| Category / Type | Standards |
| Content Standards | |
| Patient Summary Record | - HL7 Clinical Document Architecture (CDA) Release 2, Continuity of Care Document (CCD)
- Implementation specifications – The Healthcare Information Technology Standards Panel (HITSP) Summary Documents Using HL7 CCD Component HITSP/C32
Or - ASTM E2369 Standard Specification for Continuity of Care Record (CCR) and Adjunct to ASTM E2369
|
| Electronic Prescribing | - National Council for the Prescription Drug Programs (NCPDP) Prescriber/Pharmacist Interface SCRIPT standard, Implementation Guide Version 8, Release 1 (Version 8.1) October 2005
Or - NCPDP SCRIPT Standard, Implementation Guide, Version 10.6
|
| Electronic Submission of Lab Results to Public Agencies | - HL7 2.5.1
- Implementation specifications – HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1
|
| Electronic Submission to Public Health Agencies for Surveillance or Reporting | Or - HL7 2.5.1
-
Implementation specifications – Public Health Information Network HL7 Version 2.5 Message Structure Specification for National Condition Reporting Final Version 1.0 and Errata and Clarifications National Notification Message Structural Specification (Note: This was removed due to an update issued on October 13, 2010 from the ONC). Review updates.
|
| Electronic Submission to Immunization Registries | - HL7 2.3.1
- Implementation specifications – Implementation Guide for Immunization Data Transactions using Version 2.3.1 of the Health Level Seven (HL7) Standard Protocol Implementation Guide Version 2.2
Or - HL7 2.5.1
- Implementation specifications – HL7 2.5.1 Implementation Guide for Immunization Messaging Release 1.0
|
| Quality Reporting | - The CMS Physician Quality Reporting Initiative (PQRI) 2009 Registry XML Specification (incorporated by reference in §170.299)
- Implementation specifications – Physician Quality Reporting Initiative Measure Specifications Manual for Claims and Registry
|
| Vocabulary Standards | |
| Problem List | - The code set specified at 45 CFR 162.1002(a)(1) for the indicated conditions (i.e. ICD9-CM)
Or - International Health Terminology Standards Development Organization (IHTSDO) Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) July 2009 version
|
| Procedures | - The code set specified at 45 CFR 162.1002(a)(2)
- The code set specified at 45 CFR 162.1002(a)(5) (i.e. CPT-4)
|
| Laboratory Test Results | - Logical Observation Identifiers Names and Codes (LOINC®) version 2.27
|
| Medications | - Any source vocabulary that is included in RxNorm, a standardized nomenclature for clinical drugs produced by the United States National Library of Medicine
|
| Immunizations | - HL7 Standard Code Set CVX – Vaccines Administered, July 30, 2009 version
|
| Race and Ethnicity | - The Office of Management and Budget (OMB) Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, October 30, 1997
|
