USCDI Export for the Public

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Classification Level Sort descending	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
Draft USCDI V2	Harmful or undesired physiological responses associated with exposure to a substance.	Substance (Drug Class)		SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Sex (Assigned at Birth)		Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows: Female. F Male. M Unknown. nullFlavor UNK Adopted at 45 CFR 170.207(n)
Draft USCDI V2	Tests that result in visual images requiring interpretation by a credentialed professional.	Imaging Narrative	Contains a consulting specialist’s interpretation of diagnostic imaging data. This data element was reclassified from Clinical Notes to Diagnostic Imaging.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 Diagnostic Imaging Study (LOINC® code 18748-4
Draft USCDI V2	Analysis of clinical specimens to obtain information about the health of a patient.	Laboratory Report Narrative	Contains a consulting specialist’s interpretation of the laboratory report. This data element was reclassified from Clinical Notes to Laboratory.
Draft USCDI V2	Analysis of clinical specimens to obtain information about the health of a patient.	Pathology Report Narrative	Contains a consulting specialist’s interpretation of the pathology report. This data element was reclassified from Clinical Notes to Laboratory.
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Suffix
Draft USCDI V2	Harmful or undesired physiological responses associated with exposure to a substance.	Reaction		SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Middle Name (Including middle initial)
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Previous Name
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Previous Address	Includes street name, number, city/town, state, and zip code.
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Last Name
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	First Name
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Phone Number Type
Draft USCDI V2	Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.	Medications		RxNorm®, January 4, 2021 Full Release Update
Draft USCDI V2	Data used to categorize individuals for identification, records matching, and other purposes.	Email Address
Draft USCDI V2	Analysis of clinical specimens to obtain information about the health of a patient.	Values/Results	Documented findings of the analysis of a tested specimen. Includes both structured and unstructured (narrative) components.
Draft USCDI V2	Analysis of clinical specimens to obtain information about the health of a patient.	Tests	The name of the analysis of specimens derived from humans which provide information for the diagnosis, prevention, treatment of disease, or assessment of health.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
Draft USCDI V2	Record of vaccine administration.	Immunizations		CDC IIS: Current HL7 Standard Code Set, CVX -- Vaccines Administered, updates through November 16, 2020 CDC National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through November 13, 2020
Draft USCDI V2	Narrative patient data relevant to the context identified by note types. Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name.	History & Physical	Documents the current and past conditions and observations of the patient.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 Discharge Summary (LOINC® code 34117-2)
Draft USCDI V2	Information related to interactions between healthcare providers and a patient.	Encounter Type			Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35