Patient Portal Voluntary Product Accessibility Template (VPAT)
Medical Informatics Engineering, Inc. Accessibility Conformance Report
WCAG Edition
(Based on VPAT®** Version 2.4)**
Name of Product/Version: WebChart EHR Patient Portal
Report Date: Sep 9, 2021
Product Description: WebChart Patient Portal
Notes: This document only applies to the Employer Portal of WebChart . A separate template has been completed for the public web-facing components.
Evaluation Methods Used:
- Testing is based on general product knowledge
- Testing is based on similarity to other evaluated products (Webchart EHR - Patient and Agency Portal)
- Other testing methods: (a11y)
Applicable Standards/Guidelines
Applicable Standards/Guidelines
This report covers the degree of conformance for the following accessibility standard/guidelines:
| Standard/Guideline | Included In Report |
| Web Content Accessibility Guidelines 2.0 | Level A - Yes Level AA - Yes Level AAA - Yes |
| Web Content Accessibility Guidelines 2.1 | Level A - Yes Level AA - Yes Level AAA - Yes |
Terms
The terms used in the Conformance Level information are defined as follows:
- Supports: The functionality of the product has at least one method that meets the criterion without known defects or meets with equivalent facilitation.
- Partially Supports: Some functionality of the product does not meet the criterion.
- Does Not Support: The majority of product functionality does not meet the criterion.
- Not Applicable: The criterion is not relevant to the product.
- Not Evaluated: The product has not been evaluated against the criterion. This can be used only in WCAG 2.0 Level AAA.
WCAG 2.1 Report
Note: When reporting on conformance with the WCAG 2.1 Success Criteria, they are scoped for full pages, complete processes, and accessibility-supported ways of using technology as documented in the WCAG 2.0 Conformance Requirements .
Table 1: Success Criteria, Level A
Notes:
| Criteria | Conformance Level | Remarks and Explanations |
| 1.1.1 Non-text Content (Level A) | PARTIALLY SUPPORTS | eg: Scanned content that end-users upload will not have alt tags with alternative text representations. |
| 1.2.1 Audio-only and Video-only (Prerecorded) (Level A) | SUPPORTS | |
| 1.2.2 Captions (Prerecorded) (Level A) | PARTIALLY SUPPORTS | User-generated content such as voice recordings or recorded calls does not typically have captioned support. [?] |
| 1.2.3 Audio Description or Media Alternative (Prerecorded) (Level A) | NOT APPLICABLE | [?] |
| 1.3.1 Info and Relationships (Level A) | SUPPORTS | |
| 1.3.2 Meaningful Sequence (Level A) | SUPPORTS | |
| 1.3.3 Sensory Characteristics (Level A) | SUPPORTS | |
| 1.4.1 Use of Color (Level A) | SUPPORTS | |
| 1.4.2 Audio Control (Level A) | SUPPORTS | |
| 2.1.1 Keyboard (Level A) | SUPPORTS | |
| 2.1.2 No Keyboard Trap (Level A) | SUPPORTS | |
| 2.1.4 Character Key Shortcuts (Level A 2.1 only) | PARTIALLY SUPPORTS | There are some keyboard shortcuts that are provided by the software that do not affect user-driven functionality but the user does not have the ability to remap these shortcuts. [?] |
| 2.2.1 Timing Adjustable (Level A) | SUPPORTS | Timing inherent in functionality is communicated and modifiable or inherently necessary to the given process being used. |
| 2.2.2 Pause, Stop, Hide (Level A) | SUPPORTS | |
| 2.3.1 Three Flashes or Below Threshold (Level A) | SUPPORTS | |
| 2.4.1 Bypass Blocks (Level A) | SUPPORTS | |
| 2.4.2 Page Titled (Level A) | SUPPORTS | |
| 2.4.3 Focus Order (Level A) | SUPPORTS | |
| 2.4.4 Link Purpose (In Context) (Level A) | SUPPORTS | |
| 2.5.1 Pointer Gestures (Level A 2.1 only) | SUPPORTS | Interaction is driven by means of multiple varied methods not solely restricted to pointer gestures. |
| 2.5.2 Pointer Cancellation (Level A 2.1 only) | SUPPORTS | |
| 2.5.3 Label in Name (Level A 2.1 only) | SUPPORTS | |
| 2.5.4 Motion Actuation (Level A 2.1 only) | NOT APPLICABLE | The software does not require or make use of functionality based on the motion of the operating device. |
| 3.1.1 Language of Page (Level A) | SUPPORTS | [?] |
| 3.2.1 On Focus (Level A) | SUPPORTS | |
| 3.2.2 On Input (Level A) | SUPPORTS | |
| 3.3.1 Error Identification (Level A) | SUPPORTS | |
| 3.3.2 Labels or Instructions (Level A) | SUPPORTS | |
| 4.1.1 Parsing (Level A) | SUPPORTS | |
| 4.1.2 Name, Role, Value (Level A) | SUPPORTS |
Table 2: Success Criteria, Level AA
Notes:
| Criteria | Conformance Level | Remarks and Explanations |
| 1.2.4 Captions (Live) (Level AA) | NOT APPLICABLE | [?] |
| 1.2.5 Audio Description (Prerecorded) (Level AA) | DOES NOT SUPPORT | |
| 1.3.4 Orientation (Level AA 2.1 only) | SUPPORTS | |
| 1.3.5 Identify Input Purpose (Level AA 2.1 only) | SUPPORTS | |
| 1.4.3 Contrast (Minimum) (Level AA) | SUPPORTS | [?] 4.5:1? |
| 1.4.4 Resize text (Level AA) | SUPPORTS | [?] |
| 1.4.5 Images of Text (Level AA) | SUPPORTS | Documents or images of documents containing patient data or information are assumed essential. |
