Medical Transcription Billing Corporation (MTBC) Address: 7 Clyde Road, Somerset, NJ (732) x243

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1 2015 Edition Health IT Module Test Report Part 1: Product and Developer Information 1.1 Certified Product Information Product Name: TalkEHR Product /Release: Developer Information Developer Name: Medical Transcription Billing Corporation (MTBC) Address: 7 Clyde Road, Somerset, NJ Website: sarmadfaraz@mtbc.com Phone: (732) x243 Primary Contact: Adeel Sarwar Part 2: NVLAP-Accredited Testing Laboratory (ATL) Information 2.1 NVLAP-ATL Directory Information ATL Name: Accreditation Number: ICSA Labs, an independent division of Verizon Address: 1000 Bent Creek Blvd, Suite 200, Mechanicsburg, PA Website: EHR@icsalabs.com Phone: For more information on scope of accreditation, please reference This Test Report is approved by the following ATL representative. The report may not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Michelle Knighton ATL Authorized Representative Health IT Test Lab Manager Function/Title Michelle Knighton January 30, 2017 Signature Date 2015-HITM Page 1 of ICSA Labs. All rights reserved.

2 Part 3: Gap and Inherited Criteria 3.1 Gap Criteria The following table identifies criteria inherited via the gap eligibility process (a)(1) (a)(4) (a)(10) (d)(4) (d)(7) (a)(2) (a)(7) (a)(11) (d)(5) (d)(11) (a)(3) (a)(8) (d)(1) (d)(6) (f)(3) No gap criteria inherited 3.2 Inherited Criteria The following table identifies criteria inherited from a previous 2015 Edition certification (a)(1) (a)(13) (c)(1) (d)(9) (f)(7) (a)(2) (a)(14) (c)(2) (d)(10) (g)(1) (a)(3) (a)(15) (c)(3) (d)(11) (g)(2) (a)(4) (b)(1) (c)(4) (e)(1) (g)(3) (a)(5) (b)(2) (d)(1) (e)(2) (g)(4) (a)(6) (b)(3) (d)(2) (e)(3) (g)(5) (a)(7) (b)(4) (d)(3) (f)(1) (g)(6) (a)(8) (b)(5) (d)(4) (f)(2) (g)(7) (a)(9) (b)(6) (d)(5) (f)(3) (g)(8) (a)(10) (b)(7) (d)(6) (f)(4) (g)(9) (a)(11) (b)(8) (d)(7) (f)(5) (h)(1) (a)(12) (b)(9) (d)(8) (f)(6) (h)(2) No criteria inherited 2015-HITM Page 2 of ICSA Labs. All rights reserved.

3 Part 4: Test Information 4.1 Test Dates Starting Test Date: 1/13/2017 Ending Test Date: 1/26/ Additional Software Relied Upon for Certification Additional Software Applicable Criteria Functionality Provided Surescripts 10.6 b3 eprescribing EMR Direct 2017 b1, e1, h1 Interoperability Engine MedlinePlus Live link a13 Domain Time II 5.2 d2-3, e1 NTP Patient-Specific Education Resources No additional software 4.3 Test Tools Unless otherwise specified, all test tools used are locally installed. Test Tool Cypress Direct Certificate Discovery Tool (DCDT) Edge Testing Tool (ETT) , Electronic Prescribing (erx) Validation Tool Healthcare Associated Infections (HAI) Validator 4_MU3 HL7 CDA Cancer Registry Reporting Validation Tool HL7 CDA National Health Care Surveys Validator HL7v2 Electronic Laboratory Reporting (ELR) Validation Tool HL7v2 Immunization Test Suite HL7v2 Syndromic Surveillance Test Suite Transport Testing Tool (TTT) No test tools required 2015-HITM Page 3 of ICSA Labs. All rights reserved.

