1. HL7 EHR WG – EHRS Meaningful Use Functional Profile Guidance on How to Build Contents of this slide deck –Methodology –Documents to use –Steps to build –Communications, Meetings, Lessons Learned & Timelines –Volunteers 1 August 2013Meaningful Use Functional Profile1

2. HL7 EHR WG – EHRS Meaningful Use Functional Profile Methodology Map ONC/NIST EHRS Test Procedures to related ISO/HL7 10781 EHRS FM Functions/Criteria 1 August 2013Meaningful Use Functional Profile2 ONC/NIST EHRS Test Procedures ISO/HL7 10781 EHRS FM Functions/Crite ria

3. HL7 EHR WG – EHRS Meaningful Use Functional Profile Documents 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 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 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. 1 August 2013Meaningful Use Functional Profile3

4. HL7 EHR WG – EHRS Meaningful Use Functional Profile Steps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) 1.Add your Test Procedure to the spreadsheet with your name. See example cell in peach color in spreadsheet. 2.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 3.This is Record, Change, Access and map to EHRS FM: Originate/Retain, Amend, Access/View 4.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 1 August 2013Meaningful Use Functional Profile4

5. HL7 EHR WG – EHRS Meaningful Use Functional Profile Steps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) 5.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 1 August 2013Meaningful Use Functional Profile5

6. HL7 EHR WG – EHRS Meaningful Use Functional Profile Steps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) 6.Identify in column F the specify applicable EHRS FM Verb (from Hierarchy): Manage/Capture, Manage/Update, Manage/Render… 7.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 8.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 1 August 2013Meaningful Use Functional Profile6

7. HL7 EHR WG – EHRS Meaningful Use Functional Profile Steps to Build In the spreadsheet, for each of the MU 2014 ONC/NIST Test Procedure(s) 9.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 10.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. 11.Identify, in column K, any value set(s) from the NIST Test Procedure that should be referenced, when relevant. 1 August 2013Meaningful Use Functional Profile7

8. Communications, Meetings, Lessons Learned & Timelines The MU FP team meets every 2 nd and 4 th Tuesdays at 11am PST US – EHR Interop WG call: 770.657 9270/ 510269# Discussions, questions and sharing of lessons learned – ehrinterop@lists.hl7.org ehrinterop@lists.hl7.org 1 August 2013Meaningful Use Functional Profile8

9. HL7 EHR WG – EHRS Meaningful Use Functional Profile Volunteers EHRS-FM-R2-MU-FP-Priorities- 20130624.docxEHRS-FM-R2-MU-FP-Priorities- 20130624.docx Spread the word – We need more Volunteers 1 August 2013Meaningful Use Functional Profile9