Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Data Element

Information from the submission form

Lack of voluntary control over urination or defecation


Level 2 Data Element: Incontinence

IMO supports the inclusion of Incontinence as a Level 2 data element in the Assessment and Plan of Treatment Data Class in USCDI V3. IMO agrees with the submitter that assessment of incontinence is important to the quality of patient care, structured documentation is well supported by established CMS assessment instruments with associated HIT standards and can be easily implemented in ONC Certified HIT. 

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