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 |
|---|---|---|---|---|---|---|---|---|
| Level 0 | Travel Information | Travel Plans Dates | Dates planned for travel to a location. |
Geographical location history (https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.3201) ISO 3166 country codes (https://www.iso.org/iso-3166-country-codes.html) |
Craig Newman | Altarum | ||
| Level 0 | Travel Information | Travel Plans Location | Represents a location in a person’s travel plans (either an address or a coded location). |
§ SNOMED: 420008001 |Travel (event)| § Geographical location history (https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.do 11.3201) § ISO 3166 country codes (https://www.iso.org/iso-3166-country-codes.html) § NCI_Thesaurus 22.08e: code C173619 § LOINC v2.72 code: PhenX measure - international travel history:-:Pt:^Patient:-:PhenX (Code 62887-5) |
Craig Newman | Altarum | ||
| Level 0 | Cancer Care | Radiation Therapy Structure Name | TG-263 (https://www.aapm.org/pubs/reports/RPT_263.pdf) name of structure, if it exists. |
Elizabeth Covington | University of Michigan | |||
| Level 0 | Cancer Care | Radiation Therapy Dose Objective | TG-263 (https://www.aapm.org/pubs/reports/RPT_263.pdf) name of DVH metric for the objective |
Elizabeth Covington | University of Michigan | |||
| Level 0 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Income | Patient income level |
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| Level 0 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Caregiver of disabled person | Person serving as a primary caregiver for a disabled person. |
American Community Survey disability value set |
Charles Mayo | University of Michigan, American Association of Physicists in Medicine | |
| Level 0 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Date Medication Administered | A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). |
Date Medication Prescribed and Date Medication Administered: dateTime Data Type (FHIR): http://hl7.org/fhir/datatypes.html#dateTime Medication Prescribed Code and Medication Administered Code: RxNorm: https://www.nlm.nih.gov/research/umls/rxnorm/index.html Medication Prescribed Dose Units and Medication Administration Dose Units: UCUM: http://unitsofmeasure.org |
Maria Michaels | CDC | |
| Level 0 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Administered Code | A code (or set of codes) that specify the medication that was administered. |
Date Medication Prescribed and Date Medication Administered: dateTime Data Type (FHIR): http://hl7.org/fhir/datatypes.html#dateTime Medication Prescribed Code and Medication Administered Code: RxNorm: https://www.nlm.nih.gov/research/umls/rxnorm/index.html Medication Prescribed Dose Units and Medication Administration Dose Units: UCUM: http://unitsofmeasure.org |
Maria Michaels | CDC | |
| Level 0 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Administration Dose | The amount of the medication given at one administration event. |
Date Medication Prescribed and Date Medication Administered: dateTime Data Type (FHIR): http://hl7.org/fhir/datatypes.html#dateTime Medication Prescribed Code and Medication Administered Code: RxNorm: https://www.nlm.nih.gov/research/umls/rxnorm/index.html Medication Prescribed Dose Units and Medication Administration Dose Units: UCUM: http://unitsofmeasure.org |
Maria Michaels | CDC | |
| Level 0 | Cancer Care | Cancer Treatment Site of Recurrence | If there is a recurrence, then list sites of recurrence . The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) noted a Delphi process to identify standard values recommended for classification. These were Primary- None Primary - Prostate Primary - Seminal Vesicles Nodal-None Nodal-Pelvic Nodal-Aortic Nodal-Distant Distant-None Distant- CHAARTED-Low Volume Distant- CHAARTED-High Volume Metastatic-Bone Metastatic-Viscera In OORO for each instance record of a Cancer Patient Treatment Outcome, multiple values of Evaluation Site of Recurrence can be selected e.g. Primary- None,Nodal-Distant |
Charles Mayo | University of Michigan | |||
