Submitted by Barry Hieb on 2022-10-19
Metadata, or data that describes other data.
Data Element |
Applicable Vocabulary Standard(s) |
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Author Organization
Organization associated with author. |
Data Element |
Applicable Vocabulary Standard(s) |
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Author Organization
Organization associated with author. |
Data Element |
Applicable Vocabulary Standard(s) |
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Author Time Stamp
Date and time of author action. |
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Author Organization
Organization associated with author. |
Data Element |
Applicable Vocabulary Standard(s) |
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Author Time Stamp
Date and time of author action. |
|
Author Organization
Organization associated with author. |
Data Element |
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Data Element |
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Comment
Submitted by ritork on 2022-04-30
HL7 Patient Empowerment PCD WG USCDI v3 feedback re: Provenance
USCDI consists of categories of data elements representing information captured from different systems as well as by individuals. However, attribution of information created or supplied by an individual, as a patient or other role, is not reflected within the Provenance data class in the latest USCDI draft version 3 consisting of the following two (2) data elements: Author Time Stamp and Author Organization. We recommend at minimum the Author data element classified as Level 2 be added to USCDI v3. In addition to USCDI v3 Provenance not specifying Author, the data class is not fully inclusive of information created outside an organization (or changes to information such as updates). To better understand the origin and changes to data that can occur with or without exchange, and improve Provenance with context that identifies the type of actor or system creating or updating data, we recommend two (2) additional data elements:- Author Role to clarify the type of actor, such as patient, especially where information is contributed by individuals. Author should also accommodate device-generated data such as wearables.
- Updates to understand whether data has changed either from the point of creation or in exchange
- Demographics (include identity, race and ethnicity, sexual orientation and gender identity, and other data)
- Health Insurance Information
- Goals (Patient and SDOH)
- Problems (includes SDOH Problems/Health Concerns and dates from diagnosis and resolution)
- Health Status (Includes Health Concerns, Functional Status, Disability Status, Mental Function, and Smoking Status)
- Clinical Tests (currently only reflects those performed in lab though perhaps could be expanded to include self-administered at-home tests)
- Observations
- Assessments and Plan of Treatment (includes SDOH assessment)
- Advance Directives (not in USCDI v3)
- Vital signs (e.g. where capture from remote sensing devices)
Submitted by CaseyThompson on 2021-04-14
Submitted by PACIO-Project on 2022-09-29
PACIO Comments on Provenance
The PACIO (Post-Acute Care Interoperability) Project, established February 2019, is a collaborative effort between industry, government, and other stakeholders, with the goal of establishing a framework for the development of FHIR implementation guides to facilitate health information exchange.