| Submitted By: Charles Mayo, PhD / University of Michigan | |
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| Data Element Information | |
| Use Case Description(s) | |
| Use Case Description | Diagnosis and Staging are core components for all aspects of clinical care for cancer patients. It is also a core component for billing. |
| Estimated number of stakeholders capturing, accessing using or exchanging | All stakeholders capture diagnosis and staging data in electronic records systems. It is routinely exchanged among providers and insurers in determining the most appropriate approach to care. It is a required element in clinical and translational research identifying approaches optimizing patient outcomes. |
| Healthcare Aims |
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| Maturity of Use and Technical Specifications for Data Element | |
| Applicable Standard(s) | American Joint Committee on Cancer e.g. AJCC8 https://www.facs.org/quality-programs/cancer-programs/american-joint-committee-on-cancer/ |
| Additional Specifications | N/A |
| Current Use | Extensively used in production environments |
| 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. |
| Potential Challenges | |
| Restrictions on Standardization (e.g. proprietary code) | No restrictions. Codes are publicly available and free to use. |
| Restrictions on Use (e.g. licensing, user fees) | No restrictions. Codes are publicly available and free to use. |
| Privacy and Security Concerns | None |
| Estimate of Overall Burden | Minimal. Data is collected as part of routine practice. |
| 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 | Comment Level - Used by few stakeholders, or for narrowly defined conditions or events |
Comment