2025 Real World Testing Results Report
General Information
Plan Report ID Number: [For ONC-Authorized Certification Body use only]
Developer Name: Elation Health, Inc
Product Name(s): Elation EMR
Version Number(s): Version 3
Certified Health IT Product List (CHPL) ID(s): 15.04.04.2717.Elat.03.00.1.181231
Developer Real World Testing Page URL: https://www.elationhealth.com/real-world-test-plan
Developer Real World Testing Results Report Page URL: https://www.elationhealth.com/real-world-test-plan
Changes to Original Plan
Summary of Changes: Changes to the results report were made in accordance with enforcement discretion notice as listed.
| Summary of Change | Reason | Impact |
|---|---|---|
| Removed criterion 170.315(b)(1- 3, 6, 9, 10), (c)(1-3), (e)(1), (f)(1,2), and (h)(1) | Per ONC enforcement discretion in accordance with Executive Order 14192, only (g)(7-10) are required. Enforcement Discretion Notice can be Removed from Real World Testing Results Report. found online at the ASTP ONC website. | Removed from Real World Testing Results Report. |
Withdrawn Products
- There were no withdrawn products.
Summary of Testing Methods and Key Findings
Methods: As outlined in the Real World Testing Plan for Elation Health, the metrics were captured using a summative assessment approach. This involved generating reports and examining audit logs from within the certified Health IT module to track the frequency and success of certified actions over the reporting period.
Key Findings: The results demonstrate successful real-world utility across the tested criteria.
- Patient Selection (g)(7): usage was extremely high, with over 25 million requests for patient tokens, confirming the plan’s expectation of “high utilization”
- Standardized API (g)(10): usage was low (5 calls to specific USCDI resources), which aligns with the plan’s specific expectation for this criterion (“Expectation is there will be low utilization”). This indicates that while the FHIR environment is available (evidenced by 7,895 access requests), deep adoption of USCDI resource calls via this specific API is still in early stages among our users/integrators.
Standards Updates (Including SVAP and USCDI)
Standard (and version): HL7 FHIR US Core Implementation Guide Version 4.0.0 (for 170.315(g)(10)); USCDI v1
Method used for standard update: SVAP.
Date of ONC-ACB notification: 11/22/22.
Care Settings
Care Setting(s) Tested: Primary Care (Ambulatory)
Justification: Elation EMR is marketed to primary care providers and certified accordingly for the ambulatory care setting.
Metrics and Outcomes
170.315(g)(7) Application Access — Patient Selection
170.315(g)(9) Application Access — All Data Request
170.315(g)(10) Standardized API for Patient and Population Services
No relied upon software was used for these criterion
| Associated Criterion(a) | Measurement/Metric January 1-March 31, 2025 | Outcomes |
|---|---|---|
| 170.315(g)(7) Application access—patient selection | 1) Number of requests for a patient ID or token 2) Number of requests that provided sufficient information to provide a valid response 3) Number of follow-up requests made using the provided patient ID or token | Pass
During Q1 2025, there were 25074738 requests for a patient token from Elation’s APIs. Of those requests, 24216026 provided sufficient information to validate a token. This represents a 97% return rate on valid patient tokens, and a 3% failure rate due to insufficient requests from the requestor. Once the valid patient tokens were returned, there were 183779163 follow up requests using validate patient tokens; representing a 7.6 return of API calls per patient token. |
| 170.315(g)(9) Application\ access — all data request | 1) Number of requests for a patient’s Summary Record made by an application via an all data category request using a valid patient ID or token 2) Number of requests for a patient’s Summary Record made by an application via an all data category request using a valid patient ID or token for a specific date range | Pass
During Q1 2025, there were 1336505 Summary Records for all historical data out of all API category requests 183779163 representing a .007% call rate. Whereas the 238517 Summary Record request for a specified time period represents a smaller portion of that (238517/183779163) or .001%. These indicate a significant portion of API calls using patient tokens are not requesting the most regulated endpoints for Summary Records, but instead request API data from all other endpoints. |
| 170.315(g)(10) Standardized API for patient and population services | 1) Number of requests for developer access to the FHIR environment 2) Number of calls to FHIR resources to access patients USCDI data. | Pass
During Q1 2025 there 7895 API calls from individual integrators to production. Of the 7895 calls, there were only 5 to the BulkEHI export endpoint, indicating a .0006% utilization rate for FHIR API calls. This demonstrates that the BulkEHI export endpoint is not a commonly used endpoint and FHIR resource. |
Key Milestones
The following milestones were executed as per the schedule outlined in the 2025 Real World Testing Plan.
| Key Milestone | Care Setting | Date / Timeframe |
|---|---|---|
| Data collection | Primary Care | Q1 – Q4 2025 |
| Review and collate data | Primary Care | January 2026 |
| Writing report | Primary Care | January 2026 |
Attestation
This Real World Testing Results Report is complete with all required elements, including measures that address all certification criteria and care settings. All information in this plan is up to date and fully addresses the health IT developer’s Real World Testing requirements.
- Authorized Representative Name: Conan Fong
- Authorized Representative Email: [email protected]
- Authorized Representative Phone: 415-231-5164
- Authorized Representative Signature:
- Date: 2/18/2026