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Introduction

New Data Classes and Data Elements

The following table summarizes the data classes and data elements for USCDI v4:

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source: ONC Health IT Standards Bulletin Issue 2023-2

References:

  • ONC USCDI website: https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi#uscdi-v4
  • ONC USCDI v4 PDF

Design Principles

  1. Our goal is that US Core "defines the minimum set of FHIR RESTful interactions for each of the US Core Profiles to access patient data. By establishing the “floor” of standards to promote interoperability and adoption through common implementation."
  2. Meets the certification requirement and "allows for further standards development evolution for specific uses cases."
  3. Use existing FHIR Profiles, Extensions, and Standard Vocabulary when possible.
  4. Choose what is implementable today vs aspirational content.

US Core Proposals:

Open questions to ONC:

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