Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements; Correction, 15282-15284 [2014-06041]

Download as PDF wreier-aviles on DSK5TPTVN1PROD with PROPOSALS 15282 Federal Register / Vol. 79, No. 53 / Wednesday, March 19, 2014 / Proposed Rules change and may be made available online at www.regulations.gov, including any personal information provided, unless the comment includes Confidential Business Information (CBI) or other information whose disclosure is restricted by statute. Information that you consider CBI or otherwise protected should be clearly identified as such and should not be submitted through www.regulations.gov or email. www.regulations.gov is an ‘‘anonymous access’’ system, and EPA will not know your identity or contact information unless you provide it in the body of your comment. If you send email directly to EPA, your email address will be automatically captured and included as part of the public comment. If EPA cannot read your comment due to technical difficulties and cannot contact you for clarification, EPA may not be able to consider your comment. Electronic files should avoid the use of special characters, any form of encryption, and be free of any defects or viruses. Docket: Generally, documents in the docket for this action are available electronically at www.regulations.gov and in hard copy at EPA Region IX, 75 Hawthorne Street, San Francisco, California 94105–3901. While all documents in the docket are listed at www.regulations.gov, some information may be publicly available only at the hard copy location (e.g., copyrighted material, large maps), and some may not be publicly available in either location (e.g., CBI). To inspect the hard copy materials, please schedule an appointment during normal business hours with the contact listed in the FOR FURTHER INFORMATION CONTACT section. FOR FURTHER INFORMATION CONTACT: Nancy Levin, EPA Region IX, (415) 942– 3848, levin.nancy@epa.gov. SUPPLEMENTARY INFORMATION: This proposal addresses the Final Update of the Limited Maintenance Plan for the Payson PM 10 Maintenance Area (December 2011) (‘‘Second Ten-Year Limited Maintenance Plan’’) submitted as a revision to the Arizona State Implementation Plan (SIP) on January 23, 2012 by the Arizona Department of Environmental Quality. In the Rules and Regulations section of this Federal Register, we are approving the Second Ten-Year Limited Maintenance Plan for the Payson area in a direct final action without prior proposal because we believe this SIP revision is not controversial. If we receive adverse comments, however, we will publish a timely withdrawal of the direct final rule and address the comments in subsequent action based on this VerDate Mar<15>2010 15:37 Mar 18, 2014 Jkt 232001 proposed rule. Please note that if we receive adverse comment on an amendment, paragraph, or section of this rule and if that provision may be severed from the remainder of the rule, we may adopt as final those provisions of the rule that are not the subject of an adverse comment. We do not plan to open a second comment period, so anyone interested in commenting should do so at this time. If we do not receive adverse comments, no further activity is planned. For further information, please see the direct final action. Dated: March 5, 2014. Jared Blumenfeld, Regional Administrator, Region IX. [FR Doc. 2014–05667 Filed 3–18–14; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Part 170 RIN 0991–AB92 Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements; Correction Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services. ACTION: Proposed rule; correction. AGENCY: This notice makes the following corrections to the proposed rule that appeared in the February 26, 2014 Federal Register entitled ‘‘Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements’’: Corrects the preamble text and gap certification table for four certification criteria that were omitted from the list of certification criteria eligible for gap certification for the 2015 Edition EHR certification criteria; and provides information on inactive web links that appear in the proposed rule. DATES: Comments on the proposed rule published February 26, 2014, at 79 FR 10880, continue to be accepted until no later than 5 p.m. on April 28, 2014. FOR FURTHER INFORMATION CONTACT: Steven Posnack, Director, Federal Policy Division, Office of Policy and Planning, Office of the National Coordinator for Health Information Technology, 202– 690–7151. SUPPLEMENTARY INFORMATION: SUMMARY: PO 00000 Frm 00026 Fmt 4702 Sfmt 4702 I. Background In FR Doc. 2014–03959, the proposed rule entitled ‘‘Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements’’ (79 FR 10880) (hereinafter referred to as the 2015 Edition proposed rule), four 2015 Edition EHR certification criteria were omitted from the list of certification criteria eligible for gap certification. There are also inactive web links included in the preamble. These errors are identified and corrected in this correction notice. II. Summary of Errors We define ‘‘gap certification’’ at 45 CFR 170.502 as ‘‘the certification of a previously certified Complete EHR or EHR Module(s) to: (1) [a]ll applicable new and/or revised certification criteria adopted by the Secretary at subpart C of [part 170] based on the test results of a