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
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)
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 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)
Draft USCDI V3

The metadata, or extra information about data, regarding who created the data and when it was created.

Author Organization

Organization associated with author.

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.

Smoking Status

Representing a patient’s smoking behaviors.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
Draft USCDI V3

Unique identifier(s) for a patient's implantable device(s).

  • FDA Unique Device Identification System (UDI System)
Marti Velezis FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII)
Draft USCDI V3

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)
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Diastolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Systolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Harmful or undesired physiological responses associated with exposure to a substance.

Substance (Medication)
  • RxNorm® Full Monthly Release, January 3, 2022
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

BMI Percentile (2 - 20 years)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
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.

Disability Status

Represents assessments of an individual's physical, cognitive, intellectual, or psychiatric disabilities (e.g., vision, hearing, memory, activities of daily living)

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Grace Cordovano Enlightening Results
Draft USCDI V3

Tests that result in visual images requiring interpretation by a credentialed professional.

Diagnostic Imaging Report

Interpreted results of imaging test that includes the study performed, reason, findings, and impressions. Includes both structured and unstructured (narrative) components.

Swapna Abhyankar Regenstrief Institute, LOINC Document Ontology Subcommittee
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.

Functional Status

Represents assessments of a patient’s capabilities, or their risks of development or worsening of a condition or problem (e.g., Morse Scale - falls, Bradon Scale - pressure ulcer, VR-12 Health Survey, CAGE – alcohol use disorder)

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Holly Miller, MD MedAllies
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Weight-for-length Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Analysis of clinical specimens to obtain information about the health of a patient.

Specimen Type

Type of specimen (e.g., nasopharyngeal swab, whole blood, serum, urine, wound swab) on which a lab test is performed.

Nedra Garrett Centers for Disease Control and Prevention
Draft USCDI V3

Non-imaging and non-laboratory tests performed that result in structured or unstructured findings specific to the patient to facilitate the diagnosis and management of conditions.

Clinical Test Result/Report

Interpreted results of clinical tests that may include study performed, reason performed, findings, and impressions. Includes both structured and unstructured (narrative) components.

Melissa Ayres SSA
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

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 V3

Data used to categorize individuals for identification, records matching, and other purposes.

Date of Death

Known or estimated year, month, and day of the patient's death.

Jeff Lyall Cigna