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For phase one of the study, IOM put together a committee whose specific task was to identify domains of electronic health record data collection that should be considered by ONC for stage 3 meaningful use. The 13-member committee consisted of individuals with a wide variety of expertise, including leaders in the fields of health IT and experts on social determinants of health and behavioral and psychological issues.
The committee opted to include domains even if they are already routinely captured in EHRs to ensure they will continue to be prioritized and to allow recommendations for standard measures for these domains as part of the committee's phase two report.
The committee concluded the following domains that are separated into five categories should be considered by ONC for meaningful use stage 3:
Sociodemographic domains
- sexual orientation
- race/ethnicity
- country of origin/U.S. born or non-U.S. born
- education
- employment
- financial resource strain
- food and housing insecurity
Psychological domains
- health literacy
- stress
- negative mood and affect
- anxiety
- psychological assets
- conscientiousness
- patient engagement/activation
- optimism
- self-efficacy
Behavioral domains
- dietary patterns
- physical activity
- nicotine use and exposure
- alcohol use
Individual-level social relationships domains
- social connections and social isolation
- exposure to violence
Neighborhoods and communities domains
- socioeconomic characteristics
- race/ethnic characteristics
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