Table 1 HIMSS EMRAM Requirements (as of January 1, 2018)
Stage | Cumulative Capabilities |
|---|---|
Stage 7 | Complete Electronic Medical Record (EMR); Continuity of Care Document transactions to share data; Data warehousing; Data Continuity with Emergency Department, Ambulatory, and OP |
Stage 6 (Comprehensive EHR functions) | Physician documentation (structured templates); Full Clinical Decision Support System (CDSS) (variance & compliance); Full Remote-PACS |
Stage 5 | Closed-Loop Medication Administration (CLMA) |
Stage 4 | Computerized Physician Order Entry (CPOE); CDSS (clinical protocols) |
Stage 3 (basic EHR functions) | Nursing/clinical documentation (flow sheets); CDSS (error checking); PACS available outside of Radiology |
Stage 2 | Clinical Data Repository (CDR); Controlled Medical Vocabulary; CDSS, May have Document Imaging; Health Information Exchange (HIE) capable |
Stage 1 | Ancillaries - Lab, Rad, Pharmacy - All Installed |
Stage 0 | All Three Ancillaries not Installed |