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 | Condition, diagnosis, or reason for seeking medical attention. |
Problems |
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| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number | Both standards are required
Adopted at 45 CFR 170.207(q)(1) |
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| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Relationship | Represents the relationship between a patient and a person involved in the care of a patient (e.g., parent, next-of-kin, guardian, custodian). |
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| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Current Address | Includes street name, number, city/town, state, and zip code. |
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| Draft USCDI V3 | Activity performed for or on a patient as part of the provision of care. |
Procedures |
Optional:
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| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Name | The name of a person involved in the care of a patient, but who is not the target of that care. |
CDC-defined HL70063 |
Nedra Garrett | Centers for Disease Control and Prevention | ||
| Draft USCDI V3 | Activity performed for or on a patient as part of the provision of care. |
Reason for Referral |
An explanation or justification for why this service is being requested or was provided. |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | |||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Preferred Language | Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009 Adopted at 45 CFR 170.207(g) |
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| Draft USCDI V3 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
BMI Percentile (2 - 20 years) |
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| Draft USCDI V3 | Information related to interactions between healthcare providers and patients. |
Encounter Diagnosis |
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Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| Draft USCDI V3 | Information related to interactions between healthcare providers and patients. |
Encounter Disposition |
Identifies the location or type of facility to where the patient left a hospital or encounter episode. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| Draft USCDI V3 | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Time Stamp | ||||||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Date of Birth | ||||||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Suffix | ||||||
| Draft USCDI V3 | Condition, diagnosis, or reason for seeking medical attention. |
Social Determinants of Health-related health concerns, conditions, or diagnoses. (e.g., homelessness, food insecurity) |
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Mark Savage for Gravity Project | Gravity Project | |||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Gender Identity | A person’s internal sense of being a man, woman, both, or neither. |
Gender Identify must be coded in accordance with SNOMED CT® and HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor, attributed as follows:
Adopted at 45 CFR 170.207(o)(2) |
A. Taylor | ONC | ||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Sex (Assigned at Birth) | Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows:
Adopted at 45 CFR 170.207(n) |
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| Draft USCDI V3 | 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. |
Smoking Status | Representing a patient’s smoking behaviors. |
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| Draft USCDI V3 | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Type | Type of specimen (e.g., nasopharyngeal swab, whole blood, serum, urine, wound swab) on which a lab test is performed. |
Nedra Garrett | Centers for Disease Control and Prevention | |||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Race | Both standards are required
Adopted at 45 CFR 170.207(f) |
