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170.314.a.8 Clinical Decision Support PS
Test Criteria: 170.314.a.8 – Clinical Decision Support
Testing Result
Participant and Product-with-
version
Setting (Ambulatory or Inpatient)
Test Proctor
Test Date
Results (PASS!AI"
DID #$T ATT%&PT)
I' !ail describe error
Additional So'tware *sed In
Demonstration
&odi'ications to Product *nderTest
Additional Proctor #otes
Scope of Proctoring Sheet
The $#+ test method associated with this criterion is the only approved test method 'or%,R &eaning'ul *se certi'ication This Proctoring Sheet is not a replacement test
method but a test procedure document 'or per'orming the $#+ test method and recording
the results Proctoring Sheet describe test data test criteria and epected results It is
assumed the .endor or Participant *nder Test is 'amiliar with the associated $#+ testmethod
Test Data
Source/ .endor Supplied
"oad Time/ +linical decision support rules and associated patient records may becreated be'ore the test event begins but clinical decision support rule noti'ication
is to be created at the time o' testing at the direction o' Test Proctor
Test Tools
#one
ersion of !"C Test #etho$
01
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170.314.a.8 Clinical Decision Support PS
Critical Rules for Test %&ent
• Strict time allotment 'or testing
o Supplemental Retest/ 0 hour
o 0-6 &odules/ 1 hours
o 03-07 &odules/ 8 hours
o 06-18 &odules/ 9 hours
o 1:-41 &odules/ 7 hours
o 44-46 &odules/ 03 hours
o 83; &odules/ 01 hours
• <hen a test error is encountered the module is recorded as 'ailed and the participant
is instructed to move to the net module 'or testing
• I' a module cannot be tested due to the participant 'ailing to pre-load the re=uired pre-
test patient setup data the module is recorded as 'ailed and the participant is
instructed to move to the net module 'or testing• I' time permits the participant will be allowed to retest 'ailed modules a'ter all other
modules have been tested
• #o code changes or error 'ies are allowed without Proctor permission and until all
registered modules are tested once $nly minor code changes are allowed
• $nly one code change is allowed on speci'ic module 'unctionality during a test event
!or eample a code changemodi'ication is only allowed once on the problem list
'unctionality within a given test day
• >ou must supply patient test data that is 'ictitious and contrived by the participant 'or
test purposes
•
#o recording o' audio or video by the participant is allowed during the test event
Ro'ustness an$ Relia'ilit( Re)uire*ent
To satis'y the module criteria it is epected that the Product-*nder-Test is able to
complete the testing re=uirements reliably including repeat testing with the same resultwithout error and with a satis'actory level o' robustness This includes unepected error
messages produced through normal operation multiple unintended restarts o' the
application or any other ?buggy@ 'acets o' the product displayed while testing Theseerrors are record in the Additional Proctor #otes o' the proctor sheet "ac o' reliability
and robustness o' design will result in 'ailure o' the module
Rev.: 01-Aug-2014
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170.314.a.8 Clinical Decision Support PS
Test Proctor +nstructions
Prior to administering the test proctor sheet the test proctor will con'irm the currentversion o' the proctor sheet is being used per the controlled document log o' the testing
=uality system
The test proctor instructs and observes the product-under-test per'orming the re=uired test procedure steps 'or each test re=uirement The test proctor shall record pass'ailno
attempt results and observations 'or each test re=uirement section as well as test
veri'ication audit in'ormation in the appropriate sections I' all test re=uirements pass theepected test results per the test procedures steps the entire module test will be mared
as ?PASS@ in the Testing Result section I' one or more test re=uirements are not met the
entire module test is mared as ?!AI"@ $ther test event in'ormation is recorded asdictated in the Testing Results section
I' an error occurs in the product so'tware during the course o' testing the error may be
resolved and module retested once in the course o' the test event i' time permits but onlyunder the supervision o' the test proctor The test proctor records the modi'ication made
to the product either in the &odi'ications to Product *nder Test section or the Test Result
.eri'ication section
