Difference between revisions of "OpenEMR QA against NIST"
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=Color Legend= | |||
{| | |||
|colspan="23" style="text-align: center; color:orange;"| | |||
|style="color:white; background-color:green"|PASSED CERTIFICATION | |||
|style="color:black; background-color:yellow"|PASS INTERNAL | |||
|style="color:white; background-color:red"|FEATURE NOT IMPLEMENTED OR NOT YET TESTED | |||
|style="color:white; background-color:blue"|CURRENTLY UNDERGOING TESTING/ANALYSIS | |||
|style="color:white; background-color:orange"|FLAGGED FOR TESTING | |||
|} | |||
=NIST Meaningful Use Test Method by Criteria= | =NIST Meaningful Use Test Method by Criteria= | ||
Status Summary: | Status Summary: | ||
Line 6: | Line 16: | ||
|style="color: white; background-color: blue;"|[[#.C2.A7170.302_General_Certification_Criteria|<span style="color:white; background-color:blue">§170.302</span>]] | |style="color: white; background-color: blue;"|[[#.C2.A7170.302_General_Certification_Criteria|<span style="color:white; background-color:blue">§170.302</span>]] | ||
|style="color: white; background-color: blue;"|[[#.C2.A7170.304_Ambulatory_Certification_Criteria|<span style="color:white; background-color:blue">§170.304</span>]] | |style="color: white; background-color: blue;"|[[#.C2.A7170.304_Ambulatory_Certification_Criteria|<span style="color:white; background-color:blue">§170.304</span>]] | ||
|} | |} | ||
Links to individual testing procedures where pulled from [http:// | Links to individual testing procedures where pulled from [http://healthcare.nist.gov/use_testing/effective_requirements.html Approved Test Procedures Version 1.1 Effective October 24, 2010] and could become stale. If so, please edit this page and to link to the most recent, approved, and effective version(s). | ||
==§170.302 General Certification Criteria== | ==§170.302 General Certification Criteria== | ||
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|colspan="23" style="text-align: center; color:white; background-color:blue"|General Certification Criteria | |colspan="23" style="text-align: center; color:white; background-color:blue"|General Certification Criteria | ||
|- | |- | ||
|style="color:white; background-color: | |style="color:white; background-color:blue"|a | ||
|style="color:white; background-color: | |style="color:white; background-color:blue"|b | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|c | ||
|style="color:white; background-color:green"|d | |style="color:white; background-color:green"|d | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|e | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|f | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|g | ||
|style="color:white; background-color: | |style="color:white; background-color:blue"|h | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|i | ||
|style="color: | |style="color:black; background-color:yellow"|j | ||
|style="color: | |style="color:black; background-color:yellow"|k | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|l | ||
|style="color: | |style="color:black; background-color:yellow"|m | ||
|style="color: | |style="color:black; background-color:yellow"|n | ||
|style="color:white; background-color:green"|o | |style="color:white; background-color:green"|o | ||
|style="color:white; background-color:green"|p | |style="color:white; background-color:green"|p | ||
|style="color:white; background-color:green"|q | |style="color:white; background-color:green"|q | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|r | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|s | ||
|style="color:white; background-color:green"|t | |style="color:white; background-color:green"|t | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|u | ||
|style="color:white; background-color:green"|v | |style="color:white; background-color:green"|v | ||
|style="color:white; background-color:green"|w | |style="color:white; background-color:green"|w | ||
|} | |} | ||
===(a) Drug- | ===(a) Drug-drug, drug-allergy interaction checks=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.a_DrugDrugDrugAllergy_v1.1.pdf NIST Test Procedure for §170.302 (a) Drug-drug, drug-allergy interaction checks] | ||
<span style="color: white; background-color: blue;">TEST/QA ONGOING</span> | |||
<span style="color: white; background-color: | |||
===(b) Drug formulary checks=== | ===(b) Drug formulary checks=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.b_DrugFormularyChecks_v1.1.pdf NIST Test Procedure for §170.302 (b) Drug formulary checks] | ||
<span style="color: white; background-color: | <span style="color: white; background-color: blue;">TEST/QA ONGOING</span> | ||
