MU Stage1 Final Rule - Electronic Copy of Health Information (EH/CAH)

SECTION #  Section 170.306(d)—Electronic Copy of Health Information

MU OBJECTIVE Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies, discharge summary, procedures), upon request.

MU STAGE 1 MEASURE More than 50% of all patients of the EP or the inpatient or emergency departments of the eligible hospital or CAH (POS 21 or 23) who request an electronic copy of their health information are provided it within 3 business days.

CERTIFICATION CRITERION Final Rule Text: §170.306(d). (1) Enable a user to create an electronic copy of a patient’s clinical information, including, at a minimum, diagnostic test results, problem list, medication list, medication Allergy list, and procedures: (i) In human readable format; and (ii) On electronic media or through some other electronic means in accordance with: (A) The standard (and applicable implementation specifications) specified in §170.205(a)(1) or §170.205(a)(2); and (B) For the following data elements the applicable standard must be used: (1) Problems. The standard specified in §170.207(a)(1) or, at a minimum, the version of the standard specified in §170.207(a)(2); (2) Procedures. The standard specified in §170.207(b)(1) or §170.207(b)(2); (3) Laboratory test results. At a minimum, the version of the standard specified in §170.207(c); and (4) Medications. The standard specified in §170.207(d). (2) Enable a user to create an electronic copy of a patient’s discharge summary in human readable format and on electronic media or through some other electronic means.

STANDARDS §170.205(a)(1) §170.205(a)(2) §170.207(a)(1) §170.207(a)(2) §170.207(b)(1) §170.207(b)(2) §170.207(c) §170.207(d)

TEST CRITERIA # §170.306(d) http://healthcare.nist.gov/docs/170.306.d.1_ElectronicCopyOfHealthInformation_v1.1.pdf http://healthcare.nist.gov/docs/170.306.d.2_ElectronicCopyOfHealthInformation_v1.1.pdf

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