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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instance upon the occurrence <strong>of</strong> particular trigger events, or in response to specific<br />
messages, and in accordance with a reporting time table. The commenter queries, for<br />
example, if EHR systems should use discharge as a trigger for the transmission <strong>of</strong> a<br />
reportable condition using encounter level demographic segments, or whether EHR<br />
systems should provide a periodic batch reporting <strong>of</strong> reportable conditions (e.g. daily or<br />
weekly).<br />
Response. We clarify that the <strong>certification</strong> criterion does not specify, and is not<br />
intended to specify, the requirements for how the reports are to be triggered nor the<br />
periodicity <strong>of</strong> the reporting requirements. As a <strong>certification</strong> criterion, it only specifies<br />
capabilities necessary for <strong>certification</strong>.<br />
Comment. A commenter recommended that we clarify the meaning <strong>of</strong><br />
“reportable” in the <strong>certification</strong> criterion.<br />
Response. Each public health jurisdiction maintains its list <strong>of</strong> diseases or<br />
conditions that require notification <strong>of</strong> public health authorities by law. The CDC and the<br />
Council <strong>of</strong> State and Territorial Epidemiologists also maintain a list <strong>of</strong> nationally<br />
notifiable conditions (www.cdc.gov/ncphi/disss/nndss/phs/infdis.htm). We reiterate, the<br />
adoption <strong>of</strong> this <strong>certification</strong> criterion is not intended to affect applicable Federal or state<br />
law c<strong>onc</strong>erning public health authority notification requirements.<br />
Comments. Many commenters requested further specification <strong>of</strong> the data format<br />
for transmitting information to public health agencies. Most <strong>of</strong> these comments<br />
recommended HL7 2.5.1 version, although at least one commenter noted that HL7 2.3.1<br />
was still being used by some public health agencies. Another commenter suggested that<br />
either standard be allowed to accommodate for the variation in public health departments’<br />
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