===(c) Maintain up-to-date problem list=== | ===(c) Maintain up-to-date problem list=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.c_problemlist_v1.1.pdf NIST Test Procedure for §170.302 (c) Maintain up-to-date problem list] | ||
<span style="color: white; background-color: | <span style="color: white; background-color: green;">Pass (9/9).</span> [[File:Problem_list.pdf|Detailed test results]] | ||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=fc729f4b5b8e174ae369d66a1814f88a06241957 fc72] and later versions of OpenEMR. | |||
===(d) Maintain active medication list=== | ===(d) Maintain active medication list=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.d_medicationlist_v1.1.pdf NIST Test Procedure for §170.302 (d) Maintain Active Medication List] | ||
<span style="color: white; background-color: green;">Pass (10/10).</span> [[File:Medication List.pdf|Detailed test results]] | <span style="color: white; background-color: green;">Pass (10/10).</span> [[File:Medication List.pdf|Detailed test results]] | ||
Line 68: | Line 75: | ||
===(e) Maintain active medication allergy list=== | ===(e) Maintain active medication allergy list=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.e_allergylist_v1.1.pdf NIST Test Procedure for §170.302 (e) Maintain active medication allergy list] | ||
<span style="color: white; background-color: | <span style="color: white; background-color: green;">Pass (6/6).</span> [[File:Medication Allergy.pdf|Detailed test results]] (Note: The quoted section of the Final Rule is incorrect, but the test results are for §170.302 (e)) | ||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=fc729f4b5b8e174ae369d66a1814f88a06241957 fc72] and later versions of OpenEMR. | |||
===(f) Record and chart vital signs=== | ===(f) Record and chart vital signs=== | ||
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====(1) Vital signs==== | ====(1) Vital signs==== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.f.1_vitalsigns_v1.1.pdf NIST Test Procedure for §170.302 (f) (1) Vital Signs] | ||
<span style="color: white; background-color: green;">Pass (16/16).</span> All test results for [[#.28f.29_Record_and_chart_vital_signs|(f) Record and chart vital signs]] are combined in one document linked above. | <span style="color: white; background-color: green;">Pass (16/16).</span> All test results for [[#.28f.29_Record_and_chart_vital_signs|(f) Record and chart vital signs]] are combined in one document linked above. | ||
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====(2) Calculate body mass index==== | ====(2) Calculate body mass index==== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.f.2_BMI_v1.1.pdf NIST Test Procedure for §170.302(f) (2) Calculate Body Mass Index] | ||
<span style="color: white; background-color: green;">Pass (5/5).</span> All test results for [[#.28f.29_Record_and_chart_vital_signs|(f) Record and chart vital signs]] are combined in one document linked above. | <span style="color: white; background-color: green;">Pass (5/5).</span> All test results for [[#.28f.29_Record_and_chart_vital_signs|(f) Record and chart vital signs]] are combined in one document linked above. | ||
Line 101: | Line 108: | ||
====(3) Plot and display growth charts==== | ====(3) Plot and display growth charts==== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.f.3_growthcharts_v1.1.pdf NIST Test Procedure for §170.302(f) (3) Plot and Display Growth Charts] | ||
<span style="color: white; background-color: green;">Pass (9/9).</span> All test results for [[#.28f.29_Record_and_chart_vital_signs|(f) Record and chart vital signs]] are combined in one document linked above. | <span style="color: white; background-color: green;">Pass (9/9).</span> All test results for [[#.28f.29_Record_and_chart_vital_signs|(f) Record and chart vital signs]] are combined in one document linked above. | ||
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===(g) Smoking status=== | ===(g) Smoking status=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.g_smokingstatus_v1.1.pdf NIST Test Procedure for §170.302 (g) Smoking Status] | ||
<span style="color: white; background-color: green;">Pass (10/10).</span> [[File: | <span style="color: white; background-color: green;">Pass (10/10).</span> [[File:Smoking_Status.pdf|Detailed test results]] | ||
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree. | Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree. | ||
===(h) Incorporate | ===(h) Incorporate laboratory test results=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.h_IncorpLabTest_v1.1.pdf NIST Test Procedure for §170.302 (h) Incorporate laboratory test results] | ||
<span style="color: white; background-color: | Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=4605859c53ccf218aaed7b11b0e26ccb79d4cb8a 4605] and later versions of OpenEMR. | ||
