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ONC Health IT Certification Program 2015 Edition Test Methods

The Office of the National Coordinator for Health Information Technology (ONC) develops the functional and conformance testing requirements for the testing and certification of Health IT Modules to the certification criteria adopted by the Health and Human Services (HHS) Secretary. Only ONC-approved test methods can be used to test products intended for certification in the ONC Health IT Certification Program (please note that any individual or organization may submit test methods to ONC for approval). Test methods (test procedures, test data, and test tools) are used by Accredited Testing Laboratories (ATLs) and ONC-Approved Certification Bodies (ONC-ACBs) to evaluate the conformance and functionality of Health IT Modules. 

 
Please consult the Final Rule entitled: 2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications as well as the Certification Companion Guide for a detailed description of the certification criterion with which these testing steps are associated. We also encourage developers to consult the Certification Companion Guide in tandem with the test procedure as they provide clarifications that may be useful for product development and testing.

Finally, we encourage commenters to review the Summary of Comment for 2015 Edition NPRM Draft Test Procedures for more information on how the 2015 draft test procedures were updated in response to the first round of public comment.

All test procedures will undergo public review and comment before being finalized and approved by the National Coordinator. The public comment period for the 2015 Edition Draft § 170.315 (g)(1) and § 170.315 (g)(2) and § 170.315 (b)(3), 170.315 (h)(1) and 170.315 (h)(2) Test Procedures found below will end December 31st 2015. The comment period for the remaining Test Procedures ended on November 30th 2015.

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Each test procedure includes a grid of testing components that the ATLs would use as the test approach for a particular criteria. The key is below:

 

NIST
ApplicationTool Production URLNIST Test Process Document
Immunizationhttp://hl7v2-iz-r1.5-testing.nist.govNIST_IZ_Normative_Test_Process_Document
Syndromic surveillance http://hl7v2-ss-r2-testing.nist.gov/NIST_SS_Normative_Test_Process_Document
Electronic prescribing http://erx-2015.nist.gov/NIST_eRx_Normative_Test_Process_Document
Reportable laboratory results http://hl7v2-elr-testing.nist.gov/NIST_ELR_Normative_Test_Process_Document

C-CDA Cancer Registry

Reporting Validation Tool 
http://cda-validation.nist.gov/cda-validation/muCRV.htmlNone
NIST Health Care Survey validator http://cda-validation.nist.gov/cda-validation/muNHCS.htmlNone
Edge Test Tool (ETT) http://edge.nist.gov/None
Transport Test Tool (TTT) (Original) http://transport-testing.nist.gov/None

 

The Normative Test Process Documents are available for review and comment.  Please submit the comments to the address provided  (NTPD_comments@nist.gov)

Criteria
Criterion #Certification Criterion NameTest Procedure Link
§ 170.315 (g)(1)Automated Numerator Recording§ 170.315 (g)(1) Automated Numerator Recording
§ 170.315 (g)(2)Automated Measure Calculation§ 170.315 (g)(2) Automated Measure Calculation
§ 170.315 (g)(1)(2)Automated Measure Calculation and Numerator Recording Test Data§ 170.315 (g)(1)(2) Test Data
§ 170.315 (b)(3)Electronic Prescribing§ 170.315 (b)(3) Electronic Prescribing
§ 170.315 (h)(1)Direct Project§ 170.315 (h)(1) Direct Project
§ 170.315 (h)(2)Direct Project, Edge Protocol, and XDR/XDM§ 170.315 (h)(2) Direct Project, Edge Protocol, and XDR/XDM
   
