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Through a partnership with the National Institute of Neurological Disorders and Stroke (NINDS), National Institutes of Health, and Department of Defense, the development of Sport-Related Concussion (SRC) Common Data Elements (CDEs) was initiated. The aim of this collaboration was to increase the efficiency and effectiveness of clinical research studies and clinical treatment outcomes, increase data quality, facilitate data sharing across studies, reduce study start-up time, more effectively aggregate information into metadata results, and educate new clinical investigators. The SRC CDE Working Group consisted of 32 worldwide experts in concussion from varied fields of related expertise divided into three Subgroups: Acute (3 months post-concussion). To develop CDEs, the Subgroups reviewed various domains, then selected from, refined, and added to existing CDEs, case report forms and field-tested data elements from national registries and funded research studies. Recommendations were posted to the NINDS CDE Website for Public Review from February 2017 to April 2017. Following an internal Working Group review of recommendations, along with consideration of comments received from the Public Review period, the first iteration (Version 1.0) of the NINDS SRC CDEs was completed in June 2017. The recommendations include Core and Supplemental-Highly Recommended CDEs for cognitive data elements and symptom checklists, as well as other outcomes and end-points (e.g., vestibular, oculomotor, balance, anxiety, depression), and sample case report forms (e.g., injury reporting, demographics, concussion history) for domains typically included in clinical research studies. The NINDS SRC CDEs and supporting documents are publicly available on the NINDS CDE website www.commondataelements.ninds.nih.gov . Widespread use of CDEs by researchers and clinicians will facilitate consistent SRC clinical research and trial design, data sharing, and metadata retrospective analysis.
"The Dublin Core", also known as the Dublin Core Metadata Element Set, is a set of fifteen "core" elements (properties) for describing resources. This fifteen-element Dublin Core was first standardized in 1998 as IETF RFC 2413, "Dublin Core Metadata for Resource Discovery", and subsequently published as ANSI/NISO Z39.85 and ISO 15836. Documentation for these core properties is now included as part of the larger set of DCMI Metadata Terms. This version of the fifteen-element Dublin Core, from 2012, is provided here as a historical snapshot. Like other Web-oriented vocabularies of the late 1990s, the Dublin Core was published with a version number, "1.1", after which the practice of publishing new releases as numbered versions was abandoned in favor of publishing releases simply by date.
Since 1998, when these fifteen elements entered into a standardization track, notions of best practice in the Semantic Web have evolved to include the assignment of formal domains and ranges in addition to definitions in natural language. Domains and ranges specify what kind of described resources and value resources are associated with a given property. Domains and ranges express the meanings implicit in natural-language definitions in an explicit form that is usable for the automatic processing of logical inferences. When a given property is encountered, an inferencing application may use information about the domains and ranges assigned to a property in order to make inferences about the resources described thereby.
That will give you the list of all elements with any label on it.
Given that you can generate the list of any element with versions in the right branch, you then need to diff the two lists in order to extract all elements from the first list (versions in the right branch) but not in the second one (element with a label).
Ask your engineering colleagues what SAP Fiori elements version they will use to develop your app because there are differences in the design options that each version supports. The articles in this section of the guidelines indicate when such differences exist.
One remaining concern with respect to v.2 is the seemingly arbitrary nature by which some data elements are classified, such as basic versus supplemental. This potential weakness is readily acknowledged. This version of the CDEs balanced the evidence-based practice approach with the imperatives of practicality. Future revisions of the TBI CDEs will have a greater emphasis on considering the evidentiary basis for making such categorizations. Before updating to v.3, many workgroup members recommend the real-world use of v.2 to determine which CDEs and outcome measures are most valuable for characterizing patient populations, evaluating tools, and predicting outcomes. Therefore, implementation of the TBI CDEs is the next major challenge. Implementation will be facilitated by the newly developed Federal Interagency TBI Research (FITBIR) Informatics System, which will use the TBI CDEs as its data dictionary.23 FITBIR provides a platform for data sharing, which will accelerate research by allowing individual subject meta-analysis and rigorous comparisons across studies. A further important step toward implementation will be obtaining endorsements by professional organizations. Currently, the American Association of Neurological Surgeons and the Congress of Neurological Surgeons have endorsed v.2 of the TBI CDEs. Translation into other languages to allow use in international studies is also a priority for the future.
The USCDI ONC New Data Element and Class (ONDEC) Submission System supports a predictable, transparent, and collaborative process, allowing health IT stakeholders to submit new data elements and classes for future versions of USCDI. Click here for more information and to submit new data elements.
The United States Core Data for Interoperability (USCDI) is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange. Review the USCDI Fact Sheet to learn more.
With the publication of USCDI v4, ONC is accepting submissions for new data elements. The deadline for USCDI v5 submissions and comments is September 20, 2023 at 11:59 p.m. ET. Submissions received after this date will be considered for USCDI v6.
The USCDI v2 contains data classes and elements from USCDI v1 and new data classes and elements submitted through the ONDEC system. Please reference the USCDI Version 2 document to the left for applicable vocabulary standards versions associated with USCDI v2 and to the ONC Standards Bulletin 21-3 for more information about the process to develop USCDI v2 and future versions.
USCDI v3 contains data classes and elements from USCDI v2 and new data classes and elements submitted through the ONDEC system. Please reference the USCDI Version 3 document to the left for applicable vocabulary standards versions associated with USCDI v3 and to the ONC Standards Bulletin 22-2 for more information about the process to develop USCDI v3 and future versions.
USCDI v4 added 20 data elements and one data class to USCDI v3. Please reference the USCDI v4 standard document and the ONC Standards Bulletin 23-2 for details. To review the prioritization criteria ONC used to select the USCDI v4 data elements, refer to the ONC Standards Bulletin 22-2. ONC is accepting submissions for new data elements through the ONDEC system and feedback on existing data elements until Wednesday, September 20, 2023 at 11:59 p.m. ET.
Rather than suggesting new data elements specific only to average blood pressure and to reduce the burden on certified health IT companies, the vital sign results: date and timestamps data element could be utilized to provide context for a documented average blood pressure.
We appreciate the opportunity to submit comments on the standardized health data classes and constituent data elements eligible for promotion to version 5 of the USCDI. As we look to version 5 of USCDI and those items that will enable individuals to express the things that will allow them to ensure systems make the information available across care settings that are most impactful to their healthcare experience, ADVault strongly recommends that the following health data classes and constituent data elements, including clarifications to their naming convention, be included.
On behalf of the Federal Electronic Health Modernization (FERHM), I am writing in response to ONC's request for comments on USCDIv5. We appreciate ONC's continued efforts to reach out to the military to gain unique unique perspectives and to facilitate progress toward standardizing data elements in pursuit of enhanced interoperability. Please see our comments below.
The FEHRM continues to advocate for the addition of "Exposures" as a new data class within the USCDI. The VA and DoD represent millions of veterans, service members and beneficiaries and the VA/DOD/FERHM recently requested SNOMED codes for commonly occurring exposures. Honoring our PACT Act (PACT Act 2022) was passed by Congress and required the collection and reporting of data on Service Member Exposure of hazardous substances. In response to the law, DoD/VA/FEHRM is developing systems to capture relevant data elements for treatment and reporting purposes. The FEHRM has received approval for new codes from SNOMED that correspond to the Level 2 Exposure data elements. The newly approved HL7 Toxic Exposure Project will develop a list of standards data elements for exposure, and we want you to be aware of the group through the Exposure comments.
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