ehr onc final certification - Department of Health Care Services

emoved from this certification criterion the requirement to use this standard. We discuss
our response to comments on the standard itself in the context of the patient summary
record certification criterion.
§170.302(d) - Maintain active medication allergy list
Meaningful Use
Stage 1
Objective
Maintain active
medication allergy
list
Meaningful Use Stage 1 Measure Certification Criterion
More than 80% of all unique patients
seen by the EP or admitted to the
eligible hospital’s or CAH’s inpatient
or emergency department (POS 21 or
23) have at least one entry (or an
indication that the patient has no
known medication allergies)
recorded as structured data
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Interim Final Rule Text:
Maintain active medication allergy list.
Enable a user to electronically record,
modify, and retrieve a patient’s active
medication allergy list as well as medication
allergy history for longitudinal care.
Final Rule Text:
Unchanged
Now §170.302(e)
Comments. Much like the prior certification criterion, many commenters signaled
their support for this certification criterion. Other commenters raised the same points
related to this certification criterion as they did for the medication list certification
criterion.
Response. We believe our responses to the problem list and medication list
certification criteria are applicable to these repeated comments.
Comments. Many commenters suggested that non-medication allergies be added
to this certification criterion. A few commenters stated that it could jeopardize patient
safety if not all allergens were included in Certified EHR Technology.
Response. Patient safety is one of HHS’s top priorities. At the present time, the
final meaningful use objective and measure focus on medication allergies. Accordingly,
we have adopted a certification criterion to support this objective and measure. We
would like to reiterate, however, that a certification criterion sets the floor not the ceiling
for the capabilities Certified EHR Technology must include. We encourage Complete