Understanding Electronic Health Information Export
Learn about Electronic Health Information (EHI) export, its importance, deadlines, certification criteria, and how to access EHI documentation. Explore the variability in the quality of EHR implementations and personal experiences with EHI export, including Epic-specific insights.
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Presentation Transcript
Electronic Health Information Export Your full health record. Structured data. YMMV :-) @JoshCMandel
Goals and definitions EHI Definition: PHI that would be included in a designated record set (except: psychotherapy notes, litigation-related info). Provider Deadline: October 6, 2022 Certified Health IT Deadline: December 31, 2023. Certification Criteria: Single patient EHI Export: user-driven, timely, comprehensive Patient population EHI Export: all patients; may involve Health IT Developer. Export Formats: electronic and computable format, with documentation accessible via publicly available hyperlink. Developer vs Provider Requirements https://www.healthit.gov/buzz-blog/healthit-certification/getting-ready-for-ehi-export-a-quick-gu
EHI Export docs from every certified EHR https://chpl.healthit.gov Note: Static API key from anonymous access to chpl.healthit.gov 12909a978483dfb8ecd0596c98ae9094 curl -s 'https://chpl.healthit.gov/rest/download/active?api_key={}&format=json' |\ jq -r '[.. | .exportDocumentation? | select(. != null)] | unique[]'
Quality of EHR Implementations is variable https://x.com/JoshCMandel/status/1799941197382979952
My personal experience w/ EHI Export (Epic-specific) Auto-publication: https://x.com/JoshCMandel/status/1638723030154203138 Export journey: https://x.com/JoshCMandel/status/1752417127464657222
Content Review the request process Epic portal interface Show current files -- repo tour with Raw TSV JSON schema generator repo Generated schema and all-in-one Example "Issues" re: missing manual content Need the relational constraints Self-documenting formats JSON with schemas Typscript interfaces Sqlite db (and ChatGPT) GPT-4-generated short names Web viewer look at a simple example like problems + meds Explore a LLM assisted query
{ "type": "example", "id": 0, "when": "now", "a": [ { "ok": true, "b": [ 1, 2, 3 ] }, { "ok": false, "b": [ 4, 5, 6 ] } ] }
All the EHI Documentation http://documentation.qualifacts.com/ehi-export http://eclipsepracticemanagementsoftware.com/api/ http://ehealthline.com/dev/pdf/Electronic%20Health%20Information%20Export.pdf http://epromedical.com/ehi-export-b10/ http://medi-ehr.com/compliance http://mednetmedical.com/Open_API.html http://radysans.com/Radysans/ONCcertification.html http://tenzingmedical.com/TenzingEHIFormatInfo.pdf http://varian.com/aria/ehi http://www.eyemdemr.com/compliance/fhir/ http://www.gohealthsolutions.org/disclosures.html http://www.hc2000inc.com/Pages/MDVita_EHR_EHI_DataFormat.pdf http://www.hcsinc.net/about/meaningful-use.html http://www.holtsystems.com/b10documentation_Intro.html http://www.imasys.com/certifications http://www.inpracsys.com/disclosure http://www.mdrhythm.com/onc-compliance.html http://www.media.geniussolutions.com/ehrTHOMAS/ehrWebApi/Help/html/ElectronicHealthInformationExport.html