<span style="color: white; background-color: blue;">TEST/QA ONGOING</span> | |||
:* Ask ICSA how this test will really be run, our servers are setup to receive data from labcorp via a LEN server. Have Jeremy check that we can handle all the test version. | |||
===(i) Generate patient lists=== | ===(i) Generate patient lists=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.i_GeneratePatientLists_v1.1.pdf NIST Test Procedure for §170.302 (i) Generate patient lists] | ||
<span style="color: white; background-color: | <span style="color: white; background-color: green;">Passed</span> | ||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=a7ec52ca4f3db0f4caacde8588efaae429ca3226 a7ec] and later versions of OpenEMR. | |||
(note the link points to the patch) | |||
===(j) Medication reconciliation=== | ===(j) Medication reconciliation=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.j_%20MedicationReconciliation_v1.1.pdf NIST Test Procedure for §170.302 (j) Medication reconciliation] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed<span> | ||
:Proposed solution --[[User:Tmccormi|Tony - www.mi-squared.com]] 03:13, 6 March 2011 (UTC) | |||
:*OpenEMR has full tracking of medications and a document management and viewing system. If we can show the internal database list and an uploaded/scanned medication list (like would be provided by patient) then we meet the requirement. '''ICSA agrees that this will pass the NIST requirement''' | |||
[[Test Summary for Medication reconciliation]] | |||
===(k) Submission to immunization registries=== | ===(k) Submission to immunization registries=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.k_Immunizations_v1.1.pdf NIST Test Procedure for §170.302 (k) Submission to immunization registries] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed<span> | ||
===(l) Public health surveillance=== | ===(l) Public health surveillance=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.l_PublicHealthSurveillance_v1.1.pdf NIST Test Procedure for §170.302 (l) Public health surveillance] | ||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=d6db39355ad4f3b318b1728587163184031bf41c d6db] and later versions of OpenEMR. | |||
<span style="color: white; background-color: | <span style="color: white; background-color: green;">Passed</span> (Syndromic Surveillance) | ||
===(m) Patient specific education resources=== | ===(m) Patient specific education resources=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.m_EducationResources_v1.1.pdf NIST Test Procedure for §170.302 (m) Patient specific education resources] | ||
<span style="color: black; background-color: yellow;">Passed<span> | |||
:* ICSA agrees that links in the product or even a "requirement" to have access to http://nursing.advancedweb.com or http://www.nlm.nih.gov/medlineplus/ for patient education materials will meet the requirement. | |||
:* '''Proposed Solution''' Make it a required 3rd party tool on the application and leave it at that (see: the HHS site where AlphaCM, Inc did this for MedLinePlus) | |||
:* Sam's workflow | |||
::* Procedure for “specific education resources” lookup. | |||
:::Open Google, Type in the diagnosis or condition and add the preferred site. I like to look at specific resources. | |||
“Disease” emedicine | |||
“Disease” mayoclinic | |||
“Disease” webmd | |||
:::The MayoClinic has a lot of good patient lay information, Generally the emedicine site is more for physicians. The WebMD tends to be more physician related. | |||
===(n) Automated measure calculation=== | ===(n) Automated measure calculation=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.n_AutomateMeasureCalc_v1.1.pdf NIST Test Procedure for §170.302 (n) Automated measure calculation] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed<span> | ||
===(o) Access control=== | ===(o) Access control=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.o_AccessControl_v1.1.pdf NIST Test Procedure for §170.302 (o) Access Control] | ||
<span style="color: white; background-color: green;">Pass (8/8).</span> [[File:Access_Control.pdf|Detailed Test Results]] | <span style="color: white; background-color: green;">Pass (8/8).</span> [[File:Access_Control.pdf|Detailed Test Results]] | ||
Line 157: | Line 190: | ||
===(p) Emergency access=== | ===(p) Emergency access=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.p_EmergencyAccess_v1.1.pdf NIST Test Procedure for §170.302 (p) Emergency Access] | ||
<span style="color: white; background-color: green;">Pass (9/9).</span> [[File:Emergency-Access.pdf|Detailed test results]] | <span style="color: white; background-color: green;">Pass (9/9).</span> [[File:Emergency-Access.pdf|Detailed test results]] | ||
[[Configuring and testing Emergency access]] | |||
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree. | Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree. | ||
===(q) Automatic log-off=== | ===(q) Automatic log-off=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.q_AutomaticLogOff_v1.1.pdf NIST Test Procedure for §170.302 (q) Automatic log-off] | ||
<span style="color: white; background-color: green;">Pass (2/2).</span> [[File:Automatic Log Off.pdf|Detailed test results]] | <span style="color: white; background-color: green;">Pass (2/2).</span> [[File:Automatic Log Off.pdf|Detailed test results]] | ||
Line 171: | Line 206: | ||
===(r) Audit log=== | ===(r) Audit log=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.r_AuditLog_v1.1.pdf NIST Test Procedure for §170.302 (r) Audit Log] | ||
<span style="color: white; background-color: | <span style="color: white; background-color: green;">Pass (15/15).</span> [[File:Audit log.pdf|Detailed test results]] | ||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=e97e2fef09dc8fafd2c6e886c2a658c53cc0695b e97e] and later versions of OpenEMR. | |||
===(s) Integrity=== | ===(s) Integrity=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.s_Integrity_v1.1.pdf NIST Test Procedure for §170.302 (s) Integrity] | ||
<span style="color:white; background-color: | <span style="color:white; background-color:green;">Pass 3/18).</span> [[File:Data Integrity.pdf|Detailed test results]] | ||
: code updated to SHA1 and enhanced Document Mgmt tree | |||
Per ICSA: | |||
: As long as you can demonstrate that the hash value has been created, and then a different hash value appears once the data is modified. SSL would also meet the requirements for transport. The secure hashing algorithm used to provide the hash value should also be SHA-1 or higher. For this test procedure you would also have to electronically exchange test data (that you specify) and the generated message digest to a receiving system (of your choice) and demonstrate that the electronically exchanged message digest and the message digest generated on the receiving system are the same for the provided test data. | |||
===(t) Authentication=== | ===(t) Authentication=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.t_Authentication_v1.1.pdf NIST Test Procedure for §170.302 (t) Authentication] | ||
<span style="color: white; background-color: green;">Pass (10/10).</span> [[File:Authentication.pdf|Detailed test results]] | <span style="color: white; background-color: green;">Pass (10/10).</span> [[File:Authentication.pdf|Detailed test results]] | ||
Line 192: | Line 229: | ||
===(u) General encryption=== | ===(u) General encryption=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.u_GeneralEncryption_v1.1.pdf NIST Test Procedure for §170.302 (u) General encryption] | ||
<span style="color: white; background-color: green;">Passes</span> | |||
See: [[170.302_(o-v)_Security_requirements]] | |||
===(v) Encryption when exchanging electronic health information=== | ===(v) Encryption when exchanging electronic health information=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.v_EncryptionHIE_v1.1.pdf NIST Test Procedure for §170.302 (v) Encryption when exchanging electronic health information] | ||
<span style="color: white; background-color: green;">Pass (5/5).</span> [[File:Encryption_For_Exchanging_Health_Information.pdf]] | <span style="color: white; background-color: green;">Pass (5/5).</span> [[File:Encryption_For_Exchanging_Health_Information.pdf]] | ||
Line 204: | Line 243: | ||
===(w) Accounting of disclosures (optional)=== | ===(w) Accounting of disclosures (optional)=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.302.w_AccountingDisclosures_v1.1.pdf NIST Test Procedure for §170.302 (w) Optional. Accounting of Disclosures] | ||
<span style="color: white; background-color: green;">Pass (5/5).</span> [[File:Disclosure.pdf|Detailed test results]] | <span style="color: white; background-color: green;">Pass (5/5).</span> [[File:Disclosure.pdf|Detailed test results]] | ||
Line 215: | Line 254: | ||
|colspan="23" style="text-align: center; color:white; background-color:blue"|Ambulatory Certification Criteria | |colspan="23" style="text-align: center; color:white; background-color:blue"|Ambulatory Certification Criteria | ||
|- | |- | ||
|style="color: | |style="color:black; background-color:yellow"|a | ||
|style="color:white; background-color: | |style="color:white; background-color:blue"|b | ||
|style="color:white; background-color: | |style="color:white; background-color:green"|c | ||
|style="color: | |style="color:black; background-color:yellow"|d | ||
|style="color: | |style="color:black; background-color:yellow"|e | ||
|style="color: | |style="color:black; background-color:yellow"|f | ||
|style="color: | |style="color:black; background-color:yellow"|g | ||
|style="color: | |style="color:black; background-color:yellow"|h | ||
