| Submitted By: Charles Mayo / University of Michigan | |
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| Data Element Information | |
| Use Case Description(s) | |
| Use Case Description | Toxicity assessed by a care provider. In radiation oncology a primary objective in treatments is balancing radiation dose to target volumes (probability of cure) against radiation damage to near by healthy tissues (probability of toxicity. Longitudinal measures of toxicity using standardized scales (e.g. CTCAE v5.0 https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/CTCAE_v5_Quick_Reference_8.5x11.pdf) are recorded as part of routine care and followup to document what was achieved vs what was intended. |
| Estimated number of stakeholders capturing, accessing using or exchanging | All |
| Healthcare Aims |
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| Maturity of Use and Technical Specifications for Data Element | |
| Applicable Standard(s) | Common Terminology Criteria for Adverse Events https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/CTCAE_v5_Quick_Reference_8.5x11.pdf |
| Additional Specifications | https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/CTCAE_v5_Quick_Reference_8.5x11.pdf |
| Current Use | Extensively used in production environments |
| Supporting Artifacts |
Standard element in EPIC flow sheets |
| Number of organizations/individuals with which this data element has been electronically exchanged | N/A |
| Potential Challenges | |
| Restrictions on Standardization (e.g. proprietary code) | None |
| Restrictions on Use (e.g. licensing, user fees) | None |
| Privacy and Security Concerns | None |
| Estimate of Overall Burden | Minimal. It is routinely captured in EHR's such as EPIC and ARIA |
| Other Implementation Challenges | None |
| 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 |
| Evaluation Comment | Represents a subset of the more generally applicable Problems or Encounter Diagnosis data elements, thus a narrower breadth of applicability |
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