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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 | 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 | 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 | ||||||
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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