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ONC Certification

Note

This section is under construction.

The following tutorial for building an app that meets the requirements for ONC certification.

Materials and Usage

The materials below can help you scope your certification program.

Resource NameDescriptionAccess
ChecklistChecklist for certificationRequest Access
Decision GuideDecision framework for which certification to pursueRequest Access
Certified Product ListSearch tool for certified productsHealthIT.gov
ONC 2015E Cures Base EHRRequirements for a basic EHR per Cures ActHealthIT.gov
CMS-specific CEHRTCertification for CMS reimbursementCMS.gov
Reference ImplementationSample EHR codeGithub
Account SetupExample account setup botGithub

Checklist

Below is a checklist of criteria for ONC Certification.

Self-Attested Criteria

CPOE Medication

CPOE Imaging

CPOE Laboratory

Drug-drug, Drug-allergy Interaction Checks

  • Not included in ONC 2015E Cures Base EHR

Demographics

Clinical Decision Support

Drug-Formulary Checks

  • Not included in ONC 2015E Cures Base EHR

Family Health History

Patient-specific Education Resources

  • Not included in ONC 2015E Cures Base EHR

Implantable Device List

Social, Psychological, and Behavioral Data

  • Not included in ONC 2015E Cures Base EHR
  • Implementation via Medplum Questionnaires (tutorial here)

EHI Export

  • Not included in ONC 2015E Cures Base EHR

Authentication, Access Control, Authorization

Auditable Events and Tamper Resistant

Audit Report(s)

  • Not included in ONC 2015E Cures Base EHR

Amendments

  • Not included in ONC 2015E Cures Base EHR

Automatic Access Time-Out

  • Not included in ONC 2015E Cures Base EHR

Emergency Access

  • Not included in ONC 2015E Cures Base EHR

End-user Device Encryption

Integrity

  • Not included in ONC 2015E Cures Base EHR
  • Implemented by Medplum

Trusted connection

  • Not included in ONC 2015E Cures Base EHR

Auditing actions on health information

  • Not included in ONC 2015E Cures Base EHR
  • Implemented by Medplum

Accounting of Disclosures

  • Not included in ONC 2015E Cures Base EHR

Encrypt Authentication Credentials

  • Not included in ONC 2015E Cures Base EHR
  • Implemented by Medplum

Multi-factor Authentication

  • Not included in ONC 2015E Cures Base EHR
  • Medplum supports Google Authentication

Secure Messaging

Patient Health Information Capture

Transmit to Public Health Agencies – case reporting

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Safety-enhanced Design

  • Not included in ONC 2015E Cures Base EHR

Quality Management System

  • Not included in ONC 2015E Cures Base EHR

Accessibility-Centered Design

  • Not included in ONC 2015E Cures Base EHR

Application Access – Patient Selection

Live Tested Criteria

Transition of Care

Clinical Information Reconciliation and Incorporation

  • Not included in ONC 2015E Cures Base EHR

Electronic Prescribing

  • Not included in ONC 2015E Cures Base EHR

Care Plan

Clinical Quality Measures – record and export

Technical outcome – The health IT must be able to record all data necessary to calculate CQMs presented for certification.

Clinical Quality Measures – import and calculate

Clinical Quality Measures - report

Clinical Quality Measures – filter

  • Not included in ONC 2015E Cures Base EHR

View, Download, Transmit to 3rd Party

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Transmit to Immunization Registries

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Transmit to Public Health Agencies – syndromic surveillance

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Transmit to Public Health Agencies – reportable laboratory tests

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Transmit to Cancer Registries

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Transmit to Public Health Agencies – antimicrobial use and resistance reporting

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Transmit to Public Health Agencies – health care surveys

  • Not included in ONC 2015E Cures Base EHR
  • Implement using Medplum Bots (tutorials)

Automated Numerator / Measure Calculation

Consolidated CDA Creation Performance

  • TODO: Need tutorial on creating and importing a CCDA document

Application Access – Data Category Request

Application Access – All Data Request

Direct Project

Direct Project, Edge Protocol, and XDR/XDM

Access Control