Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Data Element

Information from the submission form
Oxygen delivery device
Description

In addition to respiratory rate, pulse oxygen saturation and inhaled oxygen concentration, the method of oxygen delivery should also be specified. Common methods include 'Nasal Cannula', 'Face Mask', 'Non-rebreather Mask', 'High Flow Nasal Cannula', 'BIPAP', 'CPAP' and 'Ventilator'. This would provide critical additional context to understanding a patient's respiratory status, especially in light of the COVID-19 pandemic which predominantly causes illness with pneumonia. This data element is often recorded in the electronic medical record by nursing and thus available.

Submitted By: Joshua D. Geleris, MD / Columbia University Irving Medical Center
Data Element Information
Rationale for Separate Consideration Oxygen delivery device is distinct from inhaled oxygen concentration. Additionally, inhaled oxygen concentration is usually only recorded when patients are on more 'advanced' devices such as Ventilators or BIPAP.
Use Case Description(s)
Use Case Description These would be helpful in understanding the respiratory status of all patients. For example, a patient with an oxygen saturation of 97% on Room Air has a very different respiratory status from a patient with an oxygen saturation of 97% on 6 L/minute of supplemental oxygen via nasal cannula, but that difference is not captured in USCDI currently.
Estimated number of stakeholders capturing, accessing using or exchanging Nearly all admitted patients and many outpatients have these data elements recorded in the EMR vital signs/flowsheets.
Healthcare Aims
  • Improving the health of populations
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) for example, snomed SCTID: 336623009 or SCTID: 336589003
https://browser.ihtsdotools.org/?perspective=full&conceptId1=336589003&edition=MAIN/2020-07-31&release=&languages=en
Additional Specifications N/A
Current Use This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders
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) n/a
Restrictions on Use (e.g. licensing, user fees) n/a
Privacy and Security Concerns none in addition to existing data elements
Estimate of Overall Burden minimal
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 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 Level 2 - Used by a majority of patients, providers or events requiring its use

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