2020-11-22 Reaffirmation of HL7 EHR-S FM Release 1: Long Term Care Functional Profile (LTCFP), Release 1 - US Realm

2. Sponsoring Group(s) / Project Team

3. Project Definition

4. Products (check all that apply)

5. Project Intent (check all that apply)

6. Project Logistics

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Project Name and ID

2.a. Primary Sponsor/Work Group

2.b. Co-sponsor Work Group(s)

2.c. Project Team

3.a. Project Scope

3.b. Project Need

3.c. Security Risks

3.d. External Drivers

3.e. Project Objectives / Deliverables / Target Dates

3.f. Common Names / Keywords / Aliases

3.g. Lineage

3.h. Project Dependencies

3.i. HL7-Managed Project Document Repository Location

3.j. Backwards Compatibility

3.k. External Vocabularies

5.a. Ballot Type (check all that apply)

5.b. Joint Copyright

6.a. External Project Collaboration

6.b. Realm

6.c. Stakeholders / Vendors / Providers

6.d. Project Approval Dates

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For Reaffirmations, please refer to the FAQ in Hl7 Project Scope Statement Instructions for a list of which sections and fields should be completed

Project Name and ID


Enter the name of the project here: HL7 EHR-S FM Release 1: Long Term Care Functional Profile (LTCFP), Release 1 - US Realm
Project ID:	1667
Complete this section for all “Direct to Normative” ballot projects and when a project proceeds from “Informative to Normative” or “STU to Normative”. Forward PSS to the TSC (via tscpm@HL7.org); this triggers American National Standards Institute (ANSI) Project Initiation Notification (PINS) submission.
	TSC Notification: Informative/STU to Normative				Date: 1 Dec 2020
YES	- or - Direct to Normative (no STU) (includes reaffirmations)
Identify ISO, IEC or ISO/IEC standard to be adopted in text box below
Enter info here if an ISO, IEC, or ISO/IEC Standard is to be adopted as an American National Standard; Enter the designation of the standard(s) to be adopted:
Includes text from ISO, IEC or ISO/IEC standard: Check here if this standard includes excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption.						Yes	No X
Select the unit of measure used in the standard; if no measurements are in the standard, select N/A		X	N/A	U.S.		Metric	Both
	Investigative Project (aka PSS-Lite)	Date :
Check this box when the project is investigative or exploratory in nature, which allows limited project scope definition. Sections 1-Project Name, 2-Sponsoring Group(s)/Project Team, 3a-Project Scope, 3b-Project Need, 3e-Project Objectives/Deliverables/Target Dates, 3i-Project Document Repository, 6b-[Realm, if known], and 6d-[applicable Approval Dates] are required for Investigative Project. Investigative Project specific instructions are highlighted in yellow. An investigative project must advance in two WGM cycles, requiring a full scope statement. Otherwise the project will be closed.

Primary Sponsor/Work Group
(1 (And Only 1) Allowed)

Electronic Health Record WG

Co-sponsor Work Group(s): (Enter co-sponsor approval dates in Section 6.d Project Approval Dates)		N/A
Indicate the level of involvement that the co-sponsor will have for this project:
	Request formal content review prior to ballot
	Request periodic project updates. Specify period
	Other Involvement. Specify details here:

All names should have confirmed their role in the project prior to submission to the TSC.

Project facilitator (1Mandatory)	Gary Dickinson
Other interested parties and their roles
Multi-disciplinary project team (recommended)
Modeling facilitator
Publishing facilitator	Gary Dickinson
Vocabulary facilitator
Domain expert rep
Business requirement analyst
Conformance facilitator (for IG projects)
Other facilitators (SOA, etc)

Implementers (2Mandatory for STU projects) *FHIR Project Note:* The implementer requirement will be handled by the “balloting” project. Therefore work groups do not fill out the above section. However, feel free to list implementers specific to your work group’s resources if you know of any.
1)
2)

Reaffirmation of HL7 EHR-S FM Release 1: Long Term Care Functional Profile (LTCFP), Release 1 - US Realm

The HL7 EHR System Long Term Care Functional Profile (LTCFP) establishes the functions and conformance criteria for EHR systems in the nursing home setting for the US Realm.

