NEW- Real World Testing Webpage
A new webpage has been created for the Real World Testing Condition and Maintenance of Certification Requirements. This page features the Real World Testing Certification Companion Guide, Fact Sheet, and webinar materials. New resources will be added soon.

Test Method Updates
Recently Updated Test Procedures

2015 Edition Cures Update Test Procedures
Criterion Number Criterion Title Details
§ 170.315(g)(1) Automated numerator recording
  • Modified language on Required Tests 3, 4a, 4b, 4c, 5, 7,8,9 to align with CM’s Promoting Interoperability Program numerator requirements.
  • Added step for health IT developer to demonstrate the public location of its certified API technology service base URLs that can be used by patients to access their Electronic Health Information.
§ 170.315(g)(10) Standardized API for patient and population services
  • Updated Step 13 of “Paragraph (g)(10)(v)(A) – Authentication and authorization for patient and user scopes” to indicate that only the “launch” parameter, in EHR-Launch mode, is tested against the “launch” parameter provided in Step 8.
  • Added a new Step 14 to this section to indicate how the “aud” parameter is tested.
  • Corrected a typo in Step 22 of this section to indicate refresh tokens are granted to native applications capable of securing a refresh token.
Recently Updated Certification Companion Guides

2015 Edition Cures Update Certification Companion Guides
Criterion Number Criterion Title Details
§ 170.315(e)(1) View, download, and transmit to 3rd party
  • Updated to include a clarification for CCD Document Template on Diagnostic Imaging and Lab Test Results Narratives.
  • The Inpatient Setting (e)(1) test data has been updated to exclude (b)(1) receiver XML samples for (e)(1)(i)(B) and (e)(1)(i)(C) test data. The (e)(1) test is limited to the C-CDA Continuity of Care (CCD) document generated by the Health IT Module itself which serves as the “floor” rather than a “ceiling”, and Health IT Modules may include at their discretion additional document types (such as CCDs) originating from other systems) as appropriate for different practices and care settings.
§ 170.315(f)(5) Transmission to public health agencies – electronic case reporting
  • Updated “Technical Outcome” text in CCG sections to align with regulation text. Clarified that the optional certification pathway using the eCR Now FHIR application may require a different set of data elements than specified in § 170.315(f)(5)(iii)(B)(1) or (2). Removed the subset list of USCDI data elements from the paragraph (f)(5)(iii) clarification.
  • Added clarification regarding health IT developer attestation for data element support.
§ 170.315(g)(1) Automated numerator recording
  • Modified language to align with CMS’ Promoting Interoperability Program numerator and denominator requirements.
  • Test data has been updated to remove references to timing outside of the Reporting/Performance period.  Changes have been made to RT1, RT2, RT3, RT4, RT5, RT6, RT7, RT8, RT9, RT10, RT11, RT12 and RT15. Additionally, the notes in G1/G2 RT1 have been updated to reflect that MIPS and Medicare no longer have a requirement for formulary checking.
§ 170.315(g)(2) Automated measure calculation
  • Test data has been updated to remove references to timing outside of the Reporting/Performance period.  Changes have been made to RT1, RT2, RT3, RT4, RT5, RT6, RT7, RT8, RT9, RT10, RT11, RT12 and RT15. Additionally, the notes in G1/G2 RT1 have been updated to reflect that MIPS and Medicare no longer have a requirement for formulary checking.
United States Core Data for Interoperability (USCDI)
  • Provided clarifications for Clinical Notes and Provenance data classes.