Difference between revisions of "OpenEMR Certification Stage III Meaningful Use"

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=Overview=
=Overview=
:Goal completion is by 5/1/2021
:Successfully completed testing on 6/30/22 and final certification was completed on 7/11/22. Released OpenEMR 7.0.0, which is ONC 2015 certified on 7/19/22. See the blog article on this monumental feat at: [https://www.open-emr.org/blog/openemr-achieves-onc-2015-cures-update-certification-with-groundbreaking-release-70/ OpenEMR Achieves ONC 2015 Cures Update Certification with Groundbreaking Release 7.0]
:Testing body is [https://www.ul.com/offerings/onc-health-it-testing-and-certification UL]
:Testing body is SLI.
:Links:
:Links:
:*https://www.healthit.gov/topic/certification-ehrs/2015-edition
:*https://www.healthit.gov/topic/certification-ehrs/2015-edition
:*https://qpp.cms.gov/mips/overview
:*https://qpp.cms.gov/mips/overview
:*https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html
:*https://build.fhir.org/ig/HL7/US-Core/general-guidance.html
:*https://www.healthit.gov/isa/sites/isa/files/2020-07/USCDI-Version-1-July-2020-Errata-Final.pdf
:*https://www.healthit.gov/isa/sites/isa/files/2020-07/USCDI-Version-1-July-2020-Errata-Final.pdf
:*https://build.fhir.org/ig/HL7/US-Core-R4/general-guidance.html#us-core-data-for-interoperability-and-2015-edition-common-clinical-data-set
:*https://www.healthit.gov/sites/default/files/topiclanding/2018-04/2015Ed_CCG_CCDS.pdf
:*https://inferno.healthit.gov/inferno
:*https://inferno.healthit.gov/inferno/f3X6ykpeyzv/test_sets/test_procedure/


=Forums and Discussion=
=Forums and Discussion=
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<br>
<br>


=Funding Barometer=
=Funding and Sponsors=
'''Required to Pay for Testing and Certification'''
 
==Barometer==
'''Required to Pay for Testing and Certification - $16,125'''


{|style="border:1px solid darkgray"
{|style="border:1px solid darkgray"
|-
|-
|style="color:white; background-color:green;padding-left:3px;padding-right:3px"|$1000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$5,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px"|$1500
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$10,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$13,125
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$16,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$16,125
|}
|}
'''Required to support development efforts and timely delivery'''
{|style="border:1px solid darkgray"
{|style="border:1px solid darkgray"
|-
|-
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$2,500
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$5,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$5,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$7,500
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$10,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$10,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$12,500
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$13,125
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$14,898.50
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$16,000
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$15,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$16,125
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$20,000
|}
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$25,000
<br>
|style="color:white; background-color:orange;padding-left:3px;padding-right:3px;"|$28,398.50
'''Required to support development efforts and timely delivery - $116,000'''
{|style="border:1px solid darkgray"
|-
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$10,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$20,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$30,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$30,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$35,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$40,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$36,500
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$50,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$40,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$60,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$45,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$70,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$45,500
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$80,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$50,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$90,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$55,000
|style="color:white; background-color:green;padding-left:3px;padding-right:3px;"|$97,600
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$60,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$100,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$65,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$110,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$70,000
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$113,709
|style="color:white; background-color:gray;padding-left:3px;padding-right:3px;"|$116,000
|}
{|style="border:1px solid darkgray"
|-
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$10,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$20,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$30,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$40,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$50,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$60,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$70,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$80,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$90,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$97,600
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$100,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$110,000
|style="color:white; background-color:red;padding-left:3px;padding-right:3px;"|$113,709
|}
|}
<br>
<br>
<div style="font-size:80%;border:1px solid;">
<div style="font-size:80%;border:1px solid;">
:Legend Description:
:Legend Description:
:*<span style="color:white; background-color:green">Funds Raised</span> - Funds raised.
:*<span style="color:white; background-color:gray">Not Funded</span> - Unfunded Goal.
:*<span style="color:white; background-color:gray">Not Funded</span> - Unfunded Goal.
:*<span style="color:white; background-color:green">Funds Available</span> - Funds available (there is also a 9K emergency fund provided by a donor if needed, however, will only use this if absolutely required).
:*<span style="color:white; background-color:orange">Funds Earmarked</span> - Funds that have been earmarked.
:*<span style="color:white; background-color:red">Expended Funds</span> - Funds that have been spent.
:*<span style="color:white; background-color:red">Expended Funds</span> - Funds that have been spent.
:*<span style="color:white; background-color:orange">Funds Contracted Out</span> - Funds that have been contracted out.
</div>
</div>
<br>
<br>
<br>
<br>
==Fund Drive for OpenEMR 2015 Certification==
==Fund Drive for OpenEMR 2015 Certification==
:'''<span style="font-size:115%"> Please help OpenEMR obtain 2015 Edition CEHRT'''</span>
:'''<span style="font-size:115%"> Help OpenEMR obtain 2015 Edition CEHRT by '''</span><span style="font-size:115%"> '''[https://www.open-emr.org/donate donating here.]'''</span>
<br>
<p> For lower processing fees please email hello@open-emr.org for wire transfer instructions. </p>
<center style="font-size:150%">'''[https://www.open-emr.org/donate DONATE HERE]'''</center>
 
<br>
=Major sponsors=
:*Care Management Solutions, https://cmsvt.org
:*Community Behavioral Health, https://www.communitybehavioralhealth.net
:*Dr. Niru Jani
:*Dr. Sushma Jani
:*Michael J. Blaho, https://www.synergyinfoconnect.com/
:*Brent Boecking, https://procaremedcenter.com/
:*Comlink, http://www.comlinkinc.com, Amit Panjwani, CEO
:*Oak Street Health, https://www.oakstreethealth.com/


