ONC Health IT Certification Program Test Method

The ONC Health IT Certification Program (Certification Program) Test Method provides the structure for evaluating conformance of the Health IT Module to the certification criteria defined in 45 CFR Part 170 Subpart II as published in the Code of Federal Regulations. The Certification Program Test Method includes Test Procedures, Test Tools, and Test Data, and is constructed in an outcome-focused format with additional companion guide documents to aid stakeholder development of Health IT Modules. Each Test Method is listed below by certification criterion number.

Health IT certified under the Certification Program must conform to the full scope of the product’s required capabilities, including regulatory/conformance expectation clarifications and interpretations set forth in the applicable Certification Companion Guides (CCGs). Materials prepared by ONC to support pre-certification testing, such as the Certification Program Test Method, should be read and understood on the basis that they have been prepared with the express purpose of evaluating a limited subset of the product’s required capabilities in a controlled environment. As such, this type of guidance is not determinative of the full scope of a product’s required capabilities.

Test Method Feedback

Submit feedback to the Certification Program via the Health IT Feedback and Inquiry Portal. Select the applicable category to enter a ticket. 

Test Procedures

The Test Procedures offer objective guidance to ONC-Authorized Testing Laboratories (ONC-ATLs) as they conduct Health IT Module testing in the Certification Program, to provide traceability from the certification criterion or criteria to testing activities, and to ensure consistency throughout the certification process. The Test Procedures format includes a grid of testing components that the ONC-ATLs would use as the test approach for that particular criterion. The key is below:

Documentation documentation icon

Visual inspectiontelescope icon

Test Tool(s)test tool icon

Test DataONC test tool icon

SVAPSVAP icon

Documentation is an approved method to demonstrate conformance. This may include documents from the health IT developer or third-party that demonstrate/attest to the compliance with the criterion.

Visual inspection is an approved method to demonstrate conformance. Most commonly, this will be accomplished via a live demonstration of functionality that meets the criterion.

Indicates that a test tool(s) exists and must be used to test a portion or all of a Health IT Module’s conformance to the criterion.

Indicates that test data supplied by ONC or as required by the tool(s) must be used during the test.

Indicates that the Standards Version Advancement Process (SVAP) is applicable to the criterion.

Attestation-Only Criteria 

Several criteria do not require testing to complete certification and instead require a developer to attest directly to meeting the requirements outlined in the criterion. In these cases, the ONC-ACB verifies the health IT developer’s attested conformance to the criterion requirements. To determine whether a criterion is attestation-only, please consult the relevant test procedure for that criterion.

Note: Attestations required to demonstrate conformance to a particular criterion are not the same as the bi-annual attestations developers must submit to demonstrate ongoing adherence to the Conditions and Maintenance of Certification requirements. Please refer to the Attestations CCG to learn more about the bi-annual attestation process. 

Test Tools

Test tools are designed to be used by health IT developers and implementers during software development that implements standards applicable to certification criteria used in the Certification Program. The test tools are used to evaluate conformance to the referenced standards. Certification Program Test Method test tools for applicable certification criteria are now available and can be accessed on the ONC Conformance Test Tools site.

Test Data

Test data provides a given set of input to verify that expected results are produced from defined functions during the test and accompanies the associated test tools for related certification criteria.

Certification Companion Guides

ONC provides Certification Companion Guides (CCGs) to accompany the certification criteria for health IT. The CCGs provide development guidance and technical clarifications to complement the test procedures in a single, consolidated source for certification criteria clarifications. The CCGs are intended to assist with product development in preparation for Certification Program requirements for testing and certification.

The CCGs do not undergo a formal public comment period, but ONC will accept ongoing feedback. Feedback will be considered on a case-by-case basis. Submit feedback to the Certification Program via the Health IT Feedback and Inquiry Portal. Select the applicable category to enter a ticket. 

