Skip to content
Products
By Type
By Industry
Applications
A suite of applications built on InterSystems IRIS data platform and optimized to address industry specific challenges.
A FHIR®-enabled care management software solution that allows the entire care team to create and share comprehensive care plans.
A cloud-based, on-demand service delivering near real-time, secure access to patient data from across the nation.
Analytics solution that provides real-time care insights and in-depth analysis for clinical, business, and population health management.
A next-generation enterprise master person index – an automated, easily integrated solution for identity resolution.
A reimagined EHR with built-in GenAI that empowers clinicians, enhances patient experiences, and elevates business operations.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
Enables health systems, independent providers, health plans, HIEs, governments and software developers to create a digital front door.
Collects, consolidates, and publishes information about healthcare providers' relationships to patients, health plans, and one another.
A powerful, flexible electronic health record (EHR) that supports all leading health information interoperability standards and profiles.
Enterprise solution supports any clinical lab service, public or private, independent to extensive national laboratory systems.
Low Code Platforms
A suite of low code platforms built on InterSystems IRIS and optimized to address industry-specific challenges.
An aggregated, normalized and deduplicated patient record created from patient data across multiple sources.
A high-availability, high-performance integration engine created specifically for healthcare.
A cloud-based data pipeline and management solution combining FHIR with an out-of-the-box transformation to the CDM and OMOP repository.
One integration that standardizes data exchange between Epic Payer Platform and your clinical and administrative applications.
Interoperability solutions designed to help U.S. health insurers address CMS-0057 and CMS-9115.
Platforms & Components
Versatile foundation supporting a range of solutions, with built-in APIs for integration.
Rapidly access & use FHIR data from diverse sources without the need to create your own FHIR computing infrastructure.
A high-performance data platform designed to make it easy to build applications that support mission-critical processes.
Fully managed cloud-native SaaS offerings that provide customers the fastest time to value for InterSystems data management software.
A digital health data platform that provides the building blocks needed to work with any healthcare data standard, including FHIR.
An AI-enabled supply chain decision intelligence platform that predicts disruptions before they occur, and optimally handles when they do.
Healthcare
InterSystems HL7 FHIR-based technology and solutions power success for organizations across the entire healthcare ecosystem.
A cloud-based, on-demand service delivering near real-time, secure access to patient data from across the nation.
A suite of solutions that work together to capture information, share it in a meaningful way, aid understanding, and drive transformative action.
Analytics solution that provides real-time care insights and in-depth analysis for clinical, business, and population health management.
Rapidly access & use FHIR data from diverse sources without the need to create your own FHIR computing infrastructure.
A high-availability, high-performance integration engine created specifically for healthcare.
A reimagined EHR with built-in GenAI that empowers clinicians, enhances patient experiences, and elevates business operations.
A digital health data platform that provides the building blocks needed to work with any healthcare data standard, including FHIR.
A cloud-based data pipeline and management solution combining FHIR with an out-of-the-box transformation to the CDM and OMOP repository.
One integration that standardizes data exchange between Epic Payer Platform and your clinical and administrative applications.
Interoperability solutions designed to help U.S. health insurers address CMS-0057 and CMS-9115.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
A powerful, flexible electronic health record (EHR) that supports all leading health information interoperability standards and profiles.
Enterprise solution supports any clinical lab service, public or private, independent to extensive national laboratory systems.
Financial Services
Enabling firms to transform at scale, so they can increase customer satisfaction, adopt generative AI, maintain compliance, grow revenue, and optimize efficiency.
A high-performance data platform designed to make it easy to build applications that support mission-critical processes.
The fastest way for financial services firms to break down silos and transform disparate data into a single unified resource of actionable information.
Launch new funds, accelerate AI initiatives, automate reporting with a self-service solution tailor-made for asset management firms.
Supply Chain
Empowering organizations with real-time supply chain visibility and the ability to make optimized, real-time, AI-driven decisions.
An AI-enabled supply chain decision intelligence platform that predicts disruptions before they occur, and optimally handles when they do.
A data gateway that speeds and simplifies data access for supply chain applications and practitioners.
Knowledge Hub
Developer Websites
New to InterSystems? Start here, this is your gateway to developer sites, tutorials and more.
Connect, grow, share. The developer community is full of resources, news, and events and a community of people to connect with.
Everything you need to know about our products and more.
Develop. Learn. Share. Network. All with InterSystems Global Masters program where you can join an engaged community of developers.
Experience first hand the community’s dedication to the evolution of our technology with applications.
Education
Get to know InterSystems products and technologies your way, with self-paced online materials and classroom courses.
Online learning presents self-paced materials to help you build and support your organization's most critical applications.
In-person courses maximize learning in a distraction-free environment with face-to-face engagement.
InterSystems proudly supports the free use of InterSystems products for university and college coursework.
View the full list of course offerings and our current course schedule.
Certification
Offers industry-standard exams, flexible testing options, certification badges, and career advancement opportunities demonstrating expertise in InterSystems technologies.
InterSystems Learning Services offers industry-standard certification exams that allow you to prove your mastery of our technology.
Digital credentials that represent the varying levels of achievement you can earn with InterSystems.