| Level 0 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Administration Dose Units | The units of measure associated with the amount of medication given at one administration event |
Date Medication Prescribed and Date Medication Administered: dateTime Data Type (FHIR): http://hl7.org/fhir/datatypes.html#dateTime Medication Prescribed Code and Medication Administered Code: RxNorm: https://www.nlm.nih.gov/research/umls/rxnorm/index.html Medication Prescribed Dose Units and Medication Administration Dose Units: UCUM: http://unitsofmeasure.org |
Maria Michaels | CDC | |
| Level 0 | Cancer Care | Cancer Treatment Evaluation Basis of Disease Status | What measures were used in the determination of the disease status. Physical exam PSA Plain film radiographs Bone scan Magnetic Resonance Imaging Computed Tomograph Biochemical marker (PSA) PET-CT (PSMA) PET-CT (F-18 fluciclovine) PET-CT (C-11 choline) In OORO for each instance record of a Cancer Patient Treatment Outcome, multiple values of Evaluation Basis of Disease Status can be selected e.g. PSA, MRI |
Charles Mayo | University of Michigan | |||
| Level 0 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Administered Reason Reference | Reference to a condition that is the reason for the medication administration. |
Date Medication Prescribed and Date Medication Administered: dateTime Data Type (FHIR): http://hl7.org/fhir/datatypes.html#dateTime Medication Prescribed Code and Medication Administered Code: RxNorm: https://www.nlm.nih.gov/research/umls/rxnorm/index.html Medication Prescribed Dose Units and Medication Administration Dose Units: UCUM: http://unitsofmeasure.org |
Maria Michaels | CDC | |
| Level 0 | Medical Devices | Instrument, machine, appliance, implant, software, or similar device intended to be used for a medical purpose. |
DME Orders | Medically necessary equipment (and the corresponding order) that a physician prescribes for use in a patient’s home, including wheelchairs, walkers, and hospital beds. |
The Centers for Medicare & Medicaid Services (CMS) annually updates a spreadsheet that contains a list of the HCPCS codes for DME MAC and Part B MAC jurisdictions to reflect codes that are either added or discontinued (deleted) each year. The jurisdiction list is an Excel file and is available at https://www.cms.gov/Center/Provider-Type/Durable-Medical-Equipment-DME-Center |
Matt Reid | American Medical Association | |
| Level 0 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
|
Tumor Board Notes | This may be a interdisciplinary note or a specific note for tumor boards. |
https://loinc.org/85231-9/ |
Leslie Kelly Hall | Engaging Patient Strategy | |
| Level 0 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
|
Autopsy Report | An autopsy is a post-mortem medical examination that a forensic pathologist, coroner, or medical examiner performs on the body of a deceased person. |
Grace Cordovano | Enlightening Results | ||
| Level 0 | Goals | Desired state to be achieved by a patient. |
Outcome Code | Identifies the change (or lack of change) at the point when the status of the goal is assessed |
HL7 FHIR |
Shelly Spiro | Pharmacy HIT Collaborative | |
| Level 0 | Pregnancy Information | Last Menstrual Period (LMP) | Date of the first day of the last menstrual period. |
LOINC : 8665-2 Last menstrual period start date IHE 1.3.6.1.4.1.19376.1.5.3.1.3.18 HL7 FHIR observation - https://www.hl7.org/fhir/observation-example-date-lastmp.html CMS - https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/dwnlds/R81CPpdf.pdf (Pg. 4, ) |
Andrea Fourquet | IHE USA | ||
| Level 0 | Pregnancy Information | Planned Pregnancy | Assessing patients for planned pregnancy information reduces the risk of adverse health effects for the woman, fetus, and neonate by working with the woman to optimize health, address modifiable risk factors, provide education and interventions. |
SNOMED CT |
Andrea Fourquet | IHE USA | ||
| Level 0 | Cancer Care | Radiation Therapy Dose Objective Value | Desired value for the specified Dose Objective |
Elizabeth Covington | University of Michigan |