ISA Timeline and Comment Process


Patient Naming Policy

I support AHIMA's Patient Naming Policy to improve patient safety.

AIRA Comments

On behalf of the American Immunization Registry Association (AIRA) we are pleased to submit comments on the Office of the National Coordinator’s (ONC’s) updated Interoperability Standards Advisory. These comments are a compilation of the input of our members which include over 80 organizations representing Public Health Immunization Information Systems (IIS), IIS implementers and vendors, non-profit organizations and partners. Immunization Information Systems interface with a broad range of stakeholders, including providers, pharmacists, schools, child care facilities, health plans and payers, among others. Most of AIRA's comments were uploaded on specific pages, but the comment below likely needs a new page: AIRA proposes the addition of a new HL7-balloted Implementation guide for Immunization Decision Support Forecast ( This emerging FHIR R4 standard has been balloted through HL7, published, and is in use in several pilots and/or proof of concepts. AIRA is happy to discuss in greater detail how to represent this new standard on the ISA. We believe this should fit nicely within Content/Structure or Services/Exchange Standards within their respective Clinical Decision Support sections. Thank you for the opportunity to provide comments, and please let us know if there are any follow up questions. 

DirectTrust's Comments on ISA

Thank you for the opportunity to comment on the Interoperability Standards Advisory.  See attached. 

ISA Updates 2021 0930 v2.xls

Academy of Nutrition and Dietetics Comments on 2021 ISA

On behalf of the Academy of Nutrition and Dietetics, thank you for the opportunity to provide our feedback on the Interoperability Standards Advisory.

Academy Comments on 2021 Interoperability Standards Advisory.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?

Comments from the College of American Pathologists

Please see attached.

CAP Comments on ONC-ISA.pdf

American Association of Colleges of Nursing submits comments

Please see attached PDF

AACN ONC Comments 2021.pdf

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        

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