Everything you need to know about preparing for, scheduling, and taking InterSystems Exams.
Retake Policies & Support, Beta Exams and more.
Answers to common questions regarding exams, including exam preparation, practice exams, retaking exams, and certifications.
InterSystems Blogs
Explore InterSystems blogs featuring expert insights, industry trends, technology innovations, data management strategies, and thought leadership.
Healthcare industry experts talk about pressing challenges, issues, and trends at the intersection of healthcare and technology.
Addressing various business, data, and technology-related issues for the line of business.
Partners
Partner Programs
Our partners ensure that organizations around the globe are already ready for tomorrow’s opportunities.
Bring together people, processes and technology to deliver solutions that solve complex customer challenges.
Combine your expertise with our proven data, analytics and interoperability capabilities to deliver optimal solutions.
Specialists whose services and guidance ensure consistent, effective delivery of InterSystems technology.
Provide complementary tools and platforms that strengthen and expand our technologies' capabilities.
InterSystems powers data-driven digital startups across healthcare, financial services, and supply chain.
Cloud Partners
InterSystems works with the world's leading cloud providers to give customers the freedom to deploy our technology where it delivers the most value.
The speed, scale, and capabilities of InterSystems and AWS can streamline operations, improve access to data and power breakthrough applications.
InterSystems IRIS and InterSystems IRIS for Health Data Platforms are Preferred Solutions on Azure Marketplace.
InterSystems and Google Cloud empower you to quickly build new apps or modernize existing ones to increase agility and reap the benefits of the multicloud.
InterSystems works with the world’s leading cloud providers - including Amazon Web Services (AWS), Microsoft Azure, Google Cloud, TenCent and Alibaba
Company
About Us
Our technologies provide the connective tissue that transforms disparate data into a single, complete view, enabling better outcomes.
News
News and resources for media including press releases, media kits, tools and more.
The latest news and coverage from our corporate headquarters in Boston, MA.
Core information about InterSystems, our background, our products and technologies, and more.
Please contact Corporate Affairs & Communications regarding media inquiries.
Events
Check out conferences and events we're hosting and attending, and view on-demand content for anything you missed.
Browse our upcoming conference and event schedule to see where we'll be and what we'll be covering.
View our library of on-demand content, including keynote speeches from InterSystems READY, webinars and live event footage.
Watch keynote presentations from InterSystems READY 2026.
Support
Product Support
We provide expert technical assistance to customers 24 hours a day, every day, with support advisors in 15 countries.
Read about support alerts, critical issues, fixes, and product releases.
Access current and previous versions and related notes for InterSystems products.
Contact the WRC for Immediate Help
Documentation
Detailed technical information for InterSystems products, technologies, solutions, and more.
Products
By Type
By Industry
Applications
A suite of applications built on InterSystems IRIS data platform and optimized to address industry specific challenges.
A FHIR®-enabled care management software solution that allows the entire care team to create and share comprehensive care plans.
A cloud-based, on-demand service delivering near real-time, secure access to patient data from across the nation.
Analytics solution that provides real-time care insights and in-depth analysis for clinical, business, and population health management.
A next-generation enterprise master person index – an automated, easily integrated solution for identity resolution.
A reimagined EHR with built-in GenAI that empowers clinicians, enhances patient experiences, and elevates business operations.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
Enables health systems, independent providers, health plans, HIEs, governments and software developers to create a digital front door.
Collects, consolidates, and publishes information about healthcare providers' relationships to patients, health plans, and one another.
A powerful, flexible electronic health record (EHR) that supports all leading health information interoperability standards and profiles.
Enterprise solution supports any clinical lab service, public or private, independent to extensive national laboratory systems.
Low Code Platforms
A suite of low code platforms built on InterSystems IRIS and optimized to address industry-specific challenges.
An aggregated, normalized and deduplicated patient record created from patient data across multiple sources.
A high-availability, high-performance integration engine created specifically for healthcare.
A cloud-based data pipeline and management solution combining FHIR with an out-of-the-box transformation to the CDM and OMOP repository.
One integration that standardizes data exchange between Epic Payer Platform and your clinical and administrative applications.
Interoperability solutions designed to help U.S. health insurers address CMS-0057 and CMS-9115.
Platforms & Components
Versatile foundation supporting a range of solutions, with built-in APIs for integration.
Rapidly access & use FHIR data from diverse sources without the need to create your own FHIR computing infrastructure.
A high-performance data platform designed to make it easy to build applications that support mission-critical processes.
Fully managed cloud-native SaaS offerings that provide customers the fastest time to value for InterSystems data management software.
A digital health data platform that provides the building blocks needed to work with any healthcare data standard, including FHIR.
An AI-enabled supply chain decision intelligence platform that predicts disruptions before they occur, and optimally handles when they do.
Healthcare
InterSystems HL7 FHIR-based technology and solutions power success for organizations across the entire healthcare ecosystem.
A cloud-based, on-demand service delivering near real-time, secure access to patient data from across the nation.
A suite of solutions that work together to capture information, share it in a meaningful way, aid understanding, and drive transformative action.
Analytics solution that provides real-time care insights and in-depth analysis for clinical, business, and population health management.
Rapidly access & use FHIR data from diverse sources without the need to create your own FHIR computing infrastructure.
A high-availability, high-performance integration engine created specifically for healthcare.
