 13 Feb 2018]
+
*[[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]]
−
*[https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-ONC-AdminSimplification-020718.pdf American Academy of Family Physicians - AAFP (letter to CMS/ONC regarding) Recommendations to Reduce Clinician Burden from Health Information Technology, John Meigs MD, dated 2 Feb 2018]
+
*[[media:HL7_EHR-S_FM_Usability_FP_Relationship_to_RCB_Project_DS_20191007.pdf|Increasing EHR System Usability Through Standards - As One Approach to Reducing Clinician Burden, David Schlossman MD, presented 7 Oct 2019]]
−
*[http://bulletin.facs.org/2018/02/regulatory-burden-reduction/ American College of Surgeons - Regulatory Burden Reduction, Lauren Foe MPH, published 1 Feb 2018]
+
 
−
*[https://ehrintelligence.com/news/ehr-use-administrative-burden-accelerating-physician-burnout EHR Intelligence - EHR Use, Administrative Burden Accelerating Physician Burnout, Kate Monica, published 16 Jan 2018]
+
==HL7 RCB Project - Analysis Worksheet==
−
*[https://www.darkdaily.com/ehr-systems-continue-to-cause-burnout-physician-dissatisfaction-and-decreased-face-to-face-patient-care-1222/ Dark Daily - EHR Systems Continue to Cause Burnout, Physician Dissatisfaction, and Decreased Face-to-Face Patient Care, published 22 Dec 2017]
+
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20191007.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 7 Oct 2019]]
−
*[https://ehrintelligence.com/news/aapa-ehr-toolkit-offers-best-practices-for-ehr-design-usability EHR Intelligence - American Association of Physician Assistants - AAPA EHR Toolkit Offers Best Practices for EHR Design, Usability , Kate Monica, published 8 Dec 2017]
+
 
−
*[https://www.hitechanswers.net/breaking-news-cms-finalizes-policies-reduce-provider-burden-lower-drug-prices/ HITECH Answers - CMS Finalizes Policies that Reduce Provider Burden and Lower Drug Prices, published 2 Nov 2017]
+
=="See What We Mean"==
−
*[http://www.annfammed.org/content/15/5/419.full.pdf Annals of Family Medicine, Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations, Brian G. Arndt, MD, John W. Beasley, MD, Michelle D. Watkinson, MPH, Jonathan L. Temte, MD, PhD, Wen-Jan Tuan, MS, MPH, Christine A. Sinsky, MD, Valerie J. Gilchrist, MD, published Sep 2017]
+
*[https://ehrseewhatwemean.org/ "See What We Mean" Video Clips, developed by Medstar Health - National Center for Human Factors in Healthcare - EHR Safety and Usability Team]
−
*[https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognized-threat-to-safe-high-quality-care/ National Academy of Medicine - Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care, Lotte N. Dyrbye, Tait D. Shanafelt, Christine A. Sinsky, Pamela F. Cipriano, Jay Bhatt, Alexander Ommaya, Colin P. West, and David Meyers, published 5 Jul 2017]
+
 
