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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.

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.

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 (a

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.

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 (

C

§ 170.315 (b)(

4

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

CC C

C				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

CCC

C

§ 170.315 (b)(

8

9)

Data Segmentation for Privacy – receive

Care Plan

PS

C


§ 170.315 (

b

c)(

9

1)

Care Plan

Clinical Quality Measures – record and export

PS

PSPSPS C

C


§ 170.315 (c)(

1

2) Clinical Quality Measures –

record

import and

export

calculate

PS

C

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

C


§ 170.315 (c)(

2

4) Clinical Quality Measures –

import and calculate

filter

PS

C

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

C

					§ 170.314(d)(1)
§ 170.315 (

c

d)(

3

2)

Reserved for Clinical Quality Measures - recordPSPSPS PS CC

Auditable Events and Tamper-resistance

C

§ 170.314(d)(2)

§ 170.315 (

c

d)(

4

3)

Clinical Quality Measures – filterPSPSPS PS CC

Audit Report(s)

C

§ 170.314(d)(3)

§ 170.315 (d)(

1) Authentication, Access Control, Authorization CC

4) Amendments

C

§ 170.314(d)(

1

4)

§ 170.315 (d)(

2) Auditable Events and Tamper-resistance CC § 170.314(d)(2)§ 170.315 (d)(3) Audit Report(s) CC § 170.314(d)(3)§ 170.315 (d)(4) Amendments CC § 170.314(d)(4)§ 170.315 (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

5) Automatic Access Time-out

C

§ 170.314(d)(5)

§ 170.315 (d)(

11) Accounting of Disclosures CC

6) Emergency Access

C

§ 170.314(d)(

9

6)

§ 170.315 (

e

d)(

1) View, Download, and Transmit to 3^rd PartyPSPSPS PS PS PS CCC C

7) End-User Device Encryption

C

§ 170.314(d)(7)

§ 170.315 (

e

d)(

2) Secure MessagingPSPSPS PS PS CC

8) Integrity

C

§ 170.314(

e

d)(

3

8)

§ 170.315 (

e

d)(

3) Patient Health Information CapturePSPSPS PS PS CC

9) Trusted Connection

C


§ 170.315 (

f

d)(

1) Transmission to Immunization RegistriesPSPSPS PS CC

10) Auditing Actions on Health Information

C


§ 170.315 (

f

d)(

2) Transmission to Public Health Agencies – syndromic surveillancePSPSPS PS CC

11) Accounting of Disclosures

C

§ 170.314(d)(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

PS CC

PS

C


§ 170.315 (f)(

7

4)

Transmission to Public Health Agencies – health care surveys

Transmission to Cancer Registries

PS

CC

C

§ 170.315 (f)(5) Transmission to Public Health Agencies – case reporting

PS

C


§ 170.315 (

g

f)(

1) Automated Numerator Recording CC

6) Transmission to Public Health Agencies – antimicrobial use and resistance reporting

PS

C


§ 170.315 (

g

f)(

2) Automated Measure Calculation CC

7) Transmission to Public Health Agencies – health care surveys

PS

C

§ 170.315 (g)(

6) Consolidated CDA Creation Performance

1) Automated Numerator Recording

C

§ 170.315 (g)(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

				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

PSPS OR § 170.315 (d)(10)

PS

PS OR § 170.315 (d)(

2

10)

CC C

PS

PS OR § 170.315 (

h

d)(

1) Direct ProjectPSPSPS

2)

C

§ 170.315 (h)(1) Direct Project

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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