Instrument, apparatus, machine, equipment, implant, software, hardware, or related component or accessory intended to diagnose, treat, cure, mitigate, or prevent disease, or to affect the structure or function of the body.

Data Element
Oxygen Delivery Device
Submitted By: Joshua D. Geleris, MD / Columbia University Irving Medical Center
Data Element Information
Data Element Description In addition to respiratory rate, pulse oxygen saturation and inhaled oxygen concentration, the method of oxygen delivery should also be specified. Common methods include 'Nasal Cannula', 'Face Mask', 'Non-rebreather Mask', 'High Flow Nasal Cannula', 'BIPAP', 'CPAP' and 'Ventilator'. This would provide critical additional context to understanding a patient's respiratory status, especially in light of the COVID-19 pandemic which predominantly causes illness with pneumonia. This data element is often recorded in the electronic medical record by nursing and thus available.
Rationale for Separate Consideration Oxygen delivery device is distinct from inhaled oxygen concentration. Additionally, inhaled oxygen concentration is usually only recorded when patients are on more 'advanced' devices such as Ventilators or BIPAP.
Use Case Description(s)
Use Case Description These would be helpful in understanding the respiratory status of all patients. For example, a patient with an oxygen saturation of 97% on Room Air has a very different respiratory status from a patient with an oxygen saturation of 97% on 6 L/minute of supplemental oxygen via nasal cannula, but that difference is not captured in USCDI currently.
Estimate the breadth of applicability of the use case(s) for this data element Nearly all admitted patients and many outpatients have these data elements recorded in the EMR vital signs/flowsheets.
Healthcare Aims
  • Improving the health of populations
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) for example, snomed SCTID: 336623009 or SCTID: 336589003
https://browser.ihtsdotools.org/?perspective=full&conceptId1=336589003&edition=MAIN/2020-07-31&release=&languages=en
Additional Specifications N/A
Current Use This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders
Extent of exchange 5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders.
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) n/a
Restrictions on Use (e.g. licensing, user fees) n/a
Privacy and Security Concerns none in addition to existing data elements
Estimate of Overall Burden minimal
ASTP Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 2 - Data element is captured, stored, or accessed in multiple production EHRs or other HIT modules from more than one developer.
Criterion #3
Maturity - Current Exchange		 Level 2 - Data element is electronically exchanged between more than two production EHRs or other HIT modules of different developers using available interoperability standards.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 0 - Use cases apply to a limited number of care settings or specialties, or data element represents a specialization of other, more general data elements.
Evaluation Comment This element represents a specific type of medical device used in clinical care.

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