ehr onc final certification - Department of Health Care Services

electronically record, store, retrieve, and modify, at a
minimum, the following order types:
(1) Medications;
(2) Laboratory; and
(3) Radiology/imaging.
A commenter recommended that we clarify what is meant by order entry because
the commenter believes that within the confines of many hospitals, just about any “order”
can be performed. A few commenters requested that “diet orders” be added to the list of
CPOE order types in order to prevent inconsistent patient care. Another commenter
recommended that speech-language pathology and audiology also be added. Two
commenters noted that the certification criterion specifies a long list of order types. The
commenters recommended that we not attempt to create an exhaustive list. One of the
commenters also noted that no information is given as to what constitutes adequate
functionality for any of the orders after the first three order types and that some, such as
“dialysis” may not be appropriate order functionality for a general EHR system for
hospitals. Both commenters recommended that we remove all orders from four through
10 and replace them with a single provision “other order types.”
Response. Consistent with the revisions we made to the CPOE certification
criterion associated with Complete EHRs and EHR Modules designed for an ambulatory
setting, we agree with those commenters who recommended that we specify a minimum
core set of orders as a condition of certification. Accordingly, we identify medication,
laboratory, and radiology/imaging as the minimum types of orders a Complete EHR or
EHR Module designed for inpatient settings must include in order to be certified. While
this certification criterion is now the same as the certification criterion for Complete
EHRs and EHR Modules designed for an ambulatory setting, we have not combined and
Page 161 of 228