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ehr onc final certification - Department of Health Care Services

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flexibility in this <strong>certification</strong> criterion and that many patients will be overwhelmed with<br />

technical data that comes with little context for understanding it.<br />

Response. We understand the commenter’s point; however, we do not believe<br />

that <strong>certification</strong> (which will validate whether a Complete EHR or EHR Module can<br />

perform this capability in a manner compliant with the standards adopted by the<br />

Secretary) is the appropriate mechanism to address this commenter’s c<strong>onc</strong>erns.<br />

Comment. One commenter urged that patient summaries be affirmatively <strong>of</strong>fered<br />

to the patient, without their requesting them, and that the <strong>of</strong>fer be provided in their native<br />

language with the <strong>of</strong>fer documented in the EHR.<br />

Response. We do not believe that it is within the scope <strong>of</strong> this <strong>final</strong> rule to require<br />

eligible pr<strong>of</strong>essionals to <strong>of</strong>fer patient summaries to patients.<br />

Comments. Several commenters requested that this rule clarify that providers<br />

would only be responsible for the completeness and accuracy <strong>of</strong> the clinical summary to<br />

the extent they provided or did not provide the relevant data (e.g. if another provider has<br />

not forwarded data, they are not responsible).<br />

Response. We do not believe that this behavior can be addressed by the<br />

<strong>certification</strong> criterion, nor do we believe that it is within the scope <strong>of</strong> this <strong>final</strong> rule.<br />

§170.304(i) - Exchange clinical information and patient summary record<br />

Meaningful Use<br />

Stage 1<br />

Objectives<br />

Capability to<br />

exchange key<br />

clinical information<br />

(for example,<br />

problem list,<br />

medication list,<br />

medication<br />

allergies, diagnostic<br />

test results), among<br />

providers <strong>of</strong> care<br />

Meaningful Use<br />

Stage 1 Measures<br />

Performed at least<br />

one test <strong>of</strong> certified<br />

EHR technology's<br />

capacity to<br />

electronically<br />

exchange key<br />

clinical information<br />

Page 149 <strong>of</strong> 228<br />

Certification Criterion<br />

Interim Final Rule Text:<br />

(1) Electronically receive and display. Electronically receive a<br />

patient’s summary record, from other providers and<br />

organizations including, at a minimum, diagnostic tests<br />

results, problem list, medication list, medication allergy list,<br />

immunizations, and procedures in accordance with<br />

§170.205(a) and upon receipt <strong>of</strong> a patient summary record<br />

formatted in an alternate standard specified in §170.205(a)(1),<br />

display it in human readable format.<br />

(2) Electronically transmit. Enable a user to electronically

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