HL7 EHR WG – EHRS Meaningful Use Functional Profile Guidance on How to Build

1. HL7 EHR WG – EHRS Meaningful Use Functional ProfileGuidance on How to Build • Contents of this slide deck • Methodology • Documents to use • Steps to build • Communications, Meetings, Lessons Learned & Timelines • Volunteers Meaningful Use Functional Profile

2. HL7 EHR WG – EHRS Meaningful Use Functional ProfileMethodology • Map ONC/NIST EHRS Test Procedures to related ISO/HL7 10781 EHRS FM Functions/Criteria ISO/HL7 10781 EHRS FM Functions/Criteria ONC/NIST EHRS Test Procedures Meaningful Use Functional Profile

3. HL7 EHR WG – EHRS Meaningful Use Functional ProfileDocuments To Use • MU Stage 1& 2 (2014) has 50 Test Procedures found here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method • FOR REFERENCE ONLY: MU Stage 1 (2011) has 45 Test Procedures found here: http://healthcare.nist.gov/use_testing/effective_requirements.html • EHRS_FM_R2_C3_FunctionList_2013MAY; either • “EHRS_FM_R2_C3_FunctionList_2013MAY.pdf” • “EHRS_FM_R2_C3_FunctionList_2013MAY.html” • “EHRS-FM-MU-FP-Test Procedure Analysis-V2-20130801.xlsx” Excel document to do the map (actual work) • “EHRS-FM-R2-MU-FP-Build Guidance-20130801.pptx” for guidance on how to do the map (this document) • “MU2-Cert-Criteria-vs-ISO-HL7-10781-EHRS FM-Functions-Criteria-20120507.xlsx” as reference material for 2011 map done previously. Meaningful Use Functional Profile

4. HL7 EHR WG – EHRS Meaningful Use Functional ProfileSteps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) • Add your Test Procedure to the spreadsheet with your name. See example cell in peach color in spreadsheet. • Identify the Test Procedures specified in the Informative Test Description Section and record in column A Key Functions: e.g.for demographics: • Record – evaluates the capability for a user to enter patient demographic data into the EHR technology • Change – evaluates the capability for a user to change patient demographic data that were entered into the EHR during the Record test • Access – Evaluates the capability for a user to access the patient demographic data that were entered into the EHR during the Record test and Change test  • This is Record, Change, Access and map to EHRS FM: Originate/Retain, Amend, Access/View • Identify Test Steps/Scripts for each of the record, change and access specified in the Informative Test Description Section and record in column B Test Steps: see spreadsheet for example Meaningful Use Functional Profile

5. HL7 EHR WG – EHRS Meaningful Use Functional ProfileSteps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) • Identify in columns C, D and E the EHRS FM Record Infrastructure: • C: Section - within EHRS FM Record Infrastructure (RI): • Record = RI.1.1. • Change = RI.1.1.2 • Access = RI.1.1.5 • D: Record Lifecycle Event - within Lifespan of EHR Record Entry (RI.1): • Record = Originate/Retain • Change = Amend • Access = Access/View • E: Record Entry - being Record(ed), Change(d), Access(ed) Describe Record Entry. Examples: • Patient demographic record instance • Problem instance Meaningful Use Functional Profile

6. HL7 EHR WG – EHRS Meaningful Use Functional ProfileSteps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) • Identify in column F the specify applicable EHRS FM Verb (from Hierarchy): Manage/Capture, Manage/Update, Manage/Render… • Identify “Primary Related” Function from EHRS FM in column G • One per row in excel spreadsheet • Leverage work done in MU2-Cert-Criteria-vs-ISO-HL7-10781-EHRS FM-Functions-Criteria-20120507.xlsx • Identify “Primary Related” Criteria from EHRS FM in column H • One per row in excel spreadsheet • Leverage work done in MU2-Cert-Criteria-vs-ISO-HL7-10781-EHRS FM-Functions-Criteria-20120507.xlsx Meaningful Use Functional Profile

7. HL7 EHR WG – EHRS Meaningful Use Functional ProfileSteps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) • Identify Gaps (functions and criteria that don’t seem to be in the EHRS FM but are in the NIST Test Procedure) and suggest new or updated functions or criteria for the EHRS FM in column I • Identify discrepancies or issues with the Federal Final Rule and/or the NIST Test Procedure and enter in column J. Please be specific on which document or documents. • Identify, in column K, any value set(s) from the NIST Test Procedure that should be referenced, when relevant. Meaningful Use Functional Profile

8. Communications, Meetings, Lessons Learned & Timelines • The MU FP team meets every 2nd and 4th Tuesdays at 11am PST US • EHR Interop WG call: 770.657 9270/ 510269# • Discussions, questions and sharing of lessons learned • ehrinterop@lists.hl7.org Meaningful Use Functional Profile

9. HL7 EHR WG – EHRS Meaningful Use Functional ProfileVolunteers • EHRS-FM-R2-MU-FP-Priorities-20130624.docx • Spread the word – We need more Volunteers Meaningful Use Functional Profile