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
Draft USCDI V3

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

Respiratory Rate
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Mental Function

Represents observations related to a patient's current level of cognitive functioning, including alertness, orientation, comprehension, concentration, and immediate memory for simple commands.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Michelle Dougherty Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup
Draft USCDI V3

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

Response to request from a clinician for an opinion, advice, or service from another clinician.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.71

  • Consult Note (LOINC® code 11488-4)
Draft USCDI V3

Activity performed for or on a patient as part of the provision of care.

A service offered to a patient to address identified Social Determinants of Health concerns, problems, or diagnoses (e.g., Education about Meals on Wheels Program, Referral to transportation support programs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
  • Current Procedural Terminology (CPT®) 2021, as maintained and distributed by the American Medical Association, for physician services and other health care services
  • Healthcare Common Procedure Coding System (HCPCS) Level II, as maintained and distributed by HHS
Mark Savage for Gravity Project Gravity Project
Draft USCDI V3

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

Heart Rate
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

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 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Pregnancy Status

Indicator that a patient is currently pregnant, not pregnant, or that their pregnancy status is unknown currently, as it relates to potential risks and exposures.

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Draft USCDI V3

Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Disability Status

Represents assessments of an individual's physical, cognitive, intellectual, or psychiatric disabilities (e.g., vision, hearing, memory, activities of daily living)

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Grace Cordovano Enlightening Results
Draft USCDI V3

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

Middle Name (Including middle initial)
Draft USCDI V3

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

Phone Number Type
Draft USCDI V3

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

A self-reported term for the type of work done by a person. For a military position, this is the primary occupational specialty

Occupational Data for Health

Nedra Garrett CDC
Draft USCDI V3

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

Occupation Industry

A self-reported term for the primary business activity of an entity for which a person works, including volunteer work. For a military position, this is the self-reported branch of service.

  • Occupational Data for Health

Industry NAICS Detail (ODH) Value Set

Nedra Garrett CDC
Draft USCDI V3

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. Must contain admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalization.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.71

  • Discharge Summary (LOINC® code 18842-5)
Draft USCDI V3

Desired state to be achieved by a patient.

SDOH Goals

Identifies a future desired condition or change in condition related to an SDOH risk in any domain and is established by the patient or provider. (e.g., Has adequate quality meals and snacks, Transportation security-able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Mark Savage for Gravity Project Gravity Project
Draft USCDI V3

Unique identifier(s) for a patient's implantable device(s).

  • FDA Unique Device Identification System (UDI System)
Marti Velezis FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII)
Draft USCDI V3

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 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Data related to an individual’s insurance coverage for health care.

Relationship to Subscriber

Relationship of a person to the primary insured person in an insurance plan.

Mark Roberts Leavitt Partners
Draft USCDI V3

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

Previous Name
Draft USCDI V3

The metadata, or extra information about data, regarding who created the data and when it was created.

Author Organization

Organization associated with author.

Draft USCDI V3

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 2.71
  • The Unified Code of Units for Measure, Revision 2.1