Updated: July 21st 2021
| Capability | Description of capability | Costs or Fees | Contractual Limitations | Technical or Practical Limitations |
| 170.315(a)(1) Computerized provider order entry – medications | This functionality enables a user’s to create, change and view Medications orders electronically Medications data based: Gold Standard |
See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(a)(2) Computerized provider order entry – laboratory | This functionality enable a user’s to create, change and view Laboratory orders electronically, following LOINC standard. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(a)(3) Computerized provider order entry – diagnostic imaging | This functionality enables a user’s to create, change and view Imaging orders electronically. | See above notes of cost or fees | See above notes of contractual limitations | 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 provides access to review alerts during the process of ordering medications. |
See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(a)(5) Demographics | This functionality enables users to record, change and view demographic information of the patient. | See above notes of cost or fees | See above notes of contractual limitations | 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 Info button content for diagnostic/therapeutic reference information for CDS alerts. | See above notes of cost or fees | See above notes of contractual limitations | 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. | See above notes of cost or fees | See above notes of contractual limitations | 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 Web access GUDID to incorporate the device ID and Unique device Identifiers for the implantable device. | See above notes of cost or fees | See above notes of contractual limitations | 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 clinical data set. The solution follows C-CDA and Direct standards. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(b)(2) Clinical Information Reconciliation and Incorporation | This functionality enables a user to electronically reconcile health problems, medication allergies, and medications listed in an incoming transition of care/referral summary C-CDA format against the patient’s medication list, health problem list, and medication-allergy list in the EHR. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(b)(3) Electronic Prescribing | Complete with drug-drug interaction checks, allergy checking, this functionality enables a user to prescribe and route prescriptions directly from medical facilities to the patient’s preferred pharmacy for faster fulfillment. The solution uses RxNorm and NCPD standards, and the SureScripts infrastructure for prescription transmission to the pharmacy | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(c)(1) Clinical Quality Measures (CQMs) – record and export | This functionality enables a user to electronically capture and export all the data necessary to calculate each of the MedicusEHR-supported Clinical Quality Measures (CQM), including the codification of CQM exceptions and exclusion. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(c)(2) Clinical Quality Measures (CQMs) – import and calculate | This functionality enables a user to electronically import all the captured data needed to calculate each of the MedicusEHR-supported Clinical Quality Measures (CQM), and to calculate each certified CQM using the Quality Reporting Document Architecture standard. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(c)(3) Clinical Quality Measures (CQMs) – report | This functionality enables a user to electronically create a data file for transmission of Clinical Quality Measures (CQM) data according to the Quality Reporting Document Architecture standard. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315.c.4 Clinical Quality Measures (CQMs) – Filter | This functionality enables a user to electronically filter data for transmission of Clinical Quality Measures (CQM) data according to the Quality Reporting Document Architecture standard. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(d)(1) Authentication, access control, and authorization | Managing authorized and authenticated users access to MedicusEHR | See above notes of cost or fees | See above notes of contractual limitations | 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 | See above notes of cost or fees | See above notes of contractual limitations | 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 | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(d)(4) Amendments | Permits a patient to submit an amendment to their electronic health record | See above notes of cost or fees | See above notes of contractual limitations | 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 | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(d)(6) Emergency access | This functionality permits an identified set of users to access electronic health information during an emergency. | See above notes of cost or fees | See above notes of contractual limitations | 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 | See above notes of cost or fees | See above notes of contractual limitations | 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. However, the user must use a compatible Operation System (OS) to be able to install and/or access his/her account. A proper assessment is completed before the acquisition of the service and a complete guideline is provided for all users. |
| 170.315(d)(8) Integrity | This functionality allows the system to create a message digest using a hashing algorithm with a security strength equal to or greater than SHA-2. to ensure that the content has not been altered. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 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 | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(d)(12) Encrypt Authentication Credentials | The Product encrypts stored authentication credentials in accordance with standards adopted in 170.210(a)(2). Specify Encryption Algorithm used; MD5 | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(d)(13) Multi-Factor Authentication | The Product does not support the authentication, through multiple elements, of the user’s identity with the use of industry-recognized standards. | |||
| 170.315(e)(1) View, Download, and Transmit | Enables patient to view, download and transmit their health information in Medicus Partient Portal, from MedicusEHR. Any time the patient has a new patient chart, the data will be uploaded to the portal | The functionality was tested using Medicus Patient Portal, which is available to MedicusEHR users without addicional cost or fees. The uses of Medicus Patietn Portal required a patient or authorized representative to have an email address See above additional notes of cost or fee |
See above notes of contractual limitations | None |
| 170.315(e)(2) Secure Messaging | Enables users to send and receive secure messages to/from patients and patient-authorized representatives in the EHR using Medicus Patietn Portal. Secure messages may be initiated by the provider using the EHR or the patient/patient-authorized representative using the patient portal, and may include clinical data, administrative data, and other information. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(e)(3) Patient Health Information Capture | Enables user to capture patient health information into chart to support better patient engagement in their care. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(f)(1) Transmission to Immunization Registries | This functionality electronically transmits the recorded or changed immunization information to a state registry using HL7 Immunization Messaging standard. It also includes immunization history and forecasting from the registry In order to submit immunization data electronically to the registry of the provider’s choice |
See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(g)(2) Automated Measure Calculation | This functionality enables certifying EHR to record and calculate objective measures that support CMS quality programs. | See above notes of cost or fees | See above notes of contractual limitations | 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, a9, a14, b2, b3 | See above notes of cost or fees | See above notes of contractual limitations | 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 | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(g)(5) Accessibility-centered design | No ACD standard used | See above notes of cost or fees | See above notes of contractual limitations | 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. | See above notes of cost or fees | See above notes of contractual limitations | 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 enough 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. | See above notes of cost or fees | See above notes of contractual limitations | 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. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(g)(10) Standardized API for Patient and Population Services | MedicusEHR offers an API that can receive a request from authenticated and authorized third-party applications (Dynamic Helath) with enough 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. | See above notes of cost or fees | See above notes of contractual limitations | None |
| 170.315(h)(1) Direct Project | This functionality allows certified EHR to demonstrate interoperability using DIRECT protocols. HISP: DataMotion |
See above notes of cost or fees | See above notes of contractual limitations | None |
Cost and Fee Notes:
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.
Contractual Limitations:
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 directly with third parties for the use of MedicusEHR. However indirectly the user must engage with a third party when using the functionalities of Clinical Direct Messaging, medications data based.