=Completion Barometer=
=Completion Barometer=
:*This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project. See below [[OpenEMR_Certification_Stage_III_Meaningful_Use#Certification_Criteria|Certification Criteria]] section for criteria titles and further details on progress tracking.
:*This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project. See below [[OpenEMR_Certification_Stage_III_Meaningful_Use#Certification_Criteria|Certification Criteria]] section for criteria titles and further details on progress tracking.
:*The below items were chosen as the minimum to support ONC 2015 certification with CEHRT (although note CEHRT is dependent on CMS) and CURES.
{|style="border:1px solid darkgray;"
{|style="border:1px solid darkgray;"
|-
|-
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|a1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|a2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|a2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a5<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|a5<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a9<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|a9<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a12<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|a12<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|a14<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|a14<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|b1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|b1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|b10
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|b10
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|c1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c2
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|c2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|c3
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|c3<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d1<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d3<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d3<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d4<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d4<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d5<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d5<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d6<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d6<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d7<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d7<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d8<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d8<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d9<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d9<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d12<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d12<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:green"|d13<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|d13<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g2
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|e3<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g3
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g2<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g4
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g3<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g5
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g4
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g6
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g5
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g7<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g6
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g8
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g7<sup>*</sup>
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|g9
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g9
|style="border:2px solid darkgrey; padding:2px; color:black; background-color:yellow"|g10
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|g10
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:red"|h1
|style="border:2px solid darkgrey; padding:2px; color:white; background-color:purple"|h1
|}
|}
<br>
:'''PENDING (comparison of items and barometer with partner group; ensure working towards Cures requirements)'''
::*Core items that are missing: b10, d12, d13, g10 (these are basically all the new items for Cures Update)
::*Additional items not part of core: a3, a4, a10, a13, a15, b2, b3, b6, b7, b8, b9, c4, d10, d11, e1, e2, e3, f1, f2, f3, f4, f5, f6, f7, g1, h2
<br>
:'''Considering following optional criteria:'''
::*b3 (Electronic Prescribing)
<br>
<br>
<div style="font-size:80%;border:1px solid;">
<div style="font-size:80%;border:1px solid;">
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:*<span style="color:white; background-color:red">Not Ready</span> - Not ready for certification testing and waiting for somebody to work on this.
:*<span style="color:white; background-color:red">Not Ready</span> - Not ready for certification testing and waiting for somebody to work on this.
:*<span style="color:black; background-color:yellow">Not Ready (actively working on)</span> - Not ready for certification testing, but are actively working on this.
:*<span style="color:black; background-color:yellow">Not Ready (actively working on)</span> - Not ready for certification testing, but are actively working on this.
:*<span style="color:white; background-color:green">Ready</span> - Ready for certification testing.
:*<span style="color:white; background-color:green">Ready</span> - Ready for certification testing. ( <sup>F</sup> means is Finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and officially ready ready to self-declare or test.)
:*<span style="color:white; background-color:orange">Failed Test</span> - Issues found during certification testing.
:*<span style="color:white; background-color:orange">Failed Test</span> - Issues found during certification testing.
:*<span style="color:white; background-color:purple">Certification Pass</span> - Passed certification and in official codebase.
:*<span style="color:white; background-color:purple">Certification Pass</span> - Passed certification and in official codebase.
:* <sup>*</sup> - Self-declaratiion (this involves self-declaration rather than formal testing with the testing body).
:* <sup>*</sup> - Self-declaration (this involves self-declaration rather than formal testing with the testing body).
</div>
</div>
<br>
<br>
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:*'''Owner(s)''' - This is the "current" person/group(s) that are working on the criteria (or building block) and can be found in parenthesis next to the item.
:*'''Owner(s)''' - This is the "current" person/group(s) that are working on the criteria (or building block) and can be found in parenthesis next to the item.
:*'''Building Blocks''':
:*'''Building Blocks''':
::*<span style="color:white; background-color:red">CQM</span> '''(Ken Chapple)'''
::*<span style="color:white; background-color:green">CQM</span>
::*<span style="color:white; background-color:red">CCDA</span> '''(Jerry Padgett)'''
::*<span style="color:white; background-color:green">CCDA</span>
::*<span style="color:white; background-color:red">FHIR</span> '''(Jerry Padgett)''' '''(Vishnu Yarmaneni)''' '''(Stephen Nielson)''' '''(Brady Miller)'''
::*<span style="color:white; background-color:green">FHIR</span>
::*<span style="color:white; background-color:red">API</span> '''(Jerry Padgett)''' '''(Stephen Nielson)''' '''(Brady Miller)'''
::*<span style="color:white; background-color:green">API</span>
::*<span style="color:white; background-color:green">OAuth</span> '''(Jerry Padgett)''' '''(Stephen Nielson)''' '''(Brady Miller)'''
::*<span style="color:white; background-color:green">OAuth</span>
::*<span style="color:white; background-color:green">SMART</span> '''(Stephen Nielson)'''
::*<span style="color:white; background-color:green">SMART</span>
:*<span style="color:white; background-color:green">'''FINALIZED'''</span> means items is finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and is ready to self-declare or test.
:*<span style="color:white; background-color:green">'''FINALIZED'''</span> means items is finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and is ready to self-declare or test.
==Clinical (170.315(a))==
==Clinical (170.315(a))==
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:'''a3.''' CPOE – diagnostic imaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a3 forum] | [[CPOE-imaging (MU3)|wiki]]):
:'''a3.''' CPOE – diagnostic imaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a3 forum] | [[CPOE-imaging (MU3)|wiki]]):
:'''a4.''' Drug-drug, drug-allergy interaction checks for CPOE ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a4 forum] | [[Drug-drug, drug-allergy interaction checks (MU3)|wiki]]):
:'''a4.''' Drug-drug, drug-allergy interaction checks for CPOE ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a4 forum] | [[Drug-drug, drug-allergy interaction checks (MU3)|wiki]]):
:'''a5.''' Demographics ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a5 forum] | [[Demographics (MU3)|wiki]]): (estimated work to complete: low) ongoing work here: https://github.com/openemr/openemr/pull/3266
:'''a5.''' Demographics ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a5 forum] | [[Demographics (MU3)|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''a6.''' Problem list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a6 forum] | [[Problem list (MU3)|wiki]]):
:'''a6.''' Problem list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a6 forum] | [[Problem list (MU3)|wiki]]):
:'''a7.''' Medication list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a7 forum] | [[Medication list (MU3)|wiki]]):
:'''a7.''' Medication list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a7 forum] | [[Medication list (MU3)|wiki]]):
:'''a8.''' Medication allergy list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a8 forum] | [[Medication allergy list (MU3)|wiki]]):
:'''a8.''' Medication allergy list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a8 forum] | [[Medication allergy list (MU3)|wiki]]):
:'''a9.''' Clinical decision support ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a9 forum] | [[Clinical decision support (MU3)|wiki]]): (estimated work to complete: low)
:'''a9.''' Clinical decision support ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a9 forum] | [[Clinical decision support (MU3)|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''a10.''' Drug-formulary and preferred drug list checks ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a10 forum] | [[Drug-formulary checks (MU3)|wiki]]):
:'''a10.''' Drug-formulary and preferred drug list checks ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a10 forum] | [[Drug-formulary checks (MU3)|wiki]]):
:'''a11.''' Smoking status ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a11 forum] | [[Smoking status (MU3)|wiki]]):
:'''a11.''' Smoking status ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a11 forum] | [[Smoking status (MU3)|wiki]]):
:'''a12.''' Family health history ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a12 forum] | [[Family health history (MU3)|wiki]]): (estimated work to complete: low)  discussion here: https://community.open-emr.org/t/what-are-the-requirements-for-this-section/15249/6
:'''a12.''' Family health history ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a12 forum] | [[Family health history (MU3)|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''a13.''' Patient-specific education resources ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a13 forum] | [[Patient-specific education resources (MU3)|wiki]]):
:'''a13.''' Patient-specific education resources ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a13 forum] | [[Patient-specific education resources (MU3)|wiki]]):
:'''a14.''' Implantable device list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a14 forum] | [[Implantable device list (MU3)|wiki]]): (estimated work to complete: moderate) plan discussed here: https://community.open-emr.org/t/implantable-device-list-2015-onc-mu3-a14/13418
:'''a14.''' Implantable device list ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a14 forum] | [[Implantable device list (MU3)|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''a15.''' Social, psychological, and behavioral data ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a15 forum] | [[Social-psychological-behavioral data (MU3)|wiki]]):
:'''a15.''' Social, psychological, and behavioral data ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-a15 forum] | [[Social-psychological-behavioral data (MU3)|wiki]]):


