Health, Administration

Section R380-70-6

Electronic Data Interchange Standards

Notice of Proposed Rule

(Amendment)

DAR File No.: 34497
Filed: 03/09/2011 11:20:03 AM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this change is to adopt a clinical exchange standard for the following: chief complaint, clinical acknowledgment and error status, discharge summary, history and physical, operative report, radiology report, standardized laboratory test result identifiers.

Summary of the rule or change:

A provider that chooses to electronically exchange laboratory results, chief complaint, clinical acknowledgment and error status, discharge summaries, history and physical, operative reports, radiology reports, and standardized laboratory test result identifiers with another provider in another health system in Utah will be required to use the standard adopted in this rule.

State statutory or constitutional authorization for this rule:

• Section 26-1-37
• Section 26-1-30

This rule or change incorporates by reference the following material:

• Adds History And Physical Version 2.0, March 4, 2009, published by Utah Health Information Network, 03/04/2009
• Adds Discharge Summary Version 2.0, March 4, 2009, published by Utah Health Information Network, 03/04/2009
• Adds Clinical Acknowledgment And Error Status Version 2.0, June 15, 2009, published by Utah Health Information Network, 06/15/2009
• Adds Chief Complaint Version 2.0, March 15, 2009, published by Utah Health Information Network, 03/15/2009
• Adds Standardized Laboratory Test Result Identifiers Version 2.0, published by Utah Health Information Network, 09/05/2009
• Adds Radiology Report Version 2.0, June 21, 2010, published by Utah Health Information Network, 06/21/2010
• Adds Operative Report Version 2.0, June 15, 2009, published by Utah Health Information Network, 06/15/2009

Anticipated cost or savings to:

the state budget:

Setting a statewide standard for exchanging information between the agencies with private providers will impose front-end costs for those state entities that choose to participate. Costs are estimated to be from $5,000 to $50,000 per entity. Long-term savings due to standardization will be evaluated by those entities before they choose to proceed.

local governments:

Setting a statewide standard for exchanging information between the local health departments with private providers will impose front-end costs for those local entities that choose to participate. Costs are estimated to be from $5,000 to $50,000 per entity. Long-term savings due to standardization will be evaluated by those entities before they choose to proceed.

small businesses:

Setting a statewide standard for exchanging information between the laboratories, hospitals and clinics, and other providers will impose front-end costs for those entities that choose to participate. Costs are estimated to be from $5,000 to $50,000 per entity. Long-term savings due to standardization will be evaluated by those entities before they choose to proceed.

persons other than small businesses, businesses, or local governmental entities:

Patients will benefit from the standardized statewide electronic clinical information exchange without additional costs to their service. Timely, accurate, and comprehensive medical information for a patient at the point of care will reduce medical errors and improve quality of care.

Compliance costs for affected persons:

To comply with the standards adopted by this rule, the affected persons and organizations will need to incorporate the following Utah Health Information Network (UHIN) standards into their current electronic communication programs. Many organizations in Utah have already used the proposed standards: Chief Complaint Version v2.0, March 15, 2009; Clinical Acknowledgment And Error Status Version v2.0, June 15, 2009; Discharge Summary Version v2.0, March 4, 2009; History And Physical Version v2.0, March 4, 2009; Operative Report Version v2.0, June 15, 2009; Radiology Report Version v2.0, June 21, 2010; and Standardized Laboratory Test Result Identifiers Version v2.0, September 5, 2009. Therefore, the costs for the initial adoption will vary among organizations from $5,000 where the standard is in place to $50,000 or more where the standard is not used. However, to adopt a statewide standard for electronic exchanges of the above clinical health information will save the resources for participating organizations in the future to program proprietary communication applications.

Comments by the department head on the fiscal impact the rule may have on businesses:

The standards adopted by this rule for electronic exchange of clinical health information, radiology and laboratory results was developed over a period of three years with broad participation from the major laboratory systems, major hospital systems and other interested parties, coordinated by the Utah Health Information Network. This consensus process has sought to minimize fiscal impact.

David Patton, PhD, Acting Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Administration
288 N 1460 W
SALT LAKE CITY, UT 84116-3231

Direct questions regarding this rule to:

• Wu Xu at the above address, by phone at 801-538-7072, by FAX at 801-538-9346, or by Internet E-mail at wxu@utah.gov
• Francesca Lanier at the above address, by phone at 801-538-6271, by FAX at 801-538-9346, or by Internet E-mail at flanier@utah.gov

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

05/02/2011

This rule may become effective on:

05/09/2011

Authorized by:

David Patton, Acting Executive Director

R380. Health, Administration.

R380-70. Standards for Electronic Exchange of Clinical Health Information.

R380-70-6. Electronic Data Interchange Standards.

Standards incorporated by reference in this rule are available for public inspection at the department during normal business hours or at [http://health.utah.gov/phi/rule/]http://health.utah.gov/phi/index.php?formname=laws.

(1) A health care provider, a clinical laboratory, or third-party payer that electronically exchanges clinical [laboratory results]health information with another health care provider, a clinical laboratory, or third-party payer must comply with the following Utah Health Information Network standards-[ Clinical Laboratory Results v2.0,] :

(a) Discharge Summary v2.0, March 4, 2009;

(b) History and Physical v2.0, March 4, 2009;

(c) Chief Complaint v2.0, March 15, 2009;

(d) Operative Report v2.0, June 15, 2009;

(e) Clinical Acknowledgement and Error Status v2.0, June 15, 2009;

(f) Laboratory Test Result Identifiers v2.0, September 5.2009;

(g) Clinical Laboratory Results v2.0, September 30, 2009;

(h) Radiology Report v2.0, June 21, 2010, which [is]are incorporated by reference s.

 

KEY: standards, clinical health information exchange

Date of Enactment or Last Substantive Amendment: [February 4, 2009]2011

Authorizing, and Implemented or Interpreted Law: 26-1-30; 26-1-37