4 4.4 Test Data Exceptions Criteria Affected Data Exception No alteration to the established test data was necessary to complete testing 4.5 Standards Multiple Standards or Options Permitted The following table identifies the standard or option that has been successfully tested where more than one standard or option is permitted. (a)(4) (a)(9)(iv)(a) Infobutton (a)(10) (a)(13)(i)(a)-(b) Infobutton (a)(14) (b)(1)(iii)(b) Encounter Dx (b)(1) Errors (b)(3)(i)-(v) NCPCP SCRIPT Standard Successfully Tested (a)(4)(ii)(b)(1) [Specific set of users] (a)(4)(ii)(b)(2) [System admin] (b)(3) [HL7 Service-Oriented Architecture] (b)(4) [HL7 V3 Context-Aware Knowledge Retrieval] (a)(10)(i) [Drug Formulary] (a)(10)(ii) [Preferred Drug List] (b)(3) [HL7 Service-Oriented Architecture] (b)(4) [HL7 V3 Context-Aware Knowledge Retrieval] (a)(14)(iii)(a)(1) [GMDN PT Name] (a)(14)(iii)(a)(2) [SNOMED CT Description] (i) [ICD-10-CM] (a)(4) [SNOMED CT] (b)(1)(ii)(a)(5)(i) [User notified of errors] (b)(1)(ii)(a)(5)(ii) [User able to review errors] (b)(2) [v10.6 XML] (b)(2) [v10.6 EDI] 2015-HITM Page 4 of ICSA Labs. All rights reserved.

5 (b)(4)(ii)(a) Encounter Dx (b)(5)(i)(b) Encounter Dx (b)(5) Errors (b)(6)(ii)(b) Encounter Dx (b)(6) (d)(2)(i)(a) NTP (d)(3) NTP (d)(10)(i) NTP (d)(7) EHI (d)(7)(i)(a) (d)(8)(i) (e)(1)(i) WCAG (e)(1)(ii) (e)(1)(ii)(a)(2) NTP Standard Successfully Tested (i) [ICD-10-CM] (a)(4) [SNOMED CT] (i) [ICD-10-CM] (a)(4) [SNOMED CT] (b)(5)(ii)(a)(5)(i) [User notified of errors] (b)(5)(ii)(a)(5)(ii) [User able to review errors] (i) [ICD-10-CM] (a)(4) [SNOMED CT] (b)(6)(i)(b)(1) [Specific set of users] (b)(6)(i)(b)(2) [System admin] RFC 1305 [NTPv3] RFC 5905 [NTPv4] RFC 1305 [NTPv3] RFC 5905 [NTPv4] RFC 1305 [NTPv3] RFC 5905 [NTPv4] (d)(7)(i) [EHI stored locally] (d)(7)(ii) [EHI not stored locally] (a)(2) [FIPS 140-2, Annex A] AES (c)(2) [FIPS 180-4] SHA (a)(1) [WCAG 2.0 Level A] (a)(2) [WCAG 2.0 Level AA] via internet-based technology per (e)(1) via exportable audit log per (d)(2) RFC 1305 [NTPv3] RFC 5905 [NTPv4] 2015-HITM Page 5 of ICSA Labs. All rights reserved.

6 (e)(1) via (d)(9) (e)(2) via (d)(9) (e)(3) via (d)(9) (g)(7)-(g)(9) via (d)(9) (f)(5)(iii)(b)(2) Encounter Dx Standard Successfully Tested Message level Transport level Message level Transport level Message level Transport level Message level Transport level (i) [ICD-10-CM] (a)(4) [SNOMED CT] 2015-HITM Page 6 of ICSA Labs. All rights reserved.

7 (f)(7) Healthcare Surveys (g)(7) (g)(8) API (g)(9) Common Clinical Data Set (15)(i) Procedures Common Clinical Data Set (19)(i)-(ii) Assessment and Plan of Treatment Outpatient Standard Successfully Tested Emergency Department (d)(2) [Auditable events and tamperresistance] (d)(10) [Auditing actions on health information] (a)(4) [SNOMED CT] (b)(2) [CPT-4] (b)(3) [CDT] (b)(4) [ICD-10-PCS] (a)(4) [Assessment and Plan Section] (a)(4) [Assessment Section and Plan of Treatment Section] None of the criteria and corresponding standards listed above are applicable Newer s of Standards The following table identifies the newer version of a minimum standard(s) that has been successfully tested. Criteria Newer of Standard(s) No newer version of a minimum standard was tested 4.6 Optional Functionality (a)(1)(ii) CPOE meds (a)(2)(ii) CPOE labs (a)(3)(ii) CPOE imaging (a)(13)(ii) Education Optional Functionality Successfully Tested Included a reason for order field Included a reason for order field Included a reason for order field Patient-specific education resources were identified in accordance with the standard in (g)(2) [preferred language] 2015-HITM Page 7 of ICSA Labs. All rights reserved.

