(b)(10) Electronic Health Information Export

This document describes Healthie’s support for ONC §170.315(b)(10) Electronic Health Information export.

Per (b)(10) ONC Certification, Healthie supports two types of electronic health information exports:

1. Single patient
2. System/patient population

What is Electronic Health Information (EHI)?

Electronic Health Information (EHI) refers to “electronic protected health information” (ePHI) to the extent that it would be included in a designated record set as defined:

• Designated record set means:
  • A group of records maintained by or for a covered entity that is:
    • The medical records and billing records about individuals maintained by or for a covered health care provider
    • The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or
    • Records used, in whole or in part, by or for the covered entity to make decisions about individuals.

For purposes of this paragraph, the term record means any item, collection, or grouping of information that includes protected health. EHI does not include psychotherapy notes as defined in 45 CFR 164.501 or information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.

The EHI definition represents the same ePHI that an individual would have the right to access under the HIPAA Privacy Rule.

Generating an Export

A user can initiate a single-patient export by navigating to a patient’s profile and viewing the Charting section. The report can be generated by an organization member with the “Can generate organization report” setting enabled or by a non-organization user.

System exports can only be initiated by an administrator. The patient population data export is handled by the Healthie Support team as it depends on size of data, time and efforts required to manage the server resources. Please email hello@gethealthie.com with the subject line “Patient Population b10 export request” to initiate the process.

Export Format

Overview:

The EHI Export process generates CSV files, PDF files, and a folder per patient that are presented as a compressed zip file.

For the patient population export, the zip file contains one directory for each patient. The directories are named <FirstName><LastName><uniqueidentifier> . The contents of each directory are the same as the individual patient export. Further detail on each file is below.

Within the zip file the following csv files, PDFs, folder, and HTML page are generated per patient:

• Addresses.csv
• Allergies.csv
• CarePlans.csv
• Charting.pdf
• client_metrics.csv
• Client_Overview.csv
• Client_User_Groups.csv
• cms1500s.csv
• Diagnoses.csv
• Documents folder
• Family_and_Contacts.csv
• Food_Intolerances.csv
• Food_Preferences.csv
• Food_Sensitivities.csv
• FoodEntry.csv
• format.html
• Goals.csv
• Insurance_authorizations.csv
• Insurance.csv
• journal_entries.pdf
• Medications.csv
• Messages.csv
• MetricEntry.csv
• MirrorEntry.csv
• NoteEntry.csv
• Other_Care_Team_Members.csv
• Packages.csv
• Payments.csv
• Policies.csv
• PoopEntry.csv
• Provider.csv
• Recommendations.csv
• Referring_Physicians.csv
• SleepEntry.csv
• superbills.csv
• SymptomEntry.csv
• WaterIntakeEntry.csv
• WorkoutEntry.csv

Notes:

• Whereas any rows or cells are blank, there is no data for the patient.
• All data in the CSV files will be exported as a string.

File format:

Addresses.csv format and data elements:

Allergies.csv format and data elements:

CarePlans.csv format and data elements:

Charting.pdf format and data elements:

The pdf contains all charting notes for the patient. Format and data elements are specific to an organization’s and patient’s charting notes.

client_metrics.csv format and data elements:

For example:

Client_Overview.csv format and data elements:

Client_User_Groups.csv format and data elements:

cms1500s.csv format and data elements:

For each CMS for the patient, there is a row in the CSV

Diagnoses.csv format and data elements:

Documents folder format and data elements:

The Documents folder will contain all documents saved in the patient’s Documents page in Healthie. The documents will be exported in the original format as saved in Healthie. The documents file structure will also correspond to the folder structure as created in the patient’s Documents page in Healthie.

Family_and_Contacts.csv format and data elements:

Food_Intolerances.csv format and data elements:

Food_Preferences.csv format and data elements:

Food_Sensitivities.csv format and data elements:

FoodEntry.csv format and data elements:

format.html

Within this html page you can find this publicly accessible hyperlink that describes the export format

Goals.csv format and data elements:

For each Goal for the patient, there is a row in the CSV

Insurance_authorizations.csv format and data elements:

Insurance.csv format and data elements

journal_entries.pdf

The pdf contains all journal entries for the patient. Format and data elements are specific to an organization’s and patient’s entries.

Medications.csv format and data elements

Messages.csv format and data elements:

MetricEntry.csv format and data elements:

MirroEntry.csv format and data elements:

NoteEntry.csv format and data elements:

Other_Care_Team_Members.csv format and data elements:

Packages.csv format and data elements:

Payments.csv format and data elements:

For each payment for the patient, there is a row in the CSV

Policies.csv format and data elements:

PoopEntry.csv format and data elements:

Provider.csv format and data elements:

Patient provider(s) information

Recommendations.csv format and data elements:

Referring_Physicians.csv format and data elements:

Patient Referring Physician(s) information

SleepEntry.csv format and data elements:

superbills.csv format and data elements:

For each superbill created for the patient, there is a row in the CSV

SymptomEntry.csv format and data elements:

WaterIntakeEntry.csv format and data elements:

WorkoutEntry.csv format and data elements: