6. Test Results Tracking
Display abnormal tests
Date complete
Notify when available or not completed
Record date and time results reviewed and by whom
Match results with the order to accurately result each order or detect when not been completed
Discussion questions:
a. Does this imply implementation of closed loop ordering i.e. require electronic ordering of all tests and not use of an ordering portal, faxing, or order sheets?
b. Who should be notified via what escalation method when a test is not reviewed or completed?
7. Device documentation
EPs and EHs should record the FDA Unique Device Identifier (UDI) when patients have devices implanted for each newly implanted device.
Discussion questions:
a. What is the current timeline for UDI implementation in device products?
b. What will be done with this information once in the EHR i.e. recall workflow?
8. e-Prescribing
Access medication fill information from pharmacy benefit manger (PBM)
Access Prescription drug monitoring program (PDMP) data in a streamlined way (e.g., sign-in to PDMP system)
Discussion questions:
a. What is the current state of fill status information standards and their implementation in PBMs/e-prescribing networks?
b. Which states have a PDMP system and the capacity to support single sign on/patient context sharing?
c. Are standards available for PDMP integration?
9. Demographics
CEHRT provides the ability to capture
Patient preferred method of communication
occupation and industry codes
Sexual orientation, gender identity (optional fields)
Disability status
Differentiate between patient reported & medically determined
Communication preferences will be applied to the clinical summary, reminders, and patient education objectives
Providers should have the ability to select options that are technically feasible for them, these could include: Email, text, patient portal, telephone, regular mail
Discussion questions:
a. Do we have appropriate vocabularies for capturing these elements as structured data?
b. Given current workflows and personnel, do we believe that we can achieve sufficient accuracy in the recording of these elements to support the expected uses of the data?
10. Record amendment
Provide patients with an easy way to request an amendment to their record online (e.g., offer corrections, additions, or updates to the record)
Discussion questions:
a. How does this align with current workflow and practice?
b. What standards are required to support this function i.e. structured approaches to requesting change versus free text i.e. an email request?
11. Patient Generated Healthcare Data
Menu: Eligible Professionals and Eligible Hospitals receive provider-requested, electronically submitted patient-generated health information through either:
structured or semi-structured questionnaires (e.g., screening questionnaires, medication adherence surveys, intake forms, risk assessment, functional status)
or secure messaging
Discussion questions:
a. As above, we have to be careful when we use the word "OR" since this implies "AND" for developers, meaning that all possible variations of functionality must be implemented. What is the minimum functionality required?
b. Are there standards that constrain the kinds of data submitted i.e. CCDA templates?
12. Patient Summaries
CEHRT allows provider organizations to configure the summary reports to provide relevant, actionable information related to a visit.
Discussion questions:
a. How would such rules be authored and what standards would be used to represent knowledge?
b. What is the definition of relevant and actionable?
13. Multi-language support
EHRs are capable of providing patient-specific non-English educational materials based on patient preference. At least one patient receives non-English educational material according to the patient’s language preference
Discussion questions:
a. Is only one non-English language required as a minimum and not a representative sample based on local populations?
b. Are standards to support multi-lingual retrieval implemented by educational material providers?
