New Certification Criteria Test Procedures Released

4th Wave Now Released for Public Review and Comment

On Tuesday, September 4th, 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 was published in the Federal Register.

SUMMARY: With this final rule, the Secretary of Health and Human Services adopts certification criteria that establish the technical capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR) Technology will need to include to, at a minimum, support the achievement of meaningful use by eligible professionals, eligible hospitals, and critical access hospitals under the Medicare and Medicaid EHR Incentive Programs beginning with the EHR reporting periods in fiscal year and calendar year 2014. This final rule also makes changes to the permanent certification program for health information technology, including changing the program’s name to the ONC HIT Certification Program.

DATES: These regulations are effective October 4, 2012. The incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of October 4, 2012.

Since September 7th the ONC has been releasing waves of draft Test Procedures and applicable test data files for the 2014 Edition EHR Certification Criteria for public review and comment. Each of the draft sets will remain in public review and comment periods for two week from the release date. For details on the test procedures and data files see the ONC’s 2014 Edition Draft Test Methods page.

Wave Dates Criterion
One Released:
Comment End:
Vitals, BMI, growth charts
Problem list
Med list
Med allergy list
Drug formulary checks
Smoking status
Patient ed resources
Inpatient advance directives
Auto log-off
Accounting of disclosures
One Released:
Comment End:
Immunization Information
Transmission to Immunization Registries
Two Released:
Comment End:
Three Released:
Comment End:
Drug-drug/allergy interaction check
Clinical decision support
Image results
Inpatient eMAR
Clinical information reconciliation
Ambulatory clinical summary
Four Released:
Comment End:
Data portablility
Auditable events and tamperresistance
Audit reports
End-user device encryption
Ambulatory secure messaging
Transmission to public health agencies – syndromic surveillance
Safety-enhanced design


Comments and suggestions should be submitted to All submissions should include “2014 Test Methods” in the subject line. ONC will review and consider all public input, but will not publish the deliberation results. After draft Test Procedures have been through the public comment and review process, ONC will revise and finalize them. The final set of Test Methods is expected to be available for use in testing and certification in early 2013.