Functional Profile Starter Pack based on HL7 EHR System Functional Model Release 2 (EHRS FM) 7 March 2014

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1 Functional Profile Starter Pack based on HL7 EHR System Functional Model Release 2 (EHRS FM)

2 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 (May/June 2014) All new/updated Functional Profiles will be based on EHRS FM Release 2 2

3 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 Proposals for inclusion in next FM release 3

4 Functional Profiles 4

5 HL7 EHR System Functional Model Link to EHRS FM Release 2 Link to EHRS FM R2 Function List (HL7 members only) Link to List of Functional Profiles 5

6 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 6

7 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 7

8 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? Any FM is profile-able 8

9 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 Not yet captured in EA Tool 9

10 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 10

11 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 Prepared for ballot 11

12 Public Health FP Birth Defects Vital Records (Birth, Death Events) Cancer Registries Early Hearing Detection and Intervention Common Public Health Functions Public Health Laboratory Health Statistics Occupational Deep Vein Disease, Injury and Thrombosis/Pulmonary Fatality Embolism 12

13 PHRS FM Personal Health Record System Functional Model Release 1 Ready approved for publication as joint ISO/HL Not yet incorporated in EA Tool Tooling Phase III? Also profile-able 13

14 EA Tool Access Contact EHR WG Co-Chairs for EA Tool Access 14

15 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 Code # Link EHR Legal 1300 EHRS FM Release 3 Planning Hufnagel, Dickinson , Passcode # Link EHR Interop Tues 1400 Meaningful Use Functional Profile Datta, Dickinson , Passcode # Link EHR Interop Wed 1500 FULL EHR WG Co-Chairs 1200 Personal Health Record WG 1300 EHR System Usability WG Ritter, Dickinson, Doo Mon, Ritter, Rocca, Gartner , Passcode # , Passcode # , Passcode # Link Link Link EHR WG EHR PHR EHR Usability Thur Open Fri 0930 EHR WG Co-Chairs Co-Chairs , Passcode # TBA N/A 15

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