Durable Medical Equipment/Home Health Agency Order Submission

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	CMS EMDI Implementation Guide Section 4.1.1 and Appendix B	In Development	Pilot	Feedback Requested	No	Free	No
Implementation Specification	CMS EMDI Implementation Guide Section 5.1.5.1	In Development	Pilot	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
Organizations may use an internal (native) or external EHR/document management system that provides the following capabilities: Send and receive patient records to providers with electronic referrals. Send and receive documents related to the use cases using secure messaging. Integrate information from other systems, as required, to provide complete documentation. Send multiple documents, as necessary, to meet the use cases. Create metadata where appropriate. Ensure that all documents clearly indicate the patient and provider responsible for each item of documentation created or signed off by a different provider. Clearly indicate the document type (e.g. Mime type) for each document. Provide electronic or digital signature capabilities for all clinical documents. Consume the associated clinical data and integrate it into the patient’s medical record. Best practices for this interoperability need dictate including reason or indication for the order as part of the durable medical equipment order, and including medical necessity either in the order or comment field of the order to ensure stakeholder alignment on the patient's needs.	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

Organizations may use an internal (native) or external EHR/document management system that provides the following capabilities:
- Send and receive patient records to providers with electronic referrals.
- Send and receive documents related to the use cases using secure messaging.
- Integrate information from other systems, as required, to provide complete documentation.
- Send multiple documents, as necessary, to meet the use cases.
- Create metadata where appropriate.
- Ensure that all documents clearly indicate the patient and provider responsible for each item of documentation created or signed off by a different provider.
- Clearly indicate the document type (e.g. Mime type) for each document.
- Provide electronic or digital signature capabilities for all clinical documents.
- Consume the associated clinical data and integrate it into the patient’s medical record.
Best practices for this interoperability need dictate including reason or indication for the order as part of the durable medical equipment order, and including medical necessity either in the order or comment field of the order to ensure stakeholder alignment on the patient's needs.

Feedback requested.

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