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.
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| 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 |
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| Draft USCDI V3 | Unique identifier(s) for a patient's implantable device(s). |
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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. |
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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:
Adopted at 45 CFR 170.207(f) |
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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. |
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. |
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| Draft USCDI V3 | Information related to interactions between healthcare providers and a patient. |
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 | 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) |
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| 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:
Adopted at 45 CFR 170.207(n) |
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| 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
Adopted at 45 CFR 170.207(f) |
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| 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) |