§ 170.315 (a)(1)Computerized Provider Order Entry (CPOE) – Medications§ 170.315 (a)(1) Computerized Provider Order Entry (CPOE) – Medications
§ 170.315 (a)(2)CPOE – Laboratory§ 170.315 (a)(2) CPOE – Laboratory
§ 170.315 (a)(3)CPOE – Diagnostic Imaging§ 170.315 (a)(3) CPOE – Diagnostic Imaging
§ 170.315 (a)(4)Drug-Drug, Drug-Allergy Interaction Checks for CPOE§ 170.315 (a)(4) Drug-Drug, Drug-Allergy Interaction Checks for CPOE
§ 170.315 (a)(5)Demographics§ 170.315 (a)(5) Demographics
§ 170.315 (a)(6)Problem List§ 170.315 (a)(6) Problem List
§ 170.315 (a)(7)Medication List§ 170.315 (a)(7) Medication List
§ 170.315 (a)(8)Medication Allergy List§ 170.315 (a)(8) Medication Allergy List
§ 170.315 (a)(9)Clinical Decision Support§ 170.315 (a)(9) Clinical Decision Support
§ 170.315 (a)(10)Drug-Formulary and Preferred Drug List Checks§ 170.315 (a)(10) Drug-Formulary and Preferred Drug List Checks
§ 170.315 (a)(11)Smoking Status§ 170.315 (a)(11) Smoking Status
§ 170.315 (a)(12)Family Health History§ 170.315 (a)(12) Family Health History
§ 170.315 (a)(13)Patient-Specific Education Resources§ 170.315 (a)(13) Patient-Specific Education Resources
§ 170.315 (a)(14)Implantable Device List§ 170.315 (a)(14) Implantable Device List
§ 170.315 (a)(15)Social, Psychological, and Behavioral Determinants Data§ 170.315 (a)(15) Social, Psychological, and Behavioral Determinants Data
§ 170.315 (b)(1)Transitions of Care§ 170.315 (b)(1) Transitions of Care
§ 170.315 (b)(2)Clinical Information Reconciliation and Incorporation§ 170.315 (b)(2) Clinical Information Reconciliation and Incorporation
§ 170.315 (b)(4)Common Clinical Data Set Summary Record - Create§ 170.315 (b)(4) Common Clinical Data Set Summary Record - Create
§ 170.315 (b)(5)Common Clinical Data Set Summary Record - Receive§ 170.315 (b)(5) Common Clinical Data Set Summary Record - Receive
§ 170.315 (b)(6)Data Export§ 170.315 (b)(6) Data Export
§ 170.315 (b)(7)Data Segmentation for Privacy - Send§ 170.315 (b)(7) Data Segmentation for Privacy - Send
§ 170.315 (b)(8)Data Segmentation for Privacy - Receive§ 170.315 (b)(8) Data Segmentation for Privacy - Receive
§ 170.315 (b)(9)Care Plan§ 170.315 (b)(9) Care Plan
§ 170.315 (c)(1)Clinical Quality Measures – Record and Export§ 170.315 (c)(1) Clinical Quality Measures – Record and Export
§ 170.315 (c)(2)Clinical Quality Measures – Import and Calculate§ 170.315 (c)(2) Clinical Quality Measures – Import and Calculate
§ 170.315 (c)(3)Clinical Quality Measures – Report§ 170.315 (c)(3) Clinical Quality Measures – Report
§ 170.315 (c)(4)Clinical Quality Measures - Filter§ 170.315 (c)(4) Clinical Quality Measures - Filter
§ 170.315 (d)(1)Authentication, Access Control, Authorization§ 170.315 (d)(1) Authentication, Access Control, Authorization
