EHR RM-ES

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EHR Records Management & Evidentiary Support (RM-ES) Project

To return to the >> EHR Work Group Page

NOTE THIS PAGE IS UNDER DEVELOPMENT AND IS NOT READY FOR REVIEW YET - INCLUDES CUT/PASTE INFORMATION FROM OTHER WIKIS STILL Contact helen.stevens@shaw.ca IF YOU HAVE ANY QUESTIONS

Project Overview

Welcome to HL7's EHR Records Management & Evidentiary Support wiki page.

The charge of the RM-ES project team is to provide expertise to the EHR work group, other standards groups and the healthcare industry on records management, compliance, and data/record integrity for, EHR systems and related to EHR governance to support the use of medical records for clinical care and decision-making, business, legal and disclosure purposes. The project team will meet this charge by completing the following:

  1. Develop, ballot and refine the EHR-S RM-ES Functional Profile.
    • First RM-ES Profile developed against EHR-S FM Release 1
  2. Inform the EHR-S Functional Model and related standards on records management and evidentiary support functions and conformance criteria.
  3. Monitor and/or collaborate with other standards groups (HL7, ISO, HITSP) as appropriate to provide expertise or to work on joint projects that develop, promote or refine RM-ES requirements for EHRs.
    • HL7 other groups such as the Interoperability Model, Structured Documents, Security
    • International standards organization such as ISO through EHR-S FM
    • Non-HL7 Standards Groups such as HITSP, Canada Health Infoway, etc.
  4. Advocate for RM-ES issues in the healthcare industry as appropriate.

Refer to the RM-ES Project Team Charter and Project Scope Statement for more information.

Task Group Leaders

Michelle Dougherty
AHIMA
Phone: 312.233.1914
email: michelle.dougherty@ahima.org)
Harry Rhodes
AHIMA
Phone: 312.233.1119
Email: harry.rhodes@ahima.org
Work Group Team Members

Meeting Information

The RM-ES project team meets via conference call on a regular basis. The group may schedule a face to face meeting based on need. The RM-ES workgroup will report to the HL7 EHR Workgroup through their regular meetings or at the HL7 meetings.

  • Standing Meeting Date/Time: Mondays at 12 Noon EST /11 AM CST/ 10 AM MST/ 9 AM PST
  • Full Team: Every other Monday for 90 minutes
  • Project teams: Alternate Mondays
  • Call Logistics
    • Phone Number: 770-657-9270
    • Participant Passcode: 510269#

Agendas and Minutes

Project Activities

Act/Act Record Language

  • Develop language for the EHR-S FM & RM-ES profile that incorporates concept of an Act/Act Record

Metadata Review and Update

  • Evaluate the current audit record and metadata language in the EHR-S FM R2 and compare against:
    • Interoperability Model & CDA (Reconcile)
    • ISO Standards
    • Pan-Canadian Standards
    • IFR Standards: Record Actions
    • IFR & NPRM: Accounting of Disclosures
    • HITSP Work Products on Metadata
    • Other emerging work as appropriate

Other Gaps from IM/CDA/RM-ES Comparison and IFR Standards/Certification Evaluation

  • Authorship/Attestation
  • Amendments/Corrections/Attestation
  • Identity Management
  • Accounting of Disclosure
  • HIE Gaps and Health Record Output including Disclosure to Patient
  • Locking Records at Encounter Level
  • Duration
  • Term “Use”

Evaluate RM-ES R1 Profile into R2 EHR-S FM

  • Monitor the EHR-S FM R2 against the RM-ES – what was added from the profile; what did not make it.

Working Documents

Listserv

The Oncology Functional Profile Listserve is ???@lists.HL7.org. To subscribe to this service, go to the HL7 Listservices Welcome Page