The test proctor shall record relevant 'ree 'orm notes regarding the module testing as
necessary in the Additional Proctor #otes section This includes records o' errors or bugsobserved outside the speci'ic scope o' the module test re=uirement such as privacy and
security 'ailures which could be relevant in granting certi'ication or unusual activities o'
the product-under-test revealed in the course o' testing which could impact certi'icationcon'idence
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disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
Test Re)uire*ent: DTR 170.314.a.8,1: Select-cti&ate ClinicalDecision Support +nter&entions
To Be +ompleted by Test Proctor
Test Re=uirement R%S*"T (Pass!ail#o Attempt)
*ser RolePermission 'or Selecting +DS
*ser RolePermission not able to Select +DS
+DS Intervention-Problem
+DS Intervention-&ed "ist
+DS Intervention-&ed Allergy "ist
+DS Intervention-Demographics
+DS Intervention-"ab Tests
+DS Intervention-.itals
+DS Intervention-+ombination
Test Procedures0 Proctor will instruct .endor to login as a user without access to selecting or
activating +DS interventions Proctor will instruct .endor to attempt to use
this user to select or activate electronic clinical decision support interventions'or a speci'ic clinical user role and veri'y this cannot be done This user role
will be record in the section above
1 Proctor will instruct .endor to login as a user with access to selecting or
activating +DS interventions Proctor will instruct .endor to use this user toselect or activate electronic clinical decision support interventions 'or a
speci'ic clinical user role This user role will be record in the section above
#$T% C Any activationdeactivation o' a +DS rule &*ST be loggedappropriately by %,R (can be in audit log or separate +DS log)
4 Proctor will instruct .endor to use this user to select or activate clinical
decision support intervention 'unctionality 'or each o' the 'ollowing elementsand one combination o' data 'rom two or more elements/
Problem list
&edication list
&edication allergy listDemographics
"aboratory test and valuesresults
.ital Signs
The interventions by the .endor and recorded by the Proctor in the sectionabove The .endor will eplain where in the clinical setting or wor'low the
+DS interventions are enacted8 Proctor will con'irm %pected Test Results were achieved
Rev.: 01-Aug-2014
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170.314.a.8 Clinical Decision Support PS
: Proctor will audit test results by completing Test Result .eri'ication checlist
&inimum Seven rules
"ogged event to $# or $!! +DS
Test DataTest data is vendor supplied and captured in the Test Result Verification.
%pected Testing Results
• %&'170.314(a)(8) * 1.01+ +linical decision support interventions are activated
based on data in the Problem list &edication list &edication allergy listDemographics "aboratory tests and valuesresults and .ital signs and based
on at least one combination o' data 'rom two or more o' these data categories
• %&'170.314(a)(8) * 1.02+ %,R logs the status and timing o' the activated
clinical decision support intervention
Test Result .eri'ication
• I#S%RT S+R%%# S,$T C +reation"isting o' clinical decision support
interventions
• I#S%RT S+R%%# S,$T C "ogging the status and timing o' the activated
clinical decision support intervention
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disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
Test Re)uire*ent: DTR 170.314.a.8,/: Trigger Clinical DecisionSupport +nter&entions
To Be +ompleted by Test Proctor
Test Re=uirement R%S*"T (Pass!ail#o Attempt)
*ser RolePermission 'or Triggering +DS
+linical Decision Support Interventions
Test Procedures0 Proctor will instruct .endor to identi'y or create a test patient(s) containing
.endor-supplied problems medications medication allergies demographicslaboratory tests and valuesresults and vital signs to trigger +DS interventions
con'igured 'or the %,R
1 Proctor will instruct .endor login as a user who receives +DS interventions
and access the test patient Proctor will veri'y the clinical decision supportinterventions recorded in DTR0E3408a7 C 0 section above occur
automatically and electronically when a user is interacting with the %,R
technology 'or the test patient(s)4 Proctor will con'irm %pected Test Results were achieved
8 Proctor will audit test results by completing Test Result .eri'ication checlist
Test DataTest data is vendor supplied and captured in the Test Result Verification.
