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 |
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| 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. |
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| 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 | 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 | Record of vaccine administration. |
Immunizations | Both standards are required
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| Draft USCDI V3 | Harmful or undesired physiological responses associated with exposure to a substance. |
Reaction |
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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 | 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 | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Name | Al Taylor | ONC | ||||
| 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 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Body Weight |
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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 | Data used to categorize individuals for identification, records matching, and other purposes. |
Date of Death | Known or estimated year, month, and day of the patient's death. |
Jeff Lyall | Cigna | |||
| Draft USCDI V3 | Desired state to be achieved by a patient. |
Patient Goals | Desired outcomes of patient's care. |
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| Draft USCDI V3 | Data related to an individual’s insurance coverage for healthcare. |
Coverage Status | The presence or absence of coverage for a particular encounter or claim. |
Mark Roberts | Leavitt Partners | |||
| Draft USCDI V3 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Heart Rate |
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| 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 | ||||
| Draft USCDI V3 | Narrative patient data relevant to the context identified by note types.
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Progress Note | Represents a patient’s interval status during a hospitalization, outpatient visit, treatment with a post-acute care provider, or other healthcare encounter. |
Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
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| 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 | 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. |
Functional Status | Represents assessments of a patient’s capabilities, or their risks of development or worsening of a condition or problem (e.g., Morse Scale - falls, Bradon Scale - pressure ulcer, VR-12 Health Survey, CAGE – alcohol use disorder) |
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Holly Miller, MD | MedAllies | ||
| Draft USCDI V3 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Respiratory Rate |
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