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HL7 EHR-S FMChild Health Functional

Profile Project Overview

HL7 Pediatric Data Standards Special Interest GroupApril 2007

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Child Health Functional Profile

“Child Health-FP”

What is it? A document providing the essential general pediatric

functions that are important to include in any system through which a child might receive primary care in the United States in both inpatient and outpatient settings.

Based on the HL7 Electronic Health Record-Systems Functional Model, published February 2007

Why? To assist all childcare providers and associated IT

vendors in helping to ensure safe, effective and reliable care of children through the safe and effective use of information technology.

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Background

HL7 is not-for-profit healthcare standards organization founded in 1987.

HL7 Electronic Health Records Technical Committee formed to develop consensus standard to define necessary functions for an EHR system.

EHR-S Functional Model became standard Feb 07.

Functional profiles of the EHR-S FM will identify unique needs in various care settings.

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HL7 PeDSSIG Background Founded in 2003 to provide pediatric

perspective during standards development. Worked closely with EHR TC to include

important general child healthcare functions in the main standard.

Next opportunity to impact the EHR-S FM is 2008.

PeDSSIG decided to develop Child Health-FP to address important general child healthcare functions not included in the current standard.

The PeDSSIG and the Child Health-FP project are supported by AAP, ABP, CHCA & NACHRI.

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Project PlanOrganization Phase

Recruit VolunteersForm Workgroup Define Scope, PlanEducate Volunteers

March 2007

Formalization Phase

Refine List of Child Health Functions

April-May 2007

Harmonization Phase

Align with EHR-S FMEHR TC Input

April-May 2007

Finalization Phase

Edit DocumentRegistrationVerification Ballot

June 2007

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Profile

Guiding Principles for This Project Focus is on functions that a general pediatrician in

the United States would need in caring for a child Focus is on functions that are Essential Now –

needed today Perfect is the enemy of good

Future Opportunities Include functions essential in the future Include functions that are optional Create profiles with specialty emphasis, e.g.

neonatology

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Volunteers

40 volunteers Includes physicians, nurses, informatics

experts, health information management, pharmacists and more

Recruited through HL7, AAP, HIMSS, CHCA and NACHRI

Includes providers and vendors

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Volunteer Instructions1. Become familiar with EHR-S FM standard

Direct Care Functions Supportive Care Functions Information Infrastructure Functions

2. Become familiar with PeDSSIG list of “criteria to add”3. Review the draft Child Health-FP Excel worksheet4. Decide which sections you intend to review and notify Joy5. Joy will publish a list of volunteers and their areas of interest

in case anyone would like to collaborate6. Make your edits directly in the draft Child Health-FP Excel

worksheet See instructions on next slide

7. Provide edited Excel worksheet to Joy by Friday, May 4

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Volunteer InstructionsStep Six: Make edits in the draft Excel worksheet

Select “Tools,” “Track Changes,” and “Highlight Changes” so that we can easily see your edits

As you edit, reference the EHR-S FM for statements and descriptions of functions (notify Joy if you feel any of the descriptions require editing)

Only make edits to columns F and G Indicate any recommended changes to Status (Column F)

N/C = No Change to current criteria M = Recommended Modification to current criteria A = Added a new criteria

Indicate modifications to the Conformance Criteria (Column G) SHALL, SHOULD, or MAY (see Child Health-FP Word document for

definitions) Edits to the current criteria and/or Copy for new criteria

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Example Excel Worksheet

Direct Care Functions  

ID# NamePriority: E, EF, O Conformance Criteria

Original Row #

Status: N/C, A,

M Modifications or Comments

DC.1.3.3

Manage Consents and Authorizations

E 8.       The system SHOULD provide the ability to document an assent for patients legally unable to consent.

109

M SHALL

9.       The system SHALL provide the ability to document the source of each consent, such as the patient or the patient’s personal representative if the patient is legally unable to provide it.

110

N/C  

10.    The system SHOULD provide the ability to document the patient’s personal representative’s level of authority to make decisions on behalf of the patient.

111

M SHALL

   

A

11. IF no one is available, THEN the system SHALL provide the ability to document lack of assent or consent in the emergency treatment of minors.

EHR-S FM Function

ID#EHR-S

FM Function

Name

EHR-S FM Function

Priority E = Essential

Now

What systems must do to

conform with the EHR-S FM For

reference purposes

only

Indicates we want to

modify this conformance

criteria We want to change

“SHOULD” to “SHALL”

Indicates we have “No

Change” to this

conformance criteria

Indicates we want to “Add” a new criteria to this

function. Does it need editing?

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Volunteer Tips1. Sometimes conformance criteria in one function

are related to criteria in another; Use the search tool in Excel to determine whether or not the edit you want to make already covered

2. Don’t get overwhelmed by the size of the document; Just take on small pieces that are in your particular area of interest or expertise

3. Ask for help/clarification if you need it – there are no published EHR-S FM Profiles to-date; This is new territory for everyone involved

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Project Contact

Joy KuhlHL7 PeDSSIG Administrative CoChair

joy.kuhl@chca.com(703) 310-6218