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 V3	Information related to interactions between healthcare providers and a patient.	Encounter Time	Represents a date/time related to an encounter (e.g., scheduled appointment time, check in time, start and stop times).		Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
Draft USCDI V3	The metadata, or extra information about data, regarding who created the data and when it was created.	Author Time Stamp
Draft USCDI V3	Information related to interactions between healthcare providers and a patient.	Encounter Disposition	Identifies the location or type of facility to where the patient left a hospital or encounter episode.		Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
Draft USCDI V3	Activity performed for or on a patient as part of the provision of care.	Procedures		SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release Current Procedural Terminology (CPT®) 2021, as maintained and distributed by the American Medical Association, for physician services and other health care services, and Healthcare Common Procedure Coding System (HCPCS), as maintained and distributed by HHS. For technology primarily developed to record dental procedures: Code on Dental Procedures and Nomenclature (CDT), maintained and distributed by the American Dental Association, for dental services. Optional: International Classification of Diseases ICD-10-PCS 2021
Draft USCDI V3	Condition, diagnosis, or reason for seeking medical attention.	Problems		Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release International Classification of Diseases ICD-10-CM 2021
Draft USCDI V3	Information related to interactions between healthcare providers and a patient.	Encounter Diagnosis		SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release International Classification of Diseases ICD-10-CM 2021	Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Phone Number		Both standards are required ITU-T E.123, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - General provisions concerning users: Notation for national and international telephone numbers, email addresses and web addresses, February 2001 ITU-T E.164, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - Numbering plan of the international telephone service, The international public telecommunication numbering plan, November 2010 Adopted at 45 CFR 170.207(q)(1)
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Current Address	Includes street name, number, city/town, state, and zip code.
Draft USCDI V3	Activity performed for or on a patient as part of the provision of care.		A service offered to a patient to address identified Social Determinants of Health concerns, problems, or diagnoses (e.g., Education about Meals on Wheels Program, Referral to transportation support programs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.	SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release Current Procedural Terminology (CPT®) 2021, as maintained and distributed by the American Medical Association, for physician services and other health care services Healthcare Common Procedure Coding System (HCPCS) Level II, as maintained and distributed by HHS	Mark Savage for Gravity Project	Gravity Project	11/04/2020 - 17:30
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Preferred Language		Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009 Adopted at 45 CFR 170.207(g)
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Last Name
Draft USCDI V3	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.	Pregnancy Status	Indicator that a patient is currently pregnant, not pregnant, or that their pregnancy status is unknown currently, as it relates to potential risks and exposures.		Adam Bazer, MPD	Integrating the Healthcare Enterprise USA (IHE USA)	10/23/2020 - 20:53
Draft USCDI V3	Condition, diagnosis, or reason for seeking medical attention.	Date of Resolution	Date of subsiding or termination of a symptom, problem, or condition.		Steven Lane	Sutter Health	09/14/2020 - 04:24
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Previous Name
Draft USCDI V3	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.	Mental Function	Represents observations related to a patient's current level of cognitive functioning, including alertness, orientation, comprehension, concentration, and immediate memory for simple commands.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.71	Michelle Dougherty	Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup	10/23/2020 - 16:50
Draft USCDI V3	Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.	Medications		RxNorm® Full Monthly Release, January 3, 2022
Draft USCDI V3	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 V3	Information about a person who participates or is expected to participate in the care of a patient.	Care Team Member Name			Al Taylor	ONC	10/10/2020 - 02:26
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Middle Name (Including middle initial)
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	First Name