USCDI Export for the Public

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Classification Level Sort descending	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
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.	Pregnancy Status	Indicator that a patient is currently pregnant, not pregnant, or that their pregnancy status is unknown currently, as it relates to potential risks and exposures.		Adam Bazer, MPD	Integrating the Healthcare Enterprise USA (IHE USA)	10/23/2020 - 20:53
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	09/14/2020 - 04:24
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Previous Name
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.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.71	Michelle Dougherty	Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup	10/23/2020 - 16:50
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	Last Name
Draft USCDI V3	Data used to categorize individuals for identification, records matching, and other purposes.	First Name
Draft USCDI V3	Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.	Medications		RxNorm® Full Monthly Release, January 3, 2022
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	10/10/2020 - 02:26
Draft USCDI V3	Analysis of clinical specimens to obtain information about the health of a patient.	Values/Results	Documented findings of the analysis of a tested specimen. Includes both structured and unstructured (narrative) components.
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	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	Information about a person who participates or is expected to participate in the care of a patient.	Care Team Member Role			Al Taylor	ONC	10/10/2020 - 02:26
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.	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 Progress Note (LOINC® code 11506-3)
Draft USCDI V3	Information related to interactions between healthcare providers and a patient.	Encounter Location	Location of facility which delivered a person’s health care or related services		Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
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	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	Information about a person who participates or is expected to participate in the care of a patient.	Care Team Member Location			Al Taylor	ONC	10/10/2020 - 02:26
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	Desired state to be achieved by a patient.	Patient Goals	Desired outcomes of patient's care.
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.	History & Physical	Documents the current and past conditions and observations of the patient.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.71 History and Physical Note (LOINC code 34117-2)