The Standards Version Advancement Process (SVAP) permits health IT developers to voluntarily update health IT products certified under the ONC Health IT Certification Program (Certification Program) to newer versions of adopted standards as part of the “Real World Testing” Condition and Maintenance of Certification requirement (§ 170.405) of the 21st Century Cures Act.
Using SVAP, Certified Health IT developers are permitted to voluntarily use a newer approved version of a standard than is adopted in regulation. Currently, this flexibility is limited to standards that are adopted in the certification criteria required to meet the “Real World Testing” Condition of Certification, which include § 170.315(b), (c)(1) through (c)(3), (e)(1), (f), (g)(7) through (g)(10), and (h).
Certified Health IT developers taking advantage of the SVAP flexibility must ensure that their Real World Testing plans and results of the Certified Health IT Modules address these updated standards. Additionally, developers updating their already Certified Health IT Modules are required to provide advance notice to their clients and ONC-Authorized Certification Body (ONC-ACB) before adopting a newer approved version of a standard.
Working with industry stakeholders, ONC has developed a collaborative public comment process to identify newer versions of standards that are ready for use in the Certification Program. For additional information on the annual process, including the list of standards and versions eligible for consideration, please visit the SVAP Process Page.
Learn more about the recent 2023 updates to SVAP via the following resources:
- SVAP Fact Sheet
- Approved Standards for 2023
- Blog Post Announcing Approved Standards for 2023
- Approved Standards for 2022 and Approved Standards for 2020
- ONC Standards Bulletin: Sign up for and also view previous alerts for healthcare stakeholders that include updates about ONC health IT standards initiatives such as the SVAP.
Approved SVAP Versions
All the standards in the table below are currently available for voluntary certification under the Certification Program. The 2023 approved SVAP versions were announced July 11, 2023 and went into effect on September 11, 2023. Once effective, any newer versions of approved standards replace existing approved standards from previous years.
For the ONC Health IT Certification Program, developers may certify using the following standards under the Standards Version Advancement Process (SVAP) until December 31, 2023:
● United States Core Data for Interoperability (USCDI), Version 2, July 2021
● HL7® FHIR® US Core Implementation Guide STU 5.0.1, June 2022
Certification testing tools for SVAP 2023 approved standards (e.g., USCDI v3 and related standards) may be released before that date, but the option to certify using the above listed standards will remain available until December 31, 2023. After December 31, 2023, developers will no longer be able to certify using the above listed standards via SVAP.
Additionally, the SVAP approved standard of HL7® FHIR® US Core Implementation Guide STU 4.0.0, June 2021 will continue to remain available for certification via SVAP while the United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata remains available for use in the Certification Program as a standard adopted in regulation.
Certification Criteria | Current Standard Version(s) | SVAP Version(s) Approved | Regulatory Text Citation |
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Applicability Statement for Secure Health Transport, Version 1.2, August 2015 (Direct)
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Applicability Statement for Secure Health Transport Version 1.3, May 2021 (Direct) (2022 SVAP Approved) |
§ 170.202(a)(2)
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2-US Realm, October 2019
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3-US Realm, May 2022 (2022 SVAP Approved)
HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 4.1 - US Realm, June 2023 New 2023 SVAP Approved!
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§ 170.205(a)(5)
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United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata
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United States Core Data for Interoperability (USCDI), Version 2, July 2021 (2022 SVAP Approved)
United States Core Data for Interoperability (USCDI), Version 3, October 2022 Errata New 2023 SVAP Approved!
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§ 170.213
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2-US Realm, October 2019
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3-US Realm, May 2022 (2022 SVAP Approved)
HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 4.1 - US Realm, June 2023 New 2023 SVAP Approved!
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§ 170.205(a)(5)
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United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata
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United States Core Data for Interoperability (USCDI), Version 2, July 2021 (2022 SVAP Approved)
United States Core Data for Interoperability (USCDI), Version 3, October 2022 Errata New 2023 SVAP Approved!
