HL7 Version 3 Standard: Clinical Decision Support; Virtual Medical Record (vMR) Logical Model, Release 2

DESCRIPTION

This standard specifies a data model for representing clinical data relevant to clinical decision support.

The vMR is a data model for representing the data that are analyzed and/or produced by CDS engines.  The term vMR has historically been used in the CDS community to refer to a simplified representation of the clinical record that is suitable and safe for a CDS knowledge engineer to directly manipulate in order to derive patient-specific assessments and recommendations.  Historically, the challenge has been that different organizations used different vMRs.  The purpose of the vMR effort is to define a standard vMR that can be used across CDS implementations.  Moreover, due to the intended use of the vMR, a primary goal is simple and intuitive representation of data that is easy and safe for a typical CDS knowledge engineer to understand, use, and implement.

This specification defines a logical model of the vMR using the Unified Modeling Language (UML).  The vMR Logical Model can be further constrained through vMR templates.  Furthermore, physical models derived from the logical model are defined through additional specifications such as the HL7 vMR XML Specification.

ALTERNATIVE NAMES

HL7 Version 3 Standard: Clinical Decision Support; Virtual Medical Record (vMR) Logical Model, Release 2 may also go by the following names or acronyms:

TARGETS

• Clinical and Public Health Laboratories
• Immunization Registries
• Quality Reporting Agencies
•  Standards Development Organizations (SDOs)
• Regulatory Agency
• Payors
• Pharmaceutical Vendors
• EHR, PHR Vendors
• Equipment Vendors
• Health Care IT Vendors
• Clinical Decision Support Systems Vendors
• Lab Vendors
• HIS Vendors
• Emergency Services Providers
• Local and State Departments of Health
• Medical Imaging Service Providers
• Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

• Provides a simple and intuitive representation of data that is easy and safe for clinical decision support artifact authors and implementers to understand, author, use, and implement.
• Supports interoperable clinical decision support.

IMPLEMENTATIONS/CASE STUDIES

• Health eDecisions initiative stakeholders
• OpenCDS

RELATED DOCUMENTS

	HL7 Version 3 Standard: Clinical Decision Support; Virtual Medical Record (vMR) Logical Model, Release 2		(Download) (7.42 MB)
	HL7 Version 3 Standard: Clinical Decision Support; Virtual Medical Record (vMR) Templates, Release 1	(View Brief)

STU DOCUMENTS

HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) Logical Model, Release 2

Expiration Oct 2019

(Download) (7.08 MB)

TOPIC

• Decision Support

BALLOT TYPE

• Normative

STATUS DATE

2018-09-06

RESPONSIBLE WORK GROUP

STAKEHOLDERS

• Clinical and Public Health Laboratories
• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Emergency Services Providers
• Equipment Vendors
• Health Care IT Vendors
• Healthcare Institutions
• HIS Vendors
• Immunization Registries
• Lab Vendors
• Local and State Departments of Health
• Medical Imaging Service Providers
• Payors
• Pharmaceutical Vendors
• Quality Reporting Agencies
• Regulatory Agency
• Standards Development Organizations (SDOs)

FAMILY

• V3

CURRENT STATE

• Stable

REALM

• Universal