OpenEMR QA against NIST

Color Legend

PASSED CERTIFICATION

PASS INTERNAL

FEATURE NOT IMPLEMENTED OR NOT YET TESTED

CURRENTLY UNDERGOING TESTING/ANALYSIS

FLAGGED FOR TESTING

NIST Meaningful Use Test Method by Criteria

Status Summary:

NIST Meaningful Use Test Method
§170.302	§170.304

Links to individual testing procedures where pulled from Approved Test Procedures Version 1.1 Effective October 24, 2010 and could become stale. If so, please edit this page and to link to the most recent, approved, and effective version(s).

§170.302 General Certification Criteria

Status Summary:

General Certification Criteria

a

b

c

d

e

f

g

h

i

j

k

l

m

n

o

p

q

r

s

t

u

v

w

(a) Drug-drug, drug-allergy interaction checks

NIST Test Procedure for §170.302 (a) Drug-drug, drug-allergy interaction checks

No test results.

Currently unimplemented in OpenEMR.

(b) Drug formulary checks

NIST Test Procedure for §170.302 (b) Drug formulary checks

Currently unimplemented in OpenEMR.

(c) Maintain up-to-date problem list

NIST Test Procedure for §170.302 (c) Maintain up-to-date problem list

Pass (9/9). File:Problem list.pdf

Implemented in fc72 and later versions of OpenEMR.

(d) Maintain active medication list

NIST Test Procedure for §170.302 (d) Maintain Active Medication List

Pass (10/10). File:Medication List.pdf

Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(e) Maintain active medication allergy list

NIST Test Procedure for §170.302 (e) Maintain active medication allergy list

Pass (6/6). File:Medication Allergy.pdf (Note: The quoted section of the Final Rule is incorrect, but the test results are for §170.302 (e))

Implemented in fc72 and later versions of OpenEMR.

(f) Record and chart vital signs

Status Summary:

Record and chart vital signs
1	2	3

File:Vital sign.pdf

(1) Vital signs

NIST Test Procedure for §170.302 (f) (1) Vital Signs

Pass (16/16). All test results for (f) Record and chart vital signs are combined in one document linked above.

Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(2) Calculate body mass index

NIST Test Procedure for §170.302(f) (2) Calculate Body Mass Index

Pass (5/5). All test results for (f) Record and chart vital signs are combined in one document linked above.

Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(3) Plot and display growth charts

NIST Test Procedure for §170.302(f) (3) Plot and Display Growth Charts

Pass (9/9). All test results for (f) Record and chart vital signs are combined in one document linked above.

Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(g) Smoking status

NIST Test Procedure for §170.302 (g) Smoking Status

Pass (10/10). File:Smoking Status.pdf

Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(h) Incorporate laboratory test results

NIST Test Procedure for §170.302 (h) Incorporate laboratory test results

Implemented in 4605 and later versions of OpenEMR.

TEST/QA ONGOING

• Ask ICSA how this test will really be run, our servers are setup to receive data from labcorp via a LEN server. Have Jeremy check that we can handle all the test version.

(i) Generate patient lists

NIST Test Procedure for §170.302 (i) Generate patient lists

Passed

Implemented in a7ec and later versions of OpenEMR. (note the link points to the patch)

(j) Medication reconciliation

NIST Test Procedure for §170.302 (j) Medication reconciliation

Passed

Proposed solution --Tony - www.mi-squared.com 03:13, 6 March 2011 (UTC)

• OpenEMR has full tracking of medications and a document management and viewing system. If we can show the internal database list and an uploaded/scanned medication list (like would be provided by patient) then we meet the requirement. ICSA agrees that this will pass the NIST requirement

Test Summary for Medication reconciliation

(k) Submission to immunization registries

NIST Test Procedure for §170.302 (k) Submission to immunization registries

Passed

(l) Public health surveillance

NIST Test Procedure for §170.302 (l) Public health surveillance

Implemented in d6db and later versions of OpenEMR.

Passed (Syndromic Surveillance)

(m) Patient specific education resources

NIST Test Procedure for §170.302 (m) Patient specific education resources

Passed

• ICSA agrees that links in the product or even a "requirement" to have access to http://nursing.advancedweb.com or http://www.nlm.nih.gov/medlineplus/ for patient education materials will meet the requirement.
• Proposed Solution Make it a required 3rd party tool on the application and leave it at that (see: the HHS site where AlphaCM, Inc did this for MedLinePlus)
• Sam's workflow

• Procedure for “specific education resources” lookup.

