Data Element
Submitted By: Nedra Garrett / Centers for Disease Control and Prevention
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.
Estimate the breadth of applicability of the use case(s) for this data element 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
  • Improving the health of populations
  • Improving provider experience of care
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
Extent of exchange 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 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
Criterion #1
Maturity - Current Standards		 Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 2 - Data element is captured, stored, or accessed in multiple production EHRs or other HIT modules from more than one developer.
Criterion #3
Maturity - Current Exchange		 Level 2 - Data element is electronically exchanged between more than two production EHRs or other HIT modules of different developers using available interoperability standards.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 2 - Use cases apply to most care settings or specialties.

Comment

Submitted by nedragarrett_CDC on

CDC's Consolidated Comment for USCDI v5

Proposed change:

  • Please REMOVE the following from "Use Case Description",Vital Records Birth and Fetal Death Reporting https://build.fhir.org/ig/HL7/fhir-bfdr/
  • NACCHO supports CDC's recommendation.

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