ONC Certification Details

This Health IT Module is compliant with the ONC Certification Criteria for Health IT and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
ONC Mandatory Disclosure Document
Developer Organization Name
Lightning Step
Date Certified
December 28, 2023
Product Name and Version
Lightning Step 1.0
Unique Certification Number
15.04.04.3183.Ligh.01.00.1.231228
Certification and Criteria
  • 170.315 (a)(1): Computerized Provider Order Entry (CPOE) - Medications
  • 170.315 (a)(2): Computerized Provider Order Entry (CPOE) - Laboratory
  • 170.315 (a)(3): Computerized Provider Order Entry (CPOE) - Diagnostic Imaging
  • 170.315 (a)(5): Demographics
  • 170.315 (a)(12): Family Health History
  • 170.315 (a)(14): Implantable Device List
  • 170.315 (a)(15): Social, Psychological, and Behavioral Data
  • 170.315 (b)(1): Transitions of Care (Cures Update)
  • 170.315 (b)(2): Clinical Information Reconciliation and Incorporation (Cures Update)
  • 170.315 (b)(10): Electronic Health Information Export (Cures Update)
  • 170.315 (c)(1): Clinical Quality Measures - Record and Export
  • 170.315 (c)(2): Clinical Quality Measures - Import and Calculate
  • 170.315 (c)(3): Clinical Quality Measures - Report (Cures Update)
  • 170.315 (d)(1): Authentication, Access Control, Authorization
  • 170.315 (d)(2): Auditable Events and Tamper-Resistance (Cures Update)
  • 170.315 (d)(3): Audit Report(s) (Cures Update)
  • 170.315 (d)(4): Amendments
  • 170.315 (d)(5): Automatic Access Time-out
  • 170.315 (d)(6): Emergency Access
  • 170.315 (d)(7): End-User Device Encryption
  • 170.315 (d)(8): Integrity
  • 170.315 (d)(9): Trusted Connection
  • 170.315 (d)(12): Encrypt Authentication Credentials
  • 170.315 (d)(13): Multi-Factor Authentication
  • 170.315 (e)(1): View, Download, and Transmit to 3rd Party (Cures Update)
  • 170.315 (e)(3): Patient Health Information Capture
  • 170.315 (g)(2): Automated Measure Calculation
  • 170.315 (g)(3): Safety-Enhanced Design
  • 170.315 (g)(4): Quality Management System
  • 170.315 (g)(5): Accessibility-Centered Design
  • 170.315 (g)(6): Consolidated CDA Creation Performance (Cures Update)
  • 170.315 (g)(7): Application Access - Patient Selection
  • 170.315 (g)(9): Application Access - All Data Request (Cures Update)
Clinical Quality Measures (CQMs)
  • CMS2v13: Preventive Care and Screening: Screening for Depression and Follow-Up Plan
  • CMS128v12: Anti-depressant Medication Management
  • CMS137v12: Initiation and Engagement of Substance Use Disorder Treatment
  • CMS159v12: Depression Remission at Twelve Months
  • CMS161v12: Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
  • CMS177v12: Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
Additional Software
Updox for Direct Secure Messaging
Costs and Fees
At present, utilizing ONC incurs no extra charges or fees apart from the continuous monthly and annual expenses specified in the contractual obligations.
Real World Testing Plan
Under the ONC Health IT Certification Program (Certification Program), health IT developers are required to conduct Real World Testing of their certified health IT (45 CFR 170.405). The Office of the National Coordinator for Health Information Technology (ONC) issues Real World Testing resources to clarify health IT developers’ responsibilities for conducting Real World Testing, to identify topics and specific elements of Real World Testing that ONC considers a priority, and to assist health IT developers in developing their Real World Testing plans.

Lightning Step is committed to meeting and exceeding the requirements set by the ONC program rules. Beginning in 2025, Real World Testing will occur annually. Here is the annual Real World Testing Plan submitted to ONC.

2025 Real World Testing Plan