ONC has established the voluntary Standards Version Advancement Process (SVAP)1 to enable health IT developers’ ability to incorporate newer versions of Secretary-adopted standards and implementation specifications, as part of the “Real World Testing” Condition and Maintenance of Certification requirement (§ 170.405) of the 21st Century Cures Act. For the latest information on the approved standards for use, see the ONC Health IT Certification Program SVAP page.
Every year, working with industry stakeholders, ASTP follows a collaborative process to identify newer versions of adopted standards and implementation specifications for approval by the National Coordinator.
The table below lists the standards and implementation specifications (and their versions) that will be considered for advancement and those that have received National Coordinator approval via the SVAP. It does not include any minimum vocabulary standards as health IT can continue to be certified or upgraded to newer version(s) of identified minimum standard code sets, unless newer version(s) are explicitly prohibited by the Secretary. The table can be sorted by either "Current Standard/Implementation Specification" or "Regulatory Text Citation" by clicking on the column name.
For the 2025 SVAP cycle, ASTP is accepting comments on any standard that is referenced in eligible criteria.
Public comments for the 2025 SVAP cycle will be accepted through June 9.
| View / Comment | 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) | View / Comment |
|---|---|---|---|---|---|
§ 170.202(a)(2) |
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§ 170.202(b) |
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§ 170.202(d) |
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§ 170.202(e)(1) |
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§ 170.204(a)(1) |
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§ 170.204(a)(2) |
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§ 170.205(a)(3) |
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§ 170.205(a)(4) |
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§ 170.205(a)(4) |
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§ 170.205(a)(5) |
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§ 170.205(a)(6) |
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§ 170.205(b)(1) |
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§ 170.205(d)(4) |
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§ 170.205(d)(4) |
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§ 170.205(e)(4) |
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§ 170.205(e)(4) |
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§ 170.205(g) |
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§ 170.205(g) |
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§ 170.205(h)(2) |
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§ 170.205(h)(3) |
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§ 170.205(i)(2) |
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§ 170.205(i)(2) |
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§ 170.205(k)(3) |
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§ 170.205(o)(1) |
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§ 170.205(p)(1) |
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§ 170.205(r)(1) |
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§ 170.205(s)(1) |
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§ 170.205(s)(1) |
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§ 170.213 |
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§ 170.213 |
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§ 170.215(a)(1) |
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§ 170.215(a)(3) |
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§ 170.215(a)(3) |
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§ 170.215(a)(4) |
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§ 170.215(b) |
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§ 170.215(b)(1) |
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§ 170.215(b)(1) |
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)
Comment
Submitted by Roosevelt_1971 on
2020 Interoperability Standards Advisory (ISA) and Standards Ver
The attachment contains the 2020 Interoperability Standards Advisory (ISA) and Standards Version Advancement Process (SVAP) Review and Comments from VHA OHI CIDMO Interagency Health Informatics Division
Submitted by cbush on
Request for HL7 CDA NHCS IG R1 Release 3 to be approved for SVAP
The CDC’s National Center for Health Statistics (NCHS), Division of Health Care Statistics requests the HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS) R1 STU Release 3 - US Realm (Release 3) standard, published in February 2020, be approved by ONC under the Standards Version Advancement Process for the 45 CFR 170.315(f)(7) Transmission to Public Health Agencies – Health Care Surveys certification criterion. NCHS understands that should this requests be approved: a) providers can continue to submit data to NCHS via CEHRT certified to the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm and HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, DSTU Release 1.2 – US Realm standards for (f)(7) and b) that any EHR product or HIT Module that chooses to enable Release 3 submissions through CEHRT does so voluntarily. The justification for this request is that in order to meet information needs in health care such as the opioid crisis,, the current COVID-19 pandemic, future epidemics, and other challenges, NCHS’ National Health Care Surveys have evolved since the HL7 CDA® R2 Implementation Guide: National Health Care Surveys Release 1, DSTU Release 1.2 –US Realm, August 2016 was created. Health care interoperability as well has evolved during this time period with the advent of USCDI V1, FHIR and APIs. While NCHS does embrace FHIR and is moving to develop FHIR standards, we do understand that CDA will continue to be an important and relevant standard for years to come. NCHS has pulled all these threads together in Release 3. Release 3 is a significantly streamlined and up-to-date IG that: a) deprecates approximately 30+ data elements, b) more closely aligns with USCDI V1, and c) updates OIDs and value sets. Should this request be approved by ONC, NCHS plans to ask EHR vendors and HIT Modules to Real World Test Release 3.