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§ 170.213
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§ 170.315(b)(9) Care plan |
HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2-US Realm, October 2019 |
HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3-US Realm, May 2022 (2022 SVAP Approved)
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§ 170.205(a)(5)
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§ 170.315(c)(1) - Clinical quality measures (CQMs) — record and export | HL7® CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I); Release 1, DSTU Release 3 (US Realm), Volume 1 - Introductory Material, June 2015 | HL7® CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I); Release 1, STU Release 5.3 with errata - US Realm, December 2022 New 2023 SVAP Approved! | § 170.205(h)(2) |
§ 170.315(c)(2) - Clinical quality measures (CQMs) — import and calculate | HL7® CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I); Release 1, DSTU Release 3 (US Realm), Volume 1 - Introductory Material, June 2015 | HL7® CDA® R2 Implementation Guide: Quality Reporting Document Architecture - Category I (QRDA I); Release 1, STU Release 5.3 with errata - US Realm, December 2022 New 2023 SVAP Approved! | § 170.205(h)(2) |
CMS Implementation Guide for Quality Reporting Document Architecture: Category I; Hospital Quality Reporting; Implementation Guide for 2020
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§ 170.205(h)(3)
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CMS Implementation Guide for Quality Reporting Document Architecture: Category III; Eligible Clinicians and Eligible Professionals Programs; Implementation Guide for 2020
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§ 170.205(k)(3)
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2-US Realm, October 2019
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3-US Realm, May 2022 (2022 SVAP Approved)
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§ 170.205(a)(5)
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United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata
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United States Core Data for Interoperability (USCDI), Version 2, July 2021 (2022 SVAP Approved)
United States Core Data for Interoperability (USCDI), Version 3, October 2022 Errata New 2023 SVAP Approved!
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§ 170.213
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Web Content Accessibility Guidelines (WCAG) 2.0, December 11, 2008
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Web Content Accessibility Guidelines (WCAG) 2.1, June 05, 2018 (Available 3/12/2021) (2020 SVAP Approved)
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§ 170.204(a)(1)
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Web Content Accessibility Guidelines (WCAG) 2.0, December 11, 2008
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Web Content Accessibility Guidelines (WCAG) 2.1, June 05, 2018 (Available 3/12/2021) (2020 SVAP Approved)
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§ 170.204(a)(2)
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§ 170.315(f)(5) Transmission to public health agencies electronic case reporting |
United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata |
United States Core Data for Interoperability (USCDI), Version 2, July 2021 (2022 SVAP Approved) United States Core Data for Interoperability (USCDI), Version 3, October 2022 Errata New 2023 SVAP Approved! |
§ 170.213 |
§ 170.315(f)(6) Transmission to public health agencies – antimicrobial use and resistance reporting |
HL7® Implementation Guide for CDA® Release 2 – Level 3: Healthcare Associated Infection (HAI) Reports, Release 1, U.S. Realm, August 2013 |
HL7® CDA® R2 Implementation Guide: Healthcare Associated Infection (HAI) Reports, Release 3 - US Realm, December 2020 (2022 SVAP Approved) | § 170.205(r)(1) |
§ 170.315(f)(7) - Transmission to public health agencies — health care surveys | HL7® Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm, HL7 Draft Standard for Trial Use, Volume 1 - Introductory Material, December 2014 | HL7® CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3 - US Realm (Available 3/12/2021) (2020 SVAP Approved) | § 170.205(s)(1) |
HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2-US Realm, October 2019
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HL7® CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3-US Realm, May 2022 (2022 SVAP Approved)
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§ 170.205(a)(5)
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United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata
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United States Core Data for Interoperability (USCDI), Version 2, July 2021 (2022 SVAP Approved)
United States Core Data for Interoperability (USCDI), Version 3, October 2022 Errata New 2023 SVAP Approved!
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§ 170.213
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United States Core Data for Interoperability (USCDI), Version 1, July 2020 Errata
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United States Core Data for Interoperability (USCDI), Version 2, July 2021 (2022 SVAP Approved)
United States Core Data for Interoperability (USCDI), Version 3, October 2022 Errata New 2023 SVAP Approved!
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§ 170.213
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HL7® FHIR® US Core Implementation Guide STU 3.1.1, August 8, 2020
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HL7® FHIR® US Core Implementation Guide STU 4.0.0, June 2021 (2022 SVAP Approved) HL7® FHIR® US Core Implementation Guide STU 5.0.1, June 2022 (2022 SVAP Approved) HL7® FHIR® US Core Implementation Guide STU 6.1.0, June 30, 2023 New 2023 SVAP Approved! |
§ 170.215(a)(2)
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HL7® FHIR® SMART Application Launch Framework Implementation Guide Release 1.0.0, November 13, 2018
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§ 170.215(a)(3)
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HL7® FHIR® Bulk Data Access (Flat FHIR®) (v1.0.0: STU 1), August 22, 2019
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HL7® FHIR® Bulk Data Access (Flat FHIR®) (v2.0.0: STU 2), November 26, 2021 (2022 SVAP Approved)
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§ 170.215(a)(4)
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§ 170.315(h)(1) Direct Project | Applicability Statement for Secure Health Transport, Version 1.2, August 2015 (Direct) | Applicability Statement for Secure Health Transport Version 1.3, May 2021 (Direct) (2022 SVAP Approved) | § 170.202(a)(2) |
§ 170.315(h)(2) Direct Project, Edge Protocol, and XDR/XDM | Applicability Statement for Secure Health Transport, Version 1.2, August 2015 (Direct) | Applicability Statement for Secure Health Transport Version 1.3, May 2021 (Direct) (2022 SVAP Approved) | § 170.202(a)(2) |