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 V4

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.

Non-imaging or non-laboratory test.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V4

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

Tests that generate visual images and require interpretation by qualified professionals.

Examples include but are not limited to radiographic, photographic, and video images.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
Swapna Abhyankar Regenstrief Institute, LOINC Document Ontology Subcommittee
Draft USCDI V4

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

Interpreted results of imaging tests.

Usage Note: Includes both structured and unstructured (narrative) components.

Swapna Abhyankar Regenstrief Institute, LOINC Document Ontology Subcommittee
Draft USCDI V4

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

Body location from where a specimen was obtained.

Examples include but are not limited to right internal jugular, left arm, and right eye.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
Nedra Garrett Centers for Disease Control and Prevention
Draft USCDI V4

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

Substance being sampled or tested.

Examples include but are not limited to nasopharyngeal swab, whole blood, serum, urine, and wound swab. 

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
Nedra Garrett Centers for Disease Control and Prevention
Draft USCDI V4

Activity performed for or on a patient as part of the provision of care.

Explanation or justification for a referral or consultation.

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Draft USCDI V4

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

Relationship of a person to a patient.

Examples include but are not limited to parent, next-of-kin, guardian, and custodian.

Draft USCDI V4

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

Name of a person with a legal or familial relationship to a patient.

Nedra Garrett Centers for Disease Control and Prevention
Draft USCDI V4

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

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

Jeff Lyall Cigna
Draft USCDI V4

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

A person’s internal sense of being a man, woman, both, or neither.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
A. Taylor ONC
Draft USCDI V4

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

A person’s emotional, romantic, sexual, or affectional attraction to another person.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
A. Taylor ONC
Draft USCDI V4

Data related to an individual’s insurance coverage for healthcare.

Sequence of characters used to uniquely refer to an individual with respect to their insurance.

Robert C Dieterle On behalf of the Da Vinci Project
Draft USCDI V4

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.

Findings of clinical tests.

Melissa Ayres SSA
Draft USCDI V4

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.

Assessment of a patient’s capabilities, or their risks of development or worsening of a condition or problem.

Examples include but are not limited to fall risk, and pressure ulcer risk.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
Holly Miller, MD MedAllies
Draft USCDI V4

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.

Assessments of a patient’s physical, cognitive, intellectual, or psychiatric disabilities.

Examples include but are not limited to vision, hearing, memory, and activities of daily living.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
Grace Cordovano Enlightening Results
Draft USCDI V4

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Directions for administering or taking a medication.Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications.

Shelly Spiro Pharmacy HIT Collaborative
Draft USCDI V4

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

Type of business that compensates for work or assigns work to an unpaid worker or volunteer.

Examples include but are not limited to U.S. Army, cement manufacturing, and children and youth services.

  • Occupational Data for Health, version 20201030
Nedra Garrett CDC
Draft USCDI V4

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

Type of work of a person.

Examples include but are not limited to infantry, business analyst, and social worker.

Occupational Data for Health, version 20201030

Nedra Garrett CDC
Draft USCDI V4

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Medication is consumed according to instructions.

Examples include but are not limited to taking as directed, taking not as directed, and not taking.

Shelly Spiro Pharmacy HIT Collaborative
Draft USCDI V4

Data related to an individual’s insurance coverage for healthcare.

Relationship of a patient to the primary insured person.

Mark Roberts Leavitt Partners