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The Master Table of Related and Required Criteria found below indicates which criteria are required for Privacy and Security (PS) and Conditional (C) certification. The last column of related criteria lists out the criteria for gap certification eligibility.

...

Download as Excel Spreadsheet

 
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Download As as Excel Spreadsheet 


Criteria§ 170.315
(b)
(
1)  Trasitions of Care§ 170.315 (
d)(1)  Authentication, Access Control, Authorization§ 170.315 (d)(2)  Auditable Events and Tamper-resistance§ 170.315 (d)(3)  Audit Report(s)§ 170.315 (d)(4)  Amendments§ 170.315 (d)(5) Automatic Access Time-out§ 170.315 (d)(6) Emergency Access§ 170.315 (d)(7) End-User Device Encryption§ 170.315 (d)(8) Integrity§ 170.315 (d)(9)
Accounting of Disclosures
Trusted Connection§ 170.315 (
g
d)(
1)
10) Auditing Actions on Health Information§ 170.315 (g)(1) Automated Numerator Recording§ 170.315 (g)(2) Automated Measure Calculation§ 170.315 (g)(3) Safety-enhanced Design§ 170.315 (g)(4) Quality Management System§ 170.315 (g)(5) Accessibility
Technology
-centered Design§ 170.315 (g)(6) Consolidated CDA Creation Performance§ 170.315 (g)(7) Application Access
to Common Clinical Data Set
-patient selection§ 170.315 (g)(8)
Accessibility Centered Design
Application Access-data category request§ 170.315 (g)(9) Application Access-all data requestCCDSRelated Criteria (For Gap Certification Eligibility)
§ 170.315 (a)(1) Computerized Provider Order Entry (CPOE) - medication
 
PSPSPSPSPSPSPS
 





C
   CC   C
CC
 





§ 170.314(a)(1)
--
§ 170.314(a)(18)
§ 170.315 (a)(2) CPOE - laboratory
 
PSPSPSPSPSPSPS
    





CCC
   C  





§ 170.314(a)(2)
--
§ 170.314(a)(19)
§ 170.315 (a)(3) CPOE - diagnostic imaging
 
PSPSPSPSPSPSPS
    





CC
   
C
 





§ 170.314(a)(1)
--
§ 170.314(a)(20)
§ 170.315 (a)(4)  Drug-drug, Drug-allergy Interaction Checks for CPOE
 
PSPSPSPSPSPSPS
  
  





CC
   
C
  






§ 170.315 (a)(5) Demographics
 
PSPSPSPSPSPSPS
    





CC
   
C
  






§ 170.315 (a)(6)
Vital Signs, BMI, and Growth Charts 
Problem ListPSPSPSPSPSPSPS
    





CC
   
C
  






§ 170.315 (a)(7)
Problem
Medication List
 
PSPSPSPSPSPSPS
   
 





CC
 
  
C
  





§ 170.314(a)(6)
§ 170.315 (a)(8) Medication Allergy List
 
PSPSPSPSPSPSPS
   
 





CC
   
C
 





§ 170.314(a)(
6
7)
§ 170.315 (a)(9)
Medication Allergy List 
Clinical Decision SupportPSPSPSPSPSPSPS
    





CC
 
  
C
 






§ 170.
314(a)(7)§ 170.
315 (a)(10)
Clinical Decision Support
Drug-formulary and Preferred Drug List ChecksPS
 
PSPSPSPSPSPS
PS






C
    CC   C  
C





§ 170.315 (a)(11) Smoking StatusPSPSPSPSPSPSPS





CC





§ 170.315 (a)(
11) Drug-formulary and Preferred Drug List Checks 
12) Family Health HistoryPSPSPSPSPSPSPS
     






C
   
C
  






§ 170.315 (a)(
12
13)
Smoking Status 
  Patient-specific Education ResourcesPSPSPSPSPSPSPS
     






C
 
  
C
 
 






§ 170.315 (a)(
13) Image Results 
14) Implantable Device ListPSPSPSPSPSPSPS
     C   C





CCC
 






§ 170.
314
315 (a)(
12)
15)  Social, Psychological, and Behavioral  DataPSPSPSPSPSPSPS





CC





§ 170.315 (
a
b)(
14) Family Health History 
1) Transitions of CarePSPSPS
PSPSPSPS
     C   C 





CCC


C
 

§ 170.315 (
a
b)(
15)  Family Health History – pedigree   
2)  Clinical Information Reconciliation and IncorporationPSPSPS
PSPSPSPS
     C   C 




CCC
 






§ 170.315 (
a
b)(
16
3)
Patient List Creation 
  Electronic PrescribingPSPSPS
PSPSPSPS
    




CC
   
C
 






§ 170.
314(a)(14)§ 170.
315 (
a
b)(
17
4) 
Patient-specific Education Resources 
Common Clinical Data Set Summary Record - createPSPSPS
PSPSPSPS
 





