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Section 1b: EHR - Electronic Health Records
Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Record Lifecycle Event (RLE), Edition 1

DESCRIPTION

This Implementation Guide offers a methodology to support trusted electronic health record (EHR) and personal health record (PHR) management using HL7 Fast Health Interoperable Resources (FHIR). This approach is based on the Record Infrastructure Section of ISO/HL7 10781:2023 Electronic Health Record System Functional Model (EHR-S FM) Release 2.1, ISO/HL7 16527:2023 Personal Health Record System Functional Model (PHR-S FM) Release 2 and ISO 21089:2018 Trusted End-to-End Information Flows. These Standards describe how EHR/PHR/HIT system functions (software) manage health record entries (data) during the complete record entry lifespan and at each lifecycle event (RLE) occurring therein.

 

See the specification at http://hl7.org/fhir/uv/ehrs-rle/Informative1

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Record Lifecycle Event (RLE), Edition 1 may also go by the following names or acronyms:

"HL7 FHIR® IG: Record Lifecycle Event (RLE), R1 - US Realm",,RLE, ehrsrle

BENEFITS

  •  Provides consistent pattern for EHR/PHR/HIT systems to manage health record entries over time - Lifecycle events occurring within record entry lifespan
  • Ensures consistent metadata at each Lifecycle Event, including provenance (who, what, when, where, why)
  • Promotes assurance and trustworthiness, accuracy, completeness, accountability, fidelity to source

IMPLEMENTATIONS/CASE STUDIES

Ongoing

DEVELOPMENT BACKGROUND

Consistent with Record Lifecycle Events as specified in:

1) ISO 21089 - Health Informatics - Trusted End-to-End Information Flows

2) ISO/HL7 10781 Electronic Health Record System Functional Model, Release 2 and later, Record Infrastructure Section

3) ISO/HL7 16527 Personal Health Record System Functional Model, Release 2 and later, Record Infrastructure Section

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Record Lifecycle Event (RLE), Edition 1

TOPIC

  • Data Usability

BALLOT TYPE

  • Informative

STATUS DATE

2024-01-02

RESPONSIBLE WORK GROUP

Electronic Health Records

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Lab Vendors
  • Local and State Departments of Health
  • Medical Imaging Service Providers
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • Universal