Open Google, Type in the diagnosis or condition and add the preferred site. I like to look at specific resources.

   “Disease” emedicine
   “Disease” mayoclinic
   “Disease” webmd

The MayoClinic has a lot of good patient lay information, Generally the emedicine site is more for physicians. The WebMD tends to be more physician related.

(n) Automated measure calculation

NIST Test Procedure for §170.302 (n) Automated measure calculation

QA on going (Waiting for reply from ICSA for the measure "Incorporate clinical lab-test results into certified EHR technology as structured data").

(o) Access control

NIST Test Procedure for §170.302 (o) Access Control

Pass (8/8). File:Access Control.pdf

Currently implemented by OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(p) Emergency access

NIST Test Procedure for §170.302 (p) Emergency Access

Pass (9/9). File:Emergency-Access.pdf

Configuring and testing Emergency access

Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(q) Automatic log-off

NIST Test Procedure for §170.302 (q) Automatic log-off

Pass (2/2). File:Automatic Log Off.pdf

Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.

(r) Audit log

NIST Test Procedure for §170.302 (r) Audit Log

Pass (15/15). File:Audit log.pdf

Implemented in e97e and later versions of OpenEMR.

(s) Integrity

NIST Test Procedure for §170.302 (s) Integrity

Pass 3/18). File:Data Integrity.pdf

code updated to SHA1 and enhanced Document Mgmt tree

Per ICSA:

As long as you can demonstrate that the hash value has been created, and then a different hash value appears once the data is modified. SSL would also meet the requirements for transport. The secure hashing algorithm used to provide the hash value should also be SHA-1 or higher. For this test procedure you would also have to electronically exchange test data (that you specify) and the generated message digest to a receiving system (of your choice) and demonstrate that the electronically exchanged message digest and the message digest generated on the receiving system are the same for the provided test data.

(t) Authentication

NIST Test Procedure for §170.302 (t) Authentication

Pass (10/10). File:Authentication.pdf

Currently implemented by OpenEMR with using client SSL certificates. Please edit this page to include information about the implementation location in the source tree.

(u) General encryption

NIST Test Procedure for §170.302 (u) General encryption

Passes

See: 170.302_(o-v)_Security_requirements

(v) Encryption when exchanging electronic health information

NIST Test Procedure for §170.302 (v) Encryption when exchanging electronic health information

Pass (5/5). File:Encryption For Exchanging Health Information.pdf

Currently implemented by OpenEMR when using Apache configured for SSL. Please edit this page to include information about the implementation location in the source tree.

(w) Accounting of disclosures (optional)

NIST Test Procedure for §170.302 (w) Optional. Accounting of Disclosures

Pass (5/5). File:Disclosure.pdf

Currently implemented in OpenEMR. Please edit this page to include information about the implementation location in the source tree.

§170.304 Ambulatory Certification Criteria

Status Summary:

Ambulatory Certification Criteria
a	b	c	d	e	f	g	h	i	j

(a) Computerized provider order entry

NIST Test Procedure for §170.304 (a) Computerized provider order entry

Implemented in 6e74 and later versions of OpenEMR.

Passed

Test Summary

(b) Electronic Prescribing

NIST Test Procedure for §170.304 (b) Electronic Prescribing

Currently unimplemented in OpenEMR.

(c) Record demographics

NIST Test Procedure for §170.304 (c) Record Demographics

Pass (12/12). File:Demographics.pdf

Implemented in 1c745 and later versions of OpenEMR.

(d) Patient reminders

NIST Test Procedure for §170.304 (d) Patient reminders

Passed

(e) Clinical decision support

NIST Test Procedure for §170.304 (e) Clinical decision support

Passed

(f) Electronic copy of health information

NIST Test Procedure for §170.304 (f) Electronic copy of health information

TEST/QA ONGOING

Test Summary for CCR/CCD modules

(g) Timely access

NIST Test Procedure for §170.304 (g) Timely access

• Test Process document needed - Garden
• Dependent on CCR/CCD

Need to test Garden's Health ISP HIE + Microsoft Health Vault
Testing on going ZH healthcare's mydocsportal

(h) Clinical summaries

NIST Test Procedure for §170.304 (h) Clinical summaries

TEST/QA ONGOING

(i) Exchange clinical information and patient summary record

NIST Test Procedure for §170.304 (i) Exchange clinical information and patient summary record

TEST/QA ONGOING

(j) Calculate and submit clinical quality measures

NIST Test Procedure for §170.304 (j) Calculate and submit clinical quality measures

Ready to Test