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ONC

CDC

USCDI+ and USCDI v5 Discussion

USCDI plus comments were due March 4.

USCDI Version 5 comments are due Monday April 15.

ONC (Al Taylor (Medical Informatics Officer) and Katie

Draft USCDI Version 5

What is USCDI?

Comprises a core set of data needed to support patient care and facilitate patient access using health IT. USCDI establishes a consistent baseline of data for other use cases. They expand over time via a predictable, transparent, and collaborative public access.

ONC Cures Act Final Rule established USCDI v1 in 2020.

ONDEC Submission System-Anyone can submit a new data idea to this system.

ONDEC Levelling Criteria (0,1, and 2) Readiness, Feasibility, and applicability of data. The 4th category is breath of applicability.

Prioritization criteria for new USCDI Data Elements-Public Health, Underserved communities, Healthcare disparities and inequities, Behavioral health, and Key additions over past USCDI versions.

New Data Elements in Draft USCDI v5-Clinical Notes(Emergency Department Note, Operative Note), Medication (Route), Immunizations (Lot Number), Laboratory (Test kit Unique Device Identifier), New Data Class (Observations (Advance directive observation and Sex Parameter for clinical use)), New Data Class Orders, Provenance (Author and Author Role), and Patient Demographics Information (pronoun, Name to use, and Interpreter needed).

USCDI Plus (plus)-intended to extend beyond USCDI. It was established for public health to think about how we can extend USCDI to meet more program or use case specific needs.

USCDI Plus is more flexible with how they approach their update cycles (Iterative and Rolling Process).

Core USCDI plus priniciplesprinciples-Ensure harmonization across all data elements in USCID and USCDI plus domains (e.g. pubic public health, maternal health, quality, and cancer)

USCDI Plus Public health-Capture the data needs of public health that fall outside of the scope of USCDI; improve data quality and availability.

CDC

Other Discussion/Updates

Vanessa Holley, APHL

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