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The SITE C-CDA Scorecard enables prov= iders, implementers, and health IT professionals with a tool that compares = how artifacts created by health IT stack up against the HL7 C-CDA implement= ation guide and HL7 best practices. The "One Click Scorecard" is a provider= -focused testing service where providers can send a Direct message with a C= -CDA payload to ONC's service, then automatically receive a PDF file report= of the C-CDA as a Direct message attachment.
Providers using the DirectTrust = network can send a clinical summary documents (C-CDA) Direct message to&nbs= p;scorecard@direct.hhs.gov= span> and the One Click Scorecard service will return a letter gra= de (A, B, C, D) report to the sender. The report summarizes C-CDA quality a= gainst industry best practices and conformance to the ONC 2014-2015 certifi= cation requirements.
Notice Regarding the Disclosu= re of Protected Health Information
The disclosure of Protected Health In= formation (PHI) by health care providers and their business associates is o= nly permitted under certain circumstances without patient authorization or = a business associate agreement. One such circumstance is when PHI is disclo= sed to a =E2=80=9Chealth oversight agency=E2=80=9D (45 CFR 160.103; 45 CFR = 164.501; 164.512(d)(1)(iii)). ONC, in its administration and oversight of t= he Health IT Certification Program, meets the definition of a =E2=80=9Cheal= th oversight agency=E2=80=9D (81 FR 72431).
Thus, health care providers and their= business associates, if authorized by their business associate agreements,= may disclose PHI to ONC while self-testing ONC-certified = health IT via the =E2=80=9COne Click Scorecard=E2=80=9D benchmarking tool w= ithout patient authorization and without a business associate agreement wit= h ONC.
Stakeholders should not disclose PHI = to ONC if they are not self-testing ONC-certified health IT. More informati= on about the C-CDA Scorecard feature of the One Clic= k Scorecard benchmarking tool can be found here<= strong> , including in= structions for how to download and locally install a version of the C-CDA S= corecard.
Once a C-CDA is tested and scored, th= e entire C-CDA along with any PHI is immediately erased and is not retained= . ONC will only retain the numerical scores generated during testing = for benchmarking and industry-reporting.