EHI Export Documentation

System Name : TiaMD

Version: Base version 3 
Prepared By : TiaTech USA, Inc.
Date: 02/27/2025

Introduction

Purpose

This document outlines the Electronic Health Information (EHI) Export functionality of TiaMD, demonstrating compliance with ONC 170.315(b)(10). It describes the supported data formats (CCDA XML, PDF, Excel & CSV), workflow, and security controls for patient and bulk data export.

Scope

This export functionality allows:

1. Individual Patient Export – A patient or provider can export a single patient’s data.

2. Bulk EHI Export – Providers or administrators can export all patients’ data in bulk.

Data Scope & Format

The system exports all USCDI v1 data elements in CCDA XML and PDF format as per ONC requirements. The remaining data elements are exported in CSV and Excel format. The table below outlines the data format:

 

Category Data Elements Format
Patient Demographics Name, DOB, Sex, Race, Ethnicity, Addresses CCDA XML, PDF
Allergies Substance, Reaction, Severity CCDA XML, PDF
Medications Medication List, Dosage, Frequency CCDA XML, PDF
Problems Diagnoses, Onset Date, Status CCDA XML, PDF
Immunizations Vaccine Type, Date, Manufacturer CCDA XML, PDF
Lab Tests & Results LOINC Codes, Values, Reference Ranges CCDA XML, PDF
Vital Signs Blood Pressure, Heart Rate, Temperature CCDA XML, PDF
Care Team Provider Names, Roles, Contact Information CCDA XML, PDF
Clinical Notes Encounters, Progress Notes, Assessment CCDA XML, PDF
Referrals Physician, Organisation contact details CCDA XML, PDF
Implant Devices UDI, Implant Date CCDA XML, PDF
Radiology Tests Device Data, Claims Data (non-CCDA) CSV
Family History Diagnoses, relationship, Onset date CSV
Social History Tobacco, Drug & Alcohol use, Frequency CSV
Medical History Condition, IMO CSV
Surgical History Surgery CSV
Appointments & Payments Appointment details and payment status Excel

Note: Where CCDA/PDF does not support a specific data element, the system exports it as Excel or CSV. The PDF file is in computable format.

Export File Structure

Individual Patient Export

Zip File Name: EHI_Export_[PatientID]_[Date]

      • Patient_[First Name_Last Name_DOB(MMDDYYY)_MRN]_CCD_[MRN].xml → Individual patient CCDA file
      • Patient_[First Name_Last Name_DOB(MMDDYYY)_MRN]_Hx_ [MRN].csv → CSV file
      • Patient_[First Name_Last Name_DOB(MMDDYYY)_MRN]_Appointments_Payments_[MRN].xlsx
      • DeveloperDocumentation.txt -> Publicly accessible hyperlink, TXT file

 Bulk EHI Export

Zip File Name: EHI_BulkExport_[Date]

Folder: EHI_Export_[PatientID]_[Date]

        • Patient_[First Name_Last Name_DOB(MMDDYYY)_MRN]_CCD_[MRN].xml → Individual patient CCDA file
        • Patient_[First Name_Last Name_DOB(MMDDYYY)_MRN]_Hx_ [MRN].csv → CSV file
        • Patient_[First Name_Last Name_DOB(MMDDYYY)_MRN]_Appointments_Payments_[MRN].xlsx
        • DeveloperDocumentation.txt -> Publicly accessible hyperlink, TXT file

Export workflow

Individual Patient Export

1. User navigates to EHI Export Screen under Other menus after logging into TiaMD.

2. Selects patient and clicks “Download CCDA/Visit History”.

3. System initiates background processing to generate CCDA XML and CSV.

4. Download link is made available in the Export History tab in EHI Export Screen.

5. Click on Download hyperlink to download the generated zip file.

 

Bulk EHI Export

1.Admin or Provider accesses EHI Export Screen under Other menus after logging into TiaMD.

2. Selects patients (filter by provider, date range, etc.).

3. System initiates background processing to generate CCDA XML and CSV.

4. Download link is made available in the Export History tab in EHI Export Screen.

5. Click on Download hyperlink to download the generated zip file.

 

Security & Access Control

  • Authentication: Only authorized users (Access Management) can initiate EHI exports.
  • Audit Logging: All export actions are logged (user, timestamp, patient Id)