Testing Tools and Certification Programs

To ensure consistency and availability of the various capabilities and standards implemented in health IT systems, medical devices and health information exchanges, a number of testing tools and certification programs exist to offer developers, implementers and end users the assurance that these systems can support the needs for interoperable data exchange.


Public Tools and Programs

ONC Health IT Certification Program

ONC’s Program is a voluntary certification program established to provide for the certification of health IT. Regulatory requirements for certification are established by standards, implementation specifications and certification criteria. The 2015 Edition Health IT Certification Criteria (2015 Edition) aims to facilitate greater interoperability for several clinical health information purposes and enables health information exchange through new and enhanced certification criteria, standards, and implementation specifications.

NIST – Health IT Testing Infrastructure

NIST leads the development of core health IT testing infrastructure tools to allow for scalable, multi-partner, automated, and remote testing capabilities with the goal of harmonizing efforts of healthcare standards test development and delivery to meet the demands for conformance and interoperability within the healthcare domain. NIST Tools support ONC’s Health IT Certification Program and are also featured in IHE Connectathons.

Inferno Testing Tool

The Inferno testing tool is an open source tool that verifies a server’s conformance to authentication, authorization and HL7 FHIR® content standards.

One Click Scorecard

Providers can use the One Click Scorecard to evaluate the quality of clinical summary documents (C-CDAs) received, or created, by their system.


HIMSS Tools and Programs

Immunization Integration Program

Supported by CDC, the Immunization Integration Program (IIP) is a collaborative effort of HIMSS, Drummond Group and Chickasaw Health Consulting, LLC, to use electronic health records (EHRs) and other clinical software to improve U.S. immunization rates, which are linked to better health outcomes, reduced healthcare costs, and higher clinician productivity. The IIP is an alternative testing method for the Health IT Certification program, as approved by the Office of the National Coordinator for Health Information Technology (ONC).

Continua Conformity Assessment

The Continua Compliance and Certification programs help organizations to validate both compliance and interoperability for personal connected health devices and services in accordance to the Continua Design Guidelines (CDG). Test tools, test labs, plugfests and Continua Certified Experts (CCEs) support organizations throughout the process.

ConCert by HIMSSTM

ConCert by HIMSS™ is a comprehensive interoperability testing and certification program governed by HIMSS. The program tests and certifies electronic health record (EHR), medical devices and health information exchange (HIE) vendors committed to advancing interoperability and enabling secure, reliable transfer of data within and across organizational and state boundaries.

IHE International Conformity Assessment

IHE International Conformity Assessment provides conformance testing for systems that have implemented select IHE profiles. The program focuses on health IT and medical device technologies that have implemented IHE profiles that support interoperability efforts by promoting secure clinical information exchange. The IHE Conformity Assessment Scheme (CAS) forms the basis for IHE Conformity Assessment Programs and formal certification of conformance to IHE profiles associated with such testing programs. More information about tools used by IHE and at IHE Connectathons can be found here.


Many of the organizations outlined in the HIMSS Interoperability Initiatives Environmental Scan also offer testing and certification tools. Visit our scan to learn more.