Long-Term Care-Nursing Homes EHR-Systems Functional Profile: Release 1. 6. APPLYING THE CONFORMANCE REQUIREMENTS

07/01/2008

In some instances a “SHALL” criterion in a function may require conformance with another function in the profile that has a different timing priority (i.e., a criterion in an Essential Now (EN) function may require conformance with a function designated as Essential Future (EF) 2011). This situation would arise when HL7 requirements regarding profiles adopting mandatory requirements from the FM did not harmonize well with timing priorities for functions identified by profile developers. It is important to understand that the priority timing of a referencing function DOES NOT supersede the timing priority established for the referenced function. Examples include:

Example #1 (Referencing Function EN, Referenced Function EF)
Referencing Function
ID/Name: DC.3.2.3 (Support for Communications Between Provider and Patient…)
Priority: Essential Now
“SHALL” Criteria for This Function:
  • There are 5 “SHALL” criteria for function DC.3.2.3 found at criteria #1, 2, 3, 5, and 10.  
  • Of these, only criterion #10 requires conformance to another function within the profile. Specifically, criterion #10 states “The system SHALL conform to function IN.1.4 (Patient Access Management)”.
Referenced Function
ID/Name: IN.1.4 (Patient Access Management)
Priority: Essential Future 2010
Result
  • The SHALL criteria for function DC.3.2.3 found at criteria #1, 2, 3, and 5 are expected to be implemented at the time conformance is claimed with this profile.
  • Conformance with DC.3.2.3 criterion #10 will not be expected until 2010.
Example #2 (Referencing Function EF, Referenced Function EN)
Referencing Function
ID/Name: DC.2.2.2 (Support Consistent Healthcare Mgt of Patient Groups or Populations)
Priority: Essential Future 2012
“SHALL” Criteria for This Function:
  • There are 4 “SHALL” criteria for function DC.2.2.2 found at criteria #1, 2, 3 and 5.
  • The following criteria require conformance to other functions within the profile. Specifically,
    • Criterion #1 states “The system SHALL conform to DC.2.2.1.2 (Support for Context-Sensitive Care Plans, Guidelines, Protocols)”.
    • Criterion #5 states “The system SHALL conform to function S.2.2.2 (Standard Report Generation)”.
Referenced Functions
ID/Name: DC.2.2.1.2 (Support for Context-Sensitive Care Plans, Guidelines, Protocols)
Priority: Essential Now
ID/Name: S.2.2.2 (Standard Report Generation)
Priority: Essential Now
Result
  • Function DC.2.2.1.2 (Support for Context-Sensitive Care Plans, Guidelines, Protocols) is Essential Now, and the SHALL criteria found at DC.2.2.1.2 criteria #1, 6, 7 and 8 are expected to be implemented at the time conformance is claimed with this profile.
  • Function S.2.2.2 (Standard Report Generation) is Essential Now and the SHALL criteria found at S.2.2.2 criteria #1 and 4 are expected to be implemented at the time conformance is claimed with this profile.
  • Function DC.2.2.2 (Support Consistent Healthcare Management of Patient Groups or Populations) is Essential Future, and the ability to support context-sensitive care plans/guidelines/protocols, or generate standard reports, related to consistent healthcare management of patient groups or populations will not be expected until 2012.


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