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 |
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| USCDI V6 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
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Narrative summary of non-operative procedure. Examples include but are not limited to interventional cardiology, gastrointestinal endoscopy, and osteopathic manipulation. |
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| USCDI V6 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
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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. |
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| 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. |
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| 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. |
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| USCDI V6 | Immunizations | Record of vaccine administration. |
Vaccine product administered, planned, or reported. |
Both standards are required:
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| 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. |
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| 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. |
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| 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. |
Optional:
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
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| 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. |
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| 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. |
Both values must be supported:
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| 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. |
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Both standards are required:
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Both standards are required:
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| USCDI V6 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Adopted at 45 CFR 170.207(g)(2) |
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| 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. |
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| 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:
Adopted at 45 CFR 170.207(q)(1) |
