45 CFR 170.314 specifies the requirements for 2014 EHR Certification.
(b) Care Coordination
(1) Transitions of care
(i) Receive
(A) Standard in 45 CFR 170.202(a)(1) [Direct v1.0]
(ii) Display transition of care and referral summaries in
45 CFR 170.205(a)(1) [HL7 CDR R2: CCD]
45 CFR 170.205(a)(2) [ASTM 2369: CCR]
45 CFR 170.205(a)(3) [HL7 Implementation Guide fpr CDA R2: IHE Health Story Consolidation]
(2) Transitions of care: create and transmit transition of care/referral summaries
(i) create transmit transition of care/referral summaries with standard 45 CFR 170.205(a)(3) [HL7 Implementation Guide fpr CDA R2: IHE Health Story Consolidation] that includes, at a minimum, the Common Clinical Data Set [defined in 45 CFR 170.102 Definitions] and the following data
(A) Encounter diagnoses 45 CFR 170.207(i)
(B) Immunizations 45 CFR 170.207(e)(2)
(C) Cognitive status
(D) Functional status
(E) Ambulatory setting only: reason for referral
(F) Inpatient setting only: discharge instructions
(ii) transmit the above [170.314(b)(2)(i)] via Direct v1.0 [170.202(a)(1)]
(7) Data portability: export summaries for all patients according to 170.205(a)(3) [HL7 Implementation Guide fpr CDA R2: IHE Health Story Consolidation] with all the same elements above in 170.314(b)(2)(i)
(e) Patient engagement
(1) View, download, and transmit to a third party
(i) EHR technology must transmit to a third party the data specified below
(A) Electronically view with standard at 170.204(a)(1) [Web Content Accessibility Guidelines (WCAG) 2.0, Level A Conformance]
(1) Common Clinical Data Set
(2) Ambulatory setting only: Provider’s contact information
(3) Inpatient setting only: admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalizations
(b) Care Coordination
(1) Transitions of care
(i) Receive
(A) Standard in 45 CFR 170.202(a)(1) [Direct v1.0]
(ii) Display transition of care and referral summaries in
45 CFR 170.205(a)(1) [HL7 CDR R2: CCD]
45 CFR 170.205(a)(2) [ASTM 2369: CCR]
45 CFR 170.205(a)(3) [HL7 Implementation Guide fpr CDA R2: IHE Health Story Consolidation]
(2) Transitions of care: create and transmit transition of care/referral summaries
(i) create transmit transition of care/referral summaries with standard 45 CFR 170.205(a)(3) [HL7 Implementation Guide fpr CDA R2: IHE Health Story Consolidation] that includes, at a minimum, the Common Clinical Data Set [defined in 45 CFR 170.102 Definitions] and the following data
(A) Encounter diagnoses 45 CFR 170.207(i)
(B) Immunizations 45 CFR 170.207(e)(2)
(C) Cognitive status
(D) Functional status
(E) Ambulatory setting only: reason for referral
(F) Inpatient setting only: discharge instructions
(ii) transmit the above [170.314(b)(2)(i)] via Direct v1.0 [170.202(a)(1)]
(7) Data portability: export summaries for all patients according to 170.205(a)(3) [HL7 Implementation Guide fpr CDA R2: IHE Health Story Consolidation] with all the same elements above in 170.314(b)(2)(i)
(e) Patient engagement
(1) View, download, and transmit to a third party
(i) EHR technology must transmit to a third party the data specified below
(A) Electronically view with standard at 170.204(a)(1) [Web Content Accessibility Guidelines (WCAG) 2.0, Level A Conformance]
(1) Common Clinical Data Set
(2) Ambulatory setting only: Provider’s contact information
(3) Inpatient setting only: admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalizations
