| Certification Criteria | Reference | Remove/Revise | Timing |
|---|---|---|---|
| Patient demographics and observations | § 170.315(a)(5) | Revise | Effective date of final rule |
| Clinical decision support | § 170.315(a)(9) | Remove | Effective date of final rule |
| Family health history | § 170.315(a)(12) | Remove | Effective January 1, 2027 |
| Implantable device list | § 170.315(a)(14) | Remove | Effective date of final rule |
| Transitions of care | § 170.315(b)(1) | Revise | Effective January 1, 2027 |
| Clinical information reconciliation and incorporation | § 170.315(b)(2) | Remove | Effective January 1, 2027 |
| Security tags - summary of care - send | § 170.315(b)(7) | Remove | Effective date of final rule |
| Security tags - summary of care - receive | § 170.315(b)(8) | Remove | Effective date of final rule |
| Care plan | § 170.315(b)(9) | Remove | Effective date of final rule |
| Decision support interventions | § 170.315(b)(11) | Revise | Effective date of final rule |
| Clinical quality measures — report | § 170.315(c)(3) | Revise | Effective date of final rule |
| Clinical quality measures — filter | § 170.315(c)(4) | Remove | Effective January 1, 2027 |
| Authentication, access control, authorization | § 170.315(d)(1) | Remove | Effective date of final rule |
| Auditable events and tamper-resistance | § 170.315(d)(2) | Remove | Effective date of final rule |
| Audit report(s) | § 170.315(d)(3) | Remove | Effective date of final rule |
| Amendments | § 170.315(d)(4) | Remove | Effective date of final rule |
| Automatic access time-out | § 170.315(d)(5) | Remove | Effective date of final rule |
| Emergency access | § 170.315(d)(6) | Remove | Effective date of final rule |
| End-user device encryption | § 170.315(d)(7) | Remove | Effective date of final rule |
| Integrity | § 170.315(d)(8) | Remove | Effective date of final rule |
| Trusted connection | § 170.315(d)(9) | Remove | Effective date of final rule |
| Auditing actions on health information | § 170.315(d)(10) | Remove | Effective date of final rule |
| Accounting of disclosures | § 170.315(d)(11) | Remove | Effective date of final rule |
| Encrypt authentication credentials | § 170.315(d)(12) | Remove | Effective date of final rule |
| Multi-factor authentication | § 170.315(d)(13) | Remove | Effective date of final rule |
| View, download, and transmit to 3rd party | § 170.315(e)(1) | Revise | Effective date of final rule |
| Patient health information capture | § 170.315(e)(3) | Remove | Effective January 1, 2027 |
| Transmission to cancer registries | § 170.315(f)(4) | Remove | Effective January 1, 2027 |
| Transmission to public health agencies — electronic case reporting | § 170.315(f)(5) | Revise | Effective date of final rule |
| Transmission to public health agencies — antimicrobial use and resistance reporting | § 170.315(f)(6) | Revise | Effective date of final rule |
| Transmission to public health agencies — health care surveys | § 170.315(f)(7) | Remove | Effective January 1, 2027 |
| Automated numerator recording | § 170.315(g)(1) | Remove | Effective January 1, 2027 |
| Automated measure calculation | § 170.315(g)(2) | Remove | Effective January 1, 2027 |
| Safety-enhanced design | § 170.315(g)(3) | Remove | Effective date of final rule |
| Quality management system | § 170.315(g)(4) | Remove | Effective date of final rule |
| Accessibility-centered design | § 170.315(g)(5) | Remove | Effective date of final rule |
| Consolidated CDA creation performance | § 170.315(g)(6) | Remove | Effective date of final rule |
| Application access — patient selection | § 170.315(g)(7) | Remove | Effective January 1, 2027 |
| Application access — all data request | § 170.315(g)(9) | Remove | Effective January 1, 2027 |
| Direct Project | § 170.315(h)(1) | Remove | Effective date of final rule |
| Direct Project, Edge Protocol, and XDR/XDM | § 170.315(h)(2) | Remove | Effective date of final rule |
Disclaimer: While every effort has been made to ensure the accuracy of this fact sheet, it is not a legal document. Please refer to the HTI-5 proposed rule for full details.