−
*[http://annals.org/aim/fullarticle/2614079/putting-patients-first-reducing-administrative-tasks-health-care-position-paper American College of Physicians - Putting Patients First by Reducing Administrative Tasks in Health Care, Shari M. Erickson, MPH; Brooke Rockwern, MPH; Michelle Koltov, MPH; Robert M. McLean, MD, published 2 May 2017]
+
==HL7 RCB Project - Reducing Burden - Success Stories==
−
*[https://ehrintelligence.com/news/tips-for-reversing-physician-burnout-caused-by-ehr-use EHR Intelligence - Tips for Reversing Physician Burnout Caused by EHR Use, Sheri Stoltenberg, published 16 Oct 2016]
+
*[[media:Reducing_Clinician_Burden-Success_Story_Template-20190128.docx|DRAFT Reducing Clinician Burden - Success Story Template, updated 28 Jan 2019]]
−
*[https://www.medscape.com/viewarticle/868421#vp_1 EHR Burden Weighs Heavily on Physicians, Leads to Burnout, Diana Phillips, published 6 Sep 2016]
+
*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke University - Duke Heart Business Unit – Procedure Reporting, James E Tcheng MD FACC FSCAI, 4 Feb 2019]]
−
*[https://ehrintelligence.com/news/ehr-use-continues-to-contribute-to-physician-burnout EHR Intelligence - EHR Use Continues to Contribute to Physician Burnout, Kyle Murphy PhD, published 20 Jun 2016]
+
*[[media:19_HL7_RCB_Duke-dist.pdf|Duke University - Reducing Clinician Burden - Cardiovascular Procedure Reporting at Duke, James E Tcheng MD FACC FSCAI, 18 Sep 2019 (Posted with Permission)]]
−
*[https://www.himss.org/news/five-usability-barriers-preventing-health-it-supporting-clinician-needs Five Usability Barriers Preventing Health IT From Supporting Clinician Needs, David M. Schlossman, MD, PhD, FACP, MS (Informatics), CPHIMS and Nancy Staggers, PhD, RN, FAAN, published 16 Jun 2016]
+
*[[media:UGM_2019_ProviderBurnoutandEd_final-resized.pdf|University of Michigan - "Home for Dinner" - Reducing After Hours Documentation with Focused Training, Greta Branford MD, Marie Baldwin MSHROD, 26 Aug 2019 (Posted with Permission)]]
−
*[https://www.healthaffairs.org/do/10.1377/hblog20160421.054511/full/ Health Affairs - Make The Clinician Burnout Epidemic A National Priority; Andrew Shin, Tejal Gandhi, Shoshana Herzig; published 21 Apr 2016]
+
*[[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, 9 Apr 2019 (Posted with Permission)]]
−
*[https://www.nejm.org/doi/full/10.1056/NEJMp1509961 Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine, Lisa Rosenbaum, M.D.; published 22 Oct 2015]
+
*[[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://academic.oup.com/jamia/article/22/5/1102/932174 American Medical Informatics Association - Report of the AMIA EHR-2020 Task Force on the status and future direction of EHRs; Thomas H Payne, Sarah Corley, Theresa A Cullen, Tejal K Gandhi, Linda Harrington, Gilad J Kuperman, John E Mattison, David P McCallie, Clement J McDonald, Paul C Tang;  published 26 May 2015]
+
*[[media:AHA-well-being-playbook.pdf|American Hospital Association - Well-Being Playbook, A Guide for Hospital and Health System Leaders, May 2019]]
−
*[http://jabfm.org/content/28/3/316.full.pdf+html Journal of the American Board of Family Medicine - Physician Information Needs and Electronic Health Records (EHRs): Time to Reengineer the Clinic Note, Richelle J. Koopman MD MS, Linsey M. Barker Steege PhD, Joi L. Moore PhD, Martina A. Clarke MS, Shannon M. Canfield MPH, Min S. Kim PhD and Jeffery L. Belden MD, published May 2015]
+
*[[media:AHA-HL7_Burnout_Webinar-Arespacochaga-20190818.pdf|American Hospital Association - Well-Being Playbook Presentation, Elisa Arespacochaga, 19 Aug 2019 (Posted with Permission)]]
−
*[http://annals.org/aim/fullarticle/2089368/clinical-documentation-21st-century-executive-summary-policy-position-paper-from Annals of Internal Medicine, American College of Physicians, Clinical Documentation in the 21st Century, Thomson Kuhn, MA; Peter Basch, MD; Michael Barr, MD, MBA; Thomas Yackel, MD, MPH, MS, published 17 Feb 2015]
+
*[[media:UGM040_Understanding_the_Impact_of_the_EHR_on_Physician_Wellness_and_Burnout.pdf|Stanford University/Stanford Health Care - Understanding the Impact of the EHR on Physician Burnout and Wellness, Christopher Sharp MD, Lindsay Stevens MD, 28 Aug 2019 (Posted with Permission)]]
−
*[https://www.aace.com/files/ehr-priorities.pdf American Medical Association, Improving Care: Priorities to Improve Electronic Health Record Usability, published 2014]
+
 
