To customize NOMS into your electronic medical record (EMR), your organization must (a) be registered to participate in NOMS, (b) execute the NOMS Agreement with ASHA, and (c) transmit the data electronically to ASHA through EMR reporting. Once you are registered and execute the NOMS Agreement, we will give your organization the NOMS file specifications and specific instructions for the interface. We work with each organization to test and validate their integration prior to initiating data transmission to NOMS.
The Functional Communication Measures (FCMs) are copyrighted and cannot be included in an organization’s electronic documentation system unless the organization has registered for NOMS and is transmitting the data electronically to ASHA.
Your information technology (IT) staff would first need to customize your EMR to include the NOMS data collection questions and set up the data extraction process as outlined in the file specifications. Once it is set up, the SLPs would simply complete their charts internally, and then your EMR system would create the JSON or CSV files that can be transmitted to ASHA via a web services API or uploaded to the NOMS secure website on a pre-determined schedule. Specific knowledge of general web services protocol and JSON expertise is necessary in order to use the NOMS web services API for JSON data transmission.
Soon, a NOMS “SMART on FHIR” app will be available for FHIR-enabled EPIC and Cerner customers, which will simplify the NOMS integration process. Your IT staff will be able to download the NOMS “SMART on FHIR” app from the Epic App Orchard or Cerner App Gallery and integrate it into your EMR. Clinicians will then use the NOMS app in the EMR to input their patients’ data, which will be automatically transmitted to the NOMS database in real time.
Organizations participating in NOMS must submit data to ASHA’s national registry at regular intervals—the required minimum is monthly.
No. If you elect to transmit data electronically through your EMR reporting system, we expect that you have in-house web services or JSON expertise—or that you will be able to acquire that expertise. We do not provide this level of training.
Most speech-language documentation software is customizable. It is up to your organization to determine whether your documentation system has the customization capability. It is important to note that ASHA is working directly with the organization and not with the EMR vendor for electronic data reporting. EMR vendors will be covered under the organization’s NOMS Agreement and must comply with the terms of the agreement as a third-party contractor.
ASHA has entered into a vendor agreement with a select group of EMR providers. If your EMR provider is interested in this type of agreement, please contact NOMS@asha.org. The following vendors have worked with ASHA and are supporting their customers with NOMS data transmission: