The Office of the National Coordinator for Health IT has released the United States Core Data for Interoperability Version 3, which includes new data classes involving health status and health insurance information.
The USCDI was established to create a foundation for the access, exchange and use of electronic health information to support patient care. The USCDI also is used by federal agencies, hospitals, physician offices, and software developers and is updated annually to keep pace with medical, technology, and policy changes.
The USCDI has expanded from 52 data elements in 16 data classes in v1 to 94 data elements in 19 data classes in v3.
Health Status/Assessments Data Elements: The draft of v3 included a new data class, Health Status. In response to stakeholder input to make the description/scope of this data class clearer and more representative of the types of data that could be included, USCDI v3 refers to this data class as Health Status/Assessments. This new data class represents assessments of health-related matters performed during care that could identify a need or problem. The new data elements in this data class are Disability Status, Mental/Cognitive Status (Mental Status in Draft v3), Functional Status, and Pregnancy Status. ONC said Pregnancy Status is of particular importance to those who provide care for persons who may be or seek to become pregnant. It is also a substantive data element for lab testing and public health reporting, as noted by ONC’s prior federal advisory committees. The Health Status/Assessments data class provides a broader context than the USCDI v2 Health Concerns data class; therefore, ONC also moved Health Concerns into this new data class.
Health Insurance Information Data Elements: USCDI v3 also includes a new data class called Health Insurance Information, which provides an opportunity for health IT (not just