ehrTHOMAS Electronic Health Information Export |
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§170.315(b)(10) |
This document contains the necessary information regarding the Health IT Module that can perform an Electronic Health Information (EHI) export (in a computable format) for a single patient at any time the user chooses without the involvement of developer or specialized personnel. This module also has an option to export all electronic health information for the patient population that may require support from the health IT developer. The intended purpose satisfies the requirements of 170.315(b)(10).
The users must have access / ability to perform the export task, otherwise the system administrator(s) can run the EHI export functionality for them.
The EHI export file(s) will be in xml format. Each resource will have the following xml data set.
<Patient> <KeyId>25152</KeyId> <AccountNumber>3030</AccountNumber> <SSN>999999999</SSN> <Name> <FirstName>SMARTY</FirstName> <LastName>PANTS</LastName> <Suffix>JR</Suffix> </Name> <BirthDate type="date">2006-03-29T00:00:00</BirthDate> <Gender>female</Gender> <Phone>4156131112</Phone> <WorkPhone>4679841321</WorkPhone> <CellPhone>5865551111</CellPhone> <EMail>smpants12@gmail.com</EMail> <MothersMaidenName></MothersMaidenName> <Address> <Line1>56 LEVI DRIVE</Line1> <Line2></Line2> <City>GARFIELD HTS</City> <State>MI</State> <ZipCode>12589</ZipCode> </Address> <Race>White</Race> <Language>English</Language> <Ethnicity>Not Hispanic or Latino</Ethnicity> <MaritalStatus>S</MaritalStatus> </Patient>
<Encounters> <Encounter> <KeyId>3151</KeyId> <PatientId>25152</PatientId> <Status></Status> <VisitDate type="date">2019-03-29T09:44:11</VisitDate> <DischargeDate type="date">2019-03-30T00:00:00</DischargeDate> <PerformingDoctor> <NPI>1234567897</NPI> <LastName>1234567897</LastName> <FirstName>1234567897</FirstName> <MidInitial>1234567897</MidInitial> <TaxonomyCode>1234567897</TaxonomyCode> </PerformingDoctor> </Encounter> <Encounter> <KeyId>3224</KeyId> <PatientId>25152</PatientId> <Status></Status> <VisitDate type="date">2019-09-09T10:14:00</VisitDate> <DischargeDate type="date">1800-01-01T00:00:00</DischargeDate> <PerformingDoctor> <NPI>1234567897</NPI> <LastName>1234567897</LastName> <FirstName>1234567897</FirstName> <MidInitial>1234567897</MidInitial> <TaxonomyCode>1234567897</TaxonomyCode> </PerformingDoctor> </Encounter> </Encounters>
<Devices> <Device> <KeyId>45</KeyId> <PatientId>25152</PatientId> <ManufactureDate type="date">2015-12-01T00:00:00</ManufactureDate> <ExpirationDate type="date">2016-01-28T00:00:00</ExpirationDate> <LotNumber>45666425</LotNumber> <SerialNumber>BLC200461H</SerialNumber> <DeviceIdentifier>00643169007222</DeviceIdentifier> <CarrierHRF>(01)00643169007222(17)160128(21)BLC200461H</CarrierHRF> <Snomed>704708004</Snomed> <DeviceDescription>Cardiac resynchronization therapy implantable pacemaker</DeviceDescription> <ImplantedDate type="date">2015-06-22T00:00:00</ImplantedDate> </Device> </Devices>
<Immunizations> <Immunization> <KeyId>663</KeyId> <PatientId>25152</PatientId> <EncounterId>3843</EncounterId> <LotNumber>12345</LotNumber> <CVXCode>20</CVXCode> <ShortDescription>DTaP</ShortDescription> <DateAdministered type="date">2012-09-07T10:40:00</DateAdministered> </Immunization> </Immunizations>
