IHE Profiles Support Meaningful Use

An alum at Florida State University asked for this one.  Essentially, he wanted to know if it was possible to map the Meaningful use requirements into specific IHE profiles.  I had developed four slides on this which were presented at the HIMSS 2010 Annual Conference during the IHE PCC Domain update in the IHE Interoperability Showcase booth.  These were based on an evaluation of the IHE PCC Perinatal Workflow profile that I discussed earlier this year.  Here is a map from the meaningful use requirements from the Interim Final Rule on Standards (§170) and the Notice of Proposed Rulemaking on Incentives (§495) to various IHE profiles.


Standards

• §170.202(a) Transport – XDS.b uses SOAP 1.2
• §170.205(a) Patient Summary Record – CCD and SNOMED CT®
• §170.205(f) Laboratory Orders and Results – HL7 2.5.1 and LOINC®
• §170.210(a) Encryption – ATNA uses AES and TLS

Certification Criteria

• §170.302(a) Drug checks – Request for Clinical Guidance
• §170.302(b-d) Maintain Problem, Medication and Allergy Lists
• §170.302(r) Audit Logs – ATNA requires Audit
• §170.302(s) Integrity – ATNA and XDS.b use SHA-1
• §170.302(t) Authentication – ATNA requires authentication
• §170.304(a) CPOE – Order Placer/Order Fillers for Imaging and Labs
• §170.304(c) Demographics – PIX and PDQ Support Required Data
• §170.304(d) Clinical Decision Support – Request for Clinical Guidance
• §170.304(f-i) Electronic Access – XPHR/CCD, XDS-MS, XDS.b and XDM

§495.6(c) Stage 1 Criteria

• (1) Drug Checks – Request for Clinical Guidance (RCG)
• (2) Problem List – XPHR Requires Problems, Supports SNOMED CT® or ICD-9-CM
• (3) Medication List – XPHR Requires Medications, Supports RxNORM and other vocabularies
• (4) Allergy List – XPHR requires Allergies
• (5) Patient Demographics – PIX/PDQ
• (6) Vital Signs – XPHR requires Vital Signs
• (8) Clinical Lab Tests – XD-LAB and HL7 V2.5.1
• (10) Decision Support – Request for Clinical Guidance
• (12) Medication Reconciliation – Built in all PCC Discharge Summaries
• (14) Summary Record – XPHR

§495.6(d) Stage 1 Criteria for Eligible Providers

• (1) CPOE – Order Placer/Order Fillers for Imaging (SWF) and Labs (LTW)
• XPHR, XDS-MS, XDS.b and XDM support:
• (5) Electronic Copies
• (6) Timely Access
• (7) Clinical Summaries
• (8) Exchange of Key Clinical Information

§495.6(e) Stage 1 Criteria for Hospitals

• (1) CPOE – Order Placer/Order Fillers for Imaging and Labs
• XPHR, XDS-MS, XDS.b and XDM support:
• (3) Electronic Copies
• (4) Discharge Summaries including Procedures and Instructions
• (5) Exchange of Key Clinical Information

The Perinatal Workflow Profile developed by the Patient Care Coordination domain brings all of these profiles together into a collection of actors and transactions that support many of the meaningful use requirements.  This profile is currently available for public comment.