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 | 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 | 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. |
|
Mark Savage for Gravity Project | Gravity Project | ||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number Type | ||||||
| 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) |
|
Mark Savage for Gravity Project | Gravity Project | |||
| Draft USCDI V3 | Data related to an individual’s insurance coverage for healthcare. |
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. |
Tribal Affiliation |
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Laura Conn | ||||
| 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 | Narrative patient data relevant to the context identified by note types.
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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
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| Draft USCDI V3 | Health professional’s conclusions and working assumptions that will guide treatment of the patient. |
SDOH Assessment | Structured evaluation of risk (e.g., PRAPARE, Hunger Vital Sign, AHC-HRSN screening tool) for any Social Determinants of Health domain such as food, housing, or transportation security. SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. |
|
Mark Savage for Gravity Project | Gravity Project | ||
| 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 | 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. |
Suffix | ||||||
| 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. |
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| 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. |
Previous Address | Includes street name, number, city/town, state, and zip code. |
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| 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. |
Coverage Type | Categories of health care payers. (e.g., Medicare, TRICARE, Commercial Managed Care - PPO) |
|
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| 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. |
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. |
|
Michelle Dougherty | Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup | ||
| Draft USCDI V3 | Condition, diagnosis, or reason for seeking medical attention. |
Problems |
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