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Stage 2 Core Measure 10

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Objective: Incorporate clinical lab test results into Certified EHR Technology as structured data. Measure: More than 55 percent of all clinical lab tests results ordered by the EP during the EHR reporting period whose results are either in a positive/negative affirmation or numerical format are incorporated in Certified EHR Technology as structured data.
Exclusion: No exclusion.

CMS Specification Sheet

TennCare Notes
This measure aligns with Menu Measure 2 in Stage 1 Meaningful Use, and the threshold has increased from 40 percent to 55 percent. The exclusion is identical to the Stage 1 exclusion.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(j)(7)(ii) see objective, measure and exclusion above

Standards and Certification Final Rule

§ 170.314(b)(5) Incorporate laboratory tests and values/results.
(i) Receive results –
    (A) Ambulatory setting only –
        a. Electronically receive and incorporate clinical laboratory tests and values/results in
            accordance with the standard specified in § 170.205(j) and, at a minimum, the version
            of the standard specified in § 170.207(c)(2).
        b. Electronically display the tests and values/results received in human readable format
(ii) Electronically display all the information for a test report specified at 42 CFR 493.1291(c)(1) through (7).
(iii) Electronically attribute, associate, or link a laboratory test and value/result with a laboratory order or patient record.
Depending on the type of certification issued to the EHR technology, it will also have been certified to the certification criterion adopted at 45 CFR 170.314 (g)(1), (g)(2), or both, in order to assist in the calculation of this meaningful use measure.

§ 170.205(j) Electronic incorporation and transmission of lab results. HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, (incorporated by reference in § 170.299).

§ 170.207(c)(2) Laboratory Tests. Logical Observation Identifiers Names and Codes (LOINC®) Database version 2.40, a universal code system for identifying laboratory and clinical observations produced by the Regenstrief Institute, Inc. (incorporated by reference in § 170.299).