OpenEMR QA against NIST
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
No test results.
Currently unimplemented in OpenEMR.
(b) Drug formulary checks
NIST Test Procedure for §170.302 (b) Drug formulary checks
Currently unimplemented in OpenEMR.
(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
QA on going (Waiting for reply from ICSA for the measure "Incorporate clinical lab-test results into certified EHR technology as structured data").
(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
Currently unimplemented in OpenEMR.
(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
TEST/QA ONGOING
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
Testing on going ZH healthcare's mydocsportal
(h) Clinical summaries
NIST Test Procedure for §170.304 (h) Clinical summaries
TEST/QA ONGOING
(i) Exchange clinical information and patient summary record
NIST Test Procedure for §170.304 (i) Exchange clinical information and patient summary record
TEST/QA ONGOING
(j) Calculate and submit clinical quality measures
NIST Test Procedure for §170.304 (j) Calculate and submit clinical quality measures
Ready to Test