C
 
C
   C   C 
C


C
§ 170.315 (b)(5)  Common Clinical Data Set Summary Record - receivePSPSPS
PSPSPSPS




CC



C
 

§ 170.315 (
a
b)(
18
6) 
Electronic Medication Administration Record 
Data ExportPSPSPS
PSPSPSPS
  





C
 
C
 §
C


C
   C § 170.314(a)(16)

§ 170.315 (
a
b)(
19
7) 
Health Information Document Capture 
Data Segmentation for Privacy – sendPSPSPS
PSPSPSPS
     C   C  





CCC




§ 170.315 (
a
b)(
20
8)
Implantable Device List 
  Data Segmentation for Privacy – receivePSPSPS
PSPSPSPS
     





C
   
C
  






§ 170.315 (
a
b)(
21)  Social, Psychological, and Behavioral Determinants Data 
9)  Care PlanPSPSPS
PSPSPSPS
     C   C  





CCC




§
§
170.315 (
a
c)(
22)  Decision Support – knowledge artifact 
1)  Clinical Quality Measures – record and exportPSPSPS
PS
PSPSPS    








CC
   C  






§ 170.315 (
a
c)(
23)  Decision Support – service PSPSPS
2)  Clinical Quality Measures – import and calculatePSPSPS
PS
  
  








CC
   C  






§ 170.315 (
b
c)(
1
3)
Transitions of Care 
  Reserved for Clinical Quality Measures - recordPSPSPS
 

PS
PS








C
PSPS    C C C 
C





§ 170.315 (c)(4)  Clinical Quality Measures – filterPSPSPS
PS







CC





§ 170.315 (d)(1)  Authentication, Access Control, Authorization












CC




§ 170.314(d)(1)
 
§ 170.315 (
b
d)(2) 
Clinical Information Reconciliation and Incorporation PSPSPS PSPSPSPS   
Auditable Events and Tamper-resistance












CC
 C C  





§ 170.314(d)(2)
§ 170.315 (
b
d)(3) 
Electronic Prescribing PSPSPS PSPSPSPS   
Audit Report(s)












CC
   C 





§ 170.314(d)(3)
§ 170.315 (d)(4)  Amendments












CC
 





§ 170.
315
314(
b
d)(4)
  Incorporate Laboratory Tests and Values/Results PSPSPS PSPS
PSPS   CC   C  
§ 170.315 (
b
d)(5)
   Transmission of Laboratory Test Reports PSPSPS PSPSPSPS    C   C  
Automatic Access Time-out












CC




§ 170.314(d)(5)
§ 170.315 (
b
d)(6)
  Data Portability PSPSPS PSPSPSPS    C C C  § 170.315 (b)(7)  Data Segmentation for Privacy – send PSPSPS PSPSPSPS    C C C  § 170.315 (b)(8)  Data Segmentation for Privacy – receive PSPSPS PSPSPSPS    C   C 
Emergency Access












CC




§ 170.314(d)(6)
§ 170.315 (d)(7) End-User Device Encryption












CC




§ 170.314(d)(7)
§ 170.315 (d)(8) Integrity












CC




§ 170.314(d)(8)
§ 170.315 (d)(9) Trusted Connection












CC
 






§ 170.315 (
b
d)(
9)  Care Plan PSPSPS PSPSPSPS      C C  
10) Auditing Actions on Health Information












CC





§ 170.315 (
c
d)(
1)  Clinical Quality Measures – record and export
11) Accounting of Disclosures












CC




§ 170.314(d)(9)
§ 170.315 (e)(1) View, Download, and Transmit to 3rd Party
 
PSPSPS
 

PS
 

PS
 

PS
 




C
     C   C  § 170.315 (c)(2)  Clinical Quality Measures – import and calculate
CC


C
§ 170.315 (e)(2) Secure MessagingPS
 
PSPS
PS
         C   C 



PS



CC
 





§ 170.
315
314(
c
e)(3)
  Reserved for Clinical Quality Measures - record
§ 170.315 (e)(3)  Patient Health Information  Capture
 
PSPSPS
 

PS
        C   C  



PS



CC





§ 170.315 (
c
f)(
4)  Clinical Quality Measures – filter
1) Transmission to Immunization RegistriesPS
 
PSPS


PS
 






C
        C   C 
C





§ 170.315 (f)(2) Transmission to Public Health Agencies – syndromic surveillancePSPSPS


PS





CC
 






§ 170.315 (
d
f)(
1)  Authentication, Access Control, Authorization             C   C § 170.314(d)(1)
3) Transmission to Public Health Agencies – reportable laboratory tests and values/resultsPSPSPS


PS





CC





§ 170.315 (f)(4) Transmission to Cancer RegistriesPSPSPS


PS





CC





§ 170.315 (
d
f)(
2)  Auditable Events and Tamper-resistance             C   C § 170.314(d)(2)
5) Transmission to Public Health Agencies – case reportingPSPSPS


