PUBLIC HEALTH MU OBJECTIVES
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1 PUBLIC HEALTH MU OBJECTIVES STAGE 2 3/14/2013 Specific to Stage 2 MU Public Health s, the capability to submit data for Immunizations, Reportable Laboratory Results and Syndromic Surveillance are all in the core set for s. Two new public health objectives for s have been added to the menu set, and include the capability to identify and report 1) Cancer cases to cancer registry and 2) specific case to a specialized registry (other than a cancer registry)
2 CORE 2014 Edition R submit data on reportable (as required by State or local law) lab results to public health agencies and actual submission except where prohibited and according to applicable law and practice. Performed at least one test of CRT s capacity to provide submission or reportable lab results to public health agencies and follow up submission if the test is successful (unless none of the public health agencies to which the or CAH submits such information have the capacity to receive the information ally). Inpatient setting only transmission of reportable laboratory tests and values/results. R technology must be able to ally create reportable laboratory tests and values/results for transmission in accordance with: (i) The standard (and applicable implementation specifications) specified in (g); and (ii) At a minimum, the versions of the standards specified in (a)(3) and (c)(2) (g) HL Implementation specifications: HL7 Version Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm) with Errata and Clarifications, and ELR Clarification Document for R Technology Certification (a)(3) IHTSDO SNOMED CT International Release, July 2012 and US Extension to SNOMED CT, March 2012 Release (c)(2) LOINC version 2.40, June 2012, a universal code system for indentifying laboratory and clinical observations produced by the Regenstrief Institute, Inc 1 P a g e
3 CORE 2014 Edition R submit data to immunization registries or immunization information systems, except and in accordance with applicable law and practice. from CRT to an Immunization information. Enable a user to ally record, change, and access immunization information. Transmission to immunization registries. R technology must be able to ally create immunization information for transmission in accordance with: The standard and applicable implementation specifications specified in (e)(3); and At a minimum, the version of the standard specified in (e)(2) (e)(3) HL Implementation specifications: Hl Implementation Guide for Immunization Messaging, Release (e)(2) HL7 Standard Code Set CVX -- Vaccines Administered, updates through July 11, P a g e
4 CORE 2014 Edition R submit syndromic surveillance data to public health agencies, except and in accordance with applicable law and practice. from CRT to an Transmission to public health agencies syndromic surveillance. R technology must be able to ally create syndrome-based public health surveillance information for transmission in accordance with: Ambulatory setting only. (A)The standard specified in (d)(2). (B) Optional. The standard (and applicable implementation specifications) specified in (d)(3). Inpatient setting only. The standard (and applicable implantation specifications) specified in (d)(3) (d)(2) HL (d)(3) HL Implementation specifications: PHIN Messaging Guide for Syndromic Surveillance and Conformance Clarification for R Certification of Electronic Syndromic Surveillance, Addendum to PHIN Messaging Guide for Syndromic Surveillance. 3 P a g e
5 MENU 2014 Edition R submit syndromic surveillance data to public health agencies, except in accordance with applicable law and practice. from CRT to an Transmission to public health agencies syndromic surveillance. R technology must be able to ally create syndrome-based public health surveillance information for transmission in accordance with: (i) Ambulatory setting only. (A) The standard specified in (d)(2). (B) Optional. The standard (and applicable implementation specifications) specified in (d)(3). (ii) Inpatient setting only. The standard (and applicable implantation specifications) specified in (d)(3) (d)(2) HL (d)(3) HL Implementation specifications: PHIN Messaging Guide for Syndromic Surveillance and Conformance Clarification for R Certification of Electronic Syndromic Surveillance, Addendum to PHIN Messaging Guide for Syndromic Surveillance. 4 P a g e
6 Menu 2014 Edition R identify and report cancer cases to a public health central cancer registry, except and in accordance with applicable law and practice. from CRT to an Optional ambulatory setting only cancer case information. Enable a user to ally record, change, and access cancer case information. Optional ambulatory setting only transmission to cancer registries. R technology must be able to ally create cancer case information for transmission in accordance with: (i) (ii) The standard (and applicable implementation specifications) specified in (i); and (ii) At a minimum, the versions of the standards specified in (a)(3) and (c)(2) (i) HL7 Clinical Document Architecture (CDA), Release 2.0, Normative Edition Implementation specifications: Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries, HL7 Clinical Document Architecture (CDA) (a)(3) IHTSDO SNOMED CT International Release, July 2012 and US Extension to SNOMED CT, March 2012 Release (c)(2) LOINC version 2.40, June 2012, a universal code system for indentifying laboratory and clinical observations produced by the Regenstrief Institute, Inc. 5 P a g e
7 Menu 2014 Edition R identify and report cancer cases to a public health central cancer registry, except and in accordance with applicable law and practice. from CRT to an No specific certification criteria or standards adopted. Use of data from CRT required. 6 P a g e
8 COMMON MU DATA SET DATA Common MU Data Set means the following data expressed, where indicated, according to the specified standard(s): (1) Patient name. (2) Sex. (3) Date of birth. (4) Race the standard specified in (f). (5) Ethnicity the standard specified in (f). (6) Preferred language the standard specified in (g). (7) Smoking status the standard specified in (h). (8) Problems at a minimum, the version of the standard specified in (a)(3) (9) Medications at a minimum, the version of the standard specified in (d)(2). (10) Medication allergies at a minimum, the version of the standard specified in (d)(2). (11) Laboratory test(s) at a minimum, the version of the standard specified in (c)(2). (12) Laboratory value(s)/result(s). (13) Vital signs height, weight, blood pressure, BMI. (14) Care plan field(s), including goals and instructions. (15) Procedures (i) At a minimum, the version of the standard specified in (a)(3) or (b)(2). (ii) Optional. The standard specified at (b)(3). (iii) Optional. The standard specified at (b)(4). (16) Care team member(s) (f) OMB standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, Oct 30, (g) ISO alpha-3 codes limited to those that also have a corresponding alpha-2 code in ISO (h) Coded to one of the following SNOMED CT codes: (1) Current every day smoker (2) Current some day smoker (3) Former smoker (4) Never smoker (5) Smoker, current status unknown (6) Unknown if ever smoked (7) Heavy tobacco smoker (8) Light tobacco smoker (a)(3) IHTSDO SNOMED CT International Release, July 2012; and US Extension to SNOMED CT, March (d)(2) RxNorm, August 6, 2012 Release (c)(2) LOINC version 2.40, June 2012, a universal code system for indentifying laboratory and clinical observations produced by the Regenstrief Institute, Inc. 7 P a g e
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