A reimagined EHR with built-in GenAI that empowers clinicians, enhances patient experiences, and elevates business operations.
A digital health data platform that provides the building blocks needed to work with any healthcare data standard, including FHIR.
A cloud-based data pipeline and management solution combining FHIR with an out-of-the-box transformation to the CDM and OMOP repository.
One integration that standardizes data exchange between Epic Payer Platform and your clinical and administrative applications.
Interoperability solutions designed to help U.S. health insurers address CMS-0057 and CMS-9115.
Helps clinicians, care managers, and care teams strengthen coordination, enhance continuity of care, and improve patient engagement in under-served rural areas.
A powerful, flexible electronic health record (EHR) that supports all leading health information interoperability standards and profiles.
Enterprise solution supports any clinical lab service, public or private, independent to extensive national laboratory systems.
Financial Services
Enabling firms to transform at scale, so they can increase customer satisfaction, adopt generative AI, maintain compliance, grow revenue, and optimize efficiency.
A high-performance data platform designed to make it easy to build applications that support mission-critical processes.
The fastest way for financial services firms to break down silos and transform disparate data into a single unified resource of actionable information.
Launch new funds, accelerate AI initiatives, automate reporting with a self-service solution tailor-made for asset management firms.
Supply Chain
Empowering organizations with real-time supply chain visibility and the ability to make optimized, real-time, AI-driven decisions.
An AI-enabled supply chain decision intelligence platform that predicts disruptions before they occur, and optimally handles when they do.
A data gateway that speeds and simplifies data access for supply chain applications and practitioners.
Knowledge Hub
Developer Websites
New to InterSystems? Start here, this is your gateway to developer sites, tutorials and more.
Connect, grow, share. The developer community is full of resources, news, and events and a community of people to connect with.
Everything you need to know about our products and more.
Develop. Learn. Share. Network. All with InterSystems Global Masters program where you can join an engaged community of developers.
Experience first hand the community’s dedication to the evolution of our technology with applications.
Education
Get to know InterSystems products and technologies your way, with self-paced online materials and classroom courses.
Online learning presents self-paced materials to help you build and support your organization's most critical applications.
In-person courses maximize learning in a distraction-free environment with face-to-face engagement.
InterSystems proudly supports the free use of InterSystems products for university and college coursework.
View the full list of course offerings and our current course schedule.
Certification
Offers industry-standard exams, flexible testing options, certification badges, and career advancement opportunities demonstrating expertise in InterSystems technologies.
InterSystems Learning Services offers industry-standard certification exams that allow you to prove your mastery of our technology.
Digital credentials that represent the varying levels of achievement you can earn with InterSystems.
Everything you need to know about preparing for, scheduling, and taking InterSystems Exams.
Retake Policies & Support, Beta Exams and more.
Answers to common questions regarding exams, including exam preparation, practice exams, retaking exams, and certifications.
InterSystems Blogs
Explore InterSystems blogs featuring expert insights, industry trends, technology innovations, data management strategies, and thought leadership.
Healthcare industry experts talk about pressing challenges, issues, and trends at the intersection of healthcare and technology.
Addressing various business, data, and technology-related issues for the line of business.
Partners
Partner Programs
Our partners ensure that organizations around the globe are already ready for tomorrow’s opportunities.
Bring together people, processes and technology to deliver solutions that solve complex customer challenges.
Combine your expertise with our proven data, analytics and interoperability capabilities to deliver optimal solutions.
Specialists whose services and guidance ensure consistent, effective delivery of InterSystems technology.
Provide complementary tools and platforms that strengthen and expand our technologies' capabilities.
InterSystems powers data-driven digital startups across healthcare, financial services, and supply chain.
Cloud Partners
InterSystems works with the world's leading cloud providers to give customers the freedom to deploy our technology where it delivers the most value.
The speed, scale, and capabilities of InterSystems and AWS can streamline operations, improve access to data and power breakthrough applications.
InterSystems IRIS and InterSystems IRIS for Health Data Platforms are Preferred Solutions on Azure Marketplace.
InterSystems and Google Cloud empower you to quickly build new apps or modernize existing ones to increase agility and reap the benefits of the multicloud.
InterSystems works with the world’s leading cloud providers - including Amazon Web Services (AWS), Microsoft Azure, Google Cloud, TenCent and Alibaba
Company
About Us
Our technologies provide the connective tissue that transforms disparate data into a single, complete view, enabling better outcomes.
News
News and resources for media including press releases, media kits, tools and more.
The latest news and coverage from our corporate headquarters in Boston, MA.
Core information about InterSystems, our background, our products and technologies, and more.
Please contact Corporate Affairs & Communications regarding media inquiries.
Events
Check out conferences and events we're hosting and attending, and view on-demand content for anything you missed.
Browse our upcoming conference and event schedule to see where we'll be and what we'll be covering.
View our library of on-demand content, including keynote speeches from InterSystems READY, webinars and live event footage.
Watch keynote presentations from InterSystems READY 2026.
Support
Product Support
We provide expert technical assistance to customers 24 hours a day, every day, with support advisors in 15 countries.
Read about support alerts, critical issues, fixes, and product releases.
Access current and previous versions and related notes for InterSystems products.
Contact the WRC for Immediate Help
Documentation
Detailed technical information for InterSystems products, technologies, solutions, and more.
Search to learn about InterSystems products and solutions, career opportunities, and more.

