Section 1b: EHR - Electronic Health Records
HL7 Electronic Health Record-System (EHR-S) Functional Model (FM), Release 1
DESCRIPTION
The HL7 International EHR System Functional Model (EHR-S FM) outlines important features and functions that should be contained in an EHR system. Through the creation of functional profiles, this model provides a standard description and common understanding of functions for healthcare settings. To date, HL7 has developed or is developing profiles for areas such as child health, emergency care, long term care, behavioral health and vital statistic reporting.
ALTERNATIVE NAMES
HL7 Electronic Health Record-System (EHR-S) Functional Model (FM), Release 1 may also go by the following names or acronyms:
TARGETS
- EHR system purchasers, vendors and system integrators
- Providers of care and users of EHR-S who depend on a definable set of functions to meet the IT needs of their organizations
BENEFITS
- Facilitate describing end-user defined benefits such as patient safety, quality outcomes and cost efficiencies in terms of standard EHR-S functions
- Promote a common understanding of EHR functions upon which developers, vendors, users and other interested parties can plan and evaluate EHR-S functions
- Provide the necessary framework to drive the requirements and applications of next level standards, such as EHR content, coding, information models, constructs and interoperability for information portability between sub-systems of and across EHR-Ss
- Establish a standards-based method by which each realm (country) can apply these EHR functions to care settings, uses and priorities
- Inform those concerned with secondary use of EHR data and national infrastructure what functions can be expected in an EHR System
IMPLEMENTATIONS/CASE STUDIES
- US National Institute of Standards and Technology (NIST) along with its accredited certification bodies (ACB) use EHR functional profiles such as the CRFP as a basis for certifying EHR systems
DEVELOPMENT BACKGROUND
The EHR-S FM is the original product of the HL7 EHR Work Group that was created in 2000 at the request of the National Health Information Infrastructure (NHII) (now know as the office of the National Coordinator (ONC)).
EHR-S FM Release 1.1 is approved by ISO as an international standard (ISO 10781). Work to actively revise the Functional Model commenced in the second half of 2009.
The standard’s functional model contains approximately 1,000 conformance criteria across 130 functions, including medication history, problem lists, orders, clinical decision support, and those supporting privacy and security. The functions are described from a user perspective and enable consistent expression of EHR system functionality, while the conformance criteria serves as a reference for purchasers of EHR systems and vendors developing EHR software.
RELATED DOCUMENTS
| HL7 Electronic Health Record-System (EHR-S) Functional Model (FM), Release 1 |
(Download) (4.53 MB) |
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| HL7 EHR Behavioral Health Functional Profile, Release 1 | (View Brief) |
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| HL7 EHR Child Health Functional Profile (CHFP), Release 1 | (View Brief) |
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| HL7 EHR Clinical Research Functional Profile (CRFP), Release 1 | (View Brief) |
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| HL7 EHR Pharmacist/Pharmacy Provider Functional Profile, Release 1 | (View Brief) |
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| HL7 EHR System Long Term Care Functional Profile, Release 1 - US Realm | (View Brief) |
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| HL7 EHR-S Vital Records Functional Profile, Release 1 - US Realm | (View Brief) |
(Download) (3.38 MB) |
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| HL7 EHR-System ePrescribing Functional Profile, Release 1 | (View Brief) |
(Download) (1.19 MB) |
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| HL7 EHR-System Implementation Guide: Pharmacist/Pharmacy Provider Functional Profile for Community Practice, R1 | (View Brief) |
(Download) (1.18 MB) |
ADDITIONAL DETAILS
For more Resources for creating an EHR-S Functional Profile, see the EHR-S FM, Conformance and How-To Guide, 2007 at http://www.hl7.org/ehr/downloads/functionalProfile.asp.
TOPIC
- Data Usability
BALLOT TYPE
- Normative
STATUS DATE
2007-02-12RESPONSIBLE WORK GROUP
PRODUCT TYPE
- ANSI-approved
FAMILY
- EHR
CURRENT STATE
- Retired
REALM
- Universal
