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 Patient Demographics/Information

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

Related Person's Name

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

Nedra Garrett Centers for Disease Control and Prevention
USCDI V4 Patient Demographics/Information

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
USCDI V4 Health Insurance Information

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

Member Identifier

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
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 Result/Report

Findings of clinical tests.

Melissa Ayres SSA
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.

Functional Status

Assessment of a person’s ability to perform activities of daily living and activities across other situations and settings.

Examples include but are not limited to bathing, ambulation, and preparing a light meal.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.74
Holly Miller, MD MedAllies
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.

Disability Status

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 2.74
Grace Cordovano Enlightening Results
USCDI V4 Medications

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

Medication Instructions

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.

Usage notes: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper).

Shelly Spiro Pharmacy HIT Collaborative
USCDI V4 Patient Demographics/Information

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

Occupation Industry

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
USCDI V4 Patient Demographics/Information

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

Occupation

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
USCDI V4 Medications

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

Medication Adherence

Statement of whether a medication has been consumed according to instructions.

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

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2023 Release
Shelly Spiro Pharmacy HIT Collaborative
USCDI V4 Health Insurance Information

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

Relationship to Subscriber

Relationship of a patient to the primary insured person.

Mark Roberts Leavitt Partners
USCDI V4 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 V4 Patient Demographics/Information

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

Tribal Affiliation

Tribe or band with which an individual associates.

Laura Conn
USCDI V4 Laboratory

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

Result Interpretation

Categorical assessment of a laboratory value, often in relation to a test's reference range.

Examples include but are not limited to high, low, critical high, and normal.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2023 Release
  • HL7 Code System ObservationInterpretation
Riki Merrick Association of Public Health Laboratories
USCDI V4 Laboratory

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

Specimen Identifier

Sequence of characters assigned by a laboratory for an individual specimen.

Example includes but is not limited to accession number.

Riki Merrick Association of Public Health Laboratories
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.

Alcohol Use

Evaluation of a patient's consumption of alcohol.

Examples include but are not limited to history of alcohol use, alcohol use disorder identification test and alcohol intake assessment.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.74
Clem McDonald National Library of Medicine
USCDI V4 Laboratory

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

Specimen Condition Acceptability

Information regarding a specimen, including the container, that does not meet a laboratory’s criteria for acceptability.

Examples include but are not limited to hemolyzed, clotted, container leaking, and missing patient name.

Usage note: This may include information about the contents of the container, the container, and the label.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2023 Release
  • Health Level 7® (HL7) Code System SpecimenCondition
Han Tran College of American Pathologists (CAP)
USCDI V4 Laboratory

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

Result Reference Range

Upper and lower limit of quantitative test values expected for a designated population of individuals.

Usage note: reference range values may differ by patient characteristics, laboratory test manufacturer, and laboratory test performer.

  • The Unified Code of Units for Measure, Revision 2.1
Nedra Y Garrett CDC
USCDI V4 Laboratory

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

Result Unit of Measure

Unit of measurement to report quantitative laboratory test results.

  • The Unified Code of Units for Measure, Revision 2.1
Nedra Y Garrett CDC
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.

Physical Activity

Evaluation of a patient's current or usual exercise.

Examples include but are not limited to frequency of muscle-strengthening physical activity, days per week with moderate to strenuous physical activity, and minutes per day of moderate to strenuous physical activity.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.74
Laurie P. Whitsel American Heart Association/Physical Activity Alliance