InterSystems CCR EHR Application Specialist

InterSystems EHR, CCR, Change Control, Source Control, Tier 2

The InterSystems CCR EHR Application Specialist exam is designed to validate core skills for InterSystems EHR application specialists who use CCR to document, transport, and deploy configuration changes across environments.

Purchase Certification Exam

Exam Details

Target Exam Role

An EHR application specialist who does all of the following:

  • Uses Tier 2 CCRs to document and process change workflows
  • Makes configuration changes in InterSystems EHR
  • Transports and deploys configuration changes across environments

Recommended Practical Experience

  • Independently progress at least 50 CCRs and/or approximately 6 months full-time usage

Recommended Preparation

Exam Parameters

Number of questions: 81
Exam time limit: 2 hours
Passing score: 70%
Language offered: English
Exam format: Multiple choice and multiple response.

Exam Details

The exam contains question items that cover the areas for the stated role as shown in the KSA (Knowledge, Skills, Abilities) chart immediately below.

Note: InterSystems now offers two EHR products - TrakCare and IntelliCare. Both products share the same core infrastructure. Therefore, when referring to features common to both products, the term InterSystems EHR is used.

TOPIC/KNOWLEDGE
SECTION/SKILLS
ABILITIES

T1

General Concepts

T1.1

Describes basic change control concepts

    1. Defines change control as a concept
    2. Discusses the benefits of change control and the risks of not having it
    3. Defines source control alone and in the context of change control
    4. Names tips for successful use of change control

    T1.2

    Describes change control with InterSystems

    1. Describes change control tools used within InterSystems including CCR and Perforce

    T1.3

    Describes CCR and its main concepts

    1. Defines CCR First Principles
    2. Identifies the workflow order between the 4 possible CCR Primary environments
    3. Defines the term CCR system
    4. Defines the term CCR Transport and describes the movement of changes between environments, CCR, and Perforce
    5. Defines the terms Perforce branch, Item, and ItemSet
    6. Describes CCR Usage Tiers and gives examples

