Attestation Requirements for CPOE

Attestation Requirements:


  • DENOMINATOR: Number of unique patients with at least one medication in their medication list seen by the Eligible Physician (EP) or other eligible professional during the EHR reporting period.
  • NUMERATOR: The number of patients in the denominator that have at least one medication order entered using CPOE. 


  • DENOMINATOR: Number of medication orders created by the EP during the EHR reporting period 
  • NUMERATOR: Number of medication orders in the denominator entered using CPOE.  


  • EXCLUSION: EPs who write fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement. EPs must enter the number of prescriptions written during the EHR reporting period in the Exclusion box to attest to exclusion from this requirement.

The resulting percentage (Numerator ÷ Denominator) must be more than 30 percent in order for an EP to meet this measure.



Additional Information:  

  • The physician is permitted, but not required, to limit the measure of this objective to those patients whose records are maintained using certified EHR technology.
  • Any licensed healthcare professionals can enter orders into the medical record for purposes of including the order in the numerator for the objective of CPOE if they can enter the order per state, local and professional guidelines.
  • The order must be entered by someone who could exercise clinical judgment in the case that the entry generates any alerts about possible interactions or other clinical decision support aides. This necessitates that the CPOE occurs when the order first becomes part of the patient’s medical record and before any action can be taken on the order.
  • Electronic transmittal of the medication order to the pharmacy, laboratory, or diagnostic imaging center is not a requirement for meeting the measure of this objective. However, a separate objective (EPCMU 04) addresses the electronic transmittal of prescriptions and is a requirement for EPs to meet Meaningful Use.