TE1.02 2 Electronically generate a clinical summary according to CCDA clinical summary is generated. the CCDA standard and named vocabulary standards for [AMB] the and the following data elements: Provider’s name and office contact info Date and location of visit Reason for visit Immunizations and/or medications administered during the visit Diagnostic tests pending Clinical instructions Future appointments Referrals to other providers Future scheduled tests Recommended patient decision aids TE1.02 3 Electronically generate a clinical summary in Proctor verifies that a human-readable clinical summary is TE1.04 readable format, including the requirements specified at generated, is complete and accurate and contains all [AMB] IN1.03 Step 2. required data elements. TE2.01 4 In the same patient’s record, begin the process to Data is selected for inclusion and exclusion in the clinical generate another clinical summary. Proctor identifies the summary. [AMB] data to be excluded from the clinical summary using one of the data elements from Step 2. Proctor documents the data that was excluded. TE2.02 5 Electronically generate a clinical summary in CCDA CCDA clinical summary is generated. format, including the requirements specified at Step 2. [AMB] TE2.02-2.03 6 Electronically generate a clinical summary in Proctor verifies that a human-readable clinical summary is IN2.02 readable format, including the requirements specified at generated, is complete and accurate and does not contain [AMB] Step 2. the data identified for exclusion at Step 4.
2 [AMB] Electronically generate a clinical summary according to the CCDA standard and named vocabulary standards for the and the following data elements: Provider’s name and office contact info Date and location of visit Reason for visit Immunizations and/or medications administered during the visit Diagnostic tests pending Clinical instructions Future appointments Referrals to other providers Future scheduled tests Recommended patient decision aids CCDA clinical summary is generated. TE1.02 3 [AMB] Electronically generate a clinical summary in format, including the requirements specified at Step 2. Proctor verifies that a human-readable clinical summary is generated, is complete and accurate and contains all required data elements. TE1.02 TE1.04 IN1.03 4 [AMB] In the same patient’s record, begin the process to generate another clinical summary. Proctor identifies the data to be excluded from the clinical summary using one of the data elements from Step 2. Data is selected for inclusion and exclusion in the clinical summary. Proctor documents the data that was excluded. TE2.01 5 [AMB] Electronically generate a clinical summary in CCDA format, including the requirements specified at Step 2. CCDA clinical summary is generated. TE2.02 6 [AMB] Electronically generate a clinical summary in format, including the requirements specified at Step 2. Proctor verifies that a human-readable clinical summary is generated, is complete and accurate and does not contain the data identified for exclusion at Step 4. TE2.02-2.03 IN2.02 readable readable
2014%20Edition%20Test%20Script.docx