Test Plan:

The test cases incorporated actions performed by multiple user types to accurately capture required data elements and workflow variations. In select scenarios, real-world patient data was utilized to validate compliance with specific certification requirements, including confirmation of successful data transmission and status handling. Compliance with applicable required standards was verified through a combination of manual inspection and the use of ONC-recommended testing tools, ensuring thorough and reliable validation of certification criteria.

Test Methods:

The following test methods were used to complete testing of conformance with the certification criteria requirements.

• Entry of simulation data
• Analysis of log data & log files
• Testing with ONC-approved testing tools
• Real time patient centric scenarios in production environment

Lessons learned:

Working with real-world data consistently presents challenges, particularly due to the frequent identification of data formatting inconsistencies. Despite these challenges, the customer-used tools demonstrated reliable and effective functionality overall, supporting successful processing and validation of the required data.

Key Findings:

Testing confirmed the API functionality for patient data access performed as certified in stage and production environments. The system successfully authenticated patient API requests and returned USCDI data elements in the required formats (C-CDA and FHIR). One performance-related challenge with large dataset exports was identified and mitigated.