NVLAP-accredited testing laboratory; and (2) [a]ll other applicable certification criteria adopted by the Secretary at subpart C of [part 170] based on the test results used to previously certify the Complete EHR or EHR Module(s)’’ (for further explanation, see 76 FR 1307–1308). Our gap certification policy focuses on the differences between certification criteria that are adopted through rulemaking at different points in time. This allows EHR technology to be certified to only the differences between certification criteria editions rather than requiring EHR technology to be fully retested and recertified to certification criteria that remain ‘‘unchanged’’ from one edition to the next and for which previously acquired test results are sufficient. Under our gap certification policy, ‘‘unchanged’’ certification criteria (see 77 FR 54248 for further explanation) are eligible for gap certification, and each ONC-Authorized Certification Body (ONC–ACB) has discretion over whether it will provide the option of gap certification. In the 2015 Edition proposed rule, we noted whether a proposed 2015 Edition EHR certification criterion was ‘‘eligible’’ or ‘‘ineligible’’ for gap certification at the beginning of each section of the preamble that discussed each certification criterion. We also provided a table that cross-walked ‘‘unchanged’’ 2015 Edition EHR certification criteria to the corresponding 2014 Edition EHR certification criteria (79 FR 10916, Table 4). In the preamble section for each certification criterion and in the gap certification table (Table 4), we omitted four certification criteria that are eligible E:\FR\FM\19MRP1.SGM 19MRP1 15283 Federal Register / Vol. 79, No. 53 / Wednesday, March 19, 2014 / Proposed Rules for gap certification because they are ‘‘unchanged’’ based on our description of what constitutes an ‘‘unchanged’’ criterion. These criteria are: • For the inpatient setting only § 170.315(a)(2) Computerized provider order entry—laboratory (79 FR 10887); • § 170.315(h)(1) Transmit— Applicability Statement for Secure Health Transport (79 FR 10914); • § 170.315(h)(2) Transmit— Applicability Statement for Secure Health Transport and XDR/XDM for Direct Messaging (79 FR 10914); • § 170.315(h)(3) Transmit—SOAP Transport and Security Specification and XDR/XDM for Direct Messaging (79 FR 10914). In addition, some of the web links in the preamble have become inactive since the proposed rule was published. III. Correction of Errors In FR Doc. 2014–03959 of February 26, 2014 (79 FR 10880), make the following corrections: 1. On page 10887, first column, line 15, ‘‘Ineligible.’’ is corrected to read ‘‘Eligible for the inpatient setting. Ineligible for the ambulatory setting.’’ 2. On page 10914, second column, line 24, ‘‘Ineligible’’ is corrected to read ‘‘Eligible.’’ 3. On page 10914, second column, line 50, ‘‘Ineligible’’ is corrected to read ‘‘Eligible.’’ 4. On page 10914, third column, line 12, ‘‘Ineligible’’ is corrected to read ‘‘Eligible.’’ 5. On page 10916, Table 4—Gap Certification Eligibility for 2015 Edition EHR Certification Criteria is revised to read as follows: TABLE 4—GAP CERTIFICATION ELIGIBILITY FOR 2015 EDITION EHR CERTIFICATION CRITERIA 2015 Edition 2014 Edition Regulation section Title of regulation paragraph Regulation section § 170.315(a)(1) ................................ Computerized physician order entry—medications. Computerized physician order entry—laboratory. Computerized physician order entry—radiology/imaging. Drug-drug, drug-allergy interaction checks. Vital signs, BMI, & growth charts Problem list .................................. Medication list .............................. Medication allergy list ................... Drug-formulary checks ................. Smoking status ............................. Image results ................................ Patient list creation ....................... Electronic medication administration record. Advance directives ....................... Electronic prescribing ................... Clinical quality measures ............. Authentication, access control, & authorization. Audit report(s) .............................. Amendments ................................ Automatic log-off .......................... Emergency access ....................... End-user device encryption ......... Integrity ......................................... Accounting of disclosures ............ Secure messaging ....................... Immunization information ............. Transmission to public health agencies—syndromic surveillance. Cancer case information .............. Quality management system ....... Transmit—Applicability Statement for Secure Health Transport. § 170.314(a)(1) ............................. Computerized Entry. § 170.314(a)(2) ............................. Drug-drug, drug-allergy interaction checks. Vital signs, BMI, & growth charts. Problem list. Medication list. Medication allergy list. Drug-formulary checks. Smoking status. Image results. Patient list creation. Electronic medication administration record. Advance directives. Electronic prescribing. Clinical quality measures. Authentication, access control, & authorization. Audit report(s). Amendments. Automatic log-off. Emergency access. End-user device encryption. Integrity. Accounting of disclosures. Secure messaging. Immunization information. Transmission to public health agencies—syndromic surveillance Cancer case information. Quality management system. Transitions of care—create and transmit transition of care/referral summaries. Transitions of care—create and transmit transition of care/referral summaries. § 170.315(a)(2) Inpatient setting only. § 170.315(a)(3) ................................ § 170.315(a)(4) ................................ § 170.315(a)(6) ................................ § 170.315(a)(7) ................................ § 170.315(a)(8) ................................ § 170.315(a)(9) ................................ § 170.315(a)(12) .............................. § 170.315(a)(13) .............................. § 170.315(a)(14) .............................. § 170.315(a)(16) .............................. § 170.315(a)(18) .............................. § 170.315(a)(19) .............................. § 170.315(b)(3) ................................ § 170.315(c)(1)–(3) .......................... § 170.315(d)(1) ................................ § 170.315(d)(3) ................................ § 170.315(d)(4) ................................ § 170.315(d)(5) ................................ § 170.315(d)(6) ................................ § 170.315(d)(7) ................................ § 170.315(d)(8) ................................ § 170.315(d)(9) ................................ § 170.315(e)(3) ................................ § 170.315(f)(1) ................................. § 170.315(f)(3) # .............................. wreier-aviles on DSK5TPTVN1PROD with PROPOSALS § 170.315(f)(5) ................................. § 170.315(g)(4) ................................ § 170.315(h)(1) ................................ § 170.315(h)(2) ................................ § 170.315(h)(3) ................................ Transmit—Applicability Statement for Secure Health Transport and XDR/XDM for Direct Messaging Transmit—SOAP Transport and Security Specification and XDR/XDM for Direct Messaging Title of regulation paragraph § 170.314(a)(4) ............................. § 170.314(a)(5) ............................. § 170.314(a)(6) ............................. § 170.314(a)(7) ............................. § 170.314(a)(10) ........................... § 170.314(a)(11) ........................... § 170.314(a)(12) ........................... § 170.314(a)(14) ........................... § 170.314(a)(16) ........................... § 170.314(a)(17) ........................... § 170.314(b)(3) ............................. § 170.314(c)(1)–(3) ....................... § 170.314(d)(1) ............................. § 170.314(d)(3) ............................. § 170.314(d)(4) ............................. § 170.314(d)(5) ............................. § 170.314(d)(6) ............................. § 170.314(d)(7) ............................. § 170.314(d)(8) ............................. § 170.314(d)(9) ............................. § 170.314(e)(3) ............................. § 170.314(f)(1) .............................. § 170.314(f)(3) # ........................... § 170.314(f)(5) .............................. § 170.314(g)(4) ............................. § 170.314(b)(2)(ii)(A) .................... § 170.314(b)(2)(ii)(B) .................... § 170.314(b)(2)(ii)(C) .................... Provider Order Transitions of care—create and transmit transition of care/referral summaries. # If certified to the revised 2014 Edition version of this criterion after the effective date of the 2015 Edition Final Rule. For further information on this distinction, please see the gap certification discussion under the ‘‘Transmission to Public Health Agencies—Syndromic Surveillance’’ in section III.A of this preamble. VerDate Mar<15>2010 15:37 Mar 18, 2014 Jkt 232001 PO 00000 Frm 00027 Fmt 4702 Sfmt 4702 E:\FR\FM\19MRP1.SGM 19MRP1 15284 Federal Register / Vol. 79, No. 53 / Wednesday, March 19, 2014 / Proposed Rules Inactive Web Links Inactive web links included in the 2015 Edition proposed rule are identified on ONC’s Standards and Certification Regulations page with an explanation and/or corrected link (http://www.healthit.gov/policyresearchers-implementers/standardsand-certification-regulations). Dated: March 13, 2014. Jennifer M. Cannistra, Executive Secretary to the Department. [FR Doc. 2014–06041 Filed 3–17–14; 11:15 am] BILLING CODE 4150–45–P DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Part 622 [Docket No. 131206999–4206–01] RIN 0648–BD83 Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Coastal Migratory Pelagic Resources in the Gulf of Mexico and Atlantic Region; Amendment 20A National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Proposed rule; request for comments. AGENCY: NMFS proposes regulations to implement Amendment 20A to the Fishery Management Plan for the Coastal Migratory Pelagic Resources (CMP) in the Gulf of Mexico and Atlantic Region (FMP) (Amendment 20A), as prepared and submitted by the Gulf of Mexico (Gulf) and South Atlantic Fishery Management Councils (Councils). If implemented, this rule would restrict sales of king and Spanish mackerel caught under the bag limit (those fish harvested by vessels that do not have a valid commercial vessel permit for king or Spanish mackerel and are subject to the bag limits