While the HL7 EHR-S FM provides a reference list of functions that may be present in an electronic health record system (EHR-S), the nursing home community has developed this LTC Functional Profile that identifies the subset of functions from the model that reflects the unique aspects and needs for EHR systems in the long term care setting. It is important for functional profiles to outline major trends and articulate a vision for functionality (especially interoperability) for the future. Furthermore, the delineation of potential functions for future implementation and adoption should guide vendors in system development, and help purchasers develop and articulate to vendors a strategic vision for functional requirements

This project provides guidance to healthcare providers, payers and electronic health record (EHR) system developers serving the long-term healthcare community, and offers information regarding functions, functional requirements and conformance criteria for EHR Systems.

Will this project produce executable(s), for example, schemas, transforms, style sheets, executable program, etc. If so the project must review and document security risks. Refer to the Cookbook for Security Considerations for additional guidance, including sample spreadsheets that may be used to conduct the security risk assessment.		Yes
	X	No
		Unknown

This serves as a reaffirmation of an existing HL7 specification.

Within each row, enter the explicit work product(s) / objective(s). Indicate their target date at the right in WGM/Ballot Cycle format. Include the project end date as the last objective (for standards projects, the end date will be the projected ANSI approval date).	Target Date
Submit for Reaffirmation Ballot	2021 May Ballot

LTCFP

EHR-S FM LTCFP

N/A

N/A

Enter the SPECIFIC URL of the HL7-MANAGED SITE where supporting project documents, deliverables, ballot reconciliation work and other project information will be kept. 

https://www.hl7.org/implement/standards/product_brief.cfm?product_id=134

Are the items being produced by this project backward compatible?	Yes	No	Unknown	X	N/A
If you check 'Yes' please indicate the earliest prior release and/or version to which the compatibility applies:

For V3, are you using the current data types? (Refer to TSC position statement on new projects using R2B for more information on the current V3 data types)	Yes	No	Unknown	X	N/A

If you check no, please explain the reason:
If desired, enter additional information regarding Backwards Compatibility.

Will this project include/reference external vocabularies?		Yes		No		Unknown	X	N/A
If Yes, please enter the vocabularies:

	Arden Syntax	V2 Messages – Administrative
	Clinical Information Modeling Initiative (CIMI)	V2 Messages - Clinical
	Clinical Context Object Workgroup (CCOW)	V2 Messages - Departmental
	Domain Analysis Model (DAM)	V2 Messages – Infrastructure
X	Electronic Health Record (EHR) Functional Profile	V3 Domain Information Model (DIM / DMIM)
	FHIR Extensions	V3 Documents – Administrative (e.g. SPL)
	FHIR Implementation Guide (enter FHIR product version below)	V3 Documents – Clinical (e.g. CDA)
	FHIR Profiles (enter FHIR product version below)	V3 Documents - Knowledge
	FHIR Resources	V3 Foundation – RIM
	Guidance (e.g. Companion Guide, Cookbook, etc)	V3 Foundation – Vocab Domains & Value Sets
	Logical Model	V3 Messages - Administrative
	New/Modified/HL7 Policy/Procedure/Process	V3 Messages - Clinical
	New Product Definition (please define below)	V3 Messages - Departmental
	New Product Family (please define below)	V3 Messages - Infrastructure
	Non Product Project - (Educ. Marketing, Elec. Services, etc.)	V3 Rules - GELLO
	White Paper	V3 Services – Java Services (ITS Work Group)
	Creating/Using a tool not listed in the HL7 Tool Inventory	V3 Services – Web Services (SOA)

If you checked New Product Definition or New Product Family, please define below:

For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

	Create new standard			Supplement to a current standard
	Revise current standard (see text box below)			Implementation Guide (IG) will be created/modified
X	Reaffirmation of a standard			Project is adopting/endorsing an externally developed IG:
	New/Modified HL7 Policy/Procedure/Process			Specify external organization in Sec. 6 below;
				Externally developed IG is to be (select one):
	White Paper (select one):			Adopted - OR -	Endorsed
		Balloted Informative OR	Non-balloted WG White Paper	N/A (Project not directly related to an HL7 Standard)

If revising a current standard, indicate the following:
- Name of the standard being revised:
- Date it was published (or request for publication, or ANSI designation date)
- Rationale for revision
- The relationship between the new standard and the current standard (is it designed to replace the current standard, a supplement to the current standard, etc.)

