ehr onc final certification - Department of Health Care Services

eceives and have added the term “display” in the beginning of the certification criterion.
This change is also applicable to the certification criterion for Complete EHRs and EHR
Modules designed for an inpatient setting.
Comment. A commenter requested that we clarify how we intended adopted
vocabularies to be used. The commenter queried whether vocabulary standards that we
had adopted apply to EHRs or to transactions that EHRs conduct. The commenter further
requested that we clarify whether a local/proprietary medication vocabulary could be
mapped to RxNorm, and whether a local/proprietary problem list vocabulary could be
mapped to SNOMED-CT®. Finally, the commenter asked if mapping is permitted, and
if so, requested that we identify the subsets of these vocabularies that should be used.
Response. For purposes of electronically exchanging a patient summary record,
we expect the patient summary record to include health information that is coded, where
applicable, in accordance with adopted vocabulary standards. Therefore, unless
otherwise required in the context of a meaningful use objective and measure, an eligible
professional (or eligible hospital) would be permitted to map or crosswalk
local/proprietary codes to the adopted vocabulary standards prior to transmitting a patient
summary record. We do not believe that it would be appropriate to specify subsets of
adopted vocabularies at this time and would seek additional input from the HIT Standards
Committee or public comment prior to specifying vocabulary subsets.
Comment. A commenter stated that the adopted data exchange standards do not
provide for the inclusion of narrative text results, such as a radiology report, or images of
scanned paper documents. The commenter questions how meaningful use objectives will
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