specified in 50 CFR 622.382) and remove the income qualification requirements for king and Spanish mackerel commercial vessel permits. The purpose of this rule is to obtain more accurate landings data while ensuring the CMP fishery resources are utilized efficiently. DATES: Written comments must be received on or before May 5, 2014. ADDRESSES: You may submit comments on the proposed rule, identified by ‘‘NOAA–NMFS–2013–0168’’ by any of the following methods: wreier-aviles on DSK5TPTVN1PROD with PROPOSALS SUMMARY: VerDate Mar<15>2010 15:37 Mar 18, 2014 Jkt 232001 • Electronic Submission: Submit all electronic public comments via the Federal e-Rulemaking Portal. Go to www.regulations.gov/ #!docketDetail;D=NOAA-NMFS-20130168, click the ‘‘Comment Now!’’ icon, complete the required fields, and enter or attach your comments. • Mail: Submit written comments to Susan Gerhart, Southeast Regional Office, NMFS, 263 13th Avenue South, St. Petersburg, FL 33701. Instructions: Comments sent by any other method, to any other address or individual, or received after the end of the comment period, may not be considered by NMFS. All comments received are a part of the public record and will generally be posted for public viewing on www.regulations.gov without change. All personal identifying information (e.g., name, address, etc.), confidential business information, or otherwise sensitive information submitted voluntarily by the sender will be publicly accessible. NMFS will accept anonymous comments (enter ‘‘N/A’’ in the required fields if you wish to remain anonymous). Attachments to electronic comments will be accepted in Microsoft Word, Excel, or Adobe PDF file formats only. Electronic copies of the documents supporting this proposed rule, which include an environmental assessment, a Regulatory Flexibility Act analysis, and a regulatory impact review, may be obtained from the Southeast Regional Office Web site at http:// sero.nmfs.noaa.gov/sustainable_ fisheries/gulf_sa/cmp/index.html. Comments regarding the burden-hour estimates or other aspects of the collection-of-information requirements contained in the proposed rule may be submitted in writing to Anik Clemens, Southeast Regional Office, NMFS, 263 13th Avenue South, St. Petersburg, FL 33701; and OMB, by email at OIRA_Submission@omb.eop.gov, or by fax to 202–395–7285. FOR FURTHER INFORMATION CONTACT: Susan Gerhart, telephone: 727–824– 5305, or email: Susan.Gerhart@ noaa.gov. The coastal migratory pelagic (CMP) fishery in the Gulf of Mexico (Gulf) and the Atlantic is managed under the FMP. The FMP was prepared by the Councils and implemented through regulations at 50 CFR part 622 under the authority of the Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act). SUPPLEMENTARY INFORMATION: PO 00000 Frm 00028 Fmt 4702 Sfmt 4702 Management Measures Contained in the Proposed Rule Currently, no Federal permits are required to sell CMP species, although commercial vessel permits are required to exceed the bag limit for king and Spanish mackerel. All fish harvested in Federal waters that are sold are considered commercial harvest and count towards a species’ commercial quota, whether or not the fisherman has a Federal commercial permit. The Councils and NMFS are concerned that landings from recreational trips that are sold may contribute to the commercial quota and lead to early closures in the commercial sector. Reducing the sale of fish caught under the bag limit should improve the accuracy of data by reducing ‘‘double counting,’’ i.e., harvest from a single trip that is counted towards both the commercial quota and recreational allocation. This practice occurs when the same catches are reported through recreational surveys and commercial trip tickets and logbooks. For the Gulf region, this rule proposes to prohibit the sale of bag-limit-caught king and Spanish mackerel, except in two limited circumstances. First, baglimit-caught king and Spanish mackerel could be sold when harvested during a for-hire trip on a vessel with both a Gulf Charter Vessel/Headboat Coastal Migratory Pelagic Fish Permit and either a King Mackerel Commercial Permit or a Spanish Mackerel Commercial Permit, as appropriate to the species harvested or possessed. The purpose of this exception is to preserve a historic practice that is important to Gulf charter and headboat businesses. Second, king and Spanish mackerel harvested during state-permitted tournaments may be donated to a dealer who has a state or Federal permit and then sold by that dealer, if the proceeds are donated to charity. Dealers receiving such fish must report them as tournament-caught fish. In the Gulf, sales from dually-permitted vessels or tournaments would only occur in Florida, because all other Gulf states prohibit the sale of any bag-limitcaught fish. Currently, there is no Federal dealer permit for king or Spanish mackerel. However, a proposed rule published on January 2, 2014 (79 FR 81) for the Generic Dealer Amendment includes an action to implement a Gulf and South Atlantic dealer permit, which would be required for king and Spanish mackerel dealers. Therefore, if the Generic Dealer Amendment is approved and a final rule is implemented, there would be a Federal dealer permit for king and Spanish mackerel. In addition, the E:\FR\FM\19MRP1.SGM 19MRP1

