Submitted by nedragarrett_CDC on 2021-09-29
Unified Comment from CDC
- NOTE - This comment supports the promotion of the Data Class Patient Demographics - Data Element Identifier to USCDI V3 as well as the additional Data Element of Identifier System, including the allowance of multiple instances of Identifier/ Identifier System per patient. We believe that this will allow needed flexibility to accommodate use and exchange of the variety of patient identifiers in current use in the US. An example of this approaches is: Identifier: 1A10B23CD45, Identifier System: http://hl7.org/fhir/sid/us-mbi. If ONC does not choose to incorporate this approach (Identifier + Identifier System) in USCDI V3, we recommend allowing for the following Patient Demographic Data Class Data Elements in USCDI V3: Medicare Patient Identifier, Medical Record Number and Social Security Number.
- General Comment: We suggest changing this data element name from Medicare Patient Identifier to Medicare Beneficiary Identifier because that is what CMS and the Social Security Administration, as well as many health care industry stakeholders call it. (see: https://www.cms.gov/Medicare/New-Medicare-Card)
- Additional Use Cases: The MedMorph Public Health Use Cases of Health Care Surveys and Cancer Registry Reporting are use cases that use Medicare Patient Identifier as an important patient identifier for internal registry and external to registry linking and patient or registrant identification or matching purposes. Links to Use Case Project Pages: https://www.cdc.gov/csels/phio/making-ehr-data-more-available.html, https://www.cdc.gov/nchs/dhcs/nhcs_registry_landing.htm, https://www.cdc.gov/cancer/npcr/
- Additional Applicable Standards: HL7 CDA ® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm: https://www.hl7.org/implement/standards/product_brief.cfm?product_id=398.
- HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3 - US Realm: https://www.hl7.org/implement/standards/product_brief.cfm?product_id=385
- HL7 FHIR® US Core Implementation Guide STU3 Release 3.1.1: https://www.hl7.org/fhir/us/core/index.html
- CSTE supports inclusion of this measure into USCDI v3
Submitted by nedragarrett_CDC on 2022-09-27
CDC's Consolidated Comment for USCDI v4
CDC continues to recommend inclusion of this high priority data element in USCDI v4