Preparing for 170.315 (b)(10) EHI Export:
Identifying FHIR resources outside of US Core
ConnectEHR is certified for (b)(10) under the more limited ePHI definition based on USCDIv1 that was in effect until October, 2022. ConnectEHR is an EHR module and our database is currently limited to USCDIv1 data. As you know, (b)(10) ePHI data export has the potential to be much more extensive for a true EHR.
DHIT can help EHR vendors comply with the 12/31/2023 expanded (b)(10) requirements. The first step would be for you to provide an inventory of all ePHI data elements.
Dynamic FHIR supports the FHIR R4 DocumentReference resource. This resource can be used with any document format with a recognized mime type. Currently, we support the CCD in the DocumentReference resource. We are preparing to expand beyond CCD to other listed mime types. https://www.hl7.org/fhir/documentreference.html
DocumentReference is metadata describing a document such as:
CDA documents in FHIR systems
FHIR documents stored elsewhere (i.e., registry/repository following the XDS model)
PDF documents, Scanned Paper, and digital records of faxes
Clinical Notes in various forms
Image files (e.g., JPEG, GIF, TIFF)
Non-Standard formats (e.g., WORD)
Other kinds of documents, such as records of prescriptions or immunizations
We recommend the FHIR DocumentReference resource as a container for your ePHI data that is outside the scope of USCDI. Note that Dynamic FHIR will be upgraded for USCDIv3 by Q2, 2023, so we will be able to support an even greater collection of your ePHI data.
ConnectEHR is certified to (b)(10) under the limited ePHI USCDIv1 definition. The ConnectEHR UI provides bulk data export downloads in C-CDA 2.1 XML format.
Dynamic FHIR API supports creating a single-patient FHIR resource DocumentReference and FHIR Bulk Data Export for patient populations.
ConnectEHR allows Administrators to export patient data to XML using the HL7 C-CDA 2.1 Standard.
Create Data Export Reports
Administrators are able to create instant or scheduled data export reports via the 'Administration' tab (Administration>Data Export). In order to create data export reports, the ConnectEHR Agent (located in Services) must be running and the AgentRun_Batch in tblConfiguration should be set to True.
On-demand data export reports allow the user to select all patients, a single patient, or a subset of patients at a specific practice.
Login to ConnectEHR and navigate to Administration>Data Export>>Data Export
Choose a Practice from the Practice List dropdown.
Click on Export specific patients and search for your patient(s)
Confirm your patients then Click Run Report
Navigate to Administration>Data Export>>Data Export Status to identify and download your batch.
After clicking 'Run Report', whether for an entire practice or subset of patients, you will see 'Data Queued to be Exported' across the top of the screen in a green banner