§ 170.315 (d)(2)Auditable Events and Tamper-Resistance§ 170.315 (d)(2) Auditable Events and Tamper-Resistance
§ 170.315 (d)(3)Audit Report(s)§ 170.315 (d)(3) Audit Report(s)
§ 170.315 (d)(4)Amendments§ 170.315 (d)(4) Amendments
§ 170.315 (d)(5)Automatic Access Time-out§ 170.315 (d)(5) Automatic Access Time-out
§ 170.315 (d)(6)Emergency Access§ 170.315 (d)(6) Emergency Access
§ 170.315 (d)(7)End-User Device Encryption§ 170.315 (d)(7) End-User Device Encryption
§ 170.315 (d)(8)Integrity§ 170.315 (d)(8) Integrity
§ 170.315 (d)(9)Trusted Connection§ 170.315 (d)(9) Trusted Connection
§ 170.315 (d)(10)Auditing Actions on Health Information§ 170.315 (d)(10) Auditing Actions on Health Information
§ 170.315 (d)(11)Accounting of Disclosures§ 170.315 (d)(11) Accounting of Disclosures
§ 170.315 (e)(1)View, Download, and Transmit to 3rd Party§ 170.315 (e)(1) View, Download, and Transmit to 3rd Party
§ 170.315 (e)(2)Secure Messaging§ 170.315 (e)(2) Secure Messaging
§ 170.315 (e)(3)Patient Health Information Capture§ 170.315 (e)(3) Patient Health Information Capture
§ 170.315 (f)(1)Transmission to Immunization Registries§ 170.315 (f)(1) Transmission to Immunization Registries
§ 170.315 (f)(2)Transmission to Public Health Agencies - Syndromic Surveillance§ 170.315 (f)(2) Transmission to Public Health Agencies - Syndromic Surveillance
§ 170.315 (f)(3)Transmission to Public Health Agencies – Reportable Laboratory Tests and Values/Results§ 170.315 (f)(3) Transmission to Public Health Agencies – Reportable Laboratory Tests and Values/Results
§ 170.315 (f)(4)Transmission to Cancer Registries§ 170.315 (f)(4) Transmission to Cancer Registries
§ 170.315 (f)(5)Transmission to Public Health Agencies – Electronic Case Reporting§ 170.315 (f)(5) Transmission to Public Health Agencies – Electronic Case Reporting
§ 170.315 (f)(6)Transmission to Public Health Agencies – Antimicrobial Use and Resistance Reporting§ 170.315 (f)(6) Transmission to Public Health Agencies – Antimicrobial Use and Resistance Reporting
§ 170.315 (f)(7)Transmission to Public Health Agencies – Health Care Surveys§ 170.315 (f)(7) Transmission to Public Health Agencies – Health Care Surveys
§ 170.315 (g)(3)Safety-Enhanced Design§ 170.315 (g)(3) Safety-Enhanced Design
§ 170.315 (g)(4)Quality Management System§ 170.315 (g)(4) Quality Management System
§ 170.315 (g)(5)Accessibility-Centered Design§ 170.315 (g)(5) Accessibility-Centered Design
§ 170.315 (g)(6)Consolidated CDA Creation§ 170.315 (g)(6) Consolidated CDA Creation
§ 170.315 (g)(7)Application Access - Patient Selection§ 170.315 (g)(7) Application Access - Patient Selection
§ 170.315 (g)(8)Application Access - Data Category Request§ 170.315 (g)(8) Application Access - Data Category Request
§ 170.315 (g)(9)Application Access - All Data Request§ 170.315 (g)(9) Application Access - All Data Request