If necessary, add any additional ballot information here. If artifacts will be jointly balloted with other SDOs, list the other groups.

Check this box if you will be pursuing a joint copyright. Note that when this box is checked, a Joint Copyright Letter of Agreement must be submitted to the TSC in order for the PSS to receive TSC approval.

Joint Copyrighted Material will be produced?

Yes

X

No

Include SDOs or other external entities you are collaborating with, including government agencies as well as any industry outreach. Indicate the nature and status of the Memorandum of Understanding (MOU) if applicable.
For projects that have some of their content already developed:
How much content for this project is already developed?
Was the content externally developed ? :	N
Is this a hosted (externally funded) project? (not asking for amount just if funded)		Yes	X	No

Universal

- OR -

X

Realm Specific

Check here if this standard balloted or was previously approved as realm specific standard

U.S. Realm

Enter “U.S.” or name of HL7 affiliate(s) here. Provide explanation/justification of realm selection. For projects producing deliverables applicable to multiple realms, document those details here.

For Investigative projects, indicate if the project is planned to be Realm Specific or Universal, if known. Work Groups are encouraged designating project a Universal project initially, and discover which Realms can contribute to the work effort during the discovery phase of the project. Note: This status is subject to change during the investigative process.

This section must be completed for projects containing items expected to be ANSI approved, as it is an ANSI requirement for all ballots

		Stakeholders		Vendors		Providers
		Clinical and Public Health Laboratories		Pharmaceutical		Clinical and Public Health Laboratories
		Immunization Registries	X	EHR, PHR		Emergency Services
		Quality Reporting Agencies		Equipment		Local and State Departments of Health
		Regulatory Agency		Health Care IT		Medical Imaging Service
		Standards Development Organizations (SDOs)		Clinical Decision Support Systems	X	Healthcare Institutions (hospitals, long term care, home care, mental health)
X		Payors		Lab		Other (specify in text box below)
		Other (specify in text box below)		HIS		N/A
		N/A		Other (specify below)
				N/A
	Other: Indicate other stakeholders, vendors or providers not listed above.

Click here to go to HL7 Project Scope Statement Instructions#Appendix A for more information regarding this section.
Approvals are by simple majority vote of the approving body

Sponsoring Work Group Approval Date:

WG Approval Date

2020-12-01

Administrative review – in parallel with Work Group Approval

Co-Sponsor Group Approval Date

List each Co-Sponsor and their Approval Date

Family Management Group Approval Date(s)

CIMI Projects: CIMI Management Group

CIMI MG Approval Date

CDA Projects: CDA Management Group

CDA MG Approval Date

FHIR Projects: FHIR Management Group

FMG Approval Date

V2/Publishing Projects: V2 Management Group

V2 MG Approval Date

US Realm Projects: US Realm Steering Committee Approval
(Email WG approved PSS to: tscpm@HL7.org)

USRSC Approval Date

2021-02-23

Affiliate Specific Projects: Affiliate Approval Date

Affiliate Approval Date

Submit PSS to Steering Division after all of the above approvals are received

Steering Division (of Primary Sponsor WG) Approval Date:

SD Approval Date CCYY-MM-DD

2020-12-27

Last PBS Metrics Score:	X	Green		Yellow		Red
PBS Metrics Reviewed? (required for SD Approval if not green)			X	Yes		No

ARB and Steering Division approval may be in parallel

Architectural Review Board Approval Date:

(required for externally developed content)

ARB Approval Date

n/a

TSC Approval

If applicable, TSC has received a Joint Copyright/Distribution Agreement (containing the verbiage outlined within the SOU),
signed by both parties.

Yes

No

N/A

Technical Steering Committee Approval Date:
(Email SD WG approved PSS to: tscpm@HL7.org)

TSC Approval Date

2021-01-11

Comment (aka Comment-Only)

Joint Ballot (with other SDOs)

Informative

N/A (project won’t go through ballot)

STU to Normative - OR -

Normative (no STU)