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2014 Edition Test Method

2014 Edition Draft Test Methods

ONC HIT Public Workshop November 13, 2012 – Presentation

2014 Edition Draft Test Procedures

The Office of the National Coordinator for Health Information Technology (ONC) posted waves of draft Test Procedures and applicable test data and tool files for the 2014 Edition EHR Certification Criteria. The Test Procedures are being developed in collaboration with the National Institute of Standards and Technology (NIST). The Test Procedures (revised, finalized and approved by the National Coordinator) are used for testing and certifying EHR technology under the ONC HIT Certification Program (formerly referred to as the Permanent Certification Program or PCP). The Final 2014 Edition Test Method is available here

General Purpose

The 2014 Edition Test Method will be used by testing laboratories and certification bodies to evaluate conformance and functionality of Complete Electronic Health Records (EHRs) or EHR Modules against the standards, implementation specifications, and certification criteria adopted by the HHS Secretary for 2014 certification. The Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology, Final Rule [PDF - 990 KB], published September 4, 2012, establishes the 2014 Edition EHR Certification Criteria used to develop Test Procedures.

Public Review and Comment Process

The draft Test Procedures and applicable tools and test data files are posted on the ONC website and were made available for public review and comment. If there is no test data link, test data are either not required or supplied by the vendor. Links to applicable test tools are included in the Test Procedure document. Each Test Procedure for which a tool is included is noted. The draft Test Procedures were posted by wave. Additional waves were added to this website on a weekly or bi-weekly basis until all were posted.

A two-week public review and comment period followed the posting of each wave of draft Test Procedures. Two weeks after the posting date for a particular wave, the public review and comment period closed for that set. After that period, changes may not have been able to be incorporated into the final release version. Draft Test Procedures were posted throughout September and October 2012.

Comments and suggestions were submitted to ONC.Certification@hhs.gov. All submissions should have included "2014 Test Methods" in the subject line. Draft Test Procedures are posted below with applicable test procedures, tools, and test data files. Commenters were asked to be as specific as possible in their submission regarding the component of the test method for which you are providing input (i.e., test procedure, test data, or test tools), as well as location information within the document (i.e., page, section number, etc.). ONC reviewed and considered all public input, but will not publish the deliberation results.

After draft Test Procedures went through the public comment and review process, ONC will revise and finalize them. The final set of Test Methods was made available for use in testing and certification on December 14, 2012. Also see resources on clinical quality measures

*All draft Test Procedures listed below were subject to change prior to final release.*

Draft 2014 Edition Test Procedures Waves

Wave One

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(a)(1)

Computerized provider order entry

Test Procedures
[PDF - 147 KB]

September 7, 2012

Test Data
[PDF - 110 KB]

September 7, 2012

§170.314(a)(4)

Vital signs, body mass index, and growth Charts

Test Procedures
[PDF - 161 KB]

September 7, 2012

Test Data
[PDF - 97 KB]

September 7, 2012

§170.314(a)(5)

Problem list

Test Procedures
[PDF - 165 KB]

September 7, 2012

Test Data
[PDF - 121 KB]

September 7, 2012

§170.314(a)(6)

Medication list

Test Procedures
[PDF - 150 KB]

September 7, 2012

Test Data
[PDF - 98 KB]

September 7, 2012

§170.314(a)(7)

Medication allergy list

Test Procedures
[PDF - 164 KB]

September 7, 2012

Test Data
[PDF - 111 KB]

September 7, 2012

§170.314(a)(10)

Drug formulary checks

Test Procedures
[PDF - 108 KB]

September 7, 2012

Test Data
[PDF - 79 KB]

September 7, 2012

§170.314(a)(11)

Smoking status

Test Procedures
[PDF - 137 KB]

September 7, 2012

Test Data
[PDF - 84 KB]

September 7, 2012

§170.314(a)(15)

Patient-specific education resources

Test Procedures
[PDF - 119 KB]

September 7, 2012

§170.314(a)(17)

Inpatient setting only—advance directives

Test Procedures
[PDF - 99 KB]

September 7, 2012

§170.314(d)(5)

Automatic log-off

Test Procedures
[PDF - 99 KB]

September 7, 2012

§170.314(d)(8)

Integrity

Test Procedures
[PDF - 142 KB]

September 7, 2012

§170.314(d)(9)

