| IANAL and I can't find the court documents, but probably not much. Not unless you are offering up solutions to intentionally bypass the requirements. Having worked at an EHR, PMs routinely instructed us to build things specifically. I could suggest cosmetic stuff, but couldn't really suggest changes to the underlying business logic of the requirements because it had usually been hammered out by PMs/Nurses/Doctors/Maybe-legal. These requirements formed the basis of test cases for QA to run though. ECW was not the vendor I worked for, so it's possible the developer had more influence over business logic or its implementation. These things sound like time or cost-cutting measures: >opted to added the 16 drug codes necessary for certification into its software rather than enable the product to access those from a complete database Sounds like they didn't buy the database. >eClinicalWorks did not satisfy data portability requirements designed to enable doctors to transfer patient data to over vendor’s EHRs This sounds like they didn't want to build something to export to CCDA? These sound like negligence / not enough testing: >failed to accurately record user actions with audit log functionality >did not always accurately record diagnostic imaging orders or conduct drug-drug interaction checks For drug-drug interaction, that is probably another drug database to purchase, so it's possible they simply hadn't bought it. Building your own is obviously out of the question. |
RxNorm (the codes discussed) is wholly open source. You can download weekly and monthly updates for free. Just pure laziness/avarice. https://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfile...