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 Diagnosis |
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Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| Draft USCDI V3 | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Role | Al Taylor | ONC | ||||
| Draft USCDI V3 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Body Height |
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| Draft USCDI V3 | Narrative patient data relevant to the context identified by note types.
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Procedure Note | Encompasses non-operative procedures including interventional cardiology, gastrointestinal endoscopy, osteopathic manipulation, and other specialty’s procedures. |
Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
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| 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.
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| Draft USCDI V3 | Condition, diagnosis, or reason for seeking medical attention. |
Problems |
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| Draft USCDI V3 | Data related to an individual’s insurance coverage for health care. |
Subscriber Identifier | The identifier assigned to the individual that selects benefits offered by an employer or healthcare insurer. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V3 | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Identifier | Al Taylor | ONC | ||||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Email Address | ||||||
| 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 | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number | Both standards are required
Adopted at 45 CFR 170.207(q)(1) |
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| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Race | Both standards are required
Adopted at 45 CFR 170.207(f) |
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| 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 | Condition, diagnosis, or reason for seeking medical attention. |
Date of Diagnosis | Date of first determination by a qualified professional of the presence of a problem or condition affecting a patient. |
Steven Lane | Sutter Health | |||
| Draft USCDI V3 | Data related to an individual’s insurance coverage for health care. |
Member Identifier | Identifies an individual covered by the benefits offered by an employer or healthcare insurer. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V3 | Narrative patient data relevant to the context identified by note types.
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Discharge Summary Note |
A synopsis of a patient’s admission and course in a hospital or post-acute care setting. Must contain admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalization. |
Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
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| 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. |
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| Draft USCDI V3 | Activity performed for or on a patient as part of the provision of care. |
Reason for Referral |
An explanation or justification for why this service is being requested or was provided. |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | |||
| 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 | ||||
| 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.
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