==Care Coordination (170.315(b))==
==Care Coordination (170.315(b))==
:'''b1.''' Transitions of care ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b1 forum] | [[Transitions of care (MU3)|wiki]]): <span style="color:white; background-color:red">CCDA</span> (estimated work to complete: moderate)
:'''b1.''' Transitions of care ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b1 forum] | [[Transitions of care (MU3)|wiki]]): <span style="color:white; background-color:green">CCDA</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''b2.''' Clinical information reconciliation and incorporation ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b2 forum] | [[Clinical information reconciliation and incorporation (MU3)|wiki]]):
:'''b2.''' Clinical information reconciliation and incorporation ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b2 forum] | [[Clinical information reconciliation and incorporation (MU3)|wiki]]):
:'''b3.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b3 forum] | [[Electronic prescribing (MU3)|wiki]]):
:'''b3.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b3 forum] | [[Electronic prescribing (MU3)|wiki]]):
Line 158: Line 186:
:'''b8.''' Data segmentation for privacy – receive ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b8 forum] | [[Data segmentation for privacy – receive (MU3)|wiki]]):
:'''b8.''' Data segmentation for privacy – receive ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b8 forum] | [[Data segmentation for privacy – receive (MU3)|wiki]]):
:'''b9.''' Care plan ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b9 forum] | [[Care plan (MU3)|wiki]]):
:'''b9.''' Care plan ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b9 forum] | [[Care plan (MU3)|wiki]]):
:'''b10.''' Electronic health information (EHI) export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b10 forum] | [[Care plan (MU3)|wiki]]): <span style="color:white; background-color:red">CCDA</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate)
:'''b10.''' Electronic health information (EHI) export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b10 forum] | [[b10 Electronic health information (EHI) export|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''b11.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b11 forum] | [[Care plan (MU3)|wiki]]):
:'''b11.''' Electronic prescribing ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b11 forum] | [[Care plan (MU3)|wiki]]):
:'''b12.''' Data segmentation for privacy – send ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b12 forum] | [[Care plan (MU3)|wiki]]):
:'''b12.''' Data segmentation for privacy – send ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-b12 forum] | [[Care plan (MU3)|wiki]]):
Line 164: Line 192:


==Clinical Quality Measures (170.315(c))==
==Clinical Quality Measures (170.315(c))==
:'''c1.''' Clinical quality measures (CQMs) – record and export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c1 forum] | [[CQMs – record and export (MU3)|wiki]]): <span style="color:white; background-color:red">CQM</span> (estimated work to complete: high) '''(Ken Chapple)'''
:'''c1.''' Clinical quality measures (CQMs) – record and export ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c1 forum] | [[CQMs – record and export (MU3)|wiki]]): <span style="color:white; background-color:green">CQM</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''c2.''' CQMs – import and calculate ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c2 forum] | [[CQMs – import and calculate (MU3)|wiki]]): <span style="color:white; background-color:red">CQM</span> (estimated work to complete: high) '''(Ken Chapple)'''
 
