USCDI Export for the Public

Download CSV

Classification Level Sort descending	Data Class	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
USCDI V1	Immunizations	Record of vaccine administration.	Immunizations		CDC IIS: Current HL7 Standard Code Set, CVX -- Vaccines Administered, updates through January 31, 2020 CDC National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through January 31, 2020
USCDI V1	Health Concerns	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
USCDI V1	Goals	Desired state to be achieved by a patient.	Patient Goals	Desired outcomes of patient's care.
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.	Progress Note	Represents a patient’s interval status during a hospitalization, outpatient visit, treatment with a post-acute care provider, or other healthcare encounter.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.67 Progress Note (LOINC® code 11506-3)
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.	Procedure Note	Encompasses non-operative procedures including interventional cardiology, gastrointestinal endoscopy, osteopathic manipulation, and other specialty’s procedures.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.67 Procedure Note (LOINC® code 28570-0)
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.	Laboratory Report Narrative	Contains a consulting specialist’s interpretation of the laboratory report.
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.	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	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.	Imaging Narrative	Contains a consulting specialist’s interpretation of diagnostic imaging data.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.67 Diagnostic Imaging Study (LOINC® code 18748-4
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.	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	Assessment and Plan of Treatment	Health professional’s conclusions and working assumptions that will guide treatment of the patient.	Assessment and Plan of Treatment
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.	Pathology Report Narrative	Contains a consulting specialist’s interpretation of the pathology report.
Draft USCDI V2		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Body Height		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.	Email Address
Draft USCDI V2		Information about a person who participates or is expected to participate in the care of a patient.	Care Team Member
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.	Last Name
Draft USCDI V2		Information related to interactions between healthcare providers and a patient.	Encounter Type			Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
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		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