%pected Testing Results
• %&'170.314(a)(8) * 2.01+ +linical decision support interventions are triggered
'or a user based on based on data in the Problem list &edication list&edication allergy list Demographics "aboratory tests and valuesresultsand .ital signs and based on at least one combination o' data 'rom two or
more o' these data categories
Test Result .eri'ication
• I#S%RT S+R%%# S,$T C Patient Record(s)
• I#S%RT S+R%%# S,$T C Problem "ist +DS Intervention
• I#S%RT S+R%%# S,$T C &ed "ist +DS Intervention
• I#S%RT S+R%%# S,$T C &ed Allergy "ist +DS Intervention
• I#S%RT S+R%%# S,$T C Demographics +DS Intervention
• I#S%RT S+R%%# S,$T C "ab Test +DS Intervention
• I#S%RT S+R%%# S,$T C .itals +DS Intervention
• I#S%RT S+R%%# S,$T C +ombo +DS Intervention
Rev.: 01-Aug-2014
!R "est-08#
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disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
Test Re)uire*ent: DTR 170.314.a.8,3: +$entif( Diagnostic an$Therapeutic Reference Resources
To Be +ompleted by Test Proctor
Test Re=uirement R%S*"T (Pass!ail#o Attempt)
*se In'obutton (>%S#$)
Test Procedures0 Proctor will instruct .endor to use %,R 'unction(s) to access diagnostic and
therapeutic re'erence in'ormation using either a general capability or the
In'obutton standard 'or the 'ollowing categories/
• Problem "ist
• &ed "ist
• "ab Tests
• +ombo o' Problem "ist &ed "ist &ed Allergy "ist Demographics
"ab Tests .ital Signs1 Proctor will record i' %,R utiliFes the In'obutton technology 'or +DS
interventions
4 Proctor will con'irm %pected Test Results were achieved
8 Proctor will audit test results by completing Test Result .eri'ication checlist
Test DataTest data is vendor supplied and captured in the Test Result Verification.
%pected Testing Results
• %&'170.314(a)(8) * 3.01+ %,R can identi'y and access diagnostic and
therapeutic re'erence resources o' +DS interventions
Test Result .eri'ication
• I#S%RT S+R%%# S,$T C Accessing diagnostic and therapeutic re'erences
resources
• I#S%RT S+R%%# S,$T C Re'erence sources o' clinical decision support
interventions
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!R "est-08#
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+opyright 2 1304 Drummond 5roup Inc
The in'ormation contained in this document is strictly held con'idential and shall not be
disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
Test Re)uire*ent: DTR 170.314.a.8,4: Configure Clinical DecisionSupport +nter&entions an$ Diagnostic an$ Therapeutic ReferenceResources
To Be +ompleted by Test Proctor
Test Re=uirement R%S*"T (Pass!ail#o Attempt)
*ser Role <ho +an +on'igure +DS
*ser Role <ho ,AS +DS Indications
*ser Role <ho Does #$T ,A.% +DS
Indications
*ser Role <ho +an Access Diagnostic and
Therapeutic Re'erence Resources
*ser Role <ho +an #$T Access Diagnostic
and Therapeutic Re'erence Resources
*ser Role <ho +an #$T +on'igure +DS
Interventions or Diagnostic and TherapeuticRe'erence Resources
Test Procedures0 Proctor will instruct .endor to login with a user role who has the ability to
con'igure clinical decision support intervention and record the user role in the
section above
1 Proctor will instruct .endor in this user role to con'igure at least one clinicaldecision support intervention based on a userGs clinical role that is inclusive o'
one o' the roles !or eample triggered 'or a physician role but not triggered
'or nurse or o''ice sta'' roles Proctor will record these roles in the section
above4 Proctor will instruct .endor to log in to the %,R as a user whose clinical role
has been con'igured to allow 'or indication o' clinical decision support
interventions (eg physician) and then select a patient record identi'ied by the.endor and populated with .endor-supplied test data Proctor will veri'y that
the clinical decision support interventions occur automatically and
electronically when a user is interacting with the %,R technology8 Proctor will instruct .endor to log in to the %,R as a user whose clinical role
does #$T allow 'or indication o' clinical decision support interventions (eg
nurse o''ice sta'') and then select the same patient used in Step 4 Proctor willveri'y that the clinical decision support interventions do not occur
automatically and electronically when a user is interacting with the %,Rtechnology
Rev.: 01-Aug-2014
!R "est-08#
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+opyright 2 1304 Drummond 5roup Inc
The in'ormation contained in this document is strictly held con'idential and shall not be
disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
: Proctor will instruct .endor to use the .endor-identi'ied %,R 'unction(s) to
con'igure at least one diagnostic and therapeutic re'erence resource based on a
userGs clinical role9 Proctor will instruct .endor to login in to the %,R as the user whose clinical
role has been con'igured to allow access to diagnostic and therapeuticre'erence resources and shall veri'y that the re'erence resources can beaccessed electronically Proctor will record this user role in the section above
E Proctor will instruct .endor to login in to the %,R as a user whose clinical
role does not have access to diagnostic and therapeutic re'erence resourcesand shall veri'y that the re'erence resources cannot be accessed electronically
Proctor will record this user role in the section above
7 Proctor will instruct .endor to login to %,R as a user who does not have theability to con'igure clinical decision support interventions nor diagnostic and
therapeutic re'erence resources Proctor will veri'y this user role does not have
access to con'igure clinical decision support interventions and diagnostic and
therapeutic re'erence resources Proctor will record this user role in the sectionabove
6 Proctor will con'irm %pected Test Results were achieved
03 Proctor will audit test results by completing Test Result .eri'ication checlist
Test DataTest data is vendor supplied and captured in the Test Result Verification.
