“On Jan. 5, 2018, the Office of the National Coordinator (ONC) released two draft documents that promise profound impact on the activities and priorities of Health Information Networks (HINs), provider organizations that participate in them and the vendors that work with both… One draft document deals with the Trusted Exchange Framework Cooperative Agreement (TEFCA)… The other draft document defines the “what” for exchange by laying out the data classes that are to be exchanged. This second document is the U.S. Core Data for Interoperability (USCDI).”
“…USCDI draft is equally – or perhaps slightly more – compelling…”
“ONC connects the USCDI to the term “electronically accessible health information,” which further associates USCDI to the definition of interoperability. The USCDI identifies the data set expected to be available for exchange and standards …adds two new data classes: Clinical Notes, both structured and unstructured; and Provenance, which, at a high level, is metadata used as an audit trail to identify the source of the data…”
“The current v1 draft defines what is minimally required for exchange right out of the gate under TEFCA, once finalized. The USCDI outlines a progression in the data set to include more data, categorizing additional data classes being considered as “candidate” and “emerging” data as ONC’s roadmap for future expansion of the USCDI…”
“The USCDI should be considered as a potential source of requirements for all health care providers using HIT, their vendors and their HINs. Those participating in the use of CEHRT for specific programs will likely be in the best position to initially meet these requirements. However, TEFCA reaches all provider venues where HIT is in use…”
Source: Deep Dive: ONC Draft U.S. Core Data for Interoperability – By Josh Mast, January 17, 2018. Cerner. Read the full blog here.