−
*[https://www.rand.org/content/dam/rand/pubs/research_reports/RR400/RR439/RAND_RR439.pdf RAND Report - Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy, Mark W. Friedberg, Peggy G. Chen, Kristin R. Van Busum, Frances Aunon, Chau Pham, John Caloyeras, Soeren Mattke, Emma Pitchforth, Denise D. Quigley, Robert H. Brook, F. Jay Crosson, Michael Tutty, published 2013]
+
==HL7 RCB Project - Survey and Responses==
−
*[[media:Reducing_Clinician_Burden-20180222.pdf|CMS/ONC Reducing Clinician Burden Conference - Comments Submitted by CentriHealth, Gary Dickinson, dated 22 Feb 2018]]
+
*[[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==
 +
*[[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]
 +
*[[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:Reducing_Clinician_Burden_Project--Clinical_Workflow_and_Usability_Focus_Group_Report.docx|DRAFT Team Report - Clinical Workflow (Usability Focus) - David Schlossman MD, Lead, updated 21 Jan 2019]]
 +
*[[media:Schlossman_HL7_RCB_Presentation_18MAR2019.pdf|DRAFT Root Cause Analysis - Clinical Workflow - David Schlossman MD, Lead, updated 18 Mar 2019]]
 +
*[[media:Legal_Burdens_Related_to_EHR's-Initial_Outline-BN-Draft-04012019.docx|DRAFT Team Outline - Legal aspects and risks - Barry Newman MD, updated 1 April 2019]]
 +
*[[media:Physician_Burden_Issue.docx|DRAFT Team Report - Lock-In, Data Liquidity and Switching Costs - Michael Brody DPM, Lead, updated 15 Dec 2018]]
 +
*[[media:Data_Quality_interest_group_report_for_March_4_RCB_Meeting.docx|DRAFT Team Report - Data Quality - Reed Gelzer MD, Lead, updated 4 Mar 2019]]
 +
 
 +
==US Office of National Coordinator for Health Information Technology (ONC) DRAFT "Strategy on Reducing Burden"==
 +
*[https://www.healthit.gov/topic/usability-and-provider-burden/strategy-reducing-burden-relating-use-health-it-and-ehrs ONC DRAFT "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs", including Findings, Strategies and Recommendations, published 28 Nov 2018, comment period closed 28 Jan 2019]
 +
*[https://healthit.gov/burdencomments Summary of Public Comments for Draft Strategy, published 26 Mar 2019]
 +
*[[media:HL7_Response_Letter_ONC_Reducing_Burden_Strategy_FINAL.docx|HL7 Comments on ONC Draft Strategy, compiled by HL7 Policy Advisory Committee, submitted 28 Jan 2019]]
 +
*[[media:CentriHealth-Comments_on_ONC_DRAFT_Burden_Reduction_Strategy.pdf|CentriHealth Comments on ONC Draft Strategy, submitted 28 Jan 2019]]
 +
 
 +
==US Department of Health and Human Services (HHS) Patients over Paperwork Initiative==
 +
*[https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdf FINAL RULE - Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction..., 20 Sep 2019]
 +
 
 +
==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), Trusted Exchange Framework/Common Agreement (TEFCA)=
−
*[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.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]
−
*[[media:CentriHealth-Comments_on_ONC_DRAFT_TEFCA.pdf|CentriHealth Comments on DRAFT TEFCA, Gary Dickinson, dated 20 Feb 2018]]
+
*[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]
−
*[[media:Hrba_tefca_comments_20180220.pdf|Health Record Banking Alliance (HRBA) Comments on DRAFT TEFCA, dated 20 Feb 2018]]
+
*[[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), Technical Interoperability Forum, 15-16 August 2017=
+
=US Office of National Coordinator (ONC) - 21st Century Cures Act: Interoperability, Information Blocking...=
−
*[https://oncprojectracking.healthit.gov/wiki/pages/viewpage.action?pageId=35127443 Agendas, Panel Presentations, Discussions and Input]
+
*[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:HL7_Response_Letter_TEFCA_2_06.14.19_FINAL.pdf|HL7 Response Letter, HL7 Policy Advisory Committee, published 3 Jun 2019]]
 +
*[[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), "Record to Rely On" Workshop, 29 November 2016=
+
=US Office of National Coordinator (ONC) - 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]
 +
 