 

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Key Summary Created organization name
CRTFIFTEEN-615 Step numbers not aligned Nov 29, 2015 ICSA Labs Kevin D Brown
CRTFIFTEEN-617 Clarify optional vs conditional Nov 29, 2015 ICSA Labs Kevin D Brown
CRTFIFTEEN-668 EHRA Comments re 2015 Edition Final Test Procedures Nov 30, 2015 Electronic Health Record Association Angela Gorden
CRTFIFTEEN-496 Documentation as an approved method Nov 04, 2015 ICSA Labs Michelle Knighton
CRTFIFTEEN-491 Grid of Testing Components Nov 04, 2015 ICSA Labs Michelle Knighton
CRTFIFTEEN-556 Comments from Quest Diagnostics Nov 24, 2015 Quest Diagnostics Dolly A. Judge
CRTFIFTEEN-550 Direct Test Procedures General Comments Nov 18, 2015 ESAC Elizabeth So
CRTFIFTEEN-511 Data icon Nov 09, 2015 ICSA Labs Michelle Knighton

 

 

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Page: § 170.315 (a)(1) Computerized Provider Order Entry (CPOE) – Medications Page: § 170.315 (a)(2) CPOE – Laboratory Page: § 170.315 (a)(3) CPOE – Diagnostic Imaging Page: § 170.315 (a)(4) Drug-Drug, Drug-Allergy Interaction Checks for CPOE Page: § 170.315 (a)(5) Demographics Page: § 170.315 (a)(6) Problem List Page: § 170.315 (a)(7) Medication List Page: § 170.315 (a)(8) Medication Allergy List Page: § 170.315 (a)(9) Clinical Decision Support Page: § 170.315 (a)(10) Drug-Formulary and Preferred Drug List Checks Page: § 170.315 (a)(11) Smoking Status Page: § 170.315 (a)(12) Family Health History Page: § 170.315 (a)(13) Patient-Specific Education Resources Page: § 170.315 (a)(14) Implantable Device List Page: § 170.315 (a)(15) Social, Psychological, and Behavioral Determinants Data Page: § 170.315 (b)(1) Transitions of Care Page: § 170.315 (b)(2) Clinical Information Reconciliation and Incorporation Page: § 170.315 (b)(3) Electronic Prescribing Page: § 170.315 (b)(4) Common Clinical Data Set Summary Record - Create Page: § 170.315 (b)(5) Common Clinical Data Set Summary Record - Receive Page: § 170.315 (b)(6) Data Export Page: § 170.315 (b)(7) Data Segmentation for Privacy - Send Page: § 170.315 (b)(8) Data Segmentation for Privacy - Receive Page: § 170.315 (b)(9) Care Plan Page: § 170.315 (c)(1) Clinical Quality Measures – Record and Export Page: § 170.315 (c)(2) Clinical Quality Measures – Import and Calculate Page: § 170.315 (c)(3) Clinical Quality Measures – Report Page: § 170.315 (c)(4) Clinical Quality Measures - Filter Page: § 170.315 (d)(1) Authentication, Access Control, Authorization Page: § 170.315 (d)(2) Auditable Events and Tamper-Resistance Page: § 170.315 (d)(3) Audit Report(s) Page: § 170.315 (d)(4) Amendments Page: § 170.315 (d)(5) Automatic Access Time-out Page: § 170.315 (d)(6) Emergency Access Page: § 170.315 (d)(7) End-User Device Encryption Page: § 170.315 (d)(8) Integrity Page: § 170.315 (d)(9) Trusted Connection Page: § 170.315 (d)(10) Auditing Actions on Health Information Page: § 170.315 (d)(11) Accounting of Disclosures Page: § 170.315 (e)(1) View, Download, and Transmit to 3rd Party Page: § 170.315 (e)(2) Secure Messaging Page: § 170.315 (e)(3) Patient Health Information Capture Page: § 170.315 (f)(1) Transmission to Immunization Registries Page: § 170.315 (f)(2) Transmission to Public Health Agencies - Syndromic Surveillance Page: § 170.315 (f)(3) Transmission to Public Health Agencies – Reportable Laboratory Tests and Values/Results Page: § 170.315 (f)(4) Transmission to Cancer Registries Page: § 170.315 (f)(5) Transmission to Public Health Agencies – Electronic Case Reporting Page: § 170.315 (f)(6) Transmission to Public Health Agencies – Antimicrobial Use and Resistance Reporting Page: § 170.315 (f)(7) Transmission to Public Health Agencies – Health Care Surveys Page: § 170.315 (g)(1)(2) Test Data Page: § 170.315 (g)(1) Automated Numerator Recording Page: § 170.315 (g)(2) Automated Measure Calculation Page: § 170.315 (g)(3) Safety-Enhanced Design Page: § 170.315 (g)(4) Quality Management System Page: § 170.315 (g)(5) Accessibility-Centered Design Page: § 170.315 (g)(6) Consolidated CDA Creation Page: § 170.315 (g)(7) Application Access - Patient Selection Page: § 170.315 (g)(8) Application Access - Data Category Request Page: § 170.315 (g)(9) Application Access - All Data Request Page: § 170.315 (h)(1) Direct Project Page: § 170.315 (h)(2) Direct Project, Edge Protocol, and XDR/XDM Page: Master Table of Related and Required Criteria Page: Test Page: Test Page 2