. 2014 Mar 18;2(1):e5. doi: 10.2196/medinform.3172

Table 1.

Common MU Dataset defined in Stage 2 MU Final Rule (Federal Register Vol. 77, No. 171, September 4, 2012) and corresponding vocabulary standards.

Common MU Dataset	Vocabulary standard
1. Patient name	N/A
2. Sex	N/A
3. Date of birth	N/A
4. Race	The OMB^a Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
5. Ethnicity	OMB
6. Preferred language	As specified by the Library of Congress, ISO^b639-2 alpha-3 codes limited to those that also have a corresponding alpha-2 code in ISO 639-1
7. Smoking status	Any of the following SNOMED CT^c codes- (1) Current every day smoker, 449868002 (2) Current some day smoker, 428041000124106 (3) Former smoker, 8517006 (4) Never smoker, 266919005 (5) Smoker, current status unknown, 77176002 (6) Unknown if ever smoked, 266927001 (7) Heavy tobacco smoker, 428071000124103 (8) Light tobacco smoker, 428061000124105
8. Problems	At a minimum, SNOMED CT International Release July 2012 and US Extension to SNOMED CT March 2012 Release
9. Medications	RxNorm, August 6, 2012 Release
10. Medication allergies	RxNorm, August 6, 2012 Release
11. Laboratory tests	LOINC^d version 2.40
12. Laboratory values/results	N/A
13. Vital signs (height, weight, BP^e, BMI^f)	N/A
14. Care plan fields including goals and instructions	N/A
15. Procedures	At a minimum, SNOMED CT International Release, July 2012 with US Extension to SNOMED CT March 2012 or the combination of HCPCS^g and CPT^h 4 Optional, CDTⁱ, ICD-10-PCS^j
16. Care team members	N/A

^aOMB=Office of Management and Budget

^bISO=International Organization for Standardization

^cSNOMED CT=Systematized Nomenclature of Medicine, Clinical Terms

^dLOINC=Logical Observation Identifiers Names and Codes

^eBP=blood pressure

^fBMI=body mass index

^gHCPCS=Health care Common Procedure Coding System

^hCPT=Current Procedural Terminology

ⁱCDT=Code on Dental Procedures and Nomenclature

^jICD-10-PCS=International Classification of Diseases, Tenth Revision, Procedure Coding System