Likewise, similar updates to standards included in our 2015 Edition final rule are made annually (or more frequently) by SDOs.
Therefore, as part of the real world testing Condition of Certification, we propose a Maintenance of Certification flexibility that we refer to as the Standards Version Advancement Process.
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API Technology Supplier, causing special effort on the part of the patient to gain access to their EHI.
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API Data Providers have added incentive to adopt such functionality.
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USCDI version change into the Program.
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They also reflect industry stakeholders' interests to improve the capacity, capability, and clarity of such standards to meet new, innovative business needs, which earlier standards versions cannot support.
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API Technology Supplier would have to make API technology available in a manner that enables API Data Providers and API Users to develop and deploy apps to access, exchange, and use EHI in production environments.
Program's certification requirements has had a chilling effect on the pace of change.
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Health IT Module when the annual real world testing results are due, we propose that the developer would need to report as such to meet the proposed Maintenance of Certification requirement.
IT developers the option to avoid such unnecessary costs and can help reduce market confusion by enabling certified Health IT Modules keep pace with standards advancement and market needs including but not limited to those related to emerging public health concerns.
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API Technology Supplier would be required to provide all services and other support necessary to ensure that such apps can be deployed and used in production without any additional assistance or intervention by the API Technology Supplier.
ONC's inability to more nimbly identify and incorporate newer versions to standards and implementation specifications that were already adopted by the Secretary into the Program has perversely impacted standards developing organization (SDO) processes.
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IT developer could choose to submit a real world testing plan that covers multiple certified products as appropriate and as long as there is traceability to the specific certified Health IT Modules.
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We also emphasize that this is specific duty for API Technology Suppliers in the course of maintaining the Health IT Module(s)' certificate to which their API technology is associated.
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There is no better evidence of this reality than by example from our 2015 Edition rulemaking finalized approximately three years ago and before the Cures Act added Conditions and Maintenance of Certification provisions to the PHSA.
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However, the API Technology Supplier would need to demonstrate that whatever actions it took were necessary to accomplish these purposes and that it afforded the licensee a reasonable opportunity under the circumstances to update its technology to maintain interoperability.
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We acknowledge that a subsequent final rule for this proposed rule may not provide sufficient time for health IT developers to develop and submit plans for a full year of real world testing in 2020.
Condition and Maintenance of Certification Requirements, we believe that a health IT developer's ability to conduct ongoing maintenance on its certified Health IT Module(s) to incorporate these new versions is essential to support interoperability in the real world.
Start Printed Page 7494.
In general, the precise nature of these obligations will depend on the specifics of the API Technology Supplier's technology and the manner in which it is implemented and made available for specific customers.
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We believe this approach is best because it identifies a single, specific date for both API Technology Suppliers and API Data Providers by which upgraded API technology needs to be deployed in production.
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We propose to adopt Maintenance requirements for this Condition of Certification.
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ACB via a publicly accessible hyperlink no later than December 15, of each calendar year for each of its certified 2015 Edition Health IT Modules that include certification criteria specified for this Condition of Certification.
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ACBs via a publicly accessible hyperlink no later than January 31, of each calendar year for the preceding calendar year's real world testing.
API Technology Supplier from imposing any collateral terms or agreements that could interfere with or lead to special effort in the use of API technology for any of the above purposes.
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In situations where such a nexus exists, even partially, the API Technology Supplier would have the duty to determine a method to grant the applicable rights reasonably necessary to access and use the API technology.
Technology Supplier would need to provide notice and a reasonable opportunity for its API Data Provider customers and registered application developers to update their applications to preserve compatibility with its API technology or to comply with any revised terms or conditions.
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