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Electronic Health Information Export

170.315(b)(10) ELECTRONIC HEALTH INFORMATION EXPORT

EHRYourWay supports the export of Electronic Health Information (EHI) in compliance with the Office of the National Coordinator for Health IT’s (ONC) certification criterion at 45 CFR 170.315(b)(10).

Supported Export Capabilities

EHRYourWay enables authorized users to export complete electronic health information for single patients, multiple selected patients, or entire patient populations. Users can execute exports at any time without developer assistance.

Export Formats

Exported data is provided in computable, machine-readable formats including CCDA (Consolidated Clinical Document Architecture) XML files based on HL7 CDA Release 2.1 standards, as well as human-readable PDF documents. Exported files are packaged as a ZIP archive containing the CCDA in both readable and XML formats, along with any associated clinical documents and attachments.

Access Controls

The ability to generate EHI exports is limited to users who have been granted export privileges by a practice administrator.

Export Controls

EHRYourWay supports two export workflows: single patient export from within a patient’s chart, and bulk export for multiple patients from the dashboard.

Single Patient Export

Users with export privileges can export a single patient’s EHI by navigating to the patient’s chart, selecting the CCDA folder, and choosing Data Export.

From the Data Export screen, users can select a date range and choose which clinical sections to include in the CCDA. Users can also navigate to the Attachments tab to select scanned clinical and administrative documents to export alongside the CCDA in PDF format.

After making selections, users click the Export button and choose a save location. The exported ZIP file contains the CCDA in both human-readable and XML formats, along with any selected clinical documents as PDFs.

Bulk Export

Users with export privileges can export EHI for multiple patients by navigating to the CCDA Export folder on the Dashboard and selecting Data Export from the dropdown menu.

From this screen, users can filter by date range and provider, then click Go to display matching patients. Users select patients from the list and move them to the export queue using the arrow icon. After selecting all desired patients, users click Next to generate the clinical messages.

Once generation is complete, users can review the exported data in both readable and electronic formats, then click Save & Export File(s) to download. The export produces individual ZIP files for each patient containing CCDA files in readable and XML formats, along with associated PDF documents.

Export Format Specification

EHRYourWay generates CCDA documents based on the HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes, Draft Standard for Trial Use, Release 2.1 (August 2015).

The following table describes the data elements, entry templates, and code systems used in each section of the exported CCDA.

Section Name Data Element Entry/XPath Code System
Demographics Patient Name patient/name  NA
Demographics Date of Birth patient/birthTime 2.16.840.1.113883. 5.1
Demographics Race patient/raceCode 2.16.840.1.113883. 6.238
Demographics Ethnicity patient/ethnicGroupCode 2.16.840.1.113883. 6.238
Demographics Sex patient/adminstrativeGenderCode
Demographics Preferred Language patient/languageCommunication/languageCode
Demographics AuthorInformation author/time
Demographics AuthorInformation author/assignedAuthor/assignedPerson/name
Demographics Custodian custodian/assignedCustodian/representedCustodia nOrganization/name
Demographics Custodian custodian/assignedCustodian/representedCustodia nOrganization/addr
Demographics Encompassing Encounter componentOf/encompassingEncounter/effectiveTi me
Demographics Encompassing Encounter componentOf/encompassingEncounter/encounterP articipant
Demographics Encompassing Encounter componentOf/encompassingEncounter/location
Reason for Visit Reason for Visit component/text
Encounter EncounterCode Entry template id: 2.16.840.1.113883.10.20.22.4.49: 2015-08-01 2.16.840.1.113883. 6.12
Encounter Encounter Diagnosis entryRelationship template id: 2.16.840.1.113883.10.20.22.4.4:2015-08-01 SNOMED : 2.16.840.1.113883. 6.96

