and Patient B.1.2 ADT^A04 (additional detail) Merge ADT EHR provides a mechanism Message for the user to mark a visit as and will transmit “protected” the protected status at the patient level in the PV1 segment. B.1.3 ADT^A08 Update Patient Info B.1.4 ADT^A31 - Person Update B.1.5 ADT^A40 - Merge Patient B.2 Create and B.2.1 ORM^O01 Create and Send Order transmit a properly formatted HL7 order (lab, radiology, other ancillary services). B.2.2 For laboratory orders, the California “ELINCS” specification is supported B.2.3 The ORM message allows a minimum of 3 “Copy to” providers B.3 Create and B.3.1 MFN^M02 send HL7 Add/change/deactivate Master File provider Updates for B.3.2 MFN^M05 Update location Providers and Locations B.4 Create and B.4.1 SIU^S12 (May be used to Send determine if the patient Appointment referenced in the appointment Notification has information in the HIE) B.5 Create and B.5.1 REF^I12 Provide for the Indicate which message & trigger Send Referral automatic transmission of the Request referral message. ORM^O01 also accepted at this time. B.6 Create and B.6.1 RRI^I12 Acknowledge Send Referral Referral Request Response B.7 Create and B.7.1 ORU^R01 Laboratory Send HL7 B.7.2 ORU^R01 Radiology / Result Records Ultrasound to Document B.7.3 MDM ^T02 Transcription in-Office or Reference Testing B.8 Send Text B.8.1 MDM^T02: Original + Reports: (e.g. content H&P, Visit B.8.2 MDM^T04: Status change + Summary, content
and Patient Merge ADT Message B.1.2 ADT^A04 (additional detail) EHR provides a mechanism for the user to mark a visit as “protected” and will transmit the protected status at the patient level in the PV1 segment. B.1.3 ADT^A08 Update Patient Info B.1.4 ADT^A31 - Person Update B.1.5 ADT^A40 - Merge Patient B.2 Create and Send Order B.2.1 ORM^O01 Create and transmit a properly formatted HL7 order (lab, radiology, other ancillary services). B.2.2 For laboratory orders, the California “ELINCS” specification is supported B.2.3 The ORM message allows a minimum of 3 “Copy to” providers B.3 Create and send HL7 Master File Updates for Providers and Locations B.3.1 MFN^M02 Add/change/deactivate provider B.3.2 MFN^M05 Update location B.4 Create and Send Appointment Notification B.4.1 SIU^S12 (May be used to determine if the patient referenced in the appointment has information in the HIE) B.5 Create and Send Referral Request B.5.1 REF^I12 Provide for the automatic transmission of the referral message. ORM^O01 also accepted at this time. Indicate which message & trigger B.6 Create and Send Referral Response B.6.1 RRI^I12 Acknowledge Referral Request B.7 Create and Send HL7 Result Records to Document in-Office or Reference Testing B.7.1 ORU^R01 Laboratory B.7.2 ORU^R01 Radiology / Ultrasound B.7.3 MDM ^T02 Transcription B.8 Send Text Reports: (e.g. H&P, Visit Summary, B.8.1 MDM^T02: Original + content B.8.2 MDM^T04: Status change + content
Exhibit+B+for+Ambulatory+EHR+Vendors-2012-03-22-e.docx