1. AHIMA-IHE White Paper HIT Standards for HIM Practices 2015 Figures

2. AHIMA, 2014 AHIMA, 2015 IG Principles HIM Business Requirements by Principle Use Cases HIM Practice Checklist HIT Standards #=8 Availability #=10 Integrity #=13 Protection #=9 Availability #=9 Integrity #=5 Protection #=6 Availability #=5 Integrity TBD Protection TBD Availability TBD Integrity TBD Protection TBD IHE ITI White Paper, 2015 Figure 1

3. Develop and defend Proposal to IHE ITI Committee for 2014-15 development cycle Develop Project Infrastructure Call for Participation to form AHIMA HIM Task Force Develop Project Methodology Develop Business Requirements and Checklist of HIM Best Practices by IG Principle: Information Availability, Integrity and Protection Develop Use Cases under Information Availability Develop Recommendations for HIM Professionals and SDOs on standardization of HIM practices, gaps in existing HIT standards and needs for new standards Publish White Paper with the Roadmap for standardization of HIM practices and HIT products Develop publication in JAHIMA and presentation at 2015 AHIMA Convention Develop new Proposal for IHE 2015-16 development cycle Figure 2

4. CaptureProcessUseStoreDispose Share Figure 3

5. Lifetime Record (-9mos – Birth – Death) Episode of Care (EOC) Record Level 1 Lifetime Record Level 2 Episode of Care Record EOC Record Com- ponent Level 3 Record at Function’s Level/ Record Entry EOC Record Com- ponent EOC Record Compo- nent Episode of Care (EOC) Record EOC Record Com- ponent EOC Record Compo- nent Episode of Care (EOC) Record EOC Record Com- ponent EOC Record Compo- nent Com- ponent Sections Com- ponent Sections Level 4 Record at Data Entry Level Com- ponent Sections Com- ponent Sections Com- ponent Sections Com- ponent Sections Compo- nent’s Sections Compo- nent’s Sections Section Templates Section Templates Section Templates Section Templates Section Templates Section Templates Section’s Templates Section’s Templates Record ContentHierarchy Template’s Data Fields Template’s Data Fields Compo- nent’s Resources Compo- nent’s Resources FHIR Attributes CDA Template’s Data Fields Template’s Data Fields Template’s Data Fields Template’s Data Fields Compo- nent’s Resources Compo- nent’s Resources Compo- nent’s Resources Compo- nent’s Resources Compo- nent’s Resources Compo- nent’s Resources FHIR Attributes FHIR

6. Clinical Episode of Care: Functions and Records Flow Records Functions Patient Registration AssessmentTesting Diagnosis &Care Plan PrescriptionDischarge Records Figure 5a

7. Episode of Care (EOC) Record Lifecycle Record is Open Registration/ Admission Record Entry Triage Record Entry Assessment Record Entry Lab/ Diagnostic Test Record Entry Diagnosis & Care Plan Record Entry Prescription Record is Closed Discharge/ Transfer Episode of Care Functions Episode of Care Record Components Patient, Facility Demographics, Consent for HIE Triage Notes, Vital Signs Medical Summary; Prelim Diagnosis and Care Plan Consent for Test, Test Order Test Result Report Confirmed Diagnosis and Updated Care Plan Meds Order Dispense Report ADT Record Figure 5b

8. Information Governance Principles: Accountability—Transparency—Integrity Protection—Compliance—Availability Retention - Disposition Metrics PoliciesProceduresRulesRoles Information Lifecycle Capture Process Store Dispose Share / Exchange Use Controls AHIMA.ORG/INFOGOV Figure 6

9. Health Information Systems should support HIM practices HIM practices should inform IHE Profile Specifiers Health Information Systems built based on the IHE Profiles should support HIM practices Figure 7

10. Episode of Care (EOC) Record Lifecycle Record is Open APP 1: Record Originator: EHR-S Registration/ Admission Record Entry Triage Record Entry Assessment Record Entry Lab/Diagnostic Testing Record Entry Diagnosis & Care Plan Record Entry Prescription Record is Closed Discharge/ Transfer Record Verification Record Protection Episode of Care Functions Episode of Care Record Components Patient, Facility Demographics, Consent for HIE Triage Notes, Vital Signs Medical Summary; Prelim Diagnosis and Care Plan Consent for Test, Test Order Test Result Report Confirmed Diagnosis and Updated Care Plan Meds Order Dispense Report ADT Record APP2-Record Receiver and Record Component Originator (Ancillary System) Record Is Open ClinTest Order Test Demogr. Clin Test Order Registration Record Entry Clin Testing Documentation Clin Testing Procedure Record is Closed Clin Test Result Report Record Verification Record Protection Record Is Open Med Order Med Demogr. Med Order Registration Record Entry Medication Documentation Med Proceessing Record is Closed Med Dispense Report Med Dispensing Pharmacy Episode Record Lifecycle Record Verification Record Protection APP - Application Clinical Testing Episode Record Lifecycle APP3-Record Receiver and Record Component Originator (Ancillary System)