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 |
|---|---|---|---|---|---|---|---|---|
| USCDI V3.1 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Head Occipital-frontal Circumference Percentile (Birth - 36 Months) | Both standards are required
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| USCDI V3.1 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Heart Rate | Both standards are required
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| USCDI V3.1 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Subscriber Identifier |
Sequence of characters used to uniquely refer to the individual that selects insurance benefits. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V3.1 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Coverage Status |
Presence or absence of health care insurance. |
Mark Roberts | Leavitt Partners | ||
| USCDI V3.1 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
SDOH Problems/Health Concerns |
Social Determinants of Health-related health concerns, conditions, or diagnoses. (e.g., homelessness, food insecurity) |
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Mark Savage for Gravity Project | Gravity Project | |
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Race | Both standards are required:
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| USCDI V3.1 | 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. |
Health Concerns |
Health-related issue or worry. (e.g., weight gain, cancer risk) |
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| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Ethnicity | Both standards are required:
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| USCDI V3.1 | Allergies and Intolerances | Harmful or undesired physiological responses associated with exposure to a substance. |
Reaction |
Harmful or undesired physiologic response following exposure to a pharmacologic agent or class of agents. |
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| USCDI V3.1 | Goals | Desired state to be achieved by a patient. |
Patient Goals | Desired outcomes of patient's care. |
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| USCDI V3.1 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
Problems |
Condition, diagnosis, or reason for seeking medical attention. |
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| USCDI V3.1 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Type |
Category of health care service. (e.g., office visit, telephone assessment, home visit) |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V3.1 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Location |
Place where care is delivered by a care team member. (e.g., clinic address, location description) |
Al Taylor | ONC | ||
| USCDI V3.1 | Unique Device Identifier(s) for a Patient's Implantable Device(s) | Unique identifier(s) for a patient's implantable device(s). |
Unique Device Identifier(s) for a patient's implantable device(s) |
Unique numeric or alphanumeric codes that consists of a device identifier and a production identifier. |
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Marti Velezis | FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII) | |
| USCDI V3.1 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Disposition |
Place or setting to which the patient left a hospital or encounter. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V3.1 | Procedures | Activity performed for or on a patient as part of the provision of care. |
Procedures |
Optional:
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| USCDI V3.1 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Time |
Date/times 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) | ||
| USCDI V3.1 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
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Progress Note |
Summary of a patient’s interval status during an encounter (e.g., hospitalization, outpatient visit, treatment with a post-acute care provider, or other healthcare encounter) |
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| USCDI V3.1 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Time Stamp |
Date and time of author action. |
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| USCDI V3.1 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Organization |
Organization associated with author. |