| 1.4.10 Reflow (Level AA 2.1 only) | PARTIALLY SUPPORTS | Some tables and long-form content must scroll horizontally or vertically (case dependent) to maintain function. This is limited as much as possible to absolute necessity on a case-by-case basis. |
| 1.4.11 Non-text Contrast (Level AA 2.1 only) | SUPPORTS | |
| 1.4.12 Text Spacing (Level AA 2.1 only) | DOES NOT SUPPORT | Due to the limitations and depth of content to be displayed, content is often required to be displayed in a more compact presentation where line-height is less than 1.5 times the font size. |
| 1.4.13 Content on Hover or Focus (Level AA 2.1 only) | SUPPORTS | |
| 2.4.5 Multiple Ways (Level AA) | SUPPORTS | |
| 2.4.6 Headings and Labels (Level AA) | SUPPORTS | |
| 2.4.7 Focus Visible (Level AA) | SUPPORTS | |
| 3.1.2 Language of Parts (Level AA) | SUPPORTS | [?] |
| 3.2.3 Consistent Navigation (Level AA) | SUPPORTS | Default configurations for navigation elements exist and are standard unless changed by user preference. |
| 3.2.4 Consistent Identification (Level AA) | SUPPORTS | |
| 3.3.3 Error Suggestion (Level AA) | SUPPORTS | [?] |
| 3.3.4 Error Prevention (Legal, Financial, Data) (Level AA) | SUPPORTS | |
| 4.1.3 Status Messages (Level AA 2.1 only) | SUPPORTS | [?] |
Table 3: Success Criteria, Level AAA
Notes:
| Criteria | Conformance Level | Remarks and Explanations |
| 1.2.6 Sign Language (Prerecorded) (Level AAA) | NOT APPLICABLE | [?] |
| 1.2.7 Extended Audio Description (Prerecorded) (Level AAA) | DOES NOT SUPPORT | [?] |
| 1.2.8 Media Alternative (Prerecorded) (Level AAA) | SUPPORTS | |
| 1.2.9 Audio-only (Live) (Level AAA) | NOT APPLICABLE | [?] |
| 1.3.6 Identify Purpose (Level AAA 2.1 only) | PARTIALLY SUPPORTED | [?] |
| 1.4.6 Contrast (Enhanced) (Level AAA) | DOES NOT SUPPORT | [?] I'd be shocked if every part of the scope of Webchart/EH is evaluated at a minimum 7:1 ratio for contrast |
| 1.4.7 Low or No Background Audio (Level AAA) | SUPPORTS | |
| 1.4.8 Visual Presentation (Level AAA) | DOES NOT SUPPORT | [?] I do not believe there is a mechanism to modify foreground and background colors, nor would we want to (probably) |
| 1.4.9 Images of Text (No Exception) (Level AAA) | SUPPORTS | Documents or images of documents containing patient data or information are assumed essential. |
| 2.1.3 Keyboard (No Exception) (Level AAA) | SUPPORTS | |
| 2.2.3 No Timing (Level AAA) | SUPPORTS | |
| 2.2.4 Interruptions (Level AAA) | SUPPORTS | |
| 2.2.5 Re-authenticating (Level AAA) | PARTIALLY SUPPORTS | [?] I believe we do this in part, though I'm not sure the extent or if I've misunderstood some functionality or how we persist data across sessions and whether this extends to every case. |
| 2.2.6 Timeouts (Level AAA 2.1 only) | SUPPORTS | |
| 2.3.2 Three Flashes (Level AAA) | NOT EVALUATED | [?] Do we do even have anything that flashes. We can state support if we don't have anything of this nature. As anything added should conform to this standard. |
| 2.3.3 Animation from Interactions (Level AAA 2.1 only) | NOT EVALUATED | [?] Do we do even have anything that animates on interaction? We can state support if we don't have anything of this nature. As anything added should conform to this standard. |
| 2.4.8 Location (Level AAA) | PARTIALLY SUPPORTS | [?] I know to a certain extent we offer breadcrumb-like functionality or display some text to orient users as to their location within the product, but perhaps do not do this consistently. |
| 2.4.9 Link Purpose (Link Only) (Level AAA) | SUPPORTS | |
| 2.4.10 Section Headings (Level AAA) | SUPPORTS | |
| 2.5.5 Target Size (Level AAA 2.1 only) | DOES NOT SUPPORT | The nature and density of the content and its presentation do not lend themselves to consistently sizing targets larger than 44x44 CSS pixels. |
| 2.5.6 Concurrent Input Mechanisms (Level AAA 2.1 only) | SUPPORTS | |
| 3.1.3 Unusual Words (Level AAA) | NOT APPLICABLE | The requirements of jargon and field-specific idioms within this product are vast and cannot be overcome. |
| 3.1.4 Abbreviations (Level AAA) | NOT APPLICABLE | Acronyms and abbreviations contained within the product fall under categories of assumed knowledge the user inherently possesses. |
| 3.1.5 Reading Level (Level AAA) | NOT APPLICABLE | Due to the nature of the content contained within the product, no accommodation may be made for varying reading levels. |
| 3.1.6 Pronunciation (Level AAA) | NOT APPLICABLE | Pronunciation is not vital to the operation nor inhibiting of users' approach to the use of the product. |
| 3.2.5 Change on Request (Level AAA) | SUPPORTS | |
| 3.3.5 Help (Level AAA) | PARTIALLY SUPPORTS | [?] I remember seeing context-level help offered in some cases but I'm not sure how far this extends and if it constitutes full conformance |
| 3.3.6 Error Prevention (All) (Level AAA) | SUPPORTS |
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