|style="color: | |style="color:black; background-color:yellow"|i | ||
|style="color: | |style="color:black; background-color:yellow"|j | ||
|} | |} | ||
===(a) Computerized provider order entry=== | ===(a) Computerized provider order entry=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.a_CPOE_v1.1.pdf NIST Test Procedure for §170.304 (a) Computerized provider order entry] | ||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=6e748bb2b332d26d4284d02625b3572bb4fe0ba3 6e74] and later versions of OpenEMR. | |||
<span style="color: | <span style="color: black; background-color: yellow;">Passed</span> | ||
[[Test Summary]] | |||
===(b) Electronic Prescribing=== | ===(b) Electronic Prescribing=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.b_eRx_v1.1.pdf NIST Test Procedure for §170.304 (b) Electronic Prescribing] | ||
<span style="color: white; background-color: | <span style="color: white; background-color: blue;">TEST/QA ONGOING</span> | ||
===(c) Record demographics=== | ===(c) Record demographics=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.c_RecordDemographicsAmb_v1.1.pdf NIST Test Procedure for §170.304 (c) Record Demographics] | ||
<span style="color: white; background-color: green;">Pass (12/12).</span> [[File:Demographics.pdf|Detailed test results]] | |||
Implemented in [http://openemr.git.sourceforge.net/git/gitweb.cgi?p=openemr/openemr;a=commit;h=1c7457f34a96800a8405538cb4d109d98b6df2a0 1c745] and later versions of OpenEMR. | |||
===(d) Patient reminders=== | ===(d) Patient reminders=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.d_GeneratePatientReminders_v1.1.pdf NIST Test Procedure for §170.304 (d) Patient reminders] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed<span> | ||
===(e) Clinical decision support=== | ===(e) Clinical decision support=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.e_ClinicalDecisionSupportAmb_v1.1.pdf NIST Test Procedure for §170.304 (e) Clinical decision support] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed<span> | ||
===(f) Electronic copy of health information=== | ===(f) Electronic copy of health information=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.f_ElectronicCopyOfHealthInformation_v1.1.pdf NIST Test Procedure for §170.304 (f) Electronic copy of health information] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed<span> | ||
[[Test Summary for CCR/CCD modules]] | |||
===(g) Timely access=== | ===(g) Timely access=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.g_TimelyAccess_v1.1.pdf NIST Test Procedure for §170.304 (g) Timely access] | ||
* Test Process document needed - Garden | |||
* Dependent on CCR/CCD | |||
<span style="color: white; background-color: orange;">Need to test</span> Garden's Health ISP HIE + Microsoft Health Vault <br> | |||
<span style="color:black; background-color: yellow;">Passed</span> ZH healthcare's mydocsportal <br> | |||
<span style="color: black; background-color: yellow;">Passed</span> Cassi's onsite portal | |||
===(h) Clinical summaries=== | |||
[http://healthcare.nist.gov/docs/170.304.h_ClinicalSummaries_v1.1.pdf NIST Test Procedure for §170.304 (h) Clinical summaries] | |||
= | <span style="color: black; background-color: yellow;">Passed</span> | ||
[[Test Summary for CCR/CCD modules]] | |||
===(i) Exchange clinical information and patient summary record=== | ===(i) Exchange clinical information and patient summary record=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.i_ExchangeClinicalinfoPatientSummaryRecordAmb_v1.1.pdf NIST Test Procedure for §170.304 (i) Exchange clinical information and patient summary record] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed</span> | ||
[[Test Summary for CCR/CCD modules]] | |||
===(j) Calculate and submit clinical quality measures=== | ===(j) Calculate and submit clinical quality measures=== | ||
[http:// | [http://healthcare.nist.gov/docs/170.304.j_CalcSubmitClinQualityMeasures_v1.1.pdf NIST Test Procedure for §170.304 (j) Calculate and submit clinical quality measures] | ||
<span style="color: | <span style="color: black; background-color: yellow;">Passed</span> | ||
[[Category:Certification]][[Category:Certification Stage I]] |
Latest revision as of 18:16, 9 September 2012
Color Legend
PASSED CERTIFICATION | PASS INTERNAL | FEATURE NOT IMPLEMENTED OR NOT YET TESTED | CURRENTLY UNDERGOING TESTING/ANALYSIS | FLAGGED FOR TESTING |
NIST Meaningful Use Test Method by Criteria
Status Summary:
NIST Meaningful Use Test Method | ||
§170.302 | §170.304 |
Links to individual testing procedures where pulled from Approved Test Procedures Version 1.1 Effective October 24, 2010 and could become stale. If so, please edit this page and to link to the most recent, approved, and effective version(s).
