ONC has established the voluntary Standards Version Advancement Process (SVAP)1 to enable health IT developers’ ability to incorporate newer versions of Secretary-adopted standards and implementation specifications, as part of the “Real World Testing” Condition and Maintenance of Certification requirement (§ 170.405) of the 21st Century Cures Act. For the latest information on SVAP and the most currently approved standards for use, see the ONC Health IT Certification Program SVAP page.
Every year, working with industry stakeholders, ONC follows a collaborative process to identify newer versions of adopted standards and implementation specifications for approval by the National Coordinator.
The table below lists the standards and implementation specifications (and their versions) that will be considered for advancement and those that have received National Coordinator approval via the SVAP. It does not include any minimum vocabulary standards as health IT can continue to be certified or upgraded to newer version(s) of identified minimum standard code sets, unless newer version(s) are explicitly prohibited by the Secretary. The table can be sorted by either "Current Standard/Implementation Specification" or "Regulatory Text Citation" by clicking on the column name.
For the 2026 SVAP cycle, ONC is accepting comments on any standard that is referenced in eligible criteria.
The 2026 SVAP Standards were released on June 30, 2026. Please refer to Approved Listand the ONC Health IT Certification Program SVAP page for more details.
| View / Comment | Current Standard / Implementation Specification listing in IBR (170.299) | Regulatory Text Citation for Standard / Implementation Specification Adopted Sort descending | Certification Criteria(on) References Standard / Implementation Specification | View / Comment |
|---|---|---|---|---|
§ 170.202(a)(2) |
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§ 170.202(b) |
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§ 170.202(d) |
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§ 170.202(e)(1) |
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§ 170.204(a)(1) |
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§ 170.204(a)(2) |
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§ 170.205(a)(3) |
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§ 170.205(a)(4) |
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§ 170.205(a)(4) |
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§ 170.205(a)(5) |
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§ 170.205(a)(6) |
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§ 170.205(b)(1) |
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§ 170.205(d)(4) |
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§ 170.205(d)(4) |
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§ 170.205(e)(4) |
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§ 170.205(e)(4) |
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§ 170.205(g) |
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§ 170.205(g) |
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§ 170.205(h)(2) |
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§ 170.205(h)(3) |
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§ 170.205(i)(2) |
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§ 170.205(i)(2) |
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§ 170.205(k)(3) |
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§ 170.205(o)(1) |
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§ 170.205(p)(1) |
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§ 170.205(r)(1) |
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§ 170.205(s)(1) |
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§ 170.205(s)(1) |
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§ 170.213 |
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§ 170.213 |
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§ 170.215(a)(1) |
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§ 170.215(a)(3) |
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§ 170.215(a)(3) |
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§ 170.215(a)(4) |
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§ 170.215(b) |
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§ 170.215(b)(1) |
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§ 170.215(b)(1) |
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§ 170.215(j)(1) |
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§ 170.215(j)(2) |
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§ 170.215(j)(3) |
1SVAP is permitted in ONC’s 21st Century Cures Act Final Rule in the Real World Testing CoC/MoC: § 170.405(b)(7) and (8) and ONC-ACB PoPC §170.523(t)
Comment
Submitted by alec-matulka on
Epic Comments on SVAP 2024
Please see the attached document with Epic's feedback on SVAP 2024. Thank you for your consideration.
Submitted by Solarf3050 on
Health Level Seven SVAP Comments
Attached are the comments from Health Level Seven International on ONC’s Standards Version Advancement Process (SVAP). Thank you for the opportunity to provide feedback!
Submitted by Amanda Deering on
CDC/NIOSH - SVAP Comments 2024
Please see attached comments for consideration.
Submitted by chris.baumgart… on
WA State Department of Health - SVAP Comments
Please find attached our comments for the 2024 SVAP.
Submitted by Toni Wilken on
MEDITECH Comments on 2024 SVAP
On behalf of Medical Information Technology, Inc. (MEDITECH), thank you for the opportunity to provide feedback. Please see the attached comment letter on the 2024 Standards Version Advancement Process (SVAP).
Submitted by knicholoff@ehra.org on
EHR Association Comments on 2024 SVAP
On behalf of our 29 member companies, the HIMSS Electronic Health Record (EHR) Association appreciates the opportunity to provide feedback to the ONC on the 2024 Standards Version Advancement Process (SVAP). Our comments are attached.
Submitted by Prachi on
Request to include HL7 CDA V3.1 IG into the HCS SVAP
We would like to advocate to add HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3.1 - US Realm as a recognized standard under SVAP for National Health Care Surveys. This way, data collected for health care surveys reflects the latest thoughts in the content and structure as advocated by NCHS, CDC and the HL7 standards body.
Submitted by brett@waveonea… on
HL7 FHIR® SMART Application Launch Framework v2.1.0
Please update the HL7 FHIR® SMART Application Launch Framework to v2.1.0 published April 28, 2023. There is an incompatibility in how SMART's "fhirContext" launch parameter is used in 2.0.0 vs 2.1.0. It would be best for all servers and clients to adopt the latest version before this incompatibility is deployed requiring servers/clients to support two formats.
Alternatively, we expect SMART v2.2.0 to be published in April/May 2024. This verson could also be considered.
Submitted by knicholoff@ehra.org on
EHR Association Comments on 2023 SVAP
On behalf of our nearly 30 member companies, the HIMSS Electronic Health Record (EHR) Association appreciates the opportunity to provide feedback to the ONC on the 2023 Standards Version Advancement Process (SVAP).
Our comments are attached in full.






Submitted by FEHRMSVAP51 on
FEHRM Comments
The Federal Electronic Health Records Modernization (FEHRM) Program appreciates the opportunity to review and provide feedback on ONC’s 2024 SVAP. The FEHRM understands that the SVAP allows developers to incorporate newer digital health standards. The FEHRM reviewed the list of new standard versions under consideration and supports advancing:
United States Core Data for Interoperability (USCDI) version 4
Consolidated Clinical Document Architecture (C-CDA) Release 3
US Core 7.0.0
We appreciate the opportunity to comment on the SVAP. Please feel free to contact us if you have any questions or would like any further information.