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Section 1b: EHR - Electronic Health Records

HL7 Electronic Health Record System Functional Model (EHR-S FM) Release 2.1

DESCRIPTION

Incremental update to the EHR System Functional Model (EHR-S FM), encompassing all the EHR functions and conformance criteria found in its predecessor Release 2, and incorporating:

  1. Changes to the Record Infrastructure Section to accommodate three additional record lifecycle events (verify, encrypt, decrypt) and ensure compatibility with FHIR Core R4 Record Lifecycle Event Implementation Guide (2019) and recent updates to ISO 21089:2018, Trusted End-to-End Information Flows;
  2. Changes to the Glossary Section to support the full set of record lifecycle events (now 27 in total) and corresponding descriptions;
  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, including FPs developed for the US Meaningful Use (EHR Incentive) Program, 2011/2014 and 2015 Editions;
  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 (DCMs, CIMI models, FHIR, HL7 template) comparable to TI.4 Standard Terminology and Terminology Services.

The HL7 Electronic Health Record System Function Model Release 2.1 has now been published as ISO 10781. To accommodate ISO publication requirements, there were revisions to various figures and tables in the Overview Section. These can be considered corrective updates to informative portions of the document with no consequent updates to normative content. Under terms of the ISO/HL7 Cooperation Agreement, we make the ISO 10781 standard available at this link  

 

ALTERNATIVE NAMES

HL7 Electronic Health Record System Functional Model (EHR-S FM) Release 2.1 may also go by the following names or acronyms:

EHRS-FM R2.1, EHR-S FM

BENEFITS

  • Establishes an extensive set of functions and related conformance criteria (requirements) for use in EHR system design, development, implementation, support and procurement.
  • Supports EHR System conformance and certification programs.
  • Includes US and international requirements for EHR system functionality.
  • Supports interoperability functions of EHR systems to exchange health information.
  • Includes a formal specification for management of health records, at rest and in motion, for the full lifespan of record entries, including lifecycle events occurring within the lifespan.
  • Is closely aligned with ISO/HL7 16527 Personal Health Record System Functional Model (Release 1 in 2016 and now Release 2 in 2020), also ISO 21089 Trusted End-to-End Information Flows (2018).
  • Passed HL7 ballot: as a Draft Standard for Trial Use (2004), as a full normative Standard (Release 1, 2007). Passed HL7, ISO and CEN ballot as a full normative and international Standard (Release 1.1, 2009), then designated ISO/HL7 10781. Passed HL7 and ISO ballot again (Release 2, 2014/15).

IMPLEMENTATIONS/CASE STUDIES

  • ISO/HL7 10781 EHR-S FM - particularly previous Releases 1.1 and 2, have been utilized/referenced in a number of national/regional EHR adoption programs, including: Argentina, Australia, Brazil, Chile, Columbia, Finland, Italy, Ireland, Japan, Korea, Mexico, The Netherlands, Peru, Sweden and the US.
  • These releases of the Standard have also been translated, in whole or part, into Italian, Japanese, Portugese and Spanish.

RELATED DOCUMENTS

HL7 Electronic Health Record System Functional Model (EHR-S FM) Release 2.1

(Download) (5.28 MB)

HL7 EHR-S FM R2.1 Functional Profile: Problem-Oriented Health Record (POHR) for Problem List Management (PLM), Edition 1 (View Brief)

(Download) (235 KB)

HL7 EHR-System Electronic Nutrition Care Process Record System (ENCPRS) Functional Profile, Release 2 (View Brief)

(Download) (1.38 MB)

HL7 Electronic Health Records (EHR) Dental Health Functional Profile, Release 1- US Realm (View Brief)

(Download) (1.88 MB)

TOPIC

  • Attachments

BALLOT TYPE

  • Normative

STATUS DATE

2020-06-30

RESPONSIBLE WORK GROUP

Electronic Health Records

PRODUCT TYPE

  • Functional Model

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Payors
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • EHR

CURRENT STATE

  • Active

REALM

  • Universal
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