Meaningful Use 中与HL7相关的消息及医疗文档

汇总

HL7 消息
入出转消息	ADT	A01，A03，A04，A08
免疫消息	VXU	V04
电子处方消息	NEWRX Message	v8.1 EDIFACT, v8.1 XML,  v10.6 EDIFACT or 10.6 XML或 NCPDP SCRIPT  version 10.6, in either XML or EDI format
检验消息	ORU	R01
HL7 文档
HL7 Documents	HL7 CCD	1)        Inpatient/Ambulatory Summary 2)        Cancer registries (仅门诊)
	HL7  ASTM CCR
	C-CDA
	HITSP/C32 document

MU Stage 1

MU	Message	Version	The aim to generate the messages
§170.302 (K) Submission to Immunization Registries	VXU^V04	2.5.1	Transmit immunization information to an external system.
§170.302 (l) Public Health Surveillance	ADT^A01: Admit/Visit	2.5.1	Syndromic surveillance message is generated and transmitted to the Tester.
	ADT^A03：Discharge/End visit
	ADT^A04：Register a patient
	ADT^A08：Update patient information
§170.304 (b) Electronic Prescribing	NEWRX Message	v8.1 EDIFACT, v8.1 XML,  v10.6 EDIFACT or 10.6 XML	Transmit new prescriptions to an external system. (这个消息我们没有实现，是从 DrFirst那边直接拿的)
§170.304 (f) Electronic copy of health information	HL7 CCD		以HL7 CCD或CCR的格式导出病人的诊疗信息，至少包括如下内容： 1)        Diagnostic test results 2)        Problem list 3)        Medication list 4)        Medication allergy list
	HL7  ASTM CCR

MU Stage 2

MU	Message	Version	The aim to generate the messages
170.314(b)(1) Transitions of care – receive, display and incorporate transition of care/referral Ambulatory and Inpatient Setting	C-CDA		接收及发送Ambulatory/Inpatient Summary of Care Record in C-CDA format
	HITSP/C32 document		接收及发送HITSP/C32 document
	ASTM CCR document		接收及发送ASTM CCR document
170.314 (b)(2) Transitions of care – create and transmit summary care records	C-CDA		生成C-CDA格式的 Inpatient Summary Of Care Record 并传输到第三方系统。
170.314(b)(3) Electronic Prescribing Ambulatory and Inpatient Setting	NEWRX Message	NCPDP SCRIPT  version 10.6, in either XML or EDI format	生成电子处方
170.314(b)(5)(B) Incorporate laboratory tests and values/results	ORU^R01	V2.5.1	从外部系统接收检验申请以及结果消息导入系统。
170.314(b)(6) Transmission of Electronic Laboratory Tests and Values/Results to Ambulatory Providers	ORU^R01	V2.5.1	住院将检验以及结果传到门诊。
170.314(b)(7) Data Portability	C-CDA		Create a set of export summaries for all patients in Consolidated CDA (C-CDA) conformant documents and transmit them to an third party.
170.314(e)(1) View, download, and transmit to a 3rd party	C-CDA		能查看/下载/传输到第三方住院病人的 Summary
170.314(f)(2) Transmission to immunization registries	VXU^ V04	V2.5.1	Transmit immunization information to an external system.
170.314(f)(3) Transmission to public health agencies - Syndromic Inpatient Setting	ADT^A01	V2.5.1	传输以下三个场景的消息到健康管理部门： 1)        Urgent Care Visit 2)        Emergency Department Visit -Patient Dies 3)        Emergency Department Visit – Patient Admit
	ADT^A03
	ADT^A04
	ADT^A08
170.314(f)(4) Transmission of reportable laboratory tests and values/results-Inpatient setting	ORU^R01	V2.5.1	EHR technology must be able to electronically create reportable laboratory tests and values/results for electronic transmission
170.314(f)(6) Transmission to cancer registries- Optional-Ambulatory Setting only	CDA	Release 2.0	EHR technology must be able to electronically create cancer case information for electronic transmission.