ehr onc final certification - Department of Health Care Services

Response. Again, we do not believe that it is appropriate to define “diagnostic
test result” in this final rule since the term is derived from the Medicare and Medicaid
EHR Incentive Programs final rule. Consistent with other revisions we have made in the
final rule, we have removed “procedures” from the certification criterion.
Comment. At least one commenter requested that we clarify what Certified EHR
Technology needs to be capable of meeting this certification criterion. The commenter
asked whether the generation of a CCD or CCR would constitute compliance with this
criterion or would the import and human readable display of both document types be
required.
Response. We clarify that compliance with this certification criterion can be
achieved by demonstrating that the Complete EHR or EHR Module is capable of
receiving and displaying patient summary records that comply with either patient
summary record standard (and if the alternative standard is used, displaying the non-
natively implemented patient summary record standard in human readable format) and
generating and transmitting a patient summary record according to one of the patient
summary record standards populated with the specified data types and their applicable
standard(s). For example, a Complete EHR designed to generate patient summary
records in the CCD standard would need to be capable of generating and transmitting
patient summary records in accordance with CCD. Upon receipt of a patient summary
record formatted according to the CCR standard, the Complete EHR must also be capable
of displaying the CCR-formatted patient summary record in human readable format. We
clarify that we also expect that the Complete EHR designed to natively generate a CCD
would be tested and certified as being capable of properly displaying any CCD that it
Page 157 of 228