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.

Diastolic 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

Condition, diagnosis, or reason for seeking medical attention.

Date of Resolution

Date of subsiding or termination of a symptom, problem, or condition.

Steven Lane Sutter Health
Draft USCDI V3

Tests that result in visual images requiring interpretation by a credentialed professional.

Diagnostic Imaging Test

The name of the test performed which generates visual images (radiographic, photographic, video, etc.) of anatomic structures; and requires interpretation by qualified professionals.

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

Swapna Abhyankar Regenstrief Institute, LOINC Document Ontology Subcommittee
Draft USCDI V3

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Medications
  • RxNorm® Full Monthly Release, January 3, 2022
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

Non-imaging and non-laboratory tests performed that result in structured or unstructured findings specific to the patient to facilitate the diagnosis and management of conditions.

Clinical Test

Non-imaging or non-laboratory test.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V3

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 V3

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

Phone Number

Both standards are required

  • ITU-T E.123, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - General provisions concerning users: Notation for national and international telephone numbers, email addresses and web addresses, February 2001
  • ITU-T E.164, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - Numbering plan of the international telephone service, The international public telecommunication numbering plan, November 2010

Adopted at 45 CFR 170.207(q)(1)

Draft USCDI V3

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

Previous Name
Draft USCDI V3

Data related to an individual’s insurance coverage for healthcare.

Subscriber Identifier

The identifier assigned to the individual that selects benefits offered by an employer or healthcare insurer.

Robert C Dieterle On behalf of the Da Vinci Project
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.

Draft USCDI V3

Information related to interactions between healthcare providers and a patient.

Encounter Diagnosis
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
  • International Classification of Diseases ICD-10-CM 2021
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
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.

Preferred Language

Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009

Adopted at 45 CFR 170.207(g)

Draft USCDI V3

Information related to interactions between healthcare providers and a patient.

Encounter Type Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
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:

  • Female. F
  • Male. M
  • Unknown. nullFlavor UNK

Adopted at 45 CFR 170.207(n) 

Draft USCDI V3

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)
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.

Race

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 V3

Information related to interactions between healthcare providers and a patient.

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)