Standards Version Advancement Process

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Current Standard / Implementation Specification listing in IBR (170.299) Regulatory Text Citation for Standard / Implementation Specification Adopted Sort descending Certification Criteria(on) References Standard / Implementation Specification National Coordinator Approved Advanced Version(s)
Applicability Statement for Secure Health Transport, Version 1.2, August 2015 (Direct) § 170.202(a)(2)
§ 170.315(b)(1) - Transitions of care
§ 170.315(h)(1) - Direct Project
§ 170.315(h)(2) - Direct Project, Edge Protocol, and XDR/XDM
XDR and XDM for Direct Messaging Specification, Version 1, March 9, 2011 § 170.202(b)
§ 170.315(h)(2) - Direct Project, Edge Protocol, and XDR/XDM
ONC Implementation Guide for Direct Edge Protocols, Version 1.1, June 25, 2014 § 170.202(d)
§ 170.315(b)(1) - Transitions of care
§ 170.315(h)(2) - Direct Project, Edge Protocol, and XDR/XDM
Implementation Guide for Delivery Notification in Direct, Version 1.0, June 29, 2012 § 170.202(e)(1)
§ 170.315(h)(1) - Direct Project
§ 170.315(h)(2) - Direct Project, Edge Protocol, and XDR/XDM
Web Content Accessibility Guidelines (WCAG) 2.0, December 11, 2008 § 170.204(a)(1)
§ 170.315(e)(1) - View, download, and transmit to 3rd party
Web Content Accessibility Guidelines (WCAG) 2.0, December 11, 2008 § 170.204(a)(2)
§ 170.315(e)(1) - View, download, and transmit to 3rd party
HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, DSTU Release 1.1 (US Realm) Draft Standard for Trial Use July 2012 § 170.205(a)(3)
§ 170.315(b)(1) - Transitions of care
§ 170.315(b)(2) - Clinical information reconciliation and incorporation
HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm), Draft Standard for Trial Use, Volume 1 - Introductory Material, Release 2.1, August 2015 § 170.205(a)(4)
§ 170.315(b)(1) - Transitions of care
§ 170.315(b)(2) - Clinical information reconciliation and incorporation
§ 170.315(b)(6) - Data export
§ 170.315(b)(7) - Security tags – summary of care – send
§ 170.315(b)(8) - Security tags – summary of care – receive
§ 170.315(b)(9) - Care plan
§ 170.315(e)(1) - View, download, and transmit to 3rd party
§ 170.315(f)(5) - Transmission to public health agencies - electronic case reporting
§ 170.315(g)(9) - Application access - all data request
HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm), Draft Standard for Trial Use, Volume 2 - Templates and Supporting Material, Release 2.1, August 2015 § 170.205(a)(4)
§ 170.315(b)(1) - Transitions of care
§ 170.315(b)(2) - Clinical information reconciliation and incorporation
§ 170.315(b)(6) - Data export
§ 170.315(b)(7) - Security tags – summary of care – send
§ 170.315(b)(8) - Security tags – summary of care – receive
§ 170.315(b)(9) - Care plan
§ 170.315(e)(1) - View, download, and transmit to 3rd party
§ 170.315(f)(5) - Transmission to public health agencies - electronic case reporting
§ 170.315(g)(9) - Application access - all data request
HL7® CDA R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2-US Realm, October 2019 § 170.205(a)(5)
§ 170.315(b)(1) - Transitions of care
§ 170.315(b)(2) - Clinical information reconciliation and incorporation
§ 170.315(b)(9) - Care plan
§ 170.315(e)(1) - View, download, and transmit to 3rd party
§ 170.315(f)(5) - Transmission to public health agencies - electronic case reporting
§ 170.315(g)(9) - Application access - all data request
NCPDP SCRIPT Standard, Implementation Guide, Version 2017071 (Approval Date for ANSI: July 28, 2017) § 170.205(b)(1)
§ 170.315(b)(3) - Electronic prescribing
CDC PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0, April 21, 2015 § 170.205(d)(4)
§ 170.315(f)(2) - Transmission to public health agencies — syndromic surveillance
Erratum to the CDC PHIN 2.0 Implementation Guide, August 2015; Erratum to the CDC PHIN 2.0 Messaging Guide, April 2015 Release for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings § 170.205(d)(4)
§ 170.315(f)(2) - Transmission to public health agencies — syndromic surveillance
HL7 2.5.1 Implementation Guide for Immunization Messaging, Release 1.5, October 1, 2014 § 170.205(e)(4)
§ 170.315(f)(1) - Transmission to immunization registries
HL7 Version 2.5.1 Implementation Guide for Immunization Messaging (Release 1.5) - Addendum, July 2015 § 170.205(e)(4)
§ 170.315(f)(1) - Transmission to immunization registries
HL7 v2.5.1 IG: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 Errata and Clarifications, September, 29, 2011 § 170.205(g)
§ 170.315(f)(3) - Transmission to public health agencies — reportable laboratory tests and value/results
