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Electronic Health Record System Functional Model Release 2.1

Basics

Electronic Health Record System Functional Model Release 2.1

1381
Ballot - Normative (no STU)


Electronic Health Record

Revise Current Standard

Details

This will be an incremental update to existing Electronic Health Record System Functional Model (EHR-S FM) Release 2. This update will incorporate:

1) Changes to the Record Infrastructure Section to accommodate three additional record lifecycle events (verify, encrypt, decrypt) and ensure compatibility with FHIR STU-3 Record Lifecycle Event Implementation Guide (2017) and recent updates to ISO 21089, Trusted End-to-End Information Flow (2017);

2) Changes to the Glossary Section to support the full set of record lifecycle events (now 27 in total);

3) Previously identified updates included in the EHR-S FM R2.01 errata version;

4) Changes to the Conformance Chapter to align with characteristics and requirements of recent EHR-S FM R2 based Functional Profiles;

5) Domain analysis (models and artifacts) companion to EHR system development and implementation.

6) Adding a header in the TI section on clinical model services (DCM, CIMI model, FHIR, HL7 template) comparable to TI.4 Standard Terminology and Terminology Services


This project will update the EHR-S FM to ensure:

1) Close alignment with recent FHIR STU-3 and ISO 21089 updates;

2) Modernization of EHR system conformance requirements based on ongoing development of Functional Profiles;

3) Close alignment with recent updates to Detailed Clinical Models, CLIM and CIMI.



2024 Work to be balloted in Jan 2025 cycle: Render the Electronic Health Record System Functional Model Release 2.1 (EHR-S FM R2.1) using the Common HL7 Toolset. This is the same Toolset used for FHIR Implementation Guides. All EHR-S FM R2.1 content will be the same as that balloted and published in 2020. This Standard is identical to ISO 10781:2023. Submit for Ballot (First Ballot Cycle) 2018 May Ballot Reconcile Ballot - Target: 2018 May to Oct Submit for Normative Ballot - Target: 2018 Jan Ballot Reconcile Ballot - Target: 2019 Jan to Apr Request Publication - Target: 2019 May WGM Receive ANSI Approval - Target: 2019 Summer Project End Date (all objectives have been met) - Target: 2019 Summer


http://wiki.hl7.org/index.php?title=EHR_Interoperability_WG

ISO TC215 WG1 How much content for this project is already developed? 50% may be balloted by ISO TC215 (after HL7 ballot and publication)

none

Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors,Clinical and Public Health Laboratories; Emergency Services; Local and State Departments of Health; Medical Imaging Service; Healthcare Institutions (hospitals, long term care, home care, mental health),Pharmaceutical; EHR, PHR; Health Care IT; Clinical Decision Support Systems; HIS


Alignment with development of FHIR STU-3 and STU-4, CLIM, CIMI and ISO 21089.

EHR-S FM

ISO/HL7 10781 EHR System Functional Model Release 2 and 2.01 (supplants both)


Yes

No

2024 Work to be balloted in Jan 2025 cycle: Render the Electronic Health Record System Functional Model Release 2.1 (EHR-S FM R2.1) using the Common HL7 Toolset. This is the same Toolset used for FHIR Implementation Guides. All EHR-S FM R2.1 content will be the same as that balloted and published in 2020. This Standard is identical to ISO 10781:2023. 2020 June: Received ANSI approval for HL7 Electronic Health Record System Functional Model, Release 2.1. PMO archiving project. This is an update to the base model (EHR-S FM) from which FPs are derived. If revising a current standard, indicate the following: - ISO/HL7 10781 Electronic Health Record System Functional Model Release 2 Published in 2014 (HL7); 2015 (ISO) - As described in Project Need (above) - Will fully replace (supplant) current Standard
Organization & Realm

Universal

People

EHR WG Co-Chairs: John Ritter, Gary Dickinson, Mark Janczewski MD, Michael Brody, Anneke Goossen



Electronic Health Records Work Group


Status & Dates

Active

Normative - Balloting

12/01/2017

01/01/2027

2027 Jan WGM/Ballot

09/15/2026

2026 Sept WGM/Ballot

2025 May Ballot Cycle Info: NORMATIVE Ballot Results: Met basic vote requirements. 0 negative votes to reconcile. Document Name: HL7 Electronic Health Records - System Functional Model, Release 2.1.1 2019 Jan Ballot Cycle Info: NORMATIVE Ballot results: Met basic vote requirements. 0 Negatives to reconcile Document Name: HL7 Electronic Health Records - System Functional Model, Release 2.1 2018 Oct Ballot Cycle Info: NORMATIVE Ballot results: Postponed Document Name: HL7 Electronic Health Records - System Functional Model, Release 2.1 2018 May Ballot Cycle Info: NORMATIVE Ballot results: Postponed Document Name: HL7 Electronic Health Records System- Functional Model Release 2.1
Approvals

01/11/2018


Not Needed


Not Needed




System Info






05/07/2026

Anne Wizauer