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View, download, and transmit to 3rd party (MU2))

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Contents

Overview

MU Requirements

Per ONC

Taken from ONC Final Rule:File:2014 Edition Cert Federal Register.pdf
(1) View, download, and transmit to 3rd party. (i) EHR technology must
provide patients (and their authorized representatives) with an online means to view, download,
and transmit to a 3rd party the data specified below. Access to these capabilities must be through
a secure channel that ensures all content is encrypted and integrity-protected in accordance with
the standard for encryption and hashing algorithms specified at § 170.210(f).
(A) View. Electronically view in accordance with the standard adopted at § 170.204(a), at a
minimum, the following data:
(1) The Common MU Data Set (which should be in their English (i.e., non-coded)
representation if they associate with a vocabulary/code set).
(2) Ambulatory setting only. Provider’s name and office contact information.
(3) Inpatient setting only. Admission and discharge dates and locations; discharge
instructions; and reason(s) for hospitalization.
(B) Download. (1) Electronically download an ambulatory summary or inpatient summary
(as applicable to the EHR technology setting for which certification is requested) in human
readable format or formatted according to the standard adopted at § 170.205(a)(3) that
includes, at a minimum, the following data (which, for the human readable version, should
be in their English representation if they associate with a vocabulary/code set):
(i) Ambulatory setting only. All of the data specified in paragraph (e)(1)(i)(A)(1) and
(2) of this section.
(ii) Inpatient setting only. All of the data specified in paragraphs (e)(1)(i)(A)(1) and (3)
of this section.
(2) Inpatient setting only. Electronically download transition of care/referral summaries
that were created as a result of a transition of care (pursuant to the capability expressed in
the certification criterion adopted at paragraph (b)(2) of this section).
(C) Transmit to third party. (1) Electronically transmit the ambulatory summary or inpatient
summary (as applicable to the EHR technology setting for which certification is requested)
created in paragraph (e)(1)(i)(B)(1) of this section in accordance with the standard specified in §
170.202(a).
(2) Inpatient setting only. Electronically transmit transition of care/referral summaries (as
a result of a transition of care/referral) selected by the patient (or their authorized
representative) in accordance with the standard specified in § 170.202(a).
(ii) Activity history log. (A) When electronic health information is viewed, downloaded, or
transmitted to a third-party using the capabilities included in paragraphs (e)(1)(i)(A) through
(C) of this section, the following information must be recorded and made accessible to the
patient:
(1) The action(s) (i.e., view, download, transmission) that occurred;
(2) The date and time each action occurred in accordance with the standard specified at §
170.210(g); and
(3) The user who took the action.
(B) EHR technology presented for certification may demonstrate compliance with
paragraph (e)(1)(ii)(A) of this section if it is also certified to the certification criterion
adopted at § 170.314(d)(2) and the information required to be recorded in paragraph
(e)(1)(ii)(A) is accessible by the patient.

Per ONC/NIST Final Test Methods

See here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method

Status

Proposal

  • (EMR Direct feature is complete and committed to 4.1.2 codebase)
  • The view, download and transmit mechanisms are complete, however still need to ensure a summary is created per standards and that logging is per standards.
  • I think now need to support CCD(a) to accomplish this item.
  • This item will be supported by the ZH Healthcare Care Coordination Module: http://sourceforge.net/p/zhopenemr/wiki/Care%20Coordination%20Module/
  • Gap analyis for this by ZH Healthcare (11/17/2013):

Owner

ZH Healthcare

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