1. Electronic Health Record
The collaborative development of a standard
Presented by
Ladan Jalali

2. Building the foundation of the EHR Standard
EHR Functional Model
Building the foundation of the EHR Standard
© HL7, 2003

3. EHR Functional Model :: Defined
Functions are the prime elements of the EHR Standard. There are three “groupings” of functions.
Care Settings define the environment of care in which the functions are applied within the EHR. (Country Specific)
Priorities represent the requirements for each function to be applied, in time, for the EHR based on care setting and realm.
© HL7, 2003

4. EHR Model Elements :: Functions
Functional Groups
Direct Care: EHR-S functions used for providing direct health care to, or direct self-care for, one or more persons.
Supportive: EHR-S functions that most frequently use existing EHR data to support the management of health care services and organizations
Information Infrastructure: Critical backbone elements of Security, Privacy, Interoperability, Registry, and Vocabulary.
© HL7, 2003

5. EHR Model Elements :: Priority
Essential/Now - available immediately
Essential/Future - available later
Optional - desirable, supplemental, etc…
Not Applicable – within care setting or realm
© HL7, 2003

6. Realm Specific International Application of the EHR Model Globally
© HL7, 2003

7. Personal Care/Self Care
EHR Model Elements :: Care Settings
Hospital
General Practice
Nursing Home
Care in the Community
Personal Care/Self Care
© HL7, 2003

8. Application of the EHR Model Globally
HL7 US
© HL7, 2003

9. Slide Title
HL7 US
HL7 Australia
© HL7, 2003

10. Application of the EHR Model Globally
HL7 US
HL7 Australia
HL7 Canada
© HL7, 2003

11. Application of the EHR Model Globally
HL7 US
HL7 Australia
HL7 Canada
HL7 UK
© HL7, 2003

12. Summary Function Functional Group Care Setting Realm Priority
© HL7, 2003

13. Care settings Primary care Secondary care Ambulatory Emergency
Inpatient
Hospital
Mobile
Distance support
Community clinic
Office based
Self care
Nursing home
Hospice
Home
© HL7, 2003

14. Care settings Acute care Ambulatory Emergency Inpatient Primary Care
Mobile
(ambulance)
Primary Care
Hospital
Nursing home
Self Care
Community clinic
Office based
Home Health
Care
Hospice
Distance support
Wellness – Health
© HL7, 2003