ehr onc final certification - Department of Health Care Services

include a capability and how it must perform the capability. As a result, it is not within
the scope of this rulemaking to specify the persons who would need to use CPOE.
Comment. A commenter suggested that we not create controlled vocabularies or
value sets in the regulation but rather refer to and adopt existing controlled vocabularies
or subsets. The commenter also stated that the regulation introduces a requirement to
record, store, retrieve and manage orders, though no vocabularies are specified and
further pointed out that there are no vocabularies or standards for orders, images, or
referrals in any part of the Interim Final Rule. The commenter recommended that the
Department focus its efforts on identifying and adopting standards for computable and
interoperable representations of these elements and processes before directing eligible
professionals to implement “CPOE.”
Response. We appreciate the commenter’s concern. This is an initial set of
standards, implementation specifications, and certification criteria and we expect to adopt
more standards, implementation specifications, and certification criteria in the future as
necessary to improve the comprehensiveness of certain capabilities.
Comment. A commenter requested that we clarify whether only imaging and
radiology reports were intended to be included in this capability, or, if we intended to
include the images themselves in addition to the imaging reports as part of the
certification criteria. The commenter recommended that we further clarify the criterion
and moreover, adopt the DICOM standard in the initial set of standards, as an essential
step in meeting the CPOE capability.
Response. We clarify that the adopted certification criteria related to CPOE
pertain only to the ordering, and not to the delivery of results (reports or images). As a
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