Pediatric Care Health IT Functional Profile - Project

Project Overview:

HL7 Pediatric Care Health IT Functional Profile is an Informative Standard that describes the electronic health record functionality supporting child health care in the United States. The standard supports the Recommendations for the Voluntary Certification of Health IT for Use in Pediatric Care settings, as published by the 21st Century Cures Act and the U.S. ONC Health IT Certification Program. It also leverages existing work published by AHRQ's Child Health EHR Format, as well as gather input from child health EHR subject matter experts within the HL7 and from the pediatric community at large. This standard also serves to complement the previous child health specific HL7 standards, including HL7 Child Health Functional Profile Release 1 (2008, 2019) and HL7 Developmental Screening and Reporting Services Derived Profile, Release 1.

Child health providers, EHR vendors, healthcare institutions and other interested parties (such as governing/regulatory bodies, HIT certification organizations, among others) can leverage the standard to learn about the pediatric-specific functions that clinical information systems must have to support child health care. 

Project Scope Statement: Pediatric Care Health IT Functional Profile - PSS

Project Members:

• Project Lead: Pele Yu, MD MS (Co-chair, EHR WG; Arkansas Children's/UAMS)
• Project Co-lead: Timothy Bennet (Drummond Group)
• HL7 Facilitators
  • John Ritter
  • Michael van der Zel
• Project Stakeholders
  • Drummond Group
    • Timothy Bennet
    • Sonia Galvan
    • Todd Margo
    • Yoko Nakagawa (Project Manager)
    • Cori Thompson
  • AHRQ
    • Edwin Lomotan, MD
  • University of Arkansas for Medical Sciences
    • Daniel Liu, MD
    • Lori Wong, MD
  • American Academy of Pediatrics (AAP)
    • Lisa Krams - Program Manager, Health IT Initiatives
    • Kathryn Cheek, MD - COCIT Exec Committee
    • Srinivasan Suresh, MD - COCIT Exec Committee; CMIO at UPMC Children's Hospital of Pittsburgh
  • HLN Consulting, LLC
    • Noam Arzt, PhD
  • Health Level 7 Co-sponsoring Work Groups
    • Clinical Interoperability Council WG
    • Patient Care WG

Project Timeline:

• PSS Approved by EHR WG: October 2020
• PSS Approved by TSC: March 8, 2021
• Project Kick-off:  March 2, 2021
• Ballot and Reconciliation: September 2021
• Ballot passed: January WGM 2022
• Publication Request: February 16, 2022
• Project End: May 2022 (target)

MEETING SCHEDULE: Agenda and Minutes: NEW LINK!  https://us06web.zoom.us/j/92805154157?pwd=blVJdmxHeFVQRmRiRzdwbmZ4WmZnQT09

Meeting ID: 928 0515 4157

Passcode: 056906

  (click zoom link) Tuesdays from 3:00 to 4:00pm CST (US)

1. March 2, 2021 - Project Team kick off with HL7 Publication Facilitators
2. March 16, 2021 - HL7 Procedural Meeting
3. March 30, 2021 - HL7 Procedural Meeting
4. April 6, 2021 - Child Health Stakeholders Kick-off
5. April 20, 2021
6. April 27, 2021
7. May 11, 2021
8. May 18, 2021 
9. May 25, 2021 - HL7 Work Group Meeting Working Session (Tuesday Q4 from 11:00 to 12:30pm CST US)
10. June 1, 2021
11. June 8, 2021
12. June 15, 2021
13. June 22, 2021 
14. June 29, 2021 
15. July 4, 2021 – Intent to Ballot submitted for September Ballot Cycle (submitted by Pele - June 30, 2021 - see receipt below)
16. July 6, 2021
17. July 13, 2021
18. July 20, 2021
19. July 27, 2021 (Completed FP and Overview document and Compiled)
20. Aug 3, 2021 (EHRWG approved Publication artifacts)
21. August 4, 2021 - Publication Artifacts submitted
22. August 13 to September 13, 2021 – Ballot Voting period
23. September 20-24, 2021 – September HL7 WGM working session (September 21, 2021 - TBD)