ELR 2.5.1 Clarification Document for EHR Technology Certification, July 16, 2012 § 170.205(g)
§ 170.315(f)(3) - Transmission to public health agencies — reportable laboratory tests and value/results
HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I); Release 1, DSTU Release 3 (US Realm), Volume 1 - Introductory Material, June 2015 § 170.205(h)(2)
§ 170.315(c)(1) - Clinical quality measures (CQMs) — record and export
§ 170.315(c)(2) - Clinical quality measures (CQMs) — import and calculate
HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I); Release 1, DSTU Release 3 (US Realm), Volume 2 - Templates and Supporting Material, June 2015 § 170.205(h)(2)
§ 170.315(c)(1) - Clinical quality measures (CQMs) — record and export
§ 170.315(c)(2) - Clinical quality measures (CQMs) — import and calculate
CMS Implementation Guide for Quality Reporting Document Architecture: Category I; Hospital Quality Reporting; Implementation Guide for 2019 § 170.205(h)(3)
§ 170.315(c)(3) - Clinical quality measures (CQMs) — report
HL7 CDA© Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1; DSTU Release 1.1 (US Realm), Volume 1 - Introductory Material, April 2015 § 170.205(i)(2)
§ 170.315(f)(4) - Transmission to cancer registries
HL7 CDA© Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1; DSTU Release 1.1 (US Realm), Volume 2 - Templates and Supporting Material, April 2015 § 170.205(i)(2)
§ 170.315(f)(4) - Transmission to cancer registries
CMS Implementation Guide for Quality Reporting Document Architecture: Category III; Eligible Clinicians and Eligible Professionals Programs; Implementation Guide for 2019 § 170.205(k)(3)
§ 170.315(c)(3) - Clinical quality measures (CQMs) — report
HL7 Version 3 Implementation Guide: Data Segmentation for Privacy (DS4P), Release 1, Part 1: CDA R2 and Privacy Metadata Reusable Content Profile, May 16, 2014 § 170.205(o)(1)
§ 170.315(b)(7) - Security tags – summary of care – send
§ 170.315(b)(8) - Security tags – summary of care – receive
IHE IT Infrastructure Technical Framework Volume 2b (ITI TF-2b), Transactions Part B - Sections 3.29 - 2.43, Revision 7.0, August 10, 2010 § 170.205(p)(1)
§ 170.315(b)(1) - Transitions of care
HL7 Implementation Guide for CDA® Release 2 - Level 3: Healthcare Associated Infection Reports, Release 1 (U.S. Realm), August 9, 2013 § 170.205(r)(1)
§ 170.315(f)(6) - Transmission to public health agencies — antimicrobial use and resistance reporting
HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm, HL7 Draft Standard for Trial Use, Volume 1 - Introductory Material, December 2014 § 170.205(s)(1)
§ 170.315(f)(7) - Transmission to public health agencies — health care surveys
HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm, HL7 Draft Standard for Trial Use, Volume 2 - Templates and Supporting Material, December 2014 § 170.205(s)(1)
§ 170.315(f)(7) - Transmission to public health agencies — health care surveys
United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata § 170.213
§ 170.315(b)(1) - Transitions of care
§ 170.315(b)(2) - Clinical information reconciliation and incorporation
§ 170.315(e)(1) - View, download, and transmit to 3rd party
§ 170.315(f)(5) - Transmission to public health agencies - electronic case reporting
§ 170.315(g)(9) - Application access - all data request
§ 170.315(g)(10) - Standardized API for patient and population services
HL7 Fast Healthcare Interoperability Resources Specification (FHIR®) Release 4, Version 4.0.1: R4, October 30, 2019, including Technical Correction #1, November 1, 2019 § 170.215(a)(1)
§ 170.315(g)(10) - Standardized API for patient and population services
HL7 FHIR® US Core Implementation Guide STU 3.1.0, November 06, 2019 § 170.215(a)(2)
§ 170.315(g)(10) - Standardized API for patient and population services
HL7 FHIR® SMART Application Launch Framework Implementation Guide Release 1.0.0, November 13, 2018 § 170.215(a)(3)
§ 170.315(g)(10) - Standardized API for patient and population services
HL7 FHIR® Bulk Data Access (Flat FHIR®) (v1.0.0: STU 1), August 22, 2019 § 170.215(a)(4)
§ 170.315(g)(10) - Standardized API for patient and population services
OpenID Connect Core 1.0 Incorporating errata set 1, November 8, 2014, IBR approved for § 170.215(b) § 170.215(b)
§ 170.315(g)(10) - Standardized API for patient and population services

1SVAP is permitted in ONC’s 21st Century Cures Act Final Rule in the Real World Testing CoC/MoC: § 170.405(b)(7) and (8) and ONC-ACB PoPC  §170.523(t)

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