Program Resources
Resources on this page provide additional clarification and reference documents related to the ONC Health IT Certification Program.
Regulatory Deadlines
The HTI-1 Final Rule requires Health IT developers certified to the following criteria to update their minimum code sets and certain standards by December 31, 2025.
- § 170.315 (a)(5) Patient demographics and observations
- § 170.315 (a)(12) Family health history
- § 170.315 (a)(15) Social, psychological, and behavioral data
- § 170.315 (b)(1) Transitions of care
- § 170.315 (b)(2) Clinical information reconciliation and incorporation
- § 170.315 (b)(9) Care plan
- § 170.315 (c)(4) CQM – filter
- § 170.315 (e)(1) View, download, and transmit to 3rd party
- § 170.315 (f)(1) Transmission to immunization registries
- § 170.315 (f)(3) Transmission to public health agencies – reportable laboratory tests and value/results
- § 170.315 (f)(4) Transmission to cancer agencies
- § 170.315 (f)(5) Transmission to public health agencies – electronic case reporting
- § 170.315 (g)(6) Consolidated C-CDA performance
- § 170.315 (g)(9) Application access – all data request
- § 170.315 (g)(10) Standardized API for patient and population services
For more information on these required updates, please visit HTI-1 Overview and Key Dates Fact Sheet.
Note: The HTI-1 Final Rule outlined several updates to existing certification criteria that were originally required to be met by December 31, 2025, as the new requirements go into effect on January 1, 2026. However, given the recent lapse in appropriations, ASTP/ONC issued enforcement discretion on November 24, 2025, which effectively gives Certified Health IT developers until March 1, 2026, to update their Health IT Modules consistent with policies finalized in the HTI-1 Final Rule and provide such technology to their customers. Please review this enforcement discretion notice closely for more details.
Upcoming Events
Stay tuned for the next ONC Health IT Certification Program’s ONC Health IT Certification Program Developer Roundtable. These public meetings are open to all health IT developers, regardless of their participation in the ONC Health IT Certification Program. During these meetings, ONC leads discussions tailored for the health IT developer community on topics such as Certification Program updates, upcoming certification deadlines, and developer requirements.
Program Resources
The following resource documents provide additional clarification and reference documents related to the ONC Health IT Certification Program.
Certification Program Basics
Gain additional clarity on how the ONC Health IT Certification Program works.
Final Rule Requirements
The following resources highlight requirements of the HTI-1 and HTI-4 Final Rules.
Technical Standards
The following resources outline the role standards play in the certification of health IT products under the ONC Health IT Certification Program.
Deep Dives into Certification Criteria
- DSI Benefits for Clinicians Fact Sheet [PDF – 1 MB]
- Decision Support Interventions (DSI) Resource Guide [PDF – 983 KB]
- 9 Key Functionalities and Requirements of the New (b)(11) DSI Criterion Explainer [PDF – 209 KB]
- § 170.315(b)(10) Electronic Health Information (EHI) Export Fact Sheet [PDF – 97 KB]
Deep Dives into the Conditions and Maintenance of Certification
- Insights Measure Specifications Version 4 Clarifications Fact Sheet
- Certified API Developer Obligations and Responsibilities Fact Sheet [PDF – 224 KB]
- API Resource Guide
- API Conditions Explained Fact Sheet [PDF – 190 KB]
- API Service Base URL Availability
- Real World Testing – What it Means for Health IT Developers Fact Sheet [PDF – 1 MB]
- Real World Testing Resource Guide [PDF – 768 KB]
- Attestations Resource Guide [PDF – 300 KB]
- Communications Conditions Explained Fact Sheet [PDF – 149 KB]