EHR Interoperability WG
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 Tuesdays at 2PM ET for 60 minutes. 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 take care to note their draft (tentative) status if referencing or sharing with others.
Contents
- 1 Co-Facilitators
- 2 EHR Interoperability Activities
- 3 EHRS Functional Model Release 2, IN.2 Review Project
- 4 EHR Interoperability and Lifecycle Model DSTUs
- 5 ISO 16223 - Standards Convergence to Promote EHR Interoperability
- 6 HL7 EHR/PHR Standards
- 7 EHR System Design Reference Model
- 8 US HITECH Act - EHR Incentive Program - Final Regulations
- 9 Key Reference Documents
- 10 US ONC/AHIC/HITSP Use Cases
- 11 ANSI HITSP Foundations Framework Simplification Strategy (Proposed)
- 12 Worksheets for Use Case Sketch Analysis
- 12.1 2006 Biosurveillance
- 12.2 2006 Consumer Empowerment
- 12.3 2006 EHR/Lab Results Reporting
- 12.4 2007 Consumer Access to Clinical Information
- 12.5 2007 EHR/Emergency Responder
- 12.6 2007 Medication Management
- 12.7 2007 Quality Reporting
- 12.8 2008 Consultations and Transfer of Care
- 12.9 2008 Immunization and Response Management
- 12.10 2008 Patient/Provider Secure Messaging
- 12.11 2008 Personalized Health Care
- 12.12 2008 Public Health Case Reporting
- 12.13 2008 Remote Monitoring
- 12.14 2009 Newborn Screening
- 12.15 2009 Clinical Research
- 13 Use Case Alignment with HL7 EHR/PHR Models
Co-Facilitators
Gora Datta, gora@cal2cal.com
Gary Dickinson, gary.dickinson@ehr-standards.com
EHR Interoperability Activities
- EHR Interop Activities Slide Set, revised 6 Jan 2011
- DRAFT SAIF/EHR Interoperability/Lifecycle Model Process/Record Strata Services, revised 11 Jan 2011
- 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 Oct 2009
- DRAFT Evidence of EHR Lifecycle Events in support of CDA Release 3 Formal Proposal (incomplete), revised 13 Apr 2010
- DRAFT Paper vs. Electronic - Key Characteristics, revised 17 May 2010
EHRS Functional Model Release 2, IN.2 Review Project
- DRAFT Comparison Spreadsheet - ALL SECTIONS, revised 19 Oct 2010, (1.9MB zipped)
- DRAFT Comparison Spreadsheet - IN.2 SECTION ONLY WITH LATEST REVISIONS, revised 11 Jan 2011 (150KB zipped)
EHR Interoperability and Lifecycle Model DSTUs
Transition to EHR System Functional Model Release 2
- DRAFT Incorporation of EHR Interoperability and EHR Lifecycle Model DSTUs into EHR System Functional Model Release 2, As Proposed, 4 Oct 2010
- DRAFT Interop-Intro EHR Interoperability Introduction and Basic Concepts, revised 4 May 2010
- DRAFT Interop-1 EHR Interoperability Characteristics, Assertions and Examples (Col A, B, C, E, F), revised 3 May 2010
- DRAFT Interop-2 EHR Interoperability Conformance Criteria (Col A, B, H-L), revised 3 May 2010
- DRAFT Interop-3 EHR Interoperability Stakeholder Assurance (Col A, B, M, N, O), revised 3 May 2010
- DRAFT Lifecycle-1 EHR Lifecycle Events, revised 4 May 2010
- DRAFT Lifecycle-2 EHR Lifecycle System Roles, Audit and Traceability, Event Criteria, revised 4 May 2010
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
- 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
EHR System Design Reference Model
US HITECH Act - EHR Incentive Program - Final Regulations
Bookmarked Rules and White Board Story Courtesy of Robin Raiford
- Meaningful Use Criteria (HHS Centers for Medicare and Medicaid Services), published 13 July 2010
- Standards, Implementation Specifications and Certification Criteria (HHS Office of the National Coordinator), published 13 July 2010
- HITECH White Board Story, published 2 August 2010
Key Reference Documents
- "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
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