Lyniate Team

Standards and Certification Criteria Final Rule – Healthcare Standards Overview

July 13, 2010

John D. Halamka MD in his Life as a CIO Blog, provides a good summary and commentary on the Final Rules issued for Meaningful Use and Standards. His two posts are:

With his latter post as a guide, below is a summary table of the healthcare standards contained in the regulations which support achieving Stage 1 Meaningful Use for eligible professionals and eligible hospitals, including critical access hospitals.

Category / Type Standards
Content Standards  
Patient Summary Record
  • HL7 Clinical Document Architecture (CDA) Release 2, Continuity of Care Document (CCD)
  • Implementation specifications – The Healthcare Information Technology Standards Panel (HITSP) Summary Documents Using HL7 CCD Component HITSP/C32

Or

  • ASTM E2369 Standard Specification for Continuity of Care Record (CCR) and Adjunct to ASTM E2369
Electronic Prescribing
  • National Council for the Prescription Drug Programs (NCPDP) Prescriber/Pharmacist Interface SCRIPT standard, Implementation Guide Version 8, Release 1 (Version 8.1) October 2005

Or

  • NCPDP SCRIPT Standard, Implementation Guide, Version 10.6
Electronic Submission of Lab Results to Public Agencies
  • HL7 2.5.1
  • Implementation specifications – HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1
Electronic Submission to Public Health Agencies for Surveillance or Reporting
  • HL7 2.3.1

Or

  • HL7 2.5.1
  • Implementation specifications – Public Health Information Network HL7 Version 2.5 Message Structure Specification for National Condition Reporting Final Version 1.0 and Errata and Clarifications National Notification Message Structural Specification (Note: This was removed due to an update issued on October 13, 2010 from the ONC). Review updates.
Electronic Submission to Immunization Registries
  • HL7 2.3.1
  • Implementation specifications – Implementation Guide for Immunization Data Transactions using Version 2.3.1 of the Health Level Seven (HL7) Standard Protocol Implementation Guide Version 2.2

Or

  • HL7 2.5.1
  • Implementation specifications – HL7 2.5.1 Implementation Guide for Immunization Messaging Release 1.0
Quality Reporting
  • The CMS Physician Quality Reporting Initiative (PQRI) 2009 Registry XML Specification (incorporated by reference in §170.299)
  • Implementation specifications – Physician Quality Reporting Initiative Measure Specifications Manual for Claims and Registry
Vocabulary Standards  
Problem List
  • The code set specified at 45 CFR 162.1002(a)(1) for the indicated conditions (i.e. ICD9-CM)

Or

  • International Health Terminology Standards Development Organization (IHTSDO) Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) July 2009 version
Procedures
  • The code set specified at 45 CFR 162.1002(a)(2)
  • The code set specified at 45 CFR 162.1002(a)(5) (i.e. CPT-4)
Laboratory Test Results
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.27
Medications
  • Any source vocabulary that is included in RxNorm, a standardized nomenclature for clinical drugs produced by the United States National Library of Medicine
Immunizations
  • HL7 Standard Code Set CVX – Vaccines Administered, July 30, 2009 version
Race and Ethnicity
  • The Office of Management and Budget (OMB) Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997

 

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