Skip to end of metadata
Go to start of metadata

Section 1b: EHR - Electronic Health Records

HL7 EHR-System Electronic Nutrition Care Process Record System (ENCPRS) Functional Profile, Release 2

DESCRIPTION

The Electronic Nutrition Care Process Record System (ENCPRS) Functional Profile is based on the Electronic Health Record System Functional Model R2 (EHRS-FM). The intent is to develop a standard list of functions and criteria needed for full integration of both the Nutrition Care Process (NCP) and the representative terms from the Nutrition Care Process Terminology (NCPT). The NCP serves as a systematic approach to providing high quality nutrition care. This standardization will encourage the acquisition of EHR systems by nutrition health providers and promote information interoperability between nutrition and food systems and other areas of healthcare. These requirements have been mapped into this functional profile and identify those portions of the HL7 EHR-S Functional Model that apply to patient care in the Nutrition Care Process. Further, these requirements identify functionality toward facilitating ease of use for those involved in patient care using the NCP, thus providing EHR vendors with conformance criteria that are specific to regulated tasks within the NCP in the HL7 International formats.


ALTERNATIVE NAMES

HL7 EHR-System Electronic Nutrition Care Process Record System (ENCPRS) Functional Profile, Release 2 may also go by the following names or acronyms:
"EHR-S Electronic Nutrition Care Process Record System (ENCPRS) Functional Profile, R1", Nutrition, patient care, diet, dietary, ENCPRS, nutrition profile, nutrition functional profile

TARGETS

  • Clinical and Public Health Laboratories
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)
  • Payors
  • Pharmaceutical Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • HIS Vendors
  • Emergency Services Providers
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Promotes information interoperability between nutrition and food systems and other areas of healthcare
  • Creates a thoughtful and organized approach to the development of nutrition focused applications
  • Enables the consistent evaluation of nutrition and diet applications
  • Supports the foundation of interoperability between vendor applications
  • Provides the foundation for system evaluation of nutrition and diet requirements in Electronic Health Records
  • Provides an international approach to the application of diet and nutrition as a component of health care

IMPLEMENTATIONS/CASE STUDIES

  • Academy of Nutrition and Dietetics
  • Auckland District Board of Health
  • Alberta Health Services
  • DAA (Dietitians Association of Australia), Kate Paul 
  • Enskede-Årsta-VantörCity District Stockholm, Sweden, Ulrika Wennergren Sundin
  • Karolinska University Hospital, Stockholm, Sweden, Christina Sollenberg
  • Intermountain Healthcare, Curt Calder
  • International Confederation of Dietetics Associations (ICDA), Marsha Sharp
  • American Overseas Dietetic Association, Naomi Trostler
  • Dietitians Association of Australia, Maree Ferguson
  • Associacao Brasileira de Nutricao -  ASBRAN (Brazil), Marcia Fidelix
  • Dietitians of Canada, Carlota Basualdo-Hammond
  • British Dietetic Association, Sue Kellie
  • Hungarian Dietetic Association, Simon Armbruszt
  • Israel Dietetic Association and Telhai College, Snait Tamir
  • Kenya Bureau of Standards (KEBS), Gladys Ombongi
  • Malaysia Dietetic Association, Winnie Chee
  • Malaysia National Heart Institute, Mary Easaw
  • Mexico Universidad Iberoamericana, Ana Perez-Lizaur
  • Netherlands Dietetic Association, Jose Tiebie
  • Swedish Association of Clinical Dietitians, Ylva Orrevall
  • Turkish Dietetic Association, Hulya Gokmen-Ozel

DEVELOPMENT BACKGROUND

Most electronic health record systems have limited functionality that supports the actions of a Registered Dietitian/Nutritionist (RDN) in providing individual nutrition care.  In most cases, nutrition documentation and data are designed at the facility level.  Limitations in local resources, knowledge of systems design and nutrition best practices creates an inconsistent use of key data that should be interoperable and available for quality metrics reporting.

This project was conducted as a joint work effort between HL7 and the Academy of Nutrition and Dietetics (Academy), where the Academy’s Interoperability and Standards Committee and Nutrition Care Process Research Outcomes Committee updated the content and documented workflow relevant to the ENCPRS. Other Academy internal groups and international colleagues reviewed the work and provided relevant input and/or revisions. The workgroup consisted of subject matter experts from nutrition practice, nutrition software vendors, implementers, and informaticians.

Domain experts from the dietetics and nutrition care community have provided their subject matter expertise and recommendations into the 1st STU Release of  ENCPRS Functional Profile. The 2nd STU release of the ENCPRS Functional Profile was validated against two EHR implementations, one in the United States and one in Australia, to confirm the conformance criteria; change requests were generated for the EHR Functional Model based on this validation.


  • No labels