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Tuesday, February 28, 2012

MeaningfulUse Certification Criteria Crosswalk to Standards


This is the second of two tables from the Meaningful Use Standards rule that I've prepared.  The first table mapped the objectives to the criteria.

This table crosswalks from the old Stage 1 criteria to the Stage 2 criteria and the standards in Stage 2.  The notes column combines information from several tables to tell you whether the criterion is Ambulatory or Inpatient (A or I), included in the definition of a Base EHR (B), requires clock synchronization using NTP (C), or must be implemented with User Centered design (U).  New criteria are shown in bold.  As before, when the regulation is published in the Federal Register, I'll link citations back to it on the Web, and when I get around to it, I'll add web links to the standards (until then, you can find most of the links you need here).

If you want the spreadsheet containing both of these tables, it's here.  Feel free to use these pages or the spreadsheets for developing your own comments and in presentations (please cite your source).

Stage 1 Meaningful Use Stage 2 Cross Walk
Amb. Inpatient Stage 2 Notes Certification  Criteria Standards
304(a) 306(a) 314(a)(1) BU Computerized provider order entry
302(a) 314(a)(2) BCU Drug-drug, drug-allergy interaction checks
304(c) 306(b) 314(a)(3) B Demographics 207(f) OMB standards for the classification of federal data on race and ethnicity
207(j) ISO 639-1:2002 (preferred language)
207(k) ICD-10-CM (preliminary cause of death)
302(f) 314(a)(4) B Vital signs, body mass index, and growth charts
302(c) 314(a)(5) B Problem list 207(a)(3) SNOMED-CT® International Release January 2012
302(d) 314(a)(6) BU Medication list
302(e) 314(a)(7) BU Medication allergy list
304(e) 306(c) 314(a)(8) BCU Clinical decision support 204(b)(1) HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard, International Normative
Edition 2010
314(a)(9) Clinical Notes
302(b) 314(a)(10) C Drug-formulary checks
302(g) 314(a)(11) Smoking status 207(l) smoking status types
314(a)(12) Imaging
314(a)(13) Family History
302(i) 314(a)(14) C Patient lists
304(d) 314(a)(15) A Patient reminders
302(m) 314(a)(16) Patient-specific education resources 204(b)(1)  HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard, International Normative
Edition 2010
314(a)(17) CIU Medication Administration: Five Rights 210(g) Synchronized clocks
306(h) 314(a)(18) I Advance directives
304(i) 306(f) 314(b)(1)
314(b)(2)
B Transitions of care – incorporate/create summary care record 205(a)(3) Consolidated CDA
207(f) OMB standards for the classification of federal data on race and ethnicity
207(j) ISO 639-1:2002 (preferred language)
207(l) smoking status types
207(a)(3) SNOMED-CT® International Release January 2012
207(m) ICD-10-CM
207(b)(2) HCPCS and CPT-4
207(b)(3) ICD-10-PCS
207(g) LOINC version 2.38
207(h) RxNorm February 6, 2012 Release
314(b)(2) Transitions of care – transmit summary care record 202(a)(1) Applicability Statement for Secure Health Transport
202(a)(2) XDR and XDM for Direct Messaging
202(a)(3) SOAP-Based Secure Transport RTM version 1.0 (Optional)
304(b) 314(b)(3) U Electronic prescribing 205(b)(2) NCPDP SCRIPT version 10.6
207(h) RxNorm February 6, 2012 Release
302(j) 314(b)(4) U Clinical information reconciliation
302(h) 314(b)(5) A Incorporate lab tests and values/results 205(k)  HL7 2.5.1 and HL7 Version 2.5.1 Implementation Guide: Standards and Interoperability Framework Lab Results Interface, Release 1 (US Realm)
207(g)  LOINC version 2.38
