ONC Health IT Certification Program Updates (01/19/2017)

ONC Health IT Certification Program Updates (01/19/2017)

Test Method Updates

Recently Updated Test Procedures (TPs)

2015 Edition Test Procedures (TPs)
Criterion Number	Criterion Title	Details
§ 170.315(b)(7)	Data segmentation for privacy- send	Updated Test Lab Verification (TLV) step 3 and 4 from ‘Health IT developer-supplied data’ to ‘ONC-supplied data’
§ 170.315(c)(1)	Clinical Quality Measures- Record and Export	Clarification that Record Sampling does not require the use of a user interface. Manual Entry (now Record Sampling) can alternatively be performed with creation and import of structured data.
§ 170.315(c)(2)	Clinical Quality Measures- Import and Calculate	Removed note to test one of the two alternatives and renumbered steps for criteria ii
§ 170.315(c)(3)	Clinical Quality Measures- Report	Removed ‘report with raw data’ from System Under Test (SUT) step 2
§ 170.315(c)(4)	Clinical Quality Measures- Filter	Updated step numbers for criterion ii to correspond correctly between SUT and TLV

Recently Updated Certification Companion Guide (CCGs)

2015 Edition Certification Companion Guides (CCGs)
Criterion Number	Criterion Title	Details
§ 170.315(c)(1)	Clinical Quality Measures- Record and Export	Revised to include clarification about testing and certification to versions of standards associated with the CMS annual measure updates.
§ 170.315(c)(2)	Clinical Quality Measures- Import and Calculate	Included clarifications regarding testing and certification to versions of standards associated with the CMS annual measure updates, de-duplication, and testing for calculation.
§ 170.315(c)(3)	Clinical Quality Measures- Report	Revised to include clarification about testing and certification to versions of standards associated with the CMS annual measure updates. Updated incorrect links.
§ 170.315(c)(4)	Clinical Quality Measures- Filter	Revised to include clarification about testing and certification to versions of standards associated with the CMS annual measure updates.
§ 170.315(g)(1)	Automated Numerator Recording	Removed bullet point related to testing when systems are an ambulatory systems only or an inpatient systems only.

Cypress Test Tool- New version available

Cypress 3.1.0 is now available with updates to supports the following implementation guides released in December 2016:

1. HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1, STU Release 2 - US Realm. (QRDA Category III R2)
2. CMS Implementation Guide for Quality Reporting Document Architecture Category III Eligible Clinicians Programs Version 0.1. Implementation Guide for 2017.

Conformance to these new Implementation Guides will be enforced on all QRDA Category III submissions using the 2016 Bundle for the 2017 Reporting Period.  There will be no change to QRDA Category I submissions using the 2015 Bundle for the 2016 Reporting Period.

From now until February 10^th, 2017

Cypress 3.0.3 will continue to be available for testing and certification.  During this time, health IT developers can use Cypress 3.0.3 to certify to:

• The 2015 eCQM specifications.
• The 2016 eCQM specifications. 
•  Please note that the Implementation Guides used for QRDA Category III validation are different (and in conflict with) the Implementation Guides for CMS submission.  For this reason health IT developers are discouraged from using 3.0.3 to certify with the 2016 eCQMs.

After February 10^th, 2017

Cypress 3.0.3 is retired.
Cypress 3.1.0 will be available to test and certify to:

• The 2015 eCQM specifications.
• The 2016 eCQM specifications.

Additional information on the updated version of the Cypress Testing Tool can be found in the Cypress v3.1.0 release notes.

Edge Testing Tool - 2015 Edition Testing by Criteria

The ONC Edge Testing Tool (ETT) has deployed a usability enhancement that organizes tool-based test cases by criteria. This capability is accessed by selecting "2015 Edition Testing by Criteria" from ETT's main menu. This menu selection will provide access to tool-based tests organized by §170.315(h)(1), §170.315(h)(2), and §170.315(b)(1). Initially, only §170.315(h)(1) is available, with the other criteria to be deployed in future versions of the tool. This new organization of tests can be found on the Edge Testing Tool webpage.

Questions concerning this new Edge Testing Tool capability can be directed to: SITTeam@hhs.gov

For additional information on the 2015 Edition requirements, please visit https://www.healthit.gov/policy-researchers-implementers/2015-edition-final-rule

Questions may be directed to the ONC Health IT Certification Program via email at: ONC.Certification@hhs.gov