Patient-specific education resources (MU2)

MU Requirements

Per ONC

Taken from ONC Final Rule:File:2014 Edition Cert Federal Register.pdf

(15) Patient-specific education resources. EHR technology must be able to electronically identify
for a user patient-specific education resources based on data included in the patient's problem
list, medication list, and laboratory tests and values/results:
(i) In accordance with the standard specified at § 170.204(b) and the implementation
specifications at § 170.204(b)(1) or (2); and
(ii) By any means other than the method specified in paragraph (a)(15)(i) of this section.

Below is 170.204(b):
(b) Reference source. Standard. HL7 Version 3 Standard: Context-Aware Retrieval Application
(Infobutton) (incorporated by reference in § 170.299). (1) Implementation specifications.
HL7 Version 3 Implementation Guide: URL-Based Implementations of the Context-Aware
Information Retrieval (Infobutton) Domain, (incorporated by reference in § 170.299).
(2) Implementation specifications. HL7 Version 3 Implementation Guide: Context-Aware
Knowledge Retrieval (Infobutton) Service-Oriented Architecture Implementation Guide,
(incorporated by reference in § 170.299).

Below is from pertinent parts of 170.299:
(5) HL7 Version 3 Standard: Context-Aware Retrieval Application (Infobutton); Release 1,
July 2010, IBR approved for § 170.204.
(6) HL7 Version 3 Implementation Guide: URL-Based Implementations of the Context-
Aware Information Retrieval (Infobutton) Domain, Release 3, December 2010, IBR
approved for § 170.204.
(7) HL7 Version 3 Implementation Guide: Context-Aware Knowledge Retrieval (Infobutton)
Service-Oriented Architecture Implementation Guide, Release 1, HL7 Draft Standard for
Trial Use, March 2011, IBR approved for § 170.204.

Per ONC/NIST Final Test Methods

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

Status

• COMPLETED by Sunset Systems and committed to codebase on 9/4/14; here is commit: https://github.com/openemr/openemr/commit/333a96cf0dd849b903cc3cbb85f798199e345caa

Proposal

• Current module(that fulfilled 2011-12 ONC) for this can be found in left menu at Miscellaneous->Patient Education.
• 2014 ONC guidelines wording appears to be very similar to 2011 ONC guidelines, except for all of the "Infobutton" stuff. Note that it can either be done via "Infobutton" stuff or "other" means. So, this is likely already working enough for 2014 ONC, but will need to await the testing scripts to ensure that any additional features will not be required to pass this criteria for 2014 ONC.
• Could improve by integrating this nice free tool to acquire patient-specific education automatically based on diagnosis, meds, labs etc. Should even be able to work this into the patient portal, if needed.

• http://www.nlm.nih.gov/medlineplus/connect/overview.html

Links

• OpenEMR Certification Stage II Meaningful Use Main Project Page
• Patient Specific Education resources wiki page for stage I certification