Submitted by NCQA on 2023-09-20
NCQA Comment on Coverage Period: For USCDI v5
- Coverage Period:
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Coverage Status
Presence or absence of health care insurance. |
|
Coverage Type
Category of health care payers. (e.g., Medicare, TRICARE, Commercial Managed Care - PPO) |
|
Relationship to Subscriber
Relationship of a patient to the primary insured person. |
|
Member Identifier
Sequence of characters used to uniquely refer to an individual with respect to their insurance. |
|
Subscriber Identifier
Sequence of characters used to uniquely refer to the individual that selects insurance benefits. |
|
Group Identifier
Sequence of characters used to uniquely refer to a specific health insurance plan. |
|
Payer Identifier
Sequence of characters used to uniquely refer to an insurance payer. |
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Coverage Status
Presence or absence of health care insurance. |
|
Coverage Type
Category of health care payers, insurance products, or benefits. Examples include but are not limited to Medicaid, commercial, HMO, Medicare Part D, and dental. |
|
Relationship to Subscriber
Relationship of a patient to the primary insured person. |
|
Member Identifier
Sequence of characters used to uniquely refer to an individual with respect to their insurance. |
|
Subscriber Identifier
Sequence of characters used to uniquely refer to the individual that selects insurance benefits. |
|
Group Identifier
Sequence of characters used to uniquely refer to a specific health insurance plan. |
|
Payer Identifier
Sequence of characters used to uniquely refer to an insurance payer. |
Submitted by NCQA on 2023-09-20
Submitted by EMLANDON on 2022-09-28
Submitted by joshualegler on 2022-08-02
Submitted by Lantana Consul… on 2022-04-29
Submitted by LisaRNelson on 2022-04-29
Submitted by RUy on 2022-04-29
Submitted by mrallins on 2022-04-28
Submitted by sg999 on 2021-09-28
Submitted by NCQA on 2023-09-20
NCQA Comment on Smoking Status: for USCDI v5
- Smoking Status:
NCQA recommends updating the element name to Tobacco-Use Assessment to encompass assessment of broader tobacco products beyond smoked products/cigarettes; This aligns with the FDA definition of Tobacco products. We also recommend adding to the examples of items that fall under this element quit date and smoking duration, in addition to the examples of pack-years and current use already included. We recommend updating the terminology to include LOINC in addition to SNOMED. Smoking status, tobacco-use status, and smoking behavior details (i.e., pack-years) are well defined by LOINC and/or SNOMED. Comprehensive assessment of tobacco-use and smoking behaviors remain a public health priority and are essential to appropriately providing cessation intervention. These data elements are also crucial for understanding a patient’s eligibility for lung cancer screenings, a screening that is recommended by the U.S. Preventive Services Task Force and that remains underutilized despite its proven effectiveness. NCQA is currently developing measures to incentivize routine tobacco use assessments and appropriate lung cancer screening for those eligible based on smoking history.