The 2011 Edition and 2014 Edition certification criteria pertaining to electronic prescribing refer to the capability of electronically exchanging information only with external recipients. The certification criteria adopted at (45 CFR 170.304(b) and 170.314(b)(3)) for electronic prescribing reference content exchange and vocabulary standards that were adopted for the purpose of enabling a user of Certified EHR Technology to electronically “exchange” certain health information with different… more
As implied in the question, for certification a Complete EHR or an EHR Module must have the capability to electronically receive and display, and transmit certain key clinical information in accordance with one of two separate certification criteria (45 CFR 170.304(i) or 45 CFR 170.306(f)), depending on the setting for which the EHR technology is designed (ambulatory or inpatient, respectively). Generally speaking, these certification criteria require two types of information exchange… more
This FAQ has been jointly posted by ONC as FAQ24 and by CMS as FAQ 10473. In most cases, an eligible professional or eligible hospital is not limited to demonstrating meaningful use to the exact way in which the Complete EHR or EHR Module was tested and certified. As long as an eligible professional or eligible hospital uses the certified Complete EHR or certified EHR Module's… more
Yes. For all of the certification criteria that apply to Complete EHRs or EHR Modules designed for use in an ambulatory setting for which there is an equivalent or more comprehensive certification criterion that applies to Complete EHRs or EHR Modules designed for use in an inpatient setting, the EP may include the EHR technology tested and certified to the inpatient certification criteria as part of the EHR technology the EP possesses. For example, the “electronic copy of the health… more
Reporting of Test Results Hyperlinks to ONC
In the September 4, 2012 standards and certification criteria final rule (77 FR 54163), section 170.523(f) was revised to require an ONC-ACB to provide ONC a hyperlink that enables the public to access the test results used by the ONC-ACB to certify each Complete EHR and EHR Module.
We will only enforce this provision against ONC-ACBs for certifications that are issued:
- After ONC specifies that the CHPL is… more
“Limited” or “constrained” by ISO 639-1 means that the languages in ISO 639-2 that an EHR technology must be capable of representing are limited or constrained to those languages that have a corresponding alpha-2 code in ISO 639-1. EHR technology must be capable of representing these languages in the alpha-3 codes of ISO 639-2 for the purposes of certification. In instances where both a bibliographic code and terminology code are present for a required ISO 639-2 language, EHR technology is… more
EHR technology issued a 2014 Edition Complete EHR certification must be certified to § 170.314(g)(2) (“automated measure calculation”) as it is a mandatory certification criterion consistent with the 2014 Edition Complete EHR definition requiring certification to all mandatory certification criteria for a particular setting (ambulatory or inpatient). While § 170.314(g)(1) (“automated numerator recording”) is also designated as a mandatory certification criterion, a 2014… more
A 2014 Edition Complete EHR is defined as EHR technology that meets the Base EHR definition and has been developed to meet, at a minimum, all mandatory 2014 Edition EHR certification criteria for either an ambulatory setting or inpatient setting. The Base EHR definition specifies how many CQMs EHR technology must be certified to for the inpatient and ambulatory setting and, thus, how many CQMs EHR technology must be certified to in order to be issued a 2014 Edition Complete EHR certification… more
In general, EHR technology developers can take the three approaches outlined in the table below to meet the transitions of care certification criteria and their included transport standard(s). EHR technology certified according to any one of these three approaches could then be used by eligible providers to meet the CEHRT definition.
As additional context, it is important to keep in mind the “scope of a certification criterion” in the 2014 Edition EHR certification criteria (see 77… more
Yes, there should be consistency across these specifications. Thus, for these three attributes, EHR technology developers implementing the XDR/XDM for Direct Messaging specification should use UUID URNs formatted as OIDs. We expect testing to this specification to reflect this clarification.
- http://www.ihe.net/technical_framework/upload/ihe_iti_tf_rev7-0_vol3_ft_2010-08-10.pdf [PDF - 1 MB]
- http://www.healthit.gov/policy-researchers-implementers/nationwide-health-… more
For the 2014 Edition “automated measure calculation” certification criterion, we explained in the final rule that “for MU objectives which CMS has provided flexibility in its final rule for EPs, EHs, and CAHs to pursue alternative approaches to measuring a numerator and denominator, the EHR technology must be able to support all CMS-acceptable approaches in order to meet this certification criterion” (77 FR 54244 – 54245). This FAQ clarifies that statement in order to provide EHR technology… more
In subparagraphs 45 CFR 170.314 (e)(2)(iii)(A) and (B), we list the minimum data EHR technology must permit a user to select when creating a clinical summary. However, upon further analysis, we have identified inadvertent redundancies between subparagraphs (A) and (B) that we now seek to clarify. As identified in the table below, certain data specified in subparagraph (B)are duplicative or are generally redundant of those listed in subparagraph (A) as part of the Common MU Data Set. For… more
The specific capability for linked referential CDS is found at 45 CFR 170.314 (a)(8)(ii)(A), which states:
“(A) EHR technology must be able to:
(1) Electronically identify for a user diagnostic and therapeutic reference information; or
(2) Electronically identify for a user diagnostic and therapeutic reference information in accordance with the standard specified at § 170.204(b) and the implementation specifications at § 170.204 (b)(1) or (2).
and, further 45… more
Yes, in all instances where we have adopted a vocabulary standard in § 170.207 the accompanying Consolidated CDA section-template implemented must be done so using the section-template with required structured data, coded entries required. Additionally, where a section-template with coded entries required is unavailable, we expect that testing and certification will still assess that data for which a vocabulary standard is adopted is represented in an appropriate coded entry structure within… more
No. We stated in the Permanent Certification Program final rule (76 FR 1291) that gap certification would be an option for ONC-ACBs and that it would be left to the discretion of each ONC-ACB as to whether to offer gap certification. We emphasize, however, that if an ONC-ACB decides to offer gap certification, it must conduct gap certification according to regulatory requirements and should be aware of ONC guidance under the ONC HIT Certification Program. ONC-ACBs should also offer gap… more
The “heavy tobacco smoker” code.
"No." To meet the requirements of 45 CFR 170.314(a)(8) (Clinical decision support) and 45 CFR 170.314(a)(14) (Patient list creation), EHR technology must demonstrate its capability to utilize at least one of the more specific data categories included in the "Demographics" certification criterion (45 CFR 170.314(a)(3)) (e.g., sex or date of birth).
- For both capabilities within the certification criterion (170.314(a)(15)(i) and (ii)), we interpret there to be 3 specific conditions that need to be satisfied:
- EHR technology must be able to "electronically identify" education resources;
- The education resources must be "patient-specific;" and
- The education resources must be based on data included in the patient's problem list, medication list, and laboratory tests.
While the alternative method… more
Yes. While NCPDP SCRIPT 8.1 is the specific version of the SCRIPT standard ONC incorporated by reference in its final rule for the 2011 Edition EHR certification criteria, it is our understanding that an EHR technology implemented to follow “SCRIPT 8.1E” would be compliant with the general NCPDP SCRIPT 8.1 standard for non-controlled substances, since SCRIPT 8.1E supports the electronic prescribing of both non-controlled and controlled substances.
Additionally, we note that CMS… more