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Transcript of HL7 Electronic Health Record System (EHR-S) Public Health Functional Profile (PHFP) Project PHDSC...
HL7 Electronic Health Record System (EHR-S) Public Health Functional Profile
(PHFP)Project
PHDSC Annual Business MeetingNovember 8, 2012
Hetty KhanHealth Informatics Scientist
Centers for Disease Control and PreventionNational Center for Health Statistics
National Center for Health Statistics
Classifications and Public Health Data Standards Staff
NCHS/PHDSC Collaboration on Standards Activities for Public Health
• NCHS supports the PHDSC’s goal to empower the healthcare and public health communities with health information technology standards to improve individual and community health
• NCHS provides support for PHDSC projects to develop Health Level Seven (HL7) International standards to support public health requirements
2
Health Level Seven International (HL7)
HL7 VisionTo Create the Best and Most Widely Used Standards in Healthcare
HL7 MissionHL7 provides standards for interoperability that improve care delivery, optimize workflow, reduce ambiguity and enhance knowledge transfer among all of our stakeholders, including healthcare providers, government agencies, the vendor community, fellow SDOs and patients
© 2002-2009 Health Level Seven ®, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven, Inc. Reg. U.S. Pat & TM Off
What is the HL7 EHR-S Functional Model?
The EHR-S FM presents a superset of functions for an EHR system from which a user/setting specific subset can be generated
The HL7 EHR-S FM standard is consensus-based and internationally-oriented
Creates a common platform for providers, vendors, partners, stakeholders and others to describe needed EHR functionality
Direct Care
DC.1 Care Management
DC.2 Clinical Decision Support
DC.3 Operations Management and Communication
Supportive
S.1 Clinical Support
S.2 Measurement, Analysis, Research and Reports
S.3 Administrative and Financial
Information
Infrastructure
IN.1 Security
IN.2 Health Record Information and Management
IN.3 Registry and Directory Services
IN.4 Standard Terminologies & Terminology Services
IN.5 Standards-based Interoperability
IN.6 Business Rules Management
IN.7 Workflow Management
Functions describe the behavior of a system in user-oriented language so as to be recognizable to the key stakeholders of an EHR System
EHR-S Functional Model at a Glance
EHR-S FM Standard
What is a Functional Profile?
• An HL7 EHR-S Functional Profile is a subset of functions identified for a specific healthcare delivery setting or domain, for example:
• Long Term Care• Ambulatory Care• Behavioral Health• Pharmacy• Child Health• Clinical Research• Public Health
Public Health Functional Profile (PHFP) Project
Development of the PHFP is: funded by NCHS/CDC supported by the Public Health Data
Standards Consortium (PHDSC)
co-sponsored by :• HL7 Electronic Health Record Work Group• HL7 Public Health & Emergency Response
Work Group
Public Health Functional Profile
Public Health Functional Profile (PHFP):
Conforms to the HL7 EHR-S FM
Includes a subset of functions of the EHR-S FM required or desired for implementation in EHR systems or health care delivery settings to support the needs of public health and public health-clinical information exchanges for specific public health programs (domains)
NCHS/PHDSC Timeline for HL7 EHR-S FM Projects
2004
2008
2010
2011
2012
2013
Evaluation of EHR-S FM: Public Health Perspective
NCHS developed Vital Records Functional Profile (VRFP)
Re-evaluation of EHR-S FM R.1.1
PHFP Release 2: All previous domains and
adding9. Adverse
Events
PHFP Release 1.1, Version 2:4. Public Health Laboratory5. Occupational Disease6. Health Statistics7. Deep Vein Thrombosis8. Birth Defects
PHFP Release 1.1, Version 1:1. Vital Records2. Early Hearing Detection and Intervention3. Cancer
PHFP - Release 1.1, Version 12010 - 2011
PHFP - Release 1.1, Version 2 2011- 2012
PHFP - Release 1.1, Version 2 2011- 2012
Direct Care
DC.1 Care Management
DC.2 Clinical Decision Support
DC.3 Operations Management and Communication
Supportive
S.1 Clinical Support
S.2 Measurement, Analysis, Research and Reports
S.3 Administrative and Financial
Information
Infrastructure
