A.2.3 Can use SNOMED-encoded results A.2.4 Appropriately handle HL7 and “no growth” messages “preliminary” result and update the order status appropriately (OBR Result Status = I, S, A, P and, – depending upon usage, R). A.3 Receive HL7 A.3.1 ORU^R01 Receive Radiology Radiology Report as HL7 ORU or MDM Report and file into the proper place in the EHR. A.4 Receive A.4.1 Appropriately handle HL7 Corrected and result correction messages Canceled HL7 (OBR Result Status = C) and Result order cancel messages Messages received (OBR Result Status = X) and update the order status appropriately based on the message. A.5 Receive HL7 A.5.1 MDM^T02: Original + Text Reports: content (e.g. H&P, A.5.2 MDM^T04: Status change + ECG, content Discharge A.5.3 MDM^T06: Addendum + Summary, content Colonoscopy A.5.4 MDM^T08: Edit + content Report, A.5.5 MDM^T10: Replace + Progress content Notes) A.5.6 ORU^R01: Alternative method for receiving text reports (result status is in OBR) A.6 Receive HL7 A.6.1 REF^I12 Delivered to Indicate which message & trigger Referral Provider in-box (should be Request able to handle RF1, DG1, AL1, OBR, and OBX segments). ORM^O01 may be used as an alternative. A.7 Receive HL7 A.7.1 RRI^I12 Acknowledge Referral Referral Request sent from Response the EHR (see HL7 Messages outbound)
A.2.3 Can use SNOMED-encoded results A.2.4 Appropriately handle HL7 “no growth” and “preliminary” result messages and update the order status appropriately (OBR Result Status = I, S, A, P – and, depending upon usage, R). A.3 Receive HL7 Radiology Report A.3.1 ORU^R01 Receive Radiology Report as HL7 ORU or MDM and file into the proper place in the EHR. A.4 Receive Corrected and Canceled HL7 Result Messages A.4.1 Appropriately handle HL7 result correction messages (OBR Result Status = C) and order cancel messages received (OBR Result Status = X) and update the order status appropriately based on the message. A.5 Receive HL7 Text Reports: (e.g. H&P, ECG, Discharge Summary, Colonoscopy Report, Progress Notes) A.5.1 MDM^T02: Original + content A.5.2 MDM^T04: Status change + content A.5.3 MDM^T06: Addendum + content A.5.4 MDM^T08: Edit + content A.5.5 MDM^T10: Replace + content A.5.6 ORU^R01: Alternative method for receiving text reports (result status is in OBR) A.6 Receive HL7 Referral Request A.6.1 REF^I12 Delivered to Provider in-box (should be able to handle RF1, DG1, AL1, OBR, and OBX segments). ORM^O01 may be used as an alternative. Indicate which message & trigger A.7 Receive HL7 Referral Response A.7.1 RRI^I12 Acknowledge Referral Request sent from the EHR (see HL7 Messages outbound)
Exhibit+B+for+Ambulatory+EHR+Vendors-2012-03-22-e.docx