§170.302 General Certification Criteria
Status Summary:
General Certification Criteria | ||||||||||||||||||||||
a | b | c | d | e | f | g | h | i | j | k | l | m | n | o | p | q | r | s | t | u | v | w |
(a) Drug-drug, drug-allergy interaction checks
NIST Test Procedure for §170.302 (a) Drug-drug, drug-allergy interaction checks
TEST/QA ONGOING
(b) Drug formulary checks
NIST Test Procedure for §170.302 (b) Drug formulary checks
TEST/QA ONGOING
(c) Maintain up-to-date problem list
NIST Test Procedure for §170.302 (c) Maintain up-to-date problem list
Pass (9/9). File:Problem list.pdf
Implemented in fc72 and later versions of OpenEMR.
(d) Maintain active medication list
NIST Test Procedure for §170.302 (d) Maintain Active Medication List
Pass (10/10). File:Medication List.pdf
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(e) Maintain active medication allergy list
NIST Test Procedure for §170.302 (e) Maintain active medication allergy list
Pass (6/6). File:Medication Allergy.pdf (Note: The quoted section of the Final Rule is incorrect, but the test results are for §170.302 (e))
Implemented in fc72 and later versions of OpenEMR.
(f) Record and chart vital signs
Status Summary:
Record and chart vital signs | ||
1 | 2 | 3 |
(1) Vital signs
NIST Test Procedure for §170.302 (f) (1) Vital Signs
Pass (16/16). All test results for (f) Record and chart vital signs are combined in one document linked above.
Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(2) Calculate body mass index
NIST Test Procedure for §170.302(f) (2) Calculate Body Mass Index
Pass (5/5). All test results for (f) Record and chart vital signs are combined in one document linked above.
Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(3) Plot and display growth charts
NIST Test Procedure for §170.302(f) (3) Plot and Display Growth Charts
Pass (9/9). All test results for (f) Record and chart vital signs are combined in one document linked above.
Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(g) Smoking status
NIST Test Procedure for §170.302 (g) Smoking Status
Pass (10/10). File:Smoking Status.pdf
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(h) Incorporate laboratory test results
NIST Test Procedure for §170.302 (h) Incorporate laboratory test results
Implemented in 4605 and later versions of OpenEMR.
TEST/QA ONGOING
- Ask ICSA how this test will really be run, our servers are setup to receive data from labcorp via a LEN server. Have Jeremy check that we can handle all the test version.
(i) Generate patient lists
NIST Test Procedure for §170.302 (i) Generate patient lists
Passed
Implemented in a7ec and later versions of OpenEMR. (note the link points to the patch)
(j) Medication reconciliation
NIST Test Procedure for §170.302 (j) Medication reconciliation
Passed
- Proposed solution --Tony - www.mi-squared.com 03:13, 6 March 2011 (UTC)
- OpenEMR has full tracking of medications and a document management and viewing system. If we can show the internal database list and an uploaded/scanned medication list (like would be provided by patient) then we meet the requirement. ICSA agrees that this will pass the NIST requirement
Test Summary for Medication reconciliation
(k) Submission to immunization registries
NIST Test Procedure for §170.302 (k) Submission to immunization registries
Passed
(l) Public health surveillance
NIST Test Procedure for §170.302 (l) Public health surveillance
Implemented in d6db and later versions of OpenEMR.
Passed (Syndromic Surveillance)
(m) Patient specific education resources
NIST Test Procedure for §170.302 (m) Patient specific education resources
Passed
- ICSA agrees that links in the product or even a "requirement" to have access to http://nursing.advancedweb.com or http://www.nlm.nih.gov/medlineplus/ for patient education materials will meet the requirement.
- Proposed Solution Make it a required 3rd party tool on the application and leave it at that (see: the HHS site where AlphaCM, Inc did this for MedLinePlus)
- Sam's workflow
- Procedure for “specific education resources” lookup.
