ONC seeks feedback on Draft USCDI Model 5

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By Calvin S. Nelson

The Workplace of the Nationwide Coordinator for Well being IT is asking for suggestions on its draft United States Core Information for Interoperability, Model 5. It is also on the lookout for examples of code units utilized by well being IT builders and implementers to speak knowledge, the company mentioned.

ONC, which is accepting feedback till April 15, is focusing on the discharge of the ultimate USCDI v5 for July 2024.


The Draft USCDI v5 is targeted on the addition of standardized well being knowledge lessons and constituent knowledge parts that enhance affected person care and facilitate affected person entry. 

In line with Thursday’s ONC Requirements Bulletin, the company obtained greater than 60 submissions recommending new knowledge parts and over 330 feedback on beforehand submitted knowledge parts that it thought-about within the growth of the draft dataset.

ONC’s evaluated the submissions within the fourth quarter of 2023 and is proposing two knowledge lessons and 13 knowledge parts within the replace.

ONC is asking for recommendations for enchancment within the knowledge lessons or parts in Draft USCDI v5, together with knowledge class and component definitions, utilization notes and examples in addition to examples of code units utilized by well being IT builders.

Within the draft, ONC asks stakeholders for suggestions, together with: “Ought to different knowledge parts, already categorised as Degree 2 on the USCDI internet pages, be added to USCDI v5 as a substitute of, or along with, these in Draft USCDI v5? In that case, why?”

ONC additionally requested about obstacles to the event, implementation or use of any of those knowledge parts and in the event that they warrant a change in definition or removing from Draft USCDI v5.

The company famous that it’ll work with the Well being Data Know-how Advisory Committee, or HITAC, to garner suggestions on the draft.


ONC most just lately printed USCDI v4 this previous July, after receiving practically 600 feedback, together with many from HITAC.

The company raised the baseline for its HIT certification program by together with USCDI v3 within the just lately finalized Well being Information, Know-how, and Interoperability: Certification Program Updates, Algorithm Transparency, and Data Sharing Last Rule, or HTI-1. 

HTI-1 establishes that USCDI v3 would be the solely USCDI model required inside the Certification Program as of January 1, 2026. Model 3 contains provides intercourse, sexual orientation and gender identification, together with different knowledge parts.

With the brand new certification rule, ONC additionally adopted: 

  • HL7 FHIR US Core 6.1.0, which aligns with USCDI v3 knowledge parts for FHIR APIs. 
  • Substitutable Medical Functions, Reusable Applied sciences App Launch Implementation Information.
  • Up to date terminology requirements in Systematized Nomenclature of Medication Medical Phrases, U.S. Version.

“This last rule revises a number of program certification standards, together with standards associated to choice help, digital case reporting and standards-based [APIs] in addition to raises the baseline model of the USCDI from Model 1 to Model 3,” ONC mentioned within the last HTI-1 rule’s government abstract.


“ONC continues to work with the general public and federal companies to establish areas the place extra work is required to tell future variations of USCDI,” mentioned company officers within the draft. “ONC acknowledges there are particular however vital use circumstances that require consistency and alignment on datasets that transcend USCDI.”

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