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HIPAAS's core regulations for an EHR
- 1. Password management
- 2. Unique user identification
- 3. Access authorization
- 4. Accounting of disclosures of PHI
- 5. Security and data backup storage
- 6. Auditing abilities - able to examine deletion and modification activities
- 7. Must use national standard code sets
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CHI adopted standards
- Helath Level Seven - HL7
- National Council on Prescription Drug Programs - NCPDP
- Institute of Electrical and Electronics Engineers 1073 - IEEE 1073
- Digital Imaging Communications in Medicine - DICOM
- Laboratory Logical observation Identifier Name Codes - LOINC
- Systematized nomenclature of Medicine Clinical Terms - SNOMED-CT
- HIPAA's Transaction Code Set
- FDA medication standards
- The Human Gene Nomenclature - HUGN
- Environmental Protection Agency standards for nonmedicinal chemicals
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8 core features determined by the IOM for EHRs
- 1. Health info and data - complete patient data must be present
- 2. Patient support - home monitoring of patients, patient education, & telehealth
- 3. Results management - management & ordering of lab test results & radiology results
- 4. Administrative processes - scheduling, billing, medical claims, uthorizations and referrals
- 5. Order entry/Management - entry of prders and prescriptions
- 6. Reporting & population health - automated reporting to gov't agencies
- 7. Medical decision support - drug prescribing & dosage, disease screening, diagnosis & treatment, & care quality improvement
- 8. Electronic Communication & connectivity - accessing info between parties - interoperability
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