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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Comment. A commenter recommended that “drug-test checks” should be added.<br />
The commenter stated that many drugs require some form <strong>of</strong> laboratory testing to ensure<br />
that drugs are prescribed appropriately. The commenter stated, for example, that an<br />
anticoagulant medication should not be prescribed unless there is a test result on record<br />
that shows that giving this drug would not cause harm.<br />
Response. Presently, drug-test checking is not a required capability for eligible<br />
pr<strong>of</strong>essionals and eligible hospitals to use in order to successfully meet the requirements<br />
<strong>of</strong> meaningful use Stage 1. Accordingly, we do not believe that it would be appropriate<br />
to require Certified EHR Technology to be capable <strong>of</strong> performing drug-test checks as a<br />
condition <strong>of</strong> <strong>certification</strong> at the present time.<br />
§170.302(b) - Maintain up-to-date problem list<br />
Meaningful Use<br />
Stage 1<br />
Objective<br />
Maintain an up-todate<br />
problem list <strong>of</strong><br />
current and active<br />
diagnoses<br />
Meaningful Use Stage 1<br />
Measure<br />
More than 80% <strong>of</strong> all<br />
unique patients seen by the<br />
EP or admitted to the<br />
eligible hospital’s or CAH’s<br />
inpatient or emergency<br />
department (POS 21 or 23)<br />
have at least one entry or an<br />
indication that no problems<br />
are known for the patient<br />
recorded as structured data<br />
Page 54 <strong>of</strong> 228<br />
Certification Criterion<br />
Interim Final Rule Text:<br />
Maintain up-to-date problem list. Enable a user to<br />
electronically record, modify, and retrieve a patient’s<br />
problem list for longitudinal care in accordance with:<br />
(1) The standard specified in §170.205(a)(2)(i)(A); or<br />
(2) At a minimum, the version <strong>of</strong> the standard<br />
specified in §170.205(a)(2)(i)(B).<br />
Final Rule Text:<br />
§170.302(c)<br />
Final rule text remains the same as Interim Final<br />
Rule text, except for references to adopted standards,<br />
which have been changed.<br />
Comments. Several commenters expressed c<strong>onc</strong>erns about the use <strong>of</strong> ICD-9-CM<br />
because it is primarily used for billing and administrative purposes and may not<br />
accurately represent the true clinical meaning <strong>of</strong> a problem or condition when it is<br />
documented at the point <strong>of</strong> care. One commenter stated a c<strong>onc</strong>ern that the problem list<br />
standards do not allow for capturing <strong>of</strong> free text that health care providers use when an<br />
appropriate code is in neither SNOMED-CT® nor ICD-9-CM.