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 V4 | 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. |
Pregnancy Status |
State or condition of being pregnant or intent to become pregnant. Examples include but are not limited to pregnant, not pregnant, and unknown. |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | ||
| USCDI V4 | 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. |
SDOH Assessment |
Screening questionnaire-based, structured evaluation for a Social Determinants of Health-related risk. Examples include but are not limited to food, housing, and transportation security. |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V4 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
SDOH Problems/Health Concerns |
Social Determinants of Health-related health concerns, conditions, or diagnoses. Examples include but are not limited to homelessness, and food insecurity. |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V4 | Goals and Preferences | Desired state to be achieved by a person or a person’s elections to guide care. |
SDOH Goals |
Desired future states for an identified Social Determinants of Health-related health concern, condition, or diagnosis. Examples include but are not limited to food security, transportation security, and ability to access health care. |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V4 | Procedures | Activity performed for or on a patient as part of the provision of care. |
SDOH Interventions |
Actions or services to address an identified Social Determinants of Health-related health concern, condition, or diagnosis. Examples include but are not limited to education about food pantry program and referral to non-emergency medical transportation program. |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V4 | Goals and Preferences | Desired state to be achieved by a person or a person’s elections to guide care. |
Treatment Intervention Preference |
Person's goals, preferences, and priorities for care and treatment in case that person is unable to make medical decisions because of a serious illness or injury. Examples include but are not limited to thoughts on cardiopulmonary resuscitation, mental health treatment preferences, and thoughts on pain management. |
|
Matt Elrod on behalf of ADVault, Inc. | ADVault, Inc. | |
| USCDI V4 | Goals and Preferences | Desired state to be achieved by a person or a person’s elections to guide care. |
Care Experience Preference |
Person's goals, preferences, and priorities for overall experiences during their care and treatment. Examples include but are not limited to religious beliefs, dislikes and fears, and thoughts and feelings to be shared. |
|
Matt Elrod on behalf of ADVault, Inc. | ADVault, Inc. | |
| USCDI V4 | 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. |
Substance Use |
Evaluation of a patient's reported use of drugs or other substances for non-medical purposes or in excess of a valid prescription. Examples include but are not limited to substance use disorder score, and substance use knowledge assessment. |
|
Jessica Cotto | National Institute on Drug Abuse | |
| USCDI V4 | 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 V4 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Payer Identifier |
Sequence of characters used to uniquely refer to an insurance payer. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V4 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Coverage Type |
Category of health care payers, insurance products, or benefits. Examples include but are not limited to Medicaid, commercial, HMO, Medicare Part D, and dental. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V4 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Group Identifier |
Sequence of characters used to uniquely refer to a specific health insurance plan. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Status |
State or condition of a laboratory test. |
Maria Michaels | CDC | ||
| USCDI V4 | Clinical Tests | 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 |
Non-imaging or non-laboratory test. Examples include but are not limited to electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT). |
|
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |
| USCDI V4 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Test |
Tests that generate visual images and require interpretation by qualified professionals. Examples include but are not limited to radiographic, photographic, and video images. |
|
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | |
| USCDI V4 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Report |
Interpreted results of imaging tests. Usage Note: Includes both structured and unstructured (narrative) components. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Source Site |
Body location from where a specimen was obtained. Examples include but are not limited to right internal jugular, left arm, and right eye. |
|
Nedra Garrett | Centers for Disease Control and Prevention | |
| USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Type |
Substance being sampled or tested. Examples include but are not limited to nasopharyngeal swab, whole blood, serum, urine, and wound swab. |
|
Nedra Garrett | Centers for Disease Control and Prevention | |
| USCDI V4 | Procedures | Activity performed for or on a patient as part of the provision of care. |
Reason for Referral |
Explanation or justification for a referral or consultation. |
|
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | |
| USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Relationship Type |
Relationship of a person to a patient. Examples include but are not limited to parent, next-of-kin, guardian, and custodian. |