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 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Report Submission Date/Time | The date and time at which the EHR system sends the report. |
Sarah Gaunt | The Association of Public Health Laboratories (APHL) | ||
| Level 0 | Newborn's Delivery Information | Reason CCHD oxygen saturation screening not performed | The reason that CCHD screening for newborns was not performed on this patient. |
LOINC 73698-3 - Reason CCHD oxygen saturation screening not performed (including Preferred Answer List LL2458-9) |
Craig Newman | Altarum | ||
| Level 0 | Special Alerts for Care Handoffs | Scheduling (time specific interventions) LOINC | Indicate timing for scheduling essential testing, treatments, consults, procedures, and follow-up appointments. |
ICD 10, SNOMED, LOINC, RxNorm |
Holly Miller, MD | MedAllies | ||
| Level 0 | Special Alerts for Care Handoffs | Patient behaviors with risk to self or others (reported or observed) ICD 10, SNOMED | Examples Include: |
ICD 10, SNOMED, LOINC, RxNorm |
Holly Miller, MD | MedAllies | ||
| Level 0 | Patient Summary and Plan | Information that guides treatment of the patient and recommendations for future treatment. |
Clinical Decision Support Data | Data and reporting used for risk stratification, optimization of patient outcomes, detection of decompensation, clinical and patient education. |
SNOMED CT |
Grace Cordovano | Enlightening Results | |
| 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 | Adverse Events | Unintended effects associated with clinical interventions. |
Oncology Adverse events | complications (serious- hospitalization, death) |
Laura Esserman | University of California - San Francisco | ||
| Level 0 | Special Alerts for Care Handoffs | Risk Scores | LACE - https://www.mdcalc.com/calc/3805/lace-index-readmission | ICD 10, SNOMED, LOINC, RxNorm |
Holly Miller, MD | MedAllies | ||
| Level 0 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Slot | A slot of time on a schedule that may be available for booking appointments. |
Philip Lieberman | Analog Informatics Corporation | ||
| Level 0 | Appointment | Schedule | A container for slots of time that may be available for booking appointments. |
Philip Lieberman | Analog Informatics Corporation | |||
| Level 0 | Social Determinants of Health | SDOH Protective Factors | Social determinants of health-related characteristics or strengths of individuals, families that act to mitigate risks and promote positive well-being and healthy development |
SNOMED CT |
Sarah Candace DeSilvey | Gravity Project | ||
| Level 0 | Facility Information | Physical place of available services or resources. |
Performing Facility | Name of the facility that completes the order |
Jessi Lott | Tennessee Department of Health | ||
| Level 0 | Facility Information | Physical place of available services or resources. |
Ordering Facility | Name of facility that is placing order |
Jessi Lott | Tennessee Department of Health | ||
| Level 0 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Set Id | An identifier that is common across all document revisions. |
Sarah Gaunt | The Association of Public Health Laboratories (APHL) | ||
| Level 0 | Pregnancy Information | Pregnancy risk | The pregnancy risk data element is represented by the LOINC code: 42838-3 with the variable values of: • Improved • Deteriorated • Stabilized |
Ravi Kafle | Washington State Department of Health | |||
| Level 0 | 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. |
Goal Assessment | The assessment and monitoring of goals and goal progress. Examples for goal assessments include Goal Attainment Scaling (GAS) and patient-reported outcome measures (PROMs) such as PHQ-9, GAD-7 or PROMIS. |
Standardized goal assessment tools exist and have associated LOINC terminology codes. Examples: |
Grace Glennon-Jubrey (NCQA) | NCQA | |
| Level 0 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Case Report Version Number | An integer value used to version successive replacement documents of an electronic case report. |
Sarah Gaunt | The Association of Public Health Laboratories (APHL) | ||
| Level 0 | Social Determinants of Health | Congregate Living | Shared housing includes a broad range of settings, such as apartments, condominiums, student or faculty housing, national and state park staff housing, transitional housing, and domestic violence and abuse shelters | HL7 CDA: C-CDA Characteristics of Home Environment template HL7 FHIR: US Public Health Characteristics of Home Environment LOINC: 75274-1 "Characteristics of residence" Value set: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.49/expansion (Residence and Accommodation Type) |
Nedra Garrett | CDC | ||
| Level 0 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Custodian Organization Telecom | A telecom of the custodian organization. |
Sarah Gaunt | The Association of Public Health Laboratories (APHL) | ||
| Level 0 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Custodian Organization Id | An identifier of the custodian organization. |
Sarah Gaunt | The Association of Public Health Laboratories (APHL) |
