Comments on the ISA are accepted year-round, and changes are made to the web version of the ISA frequently throughout the year, based on comments and other changes to the health IT standards environment as ASTP becomes aware of them. An annual Review and Comment period also occurs each summer-fall, when a majority of comments are received. See the process timeline below for more details.
Annual ISA Process Timeline
- January: Current Year Reference Edition is published, web version of ISA is available for ongoing review and comments.
- Winter/Spring/Summer: Changes may be made to the web-version of the ISA throughout the year, while the ISA Reference Edition remains static.
- Late Summer/Early Fall: Annual Review and Comment Period opens for sixty days - site changes are on hold so all reviewers are seeing the same content.
- Fall: ASTP and HHS staff review comments received, make site updates and prepare the following year's Reference Edition for publication by early January.
How to Comment on the ISA
- An ISA site account is required in order to comment on the ISA.
- If you have an account already, click the "Login" button at the top right of the ISA.
- To create an account, click the "Login" button, then "Create new account" tab above the login window. Account approval is required, and is generally completed within 1 - 24 hours.
- Once you're authenticated to the ISA site, you can submit comments on most ISA pages - just scroll to the bottom of the relevant page, enter the text of your comment (or provide attachments, if needed) and submit. Your comment will be reviewed by ASTP or other HHS subject matter experts, and changes will be considered for publication to the ISA.
- While comments by topic (posted to individual Interoperability Need pages) are preferred, and allow greater visibility to your comments by other industry stakeholders, consolidated comment letters are also accepted. You may provide these comments on general information pages, and ASTP staff will triage them, and assign them to subject matter experts.
Comment
Submitted by rashmitiw on
Nice
Nice
Submitted by ravi.kafle@doh… on
Thank you for the…
Thank you for the opportunity to comment on the new version of Interoperability Standards Advisory (ISA) 2024. The attached comments are provided on behalf of Washington State Department of Health.
Submitted by mphillips@caqh.org on
CAQH CORE 2025 ISA Updates
CAQH CORE reviewed the ISA and indicated recommended edits in the attached comment letter.
Submitted by nedragarrett_CDC on
CDC NCHS Comment for ISA 2024 - Reporting Death Records to PHAs
Kindly review the attached PDF.
CDC NCHS ISA Comments 2024 - Reporting Death Records to PHA ISA v2.pdf
Submitted by FEHRMSVAP51 on
NEW ISA platform
The FEHRM has reviewed the ISA website and submitted the attached file with our comments.
Submitted by nedragarrett_CDC on
CDC NCHS Comment for ISA 2024 - Reporting Birth and Fetal Death
Kindly review the attached PDF.
CDC NCHS ISA Comments 2024 - Reporting Birth and Fetal Death to Public Health Agencies.pdf
Submitted by nedragarrett_CDC on
Submitted by David Klonoff on
Integration of Continuous Glucose Monitor Data into the EHR
A consensus group of 130 stakeholders (organized by Diabetes Technology Society) from academia, government, and industry developed iCoDE with data standards and workflow processes for integrating the wearable device Continuous Glucose Monitors into the EHR. The iCoDE standard contained 54 recommendations when it was completed in November 2022. Many of its terms for expressing results of CGM testing are worthy of adoption by the (next) USCDI 5. The link to the iCoDE standard is here: <https://www.diabetestechnology.org/icode/>
Submitted by ScottStuewe on
DirectTrust ISA Updates - 2023
Updates to links for permanence. Updates to adoption levels. Inclusion of Context IG now that it is in use in the Notifications Standard. ANSI Naming added to ANSI approved standards.
Submitted by mphillips@caqh.org on
CORE Response to the 2024 ISA Open Comment Period
Thank you for the opportunity to provide substantive recommendations that promote consistency and update the content of the ISA. Comprehensive responses from CORE can be found at this link: CORE Submission for the 2024 ISA Open Comment Period. This link has also been posted to relevant pages throughout the ISA, referencing page numbers where edits can be found.
Please note, on page 2 of the linked letter, CORE has made several recommendations that ensure consistency of Operating Rule nomenclature across all pages of the ISA.
Please do not hesitate to contact us with questions.
Help
1. Optional: Background Text / Cover Letter
The "Optional Background Text / Cover Letter" field provides space for additional context or introductory information related to your comment.
This field is entirely optional and serves the following purposes:
If you are submitting a single comment for a specific data class or element, you may leave this field blank. For multiple comments, this space is useful for explaining the overall purpose or connection between your comments.
Fig 1 The "Optional Background Text / Cover Letter" field allows users to provide contextual information or introductory remarks for their comment submission.
2. Complete the Comment Form
The comment form contains several fields that require your input:
ISA Content: This field is automatically populated based on the page you are currently viewing. No action is required.
Standards and Implementation Specifications: This drop-down menu is pre-selected based on the topic you're commenting on. The selection reflects the relevant standard or implementation specification for your current page.
Subject: Enter a concise title that summarizes the focus of your comment. This helps reviewers quickly understand the nature of your feedback.
Comment: This is the main field where you provide your detailed feedback, concerns, or suggestions. The comment box includes a text editor with formatting options that allow you to:
Use these formatting options as needed to clearly present your information.
Fig 2 The comment text editor toolbar provides formatting options including bold, italic, links, lists, tables, and image insertion capabilities.
3. Optional: Upload Supporting Files
The platform allows you to upload supporting documentation to enhance your comment:
Important: If you have already entered your comments using the form fields, there is no need to upload duplicate content in PDF format. The file upload feature is intended for supplementary materials only. Please avoid uploading files that contain the same information already provided in your comment text.
Fig 3 The "File Upload" section permits users to attach supporting documentation that supplements their written comments.
4. Optional: Save and Exit
If you need to pause your work and return to complete your comment later:
Fig 4 A red triangle with exclamation mark indicator appears next to the "Return to saved Comment" button when draft comments are saved in the system.
5. Review and Submit
Once you have completed your comment:
Fig 5 The review screen includes a "Print" button that allows users to create a record of their comment submission.