24.  September 21, 2021 (HL7 2nd Quarter Mtg) from 11:00-12:30pm EDT - Pediatric Care Health IT FP with Drummond Update

25. October 5, 2021 3pm Central 
26. October 12, 2021 3pm Central
27. October 19, 2021 3pm Central
28. October 26, 2021 3pm Central
29. November 9, 2021 3pm Central
30. November 16, 2021 3pm Central
31. November 23, 2021 3pm Central
32. November 30, 2021 3pm Central
33. January 18, 2022 (HL7 1st Quarter Mtg) from 11-12:30pm Central - (https://global.gotomeeting.com/join/798931918 , You can also dial in using your phone.
    United States: +1 (224) 501-3412
    Access Code: 798-931-918 )
34. February 11, 2022 - HL7 September Ballot Cycle and Ballot Reconciliation - completed
35. February 15, 2022 - EHR Work Group voted and approved Reconciliation package and Revised Functional Profile
36. February 16, 2022 - Publication Request initiated
37. May 10, 2022 - HL7 (2nd Quarter Meeting) WG Mtg from 10-11:30am Central (https://global.gotomeeting.com/join/798931918  You can also dial in using your phone.
    United States: +1 (224) 501-3412; Access Code: 798-931-918)

MINUTES - see word doc below which will be updated after each meeting

QUESTIONS or COMMENTS? If you would like to submit questions or comments about the project, scroll to the bottom of the page where there is a comment box. You must have an account in Confluence to do so. The attached PDF provides step-by-step instructions in registering for a Confluence account. 

HL7 BALLOTING - videos and other resources that explain HL7 Balloting processes

March 2, 2021 webinar by Lloyd McKenzie about the Jira balloting process https://youtu.be/Qb-02MWgugM and slide deck:

There is also some documentation in Confluence: https://confluence.hl7.org/display/HL7/Jira+Ballot+Process?src=contextnavpagetreemode.

Submitted NIB Form (June 30, 2021)

--------------------------------------------

PROJECT ARTIFACTS:

1. Project Slide Deck -

2. HL7 Pediatric Care HIT Functional Profile R1 Ballot artifacts

               OVERVIEW                           FUNCTIONAL PROFILE

2.1 PCHIT FPR1 Ballot Artifacts file repository in BitBucket - https://bitbucket.hl7.org/projects/FM/repos/pchitfp/browse

3. Electronic Health Record System (EHRS) Functional Model (FM) Release 2.1 - this is where PCHIT FP will need to be mapped to

3.1 Overview of Functional Model - includes definition and rules about Functional Profiles

3.2 Functional Model 2.1 Normative standard

3.3 EHRS FM R2.1 Excel spreadsheet

4. PEDIATRIC CARE HIT Functional Requirements source documents

4.1 AHRQ Children's EHR Format 

4.1.1 Short Version (2015)

4.1.2 Long Version (2013)

(From Todd) This is an excel spreadsheet download of the Children EHR 2013 List. 

I have made a first pass through the requirements and attempted to classify them in certain ways, as explained in the spreadsheet. 

I have done this from the point of view of Drummond who is creating a Pediatric EHR Testing program, not from a Functional Profile

development perspective, but hopefully these objectives are at least roughly aligned. 

4.2 ONC Pediatric HIT Information Resource Publications:

4.3 A "master" requirements list.  The following spreadsheet includes a consolidated list of:

1) the 2013 List

2) the 2015 Priority List,

3) pediatric-specific additions from the CH FP R1, and

4) additional items planned currently planned for Drummond's Pediatric EHR testing program, all organized by primary topic (some of which directly align with 2015 Priority reqs but others are net new additions.

5) A mapping of the 2015 Priority List items to the ONC 10 recommendations.

There is considerable duplicate statements in this master list that will need to be further consolidated. But my thought was to first put everything in one place organized by a core set of topics, which is derive/shortened set of topics used in the AHRQ work

5.0 Publication Artifacts - 2022

5.1 Consolidated Reconciliation Package - this is a compilation of the ballot comments and the responses. Ballot passed the threshold for Informative Standards

5.2 PCHIT Functional Profile Release 1 - post ballot revised Publication Artifact

5.3 Both artifacts were voted on and approved by EHR WG on Feb 15, 2022 - EHR WG Minutes 2022-02-15

5.5 Publication Request form here - HL7 EHR-S FM R2.1 Functional Profile: Pediatric Health Care IT, Release 1 - US Realm

6.0 Scholarly Activities