USCDI Export for the Public

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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 (Medication)		RxNorm®, January 6, 2020 Full Release Update
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	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	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	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	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	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Phone Number Type
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.	History & Physical	Documents the current and past conditions and observations of the patient.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.67 History and Physical Note (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	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.	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)
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		Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.	Medications		RxNorm®, January 4, 2021 Full Release Update
Draft USCDI V2		Information related to interactions between healthcare providers and a patient.	Encounter Time	Represents a date/time related to an encounter (e.g., scheduled appointment time, check in time, start and stop times).		Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
Draft USCDI V2		Data used to categorize individuals for identification, records matching, and other purposes.	Ethnicity		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 1.0 (March 2000) Adopted at 45 CFR 170.207(f)
Draft USCDI V2		Information about a person who participates or is expected to participate in the care of a patient.	Care Team Member Name			Al Taylor	ONC	10/10/2020 - 02:26
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		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		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Body Temperature		Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 The Unified Code of Units for Measure (UCUM), Revision 2.1