Stream: united states
Topic: US Core Errata for Cures
James Bradley (Aug 27 2020 at 17:28):
I was under the impression that the US Core errata 3.1.1 was in response to be more "in line" with the requirements of 21st Century Cures. If thats true, is there an expectation that vendors use 3.1.1 instead of 3.1.0 to meet certification? And if so, is that documented anywhere?
Vassil Peytchev (Aug 27 2020 at 17:41):
From what I can tell, since 3.1.1 is errata, in the places where 3.1.0 differs from 3.1.1, using 3.1.0 would be incorrect, and non-compliant with US Core.
James Bradley (Aug 27 2020 at 17:44):
That's my assumption as well. However, I haven't been able to find that specifically written anywhere, and in Cures it specifically calls out "US Core 3.1.0" which is the only reason I have hesitated.
Grahame Grieve (Aug 27 2020 at 22:45):
written clarification due out in the nexst few hours
James Bradley (Aug 28 2020 at 13:24):
Thanks Grahame, will the clarification be posted by ONC? I also noticed that there is a "Mandatory Write Capability" for Document Reference. I thought US Core / 21st CC was Read/Search only. Perhaps I'm mis-reading the spec?
Grahame Grieve (Aug 28 2020 at 22:11):
I just posted it. @Brett Marquard ?
Eric Haas (Aug 29 2020 at 01:02):
Write for Doc Ref has always been there - lookat the capablity statement and Clinical notes pages in the prior versions. Due to an editorial error it was omitted from the Quickstart section in 3.1.0.
Brett Marquard (Aug 31 2020 at 15:33):
@Eric Haas and I are not authoritative on ONC requirements... US Core does include requirement to support write on DocumentReference.
Robert Scanlon (Aug 31 2020 at 17:36):
@James Bradley - I'm not authoritative on ONC requirements either, but my understanding is that write interaction on DocRef isn't currently a requirement, and therefore it isn't tested. The fact that the standardized API is read-only is mentioned in the rule itself as a response to comments: https://www.federalregister.gov/d/2020-07419/p-1210. It is also mentioned in this fact sheet ("limited to API-enabled 'read' services"): https://www.healthit.gov/cures/sites/default/files/cures/2020-03/APICertificationCriterion.pdf
Hans Buitendijk (Sep 01 2020 at 13:06):
@Grahame Grieve : Where did you post the 3.1.1 clarification?
Grahame Grieve (Sep 01 2020 at 13:37):
Wayne sent it out as a technical correction notification
Last updated: Apr 12 2022 at 19:14 UTC