USCDI Draft-V6 Feedback

https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi#draft-uscdi-v6

Feedback is due by April 14, 2025, at 11:59 PM ET and targeting release of the final USCDI v6 in July 2025

1. Specific asks per https://www.healthit.gov/isp/sites/isp/files/2025-01/Draft-USCDI-Version-6-January-2025-Final.pdf and https://www.healthit.gov/topic/standardsbulletin_25-1 :

   1. Suggestions for improvement in the data classes or elements in Draft USCDI v6, including:

      1. Data class and element definitions, usage notes, and examples; and

      2. Examples of code systems used by health IT developers and implementers to communicate data element scope.

   2. Should other existing Level 2 data elements be added to USCDI v6 instead of, or in addition to, those in Draft USCDI v6?  If so, why?

   3. Which additional data elements from USCDI+ domains should be added to USCDI v6?

   4. Are there significant barriers to development, implementation, or use of any of these data elements that warrant a change in the final version of USCDI v6?

2. New or modified data elements of interest to SHIELD:

• Unique Device Identifier:

  • CHANGE: Used to only apply to implantable medical devices, now broadened to apply to ALL devices used in medical care

  • Specific ask: Feedback on whether Unique Device Identifier (UDI) should be one or two data elements (Unique Device Identifier—Implantable and Unique Device Identifier—Non-implantable). Is there an impact on standards development or information exchange to use one data element, Unique Device Identifier, to include both implantable and non-implantable devices?

  • Notes:

    • previoulsy rejected additional data element for test kit and instrument identifiers can now be covered by this

• Laboratory Order:

  • CHANGE: identifies LOINC as the standard to use - version 2.78

  • Notes:

• Performance Time (under Procedure):

  • CHANGE: Definition is now

  • Notes:

• Result Unit of Measure:

  • CHANGE: Definition is now: Unit of measurement to report quantitative laboratory test results

  • Notes:

    • Was called out as having updated definition, but definition remained unchanged, but UCUM updated from 2.1 to 2.2

• Updated versions of referenced code systems for these elements in the Laboratory Class:

  • Tests → LOINC version 2.78

  • Values/Results → SNOMED US Edition September 2024

  • Specimen Type → SNOMED US Edition September 2024

  • Specimen source site → SNOMED US Edition September 2024

  • Result Unit of Measure → UCUM 2.2

  • Reference Range → UCUM 2.2

  • Specimen Condition Acceptability → SNOMED US Edition September 2024