JUN 1, 2007 5:17pm ET

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Standard for ER Systems in Works

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A new "registered profile," or a subset of an existing standard, could ease the creation of criteria to certify the functionality, interoperability and security/reliability of emergency department information systems.

Standards development organization Health Level Seven has adopted the Emergency Care Functional Profile as the first registered profile based on HL7's EHR System Functional Model standard that was adopted in February. The functional model contains about 1,000 criteria covering more than 150 functions in such areas as medication history, problem lists, orders, clinical decision support, and privacy and security.

The functional model is designed to provide guidance to electronic health records software developers and purchasers.

The new Emergency Care Functional Profile is a subset of the functional model, containing criteria specific to emergency department information systems.

The Certification Commission for Healthcare Information Technology recently announced it would develop certification programs for some specialty information systems, including emergency department systems. HL7's new Emergency Care Functional Profile likely will serve as an early reference point for CCHIT development of certification criteria for emergency department systems.

Other functional profiles being developed as a subset of HL7's EHR System Functional Model include behavioral health, child health, long-term care and regulated clinical research information systems. A functional profile for a legal electronic health record also is under development.

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A major success factor for accountable care organizations will be linking caregivers across the spectrum of care delivery. If history is any indication, that's going to be an industrywide struggle.

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