ICD 10: 2.16.840.1.113883. 6.3

Medication Allergies Allergies Section 2.16.840.1.113883.10.20.22.2.6.1:2015-08-01
Medication Allergies Entry Entry: 2.16.840.1.113883.10.20.22.4.30: 2015-08- 01
Medication Allergies Substance 2.16.840.1.113883.10.2 0.22.4.30: 2015-08-01 Rx Norm: 2.16.840.1.113883. 6.88
Medication Allergies Reaction SNOMED: 2.16.840.1.113883. 6.96
Medication Allergies Severity SNOMED: 2.16.840.1.113883. 6.96
Medication Allergies Status SNOMED: 2.16.840.1.113883. 6.96
Medication Information Medication Section 2.16.840.1.113883.10.20.22.2.1.1: 2014-06-09
Medication Information Consumable component/section/entry/substanceAdministration /consumable Rx Norm: 2.16.840.1.113883. 6.88
Problem or Conditions Problems Section 2.16.840.1.113883.10.20.22.2.5.1:2015-08-01 SNOMED: 2.16.840.1.113883. 6.96 Translation: ICD 10: 2.16.840.1.113883. 6.3
Problem or Conditions Problem component/section/entry/act/entryRelationship/o bservation/Value
Results Results Section 2.16.840.1.113883.10.20.22.2.3.1: 2015-08-01
Social History Social History Section 2.16.840.1.113883.10.20.22.2.17: 2015-08-01
Social History Observation 2.16.840.1.113883.10.20.22.4.78: 2014-06-09 LOINC: 2.16.840.1.113883.6.1
Social History Value SNOMED: 2.16.840.1.113883.6.96
Vitals Vitals Section 2.16.840.1.113883.10.20.22.2.4.1: 2015-08-01
Vitals Observation 2.16.840.1.113883.10.20.22.4.26: 2015-08-01 SNOMED: 2.16.840.1.113883.6.96

LOINC: 2.16.840.1.113883.6.1

Immunizations Immunizations Section 2.16.840.1.113883.10.20.22.2.2.1: 2015-08-01
Immunizations Vaccine 2.16.840.1.113883.10.20.22.4.52: 2015-08-01 CVX: 2.16.840.1.113883.12.292
Immunizations Route National Cancer Institute (NCI) Thesaurus: 2.16.840.1.113883.3.26.1.1
Immunizations Dose
Procedures Procedures Section 2.16.840.1.113883.10.20.22.2.7.1: 2014-06-09
Procedures Observation 2.16.840.1.113883.10.20.22.4.13: 2014-06-09 SNOMED: 2.16.840.1.113883.6.96
Assessment Assessment Section 2.16.840.1.113883.10.20.22.2.8
Reason for Referral Reason for Referral Section 1.3.6.1.4.1.19376.1.5.3.1.3.1: 2014-06-09
Plan of Treatment Plan of Treatment Section 2.16.840.1.113883.10.20.22.2.10: 2014-06-09
Plan of Treatment Observation 2.16.840.1.113883.10.20.22.4.44: 2014-06-09 LOINC: 2.16.840.1.113883.6.1
Functional Status Functional Status Section 2.16.840.1.113883.10.20.22.2.14: 2014-06-09
Functional Status Observation 2.16.840.1.113883.10.20.22.4.67: 2014-06-09
Mental Status Mental Status Section 2.16.840.1.113883.10.20.22.2.56: 2015-08-01
Mental Status Observation 2.16.840.1.113883.10.20.22.4.74: 2015-08-01
Medical Equipment Medical Equipment Section 2.16.840.1.113883.10.20.22.2.23: 2014-06-09
Medical Equipment Observation 2.16.840.1.113883.10.20.22.4.14: 2014-06-09 SNOMED: 2.16.840.1.113883. 6.96
Goals Goals Section 2.16.840.1.113883.10.20.22.2.60
Goals Goal 2.16.840.1.113883.10.20.22.4.121
Health Concerns Health Concerns Section 2.16.840.1.113883.10.20.22.2.58: 2015-08-01
Health Concerns Observation 2.16.840.1.113883.10.20.22.4.132: 2015-08-01 SNOMED: 2.16.840.1.113883. 6.96
Care Team Care Team Section 2.16.840.1.113883.10.20.22.2.500: 2022-06-01
History and Physical Exam Note History and Physical Exam Notes Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
History and Physical Exam Note Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 34117-2
Progress Notes Progress Notes Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Progress Notes Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 11506-3
Procedure Notes Procedure Notes Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Procedure Notes Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 28570-0
Laboratory Notes Laboratory Notes Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Laboratory Notes Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 11502-2
Consultation Notes Consultation Notes Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Consultation Notes Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 11488-4
Discharge Summary Discharge Summary Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Discharge Summary Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 18842-5
Imaging Narrative Imaging Narrative Section 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Imaging Narrative Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 18748-4
Pathology Report Pathology Report Narrative 2.16.840.1.113883.10.20.22.2.65: 2016-11-01
Pathology Report Notes 2.16.840.1.113883.10.20.22.4.202: 2016-11-01 LOINC: 60570-9

 

For questions about EHI export, contact support@ehryourway.com.