10/24/2016 | 0.1 | Initial Draft | |
10/26/2016 | 0.2 | Updated based on direct edits and comments from Melanie Combs-Dyer | |
10/26/2016 | 0.3 | QA review | |
11/03/2016 | 0.4 | Continued updates based on information provided by CMS and software vendors | |
11/10/2016 | 0.5 | Updates based on comments from Hyland and CIOX Health. Updates in general for various TBD items | |
11/22/2016 | 0.6 | Added LOINC codes for documentation requests | |
03/03/2017 | 0.7 | Updated the Implementation Guide to an XLC template and address the comments from stakeholders, Included updated data elements and XLM sample code. | |
04/07/2017 | 1.0 | Updated IG with FHIR related content as well refined the content. Made some corrections and formatting changes. Updated Single schema with few elements updated. | |
05/05/2017 | 1.1 | Updated the guide with comments from CMS and data standards SME. | |
05/19/2017 | 2.0 | Combined HHA and DME versions to make a common Implementation Guide for both. Changed the version to be 2.0 as it’s a major change. | |
06/16/2017 | 2.1 | Added Appendix J for FHIR Implementation Guide. Added identified list of resources. | |
07/21/2017 | 2.2 | Added sections regarding Appropriate Use Criteria (AUC), Section 2.1.4., Section 3.1.5, Section 4.2. Appendix L and Appendix N have been updated. | |
08/18/2017 | 2.3 | Update language in assumptions around EMDI requirements that may vary per organization existing system and infrastructure. Changes made in section 3.1.1 and 2.2.2 | |
09/18/2017 | 2.4 | Update language in the section 3.1.1 Assumptions to include Compliant and Striving pilots definitions. | |
10/23/2017 | 2.5 | Section for Signatures has been added under Assumptions in Section 3.1.6 and under Pilot Implementation Overview in Section 4.3. Section 5.4 Contributors has been added to recognize external contributors of IG Section 5.5 Points of Contact has been moved at the end of Section 5 and has been updated with contacts for eClinical template workgroup. Also, Table 13 has been updated with current EMDI Project Manager and a new resource. | |
11/30/2017 | 2.6 | Section 1.3 Additional Considerations has been added to Section 1 Introductions to include a reference to the ONC Interoperability Standards Advisory. | |
01/17/2018 | 2.7 | Section 2.3.3 Structured Formats with details for CCDA and CDP1. Appendix N: Referenced Documents for CCDA has been added Appendix L: Acronyms for CCDA and CDP1 has been updated Section 5.4: Contributors has been updated | |
02/26/2018 | 2.8 | Section 2.1.5: DME eOrder System section has been added to specify criterias for DME eOrder system Section 2.3: Standards and Protocols has been updated Appenxix G: CMS Suggested Clinical Data Elements Section 5.5 Points of Contact has been updated to add Vidya Sridhar’s information | |
06/08/2018 | 3.0 | Global: Rearrangement of Implementation Guide sections Global: Improvement for accuracy of information Global: Removed Pilot Guidance from Implementation Guide. Will be delivered as a separate guide Global: Removed the Prior Authorization and Pre- Claim section Section 2: EMDI use cases moved to overview section Section 2.2: Revised Use case workflow sequence diagrams to capture acknowledgements accurately Section 2.2.1: Updated the workflow of service delivery in use case 1 Section 2.4: Revised standards and protocols section Section 4: Updated Assumptions/Constraints/Risk section Section 5: Grouped Clinical templates, AUC, and DME eOrder System under ‘Other suggested programs and functionality’ Section 5.2: Combined Appropriate use program information in one section Appendix B: Added Signature data block and removed beneficiary and subscriber data block from metadata elements. | |
| 3.1 | Global: Rearrangement of Implementation Guide sections Global: Updated language from ‘recommended standards/formats’ to ‘identified standards/formats’ Global: Include Hospice Care as a provider Global: Remove Laboratory Testing as a provider Section 1: Updated the Introduction to include the goal of reducing provider burden Section 1.3: Added language for the Overarching Goals of Promoting Interoperability and the 21st Century Cures Act Section 2.3: Updated content for Interface vendors and Document Transfer Vendors (HIH/HISP/Clearinghouse) Section 3.2: Removed organization names for EHR, Document Management, and HIH System options Section 3.3: Removed language for Standards | |
10/31/2018 | 3.2 | Added content to the Introduction section that reference the HITECH Act Updated 'Additional Considerations’ to enhance the flow of the section/language Updated language on the EMDI Overview Included assumptions for EMDI use cases Reorganized the structured of the IG to include Pilot Participants before Use Case EMDI Identified Standards and Implementation Specification: Included language to differentiate the standards Direct: Updated language and included link to Direct Trust site Connect: Included link to Connect site Content Standard: Included language to describe its relevance to EMDI. Included additional language relevant to APIs Messaging Data Standards: Included language that speaks to relevance of this standard for EMDI X12: Updated language for relevancy of how it used by EMDI stakeholders Signatures: Included additional language about the importance of signatures Updated Implementation Standard and Security to Pre-Pilot Conditions Removed acronym ‘CDE’ to minimize confusion LOINC Code: Updated language for relevance to EMDI | |
12/27/2018 | 3.3 | Section 2.4.2: Content Standards: Definition of structured medical document added Section 2.6.2: Digital Signatures Section 3.4: Risks, Issues and Constraints Section 4.0: Metadata elements
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| 3.4 | Section 2.1: EMDI Purpose Section 2.1.3: How does EMDI fulfill this gap Section 3.1: EMDI Program Assumptions Section 3.2: Use Case Assumptions Section 5.4: HL7 Da Vinci DME Order Use Case using FHIR | |