- Open Google, Type in the diagnosis or condition and add the preferred site. I like to look at specific resources.
“Disease” emedicine “Disease” mayoclinic “Disease” webmd
- The MayoClinic has a lot of good patient lay information, Generally the emedicine site is more for physicians. The WebMD tends to be more physician related.
(n) Automated measure calculation
NIST Test Procedure for §170.302 (n) Automated measure calculation
Passed
(o) Access control
NIST Test Procedure for §170.302 (o) Access Control
Pass (8/8). File:Access Control.pdf
Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(p) Emergency access
NIST Test Procedure for §170.302 (p) Emergency Access
Pass (9/9). File:Emergency-Access.pdf
Configuring and testing Emergency access
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(q) Automatic log-off
NIST Test Procedure for §170.302 (q) Automatic log-off
Pass (2/2). File:Automatic Log Off.pdf
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.
(r) Audit log
NIST Test Procedure for §170.302 (r) Audit Log
Pass (15/15). File:Audit log.pdf
Implemented in e97e and later versions of OpenEMR.
(s) Integrity
NIST Test Procedure for §170.302 (s) Integrity
Pass 3/18). File:Data Integrity.pdf
- code updated to SHA1 and enhanced Document Mgmt tree
Per ICSA:
- As long as you can demonstrate that the hash value has been created, and then a different hash value appears once the data is modified. SSL would also meet the requirements for transport. The secure hashing algorithm used to provide the hash value should also be SHA-1 or higher. For this test procedure you would also have to electronically exchange test data (that you specify) and the generated message digest to a receiving system (of your choice) and demonstrate that the electronically exchanged message digest and the message digest generated on the receiving system are the same for the provided test data.
(t) Authentication
NIST Test Procedure for §170.302 (t) Authentication
Pass (10/10). File:Authentication.pdf
Currently implemented by OpenEMR with using client SSL certificates. Please edit this page to include information about the implementation location in the source tree.
(u) General encryption
NIST Test Procedure for §170.302 (u) General encryption
Passes
See: 170.302_(o-v)_Security_requirements
(v) Encryption when exchanging electronic health information
NIST Test Procedure for §170.302 (v) Encryption when exchanging electronic health information
Pass (5/5). File:Encryption For Exchanging Health Information.pdf
Currently implemented by OpenEMR when using Apache configured for SSL. Please edit this page to include information about the implementation location in the source tree.
(w) Accounting of disclosures (optional)
NIST Test Procedure for §170.302 (w) Optional. Accounting of Disclosures
Pass (5/5). File:Disclosure.pdf
Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.
§170.304 Ambulatory Certification Criteria
Status Summary:
Ambulatory Certification Criteria | ||||||||||||||||||||||
a | b | c | d | e | f | g | h | i | j |
(a) Computerized provider order entry
NIST Test Procedure for §170.304 (a) Computerized provider order entry
Implemented in 6e74 and later versions of OpenEMR.
Passed
(b) Electronic Prescribing
NIST Test Procedure for §170.304 (b) Electronic Prescribing
TEST/QA ONGOING
(c) Record demographics
NIST Test Procedure for §170.304 (c) Record Demographics
Pass (12/12). File:Demographics.pdf
Implemented in 1c745 and later versions of OpenEMR.
(d) Patient reminders
NIST Test Procedure for §170.304 (d) Patient reminders
Passed
(e) Clinical decision support
NIST Test Procedure for §170.304 (e) Clinical decision support
Passed
(f) Electronic copy of health information
NIST Test Procedure for §170.304 (f) Electronic copy of health information
Passed
Test Summary for CCR/CCD modules
(g) Timely access
NIST Test Procedure for §170.304 (g) Timely access
- Test Process document needed - Garden
- Dependent on CCR/CCD
Need to test Garden's Health ISP HIE + Microsoft Health Vault
Passed ZH healthcare's mydocsportal
Passed Cassi's onsite portal
(h) Clinical summaries
NIST Test Procedure for §170.304 (h) Clinical summaries
Passed
Test Summary for CCR/CCD modules
(i) Exchange clinical information and patient summary record
NIST Test Procedure for §170.304 (i) Exchange clinical information and patient summary record
Passed Test Summary for CCR/CCD modules
(j) Calculate and submit clinical quality measures
NIST Test Procedure for §170.304 (j) Calculate and submit clinical quality measures
Passed