:'''c3.''' CQMs – report criterion ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c3 forum] | [[CQMs – report (MU3)|wiki]]): <span style="color:white; background-color:red">CQM</span> (estimated work to complete: high) '''(Ken Chapple)'''
::*List of eCQMs undergoing certification
:::*Management of Chronic Conditions
::::*CMS122v10 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) (EP)
:::::* [[CQM - record CMS122v10 (MU3)|example record entry for measure]]
::::*CMS165v10 Controlling High Blood Pressure (EP)
:::*Prevention and Treatment of Opioid and Substance Use Disorders
::::*CMS138v10 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (EP)
:::*Preventive Care
::::*CMS22v10 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (EP)
::::*CMS69v10 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan (EP)
:::::* [[CQM - record CMS69v10 (MU3)|example record entry for measure]]
::::*CMS124v10 Cervical Cancer Screening (EP)
:::::* [[CQM - record CMS124v10 (MU3)|example record entry for measure]]
::::*CMS125v10 Breast Cancer Screening (EP)
::::*CMS127v10 Pneumococcal Vaccination Status for Older Adults (EP)
::::*CMS130v10 Colorectal Cancer Screening (EP)
:::::* [[CQM - record CMS130v10 (MU3)|example record entry for measure]]
::::*CMS147v11 Preventive Care and Screening: Influenza Immunization (EP)
:::::* [[CQM - record CMS147v11 (MU3)|example record entry for measure]]
::::::* v12 went into effect for 2023 reporting, https://ecqi.healthit.gov/sites/default/files/EC-MeasuresTable-2022-05-v3.pdf
::::::* this measure is retired in 2024
::* [[CQM - list of data criteria|list of data criteria for record entry]]
:'''c2.''' CQMs – import and calculate ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c2 forum] | [[CQMs – import and calculate (MU3)|wiki]]): <span style="color:white; background-color:green">CQM</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''c3.''' CQMs – report criterion ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c3 forum] | [[CQMs – report (MU3)|wiki]]): <span style="color:white; background-color:green">CQM</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''c4.''' CQMs – filter ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c4 forum] | [[CQMs – filter(MU3)|wiki]]):
:'''c4.''' CQMs – filter ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-c4 forum] | [[CQMs – filter(MU3)|wiki]]):


Line 187: Line 238:
:'''e1.''' View, download, and transmit to 3rd party ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e1 forum] | [[View, download, and transmit to 3rd party (MU3))|wiki]]):
:'''e1.''' View, download, and transmit to 3rd party ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e1 forum] | [[View, download, and transmit to 3rd party (MU3))|wiki]]):
:'''e2.''' Secure messaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e2 forum] | [[Secure messaging (MU3))|wiki]]):
:'''e2.''' Secure messaging ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e2 forum] | [[Secure messaging (MU3))|wiki]]):
:'''e3.''' Patient health information capture ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e3 forum] | [[Patient health information capture (MU3))|wiki]]): (estimated work to complete: low)
:'''e3.''' Patient health information capture ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-e3 forum] | [[Patient health information capture (MU3))|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>


==Public Health (170.315(f))==
==Public Health (170.315(f))==
Line 200: Line 251:
==Utilization (170.315(g))==
==Utilization (170.315(g))==
:'''g1.''' Automated numerator recording ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g1 forum] | [[Automated numerator recording (MU3))|wiki]]):
:'''g1.''' Automated numerator recording ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g1 forum] | [[Automated numerator recording (MU3))|wiki]]):
:'''g2.''' Automated measure calculation ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g2 forum] | [[Automated measure calculation (MU3))|wiki]]): (estimated work to complete: moderate/high)
:'''g2.''' Automated measure calculation ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g2 forum] | [[Automated measure calculation (MU3))|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g3.''' Safety-enhanced design ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g3 forum] | [[Safety-enhanced design (MU3))|wiki]]): (estimated work to complete: moderate/high)
:'''g3.''' Safety-enhanced design ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g3 forum] | [[Safety-enhanced design (MU3))|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g4.''' Quality management system ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g4 forum] | [[Quality management system (MU3))|wiki]]): (estimated work to complete: low/moderate)
:'''g4.''' Quality management system ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g4 forum] | [[Quality management system (MU3))|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g5.''' Accessibility-centered design ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g5 forum] | [[Accessibility-centered design (MU3))|wiki]]): (estimated work to complete: low/moderate)
:'''g5.''' Accessibility-centered design ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g5 forum] | [[Accessibility-centered design (MU3))|wiki]]): <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g6.''' Consolidated CDA creation performance ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g6 forum] | [[Consolidated CDA creation performance (MU3))|wiki]]): ('''g6 is considered completed when b1 and b6 is completed''')
:'''g6.''' Consolidated CDA creation performance ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g6 forum] | [[Consolidated CDA creation performance (MU3))|wiki]]): <span style="color:white; background-color:green">CCDA</span> This will automatically pass when b1 passes, so is <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g7.''' Application access – patient selection ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g7 forum] | [[Application access – patient selection (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: low)
:'''g7.''' Application access – patient selection ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g7 forum] | [[Application access – patient selection (MU3))|wiki]]): <span style="color:white; background-color:green">API</span> <span style="color:white; background-color:green">FHIR</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g8.''' Application access – data category request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g8 forum] | [[Application access – data category request (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate/high)
:'''g8.''' Application access – data category request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g8 forum] | [[Application access – data category request (MU3))|wiki]]):
:'''g9.''' Application access – all data request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g9 forum] | [[Application access – all data request (MU3))|wiki]]): <span style="color:white; background-color:red">API</span> <span style="color:white; background-color:red">CCDA</span> (estimated work to complete: moderate/high)
:'''g9.''' Application access – all data request ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g9 forum] | [[Application access – all data request (MU3))|wiki]]): <span style="color:white; background-color:green">API</span> <span style="color:white; background-color:green">CCDA</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g10.''' Standardized API for patient and population services ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g10 forum] | [[Standardized API for patient and population services (MU3))|wiki]]): <span style="color:white; background-color:green">OAuth</span> <span style="color:white; background-color:green">SMART</span> <span style="color:white; background-color:red">FHIR</span> (estimated work to complete: moderate/high) '''(Jerry Padgett, Stephen Nielson)'''
:'''g10.''' Standardized API for patient and population services ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g10 forum] | [[Standardized API for patient and population services (MU3))|wiki]]): <span style="color:white; background-color:green">OAuth</span> <span style="color:white; background-color:green">SMART</span> <span style="color:white; background-color:green">FHIR</span> <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''g11.''' Consent management for application programming interfaces ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g11 forum] | [[Consent management for application programming interfaces (MU3))|wiki]]):
:'''g11.''' Consent management for application programming interfaces ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-g11 forum] | [[Consent management for application programming interfaces (MU3))|wiki]]):


