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=US Proposed Regulations - EHR Incentive Program - Stage 1 (2011-12)= | =US Proposed Regulations - EHR Incentive Program - Stage 1 (2011-12)= | ||
==EHR Incentive Program== | ==EHR Incentive Program== | ||
| − | *[http://www.federalregister.gov/OFRUpload/OFRData/2009-31217_PI.pdf Proposed Rule - Department of Health and Human Services - Centers for Medicare and Medicaid Services, "Medicare and Medicaid Programs: Electronic Health Record Incentive Program", published 30 December 2009] | + | *[http://www.federalregister.gov/OFRUpload/OFRData/2009-31217_PI.pdf Proposed Rule - Department of Health and Human Services - Centers for Medicare and Medicaid Services, "Medicare and Medicaid Programs: Electronic Health Record Incentive Program", 556 pages, published 30 December 2009] |
===Key Tables=== | ===Key Tables=== | ||
*[[media:2009-31217_PI_Table1.pdf|Table 1: Stage of Meaningful Use Criteria by Payment Year, page 46]] | *[[media:2009-31217_PI_Table1.pdf|Table 1: Stage of Meaningful Use Criteria by Payment Year, page 46]] | ||
| Line 46: | Line 46: | ||
==Standards, Implementation Specs, Certification Criteria== | ==Standards, Implementation Specs, Certification Criteria== | ||
| − | *[http://www.federalregister.gov/OFRUpload/OFRData/2009-31216_PI.pdf Interim Final Rule - Department of Health and Human Services - Office of the National Coordinator for Health Information Technology, "Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology", published 30 December 2009] | + | *[http://www.federalregister.gov/OFRUpload/OFRData/2009-31216_PI.pdf Interim Final Rule - Department of Health and Human Services - Office of the National Coordinator for Health Information Technology, "Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology", 136 pages, published 30 December 2009] |
===Key Tables=== | ===Key Tables=== | ||
*[[media:2009-31216_PI_Table1.pdf|Table 1 - Certification Criteria, pages 51-61]] | *[[media:2009-31216_PI_Table1.pdf|Table 1 - Certification Criteria, pages 51-61]] | ||
Revision as of 23:37, 9 January 2010
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 most Fridays at 1PM ET. 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 do not reference or share these drafts without permission of the author.
Contents
- 1 Standards Convergence to Promote EHR Interoperability
- 2 EHR Interoperability Projects
- 3 HL7 EHR/PHR Standards
- 4 Key Reference Documents
- 5 US Proposed Regulations - EHR Incentive Program - Stage 1 (2011-12)
- 6 US ONC/AHIC/HITSP Use Cases
- 7 ANSI HITSP Foundations Framework Simplification Strategy (Proposed)
- 8 Worksheets for Use Case Sketch Analysis
- 8.1 2006 Biosurveillance
- 8.2 2006 Consumer Empowerment
- 8.3 2006 EHR/Lab Results Reporting
- 8.4 2007 Consumer Access to Clinical Information
- 8.5 2007 EHR/Emergency Responder
- 8.6 2007 Medication Management
- 8.7 2007 Quality Reporting
- 8.8 2008 Consultations and Transfer of Care
- 8.9 2008 Immunization and Response Management
- 8.10 2008 Patient/Provider Secure Messaging
- 8.11 2008 Personalized Health Care
- 8.12 2008 Public Health Case Reporting
- 8.13 2008 Remote Monitoring
- 8.14 2009 Newborn Screening
- 8.15 2009 Clinical Research
- 9 Use Case Alignment with HL7 EHR/PHR Models
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, 21 October 2009)
- DRAFT EHR Source Journal, Supplement to Standards Convergence Work Item, revised 3 December 2009
EHR Interoperability Projects
- Project Overview Slide Set, revised 3 December 2009
- Project Timelines, revised 4 December 2009
- SAEAF Discussion - Sample User/System and Record Strata Services, revised 29 December 2009
- DRAFT Incorporation of EHR Interoperability and EHR Lifecycle Model DSTUs into EHR System Functional Model Release 2, WG Recommendations, revised 24 September 2009
