USCDI Export for the Public
| Classification Level Sort descending | Data Class | Data Class Description | Data Element | Data Element Description | Applicable Standards | Submitter Name | Submitter Organization | Submission Date |
|---|---|---|---|---|---|---|---|---|
| Level 0 | Adverse Events | Unintended effects associated with clinical interventions. |
Study | Research study that the subject is enrolled in | HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | |
| Level 0 | Nutrition and Diet | Eating/drinking assistive device | External devices that are designed, made, or adapted to assist a person with eating and/or drinking | HL7 Version 2 – ODS – Dietary orders, supplements, and preferences (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=185) HL7 Version 3 Standard: Orders; Diet and Nutrition, Release 1 (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=317) HL7 FHIR NutritionOrder (https://www.hl7.org/fhir/nutritionorder.html) In addition, many there are many nutrition-related terms in SNOMED CT. Many of these terms have been put in value sets in VSAC or through HL7 terminology. Here are some examples: Diet Type (OID 2.16.840.1.113883.4.642.3.385) – HL7 terminology Nutrient Modifier (OID 2.16.840.1.113883.4.642.3.386) – HL7 terminology Nutrition Supplement (OID 2.16.840.1.113883.4.642.3.390) – HL7 terminology Enteral Nutrition Type (OID 2.16.840.1.113883.4.642.3.391) – HL7 terminology Enteral Nutrition Additive (OID 2.16.840.1.113883.4.642.3.392) – HL7 terminology Food Allergies and Intolerance (OID 2.16.840.1.113762.1.4.1186.3) - VSAC Feeding Device Grouping (OID 2.16.840.1.113762.1.4.1095.87) - VSAC |
Becky Gradl | Academy of Nutrition and Dietetics | ||
| Level 0 | Work Information | Job Supervisory Level or Pay Grade | A coded term that indicates the responsibilities of a person’s job for directing work and managing personnel, as reported by the person. Pay grade is used for a military position, since it distinguishes between officers and enlisted service members and conveys similar meaning across all branches of service. |
Occupational Data for Health (Value Set -Job Supervisory Level or Pay Grade (ODH)) |
Nedra Garrett | CDC | ||
| Level 0 | Adverse Events | Unintended effects associated with clinical interventions. |
Occurrence | Time period of event – date/time, period, timing when the event occurred | HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | |
| Level 0 | Cancer Care | Provider Reported Toxicity Value | For each Cancer Patient - Provider Reported Toxicity record the Toxicity Value corresponding to the Toxicity Measure specified indicates the severity of the toxicity using the standardized table. specifies what value is measured. For example if CTCAE v5.0 (https://ctep.cancer.gov/protocoldevelopment/electronic_applications/doc…) the values in the standardized set are 0,1,2,3,4,5 The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) identified this as a high priority element supporting patient care, outcomes research and public policy |
Common Terminology Criteria for Adverse Events |
Charles Mayo | University of Michigan | ||
| Level 0 | Adverse Events | Unintended effects associated with clinical interventions. |
Adverse Event Type | Event or incident that occurred or was averted | HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | |
| Level 0 | Work Information | Usual Occupation Duration | The self-reported total of all periods of time (in years) a person has spent in their Usual Occupation as of the date recorded, not including intermittent period(s) when the person was not working in that occupation. It is recorded as an integer to one decimal place. | Nedra Garrett | CDC | |||
| Level 0 | Work Information | Usual Occupation | A self-reported, coded term for the type of work (paid or unpaid) done by a person for the longest amount of time during his or her life, not including voluntary work (done by choice for the benefit of others without compensation). |
Occupational Data for Health (Value Set - Occupation ONETSOC Detail (ODH)) https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7901 Occupation CDC Census 2010 https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186 |
Nedra Garrett | CDC | ||
| Level 0 | Work Information | Usual Industry | A self-reported term that identifies the kind of business, i.e., primary business activity, in which a person has worked for the longest time while in their Usual Occupation. For a military position, this is the self-reported branch of service. If an appropriate term is not available (e.g., a new kind of business), then a text entry is used. | Occupational Data for Health (Value Set - Industry NAICS Detail (ODH)) https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7900 Industry CDC Census 2010 http://hl7.org/fhir/us/odh/ValueSet-codesystem-industry-cdc-census-2010.html |
Nedra Garrett | CDC | ||
| Level 0 | Work Information | Job Work Schedule | A coded term for the typical arrangement of working hours for a job, as reported by the person. |
Value Set - Work Schedule (ODH) |
Nedra Garrett | CDC | ||
| Level 0 | Work Information | Job Work Classification | A coded term that characterizes the arrangement between the employer and the person in a job, such as 'paid work, self-employed' or 'voluntary work in disaster/emergency response', as reported by the person. |
PHVS_WorkClassification_ODH |
Nedra Garrett | CDC | ||
| Level 0 | Work Information | Job Employer Name | The company, organization, or individual that provides compensation for a job or that assigns work to a volunteer, as reported by the person. For a military position, this is the self-reported duty station (home base). |
LOINC® 80427-8 Employer name |
Nedra Garrett | CDC | ||
| Level 0 | Health Status Assessments | Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s authorized representative, or patient’s healthcare provider that could identify a need, problem, or condition. |
HHS Disability Status - Vision | According to the HHS implementation guide there are six-item set of questions used on ACS and other major surveys to gauge disability is the data standard for survey questions on disability. (HHS Implementation Guidance on Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status | ASPE). https://aspe.hhs.gov/reports/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-disability-0 The prompt for this data element should be consistent with HHS implementation guide: “Are you blind or do you have serious difficulty seeing, even when wearing glasses?” https://aspe.hhs.gov/reports/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-disability-0 |
HL7 FHIR: US Public Health Disability Status HL7 CDA: Disability Status Observation VSAC Value Set: Disability Status (LOINC) |
Nedra Garrett | CDC | |
| Level 0 | Work Information | Job Employer Address | The self-reported Employer Address; this is not necessarily the work location. |
LOINC (r) 80429-4 Employer address |
Nedra Garrett | CDC | ||
| Level 0 | Adverse Events | Unintended effects associated with clinical interventions. |
Actuality | Did the event (harm) occur or is there potential for harm – ie. Actual, potential | HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | |
| Level 0 | Adverse Events | Unintended effects associated with clinical interventions. |
Category | Type of harm – wrong patient, medication mishap, wrong body site, etc. | HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | |
| Level 0 | Work Information | Job Start Date | The date a person started working in a Job. | Nedra Garrett | CDC | |||
| Level 0 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Administration Status | A code specifying the status of the Administration of a drug. This would clearly identify the current status of the drug administration. At any time, some codes may be ambiguous, such as “in-progress”, in that it is not currently clear if the administration process moved forward. Other codes will provide definitive states of the administration. For instance, “completed” shows the administration was completed, while “entered-on-error” indicates the prescription process was halted and the administration did not move forward | In FHIR R4, https://www.hl7.org/fhir/medicationadministration-definitions.html#MedicationAdministration.status |
Scott Gordon | Food and Drug Administration | |
| Level 0 | Work Information | Usual Occupation Start Date | The self-reported year that a person started working in their Usual Occupation. | Nedra Garrett | CDC | |||
| Level 0 | Work Information | Job End Date | The last day a person worked in a Job. | Nedra Garrett | CDC |