2015 Edition Cures Update – Base Electronic Health Record (EHR) Definition

The 2015 Edition Cures Update Base Electronic Health Record (EHR) definition is a modification to the 2015 Edition Base EHR definition as a result of certification criteria changes adopted by the ONC Cures Act Final Rule. The definition continues to provide a baseline assurance that certified health IT which satisfies the Base EHR definition has been developed to possess, at a minimum, a key set of capabilities.

Note for the 2015 Edition Cures Update initial 24-month compliance timeline*, ONC distinguishes current 2015 Edition certification criteria from new and revised criteria on the Certified Health IT Product List (CHPL) and in program resources.

2015 Edition Cures Update Base EHR Definition – Certification Criteria Required to Satisfy the Definition
Base EHR Capabilities Certification Criteria
Final Rule Publication <24 months*
(Before May 2, 2022)
Certification Criteria
Final Rule Publication 24+ months*
(On or After May 2, 2022)
Includes patient demographic and clinical health information Demographics § 170.315(a)(5)
Implantable Device List § 170.315(a)(14)
Demographics § 170.315(a)(5)
Implantable Device List § 170.315(a)(14)
Capacity to provide clinical decision support Clinical Decision Support § 170.315(a)(9) Clinical Decision Support § 170.315(a)(9)
Capacity to support physician order entry Computerized Provider Order Entry § 170.315(a)(1), (2) or (3) Computerized Provider Order Entry § 170.315(a)(1), (2) or (3)
Capacity to capture and query information relevant to health care quality Clinical Quality Measures – Record and Export § 170.315(c)(1) Clinical Quality Measures – Record and Export § 170.315(c)(1)
Capacity to exchange electronic health information with, and integrate such information from other sources
  • Transitions of Care § 170.315(b)(1) or § 170.315(b)(1) (Cures Update)
  • Application Access – Patient Selection § 170.315(g)(7)
  • Application Access – Data Category Request § 170.315(g)(8) or Standardized API for Patient and Population Services § 170.315(g)(10)
  • Application Access – All Data Request § 170.315(g)(9) or § 170.315(g)(9) (Cures Update)
  • Direct Project § 170.315(h)(1) or Direct Project, Edge Protocol, and XDR/XDM § 170.315(h)(2)
  • Transitions of Care § 170.315(b)(1) (Cures Update)
  • Application Access – Patient Selection § 170.315(g)(7)
  • Standardized API for Patient and Population Services § 170.315(g)(10)
  • Application Access – All Data Request § 170.315(g)(9) (Cures Update)
  • Direct Project § 170.315(h)(1) or Direct Project, Edge Protocol, and XDR/XDM § 170.315(h)(2)
The requirements of the 2015 Edition Cures Update Base EHR Definition can be met using one certified Health IT Module or a combination of certified Health IT Modules.

* In light of COVID-19, ONC will exercise its discretion in enforcing all new requirements under 45 CFR Part 170 that have compliance dates and timeframes until 3 months after each initial compliance date or timeline identified in the ONC Cures Act Final Rule. View Enforcement Discretion Dates and Timeframes [PDF - 177 KB]

Content last reviewed on June 29, 2020
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