%pected Testing Results
• %&'170.314(a)(8) * 4.01+ %,R can con'igure clinical decision support
interventions and the diagnostic and therapeutic re'erence resources based on
a userGs clinical role• &'170.314(a)(8) * 4.02+ %,R can once con'igured automatically produce
clinical decision support interventions based on a userGs clinical role
• &'170.314(a)(8) * 4.03+ %,R can once con'igured allow access to the
diagnostic and therapeutic re'erence resources based on a userGs clinical role
Test Result .eri'ication
• I#S%RT S+R%%# S,$T C *ser role con'iguring +DS support interventions
• I#S%RT S+R%%# S,$T C *ser role with +DS indications receiving +DS
interventions 'or a patient record
• I#S%RT S+R%%# S,$T C *ser role <IT,$*T +DS indications notreceiving +DS interventions 'or same patient record
• I#S%RT S+R%%# S,$T C *ser role accessing to diagnostic and therapeutic
re'erence resourcesRev.: 01-Aug-2014
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170.314.a.8 Clinical Decision Support PS
• I#S%RT S+R%%# S,$T C *ser role not able to access diagnostic and
therapeutic re'erence resources
• I#S%RT S+R%%# S,$T C *ser role who does not have the ability to
con'igure clinical decision support interventions nor diagnostic and
therapeutic re'erence resources
Rev.: 01-Aug-2014
!R "est-08#
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The in'ormation contained in this document is strictly held con'idential and shall not be
disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
Test Re)uire*ent: DTR 170.314.a.8,: Re&ie ttri'utesTo Be +ompleted by Test Proctor
Test Re=uirement R%S*"T (Pass!ail#o Attempt)
Support o' ,"E In'obutton (>%S#$)
Test Procedures0 Proctor will instruct .endor to login with user role is con'igured to allow 'or
indication o' clinical decision support interventions and shall select a patientrecord identi'ied by the .endor and populated with .endor-supplied test data
1 Proctor will instruct .endor to initiate a point o' care wor'low activity with a
patient so that the clinical decision support interventions automatically occur4 Proctor will instruct .endor to use the .endor-identi'ied %,R 'unction(s) so
that the Proctor shall display the bibliographic citation o' the intervention
(clinical researchguideline) the developer o' the intervention (translation'rom clinical researchguideline) the 'unding source o' the intervention
development technical implementation and the release (and i' applicable
revision date(s)) o' the intervention
8 Proctor will instruct .endor to use the .endor-identi'ied %,R 'unction(s) sothat the Proctor shall access diagnostic and therapeutic re'erence in'ormation
using either general capability or the ,"E +ontet-Aware Hnowledge
Retrieval (In'obutton) Standard *sing the .endor-identi'ied %,R 'unction(s)the developer o' the intervention and where clinically indicated the
bibliographic citation o' the intervention Proctor will record support or lac
o' support 'or ,"E In'obutton: Proctor will instruct .endor to enter medication orders via +P$% so that a
drug-drug or drug-allergy contraindication intervention is activated *sing the
.endor-identi'ied %,R 'unction(s) the developer o' the drug-drug or drug-allergy intervention and where clinically indicated the bibliographic citation
o' the intervention shall be displayed
9 Proctor will con'irm %pected Test Results were achieved
E Proctor will audit test results by completing Test Result .eri'ication checlist
Test DataTest data is vendor supplied and captured in the Test Result Verification.
