|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
|Maturity – Standards/Technical Specifications
- Must be represented by a vocabulary standard or an element of a published technical specification
|Maturity - Current Use
- Used at scale in more than 2 different production environments
|Maturity - Current Exchange
- Demonstrates exchange between 4 or more organizations with different EHR/HIT systems
|Breadth of Applicability - # Stakeholders Impacted
- Used by many, but not most, patients, providers or events requiring its use
||Tribal affiliation, rather than tribal enrollment, is recommended as only tribes determine and define tribal enrollment. Federal, state, and local entities do not have the ability to verify tribal enrollment, and use of tribal affiliation allows for the collection of what tribe(s) an individual patient identifies with, without impeding on tribal sovereignty in any way.
Submitted by nedragarrett_CDC on 2022-04-29
CDC's Consolidated Comment
The Tribal Affiliation data element provides the patient’ association by name with federally recognized Indian tribes or with federally recognized Alaska native villages/tribes within the state of Alaska.
- Because of absence this data element definition in the USCDI, we recommend the following definition:
Comment from CSTE:
- HL7 http://terminology.hl7.org/ValueSet/v3-TribalEntityUS (INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS)
Comment from ASTHO (WA DOH):
- Tribal affiliation (draft V3); The collection, usage, management, disclosure, and safeguarding of Tribal data is a governance activity that ONC should develop in collaboration with the Tribe(s) whose members are included in the data. The ONC should commit to meaningful consultation with tribal leaders of individual sovereign tribal nations to ensure they have an opportunity to provide timely input before using Tribal data, including Tribal affiliation or any other Tribal identifying information. The U.S. Constitution recognizes that Tribal nations are sovereign governments. As such, they have powers of self-government, upheld, repeatedly, by the U.S. Supreme Court. Tribal governments have the legal authority to administer the collection, ownership, application, and interpretation of their own data, even if it is collected by federal, state, or local governments. Tribal data means public or private facts, statistics or items of information on or about a Tribe or its people subject to tribal rights of ownership and control. This includes, but is not limited to, Tribe of membership, Tribe of affiliation, and identification of tribal facilities, entities, and enterprises. Tribal data means (1) data that is specific to an individual Tribe; or (2) data that is specific to more than one Tribe but does not identify individual Tribe(s).