Submitted by jenna.stern on 2022-04-29
Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.
Data Element |
Applicable Vocabulary Standard(s) |
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Systolic Blood Pressure
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Diastolic Blood Pressure
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Heart Rate
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Respiratory Rate
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Body Temperature
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Body Height
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Body Weight
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Pulse Oximetry
|
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Inhaled Oxygen Concentration
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BMI Percentile (2 - 20 years)
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Weight-for-length Percentile (Birth - 36 Months)
|
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Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
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|
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Systolic Blood Pressure
|
|
Diastolic Blood Pressure
|
|
Heart Rate
|
|
Respiratory Rate
|
|
Body Temperature
|
|
Body Height
|
|
Body Weight
|
|
Pulse Oximetry
|
|
Inhaled Oxygen Concentration
|
|
BMI Percentile (2 - 20 years)
|
|
Weight-for-length Percentile (Birth - 36 Months)
|
|
Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
|
|
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Systolic Blood Pressure
|
Both standards are required
|
Diastolic Blood Pressure
|
Both standards are required
|
Heart Rate
|
Both standards are required
|
Respiratory Rate
|
Both standards are required
|
Body Temperature
|
Both standards are required
|
Body Height
|
Both standards are required
|
Body Weight
|
Both standards are required
|
Pulse Oximetry
|
Both standards are required
|
Inhaled Oxygen Concentration
|
Both standards are required
|
BMI Percentile (2 - 20 years)
|
Both standards are required
|
Weight-for-length Percentile (Birth - 24 Months)
|
Both standards are required
|
Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
|
Both standards are required
|
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Systolic Blood Pressure
|
Both standards are required.
|
Diastolic Blood Pressure
|
Both standards are required.
|
Average Blood Pressure
Arithmetic average of systolic and diastolic components of two of more blood pressure readings in a specified time period or according to a specified algorithm or protocol. Examples include but are not limited to 3-day morning and evening home monitoring, clinical encounter repeat average, and 24-hour ambulatory measurement. |
Both standards are required.
|
Heart Rate
|
Both standards are required
|
Respiratory Rate
|
Both standards are required
|
Body Temperature
|
Both standards are required
|
Body Height
|
Both standards are required
|
Body Weight
|
Both standards are required
|
Pulse Oximetry
|
Both standards are required
|
Inhaled Oxygen Concentration
|
Both standards are required
|
BMI Percentile (2 - 20 years)
|
Both standards are required
|
Weight-for-length Percentile (Birth - 36 Months)
|
Both standards are required
|
Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
|
Both standards are required
|
Data Element |
---|
Data Element |
---|
Data Element |
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Comment
Submitted by aphillips@imoh… on 2022-04-28
Data Class: Vital Signs
Data Class: Vital Signs Level 2 Data Element: BMI Level 2 Data Element: Vital sign results: date and timestamps Level 2 Data Element: Average Blood Pressure Level 2 Data Element: Oxygen delivery device IMO supports the inclusion of the proposed Level 2 data elements for the Vital Signs data class in USCDI V3. The Level data elements included in the submission are incorporated in eCQMs reported in CMS quality programs, represented in implemented terminology specifications such as the, CDA R2 C-CDA Templates for Clinical Notes R2.1, and C-CDA Document Types for History and Physical and Care Plan, documented in structured data, and incorporated in interoperability requirements for ONC certified HIT.Submitted by mrallins on 2022-04-28
Vital Signs: Average Blood Pressure
The Regenstrief Institute supports the addition of average/mean Blood pressure as a distinct and additional data element within the vital signs class of USCDI V3. Including average blood pressure to the USCDI is critically important in supporting health care providers with diagnosing high blood pressure and more effectively assessing blood pressure control. The Regenstrief institute has been working with the American Medical Association to ensure that there is a broad set of LOINC content to express BP readings. Included in this set are LOINC concepts to encode the average systolic and average diastolic blood pressure over a defined time period or number of readings to more robustly represent a patient’s true blood pressure for clinical decision making. The specific panel that includes average diastolic and systolic can be found here: Average Blood Pressure Panel.Submitted by jhall@msm.edu on 2022-08-26
support promotion of ABP into the draft USCDI V4
I support the promotion of Average Blood Pressure into the draft USCDI v4.Submitted by mrallins on 2022-04-28
Vital Signs: Average Blood Pressure
The Regenstrief Institute supports the addition of average/mean Blood pressure as a distinct and additional data element within the vital signs class of USCDI V3. Including average blood pressure to the USCDI is critically important in supporting health care providers with diagnosing high blood pressure and more effectively assessing blood pressure control. The Regenstrief institute has been working with the American Medical Association to ensure that there is a broad set of LOINC content to express BP readings. Included in this set are LOINC concepts to encode the average systolic and average diastolic blood pressure over a defined time period or number of readings to more robustly represent a patient’s true blood pressure for clinical decision making. The specific panel that includes average diastolic and systolic can be found here: Average Blood Pressure Panel.Submitted by nedragarrett_CDC on 2021-10-07
CDC Unified Comment: California Department of Public Health
The California Department of Public Health recommends adding the following data elements for the Patient Profile in exchange between EHRs:- Vital Signs: Expand to include social/mental assessment
- Last reported blood pressure (both systolic and diastolic if possible)
- Last PHQ-9 >10 consistent with moderate to severe depression
- Last BMI >30 consistent with medical obesity
- Pregnancy Status (if pregnant, estimated date of delivery)
- CDPH recommends that providers screen patients for signs of loneliness as per the three-item loneliness scale in the journal article "Social Isolation and Loneliness: The New Geriatric Giants: Approach for Primary Care" at Can Fam Physician. 2020 Mar;66(3):176-182. PMID: 32165464.
- For patients older than 65 years of age: Last asked about cognitive impairment/Last memory assessment (e.g., Mini-Cog© S. Borson) administered.
- Results of Adverse Childhood Experiences screening questions (i.e., number and type of ACEs)
- Referrals made based on ACEs screening results/score
- Resources provided based on ACEs screening results/score
- Was patient referred to child welfare services as a result of the screening results/score
- Number and type of Positive Childhood Experiences (PCEs)
Submitted by dvreeman on 2021-09-30
Pain
The CMS Data Element Library (DEL) Health IT Workgroup supports the importance of representing Pain as a multifaceted domain. We recommend that USCDI offer support for representing pain observations (both clinician observed and patient + care team member reported) using the common structure of Observations (e.g. Observation.code, Observation.value, Observation.performer). Such a structure, using codes from LOINC to identify the observations, offers a consistent pattern for representing the many dimensions of importance in different contexts (frequency, effect on function, intensity, interference with activities, etc). Pain observations across these dimensions are included the assessments used in post acute care settings.Submitted by pwilson@ncpdp.org on 2021-04-15
NCPDP Comment
NCPDP recommends ONC to add NCPDP SCRIPT Standard Version2017071 as an acceptable standard.Submitted by Rashmi M S on 2021-02-25
Submitted by NCQA on 2023-09-20
NCQA Comment on Average Blood Pressure: for USCDI v5
- Average Blood Pressure
NCQA appreciates the addition of average blood pressure to USCDI v4. However, in order for the element to be usable in population health contexts and for hypertension management, additional context for how average blood pressure was calculated is required. Specifically, the time intervals between readings used to calculate average are critical, and the measurement device used for the readings supports appropriate interpretation. We encourage ONC to continue to refine the element with input from stakeholders working on specific interoperability use cases.