HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1 - Normative

HL7 Electronic Health Record System Functional Model, Release 2.1.1, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ehrsfm-ig/ and changes regularly. See the Directory of published versions

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## Home Page

Official URL: http://hl7.org/ehrs/uv/ehrsfmr2/ImplementationGuide/hl7.ehrs.uv.ehrsfmr2 | Version: 2.1.1
IG Standards status: Normative Active as of 2025-12-13 | Maturity Level: 1 | Computable Name: EHRSFMR2

### This Project

Within HL7, since 2020, the Common H7 Toolset initiative to develop the same underlying publication process technology stack across all HL7 standards has been underway. The intent is to provide the same look and feel, to leverage inherent validation and versioning, to ease annual updates, and to avoid the unwieldy word and pdf publication process. This publication of EHR-S FM R2.1 is the realization of that intent for the EHR-S FM product family.

This is a EHR-S FM specification that uses FHIR R5 Requirements resource to define its functional model sections, headers, functions and criteria. It references FHIR resources for data requirements and is based on FHIR R5 but not in a way that FHIR Implementation Guides would be based by profiling FHIR resources. It is important and relevant to declare the version of FHIR structures that are being used for toolsmiths and others using those structures.

The content comes from ISO/HL7 10781 as the most recently balloted version of the EHR-S FM. HL7 last balloted/published it in 2000, ISO in 2023. The ISO version is identical except that it has new graphics and we fixed some minor errata.

### Introduction

Start here: Introduction section.

### EHR WG CoChairs and Publishing Facilitators

Role | Name | Organization | Contact
--- | --- | --- | ---
Co-Chair | Gary Dickinson | EHR Standards Consulting | gary.dickinson@ehr-standards.com
Co-Chair | Mark Janczewski MD, MPH | Medical Networks, LLC | mark.janczewski@gmail.com
Co-Chair | Michael Brody DPM | Registry Clearinghouse | mbrody@registryclearinghouse.net
Co-Chair | John Ritter FHL7, MSc |  | johnritter1@verizon.net
Co-Chair | Lincoln Weed |  | ldweed424@gmail.com
Co-Chair, Publishing Facilitator | Michael van der Zel BSc | UMCG | m.van.der.zel@umcg.nl