Are you a provider who is demonstrating Stage 2 of meaningful use? If so, a new CMS and ONC tool called the Randomizer will let you exchange data with a Test EHR in order to meet measure #3 of the Stage 2 transitions of care requirement. The transitions of care requirement for eligible professionals and eligible hospitalsincludes three measures. Measure #3 is outlined below:

  • Conduct one or more successful electronic exchanges of a summary of care document with a recipient who has EHR technology that was developed by a different EHR technology developer than yours, or
  • Conduct one or more successful tests with the CMS designated test EHR during the EHR reporting period.


How to Use the Tool
To use the tool to meet this measure, you must register with EHR Randomizer. Once registered, it will pair your EHR technology with a different test EHR from the list of authorized systems. You must then send a Consolidated Clinical Document Architecture (CCDA) summary of care record to the Test EHR. CMS and ONC recommend that you send a test CCDA document that does not contain actual patient information.

Test EHRs will be required to email you within one day of the test, with notification of success or failure. A notification of a successful test can be used as proof of meeting the transitions of care measure.

Refer to the Randomizer Test Instructions and FAQs for more information.