§493.1291(c)(1-7) CLIA
314(b)(6) I Transmit Lab Results 205(k)  HL7 2.5.1 and HL7 Version 2.5.1 Implementation Guide: Standards and Interoperability Framework Lab Results Interface, Release 1 (US Realm)
207(g)  LOINC version 2.38
314(c)(1) B Clinical Quality Measures - Capture and Export 204(c) National Quality Forum (NQF) Quality Data Model (QDM)
314(c)(2) B Clinical quality measures – incorporate and calculate
314(c)(3) Clinical quality measures – reporting "a data file defined by CMS"
302(o) 314(d)(1) B Authentication, access control, and authorization
302(t)
314(d)(2) B Auditable events and tamper-resistance
302(r) 314(d)(3) B Audit report(s)
314(d)(4) B Amendments
302(q) 314(d)(5) B Automatic log-off
302(p) 314(d)(6) B Emergency access
302(u) 314(d)(7) B Encryption of data at rest 210(a)(1) FIPS 140-2 Annex A for Encryption and Hashing
302(s) 314(d)(8) B Integrity 210(c)  FIPS PUB 180–3 (SHA-1)
302(w) 314(d)(9) Accounting of disclosures (optional) 210(d) date, time, patient identification, user
identification, and a description of the
disclosure 
304(g) 314(e)(1) B View, download, and transmit to 3rd party 204(a) Web Content Accessibility Guidelines (WCAG) 2.0, Level AA Conformance 
304(f) 306(d) 205(a)(3) Consolidated CDA
306(e) 205(j) DICOM PS 3—2011
207(f) OMB standards for the classification of federal data on race and ethnicity
207(j) ISO 639-1:2002 (preferred language)
207(l) smoking status types
207(a)(3) SNOMED-CT® International Release January 2012
207(m) ICD-10-CM
207(b)(2) HCPCS and CPT-4
207(b)(3) ICD-10-PCS
207(g) LOINC version 2.38
207(h) RxNorm February 6, 2012 Release
202(a)(1) Applicability Statement for Secure Health Transport
202(a)(2) XDR and XDM for Direct Messaging
210(g) Synchronized clocks
304(h) 314(e)(2) A Clinical Summaries
314(e)(3) A Secure Messaging 210(f) FIPS 140-2 Annex A for Encryption and Hashing
302(k) 314(f)(1) Record, Change and access Immunization information
314(f)(2) C Transmission to immunization registries 205(e)(3)  HL7 2.5.1 and Implementation Guide for Immunization Messaging Release 1.3
207(i)  CVX code set: August 15, 2011 version
302(l) 314(f)(3) Record, Change and access surveillance information
314(f)(4) C Transmission to PH agencies 205(d)(2)  HL7 2.5.1
205(d)(3)  HL7 2.5.1 and the PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data HL7 Version 2.5.1
306(g) 314(f)(5) Reportable lab tests and values/results
314(f)(6) C Transmission of reportable lab tests and values/results 205(g)  HL7 2.5.1 and HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm) with errata
207(a)(3)  SNOMED CT® International Release January 2012
207(g)  LOINC version 2.38
314(f)(7) Record, Change and Access Cancer Information
314(f)(8) C Transmission to Cancer Registries 205(i)  HL7 CDA, Release 2 and Implementation Guide for Healthcare Provider Reporting to Central Cancer Registries, Draft, February 2012
207(a)(3)  SNOMED CT® International Release January 2012
207(g)  LOINC version 2.38
314(g)(1) Automated numerator recording
302(n) 314(g)(2) Automated measure calculation
314(g)(3) Non-percentage-based measure use report 210(g) Synchronized clocks
314(g)(4) Safety-enhanced design

2 comments:

  1. Off-topic, but see this blog post by Peter Pronovost, which would seem to have a great deal to do with HL7's overall mission, ever since its inception. Perhaps it's worth a post on your blog at some point.

    Also, in connection with InfoButton and CDS generally, see his subsequent post.

    ReplyDelete
  2. Your generosity in sharing this infomraiton means so much. Thanks a million.

    ReplyDelete