==Transport methods and other protocols (170.315(h))==
==Transport methods and other protocols (170.315(h))==
:'''h1.''' Direct Project ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-h1 forum] | [[Direct Project (MU3))|wiki]]): (estimated work to complete: low/moderate)
:'''h1.''' Direct Project ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-h1 forum] | [[Direct Project (MU3))|wiki]]): (estimated work to complete: low/moderate) <span style="color:white; background-color:green">'''FINALIZED'''</span>
:'''h2.''' Direct Project, Edge Protocol, and XDR/XDM ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-h2 forum] | [[Direct Project, Edge Protocol, and XDR/XDM (MU3))|wiki]]):
:'''h2.''' Direct Project, Edge Protocol, and XDR/XDM ([https://community.open-emr.org/tags/intersection/2015-onc-cert/2015-onc-cert-h2 forum] | [[Direct Project, Edge Protocol, and XDR/XDM (MU3))|wiki]]):
<br>
<br>


==Instance Specific Requirements Tracking==
==Instance Specific Requirements Tracking==
:'''This will track the settings that a instance needs to use to fulfill ONC 2015.'''
:'''This will track the settings that a instance needs to use to fulfill ONC 2015.''' These instructions will go into the install/upgrade instruction sets.
:*You are required to register your Organization name and FHIR endpoint with the OpenEMR Foundation by sending an email with this information to hello@open-emr.org with subject of 'ONC 2015 registration'. This information will be posted on [[OpenEMR_7.0.0_API#Service_Base_URLs]], which is a requirement for ONC 2015 (the OpenEMR Foundation is required to post this information within 10 days of your request).
:*Required global settings
:*Required global settings
::*Administration->Globals->Security->Hash Algorithm for Authentication->SHA512 (ONC 2015)
::*Administration->Globals->Security->Hash Algorithm for Authentication->SHA512 (ONC 2015)
::*Administration->Globals->Security->Hash Algorithm for Token->SHA512 (ONC 2015)
::*Administration->Globals->Security->Hash Algorithm for Token->SHA512 (ONC 2015)
::*Administration->Globals->Logging->Enable Audit Log Encryption->On
::*Administration->Globals->Logging->Enable Audit Log Encryption->On
:*To ensure optimal security, users need to run their OpenEMR client web browser on a end-user device that encrypts entire drive(s) with AES based encryption algorithm.
::*Administration->Globals->Connectors->Enable OpenEMR Standard FHIR REST API->On
:*To ensure accurate time, server will need to set up a Network Time Protocol server that supports version 4 Network Time Protocol (NTP) as defined by RFC 5905..
:*To ensure optimal security, users are required to run their OpenEMR client web browser on a end-user device that encrypts entire drive(s) with AES based encryption algorithm.
:*To ensure optimal security, users are required to use a FIPS compliant cipher for the HTTPS/SSL browser connection.
:*To ensure accurate time, server are required to set up a Network Time Protocol server that supports version 4 Network Time Protocol (NTP) as defined by RFC 5905.
:*For users NOT NEEDING ONC 2015, then would consider setting following global setting to improve performance
:*For users NOT NEEDING ONC 2015, then would consider setting following global setting to improve performance
::*Administration->Globals->Security->Audit Logging SELECT Query->Off
::*Administration->Globals->Security->Audit Logging SELECT Query->Off
Line 230: Line 284:


==Acknowledgment Tracking==
==Acknowledgment Tracking==
:Brady Miller - FHIR, API, OAuth, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion
===ONC 2015 Project Managers===
:Jerry Padgett - CCDA, FHIR, API, OAuth, Standardized API for patient and population services
:*Brady Miller
:Ken Chapple - CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion
:*Jerry Padgett
:Rachel Ellison - Implantable device list
:*Stephen Nielson
:Stephen Nielson - SMART, FHIR, API, OAuth, Standardized API for patient and population services
:*Stephen Waite
:Thuyet Tran - Demographics
 
:Vishnu Yarmaneni - FHIR
===Contributors===
:Yash Raj Bothra - FHIR
:*Arnab Naha
:*Brady Miller<sup>*</sup> - CCDA, FHIR, API, OAuth, Demographics, Clinical decision support, Implantable device list, Family health history, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion, Patient health information capture, Safety-enhanced design, Application access – patient selection
:*Brent Boecking
:*Care Management Solutions
:*Columbia University HIT Program - Safety-enhanced design
:*Comlink
:*Community Behavioral Health
:*David Eschelbacher
:*David Zhang
:*EMR Direct
:*Jerry Padgett<sup>*</sup> - CCDA, FHIR, API, OAuth, CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, Transitions of care, Application access – all data request, Standardized API for patient and population services
:*Jocelyn Valenzuela
:*Katy Dovgala
:*Ken Chapple - CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion
:*Kenn Vincent Kongyingyong
:*Kenneth Newman
:*Lawrence Lo
:*Mariam Mohsin
:*Michael J. Blaho
:*Niru Jani
:*Oak Street Health
:*OpenEMR Foundation
:*Paul Montenegro
:*Rachel Ellison - Implantable device list
:*Salina Chan
:*Samta Jain
:*Sandra Gutierrez
:*Sherron Andrews
:*Stephen Nielson<sup>*</sup> - SMART, FHIR, API, OAuth, CQM, Transitions of care, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, Automated measure calculation, Application access – patient selection, Application access – all data request, Standardized API for patient and population services, Direct Project
:*Stephen Waite<sup>*</sup> - Quality management system, Clinical quality measures (CQMs) – record and export
:*Sushma Jani
:*Tamara Brantley
:*Theresa Haywood
:*Thuyet Tran - Demographics
:*Tiffany Fludd
:*Vikram Reddy
:*Virginia Lorenzi
:*Vishnu Yarmaneni - FHIR
:*Willy Liu
:*Yash Raj Bothra - FHIR
:<div style="font-size:80%"><sup>*</sup>ONC 2015 Project Managers</div>
<br>
<br>


