What about requirements for e-prescribing, medications, vaccination records and lab tests?

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The ONC has increased their flexibility to allow exceptions for specialty practices. However, your certified software must still provide the capability to meaningfully use and report on these requirements.

Exceptions for specialty practices include:

  • e-prescribing: Eligible providers who order less than 100 medications during the EHR reporting periods are allowed to be excepted from e-prescribing requirements.
  • CPOE (computerized physician order entry) use: Eligible providers who order less than 100 medications during the EHR reporting periods are allowed to be excepted from CPOE requirements.
  • Clinical lab tests: Eligible providers who order no tests whose results are in a positive/negative or numerical format during the EHR reporting periods are allowed to be excepted from clinical lab test requirements.
  • Immunizations: Eligible providers who administer no immunizations during the EHR Reporting period are allowed to be excepted from immunization requirements.

Providers must demonstrate 20 out of 25 meaningful use objectives (15 core items, 5 of 10 menu set items). Including the above exceptions, chiropractors are required to demonstrate 16 total meaningful use objectives.