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Electronic Health Record (EHR)

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Welcome to the Electronic Health Records Work Group Wiki Site. On these pages we will manage notes and discussions in progress to support the development of the materials by the Electronic Health Record Work Group.


Co-Chair: Mark Janczewski, MD, MPH

Systems Made Simple
Phone: Phone: 703-289-5888 Ext 7169

Co-Chair: John Ritter

Phone: 847-832-7732

Co-Chair: Diana Warner

American Health Information Management Association
Phone: 312-233-1519

Co-Chair: Michael Brody, DPM

Health Information Technology Consultant PICA
Phone: 631-445-3147

Co-Chair: Reed Gelzer, MD, MPH

Provider Resources
Phone: 203-506-5361

Co-Chair: Gary Dickinson

Phone: 951-536-7010

Meeting Information

Project Information


Working Documents

Release 2 Working Documents


Primary List for Electronic Health Records:

  • EHR Care Profiles Model :
  • EHR Clinical to Business Functions of EHR-S:
  • EHR Conformance Criteria:
  • EHR Direct Care Functional Description:
  • EHR ePrescription, Pharmacist/Pharmacy Provider Functional Profiles:
  • EHR Infostructure Functional Description:
  • EHR Interoperability:
  • EHR Legal:
  • EHR MFS Acute Large and Small Settings:
  • EHR MFS Ambulatory Care Setting:
  • EHR MFS e-Prescribing:
  • EHR MFS Nursing Home Care Setting:
  • EHR Minimum Function Sets:
  • EHR Model Working Group
  • EHR Models Announcement:
  • EHR Personal Health Record Linkage:
  • EHR Profile Setting Teams, Ambulatory:
  • EHR Publishing:
  • EHR Security and Privacy Expert Panel:
  • EHR Supportive Functional Descriptions:
  • EHR-S DSTU Ballot Question and Answer:
  • EHR Data Content Standards:
  • EHR Oncology EHR Project:

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The goal of the Electronic Health Record (EHR) Technical Committee is to support the HL7 mission of designing standards to support the sharing of electronic health records. It will accomplish this goal through contributing to the creation and promotion of appropriate and necessary standards including the definition of a high-level architecture to support the interoperability requirements among EHR Systems.


Work Products and Contributions to HL7 Processes

  • Provide a forum for iscussion of what standards and definitions are necessary to obtain interoperability among Electronic Health Record Systems across disparate providers. Different solutions will be examined and certain solutions will be advanced as standards.
  • Create a functional model for EHR Systems in a variety of health care settings.
  • Define requirements for the interoperable exchange of Electronic Health Records or components thereof.
  • Create use cases to help define the requirements for EHR interoperability
  • Coordinated/shared care of patients across disparate healthcare providers
  • Query for records or components of an EHR
  • Use the HDF methodology to define EHR requirements, including privacy and security requirements, as well as requirements for EHR transactions.
  • This document recognizes the unique characteristics of the EHR TC in that required messages will fall within the scope of other TCs. Therefore, the EHR TC will collaborate with other appropriate TCs to produce the appropriate standards, including messages, to meet EHR requirements.

Formal Relationships with Other HL7 Groups

The EHR Technical Committee must interact with other technical committees to create standards in support of EHR interoperability. Initially, the relationships will be focused on the following groups:

  • Medical Records/Information Management - Close coordination with this group will prevent overlap of effort and mutual coordination for the management of health information
  • Vocabulary TC - terminology choices for data elements in EHR
  • Clinical Decision Support TC - virtual EHR, interaction for decision support
  • Structured Documents TC - CDA for EHR, structure and content
  • Orders and Observations - content of EHR
  • Security and Accountability SIG - privacy and security of data elements, maintenance of accountability with transmission of Her
  • Patient Care

Formal Relationships with Groups Outside of HL7

There are a number of active and potential formal relationships with groups outside of HL7. Formal relationships will be governed by what are approved by the HL7 Board. Specifically, formal relationships will be established with the following groups:

  • ISO - TC 215 Health Informatics; EHR initiatives
  • CEN - generic memorandum of understanding, EHR standards
  • openEHR (subject to board approval) - EHR architecture
  • Consolidated Healthcare Initiative including Veterans Health Administration, Center for Medicare and Medicaid Services, Food and Drug Administration, Centers for Disease and Control, Department Of Defense - sponsorship of EHR functionality standard
  • Health and Human Services, Assistant Secretary for Planning and Evaluation - requested EHR functionality standard; future work on EHR transmission
  • Healthcare Information and Management Systems Society - sponsor functional standards, demonstrations
  • American Health Information Management Association - mutual interest in EHR, supportive work
  • ASTM International - CCR, data elements
  • Integrating the Healthcare Enterprise, eHealthInitiative, Connecting for Health - demonstration of EHR and EHR interchange