Costs and Limitations

Capability Description of capability Costs or Fees Contractual Limitations Technical or Practical Limitations
170.315(a)(1) Computerized provider order entry – medications This functionality enable a users to create, change and view Medications orders electronically
Medications data based: Gold Standard v.5
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directily with third parties for the use of MedicusEHR. How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based. None
170.315(a)(2) Computerized provider order entry – laboratory This functionality enable a users to create, change and view Laboratory orders electronically,   following LOINC standard. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directily with third parties for the use of MedicusEHR. How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based. None
170.315(a)(3) Computerized provider order entry – diagnostic imaging This functionality enable a users to create, change and view Imaging orders electronically MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directily with third parties for the use of MedicusEHR. How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based. None
170.315(a)(4) Drug-drug, drug-allergy interaction checks for CPOE This functionality enables users to be alerted for potential drug-drug and drug-allergy interaction alerts before they complete a medication orders.
Gold Standard v.5   provides access to review alerts during the process of ordering medications.
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities. There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities. There are no requirements to engage directily with third parties for the use of MedicusEHR. How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based. None
170.315(a)(5) Demographics This functionality enables users to record, change and view demographic information of the patient. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(6) Problem List This functionality enables users to record, change and access a patient’s problem list , following SNOMED CT and ICD-10 standards. Infobutton standard implemented with MedLine Plus MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(7) Medication list This functionality enables a user to record, change, and access a patient’s medication list following RxNorm standard.
Infobutton standard implemented with MedLine Plus
Medications data based: Gold Standard v.5
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(8) Medication allergy list This functionality enables a user to record, change, and access a patient’s medication-allergy list, following RxNorm standard. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(9) Clinical decision support (CDS) Support for rules based clinical decision support and for online access to referential resources.   Medline Plus as the default Infobutton content for diagnostic/therapeutic reference information for CDS alerts. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(10) Drug-formulary and preferred drug list checks Enable a user to acces to preferred drug list MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(11) Smoking status. This functionality enables a user to record, change, and access the smoking and tobacco use status of a patient using SNOMED standard. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(12) Family health history This functionality enables the user to electronically record, change and access a patient’s family health history. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(13) Patient specific education This functionality enables the user to electronically identify patient-specific education resources based on data included in the patient’s problem list and medication list InfoButton standards.
Infobutton standard implemented with MedLine Plus
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(a)(14) Implantable device list. This functionality enables capture of patient implantable device data as history in the chart. The certified EHR interacts with FDA Webaccess GUDID to incorporate the device ID and Unique device Identifiers for the implantable device. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
§170.315(b)(1) Transitions of care This functionality enables a user to electronically create and transmit a transition of care/referral summary in C-CDA format, which includes a common clinicad data set. The solution follows C-CDA and Direct standards. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(1) Authentication, access control, and authorization Managing authorized and authenticated users access to MedicusEHR MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(2) Auditable events and tamper-resistance This functionality logs and audits user activity while accessing the system and provides a mechanism to assure the information audited is not tampered MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(3) Audit report(s) This functionality enables a user to create an audit report for a specific time period and to sort entries in the audit log MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(4) Amendments Permits a patient to submit an ammendment to their electronic health record MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(5) Automatic access time-out Requires the EHR to automatically log off a user after a pre-determined time of inactivity MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(6) Emergency access This functionality permits an identified set of users to access electronic health information during an emergency. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(d)(7) End-user device encryption The MedicusEHR technology is designed not to locally store electronic health information on end-user devices MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
MedicusEHR is a cloud-based product.   There are no limitations that a user may encounter regarding the exchange or portability of any data generated when using the capability.
170.315(d)(9) Trusted connection Encrypt and integrity protect message contents in accordance with the standards. A hashing algorithm with a security strength equal to or greater than SHA-256 is used MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(3) Safety-enhanced design Ensures that a safety-enhanced design study has been performed for specified certification criteria; a1, a2, a3, a4, a5, a6, a7, a8, a14. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(4) Quality management system Ensures that a quality management system used by the health IT developer. ISO 9001-2015 standard used MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(5) Accessibility-centered design No ACD standard used MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(6) Consolidated CDA creation performance This functionality certifies the CDA performance for all CDA documents generated from certified EHR to ONC prescribed standards. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(7) Application access – patient selection MedicusEHR offers an API that can receive a request from authenticated and authorized third-party applications with sufficient information to uniquely identify a patient and return an ID or other token that can be used by an application to subsequently execute requests for that patient’s data. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(8) Application access – data category request This functionality provides a secure method for authenticated and authorized third party applications to request elements from Common Clinical Data set categories. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(g)(9) Application access – all data request This functionality provides a secure method for authenticated and authorized third party patient engagement applications to access clinical data elements in a machine readable complete CCDA format. MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None
170.315(h)(1) Direct Project This functionality allows certified EHR to demonstrate interoperability using DIRECT protocols.
HISP: DataMotion
MedicusEHR licensing fee for physician and non-physician users are recurring on a monthly basis.
MedicusEHR setup fee for each physician user is one-time.
Fee for coding & drug interactions file updates are recurring on an annual basis.
The provider must sign a contract, but the contract does not impose limitations that could limit the implementation or use of certified capabilities or the data generated by these capabilities.
There are no business policies or practices that may cause limitations in the implementation or use of certified capabilities.
There are no requirements to engage directily with third parties for the use of MedicusEHR.
How ever indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based
None