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Data Element Name

Definition

MustSupport

Cardinality

USCDI

USCDI Element

US Core Profile / FHIR Resource

US Core Profile / FHIR Element

eICR Profile.element

HCV Test

 

S

1..1

Laboratory

Tests

US Core Laboratory Result Observation Profile

code

US Core Laboratory Result Observation Profile.code

Hepatitis C Diagnosis

 

S

1..1

Problems

n/a

US Core Condition Profile

code

eICR Condition.code

Date of diagnosis*

Date of test result confirming infection

S

1..1

Problems

n/a

US Core Condition Profile

onsetDateTime

eICR Condition.onset[x]

Date of illness onset*

Date of the first sign or symptom of hepatitis

S

0..1

Problems

n/a

US Core Condition Profile

onsetDateTime

eICR Condition.onset[x]

Presence of symptoms of acute hepatitis*

Verifies case definition

S

1..1

Problems

n/a

US Core Condition Profile

code

eICR Condition.code

Presence of jaundice*

Verifies case definition

S

1..1

Problems

n/a

US Core Condition Profile

code

eICR Condition.code

ALT level*

Verifies case definition

S

0..1

Laboratory

Values/ Results

US Core Laboratory Result Observation Profile

value[x]

US Core Laboratory Result Observation Profile.value[x]

anti-HCV TreatmentAn RXNORM code for HCV medication is present
(NOTE: *

anti-HCV positive test results require confirmation by an additional more specific assay or for anti-HCV, a S/CO ratio ≥3.8.

Verifies case definition. Determine all results (positive and negative).

S

0..1

Laboratory

Values/ Results

US Core Laboratory Result Observation Profile

value[x]

US Core Laboratory Result Observation Profile.value[x]

HCV Treatment

An RXNORM code for HCV medication is present
(NOTE: Ribavirin or interferon alone do not qualify as HCV treatment; they must be prescribed in combination with each other or with a direct-acting antiviral on the med list)

S

1..1

Medication

Medication

US Core Medication Request Profile

medication[x]

eICR Composition.section:slicePlanOfTreatmentSection.entry:sliceUSCoreMedicationRequest.medication[x]

HCV Cure (SVR)

Negative HCV RNA level 6 months after starting treatment

Laboratory

Values/ Results

US Core Laboratory Result Observation Profile

value[x]

US Core Laboratory Result Observation Profile.value

anti-HCV*

anti-HCV positive test results require confirmation by an additional more specific assay or for anti-HCV, a S/CO ratio ≥3.8.

Verifies case definition. Determine all results (positive and negative).S

0..1

Laboratory

Values/ Results

US Core Laboratory Result Observation Profile

value[x]

US Core Laboratory Result Observation Profile.value[x]

Pregnancy Status*

If pregnant, infants of HBV or HCV infected women should be tested for infection (see disease-specific guidelines)

S

0..1

n/a

 

Pregnancy Status Observation

value[x] 

Pregnancy Status Observation.value[x]

SUD/OUD Diagnosis

 

Problems

S

1..1

Problems

n/a

US Core Condition Profile

code

eICR Condition.code

MAT Prescribed

 

S

1..1

Assessment and Plan of Treatment?

 n/a

US Core Medication Request Profile

medication[x]

eICR Composition.section:slicePlanOfTreatmentSection.entry:sliceUSCoreMedicationRequest.medication[x]

Patient Name

 

S

1..*

Patient Demographics

First Name

Last Name

US Core Patient Profile

name.given

name.family

eCR Patient.name

Patient Address

 

S

1..*

Patient Demographics

Current Address

US Core Patient Profile

address

eCR Patient.address

Date of birth*

Core variables (NEDSS standards)

Patient Demographics

Date of Birth

US Core Patient Profile

birthDate

eCR Patient.birthDate

Patient Sex

Core variables (NEDSS standards)Patient Sex

S

0..1

Patient Demographics

Birth Sex

US Core Patient Profile

 us-core-birthsex

eCR Patient.us-core-birthsex

Patient Race

Core variables (NEDSS standards)S

0..1

Patient Demographics

Race

US Core Patient Profile

us-core-race

eCR Patient.us-core-race

Patient Ethnicity

Core variables (NEDSS standards)S

0..1

Patient Demographics

Ethnicity

US Core Patient Profile

us-core-ethnicity

eCR Patient.us-core-ethnicity

Origin Date of report*

Site requesting viral hepatitis testing

n/a

 

eICR Encounter.location.eICRLocation.name

State of report*

Core variables (NEDSS standards)birth*

S

1..1

Patient Demographics

Date of Birth

US Core Patient Profile

birthDate

eCR Patient.birthDate

Hospitalization for hepatitis*

If yes, verify dates of hospitalization

S

1..1

n/a

 

US Core Encounter Profile

hospitalization

eICR Encounter.location.eICRLocation.address.state

County of report*

Core variables (NEDSS standards)

n/a

 

eICR Encounter.location.eICRLocation.address.district

Zip code of report*

Core variables (NEDSS standards)

class
(values of IMP, ACUTE, NONAC,
OBSENC, SS only)

Hospitalization for hepatitis dates*

 

S

0..1

n/a

 

US Core Encounter Profile

period

eICR Encounter.location.eICRLocation.address.postalCodeHospitalization for period

Death from hepatitis*

If yes, verify dates of hospitalization

n/a

 

US Core Encounter Profile

hospitalization

eICR Encounter.hospitalization

Hospitalization for hepatitis dates*

 

n/a

 

US Core Encounter Profile

period

eICR Encounter.period

Death from hepatitis*

If yes, review death certificate review death certificate and medical records to rule out other potential causes of death and to confirm acute liver failure as the cause of death

S

1..*

n/a

 

Condition

outcome (extension)

US Core Condition.category (coming soon)

Origin of report*

Site requesting viral hepatitis testing

S

1..1

n/a

 

eICR Encounter.location.eICRLocation.name

State of report*

S

1..1

n/a

 

eICR Encounter.location.eICRLocation.address.state

County of report*

No

0..1

n/a

 

eICR Encounter.location.eICRLocation.address.district

Zip code of report*

S

0..1

n/a

 

eICR Encounter.location.eICRLocation.address.postalCode

Table 3. Hepatitis C Data Elements

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