ehr onc final certification - Department of Health Care Services

Transactions and did not follow the work of the standards development organization that
maintains administrative transactions. A few commenters also believed that following
CORE results in non-compliant ASC X12N 4010 transactions. Other commenters noted
that it appeared that we had required CORE for both ASC X12N 4010 and 5010 standard
transactions, but that CORE Phase 1 is only applicable to ASC X12N 4010 standard
transactions and cannot be used with ASC X12N 5010 standard transactions. A few
commenters requested that we clarify whether providers and vendors will be required to
receive CORE certification. Several commenters recommended ONC retain CORE
Phase 1. A few commenters noted that CORE promotes uniformity and can provide
significant reduction in transaction costs. A couple commenters recommended that ONC
adopt subsequent CORE standards in future stages.
Response. As previously mentioned, we have decided to align our revisions with
the changes made in the Medicare and Medicaid EHR Incentive Programs final rule and
to remove, as noted above, the standards, implementation specifications, and certification
criteria associated with administrative transactions. Consistent with that approach, we
are removing the CORE Phase 1 implementation specification for the reasons submitted
in comments.
§170.302(l) - Medication reconciliation
Meaningful Use Stage
1
Objective
The EP, eligible
hospital or CAH who
receives a patient from
another setting of care
or provider of care or
believes an encounter
is relevant should
perform medication
reconciliation
Meaningful Use Stage 1
Measure
The EP, eligible hospital or
CAH performs medication
reconciliation for more than
50% of transitions of care in
which the patient is
transitioned into the care of
the EP or admitted to the
eligible hospital’s or CAH’s
inpatient or emergency
department (POS 21 or 23)
Page 88 of 228
Certification Criterion
Interim Final Rule Text:
Medication reconciliation. Electronically
complete medication reconciliation of two or
more medication lists by comparing and
merging into a single medication list that can be
electronically displayed in real-time.
Final Rule Text:
§170.302(j)
Medication reconciliation. Enable a user to