Functional Profile – Starter Pack
based on HL7 EHR System Functional
Model Release 2 (EHRS FM)
Status
HL7 EHR System Functional Model
• Release 2 Approved for HL7 Publication
• Release 2.1 awaiting conclusion of ISO
TC215/CEN TC251 ballot
– Will publish jointly as ISO/HL7/CEN 10781
(May/June 2014)
• All new/updated Functional Profiles will be
based on EHRS FM Release 2
Based on EHR System Functional Model
EHR System Functional Profiles
• Functional Profiles (FP) are tailored to
specific domains, services and specialties
• Functional Profiles allow:
– Required-ness upgrade: e.g., MAY to SHALL
– Designation of applicable FM functions, criteria
– New or revised conformance criteria
– New or revised functions, statements,
descriptions
HL7 EHR Work Group
HL7 EHR Work Group
HL7 EHR System Functional Model
•
Link
to EHRS FM Release 2
•
Link
to EHRS FM R2 Function List
– (HL7 members only)
EHR System Functional Model Release 2
Tooling Support
• Traditional: Excel Spreadsheet
• Now: Enterprise Architect-based Tool
– Developed by Results4Care
• Under HL7 contract
– Tooling Phase I, complete
• Capture, manage FM R2; reconcile FM balloting;
publish FM package
– Tooling Phase II, in development
• Create, manage FM R2-based Functional Profiles
(FPs), reconcile, publish
EHR System Functional Model Release 2
Tooling Support
• EHR WG voted two projects first with FP
tooling, both currently in development:
– Meaningful Use FP: target Spring ballot
– Records Management/Evidentiary Support
FP: target Summer ballot
• Others ready to follow immediately
– Lab Interactions FP
– EHR System Usability FP
– …
HL7 EHR Work Group
Functional Model Framework
• FM Framework Candidates
– Electronic Health Record System (EHRS) FM
– Personal Health Record System (PHRS) FM
• In Discussion
– Public Health System FM (w/CDC)
– Lab System FM (HL7 O&O)
– Others?
HL7 EHR Work Group
Meaningful Use FP
• Underway since Summer 2013
• CMS is External Collaborator
• Identifies EHRS FM R2 Functions and
Conformance Criteria corresponding to US MU
requirements for EHR system certification
• Adds new EHRS Functions and Conformance
Criteria to fill gaps
HL7 EHR Work Group
Meaningful Use FP
• Cross-walks:
1. ONC regulatory language
2. To NIST test procedure
3. To EHRS FM
•
Link
to DRAFT MU FP Worksheet
– Col G – Function ID
– Col H – Conformance Criteria
– Incomplete, work in progress
HL7 EHR Work Group
Public Health FP
• In Collaboration with CDC
• Includes 8 Public Health Domains
• Not yet captured in EA Tool
•
Link
to PH FP Reader’s Guide, May 2013
•
Link
to PH FP Overview, May 2013
•
Link
to PH FP Worksheet, Feb 2014
HL7 EHR Work Group
Public Health FP
Public Health
Laboratory
Deep Vein
Thrombosis/Pulmonary
Embolism
Occupational
Disease, Injury and
Fatality
Vital Records
(Birth, Death Events)
Early Hearing
Detection and
Intervention
Health Functions
Common Public
Birth
Defects
Health
Statistics
Cancer
Registries
HL7 EHR Work Group
PHRS FM
• Personal Health Record System
Functional Model
• Release 1 Ready approved for publication
as joint ISO/HL7 16527
• Not yet incorporated in EA Tool
– Tooling Phase III?
HL7 EHR Work Group
EA Tool Access
• Contact EHR WG Co-Chairs for EA Tool
Access
HL7 EHR Work Group
Weekly Teleconferences
Day Time
US ET Activity Lead(s) Dial-In
Screen Sharing
List Server
(for agendas, announcements)
Mon 1200 Records Management/
Evidentiary Support
Warner, Gelzer
1-877-668-4493
Code 927 002 088# Link EHR Legal
Tues
1300 EHRS FM Release 3 Planning Hufnagel, Dickinson
1-770-657-9270,
Passcode 510269# Link EHR Interop
1400 Meaningful Use Functional
Profile
Datta, Dickinson
1-770-657-9270,
Passcode 510269# Link EHR Interop
1500 FULL EHR WG Co-Chairs 1-770-657-9270,
Passcode 510269# Link EHR WG
Wed
1200 Personal Health Record WG
Ritter, Dickinson, Doo
1-770-657-9270,
Passcode 510269# Link EHR PHR
1300 EHR System Usability WG
Mon, Ritter, Rocca, Gartner
1-770-657-9270,
Passcode 510269# Link EHR Usability