Optional—accounting of disclosures

Test Procedures
[PDF - 135 KB]

September 7, 2012

§170.314(f)(1)

Immunization Information

Test Procedures
[PDF- 124 KB]

September 11, 2012

Test Data
[PDF - 74 KB]

September 11, 2012

§170.314(f)(2)

Transmission to Immunization Registries (tool included)

Test Procedures
[PDF - 256 KB]

September 11, 2012

Test Data #1
[PDF - 157 KB]

September 11, 2012

Test Data #2
[PDF - 137 KB]

September 11, 2012

Test Data #3
[PDF - 82 KB]

September 11, 2012

Test Data #4
[PDF - 88 KB]

September 11, 2012

Test Data #5
[PDF - 82 KB]

September 11, 2012

Test Data #6
[PDF - 95 KB]

September 11, 2012

Test Data #7
[PDF - 346 KB]

September 11, 2012

Wave Two

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(a)(3)

Demographics

Test Procedures
[PDF - 494 KB]

September 14, 2012

Test Data
[PDF - 303 KB]

September 14, 2012

§170.314(a)(9)

Electronic notes

Test Procedures
[PDF - 504 KB]

September 14, 2012

Test Data
[PDF - 173 KB]

September 14, 2012

§170.314(a)(13)

Family health history

Test Procedures
[PDF - 490 KB]

September 14, 2012

§170.314(a)(14)

Patient list creation

Test Procedures
[PDF - 521 KB]

September 14, 2012

§170.314(d)(6)

Emergency access

Test Procedures
[PDF - 118 KB]

September 14, 2012

§170.314(f)(5)

Ambulatory setting only-cancer case information

Test Procedures
[PDF - 397 KB]

September 14, 2012

Test Data
[PDF - 285 KB]

September 14, 2012

§170.314(f)(6)

Ambulatory setting only-transmission to cancer registries (tool included)

Test Procedures
[PDF - 475 KB]

September 14, 2012

Test Data
[PDF - 916 KB]

September 14, 2012

Wave Three

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(a)(2)

Drug-drug, drug-allergy interaction checks

Test Procedures
[PDF - 442 KB]

September 21, 2012

§170.314(a)(8)

Clinical decision support

Test Procedures
[PDF - 602 KB]

September 21, 2012

§170.314(a)(12)

Image Results

Test Procedures
[PDF - 394 KB]

September 21, 2012

§170.314(a)(16)

Inpatient setting only—eMAR

Test Procedures
[PDF - 566 KB]

September 21, 2012

Test Data
[PDF - 337 KB]

September 21, 2012

§170.314(b)(4)

Clinical information reconciliation

Test Procedures
[PDF - 469 KB]

September 21, 2012

Test Data
[PDF - 241 KB]

September 21, 2012

§170.314(e)(2)

Ambulatory setting only—clinical summary (tool included)

Test Procedures
[PDF - 533 KB]

September 21, 2012

Test Data
[PDF - 377 KB]

September 21, 2012

Test Tool Supplement
[PDF - 319 KB]

September 21, 2012

Wave Four

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(b)(7)

Data portability (tool included)

Test Procedures
[PDF - 533 KB]

September 28, 2012

Test Data – Ambulatory
[PDF - 548 KB]

September 28, 2012

Test Data – Inpatient
[PDF - 548 KB]

September 28, 2012

Test Tool Supplement
[PDF - 298 KB]

September 28, 2012

§170.314(d)(1)

Authentication, access control, and authorization

Test Procedures
[PDF - 397 KB]

September 28, 2012

§170.314(d)(2)

Auditable events and tamper-resistance

Test Procedures
[PDF - 614 KB]

September 28, 2012

§170.314(d)(3)

Audit reports

Test Procedures
[PDF - 438 KB]

September 28, 2012

§170.314(d)(4)

Amendments

Test Procedures
[PDF - 382 KB]

September 28, 2012

§170.314(d)(7)

End-user device encryption

Test Procedures
[PDF - 538 KB]

September 28, 2012

§170.314(e)(3)

Ambulatory setting only—secure messaging

Test Procedures
[PDF - 472 KB]

September 28, 2012

§170.314(f)(3)

Transmission to public health agencies - syndromic surveillance (tool included)

Test Procedures
[PDF - 568 KB]

September 28, 2012

Test Data #1 –
Urgent Care
[PDF - 121 KB]

