1. HL7 EHR SIG New Projects- Tentative Gary Dickinson 5 May 2004

2. Potential EHR SIG Projects EHR-S Functional Model –Profiles –Interoperability –Service Oriented Architecture EHR Record Interchange

3. EHR-S Functional Model Trial Use Period Develop Profile Toolkit Promote Development of EHR-S Profiles –Care Setting Profiles: Generic –Use Profiles: Specific –Providers, Payers, Vendors, Professional Societies... –Realms (Countries) Encourage Feedback to SIG

4. EHR-S Functional Model Full Normative Standard At Conclusion of Trial Use Period –Committee Ballot(s): 2005 –Membership Ballot: 2006 –Publication Target: Early 2007 Gather Input and Feedback –From DSTU balloters –From Industry Sources, including Profiling Organizations and Realms –Incorporate into Proposal Database

5. EHR-S Functional Model Full Normative Standard (cont) Update EHR-S Functional Model –From Proposal Database and Other Input –Revise Functional Statements, Descriptions –Revise Rationales –Develop Explicit Conformance Criteria Per EHR-S Function

6. Health Record Interoperability What Is It? What Does Interoperability Mean in the Context of Health Record Interchange? Perspectives –Clinical –Technical Define Interoperability Characteristics, Criteria

7. Health Record Interoperability Measurable Health Record Interchange –Lossless: Received HR = Original HR –Subset: Received HR is Subset of Original HR Define Methodology for Measurement –Completeness Flag –If Subset, Pointer to Originating Application and/or Original Record

8. Health Record Interchange Dr Yasnoff Project Collaborators: Dr. Ed Hammond, Dr. Helga Rippen, Dr. Bill Braithwaite, et al. Define Record Content –Record –Element Define Record Interchange Methodology

9. Service Oriented Architecture for EHR Systems Next Generation –Beyond Messaging –Tightly Coupled Applications Example(s) –n Tier: Presentation, Business Logic, Persistent DataStore

10. Demand Side Liaisons Patient Care Community Based Care Pediatric Data Standards