%pected Testing Results
• %&'170.314.a.8-#.01+ !or clinical decision support interventions
bibliographic citation o' the intervention the developer o' the intervention the'unding source o' the intervention development technical implementation and
Rev.: 01-Aug-2014
!R "est-08#
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The in'ormation contained in this document is strictly held con'idential and shall not be
disclosed in any manner or 'orm directly or indirectly to any person or entity under anycircumstances without prior approval
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170.314.a.8 Clinical Decision Support PS
the release (and i' applicable revision date(s)) o' the intervention are
accessed and viewed
• %&'170.314.a.8-#.02+ !or diagnostic and therapeutic re'erences source
in'ormation are accessed and viewed
• %&'170.314.a.8-#.03+ !or drug-drugdrug-allergy contraindication
interventions developer o' the intervention and bibliographic citation o' the
intervention (where clinical indicated)
Test Result .eri'ication
• I#S%RT S+R%%# S,$T C Bibliographic citation o' the intervention the
developer o' the intervention the 'unding source o' the intervention
development technical implementation and the release (and i' applicable
revision date(s)) o' the intervention
• I#S%RT S+R%%# S,$T C Diagnostic and therapeutic re'erence o'
interventions• I#S%RT S+R%%# S,$T C Attributes 'or drug-drug and drug-allergy
interaction checs
Rev.: 01-Aug-2014
!R "est-08#
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170.314.a.8 Clinical Decision Support PS
Test Re)uire*ent: DTR 170.314.a.8,/: Trigger Clinical DecisionSupport +nter&entions – 2or +ncorporate CCD an$ a' Results
To Be +ompleted by Test Proctor
Test Re=uirement R%S*"T (Pass!ail#o Attempt)
+DS Intervention 'or Problem
+DS Intervention 'or &edication
+DS Intervention 'or &ed Allergy
+DS Intervention 'or "ab Result
Test Procedures0 I' .endor is not testing the incorporation o' summary care record
(0E3408b0) or the Ambulatory incorporation o' lab testresults
(0E3408b:) this test re=uirement is not re=uired and is sipped
1 !or 0E3408b0 Proctor will instruct .endor to incorporate a summary carerecordGs problems medications and medication allergies into a patientGs record
which will activate clinical decision support interventions 'or problems
medications and medication allergies4 !or 0E3408b: Proctor will instruct .endor to incorporate a lab result into a
patientGs record which will trigger a lab result clinical decision support
interventions8 Proctor will veri'y the clinical decision support interventions automatically
occur and record the interventions in the section above
: Proctor will con'irm %pected Test Results were achieved
9 Proctor will audit test results by completing Test Result .eri'ication checlist
Test DataTest data is vendor supplied and captured in the Test Result Verification.
%pected Testing Results
• %&'170.314.a.8-2.02 &'170.314.a.8-2.04 &'170.314.a.8-2.0,+ *pon
incorporation o' a summary care record clinical decision support
interventions are indicated when medication medication allergies and
problems are incorporated into the patientGs record
• %&'170.314.a.8-2.03 &'170.314.a.8-2.0# &'170.314.a.8-2.0,+ *pon
incorporation o' a lab result 'or an Ambulatory Setting test clinical decision
support interventions are indicated
Test Result .eri'ication
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!R "est-08#
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170.314.a.8 Clinical Decision Support PS
• I#S%RT $R SA.% !I"% C Patient summary care record containing problem
list medication list medication allergy list demographics lab testsresults and
vital signs
• I#S%RT S+R%%# S,$T C Real-time noti'ication o' clinical decision support
interventions 'or incorporation o' summary care record
• I#S%RT $R SA.% !I"% C Patient lab results
• I#S%RT S+R%%# S,$T C Real-time noti'ication o' clinical decision support
interventions 'or incorporation o' lab result
Rev.: 01-Aug-2014
!R "est-08#
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170.314.a.8 Clinical Decision Support PS
ppen$i : Testing 5ui$e
This appendix contains more details and background on the testing requirements,
including explanation on underlying standards, notable issues and best practice
suggestions.
