Understanding the Relationship
The 2014 RPMS EHR will be certified as a complete module and is substantially more complex than its 2011 predecessor. As a result, all packages and modules that make up the 2014 RPMS EHR, including VistA Imaging (VI), will have to be installed, regardless of the MU stage in 2014. Let’s take a closer look at VistA Imaging and how it will be used in the certified EHR.
VistA Imaging plays an important role in demonstrating MU Stage 2 because it stores the Consolidated Clinical Summary Document (CCD), which replaces the C32 for outside clinical summaries.
Here’s how it works. When a CCD is sent via Direct e-mail, the person who receives the e-mail will open the CCD attachment, verify the patient’s identity, and import the CCD into VistA Imaging. The CCD can be viewed using the Display client. (Facilities currently using VI to scan documents or import digital photos already have the components necessary to store the CCD documents.)
In addition, the CCD will be used by the new EHR Clinical Information Reconciliation tool to compare and reconcile information such as meds, allergies, and problems in the CCD with information already in the patient’s RPMS record. Once the information has been reconciled, the CCD can be stored in VistA Imaging.
VistA Imaging will also be used to meet the Imaging menu objective. This measure requires that 10 percent of radiology exams with attached images be accessible via the certified EHR. Although this measure is optional for Stage 2, meeting it with the RPMS EHR will require that sites store their radiology images in VistA Imaging. Doing so may require additional hardware and software for those facilities only doing document scanning.
See theVistA Imaging website to learn more.
EHR Imaging Viewer for 2014 Certification
A new imaging viewer, to be released with EHR patch 13, will allow users to click on the blue icon on the Notes tab or Report tab and view either the scanned document or the radiology image. This new viewer allows users to see images without opening and logging into Clinical Display. The viewer has many of the same functions as the Display client, but it does not replace all of these functions. To operate the viewer, facilities must be using VistA Imaging to scan their paper documents, import their digital photos, or store their radiology images.
Patches supporting MU Stage 2
- IHS_MAGINDEX_APR2013.KID - contains the new document/image type of CCD (released in April 2013)
- MAG3_OP_140.KID and client - the new Clinical Capture client that adds the XML file type to the Imaging file type file for the CCD (will be released later this fall)
Other updates not required for MU
- MAG3_0P124.kid - update for AWIV (IHS doesn’t use the client)
- MAG3_0P127.kid - update for Telereader (IHS doesn’t use the client)
- MAG3_0P129.KID - update for Clinical Capture client for Accusoft Maintenance
- MAG3_0P131.KID and client - update for Clinical Display client for Scout lines for radiology images
- MAG3_0P140.KID and client - update for Clinical Capture client to scan multi-page color images to save as PDF documents and includes the ability to capture XML files
- MAG3_0P133.KID and client - update for VistA Rad client
- MAG3_0P135.KID and client - update for Background Processor