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FOX Systems, Inc. Voting on the HL7 Electronic Health Record Functional Model. Kathleen Connor August 2, 2006. Introduction. Overview of HL7 EHR System Functional Model Profiles Ballot structure Normative vs. Reference Ballot Process Why Vote?. HL7 EHR System Functional Model.
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FOX Systems, Inc. Voting on the HL7 Electronic Health Record Functional Model Kathleen Connor August 2, 2006
Introduction • Overview of HL7 EHR System Functional Model • Profiles • Ballot structure • Normative vs. Reference • Ballot Process • Why Vote?
HL7 EHR System Functional Model • The HL7 EHR-S FM is a standardized model of the functions that may be present in EHR Systems • Focus is on the system functionalities, not the content of electronic health records • Functions are described from a user perspective • Enables consistent expression of system functionality • Could be a single system or a system-of-systems • Implementation agnostic
HL7 EHR-S Profiles • The FM is the superset of functions from which a user chooses the subset of functions they need within their EHR-S • This subset is specified in an EHR-S profile • Profiles are standardized description and common understanding of functions sought or available in a given setting (e.g., intensive care, cardiology, office practice in one country or primary care in another country). • Profiles are certified, not the FM
EHR-S Functional Model includes Reference & Normative sections • The Normative material is what counts • What is normative is what will be considered for certification • Reference material may be commented about
EHR-S Functional Model is divided into three sections: -Direct Care-Supportive-Information Infrastructure
Parts of a Function • There are over 100 functions • Each has a • Function Name • Function Statement • Conformance Criteria • Description
Relations Among Functions • Direct Care and Supportive rely on Infrastructure • All need Security, Access Control, etc. • Direct Care and Supportive have inter-functional dependencies • Direct Care requires Decision Support – e.g.,alerts & guidelines • Direct Care requires Supportive – e.g., Verify patient eligibility • Function numbering indicates parent-child relationships • DC.1.1 Health information capture, management, and review (parent), • DC.1.1.1 Identify and maintain a patient record (child) • Child Functions provide details about their Parent Function
September Ballot Cycle Voting open from August 1 through September 2 Boca Raton HL7 Meeting to review Ballot results
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Voting At Ballot Level After joining pool, refresh browser and then go to vote tab. Sometimes you have to leave the site and return before your ballot will load. Cast overall vote here. Must provide comment if voting negatively
Select EHRS FM EHRS FM
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Vote By Item & Comment Comments here Proposed wording change Vote Here
Amalgamated Spreadsheet Comments on same item are discussed, compared, and reconciled
Anyone can vote! You don’t have to be a member of HL7 Non-HL7 members can join the ballot pool by signing up at http://www.hl7.org/ctl.cfm?action=ballots.nonmemberjoin&ballot_cycle_id=508
Why Vote? • BHTSG has contributed much to the newly balloted FM • In general, most are happy with it • However, affirmative votes must be cast to ensure that negatives from others don’t result in changes to this version • Please vote, if only for the overall ballot and not by line item • Voter turn out is evidence that the Standards Community needs to take the BH Community seriously