Test Data #2 –
Urgent Care
[PDF - 114 KB]

Test Data #3 –
Urgent Care
[PDF - 114 KB]

September 28, 2012

Test Data #1 –
Patient Dies
[PDF - 172 KB]

Test Data #2 –
Patient Dies
[PDF - 171 KB]

Test Data #3 –
Patient Dies
[PDF - 171 KB]

September 28, 2012

Test Data #1 –
Emergency Department
[PDF - 268 KB]

Test Data #2 –
Emergency Department
[PDF - 266 KB]

Test Data #3 –
Emergency Department
[PDF - 267 KB]

September 28, 2012

§170.314(g)(3)

Safety-enhanced design

Test Procedures
[PDF - 545 KB]

September 28, 2012

Wave Five

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(b)(2)

Transitions of care - create and transmit transition of care/referral summaries (tool included)

Test Procedure
[PDF - 741 KB]

October 18, 2012

Test Data
[PDF - 692 KB]

October 18, 2012

§170.314(b)(3)

Electronic prescribing (tool included)

Test Procedure
[PDF - 401 KB]

October 18, 2012

Test Data
[PDF - 893 KB]

October 18, 2012

Test Tool Supplement
[PDF - 659 KB]

October 18, 2012

§170.314(e)(1)

View, download, and transmit to 3rd party (tool included)

Test Procedure
[PDF - 909 KB]

October 18, 2012

Test Data
[PDF - 516 KB]

October 18, 2012

§170.314(f)(4)

Inpatient setting only-transmission of reportable laboratory tests and values/results (tool included)

Test Procedure
[PDF - 713 KB]

October 18, 2012

Test Data
[ZIP - 9.2 MB]

October 18, 2012

Wave Six

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(g)(1)

Automated numerator recording

Test Procedure
[PDF - 1.87 MB]

November 2, 2012

§170.314(g)(2)

Automated measure calculation

Please Note: For this release, these criteria are bundled into one draft Test Procedure.

Test Data
[XLS - 290 KB]

November 2, 2012

§170.314(c)(1)

Clinical quality measures – capture and export (tool included)

Test Procedure
[PDF - 1.83 MB]

 

November 2, 2012

§170.314(c)(2) Clinical quality measures – import and calculate (tool included)
§170.314(c)(3)

Clinical quality measures – electronic submission (tool included)

Please Note: For this release, these criteria are bundled into one draft Test Procedure.

Wave Seven

Public comment period for this wave was two weeks after the posting date.

Criterion #

Certification Criterion Name

Document Type

Date Posted

§170.314(b)(1)

Transitions of care – receive, display, and incorporate summary care records* (tool included)

Test Procedure
[PDF - 647 KB]

November 8, 2012

Test Data
[ZIP - 351 KB]
November 8, 2012
Tool Supplement
[PDF - 386 KB]
November 8, 2012

§170.314(b)(5)(A)

Incorporate laboratory tests and values/results

Test Procedure
[PDF - 645 KB]

November 8, 2012

Test Data
[ZIP - 7 MB]
November 8, 2012

§170.314(b)(5)(B)

Incorporate laboratory tests and values/results

Test Procedure
[PDF - 645 KB]

November 8, 2012

Test Data
[PDF - 563 KB]
November 8, 2012

§170.314(b)(6)

Inpatient setting only—transmission of electronic laboratory tests and values/results to ambulatory providers.

Test Procedure
[PDF - 589 KB]

 

November 8, 2012

Test Data
[ZIP - 7 MB]

 

November 8, 2012

§170.314(g)(4)

Quality management system

Test Procedure
[PDF - 246 KB]

 

November 8, 2012

Regulation

The Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology, Final Rule [PDF - 990 KB] establishes the technical requirements and specifies the related standards and implementation specifications that Certified Electronic Health Record Technology (CEHRT) would need to include, at a minimum, to support the achievement of Meaningful Use (MU) by Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) under the Medicare and Medicaid EHR Incentive Programs beginning with the EHR reporting periods in fiscal year and calendar year 2014. These capabilities, standards, and specifications are also known as the 2014 Edition EHR Certification Criteria.

Questions

Questions about the ONC Certification Program or Test Procedures should be directed to ONC's Office of Certification.

For our comprehensive list of Frequently Asked Questions, visit our FAQ page.