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Stage 2 Core Measures

Eligible professionals (EPs) must attest to 17 core measures for Stage 2 Meaningful Use. Each measure has an objective that aligns with the dimensions of EHR use and functionality that the concept of meaningful use seeks to capture. Most of these objectives have been revisited from Stage 1 Meaningful Use. The measure itself is a benchmark of achievement for the objective: for example, the measures often require that an EP use his EHR in the way specified by the objective for a specified percent of patients. These benchmarks have progressed from the basic functionality and use in Stage 1 Meaningful Use.

As with Stage 1, the CMS specification sheet for each measure is the best single source of information. Below are links to the Stage 2 objectives, with each individual webpage featuring:

  • the objective and measure as specified by CMS in the Stage 2 Final Rule
  • the CMS specification sheet
  • a comparison of the corresponding aspect of Stage 1 MU


1 Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per State, local, and professional guidelines.
2 Generate and transmit permissible prescriptions electronically (eRx).
3 Record all of the following demographics:
(A) Preferred language
(B) Gender
(C) Race
(D) Ethnicity
(E) Date of birth
4 Record and chart changes in the following vital signs:
(A) Height
(B) Weight
(C) Blood pressure
(D) Calculate and display body mass index (BMI)
(E) Plot and display growth charts for children 2-20 years, including BMI
5 Record smoking status for patients 13 years old or older.
6 Use clinical decision support to improve performance on high priority health conditions.
7 Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.
8 Provide clinical summaries for patients for each office visit.
9 Protect electronic health information created or maintained by the Certified EHR Technology through the implementation of appropriate technical capabilities.
10  Incorporate clinical lab test results into Certified EHR Technology as structured data.
11  Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach.
12 Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminder, per patient preference.
13 Use clinically relevant information from Certified EHR Technology to identify patient-specific education resources and provide those resources to the patient.
14 The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.
15 The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
16 Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice.
17 Use secure electronic messaging to communicate with patients on relevant health information.

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If you have any questions or concerns about meaningful use after viewing these webpages, please e-mail