Reason for Referral in Data Portability - For Ambulatory Care

[Stephen Jacobs]

I’m hoping to get clarification on the requirement for including “reason for referral” with each extract for 170.314(b)(7) Data Portability.

"TE170.314(b)(7) – 2.07: Using the Vendor-identified EHR function(s), the Tester shall cause the EHR to electronically generate a set of export summaries for all patients in the EHR, including the set of ONC and Vendor-supplied test patients presented for testing, according to the Consolidated CDA standard format and named vocabulary standards for immunizations, encounter diagnoses, and the Common MU Data Set; and cognitive status, functional status, reason for referral and referring or transitioning provider’s name and office contact information.

As we understand this criteria, it is intended to create an export for each patient.  Some of the specific items below are at the patient-level (e.g., fields within the Common MU Data set) and other items are at the encounter-level (e.g., encounter diagnoses).  However, the “reason for referral” value is typically related to an individual referral order/transition of care.   There can often be multiple referral orders created within a single encounter so this value is at the order-level rather than any specific encounter.

Also, I’m not aware of any “reason for referral” that applies to the entire patient’s record.  Should we be using the phrase “data portability” in that field or leave it null (see example below)?  Or am I misunderstanding something?  Thanks very much!

 <component>

        <section>

          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1"/>

          <id root="12a96885-2013-c212-05d4-001A64958C30"/>

          <code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

          <title>Reason for referral</title>

          <text>

            <paragraph>Data Portability</paragraph>

          </text>

        </section>

      </component>

    </structuredBody>

  </component>

[prasenjit...@gmail.com]

Agreed on the comment but have not seen any response. Is referral reason rquire for the CDA that is exported by Data Export procesS?

[McCaffrey, Andrew (Fed)]

Hi,

This mailing list has been replaced by the Edge google group:
<https://groups.google.com/forum/#!forum/edge-test-tool>.

-Andrew