|Submitted By: Kerry Goetz / NIH/NEI|
|Data Element Information|
|Use Case Description(s)|
|Use Case Description||The National Eye Institute (NEI), part of the National Institutes of Health (NIH), supports the addition of the Ophthalmic terms submitted for inclusion in the United States Core Data for Interoperability (USCDI). NIH issued a guide notice (NOT-OD-20-146) on July 30, 2020 encouraging NIH-supported clinical research programs and researchers to adopt and use the standardized set of data classes, data elements, and associated vocabulary standards specified in the USCDI.
The three items suggested; Intra-ocular pressure, Refraction, and Visual Acuity, are important data points to record patient eye health and treatment, as well quality measurement. Incorporation of these elements will enable NEI researchers to benefit from the opportunities created by the increased availability of clinical data from electronic health record (EHR) systems for research and improved approaches for making data from a single research study useful for other research endeavors. It can complement use of the HL7® Fast Healthcare Interoperability Resources® (FHIR®) standard. The USCDI will enable researchers to leverage structured clinical data for research and enhance the ability to aggregate research data sets and enable discovery.
|Estimated number of stakeholders capturing, accessing using or exchanging||N/A|
|Maturity of Use and Technical Specifications for Data Element|
|Applicable Standard(s)||LOINC Panel 79895-9 Subjective refraction measurements panel
|Current Use||This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders|
|Number of organizations/individuals with which this data element has been electronically exchanged||N/A|
|Restrictions on Standardization (e.g. proprietary code)||None|
|Restrictions on Use (e.g. licensing, user fees)||None|
|Privacy and Security Concerns||None|
|Estimate of Overall Burden||Minimal|
Information from the submission form
A refraction test is what the doctor uses to get your eyeglasses prescription. You look at a chart, usually 20 feet away, or in a mirror that makes things look like they’re 20 feet away. You’ll look through a tool called a phoropter. It lets the doctor move lenses of different strengths in front of your eyes. The test also helps your doctor spot presbyopia, hyperopia, myopia, and astigmatism. Source: WebMD Glossary of Eye Tests and Exams LOINC Panel 79895-9