8 (b)(1)(iii)(g)(1)(ii) (b)(4)(vii)(a)(ii) (b)(3)(iii) erx (c)(3)(ii) CQMs Report (e)(1) Inpatient Document Types Common Clinical Data Set (13)(ii)(C) BMI Optional Functionality Successfully Tested When the hour, minute, and second are associated with a date of birth the technology demonstrated that the correct time zone offset is included For each transaction listed in paragraph (b)(3)(i), the technology received and transmitted the reason for the prescription using the indication elements in the SIG Segment User was able to electronically create a data file for transmission of clinical quality measurement data that can be electronically accepted by CMS Health IT Module successfully created transition of care/referral summary types for Continuity of Care, Referral Note, and/or Discharge Summary The patient's BMI percentile per age and sex for youth 2-20 years of age, weight for age per length and sex for children less than 3 years of age, and head occipital-frontal circumference for children less than 3 years of age must be recorded in numerical values only in accordance with the standard specified in (c)(3) [LOINC database] and with the associated applicable unit of measure for the vital sign measurement in the standard specified in (m)(1) [The Unified Code of Units of Measure]. For BMI percentile per age and sex for youth 2-20 years of age and weight for age per length and sex for children less than 3 years of age, the reference range/scale or growth curve should be included as appropriate. No optional functionality tested Edition Certification Criteria Successfully Tested Testing was completed remotely and adhered to the ONC-approved 2015 Edition test methods, found at TP TD A/I TP TD A/I (a)(1) 1.0 (d)(3) 1.1 (a)(2) 1.0 (d)(4) 1.0 (a)(3) 1.0 (d)(5) 1.0 (a)(4) 1.0 (d)(6) 1.0 (a)(5) 1.3 (d)(7) 1.0 (a)(6) 1.0 (d)(8) 1.0 (a)(7) 1.0 (d)(9) 1.0 (a)(8) 1.0 (d)(10) 2015-HITM Page 8 of ICSA Labs. All rights reserved.

9 TP TD A/I TP (a)(9) 1.2 (d)(11) 1.0 TD (a)(10) 1.0 (e)(1) A (a)(11) 1.0 (e)(2) 1.0 (a)(12) 1.0 (e)(3) 1.0 (a)(13) 1.0 (f)(1) 1.1 (a)(14) 1.2 (f)(2) 1.1 (a)(15) 1.1 (f)(3) (b)(1) (f)(4) 1.2 (b)(2) (f)(5) (b)(3) 1.1 (f)(6) 1.0 (b)(4) 1.0 n/a A (f)(7) 1.3 (b)(5) 1.0 n/a A (g)(1) (b)(6) A (g)(2) (b)(7) 1.2 A (g)(3) 1.1 (b)(8) 1.1 A (g)(4) 1.0 (b)(9) A (g)(5) 1.0 (c)(1) 1.1 A (g)(6) 1.0 A (c)(2) 1.1 A (g)(7) 1.0 (c)(3) 1.1 A (g)(8) 1.1 (c)(4) 1.1 A (g)(9) (d)(1) 1.0 (h)(1) 1.3 (d)(2) 1.1 (h)(2) 1.4 A/I 4.8 Clinical Quality Measures (CQMs) Ambulatory CQMs Successfully Tested CMS ID CMS ID CMS ID CMS ID v HITM Page 9 of ICSA Labs. All rights reserved.

10 CMS ID CMS ID CMS ID CMS ID No Ambulatory CQMs tested Inpatient CQMs Successfully Tested CMS ID CMS ID CMS ID CMS ID No Inpatient CQMs tested 2015-HITM Page 10 of ICSA Labs. All rights reserved.

11 4.9 Automated Numerator Recording and Measure Calculation Automated Numerator Recordings ANRs Successfully Tested Test 1 Test 4 Test 7 Test 10 Test 2 Test 5 Test 8 Test 11 Test 3 Test 6 Test 9 Test 12 No automated numerator recording measures tested Automated Measure Calculations AMCs Successfully Tested Test 1 Test 4 Test 7 Test 10 Test 2 Test 5 Test 8 Test 11 Test 3 Test 6 Test 9 Test 12 No automated measure calculation measures tested 4.10 Artifacts In addition to this test report, the following supporting documentation has been provided to the Certification Body as part of the test results package: Modifications, if any, to the test tools used Opinions and interpretations, where required Modifications, if any, to the Approved Test Methods Interoperability files and associated test tool validation reports, as applicable Attestation documentation, usability test report(s), and WCAG test tool outputs, as applicable 2015-HITM Page 11 of ICSA Labs. All rights reserved.