Rev 13-Dec-1301 Additions
• A +DS intervention is not simply an alert noti'ication or eplicit care suggestion
Rather it should be more broadly interpreted as the user-'acing representation o'evidence-based clinical guidance
• ?Real-time@ means at the point o' clinical decision maing (ie noti'ications must be
provided when an eligible pro'essional is using +erti'ied %,R Technology and notrun overnight and provided in the morning 'or instance)
Rev.: 01-Aug-2014
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170.314.a.8 Clinical Decision Support PS
ppen$i 6: !"C Criteria an$ Stan$ar$s
This appendix contains copy of the relevant ON criteria and standards for this proctor
sheet as a reference. !n the event of a discrepancy "ith the ON #inal Rule, the ON
#inal Rule takes precedence.
/170.314(a)(8) Clinical ecision support
(i) %vidence-based decision support interventions %nable a limited set o'identi'ied users to select (ie activate) one or more electronic clinical decision
support interventions (in addition to drug-drug and drug-allergy
contraindication checing) based on each one and at least one combination o'the 'ollowing data/
A Problem list
B &edication list
+ &edication allergy list
D Demographics% "aboratory tests and valuesresults and
! .ital signs(ii) "ined re'erential clinical decision support
A %,R technology must be able to/
0 %lectronically identi'y 'or a user diagnostic and therapeuticre'erence in'ormation or
1 %lectronically identi'y 'or a user diagnostic and therapeutic
re'erence in'ormation in accordance with the standard speci'ied
at 0E3138(b) and the implementation speci'ications at 0E3138 (b)(0) or (1)
B !or paragraph (a)(7)(ii)(A) o' this section %,R technology must be ableto electronically identi'y 'or a user diagnostic or therapeutic re'erencein'ormation based on each one and at least one combination o' the
'ollowing data re'erenced in paragraphs (a)(7)(i)(A) through (!) o' this
section/(iii) +linical decision support con'iguration
A %nable interventions and re'erence resources speci'ied in paragraphs (a)(7)
(i) and (ii) o' this section to be con'igured by a limited set o' identi'iedusers (eg system administrator) based on a userGs role
B %,R technology must enable interventions to be electronically triggered/
0 Based on the data re'erenced in paragraphs (a)(7)(i)(A)
through (!) o' this section1 <hen a patientGs medications medication allergies and
problems are incorporated 'rom a transition o' carere'erral
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170.314.a.8 Clinical Decision Support PS
summary received pursuant to paragraph (b)(0)(iii) o' this
section
4 Ambulatory setting only <hen a patientGs laboratory testsand valuesresults are incorporated pursuant to paragraph (b)(:)
(i)(A)(0) o' this section(iv) Automatically and electronically interact Interventions triggered in
accordance with paragraphs (a)(7)(i) through (iii) o' this section must
automatically and electronically occur when a user is interacting with %,R
technology(v) Source attributes %nable a user to review the attributes as indicated 'or all
clinical decision support resources/
A !or evidence-based decision support interventions under paragraph (a)(7)(i) o' this section/
0 Bibliographic citation o' the intervention (clinical
researchguideline)
1 Developer o' the intervention (translation 'rom clinicalresearchguideline)
4 !unding source o' the intervention development technical
implementation and8 Release and i' applicable revision date(s) o' the
intervention or re'erence source
B !or lined re'erential clinical decision support in paragraph (a)(7)(ii) o'this section and drug-drug drug-allergy interaction checs in paragraph(a)
(1) o' this section the developer o' the intervention and where clinically
indicated the bibliographic citation o' the intervention (clinical
researchguideline)
/170.204() ,"E .ersion 4 Standard/ +ontet-Aware Retrieval Application (In'obutton)0 Implementation speci'ications ,"E .ersion 4 Implementation 5uide/ *R"-
Based Implementations o' the +ontet-Aware In'ormation Retrieval (In'obutton)
Domain1 Implementation speci'ications ,"E .ersion 4 Implementation 5uide/ +ontet-
Aware Hnowledge Retrieval (In'obutton) Service-$riented Architecture
Implementation 5uide
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170.314.a.8 Clinical Decision Support PS
/170.314()(1) "ransitions o$ care * receive ispla an incorporate transition o$
carere$erral suaries.
