ISA Timeline and Comment Process

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Data Element: Medications

Challenge to capturing medications is those that medications that don't make the typical clinically documented med list such as herbal and at times OTC medications.  These often are documented narratively in nurses or physician notes dependent on the type of EMR or documentation system. 

Data Element: Patient's Goals

Patient's goals are likely to be robustly documented in the Nurses Care Plan, depending on the type of EMR.   Would want to be able to capture current and active goals and those goals that have been completed or resolved. 

Data Element: Health Concerns

This data element may have merit, especially if there are differences in the data element for Patient Goals and Encounter Diagnosis; but may be redundant...Also, maybe difficult to capture if it is not entered in a discrete field as part of the Nursing Care Plan or Physician Treatment Plan

Support of the Gravity Project’s Submission to Include SDOH

To: The Honorable Donald Rucker, M.D. National Coordinator for Health Information Technology U.S. Department of Health and Human Services 330 C Street SW, 7th Floor Washington, D.C.  20201   Re: In Support of the Gravity Project’s Submission to Include Social Determinants of Health in the U.S. Core Data for Interoperability   Dear National Coordinator Rucker: I write on behalf of the Gravity Project to ask for your quick help with a major opportunity—adding structured social determinants of health (SDOH) data to the U.S. Core Data for Interoperability (USCDI). The Gravity Project has done considerable groundwork and submitted the SDOH data elements to the Office of the National Coordinator (ONC), and ONC, in turn, has elevated the submission to the next step. The Gravity Project’s submissions would add critical domains such as food insecurity, housing instability, transportation insecurity, social isolation, and stress to the USCDI, integrated with core clinical activities such as assessments, diagnoses, interventions, and outcomes.  As a healthcare provider for many years, I have seen firsthand the impact SDOH has on managing care and improving outcomes for patients. The challenges with meeting the needs of all seeking care have been exacerbated by COVID and have highlighted the inequities in the healthcare system. Addressing SDOH will be essential to ensure adequate care is received by all by including data elements to accurately and timely identify social needs and match those needs with community resources. The inclusion of SDOH as a new data class in USCDI, as proposed by the Gravity Project, will provide a consistent method to document and communicate these factors during a health care encounter. The Gravity Project has over 1,200 collaborators nationwide, representing diverse stakeholders who are committed to the goals of this project, standardize data collection and coding, and seamlessly exchanging SDOH data among all caregivers.   Sincerely,  Dr. Lisa Lucas National Director Healthcare Informatics SAS Institute        

American Association of Colleges of Nursing submits comments

Please see attached PDF

AACN ONC Comments 2021.pdf

Comments from the College of American Pathologists

Please see attached.

CAP Comments on ONC-ISA.pdf

terminologies referenced by ISA

It would be very useful to have an "index," so to speak, of all the terminologies/code sets/vocabularies referenced by ISA and where in ISA they're referenced. Does such a thing already exist?