ehr onc final certification - Department of Health Care Services
ehr onc final certification - Department of Health Care Services
ehr onc final certification - Department of Health Care Services
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equire EHRs to build custom interfaces to every lab. They recommended that we<br />
require that Certified EHR Technology provide the ability to link the results to the<br />
original order. Another commenter recommended that the <strong>certification</strong> criterion include<br />
the requirement for standardized bi-directional laboratory interfaces, including<br />
functionality pertinent to all the laboratory order data needed for the laboratory to<br />
conduct proper testing, patient matching and billing (including limited coverage rules and<br />
printing <strong>of</strong> Advance Beneficiary Notices (ABNs)).<br />
Response. In the <strong>certification</strong> criterion discussed above regarding incorporating<br />
laboratory test results, we have required that Certified EHR Technology be capable <strong>of</strong><br />
electronically attributing, associating, or linking a laboratory test result to a laboratory<br />
order or patient record. Bidirectional exchange (including electronic transmission <strong>of</strong><br />
laboratory orders) is not a requirement <strong>of</strong> meaningful use Stage 1 and is beyond the scope<br />
<strong>of</strong> this rule.<br />
Comments. Several commenters recommended we clarify that the user <strong>of</strong> CPOE<br />
includes the eligible pr<strong>of</strong>essional and any authorized user in the <strong>of</strong>fice <strong>of</strong> the eligible<br />
pr<strong>of</strong>essional (EP). They also recommended that CPOE be deemed to include the scenario<br />
in which only the actual orders are entered by the EP, with the additional billing and<br />
demographic information entered by authorized users in the EP’s <strong>of</strong>fice or even by third<br />
parties (e.g. laboratory personnel in the patient service center <strong>of</strong> a laboratory that collects<br />
specimens from the patient).<br />
Response. As we stated in an earlier response, the standards, implementation<br />
specifications, and <strong>certification</strong> criteria adopted in this <strong>final</strong> rule apply to Complete EHRs<br />
and EHR Modules. We have focused on whether Certified EHR Technology must<br />
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