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
  • HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (ANSI) to author consensus-based standards representing a board view from healthcare system stakeholders. HL7 has compiled a collection of message form... More Clinical Document Architecture (CDAClinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down the document in generic, unnamed, and non-templated sections. Documents can include discharge summaries, progress notes, history and physical reports,... More) Release 2, Continuity of Care Document (CCDContinuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the Health Level Seven and American Society for Testing Materials (ASTM) to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR)... More)
  • Implementation specifications – The Healthcare Information Technology Standards Panel (HITSPHealthcare Information Technology Standards Panel (HITSP) serves as a cooperative partnership between the public and private sectors for the purpose of achieving a widely accepted and useful set of standards specifically to enable and support widespr... More) Summary Documents Using HL7 CCD Component HITSP/C32

Or

  • ASTM E2369 Standard Specification for Continuity of Care Record (CCRContinuity of Care Record (CCR) is an XML-based standard for the movement of “documents” between clinical applications. Furthermore, it responds to the need to organize and make transportable a set of basic information about a patient’s health ... More) and Adjunct to ASTM E2369
Electronic Prescribing
  • National Council for the Prescription Drug Programs (NCPDPThe National Council for Prescription Drug Programs (NCPDP) creates and promotes the transfer of data related to medications, supplies, and services within the healthcare system through the development of standards and industry guidance. Visit the NC... More) 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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