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 V6 Clinical Notes

Narrative patient data relevant to the context identified by note types.

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  • Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name. 

Narrative summary of non-operative procedure.

Examples include but are not limited to interventional cardiology, gastrointestinal endoscopy, and osteopathic manipulation.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.80
    • At minimum: Procedure note (LOINC code 28570-0)
USCDI V6 Clinical Notes

Narrative patient data relevant to the context identified by note types.

  •  
  • Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name. 

Narrative summary of a patient’s interval status during an encounter.

Examples include but are not limited to hospitalization, outpatient visit, and treatment with a post-acute care provider, or other healthcare encounter.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.80
    • At minimum: Progress note (LOINC code 11506-3)
USCDI V6 Goals and Preferences

Desired state to be achieved by a person or a person’s elections to guide care.

Desired outcomes of patient’s care.

Examples include but are not limited to blood pressure control, functional ability, and nutrition.

USCDI V6 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-related issue or worry.

Examples include but are not limited to weight gain and cancer risk.

USCDI V6 Immunizations

Record of vaccine administration.

Vaccine product administered, planned, or reported.

Both standards are required:

  • CVX – Vaccines Administered, updates through July 23, 2025
  • National Drug Code (NDC), updates through July 23, 2025
USCDI V6 Laboratory

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

Analysis of specimens derived from humans which provide information for the diagnosis, prevention, treatment of disease, or assessment of health.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.80
USCDI V6 Laboratory

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

Documented findings of a tested specimen including structured and unstructured components.

  • SNOMED Clinical Terms (SNOMED CT®) U.S. Edition, March 2025 Release
USCDI V6 Medications

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

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

  • RxNorm® Full Monthly Release, July 7, 2025

Optional:

  • National Drug Code (NDC), July 23, 2025
USCDI V6 Patient Demographics/Information

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

USCDI V6 Patient Demographics/Information

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

USCDI V6 Patient Demographics/Information

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

USCDI V6 Patient Demographics/Information

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

USCDI V6 Patient Demographics/Information

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

Name Suffix

Name component following family name that may be used to describe a person's position in a family.

USCDI V6 Patient Demographics/Information

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

Sex

Documentation of a specific instance of sex.

  • SNOMED Clinical Terms (SNOMED CT) U.S. Edition, March 2025 Release

Both values must be supported:

  • SNOMED CT U.S. Edition: 248152002 (Female)
  • SNOMED CT U.S. Edition: 248153007 (Male)
USCDI V6 Patient Demographics/Information

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

Known or estimated year, month, and day of the patient’s birth.

USCDI V6 Patient Demographics/Information

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

Both standards are required:

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
  • CDC Race and Ethnicity Code Set Version 1.3 May 2025
USCDI V6 Patient Demographics/Information

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

Both standards are required:

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
  • CDC Race and Ethnicity Code Set Version 1.3 May 2025
USCDI V6 Patient Demographics/Information

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

  • IETF (Internet Engineering Task Force) Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009

Adopted at 45 CFR 170.207(g)(2)

USCDI V6 Patient Demographics/Information

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

Place where a person is located or may be contacted.

Usage note: If the address pattern is not supported in the standard, implementations should align as closely as possible and avoid truncating any values.

  • Project US@ Technical Specification for Patient Addresses, Final Version 1.0
USCDI V6 Patient Demographics/Information

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

Numbers and symbols to contact an individual when using a phone.

Both standards are required:

  • ITU-T E.123, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - General provisions concerning users: Notation for national and international telephone numbers, email addresses and web addresses, February 2001
  • ITU-T E.164, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - Numbering plan of the international telephone service, The international public telecommunication numbering plan, November 2010

Adopted at 45 CFR 170.207(q)(1)