 +
 
 +
=US Office of National Coordinator (ONC) - Interoperability Forums=
 +
*[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=
 
==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]]
Line 70: Line 108:
  
  
−
=US Office of National Coordinator - Interoperability Standards Advisory (ISA)=
+
=HL7 FHIR Standard Release 4=
−
*[https://www.healthit.gov/isa/sites/default/files/2018%20ISA%20Reference%20Edition.pdf ISA 2018 Edition]
+
*[http://hl7.org/fhir HL7 Fast Health Interoperable Resources (FHIR) R4 - Main Page, published Jan 2019]
−
*[https://www.healthit.gov/standards-advisory ISA 2017 Edition]
+
 
 +
==FHIR EHR-S Record Lifecycle Event Implementation Guide==
 +
*[http://hl7.org/fhir/ehrsrle/ehrsrle.html FHIR EHR-S Record Lifecycle Event Implementation Guide, based on ISO/HL7 10781:2014 Electronic Health Record System Functional Model (EHR-S FM) Release 2,  Record Infrastructure Section, published as part of FHIR R4, Jan 2019]
 +
 
 +
==FHIR AuditEvent and Provenance Profiles==
 +
*[http://hl7.org/fhir/ehrsrle/ehrsrle-auditevent.html FHIR EHR-S Record Lifecycle Event - AuditEvent Profile, published as part of FHIR R4, Jan 2019]
 +
*[http://hl7.org/fhir/ehrsrle/ehrsrle-provenance.html FHIR EHR-S Record Lifecycle Event - Provenance Profile, published as part of FHIR R4, Jan 2019]
  
 +
==FHIR Five W's Pattern (Who, What, When, Where, Why)==
 +
*[http://hl7.org/fhir/fivews.html FHIR Five W's Pattern, Pursuing Alignment of Five W's and Key Meta-Data Elements across FHIR Resources, published as part of FHIR R4, Jan 2019]
  
−
=FHIR Standard for Trial Use Release 3 (STU-3)=
 
−
*[http://hl7.org/fhir Fast Health Interoperable Resources (FHIR) STU-3 - Main Page, published Mar 2017]
 
−
==EHR-S Record Lifecycle Event Implementation Guide==
 
−
*[http://hl7.org/fhir/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 FHIR STU-3, Mar 2017]
 
−
==AuditEvent and Provenance Profiles==
 
−
*[http://hl7.org/fhir/ehrsrle/ehrsrle-auditevent.html FHIR EHR-S Record Lifecycle Event - AuditEvent Profile, published as part of FHIR STU-3, Mar 2017]
 
−
*[http://hl7.org/fhir/ehrsrle/ehrsrle-provenance.html FHIR EHR-S Record Lifecycle Event - Provenance Profile, published as part of FHIR STU-3, Mar 2017]
 
−
==W5 Report (Who, What, When, Where, Why)==
 
−
*[http://hl7.org/fhir/w5.html FHIR W5 Report, Pursuing Alignment of W5 and Key Meta-Data Elements across FHIR Resources, published as part of FHIR STU-3, Mar 2017]
 
 
==FHIR Implementer's Safety Check List==
 
==FHIR Implementer's Safety Check List==
−
*[http://hl7.org/fhir/safety.html FHIR Implementer's Safety Check List, published as part of FHIR STU-3, Mar 2017]
+
*[http://hl7.org/fhir/safety.html FHIR Implementer's Clinical Safety Check List, published as part of FHIR R4, Jan 2019]
  
  

Revision as of 01:28, 16 October 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 EHR Work Group - Reducing Clinician Burden Project

Note that the HL7 EHR WG Reducing Clinician Burden Project now has 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 - 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"

US Department of Health and Human Services (HHS) Patients over Paperwork Initiative

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

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