Agencies

[Federal Register Volume 79, Number 53 (Wednesday, March 19, 2014)]
[Proposed Rules]
[Pages 15282-15284]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06041]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

45 CFR Part 170

RIN 0991-AB92


Voluntary 2015 Edition Electronic Health Record (EHR) 
Certification Criteria; Interoperability Updates and Regulatory 
Improvements; Correction

AGENCY: Office of the National Coordinator for Health Information 
Technology (ONC), Department of Health and Human Services.

ACTION: Proposed rule; correction.

-----------------------------------------------------------------------

SUMMARY: This notice makes the following corrections to the proposed 
rule that appeared in the February 26, 2014 Federal Register entitled 
``Voluntary 2015 Edition Electronic Health Record (EHR) Certification 
Criteria; Interoperability Updates and Regulatory Improvements'': 
Corrects the preamble text and gap certification table for four 
certification criteria that were omitted from the list of certification 
criteria eligible for gap certification for the 2015 Edition EHR 
certification criteria; and provides information on inactive web links 
that appear in the proposed rule.

DATES: Comments on the proposed rule published February 26, 2014, at 79 
FR 10880, continue to be accepted until no later than 5 p.m. on April 
28, 2014.

FOR FURTHER INFORMATION CONTACT: Steven Posnack, Director, Federal 
Policy Division, Office of Policy and Planning, Office of the National 
Coordinator for Health Information Technology, 202-690-7151.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2014-03959, the proposed rule entitled ``Voluntary 2015 
Edition Electronic Health Record (EHR) Certification Criteria; 
Interoperability Updates and Regulatory Improvements'' (79 FR 10880) 
(hereinafter referred to as the 2015 Edition proposed rule), four 2015 
Edition EHR certification criteria were omitted from the list of 
certification criteria eligible for gap certification. There are also 
inactive web links included in the preamble. These errors are 
identified and corrected in this correction notice.