- Clinical Document Architecture Release 3 Formal Proposals, including embedded Access Controls and Lifecycle Audit events, as per HL7 EHR Interoperability and Lifecycle Model DSTUs, revised 1 October 2009
- Evidence of EHR Lifecycle Events regarding CDAr3 Formal Proposal (incomplete), revised 18 November 2009
HL7 EHR/PHR Standards
System Functionality Standards
- 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
- 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
- "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, as presented to the HL7/OMG Service Oriented Architecture Conference, Apr 2008
- EHR WG Document Library
US Proposed Regulations - EHR Incentive Program - Stage 1 (2011-12)
EHR Incentive Program
Key Tables
- Table 1: Stage of Meaningful Use Criteria by Payment Year, page 46
- Table 2: Stage 1 Criteria for Meaningful Use, pages 103-108
- Table 3: Proposed Clinical Quality Measures for Electronic Submission by Medicare or Medicaid Eligible Professionals for 2011 and 2012 Payment Years, pages 123-138
- Table 20: Proposed Clinical Quality Measures for Electronic Submission by Eligible Hospitals for Payment Year 2011-2012, pages 153-158
- Table 21: Proposed Alternative Medicaid Clinical Quality Measures for Medicaid Eligible Hospitals, pages 159-160
- Table 31: Hospital Incentives, page 314
Standards, Implementation Specs, Certification Criteria
Key Tables
- Table 1 - Certification Criteria, pages 51-61
- Table 2A – Adopted Content Exchange and Vocabulary Standards, pages 79-81
- Table 2B – Adopted Privacy and Security Standards, page 85
US ONC/AHIC/HITSP Use Cases
ANSI HITSP Foundations Framework Simplification Strategy (Proposed)
- HITSP - Simplification Strategy Slide Set
- HITSP - 2006 Biosurveillance Example (Includes references from Slide Set)
- HITSP - Use Case Template (for additional ONC/AHIC or other Use Cases)
Worksheets for Use Case Sketch Analysis
2006 Biosurveillance
2006 Consumer Empowerment
2006 EHR/Lab Results Reporting
2007 Consumer Access to Clinical Information
2007 EHR/Emergency Responder
2007 Medication Management
2007 Quality Reporting
2008 Consultations and Transfer of Care
2008 Immunization and Response Management
2008 Patient/Provider Secure Messaging
2008 Personalized Health Care
2008 Public Health Case Reporting
2008 Remote Monitoring
2009 Newborn Screening
2009 Clinical Research
Use Case Alignment with HL7 EHR/PHR Models
Year 1 Care Delivery - COMPLETE
> Sherry Selover, Lead - sherry.selover@selover.com
- Chapter 1 - Year 1 Care Delivery - EHR/Lab Results Reporting, published Aug 2007
- AHIC EHR/Lab Results Reporting Use Case, published Mar 2006
- ANSI HITSP IS01 - EHR/Lab Results Reporting Interoperability Specification, v2.1.1, published May 2008
Year 1 Population Health - COMPLETE
> Gora Datta, Lead - gora@cal2cal.com
- Chapter 2 - Year 1 Population Health - Biosurveillance, draft published Jul 2008
- AHIC Biosurveillance Use Case, published Mar 2006
- ANSI HITSP IS02 - Biosurveillance Interoperability Specification, v3, published Mar 2008
Year 1 Consumer Empowerment - COMPLETE
> Kim Salamone, Lead - KSalamone@hsag.com
- Chapter 3 - Year 1 Consumer Empowerment - Demographics and Medication History, draft published Apr 2008
- AHIC Consumer Empowerment Use Case, published Mar 2006
- ANSI HITSP IS03 - Consumer Empowerment Interoperability Specification, v3, published Dec 2007
Year 2 Quality Reporting - COMPLETE
> Kim Salamone, Lead - KSalamone@hsag.com
- Chapter 6 - Year 2 Quality Reporting, draft published Oct 2008
- AHIC Quality Use Case, published Jun 2007
- ANSI HITSP IS06 - Quality Use Case Interoperability Specification, published Dec 2007
Year 3 Remote Monitoring - COMPLETE
> Sherry Selover, Lead - sherry.selover@selover.com