IN.1 Security
IN.2 Health Record Information and Management
IN.3 Registry and Directory Services
IN.4 Standard Terminologies & Terminology Services
IN.5 Standards-based Interoperability
IN.6 Business Rules Management
IN.7 Workflow Management
Functions describe the behavior of a system in user-oriented language so as to be recognizable to the key stakeholders of an EHR System
EHR-S Functional Model at a Glance
EHR-S FM Release 2 Chapter Reorganization
Overarching (O)
Care Provision (CP)
Care Provision Support (CPS)
Population Health Support (POP)
Administrative Support (AS)
Record Infrastructure (RI)
Trust Infrastructure (TI)
Direct Care (DC)
Supportive (S)
Information Infrastructure (IN)
The R1.1 Direct Care and Supportive Functions have been regrouped into four Chapters:
Release 2 Reorganization
Care Provision Support
CPS.1 Record ManagementCPS.2 Support Externally-sourced Information CPS.3 Support Clinical Documentation CPS.4 Support OrdersCPS.5 Support ResultsCPS.6 Support Treatment Administration CPS.7 Support Future CareCPS.8 Support Patient Education & Communication
CPS.9 Support Care Coordination & Reporting
Care Provision
CP.1 Manage Clinical HistoryCP.2 Manage Externally-sourced InformationCP.3 Manage Clinical DocumentationCP.4 Manage OrdersCP.5 Manage ResultsCP.6 Manage Treatment AdministrationCP.7 Manage Future CareCP.8 Manage Patient Education & Communication
CP.9 Manage Care Coordination & Reporting
Release 2 ReorganizationPopulation Health Support
POP.1 Support for Health Maintenance, Preventive Care and WellnessPOP.2 Support for Epidemiological Investigations of Clinical Health Within a PopulationPOP.3 Support for Notification and Response
POP.4 Support for Monitoring Response Notifications Regarding a Specific Patient’s HealthPOP.5 Donor Management SupportPOP.6 Measurement, Analysis, Research and ReportsPOP.7 Public Health Related UpdatesPOP.8 De-Identified Data Request Management
POP.9 Support Consistent Healthcare Management of Patient Groups or PopulationsAdministration support
AS.1 Manage Provider Administrative Information
AS.2 Manage Patient Administrative Information AS.3 Manage Personal Health Record Administration AS.4 Manage CommunicationAS.5 Manage Clinical Workflow TaskingAS.6 Manage Resource Availability
AS.7 Manage Encounter/Episode of Care Administration
AS.8Manage Financial Transaction Processing
Release 2 Reorganization
The R1.1 Infrastructure support Functions have been regrouped into two Chapters:
Record Infrastructure
RI.1 Record Management
RI.2 Record Synchronization
RI.3 Record Archive
Trust Infrastructure
TI.1 SecurityTI.2 AuditTI.3 Registry and Directory ServicesTI.4 Standard Terminology and Terminology ServicesTI.5 Standards-Based InteroperabilityTI.6 Business Rules ManagementTI.7 Workflow ManagementTI.8 Database Backup and Recovery
TI.9 System Management Operations and Performance
PHFP Transition - Release 22012 - 2013
Public Health Functional Profile may:
Lay the foundation for developing a Public Health Information Systems (PHIS) Functional Model
• Include functions and criteria applicable to PHIS
• 2012-2013 Project Task: – Analyze the PHFP R2 to determine the core set of
functional requirements that are common to all public health domains included in the profile, identifying potential areas for harmonization
Public Health Functional ProfilePurpose and Vision
Public Health Functional Profile: Vision
Public Health Laboratory
Cancer Registries Occupation
al Disease
Vital Records
EHDI Common Public Health
FunctionsHealth Statistics
Birth Defects
DVT/PE
Adverse Events
Plans for PHFP Certification2012-2013
Serve as a reference for certification of EHR systems that include functionality to support PH domains
2012 – 2013 Project Task:
Meet with public health and EHR certification experts to review and discuss the PHFP and to determine how it may serve as the infrastructure to support certification of EHR systems that meet PH requirements for the public health domains included in the PHFP
Develop recommendations on EHR systems certification based on the outcomes of the review and discussion of the PHFP by the certification experts
Functional Profiles
Questions?
National Center for Health Statistics
Classifications and Public Health Data Standards Staff