ONC Certification Criteria for Health IT by Regulatory Update Deadline

The ONC Health IT Certification Program Test Method has been constructed in an outcome-focused format with additional companion guide documents to aid stakeholder development of Health IT Modules. The Test Method provides the structure for evaluating conformance of the Health IT Module to the certification criteria defined at 42 CFR 170.315. As ONC updates the certification criteria in new and upcoming final rules, this webpage will be maintained to highlight the criteria that have been updated and reference relevant deadlines, as applicable. However, for a full review of the requirements related to a criterion, please refer to each criterion’s respective Certification Companion Guide and Test Procedure.

Below you will find the criteria that have been updated in recent ONC Final Rules, with reference to the type of regulatory updates required for each criterion. For a full list of active criteria within the Certification Program, please visit the Certification Program Test Method

 

Updated with Developer Actions Required for Existing Certifications

Regulation Text Citation

Certification Criterion

ONC Final Rule Reference

Regulatory Update Deadline

Update Type

§ 170.315(a)(5)

Patient demographics and observations 

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(a)(12)

Family health history

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(a)(15)

Social, psychological, and behavior data

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(b)(1)

Transitions of care

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets and Standards Updates

§ 170.315(b)(2)

Clinical information reconciliation and incorporation

HTI-1 Final Rule

December 31, 2025

Standards Updates

§ 170.315(b)(3)

Electronic prescribing

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(b)(9)

Care plan

HTI-1 Final Rule

December 31, 2025

Standards Updates

§ 170.315(b)(11)

Decision support interventions (DSI)

HTI-1 Final Rule

December 31, 2024*

*Functionality (only required for Health IT Modules certified to (a)(9) that wish to maintain certification to the functionality and/or meet the Base EHR definition requirements).

§ 170.315(c)(4)

Clinical quality measures (CQM) – filter

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(e)(1)

View, download, and transmit to 3rd party

HTI-1 Final Rule

December 31, 2025

Standards Updates and Functionality

§ 170.315(f)(1)

Transmission to immunization registries

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(f)(3)

Transmission to public health agencies – reportable laboratory tests and values/results

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(f)(4)

Transmission to cancer registries

HTI-1 Final Rule

December 31, 2025

Minimum Standard Code Sets

§ 170.315(f)(5)

Transmission to public health agencies — electronic case reporting

HTI-1 Final Rule

December 31, 2025

Standards Updates

§ 170.315(g)(6)

Consolidated CDA creation performance

HTI-1 Final Rule

December 31, 2025

Standards Updates

§ 170.315(g)(9)

Application access — all data request

HTI-1 Final Rule

December 31, 2025

Standards Updates

§ 170.315(g)(10)

Standardized application programming interface (API) for patient and population services

HTI-1 Final Rule

March 11, 2024

Functionality

December 31, 2024

API Conditions and Maintenance of Certification Update 

December 31, 2025

Standards Update

Updated – Potential Developer Action Required 
Some developers may have actions based on their specific certifications. Review specific criteria for more details.

Regulation Text Citation

Certification Criterion

ONC Final Rule Reference

Update Type

§ 170.315(d)(2)

Auditable events and tamper-resistance

HTI-1 Final Rule

Standard Update

§ 170.315(d)(3)

Audit report(s)

HTI-1 Final Rule

Standard Update

§ 170.315(d)(10)

Auditing actions on health information

HTI-1 Final Rule

Standard Update

§ 170.315(g)(3)

Safety-enhanced design

HTI-1 Final Rule

Functionality

Time Limited

Regulation Text Citation

Certification Criterion

ONC Final Rule Reference

Expiration Date

§ 170.315(a)(9)

Clinical decision support (CDS)

HTI-1 Final Rule

December 31, 2024

Removed

Regulation Text Citation

Certification Criterion

ONC Final Rule Reference

Expiration Date

§ 170.315(a)(10)

Drug-formulary and preferred drug list checks

ONC Cures Act Final Rule

January 1, 2022

§ 170.315(a)(13)

Patient-specific education resources

ONC Cures Act Final Rule

January 1, 2022

§ 170.315(b)(6)

Data export

ONC Cures Act Final Rule

December 31, 2023

§ 170.315(e)(2)

Secure messaging

ONC Cures Act Final Rule

January 1, 2022

§ 170.315(g)(8)

Application access—data category request

ONC Cures Act Final Rule

December 31, 2022