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

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
Draft USCDI V3

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

Date of Birth
Draft USCDI V3

Harmful or undesired physiological responses associated with exposure to a substance.

Substance (Drug Class)
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
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

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

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.

Suffix
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.

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 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.

Previous Name
Draft USCDI V3

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

Last Name
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

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).

Draft USCDI V3

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

First Name
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

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

Information about a person who participates or is expected to participate in the care of a patient.

Care Team Member Location Al Taylor ONC
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

Narrative patient data relevant to the context identified by note types.

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  • 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)