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KHIE Input For EHR Logging
Organization Information
Organization Legal Name:
*
First Name:
*
Last Name:
*
Phone Number:
*
Email:
*
EHR Information
EHR Vendor:
*
EHR Product Name:
*
EHR Version:
Are patients assigned a Medical Record Number (MRN) that is unique across your organization? If patients will be assigned the same MRN when receiving care at different treating facilities owned by your organization, answer Yes to this question. If patients will have different MRNs at different treating facilities that they visit, answer No to this question.
*

Please tell us the Object Identifier (OID) that uniquely identifies your healthcare organization:
*

(NOTE: An OID is a globally unique, dot-delimited string that uniquely identifies your organization. Certain ONC 2015 certification standards for public health reporting require that your datafeed(s) to KHIE contain an OID to identify your organization as the source of the data. OIDs are registered in the HL7 OID Registry(https://www.hl7.org/oid/index.cfm). As an example, Mayo Clinic's OID is "2.16.840.1.113883.3.2". Please consult with a member of your technical interface team or EHR vendor if you need assistance with answering this question.)


Do you plan to upgrade this EHR during 2017:
*

If you plan to upgrade/replace your EHR, please specify the EHR vendor, product, and version that you will be upgrading to:

EHR Vendor:
EHR Product Name:
EHR Version:
 
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