USCDI Export for the Public

Download CSV

Classification Level Sort descending	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Suffix
Draft USCDI V3	Analysis of clinical specimens to obtain information about the health of a patient.	Tests	The name of the analysis of specimens derived from humans which provide information for the diagnosis, prevention, treatment of disease, or assessment of health.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
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: Male. 446151000124109 Female. 446141000124107 Female-to-Male (FTM)/Transgender Male/Trans Man. 407377005 Male-to-Female (MTF)/Transgender Female/Trans Woman. 407376001 Genderqueer, neither exclusively male nor female. 446131000124102 Additional gender category or other, please specify. nullFlavor OTH Choose not to disclose. nullFlavor ASKU Adopted at 45 CFR 170.207(o)(2)	A. Taylor	ONC	10/09/2020 - 23:18
Draft USCDI V3	Record of vaccine administration.	Immunizations		Both standards are required IIS: Current HL7 Standard Code Set, CVX – Vaccines Administered, updates through November 9, 2021 Vaccine National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through November 18, 2021
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.
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	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	09/30/2021 - 22:24
Draft USCDI V3	Data related to an individual’s insurance coverage for health care.	Payer Identifier	The identifier defining a payer entity.		Robert C Dieterle	On behalf of the Da Vinci Project	10/24/2020 - 01:51
Draft USCDI V3	Activity performed for or on a patient as part of the provision of care.	Procedures		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, and Healthcare Common Procedure Coding System (HCPCS), as maintained and distributed by HHS. For technology primarily developed to record dental procedures: Code on Dental Procedures and Nomenclature (CDT), maintained and distributed by the American Dental Association, for dental services. Optional: International Classification of Diseases ICD-10-PCS 2021
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Phone Number Type
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	10/23/2020 - 16:12
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	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.	Health Concerns
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	Condition, diagnosis, or reason for seeking medical attention.	Problems		Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release International Classification of Diseases ICD-10-CM 2021
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
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.	Procedure Note	Encompasses non-operative procedures including interventional cardiology, gastrointestinal endoscopy, osteopathic manipulation, and other specialty’s procedures.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.71 Procedure Note (LOINC® code 28570-0)
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	Information about a person who participates or is expected to participate in the care of a patient.	Care Team Member Identifier			Al Taylor	ONC	10/10/2020 - 02:26
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Email Address