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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ability to receive these reports. Many commenters raised the c<strong>onc</strong>ern that the criterion<br />
appears to place the burden <strong>of</strong> compliance on the sender. This problem could be<br />
compounded if states and localities adopt multiple standards, which would make both<br />
compliance and <strong>certification</strong> testing difficult and burdensome. Several commenters<br />
raised the c<strong>onc</strong>ern that some public health agencies are not capable <strong>of</strong> receiving<br />
electronic data. One commenter suggested removing the language “or applicable state-<br />
designated standard format” and directly specifying the format in the <strong>final</strong> rule. One<br />
commenter suggested having the states agree upon a standard format. At least one<br />
commenter requested additional clarity, suggesting that the HL7 message pr<strong>of</strong>ile types be<br />
specified: ORU message for public health reporting, ADT for syndromic surveillance,<br />
and VXU for immunizations. One commenter also requested that we clarify whether<br />
HL7 V3 constructs would be allowable.<br />
Response. We agree with the majority <strong>of</strong> commenters, who requested greater<br />
specificity for this <strong>certification</strong> criterion. Many <strong>of</strong> these commenters suggested adopting<br />
implementation specifications for the adopted standard (HL7 2.5.1). In response to those<br />
comments, and to more fully support this meaningful use objective and measure which<br />
specify the submission <strong>of</strong> laboratory results to public health, we have decided to adopt<br />
the HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public<br />
<strong>Health</strong>, Release 1 (US Realm) to further constrain how HL7 2.5.1 is formatted for the<br />
purposes <strong>of</strong> submitting laboratory test results to public health. With respect to the<br />
comment regarding HL7 V3, we do not believe that the industry and public health<br />
departments are currently able to support the HL7 V3 constructs on a widespread basis<br />
and are therefore not adopting them.<br />
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