Line 253: Line 347:
:::*Final adjustment after discussion with testing body: e3 not needed, g8 is needed, no more gap certification eligibility
:::*Final adjustment after discussion with testing body: e3 not needed, g8 is needed, no more gap certification eligibility
:::*The real Final listing (above 2 lists integrated): a1, '''a2 or a3(will do a2)''', a5, a9, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, '''g1 or g2(will do g2)''', g3-g6('''g6 is considered completed when b1 and b6 is completed'''), g7, g8, g9(cures version), g10(cures), '''h1 or h2(will do h1)'''
:::*The real Final listing (above 2 lists integrated): a1, '''a2 or a3(will do a2)''', a5, a9, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, '''g1 or g2(will do g2)''', g3-g6('''g6 is considered completed when b1 and b6 is completed'''), g7, g8, g9(cures version), g10(cures), '''h1 or h2(will do h1)'''
::* Since doing CURES.
:::* Complete b10, so can drop b6.
:::* Complete g10, so can drop g8.
::* Research if following items are not part of BASE (ie. are they required for CEHRT and MIPS and CURES): a12, b10, c2, c3, g2
=== Redo analysis from scratch (to ensure on right path) ===
:::* Base EHR definition for 2015 Edition Cures Update (https://www.healthit.gov/topic/certification-ehrs/2015-edition-test-method/2015-edition-cures-update-base-electronic-health-record-definition)
::::* a1, a2 or a3, a5, a9, a14, b1, c1, g7, g9, g10, h1 or h2
::::* Dependencies for above items:
:::::* d1, d2, d3, d4, d5, d6, d7, d8, d9, d12, d13, g3, g4, g5, g6
:::* Note above items are determined by ONC for Base EHR. Also need to ensure get CEHRT status which is determined by CMS and appears more confusing to sort out (analysis ongoing): https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Certification
:::* Additional items required for CEHRT (ongoing analysis):
::::* Per https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-495/subpart-A/section-495.4 need:
:::::* a12, e3, c2, c3, (g1 or g2)
:::* Items that can drop:
::::* b10
:::* Items that plan to add on first cert:
::::* e3
:::* Items that plan to add on second cert (per SN analysis):
::::* a3 (not clear and plan d/w SN), a10, a13, b2, b3, e1 (was gonna do this on first round, but looks like significant work may be involved), e2 (not clear and plan d/w SN),

Latest revision as of 15:22, 20 February 2024

Overview

Successfully completed testing on 6/30/22 and final certification was completed on 7/11/22. Released OpenEMR 7.0.0, which is ONC 2015 certified on 7/19/22. See the blog article on this monumental feat at: OpenEMR Achieves ONC 2015 Cures Update Certification with Groundbreaking Release 7.0
Testing body is SLI.
Links:

Forums and Discussion


Funding and Sponsors

Barometer

Required to Pay for Testing and Certification - $16,125

$5,000 $10,000 $13,125 $16,000 $16,125
$5,000 $10,000 $13,125 $16,000 $16,125


Required to support development efforts and timely delivery - $116,000

$10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $97,600 $100,000 $110,000 $113,709 $116,000
$10,000 $20,000 $30,000 $40,000 $50,000 $60,000 $70,000 $80,000 $90,000 $97,600 $100,000 $110,000 $113,709


Legend Description:
  • Funds Raised - Funds raised.
  • Not Funded - Unfunded Goal.
  • Expended Funds - Funds that have been spent.
  • Funds Contracted Out - Funds that have been contracted out.



Fund Drive for OpenEMR 2015 Certification

Help OpenEMR obtain 2015 Edition CEHRT by donating here.

For lower processing fees please email hello@open-emr.org for wire transfer instructions.

Major sponsors

Completion Barometer

  • This barometer is tracking the progress of the 2015 ONC Ambulatory EHR Certification (ie. Stage 3 MU) project. See below Certification Criteria section for criteria titles and further details on progress tracking.
  • The below items were chosen as the minimum to support ONC 2015 certification with CEHRT (although note CEHRT is dependent on CMS) and CURES.
a1* a2* a5* a9* a12* a14* b1 b10 c1* c2* c3* d1* d2* d3* d4* d5* d6* d7* d8* d9* d12* d13* e3* g2* g3* g4 g5 g6 g7* g9 g10 h1


Legend Description:
  • Not Yet Analyzed - Has not been analyzed yet.
  • Not Ready - Not ready for certification testing and waiting for somebody to work on this.
  • Not Ready (actively working on) - Not ready for certification testing, but are actively working on this.
  • Ready - Ready for certification testing. ( F means is Finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and officially ready ready to self-declare or test.)
  • Failed Test - Issues found during certification testing.
  • Certification Pass - Passed certification and in official codebase.
  • * - Self-declaration (this involves self-declaration rather than formal testing with the testing body).


Certification Criteria Reference and Tracking

  • Owner(s) - This is the "current" person/group(s) that are working on the criteria (or building block) and can be found in parenthesis next to the item.
  • Building Blocks:
  • CQM
  • CCDA
  • FHIR
  • API
  • OAuth
  • SMART
  • FINALIZED means items is finalized (has been checked thoroughly and has an associated wiki page detailing why it is ready) and is ready to self-declare or test.

