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Healthcare Standards & Certification Criteria – Updates & Resources

The Office of the National Coordinator for Health IT (ONC) issued an update (issued on October 12 [1]) to the Standards and Certification Criteria Rule. It was, essentially, a correction to remove an implementation guide from the public health agency surveillance and reporting criteria. The implementation specification is “not appropriate” for implementing the adopted HL7 2.5.1 standard [2], so it is now removed. Outlined below is a new matrix reflecting the update.

As part of this update, a few additional resources which are very helpful as you continue to plan and implement your initiatives to meet the Meaningful Use criteria.

 

Category / Type Standards
Content Standards  
Patient Summary Record
  • HL7 [12] Clinical Document Architecture (CDA [13]) Release 2, Continuity of Care Document (CCD [14])
  • Implementation specifications – The Healthcare Information Technology Standards Panel (HITSP [15]) Summary Documents Using HL7 CCD Component HITSP/C32

Or

  • ASTM E2369 Standard Specification for Continuity of Care Record (CCR [16]) and Adjunct to ASTM E2369
Electronic Prescribing
  • National Council for the Prescription Drug Programs (NCPDP [17]) 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
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