Which governance elements determine which data elements are included in CCDA exchanges?

• A. Geography and time
• B. Consent settings, data-sharing policies, and mapping/templating controls
• C. System uptime
• D. User roles only

Answer: (B)

The data elements included in CCDA exchanges are determined by governance controls that govern what can be shared, how it’s shared, and how it’s structured. Consent settings specify what the patient or authorized representative allows to be shared, which can restrict or permit certain data elements. Data-sharing policies define which data can be disclosed to which recipients under what conditions, shaping which sections appear in the CCDA. Mapping and templating controls decide which data fields are captured and how they are represented in the CCDA, effectively selecting and arranging the elements that will be exchanged. Geography or time may influence the scope of data, and system uptime or user roles affect access or availability, but they do not determine the actual data elements included.