    T1.4

    Performs basic tasks in CCR

    1. Navigates the CCR homepage, main menu, and main pages
    2. Accesses documentation and FAQs
    3. Defines the terms State, Phase, and Transition

    T2

    CCR Tier 0

    T2.1

    Progresses a Tier 0 CCR

    1. Defines the terms Organization, Responsible Organization, Site Code, System, and System Code
    2. Creates a Tier 0 CCR Record
    3. Describes use of fields available when creating a CCR
    4. Recalls who can pass peer reviews in the CCR workflow from IN_PREP to CLOSED
    5. Documents every state from In_PREP to Closed in a BASE-TEST-LIVE workflow including peer reviews
    6. Selects the correct transition for deferred deployments.
    7. Transitions CCRs to the next state
    8. Performs the markPREPComplete transition
    9. Identifies the workflow for failPeerReview
    10. Performs the markAcceptanceFailed
    11. Describes markValidationFailed transition, including best practices
    12. Describes the importance of Peer Reviews
    13. Describes the importance of closing CCRs
    14. Recalls in which state an authorization is needed to progress a CCR
    15. Implements and tests changes in correct states of the workflow
    16. Locates and uses CCR Transition History
    17. Identifies and uses the env token

    T2.2

    Uses Auxiliary Tools and Transitions

    1. Reassigns CCRs
    2. Describes the effect of Peer Review routing configuration options including System Architects and Default Peer Reviewers
    3. Recalls when a CCR can and cannot be merged
    4. Performs merge transitions and interprets results

    T3

    CCR Transport

    T3.1

    Describes CCR Transport Basics

    1. Describes CCR Client Tools
    2. Describes CCR Transport workflows for disconnected environments, including uploading ItemSets from BASE to CCR and deploying ItemSets from CCR to TEST/LIVE
    3. Deploys ItemSets using best practices
    4. Describes the automatic preview integration on passPeerReview transition
    5. Identifies states and transitions with possible Perforce and/or ItemSet activity
    6. Uses CCR Transport best practices including the importance of cancelling CCRs properly

    T3.2

    Describes CCR Transport Tools and terminology in the CCR Record

    1. Defines the term changelist
    2. Locates and identifies available meta data for submitted changes
    3. Logs into Perforce in CCR
    4. Describes diff chunks and merge conflicts
    5. Finds and interprets list of ItemSets associated with a CCR
    6. Defines and identifies the importance of baselining

    T3.3

    Describes CCR best practices and debugging techniques

    1. Uses Catch-up CCRs
    2. Uses the revision history
    3. Locates and interprets error messages
    4. Uses transport log to retrieve additional error details
    5. Identifies cause and solution for merge conflicts
    6. Identifies and describes how to resolve errors in bundle and upload validation
    7. Describes options if uploaded to wrong CCR

    T4

    CCR Tier 2

    T4.1

    Uses Tier 2 CCRs to safely progress changes made in InterSystems EHR applications

    1. Identifies when it is appropriate to create a change session in BASE
    2. Recalls what is required in order to create a change session
    3. Uses Change Control Menu within the InterSystems EHR side menu (bundle list)
    4. Uses the Find GUID tool
    5. Uses the Change Control menu to undo changes in the correct order
    6. Uses the Change Control screen to bundle and upload changes
    7. Identifies how security groups impact the visibility of Change Control menus
    8. Recalls the importance of the exclusion list
    9. Recalls how Code Table Overrides impact configuration changes
    10. Identifies how and when to deploy ItemSets in workflow

    T4.2

    Recalls features of the CCR Tier 2 User Interface

    1. Identifies whether a source control issue is related to TCC
    2. Identifies whether a source control issue is related to CCR
    3. Recalls the function of the GUID Prediction in the CCR UI
    4. Recalls the importance of the "Create ItemSet" button in the Perforce Details section
    5. Recalls when to use the "Perforce Integration" feature in the Perforce Details section

    T4.3

    Debugs CCR errors

    1. Distinguishes between primary key and GUID
    2. Recalls what ElementXML is and how to view it
    3. Identifies scenarios where support needs to be contacted
    4. Recalls why an ItemSet does not show up in an ItemSet list
    5. Recalls what an Advanced reassign is
    6. Recalls what to do when an itemset becomes stale
    7. Recalls what to do when a token becomes invalid
    8. Cancels and backs out of CCRs
    9. Uses the Restore To Base flag
    10. Resolves circular dependencies between CCRs
    11. Resolves missing GUID errors
    12. Identifies cause and solution for misaligned GUIDs