Clinical (170.315(a))

a1. Computerized provider order entry (CPOE) – medications (forum | wiki): FINALIZED
a2. CPOE – laboratory (forum | wiki): FINALIZED
a3. CPOE – diagnostic imaging (forum | wiki):
a4. Drug-drug, drug-allergy interaction checks for CPOE (forum | wiki):
a5. Demographics (forum | wiki): FINALIZED
a6. Problem list (forum | wiki):
a7. Medication list (forum | wiki):
a8. Medication allergy list (forum | wiki):
a9. Clinical decision support (forum | wiki): FINALIZED
a10. Drug-formulary and preferred drug list checks (forum | wiki):
a11. Smoking status (forum | wiki):
a12. Family health history (forum | wiki): FINALIZED
a13. Patient-specific education resources (forum | wiki):
a14. Implantable device list (forum | wiki): FINALIZED
a15. Social, psychological, and behavioral data (forum | wiki):

Care Coordination (170.315(b))

b1. Transitions of care (forum | wiki): CCDA FINALIZED
b2. Clinical information reconciliation and incorporation (forum | wiki):
b3. Electronic prescribing (forum | wiki):
b4. Common Clinical Data Set summary record – create (forum | wiki):
b5. Common Clinical Data Set summary record – receive (forum | wiki):
b6. Data export (forum | wiki):
b7. Data segmentation for privacy – send (forum | wiki):
b8. Data segmentation for privacy – receive (forum | wiki):
b9. Care plan (forum | wiki):
b10. Electronic health information (EHI) export (forum | wiki): FINALIZED
b11. Electronic prescribing (forum | wiki):
b12. Data segmentation for privacy – send (forum | wiki):
b13. Data segmentation for privacy – receive (forum | wiki):

Clinical Quality Measures (170.315(c))

c1. Clinical quality measures (CQMs) – record and export (forum | wiki): CQM FINALIZED
  • List of eCQMs undergoing certification
  • Management of Chronic Conditions
  • CMS122v10 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%) (EP)
  • CMS165v10 Controlling High Blood Pressure (EP)
  • Prevention and Treatment of Opioid and Substance Use Disorders
  • CMS138v10 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (EP)
  • Preventive Care
  • CMS22v10 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (EP)
  • CMS69v10 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan (EP)
  • CMS124v10 Cervical Cancer Screening (EP)
  • CMS125v10 Breast Cancer Screening (EP)
  • CMS127v10 Pneumococcal Vaccination Status for Older Adults (EP)
  • CMS130v10 Colorectal Cancer Screening (EP)
  • CMS147v11 Preventive Care and Screening: Influenza Immunization (EP)
c2. CQMs – import and calculate (forum | wiki): CQM FINALIZED
c3. CQMs – report criterion (forum | wiki): CQM FINALIZED
c4. CQMs – filter (forum | wiki):

Privacy and Security (170.315(d))

d1. Authentication, access control, and authorization (forum | wiki): FINALIZED
d2. Auditable events and tamper-resistance (forum | wiki): (estimated work to complete: low/moderate) FINALIZED
d3. Audit report(s) (forum | wiki): FINALIZED
d4. Amendments (forum | wiki): FINALIZED
d5. Automatic access time-out (forum | wiki): FINALIZED
d6. Emergency access (forum | wiki): FINALIZED
d7. End-user device encryption (forum | wiki): FINALIZED
d8. Integrity (forum | wiki): FINALIZED
d9. Trusted connection (forum | wiki): FINALIZED
d10. Auditing actions on health information (forum | wiki):
d11. Accounting of disclosures (forum | wiki):
d12. Encrypt authentication credentials certification criterion (forum | wiki): FINALIZED
d13. Multi-factor authentication (MFA) criterion (forum | wiki): FINALIZED

Patient Engagement (170.315(e))

e1. View, download, and transmit to 3rd party (forum | wiki):
e2. Secure messaging (forum | wiki):
e3. Patient health information capture (forum | wiki): FINALIZED

Public Health (170.315(f))

f1. Transmission to immunization registries (forum | wiki):
f2. Transmission to public health agencies – syndromic surveillance (forum | wiki):
f3. Transmission to public health agencies – reportable laboratory tests and value/results (forum | wiki):
f4. Transmission to cancer registries (forum | wiki):
f5. Transmission to public health agencies – electronic case reporting (forum | wiki):
f6. Transmission to public health agencies – antimicrobial use and resistance reporting (forum | wiki):
f7. Transmission to public health agencies – health care surveys (forum | wiki):

Utilization (170.315(g))

g1. Automated numerator recording (forum | wiki):
g2. Automated measure calculation (forum | wiki): FINALIZED
g3. Safety-enhanced design (forum | wiki): FINALIZED
g4. Quality management system (forum | wiki): FINALIZED
g5. Accessibility-centered design (forum | wiki): FINALIZED
g6. Consolidated CDA creation performance (forum | wiki): CCDA This will automatically pass when b1 passes, so is FINALIZED
g7. Application access – patient selection (forum | wiki): API FHIR FINALIZED
g8. Application access – data category request (forum | wiki):
g9. Application access – all data request (forum | wiki): API CCDA FINALIZED
g10. Standardized API for patient and population services (forum | wiki): OAuth SMART FHIR FINALIZED
g11. Consent management for application programming interfaces (forum | wiki):

Transport methods and other protocols (170.315(h))

h1. Direct Project (forum | wiki): (estimated work to complete: low/moderate) FINALIZED
h2. Direct Project, Edge Protocol, and XDR/XDM (forum | wiki):


Instance Specific Requirements Tracking

This will track the settings that a instance needs to use to fulfill ONC 2015. These instructions will go into the install/upgrade instruction sets.
  • You are required to register your Organization name and FHIR endpoint with the OpenEMR Foundation by sending an email with this information to hello@open-emr.org with subject of 'ONC 2015 registration'. This information will be posted on OpenEMR_7.0.0_API#Service_Base_URLs, which is a requirement for ONC 2015 (the OpenEMR Foundation is required to post this information within 10 days of your request).
  • Required global settings
  • Administration->Globals->Security->Hash Algorithm for Authentication->SHA512 (ONC 2015)
  • Administration->Globals->Security->Hash Algorithm for Token->SHA512 (ONC 2015)
  • Administration->Globals->Logging->Enable Audit Log Encryption->On
  • Administration->Globals->Connectors->Enable OpenEMR Standard FHIR REST API->On
  • To ensure optimal security, users are required to run their OpenEMR client web browser on a end-user device that encrypts entire drive(s) with AES based encryption algorithm.
  • To ensure optimal security, users are required to use a FIPS compliant cipher for the HTTPS/SSL browser connection.
  • To ensure accurate time, server are required to set up a Network Time Protocol server that supports version 4 Network Time Protocol (NTP) as defined by RFC 5905.
  • For users NOT NEEDING ONC 2015, then would consider setting following global setting to improve performance
  • Administration->Globals->Security->Audit Logging SELECT Query->Off
  • Administration->Globals->Security->Printing Log Option->No logging


