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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.

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Download as Excel Spreadsheet

Criteria

§ 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) Trusted Connection

§ 170.315 (d)(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-centered Design

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

§ 170.315 (g)(7) Application Access-patient selection

§ 170.315 (g)(8) Application Access-data category request

§ 170.315 (g)(9) Application Access-all data request

CCDS

Related Criteria (For Gap Certification Eligibility)

§ 170.315 (a)(1) Computerized Provider Order Entry (CPOE) - medication

PS

C

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

C

CCC

C

§

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

C

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

§ 170.315

C

§ 170.315 (a)(5) Demographics

PS

C


§ 170.315 (a)(6) Problem List	PS	PS	PS	PS	PS	PS	PS

C


§ 170.315 (a)(7) Medication List	PS	PS	PS	PS	PS	PS	PS

C

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

C

						§ 170.314(a)(7)
§ 170.315 (a)(9) Clinical Decision Support	PS	PS	PS	PS	PS	PS	PS

§ 170.315

C

§ 170.315 (a)(10) Drug-formulary and Preferred Drug List Checks

PS

C


§ 170.315 (a)(11) Smoking Status	PS	PS	PS	PS	PS	PS	PS

§ 170.315 (

C

§ 170.315 (a)(12) Family Health History

PS

C


§ 170.315 (a)(13) Patient-specific Education Resources	PS	PS	PS	PS	PS	PS	PS

§ 170.315

C

§ 170.315 (a)(14) Implantable Device List

PS

C


§ 170.315 (a)(15) Social, Psychological, and Behavioral Data	PS	PS	PS	PS	PS	PS	PS

C

CC

C

§ 170.315 (b)(1) Transitions of Care

PS

C


§ 170.315 (b)(

1) Transitions of Care

2) Clinical Information Reconciliation and Incorporation

PS

C


§ 170.315 (b)(

2

3)

Clinical Information Reconciliation and Incorporation

Electronic Prescribing

PS

C


§ 170.315 (b)(

3

4)

Electronic Prescribing

Common Clinical Data Set Summary Record - create

PS

§ 170.315 (b)(4)

C

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

create

receive

PS

C


§ 170.315 (b)(

5

6)

Common Clinical Data Set Summary Record - receive

Data Export

PS

C


§ 170.315 (b)(

6

7) Data

Export

Segmentation for Privacy – send

PS

C


§ 170.315 (b)(

7

8) Data Segmentation for Privacy –

send

receive

PS

C


§ 170.315 (b)(

8

9)

Data Segmentation for Privacy – receive

Care Plan

PS

C	C	C
§ 170.315 (c)(1)

Clinical Quality Measures – record and export

PS

C


§ 170.315 (

b

c)(

9

2)

Care Plan

Clinical Quality Measures – import and calculate

PS

C

§ 170.315 (c)(3) Reserved for Clinical Quality Measures - record

PS

CCC

C

§ 170.315 (c)(

1

4) Clinical Quality Measures –

record and export

filter

PS

C

CC

C

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

C

§ 170.314(d)(1)

§ 170.315 (d)(2) Auditable Events and Tamper-resistance

C

§ 170.314(d)(2)

§ 170.315 (

c

d)(

2

3)

Clinical Quality Measures – import and calculatePSPSPS PS CC

Audit Report(s)

C

§ 170.

315

314(

c

d)(3)

Reserved for Clinical Quality Measures - recordPSPSPS PS CC

§ 170.315 (d)(4) Amendments

C

§ 170.

315

314(

c

d)(4)

Clinical Quality Measures – filterPSPSPS PS CC

§ 170.315 (d)(5) Automatic Access Time-out

C

§ 170.

315

314(d)(

1) Authentication, Access Control, Authorization CC

5)

§ 170.315 (d)(6) Emergency Access

C

§ 170.314(d)(

1

6)

§ 170.315 (d)(

2) Auditable Events and Tamper-resistance CC

7) End-User Device Encryption

C

§ 170.314(d)(

2

7)

§ 170.315 (d)(

3) Audit Report(s)

8) Integrity

C

§ 170.314(d)(

3

8)

§ 170.315 (d)(

4

9)

Amendments

Trusted Connection

C

§ 170.315 (d)(10) Auditing Actions on Health Information

C


§ 170.

314

315 (d)(

4

11) Accounting of Disclosures

C

§ 170.

315

314(d)(

5) Automatic Access Time-out CC § 170.314(d)(5)§ 170.315 (d)(6) 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 (d)(10) Auditing Actions on Health Information CC § 170.315 (d)(11) Accounting of Disclosures CC § 170.314(d)(9)§ 170.315 (e)(1) View, Download, and Transmit to 3^rd PartyPSPSPS PS PS PS CCC C § 170.315 (e)(2) Secure MessagingPSPSPS PS PS CC § 170.314(e)(3)§ 170.315 (e)(3) Patient Health Information CapturePSPSPS PS PS CC § 170.315 (f)(1) Transmission to Immunization RegistriesPSPSPS PS CC § 170.315 (f)(2) Transmission to Public Health Agencies – syndromic surveillancePSPSPS PS CC

9)

§ 170.315 (

f

e)(

3) Transmission to Public Health Agencies – reportable laboratory tests and values/results

1) View, Download, and Transmit to 3^rd Party

PS

C

§ 170.315 (

f

e)(

4) Transmission to Cancer Registries

2) Secure Messaging

PS

C

CC

C

§ 170.314(e)(3)

§ 170.315 (e)(3) Patient Health Information Capture

PS

C


§ 170.315 (f)(

5

1) Transmission to

Public Health Agencies – case reporting

Immunization Registries

PS

CC

C

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

PS

C


§ 170.315 (f)(

6

3)

Transmission

Transmission to Public Health Agencies –

antimicrobial use and resistance reporting

reportable laboratory tests and values/results

PS

C

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

PS

C


§ 170.315 (f)(

7

5)

Transmission

Transmission to Public Health Agencies –

health care surveys

case reporting

PS

C

CC

C

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

PS

C

§ 170.315 (

g

f)(

1) Automated Numerator Recording CC

7) Transmission to Public Health Agencies – health care surveys

PS

C

§ 170.315 (g)(

2) Automated Measure Calculation CC

1) Automated Numerator Recording

C


§ 170.315 (g)(

6) Consolidated CDA Creation Performance CC

2) Automated Measure Calculation

C

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

C

§ 170.315 (g)(7) Application Access-patient selection

PS

PS OR § 170.315 (d)(10)

PS

PS OR § 170.315 (d)(2)

C


§ 170.315 (g)(8) Application Access-data category request	PS	PS OR § 170.315 (d)(10)

PS

PS OR § 170.315 (d)(2)

C


§ 170.315 (g)(9) Application Access-all data request	PS	PS OR § 170.315 (d)(10)

PS

PS OR § 170.315 (d)(2)

C

§ 170.315 (h)(1) Direct Project

PSPSPS

PS

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	PS	PS	PS

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)

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