iii Incorporate *pon receipt o' a transition o' carere'erral summary 'ormattedaccording to the standard adopted at 0E313:(a)(4) %,R technology must
be able to/A +orrect patient Demonstrate that the transition o' carere'erral
summary received is or can be properly matched to the correct patient
B Data incorporation %lectronically incorporate the 'ollowing data
epressed according to the speci'ied standard(s)/0 &edications At a minimum the version o' the standard
speci'ied in 0E313E(d)(1)
1 Problems At a minimum the version o' the standardspeci'ied in 0E313E(a)(4)
4 &edication allergies At a minimum the version o' the
standard speci'ied in 0E313E(d)(1)
+ Section views %tract and allow 'or individual display each additionalsection or sections (and the accompanying document header
in'ormation) that were included in a transition o' carere'erral
summary received and 'ormatted in accordance with the standardadopted at 0E313:(a)(4)
/170.20#(a). Content 5c6ange Stanars * Patient Suar Recor
4 Standard/ ,"E Implementation 5uide 'or +DAJ Release 1/
I,% ,ealth Story +onsolidation The use o' the ?unstructured
document@ document-level template is prohibited
/170.207(a). ocaular stanars * Proles(4) I,TSD$ S#$&%D +TJ International Release Kuly 1301 and *S %tension
to S#$&%D +TJ &arch 1301 Release
/170.207(). ocaular stanars * eications
(1) R#orm a standardiFed nomenclature 'or clinical drugs produced by the*nited States #ational "ibrary o' &edicine August 9 1301 Release
/170.314()(#) &ncorporate laorator tests an valuesresults.
i Receive resultsA Ambulatory setting only
0 %lectronically receive and incorporate clinical laboratory testsand valuesresults in accordance with the standard speci'ied in 0E313:(L) and at a minimum the version o' the standard
speci'ied in 0E313E(c)(1)Rev.: 01-Aug-2014
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170.314.a.8 Clinical Decision Support PS
/170.20#(9). Content 5c6ange Stanars * lectronic incorporation an
transission o$ la results.
,"E .ersion 1:0 Implementation 5uide/ SMI !ramewor "ab Results Inter'ace
/170.207(c). ocaular stanars * a Results
(1) "ogical $bservation Identi'iers #ames and +odes ("$I#+J) Database
version 183 a universal code system 'or identi'ying laboratory and clinical
observations produced by the Regenstrie' Institute Inc
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170.314.a.8 Clinical Decision Support PS
Change og
Revision +hange Description
30-Aug-1308 Removed a typo error in test procedure step 0 o' DTR 0E3408a7-
4
30-&ay-1308 +lari'ied must record audit entry 'or activation o' +DS rules
30-Dec-1304 Removed re'erence to medications allergies and problems beingincorporated as part o' a lab result 0E3408a7-1 clari'ied
NI#0E3408a7-:31O on viewing source in'ormation o' diagnostic
and therapeutic re'erences
30-Kun-1304 +orrected *ser Role entry under ?To be completed by Test Proctor@
bo 'or DTR 0E3408a7-1
30-&ay-1304 +orrected typo o' ?Problems@ to correct ?"ab Results@ in Appendi
B/ $#+ +riteria and Standards
30-&ar-1304 Added +hange log and D5I boilerplate
13-Dec-1301 Initial Release
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170.314.a.8 Clinical Decision Support PS
'out Dru**on$ 5roup +nc.Drummond 5roup Inc is a global so'tware test and certi'ication lab that serves a wide
range o' vertical industries In healthcare Drummond 5roup tests and certi'ies
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designating the trusted test lab as the only third-party certi'ier o' all three initiatives
designed to move the industry toward a digital 'uture !ounded in 0666 and accredited'or the $''ice o' the #ational +oordinator ,IT +erti'ication Program as an AuthoriFed
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