ehr onc final certification - Department of Health Care Services

for the purposes of demonstrating compliance with this certification criterion would be
appropriate.
Comment. One commenter recommended that we revise the certification
criterion combined with associated standards to state “For the purposes of electronically
submitting information to immunization registries Certified EHR Technology must be
capable of using a certified EHR module or portal provided by a state immunization
registry which is capable of submitting and retrieving coded immunization information or
capable of using HL7 2.3.1 or HL7 2.5.1 as a content exchange standard and the CDC
maintained HL7 standard code set CVX—Vaccines Administered as the vocabulary
standard.” The basis for this commenter’s suggestion was that providers in its state link
to the state’s immunization module through EHRs and that all immunization data are
stored immediately in the state’s registry. The commenter further clarified that since the
data resides in the state registry natively, there is no need to transmit this information.
Response. In light of this commenter’s suggestion, we have revised the
certification criterion to replace the word “transmit” with “submit” to better align this
certification criterion with the meaningful use objective and measure. We believe that
submission of immunization data would encompass this commenter’s existing method.
Comment. One commenter stated that they believed the use of CVX is neither
mature nor widespread.
Response. We disagree. Our information indicates that CVX codes are widely
used for reporting to immunization registries.
Comment. Some commenters identified implementation specifications that are
available for the standards we had adopted for transmitting immunization information. A
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