PS





CC





§ 170.315 (f)(6)  Transmission to Public Health Agencies – antimicrobial use and resistance reportingPSPSPS


PS





CC





§ 170.315 (f)(7)  Transmission to Public Health Agencies – health care surveysPSPSPS


PS





CC





§ 170.315 (
d
g)(
3)  Audit Report(s)             C   C § 170.314(d)(3)
1) Automated Numerator Recording












CC





§ 170.315 (g)(2) Automated Measure Calculation












CC





§ 170.315 (g)(6) Consolidated CDA Creation Performance












CC





§ 170.315 (g)(7) Application Access-patient selectionPSPS OR
§ 170.315 (d)(4)  Amendments             C   C § 170.314(d)(4)
§ 170.315 (d)(
5
10)
Automatic Access Time-out
             C   C






PSPS OR § 170.315 (d)(2)


CC



C
 

§ 170.
314
315 (
d
g)(
5)
8) Application Access-data category requestPSPS OR § 170.315 (d)(
6
10)
Emergency Access
             C   C 






PSPS OR § 170.
314
315 (d)(
6)
2)


CC



C
§ 170.315 (
d
g)(
7
9)
End-User Device Encryption             C   C § 170.314(d)(7)
Application Access-all data requestPSPS OR § 170.315 (d)(10)





PSPS OR § 170.315 (d)(2)


CC



C
§ 170.315 (h)(1) Direct ProjectPSPSPS









CC




§ 170.314(b)(1)(i)(A) and
§ 170.314(b)(2)(ii)(A)
--
§ 170.314(h)(1
§ 170.315 (d)(8) Integrity             C   C § 170.314(d)(8
)
§ 170.315 (
d
h)(
9) Accounting of Disclosures             C   C § 170.314(d)(9)§ 170.315 (e)(1) View, Download, and Transmit to 3rd Party PSPSPS PS PS     C C C  § 170.315 (e)(2) Secure Messaging PSPSPS PS PS     C   C § 170.314(e)(3)§ 170.315 (f)(1) Transmission to Immunization Registries PSPSPS   PS     C   C  § 170.315 (f)(2) Transmission to Public Health Agencies – syndromic surveillance PSPSPS   PS     C   C  § 170.315 (f)(3) Transmission to Public Health Agencies – reportable laboratory tests and values/results PSPSPS   PS     C   C  § 170.315 (f)(4) Transmission to Cancer Registries PSPSPS   PS     C   C  § 170.315 (f)(5) Transmission to Public Health Agencies – case reporting PSPSPS   PS     C   C  § 170.315 (f)(6)  Transmission to Public Health Agencies – antimicrobial use and resistance reporting PSPSPS   PS     C   C  § 170.315 (f)(7)  Transmission to Public Health Agencies – health care surveys PSPSPS   PS     C   C  § 170.315 (g)(1) Automated Numerator Recording             C      § 170.315 (g)(2) Automated Measure Calculation             C      § 170.315 (g)(3) Safety-enhanced Design             C      § 170.315 (g)(4) Quality Management System             C      § 170.315 (g)(5) Accessibility technology             C      § 170.315 (g)(6) Consolidated CDA Creation Performance             C      § 170.315 (g)(7) Application Access to Common Clinical Data Set             C C    § 170.315 (g)(8) Accessibility Centered Design                    § 170.315 (h)(1) Direct ProjectPSPSPSPS         C   C § 170.314(b)(1)(i)(A) and
§ 170.314(b)(2)(ii)(A)
--
§ 170.314(h)(1)§ 170.315 (h)(2) Direct Project, Edge Protocol, and XDR/XDM PSPSPS         C   C § 170.314(b)(1)(i)(B),
§ 170.314(b)(2)(ii)(B), and § 170.314(b)(8)
--
§ 170.314(b)(8) and § 170.314(h)(2)§ 170.315 (h)(3) SOAP Transport and Security Specification and XDR/XDR for Direct Messaging  PSPSPS         C   C § 170.314(b)(1)(i)(C) and
§ 170.314(b)(2)(ii)(C)
--
§ 170.314(h)(3)§ 170.315 (h)(4) Healthcare Provider Directory – query request PSPSPS         C   C  § 170.315 (h)(5) Healthcare Provider Directory – query response PSPSPS         C   C  § 170.315 (j)(1) Electronic Submission of Medical Documentation PSPSPS PSPSPSPS    C C C  

 

 

 

 
2) Direct Project, Edge Protocol, and XDR/XDMPSPSPS









CC




§ 170.314(b)(1)(i)(B),
§ 170.314(b)(2)(ii)(B), and § 170.314(b)(8)
--
§ 170.314(b)(8) and § 170.314(h)(2)