Mandatory Disclosure Statement

Developer organization name: MDLand
Date the product was certified: 12/21/2018
Product name and version: iClinic 12.3
Unique certification number: 15.04.04.1828.iCli.12.00.1.181221
Certification criteria to which the product has been certified: 170.315 (a)(1-5, 9, 12, 14); (b)(1-3, 10); (c)(1-3); (d)(1-9, 11-13); (e)(1, 3); (f)(1); (g)(2-7, 9-10); (h)(1)
CQMs to which the product has been certified: 68v6, 117v5, 122v5, 123v5, 124v5, 125v5, 130v10, 131v5, 134v5, 139v5, 156v5, 165v5
Any additional software the certified product relied upon to demonstrate its compliance with certification criteria: NLM AccessGUDI API, Surescripts Clinical Direct Messaging, Surescripts ePrescribing
ONC Disclaimer: 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.

Mandatory Disclosure of Costs and Considerations

Capability	Description of capability	Cost or Fees	Contractual Considerations	Technical or Practical Considerations
170.315(a)(1) Computerized provider order entry – medications	Order Entry for medication	See Note 1	None	See Note 2
170.315(a)(2) Computerized provider order entry – laboratory	Order Entry for laboratory orders	See Note 1	None	See Note 2
170.315(a)(3) Computerized provider order entry – diagnostic imaging	Order Entry for diagnostic imaging orders	See Note 1	None	See Note 2
170.315(a)(4) Drug-drug, drug-allergy interaction checks for CPOE	Drug-to-drug and drug-to-allergy interaction alerts	See Note 1	None	See Note 2
170.315(a)(5) Demographics	Recording specified patient demographics	See Note 1	None	See Note 2
170.315(a)(7) Medication list	Recording and maintaining an active medication list	See Note 1	None	See Note 2
170.315(a)(8) Medication allergy list	Recording and maintaining an active medication allergy list	See Note 1	None	See Note 2
170.315(a)(9) Clinical decision support (CDS)	Support for rules based clinical decision support and for online access to referential resources	See Note 1	None	See Note 2
170.315(a)(10) Drug-formulary and preferred drug list checks	Querying for the availability of a drug formulary when writing a prescription	See Note 1	None	See Note 2
170.315(a)(11) Smoking status	Recording patient smoking status	See Note 1	None	See Note 2
170.315(a)(14) Implantable device list	Recording of implantable devices information for a patient	See Note 1	None	See Note 2
170.315(d)(1) Authentication, access control, and authorization	Managing authorized and authenticated users access to the Practice Fusion EHR	See Note 1	None	See Note 2
170.315(d)(2) Auditable events and tamper-resistance	Governs what the EHR must capture in an audit log	See Note 1	None	See Note 2
170.315(d)(3) Audit report(s)	Governs what the EHR must be able to report related to audit logs	See Note 1	None	See Note 2
170.315(d)(4) Amendments	Permits a patient to submit an ammendment to their electronic health record	See Note 1	None	See Note 2
170.315(d)(5) Automatic access time-out	Requires the EHR to automatically log off a user after a pre-determined time of inactivity	See Note 1	None	See Note 2
170.315(d)(6) Emergency access	Requires the EHR to permit emergency access to patient health information for users who are not otherwise authorized	See Note 1	None	See Note 2
170.315(d)(7) End-user device encryption	Requires the EHR to encrypt health information stored on an end-user device	See Note 1	None	See Note 2
170.315(e)(2)Secure Messaging	Ensure user sends/receives secure messages to/from an authenticated patient	This is supported by Surescripts functionality and there is an annual fee for use of the Surescripts Direct Messaging service.	None	See Note 2
170.315(g)(3) Safety-enhanced design	Ensures that a safety-enhanced design study has been performed for specified certification criteria	See Note 1	None	See Note 2
170.315(g)(4) Quality management system	Ensures that a quality management system used by the health IT developer	See Note 1	None	See Note 2

Note 1: The iClinic® v.12.3 EHR is sold as an annual license to customers on a per provider basis, as a monthly subscription. All software requirements to use the capability is included in the iClinic® EHR.

Note 2: MDLand's iClinic® v.12.3 EHR recommends minimum IT system capabilities in order to optimally use certified features. Where all system and technical requirements are as follows: For PC Requirements: The minimum requirement for the operating system is Windows 7 or Mac OS. Minimum requirements also include Adobe Reader, Processor of I5 or similar, a Memory (RAM) of 8 GB, a Hard Drive of 80 GB (5,400 rpm), a Display/Monitor of 19 inch (1440x900), a Network Adapter that is wired or wireless a/b/g/n. For Internet Connectivity Requirements: The minimum requirements for the DSL/Cable/Fiber is 5M down/3M up- use speedtest.net to verify Internet speed, for Router/Firewall/Wireless Access Point(WAP) to be DSL/Cable Modem with built in router, firewall, and wireless access points (if using wireless). As for Peripheral Requirements: The minimum requirements for the Webcam is to be USB compatible, a Scanner that is Twain-compatible with document feeder (ADF), a Printer, and a Label Printer that is Dymo LabelWriter 450.