<Allergies> <Allergy> <KeyId>447</KeyId> <PatientId>25152</PatientId> <ClinicalStatus>active</ClinicalStatus> <Reaction>unspecified</Reaction> <RecordedDate type="date">2017-03-20T00:00:00</RecordedDate> <SNOMED>409137002</SNOMED> <AllergyDescription> No known drug allergy</AllergyDescription> </Allergy> </Allergies>
<Procedures> <Procedure> <KeyId>2550</KeyId> <PatientId>25152</PatientId> <EncounterId>3151</EncounterId> <Status>completed</Status> <CPTCode>11336</CPTCode> <Description>THROAT CULTURE KITS</Description> <RequestedTime type="time">2019-03-29T09:44:46.977</RequestedTime> <ProcedureStartTime type="date">2019-03-29T09:44:00</ProcedureStartTime> <ProcedureEndTime type="date">1800-01-01T00:00:00</ProcedureEndTime> </Procedure> <Procedure> <KeyId>3830</KeyId> <PatientId>25152</PatientId> <EncounterId>3224</EncounterId> <Status>not-done</Status> <CPTCode>10140</CPTCode> <Description>I & D, Hematoma</Description> <RequestedTime type="time">2019-03-29T09:45:04.093</RequestedTime> <ProcedureStartTime type="date">2019-03-29T09:45:04</ProcedureStartTime> <ProcedureEndTime type="date">1800-01-01T00:00:00</ProcedureEndTime> </Procedure> </Procedures>
<Vitals> <Vital> <PatientId>25152</PatientId> <EncounterId>3224</EncounterId> <BodyTemperature> <Temperature> <Value>98</Value> <Unit>C</Unit> </Temperature> <Location>Oral</Location> </BodyTemperature> <BloodPressure> <Systolic> <Value>120</Value> </Systolic> <Diastolic> <Value>85</Value> </Diastolic> </BloodPressure> <Pulse> <Value>125</Value> <Unit>%</Unit> </Pulse> <Respiration> <Value>102</Value> <Unit>/min</Unit> </Respiration> <SpO2> <Value>98</Value> <Unit>%</Unit> </SpO2> <FiO2> <Value>98</Value> <Unit>%</Unit> </FiO2> <Height> <Value>25</Value> <Unit>in</Unit> </Height> <Weight> <Value>120</Value> <Unit>lbs</Unit> </Weight> <BMI>132.88</BMI> <TimeRecorded type="date">2022-09-06T13:00:25</TimeRecorded> </Vital> <Vital> <PatientId>25152</PatientId> <EncounterId>3843</EncounterId> <BodyTemperature> <Temperature> <Value>0</Value> <Unit>C</Unit> </Temperature> <Location></Location> </BodyTemperature> <BloodPressure> <Systolic> <Value>0</Value> </Systolic> <Diastolic> <Value>0</Value> </Diastolic> </BloodPressure> <Pulse> <Value></Value> <Unit>%</Unit> </Pulse> <Respiration> <Value></Value> <Unit>/min</Unit> </Respiration> <SpO2> <Value></Value> </SpO2> <Unit>%</Unit> <FiO2> <Value></Value> <Unit>%</Unit> </FiO2> <Height> <Value>37</Value> <Unit>in</Unit> </Height> <Weight> <Value>30</Value> <Unit>lbs</Unit> </Weight> <BMI>15.41</BMI> <TimeRecorded type="date">2008-01-07T07:21:35</TimeRecorded> </Vital> </Vitals>
<Conditions> <Condition> <KeyId>3019</KeyId> <PatientId>25152</PatientId> <EncounterId>3151</EncounterId> <ClinicalStatus>active</ClinicalStatus> <VerificationStatus>confirmed</VerificationStatus> <OnSetDate>1800-01-01T00:00:00</OnSetDate> <Comment></Comment> <ICD10Code>f1f0bd65-a248-4930-b981-2531ed4fcd93</ICD10Code> <ICD10Description>ABRASION, LEFT LOWER LEG, INITIAL ENCOUNTER</ICD10Description> </Condition> <Condition> <KeyId>3021</KeyId> <PatientId>25152</PatientId> <EncounterId>3151</EncounterId> <ClinicalStatus>active</ClinicalStatus> <VerificationStatus>confirmed</VerificationStatus> <OnSetDate>1800-01-01T00:00:00</OnSetDate> <Comment></Comment> <ICD10Code>99072b15-c0d7-415a-970e-05bf4d94450f</ICD10Code> <ICD10Description>ACHILLES TENDINITIS, LEFT LEG</ICD10Description> </Condition> </Conditions>