Acknowledgment Tracking

ONC 2015 Project Managers

  • Brady Miller
  • Jerry Padgett
  • Stephen Nielson
  • Stephen Waite

Contributors

  • Arnab Naha
  • Brady Miller* - CCDA, FHIR, API, OAuth, Demographics, Clinical decision support, Implantable device list, Family health history, Auditable events and tamper-resistance, Audit report(s), Integrity, Encrypt authentication credentials certification criterion, Patient health information capture, Safety-enhanced design, Application access – patient selection
  • Brent Boecking
  • Care Management Solutions
  • Columbia University HIT Program - Safety-enhanced design
  • Comlink
  • Community Behavioral Health
  • David Eschelbacher
  • David Zhang
  • EMR Direct
  • Jerry Padgett* - CCDA, FHIR, API, OAuth, CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, Transitions of care, Application access – all data request, Standardized API for patient and population services
  • Jocelyn Valenzuela
  • Katy Dovgala
  • Ken Chapple - CQM, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion
  • Kenn Vincent Kongyingyong
  • Kenneth Newman
  • Lawrence Lo
  • Mariam Mohsin
  • Michael J. Blaho
  • Niru Jani
  • Oak Street Health
  • OpenEMR Foundation
  • Paul Montenegro
  • Rachel Ellison - Implantable device list
  • Salina Chan
  • Samta Jain
  • Sandra Gutierrez
  • Sherron Andrews
  • Stephen Nielson* - SMART, FHIR, API, OAuth, CQM, Transitions of care, Clinical quality measures (CQMs) – record and export, CQMs – import and calculate, CQMs – report criterion, Automated measure calculation, Application access – patient selection, Application access – all data request, Standardized API for patient and population services, Direct Project
  • Stephen Waite* - Quality management system, Clinical quality measures (CQMs) – record and export
  • Sushma Jani
  • Tamara Brantley
  • Theresa Haywood
  • Thuyet Tran - Demographics
  • Tiffany Fludd
  • Vikram Reddy
  • Virginia Lorenzi
  • Vishnu Yarmaneni - FHIR
  • Willy Liu
  • Yash Raj Bothra - FHIR
*ONC 2015 Project Managers


Notes

Below is how we derived the items to include in the main barometer:
  • Based on analysis incorporating finalized proposed changes and Cures: drop a6, a7, a8, a11, b4, b5; revise b1, b2, b3, b7, b8, b9, c3, d2, d3, d10, e1, f5, g6, g9; new b10, d12, d13, g10.(note goal is to only list the required items)
  • Note the following OR items: a2 or a3, g1 or g2, h1 or h2
  • EXTRAPOLATED EHR gap items are a1, a2 or a3. EHR non-gap items are a5, a9, a14, b1, b6, c1, g7, g8, g9, h1 or h2.
  • EXTRAPOLATED Bonus items need for MIPS are a12, e3, g1 or g2, c2, c3, (c4 is optional).
  • Above 2 lists distill to a1, a2 or a3, a5, a9, a12, a14, b1, b6, c1, c2, c3, e3, g1 or g2, g7, g8, g9, h1 or h2
  • Cures specific items are: a1, a2 or a3, a5, a9, a14, b1(standard or cures(cures is mandatory after 5/2/22)), c1, g7, g8 or g10(g10 is mandatory after 5/2/22), g9(standard or cures(cures is mandatory after 5/2/22)), h1 or h2
  • New distilled list including cures stuff that is mandatory after 5/22/22: a1, a2 or a3, a5, a9, a12, a14, b1(cures version), b6, c1, c2, c3, e3, g1 or g2, g7, g9(cures version), g10(cures), h1 or h2
  • Dependency items also needed are b10, d1-d9, d12, d13, g3-g6(g6 is considered completed when b1 and b6 is completed)
  • Final listing (above 2 lists combined): a1, a2 or a3(will do a2), a5, a9, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, e3, g1 or g2(will do g2), g3-g6(g6 is considered completed when b1 and b6 is completed), g7, g9(cures version), g10(cures), h1 or h2(will do h1)
  • Final adjustment after discussion with testing body: e3 not needed, g8 is needed, no more gap certification eligibility
  • The real Final listing (above 2 lists integrated): a1, a2 or a3(will do a2), a5, a9, a12, a14, b1(cures version), b6, b10, c1, c2, c3, d1-d9, d12, d13, g1 or g2(will do g2), g3-g6(g6 is considered completed when b1 and b6 is completed), g7, g8, g9(cures version), g10(cures), h1 or h2(will do h1)
  • Since doing CURES.
  • Complete b10, so can drop b6.
  • Complete g10, so can drop g8.
  • Research if following items are not part of BASE (ie. are they required for CEHRT and MIPS and CURES): a12, b10, c2, c3, g2

Redo analysis from scratch (to ensure on right path)

  • a1, a2 or a3, a5, a9, a14, b1, c1, g7, g9, g10, h1 or h2
  • Dependencies for above items:
  • d1, d2, d3, d4, d5, d6, d7, d8, d9, d12, d13, g3, g4, g5, g6
  • a12, e3, c2, c3, (g1 or g2)
  • Items that can drop:
  • b10
  • Items that plan to add on first cert:
  • e3
  • Items that plan to add on second cert (per SN analysis):
  • a3 (not clear and plan d/w SN), a10, a13, b2, b3, e1 (was gonna do this on first round, but looks like significant work may be involved), e2 (not clear and plan d/w SN),