II. Summary of Errors

    We define ``gap certification'' at 45 CFR 170.502 as ``the 
certification of a previously certified Complete EHR or EHR Module(s) 
to: (1) [a]ll applicable new and/or revised certification criteria 
adopted by the Secretary at subpart C of [part 170] based on the test 
results of a NVLAP-accredited testing laboratory; and (2) [a]ll other 
applicable certification criteria adopted by the Secretary at subpart C 
of [part 170] based on the test results used to previously certify the 
Complete EHR or EHR Module(s)'' (for further explanation, see 76 FR 
1307-1308). Our gap certification policy focuses on the differences 
between certification criteria that are adopted through rulemaking at 
different points in time. This allows EHR technology to be certified to 
only the differences between certification criteria editions rather 
than requiring EHR technology to be fully retested and recertified to 
certification criteria that remain ``unchanged'' from one edition to 
the next and for which previously acquired test results are sufficient. 
Under our gap certification policy, ``unchanged'' certification 
criteria (see 77 FR 54248 for further explanation) are eligible for gap 
certification, and each ONC-Authorized Certification Body (ONC-ACB) has 
discretion over whether it will provide the option of gap 
certification.
    In the 2015 Edition proposed rule, we noted whether a proposed 2015 
Edition EHR certification criterion was ``eligible'' or ``ineligible'' 
for gap certification at the beginning of each section of the preamble 
that discussed each certification criterion. We also provided a table 
that cross-walked ``unchanged'' 2015 Edition EHR certification criteria 
to the corresponding 2014 Edition EHR certification criteria (79 FR 
10916, Table 4). In the preamble section for each certification 
criterion and in the gap certification table (Table 4), we omitted four 
certification criteria that are eligible

[[Page 15283]]

for gap certification because they are ``unchanged'' based on our 
description of what constitutes an ``unchanged'' criterion. These 
criteria are:
     For the inpatient setting only Sec.  170.315(a)(2) 
Computerized provider order entry--laboratory (79 FR 10887);
     Sec.  170.315(h)(1) Transmit--Applicability Statement for 
Secure Health Transport (79 FR 10914);
     Sec.  170.315(h)(2) Transmit--Applicability Statement for 
Secure Health Transport and XDR/XDM for Direct Messaging (79 FR 10914);
     Sec.  170.315(h)(3) Transmit--SOAP Transport and Security 
Specification and XDR/XDM for Direct Messaging (79 FR 10914).

In addition, some of the web links in the preamble have become inactive 
since the proposed rule was published.

III. Correction of Errors

    In FR Doc. 2014-03959 of February 26, 2014 (79 FR 10880), make the 
following corrections:
    1. On page 10887, first column, line 15, ``Ineligible.'' is 
corrected to read ``Eligible for the inpatient setting. Ineligible for 
the ambulatory setting.''
    2. On page 10914, second column, line 24, ``Ineligible'' is 
corrected to read ``Eligible.''
    3. On page 10914, second column, line 50, ``Ineligible'' is 
corrected to read ``Eligible.''
    4. On page 10914, third column, line 12, ``Ineligible'' is 
corrected to read ``Eligible.''
    5. On page 10916, Table 4--Gap Certification Eligibility for 2015 
Edition EHR Certification Criteria is revised to read as follows:

