ehr onc final certification - Department of Health Care Services

ability of CCD and CCR to support the inclusion of the discharge summary and the
principle expressed by CMS that we specify a minimum set of information in the adopted
certification criterion, we believe that in this instance it is appropriate to exclude
discharge summary from the certification criterion.
§170.306(g) - Reportable lab results
Meaningful Use
Stage 1
Objective
Capability to
submit electronic
data on reportable
(as required by
state or local law)
lab results to public
health agencies and
actual submission
in accordance with
applicable law and
practice
Meaningful Use Stage 1
Measure
Performed at least one test of
certified EHR technology’s
capacity to provide electronic
submission of reportable lab
results to public health agencies
and follow-up submission if the
test is successful (unless none of
the public health agencies to
which eligible hospital or CAH
submits such information have
the capacity to receive the
information electronically)
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Certification Criterion
Interim Final Rule Text:
Electronically record, retrieve, and transmit
reportable clinical lab results to public health
agencies in accordance with the standard
specified in §170.205(f)(1) and, at a minimum,
the version of the standard specified in
§170.205(f)(2).
Final Rule Text:
§170.306(g)
Reportable lab results. Electronically record,
modify, retrieve, and submit reportable clinical
lab results in accordance with the standard (and
applicable implementation specifications)
specified in §170.205(c) and, at a minimum, the
version of the standard specified in
§170.207(c).
Comment. One commenter requested that we clarify the meaning of “LOINC
when LOINC codes have been received from a laboratory.” The commenter questioned
whether the information exchange for which this criterion would apply is solely exchange
within an organization or only between organizations.
Response. For a more detailed response to this request for clarification, we refer
to the relevant comments and responses relating to the “incorporate laboratory test
results” certification criterion, where we discuss this issue at length.
Comment. One commenter stated that it believed the standards we have adopted
are too general or at too high a level for vendors to be able to implement them uniformly.
This commenter suggested that we clarify when lab results should be transmitted, for