Clarification on Last Modification Date for CCDA Reconciliation (§170.315(b)(2))

[Jyothi Yella]

Hi Team,

For CCDA reconciliation under §170.315(b)(2), could you please confirm which date should be considered as the last modification date:

• The entry-level author <time> within an allergy, medication, or problem entry, or

• The document-level author time in the CCDA header?

We will share the relevant CCDA and reconciliation XML snippets for reference.

Please confirm which approach is expected.

Thank you,

Joe

[Shuisheng Wang]

Hi Joe,

According to Test Procedure of § 170.315 (b)(2) Clinical information and reconciliation and incorporation  https://www.healthit.gov/test-method/clinical-information-reconciliation-and-incorporation

Simultaneous Display

1. The tester verifies data from multiple sources can be simultaneously displayed in a single view for medications, allergies and intolerances, and problems, including both the source and last modification date. The last modification date is defined for each list as:
   • Last date medication was documented or edited;
   • Last date the problem was documented or edited; and
   • Last date the allergies and intolerances were documented or edited.