Data Usability Workgroup Implementation Guide, Version 2

The Sequoia Project Interoperability Matters Initiative is a public-private cooperative solving discrete health information exchange challenges. Launched by The Sequoia Project in 2018, Interoperability Matters engages experts from across the healthcare and health IT communities to identify, prioritize, and collaborate on the most pressing, discrete challenges to nationwide health information sharing.

In October 2020, the Interoperability Matters: Data Usability Workgroup (DUWG) was launched by The Sequoia Project to develop specific and pragmatic implementation guidance on clinical content for healthcare stakeholders in order to facilitate health information exchange. This workgroup is open to all industry stakeholders and the roster includes 391 organizations and 488 participants following this work effort through 2024. The industry stakeholders engaged represent:

• healthcare providers
• health IT developers
• health information networks and exchanges
• federal, state, and local governments
• health plans and payers
• consumers and patients
• standards developers, public health and others
  
  

This implementation guide covers specific priority use cases that can be readily adopted by health information exchange vendors, implementers, networks, governance frameworks (i.e., TEFCA/QHINs, Carequality, eHealth Exchange, Commonwell, etc.), and testing programs. Our primary charge as a workgroup is to improve the usability of data received by end users within their workflows. In this setting, data usability may include data quality (timeliness, completeness), knowledge work (clinical context), data lifecycle (provenance), and interoperability (semantics, syntax, and physical mechanism or transport to move data). These and many other dimensions can enable receiving systems to more directly incorporate shared data into the workflow of a clinician and make it more computable (e.g., for clinical decision support) and actionable.

This draft Version 2.0 Implementation Guide will build on the prior Version 1.0 Implementation Guide and other existing work, including, but not limited to, C-CDA Implementation Guides, C-CDA Templates, FHIR Implementation Guides, ONC programs and other standards such as USCDI V1, V2, and V3, the recommendations of the Carequality-CommonWell Joint Document Content Workgroup (JDCWG) and in coordination with related standards development organizations and industry initiatives. Our intent is not to create new standards, but to serve as a point of convergence and community for existing and future standards and methods. From this intention, our task is to identify priority areas of focus for vendors and implementers alike that will be most valuable in improving data usability. Future work efforts will move beyond the baseline set for this publication of USCDI V3 to incorporate guidance for Electronic Health Information Exchange of data leveraging USCDI V4 and beyond, and other industry publications.