Submitted by nedragarrett_CDC on 2022-04-28
Submitted By: Nedra Garrett / Centers for Disease Control and Prevention | |
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Data Element Information | |
Use Case Description(s) | |
Use Case Description | Mother’s maiden name and responsible party information is extremely important when matching patient records for minors, especially young infants that may not have name information yet. The IIS uses this information to identify, prevent, and resolve duplicated and fragmented patient records using an automated process. |
Estimated number of stakeholders capturing, accessing using or exchanging | There are multiple stakeholders that currently capture, access, use or exchange these data elements including: • Electronic Health Records • Immunization information systems and local and state departments of public health • Providers • Vital records |
Link to use case project page | https://www.cdc.gov/vaccines/programs/iis/index.html |
Healthcare Aims |
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Maturity of Use and Technical Specifications for Data Element | |
Applicable Standard(s) | CDC-defined HL70063 https://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=1398? |
Additional Specifications | This information is contained the NK1-2 field in the HL7 v2 message. Additionally, there is a FHIR resource for related person: relatedperson.name and relatedperson.relationship. |
Current Use | This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders |
Supporting Artifacts |
HL7 v2.5.1 Implementation Guide for Immunization Messaging HL7 v2.8.2 Implementation Guide: Immunization Messaging Clinical Decision Support for Immunizations FHIR IG AIRA Functional Standards Document CDC Endorsed Data Elements AIRA Functional Standards Document: https://repository.immregistries.org/files/resources/5a83216a1d369/aira_functional_guide_vol2_final.pdf https://www.cdc.gov/vaccines/programs/iis/technical-guidance/hl7.html |
Number of organizations/individuals with which this data element has been electronically exchanged | 5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders. |
Supporting Artifacts |
HL7 v2.5.1 Implementation Guide for Immunization Messaging HL7 v2.8.2 Implementation Guide: Immunization Messaging FHIR CDSi AIRA Functional Standards Document CDC Endorsed Data Elements CDC Endorsed Data Elements: https://www.cdc.gov/vaccines/programs/iis/core-data-elements.html https://www.cdc.gov/vaccines/programs/iis/technical-guidance/hl7.html |
Potential Challenges | |
Restrictions on Standardization (e.g. proprietary code) | There are no restrictions on these data elements. |
Restrictions on Use (e.g. licensing, user fees) | There are no restrictions on these data elements. |
Privacy and Security Concerns | There are privacy concerns with the use and exchange of these data elements, mainly mother’s maiden name. |
Estimate of Overall Burden | Most EHRs should already store and message mother’s maiden name and next of kin information in HL7 v2 messages. |
Other Implementation Challenges | N/A |
ONC Evaluation Details Each submitted Data Element has been evaluated based on the following 4 criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI |
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Maturity – Standards/Technical Specifications | Level 1/2 - Must be represented by a vocabulary standard or an element of a published technical specification |
Maturity - Current Use | Level 2 - Used at scale in more than 2 different production environments |
Maturity - Current Exchange | Level 2 - Demonstrates exchange between 4 or more organizations with different EHR/HIT systems |
Breadth of Applicability - # Stakeholders Impacted | Level 2 - Used by a majority of patients, providers or events requiring its use |
Evaluation Comment | Assessed to remain at Level 2 due to widespread capabilities to capture and exchange this information, existing and evolving standards, and the need to accurately match pediatric records. |
Submitted by nedragarrett_CDC on 2022-09-28
CDC's Consolidated Comment for USCDI v4
CDC continues to recommend inclusion of this high priority data element in USCDI v4