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 V1 Allergies and Intolerances

Harmful or undesired physiological responses associated with exposure to a substance.

Substance (Drug Class)
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2019 Release
USCDI V1 Patient Demographics/Information

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

Previous Address

Includes street name, number, city/town, state, and zip code.

USCDI V1 Patient Demographics/Information

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

Phone Number Type
USCDI V1 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Care Team Member
USCDI V1 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. 
History & Physical

Documents the current and past conditions and observations of the patient.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.67

  • Discharge Summary (LOINC® code 34117-2)
USCDI V1 Patient Demographics/Information

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

Email Address
USCDI V1 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. 
Consultation Note

Contains the response to request from a clinician for an opinion or advice from another clinician.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.67

  • Consult Note (LOINC® code 11488-4)
USCDI V1 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. 
Discharge Summary Note

A synopsis of a patient’s admission and course in a hospital or post-acute care setting.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.67

  • Discharge Summary (LOINC® code 18842-5)
USCDI V1 Allergies and Intolerances

Harmful or undesired physiological responses associated with exposure to a substance.

Reaction
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2019 Release
USCDI V1 Vital Signs

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Weight-for-length Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.67
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V1 Vital Signs

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.67
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V1 Allergies and Intolerances

Harmful or undesired physiological responses associated with exposure to a substance.

Substance (Medication)
  • RxNorm®, January 6, 2020 Full Release Update
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Systolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Diastolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

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

Imaging Narrative

Contains a consulting specialist’s interpretation of diagnostic imaging data.

This data element was reclassified from Clinical Notes to Diagnostic Imaging.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.69

  • Diagnostic Imaging Study (LOINC® code 18748-4
Draft USCDI V2

Record of vaccine administration.

Immunizations
  • CDC IIS: Current HL7 Standard Code Set, CVX -- Vaccines Administered, updates through November 16, 2020
  • CDC National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through November 13, 2020
Draft USCDI V2

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

Preferred Language

Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009

Adopted at 45 CFR 170.207(g)

Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Body Weight
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

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

Previous Address

Includes street name, number, city/town, state, and zip code.

Draft USCDI V2

Health related matter that is of interest, importance, or worry to someone who may be the patient, patient’s family or patient’s health care provider.

Health Concerns