AMIA's Recommendations for ONC's USCDI v5 Final Version

AMIA appreciates ONC’s efforts to solicit feedback on data collection for future iterations of the United States Core Data for Interoperability (USCDI). AMIA reflected on USCDI v5 Draft to recommend edits to USCDI v5 final version. Below are the Data Classes and Elements AMIA provided feedback: 

Data Classes

• Clinical Notes
• Diagnostic Imaging
• Goals and Preferences
• Provenance
• Problems
• Participation in Clinical Trials - AMIA recommended addition
• Patient Demographics
• Medical Devices

Data Elements
Data Class in Parentheses

• Assessment and Plan of Treatment (Under Patient Summary and Plan)
• Disability Status (Under Health Status Assessment)
• Manufacturer Reference Range (Under Laboratory)
• Medication Administration and Medications Dispensed (Under Medications) 
• Care Team Member Conducting Health Status Assessment (Under Health Status Assessments)
• Manufacturer Reference Range (Under Clinical Tests)
• Individual Administering Vital Signs (Under Vital Signs)
• Diagnosis (Under Encounter Information)
• Problems (Under Problems)
• Treatment Intervention Preference (Under Goals and Preferences)
• Lot Number (Immunizations)

View the attachment to read the full recommendations for each Data Class and Element.