Data Strategy Briefing — ONC USCDI v3 Final Release

ONC published the final version of United States Core Data for Interoperability (USCDI) v3 on 13 July 2022. The expansion added data classes such as Health Status/Assessments and Patient Demographics while refining Provenance, requiring EHR vendors and TEFCA participants to plan upgrades to meet the new baseline for exchange.

What changed

• USCDI v3 introduced new data classes and elements (e.g., Goals, Health Status, SDOH assessments) to improve care coordination and equity reporting.
• Provenance and allergies data were updated for clarity and consistency, impacting FHIR profiles and implementation guides.
• ONC confirmed the timeline for integrating USCDI v3 into certification and TEFCA roadmap activities.

Why it matters

• Health IT developers must align data models, APIs, and testing artifacts with the expanded data classes to remain certification-ready.
• Providers participating in TEFCA need to ensure HIE partners and QHINs can exchange the v3 data elements, affecting consent, privacy, and quality reporting workflows.
• New social determinants data expectations affect analytics pipelines and governance for sensitive attributes.

Action checklist

• Update FHIR profiles and API contracts to include USCDI v3 elements; validate mapping against current EHR schemas.
• Coordinate with QHINs and HIE partners on transition timelines and testing for the new data set.
• Review governance policies for SDOH and sensitive data elements introduced in v3 to ensure privacy and minimum necessary controls.

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