Regulation Text Citation Certification Criterion Certification Companion Guide (CCG) Test Procedure
§170.315(a)(1) Computerized provider order entry (CPOE) – medications

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(2) Computerized provider order entry (CPOE) – laboratory

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(3) Computerized provider order entry (CPOE) – diagnostic imaging

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(4) Drug-drug, drug-allergy interaction checks for CPOE

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(5) Patient demographics and observations

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(9) Clinical decision support (CDS)

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(12) Family health history

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(14) Implantable device list

Certification Companion Guide (CCG)

Conformance Method

§170.315(a)(15) Social, psychological, and behavioral data

Certification Companion Guide (CCG)

Conformance Method

§170.315(b)(1) Transitions of care

Certification Companion Guide (CCG)

Test Procedure

§170.315(b)(2) Clinical information reconciliation and incorporation

Certification Companion Guide (CCG)

Test Procedure

§170.315(b)(3) Electronic prescribing

Certification Companion Guide (CCG)

Test Procedure

§170.315(b)(7) Security tags - summary of care - send

Certification Companion Guide (CCG)

Test Procedure

§170.315(b)(8) Security tags - summary of care - receive

Certification Companion Guide (CCG)

Test Procedure

§170.315(b)(9) Care plan

Certification Companion Guide (CCG)

Test Procedure

§170.315(b)(10) Electronic Health Information export

Certification Companion Guide (CCG)

Conformance Method

§170.315(b)(11) Decision support interventions

Certification Companion Guide (CCG)

Conformance Method

§170.315(c)(1) Clinical quality measures (CQMs) — record and export

Certification Companion Guide (CCG)

Test Procedure

§170.315(c)(2) Clinical quality measures (CQMs) — import and calculate

Certification Companion Guide (CCG)

Test Procedure

§170.315(c)(3) Clinical quality measures (CQMs) — report

Certification Companion Guide (CCG)

Test Procedure

§170.315(c)(4) Clinical quality measures (CQMs) — filter

Certification Companion Guide (CCG)

Test Procedure

§170.315(d)(1) Authentication, access control, authorization

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(2) Auditable events and tamper-resistance

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(3) Audit report(s)

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(4) Amendments

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(5) Automatic access time-out

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(6) Emergency access

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(7) End-user device encryption

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(8) Integrity

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(9) Trusted connection

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(10) Auditing actions on health information

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(11) Accounting of disclosures

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(12) Encrypt authentication credentials

Certification Companion Guide (CCG)

Conformance Method

§170.315(d)(13) Multi-factor authentication

Certification Companion Guide (CCG)

Conformance Method

§170.315(e)(1) View, download, and transmit to 3rd party

Certification Companion Guide (CCG)

Test Procedure

§170.315(e)(3) Patient health information capture

Certification Companion Guide (CCG)

Conformance Method

§170.315(f)(1) Transmission to immunization registries

Certification Companion Guide (CCG)

Test Procedure

  1. Alt. Test Method updated on 12-18-2017
§170.315(f)(2) Transmission to public health agencies — syndromic surveillance

Certification Companion Guide (CCG)

Test Procedure

§170.315(f)(3) Transmission to public health agencies — reportable laboratory tests and value/results

Certification Companion Guide (CCG)

Test Procedure

§170.315(f)(4) Transmission to cancer registries

Certification Companion Guide (CCG)

Test Procedure

§170.315(f)(5) Transmission to public health agencies — electronic case reporting

Certification Companion Guide (CCG)

Conformance Method

§170.315(f)(6) Transmission to public health agencies — antimicrobial use and resistance reporting

Certification Companion Guide (CCG)

Test Procedure

§170.315(f)(7) Transmission to public health agencies — health care surveys

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(1) Automated numerator recording

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(2) Automated measure calculation

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(3) Safety-enhanced design

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(4) Quality management system

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(5) Accessibility-centered design

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(6) Consolidated CDA creation performance

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(7) Application access — patient selection

Certification Companion Guide (CCG)

Conformance Method

§170.315(g)(9) Application access — all data request

Certification Companion Guide (CCG)

Test Procedure

§170.315(g)(10) Standardized API for patient and population services

Certification Companion Guide (CCG)

Test Procedure

§170.315(h)(1) Direct Project

Certification Companion Guide (CCG)

Test Procedure

§170.315(h)(2) Direct Project, Edge Protocol, and XDR/XDM

Certification Companion Guide (CCG)

Test Procedure