Difference between revisions of "Clinical summaries (MU2))"
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Bradymiller (talk | contribs) (Created page with "==Overview== ==MU Requirements== ===Per ONC=== :Taken from [http://www.ofr.gov/OFRUpload/OFRData/2012-20982_PI.pdf ONC Final Rule] <pre> </pre> ==Status== ==Proposal== ==Own...") |
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:Taken from [http://www.ofr.gov/OFRUpload/OFRData/2012-20982_PI.pdf ONC Final Rule] | :Taken from [http://www.ofr.gov/OFRUpload/OFRData/2012-20982_PI.pdf ONC Final Rule] | ||
<pre> | <pre> | ||
(2) Ambulatory setting only – clinical summary. (i) Create. Enable a user to create a clinical | |||
summary for a patient in human readable format and formatted according to the standards | |||
adopted at § 170.205(a)(3). | |||
(ii) Customization. Enable a user to customize the data included in the clinical summary. | |||
(iii) Minimum data from which to select. EHR technology must permit a user to select, at a | |||
minimum, the following data when creating a clinical summary: | |||
(A) Common MU Data Set (which, for the human readable version, should be in their | |||
English representation if they associate with a vocabulary/code set) | |||
(B) The provider’s name and office contact information; date and location of visit; reason | |||
for visit; immunizations and/or medications administered during the visit; diagnostic tests | |||
pending; clinical instructions; future appointments; referrals to other providers; future | |||
scheduled tests; and recommended patient decision aids. | |||
</pre> | </pre> | ||
Revision as of 00:45, 9 September 2012
Overview
MU Requirements
Per ONC
- Taken from ONC Final Rule
(2) Ambulatory setting only – clinical summary. (i) Create. Enable a user to create a clinical summary for a patient in human readable format and formatted according to the standards adopted at § 170.205(a)(3). (ii) Customization. Enable a user to customize the data included in the clinical summary. (iii) Minimum data from which to select. EHR technology must permit a user to select, at a minimum, the following data when creating a clinical summary: (A) Common MU Data Set (which, for the human readable version, should be in their English representation if they associate with a vocabulary/code set) (B) The provider’s name and office contact information; date and location of visit; reason for visit; immunizations and/or medications administered during the visit; diagnostic tests pending; clinical instructions; future appointments; referrals to other providers; future scheduled tests; and recommended patient decision aids.
