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 List and 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) |
||||
§ 170.202(b) |
||||
§ 170.202(d) |
||||
§ 170.202(e)(1) |
||||
§ 170.204(a)(1) |
||||
§ 170.204(a)(2) |
||||
§ 170.205(a)(3) |
||||
§ 170.205(a)(4) |
||||
§ 170.205(a)(4) |
||||
§ 170.205(a)(5) |
||||
§ 170.205(a)(6) |
||||
§ 170.205(b)(1) |
||||
§ 170.205(d)(4) |
||||
§ 170.205(d)(4) |
||||
§ 170.205(e)(4) |
||||
§ 170.205(e)(4) |
||||
§ 170.205(g) |
||||
§ 170.205(g) |
||||
§ 170.205(h)(2) |
||||
§ 170.205(h)(3) |
||||
§ 170.205(i)(2) |
||||
§ 170.205(i)(2) |
||||
§ 170.205(k)(3) |
||||
§ 170.205(o)(1) |
||||
§ 170.205(p)(1) |
||||
§ 170.205(r)(1) |
||||
§ 170.205(s)(1) |
||||
§ 170.205(s)(1) |
||||
§ 170.213 |
||||
§ 170.213 |
||||
§ 170.215(a)(1) |
||||
§ 170.215(a)(3) |
||||
§ 170.215(a)(3) |
||||
§ 170.215(a)(4) |
||||
§ 170.215(b) |
||||
§ 170.215(b)(1) |
||||
§ 170.215(b)(1) |
||||
§ 170.215(j)(1) |
||||
§ 170.215(j)(2) |
||||
§ 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)
- Log in to post comments
Comment
Submitted by mdoan on
SVAP Comments from FEHRM
Thank you for the opportunity to comment.
Submitted by michael.e.prevoznik on
SVAP comments from Quest Diagnostics
Thank you for the opportunity to comment. These comments are submitted by Michael E. Prevoznik, Senior Vice President and General Counsel.
Submitted by ragnhildurb on
Comments from the Alliance for Nursing Informatics
Thank you for the opportunity to provide comments on the Interoperability Standards Advisory (ISA) and the Standards Version Advancement Process (SVAP).
The Alliance for Nursing Informatics (ANI), co-sponsored by AMIA & HIMSS, advances nursing informatics leadership, practice, education, policy and research through a unified voice of nursing informatics organizations. We transform health and healthcare through nursing informatics and innovation. ANI is a collaboration of organizations that represents more than 20,000 nurse informaticists and brings together 25 distinct nursing informatics groups globally. ANI crosses academia, practice, industry, and nursing specialty boundaries and works in collaboration with the more than 4 million nurses in practice today.
We offer our comments as nursing informatics stakeholders in the attached document.
Submitted by knicholoff@ehra.org on
EHR Association Comments to ONC on the SVAP
On behalf of the EHR Association, we appreciate the opportunity to provide input into the first Standards Version Advancement Process (SVAP), to enable voluntary adoption of a more current version of a standard included in the 2015 Certification Edition Cures Update.
EHR Association Comments to ONC on the Standards Version Advancement Process (SVAP).pdf
Submitted by Solarf3050 on
HL7's SVAP Comments
Attached are Health Level Seven (HL7) International's comments on ONC’s voluntary Standards Version Advancement Process (SVAP) and the related standards and implementation specifications that will be considered.
Submitted by cbush on
Request for HL7 CDA NHCS IG R1 Release 3 to be approved for SVAP
The CDC’s National Center for Health Statistics (NCHS), Division of Health Care Statistics requests the HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS) R1 STU Release 3 - US Realm (Release 3) standard, published in February 2020, be approved by ONC under the Standards Version Advancement Process for the 45 CFR 170.315(f)(7) Transmission to Public Health Agencies – Health Care Surveys certification criterion. NCHS understands that should this requests be approved: a) providers can continue to submit data to NCHS via CEHRT certified to the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm and HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, DSTU Release 1.2 – US Realm standards for (f)(7) and b) that any EHR product or HIT Module that chooses to enable Release 3 submissions through CEHRT does so voluntarily. The justification for this request is that in order to meet information needs in health care such as the opioid crisis,, the current COVID-19 pandemic, future epidemics, and other challenges, NCHS’ National Health Care Surveys have evolved since the HL7 CDA® R2 Implementation Guide: National Health Care Surveys Release 1, DSTU Release 1.2 –US Realm, August 2016 was created. Health care interoperability as well has evolved during this time period with the advent of USCDI V1, FHIR and APIs. While NCHS does embrace FHIR and is moving to develop FHIR standards, we do understand that CDA will continue to be an important and relevant standard for years to come. NCHS has pulled all these threads together in Release 3. Release 3 is a significantly streamlined and up-to-date IG that: a) deprecates approximately 30+ data elements, b) more closely aligns with USCDI V1, and c) updates OIDs and value sets. Should this request be approved by ONC, NCHS plans to ask EHR vendors and HIT Modules to Real World Test Release 3.
Submitted by Roosevelt_1971 on
2020 Interoperability Standards Advisory (ISA) and Standards Ver
The attachment contains the 2020 Interoperability Standards Advisory (ISA) and Standards Version Advancement Process (SVAP) Review and Comments from VHA OHI CIDMO Interagency Health Informatics Division






Submitted by zhornberger on
The Medical Imaging &…
The Medical Imaging & Technology Alliance (MITA) is the leading trade association representing the manufacturers of medical imaging equipment and radiopharmaceuticals. We applaud the Office of the National Coordinator for Health Information Technology (ONC) in its work to promote the industry standards which enable continued interoperability for healthcare devices. MITA offers these comments in support of those shared goals.
MITA-Comments-SVAP-20220331 - ZGPQ0OQM.pdf