               Table 4--Gap Certification Eligibility for 2015 Edition EHR Certification Criteria
----------------------------------------------------------------------------------------------------------------
                        2015 Edition                                             2014 Edition
----------------------------------------------------------------------------------------------------------------
                                      Title of regulation                                  Title of regulation
        Regulation section                 paragraph             Regulation section             paragraph
----------------------------------------------------------------------------------------------------------------
Sec.   170.315(a)(1).............  Computerized physician     Sec.   170.314(a)(1)....  Computerized Provider
                                    order entry--medications.                            Order Entry.
Sec.   170.315(a)(2) Inpatient     Computerized physician
 setting only.                      order entry--laboratory.
Sec.   170.315(a)(3).............  Computerized physician
                                    order entry--radiology/
                                    imaging.
Sec.   170.315(a)(4).............  Drug-drug, drug-allergy    Sec.   170.314(a)(2)....  Drug-drug, drug-allergy
                                    interaction checks.                                  interaction checks.
Sec.   170.315(a)(6).............  Vital signs, BMI, &        Sec.   170.314(a)(4)....  Vital signs, BMI, &
                                    growth charts.                                       growth charts.
Sec.   170.315(a)(7).............  Problem list.............  Sec.   170.314(a)(5)....  Problem list.
Sec.   170.315(a)(8).............  Medication list..........  Sec.   170.314(a)(6)....  Medication list.
Sec.   170.315(a)(9).............  Medication allergy list..  Sec.   170.314(a)(7)....  Medication allergy list.
Sec.   170.315(a)(12)............  Drug-formulary checks....  Sec.   170.314(a)(10)...  Drug-formulary checks.
Sec.   170.315(a)(13)............  Smoking status...........  Sec.   170.314(a)(11)...  Smoking status.
Sec.   170.315(a)(14)............  Image results............  Sec.   170.314(a)(12)...  Image results.
Sec.   170.315(a)(16)............  Patient list creation....  Sec.   170.314(a)(14)...  Patient list creation.
Sec.   170.315(a)(18)............  Electronic medication      Sec.   170.314(a)(16)...  Electronic medication
                                    administration record.                               administration record.
Sec.   170.315(a)(19)............  Advance directives.......  Sec.   170.314(a)(17)...  Advance directives.
Sec.   170.315(b)(3).............  Electronic prescribing...  Sec.   170.314(b)(3)....  Electronic prescribing.
Sec.   170.315(c)(1)-(3).........  Clinical quality measures  Sec.   170.314(c)(1)-(3)  Clinical quality
                                                                                         measures.
Sec.   170.315(d)(1).............  Authentication, access     Sec.   170.314(d)(1)....  Authentication, access
                                    control, & authorization.                            control, &
                                                                                         authorization.
Sec.   170.315(d)(3).............  Audit report(s)..........  Sec.   170.314(d)(3)....  Audit report(s).
Sec.   170.315(d)(4).............  Amendments...............  Sec.   170.314(d)(4)....  Amendments.
Sec.   170.315(d)(5).............  Automatic log-off........  Sec.   170.314(d)(5)....  Automatic log-off.
Sec.   170.315(d)(6).............  Emergency access.........  Sec.   170.314(d)(6)....  Emergency access.
Sec.   170.315(d)(7).............  End-user device            Sec.   170.314(d)(7)....  End-user device
                                    encryption.                                          encryption.
Sec.   170.315(d)(8).............  Integrity................  Sec.   170.314(d)(8)....  Integrity.
Sec.   170.315(d)(9).............  Accounting of disclosures  Sec.   170.314(d)(9)....  Accounting of
                                                                                         disclosures.
Sec.   170.315(e)(3).............  Secure messaging.........  Sec.   170.314(e)(3)....  Secure messaging.
Sec.   170.315(f)(1).............  Immunization information.  Sec.   170.314(f)(1)....  Immunization
                                                                                         information.
Sec.   170.315(f)(3) #...........  Transmission to public     Sec.   170.314(f)(3) #..  Transmission to public
                                    health agencies--                                    health agencies--
                                    syndromic surveillance.                              syndromic surveillance
Sec.   170.315(f)(5).............  Cancer case information..  Sec.   170.314(f)(5)....  Cancer case information.
Sec.   170.315(g)(4).............  Quality management system  Sec.   170.314(g)(4)....  Quality management
                                                                                         system.
Sec.   170.315(h)(1).............  Transmit--Applicability    Sec.                      Transitions of care--
                                    Statement for Secure       170.314(b)(2)(ii)(A).     create and transmit
                                    Health Transport.                                    transition of care/
                                                                                         referral summaries.
Sec.   170.315(h)(2).............  Transmit--Applicability    Sec.                      Transitions of care--
                                    Statement for Secure       170.314(b)(2)(ii)(B).     create and transmit
                                    Health Transport and XDR/                            transition of care/
                                    XDM for Direct Messaging                             referral summaries.
Sec.   170.315(h)(3).............  Transmit--SOAP Transport   Sec.                      Transitions of care--
                                    and Security               170.314(b)(2)(ii)(C).     create and transmit
                                    Specification and XDR/                               transition of care/
                                    XDM for Direct Messaging                             referral summaries.
----------------------------------------------------------------------------------------------------------------
# If certified to the revised 2014 Edition version of this criterion after the effective date of the 2015
  Edition Final Rule. For further information on this distinction, please see the gap certification discussion
  under the ``Transmission to Public Health Agencies--Syndromic Surveillance'' in section III.A of this
  preamble.


[[Page 15284]]

Inactive Web Links

    Inactive web links included in the 2015 Edition proposed rule are 
identified on ONC's Standards and Certification Regulations page with 
an explanation and/or corrected link (http:[sol][sol]www.healthit.gov/
policy-researchers-implementers/standards-and-certification-
regulations).

    Dated: March 13, 2014.
Jennifer M. Cannistra,
Executive Secretary to the Department.
[FR Doc. 2014-06041 Filed 3-17-14; 11:15 am]
BILLING CODE 4150-45-P