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

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

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Body Weight
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Weight-for-length Percentile (Birth - 36 Months)
  • 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 Location Al Taylor ONC
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Head Occipital-frontal Circumference Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
USCDI V3.1 Clinical Notes

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. 
Consultation Note

Response to request from a clinician for an opinion, advice, or service from another clinician.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.72
    • At minimum: Consult Note (LOINC® code 11488-4)
USCDI V3.1 Patient Demographics/Information

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

Date of Birth

Known or estimated year, month, and day of the patient's birth.

USCDI V3.1 Care Team Members

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

Care Team Member Telecom

Phone or email contact information for a care team member

  • ITU-T E.123, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - General provisions concerning users: Notation for national and international telephone numbers, email addresses and web addresses (incorporated by reference in § 170.299)
  • ITU-T E.164, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - Numbering plan of the international telephone service: The international public telecommunication numbering plan
Keith W. Boone Audacious Inquiry
USCDI V3.1 Provenance

The metadata, or extra information about data, regarding who created the data and when it was created.

Author Organization

Organization associated with author.

USCDI V3.1 Patient Demographics/Information

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

Middle Name (Including middle initial)
USCDI V3.1 Immunizations

Record of vaccine administration.

Immunizations

Vaccine product administered, planned, or reported.

Both standards are required

  • IIS: Current HL7 Standard Code Set, CVX – Vaccines Administered, updates through June 15, 2022
  • Vaccine National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through June 16, 2022
USCDI V3.1 Vital Signs

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Body Temperature

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.72
  • The Unified Code of Units for Measure, Revision 2.1
USCDI V3.1 Patient Demographics/Information

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
USCDI V3.1 Procedures

Activity performed for or on a patient as part of the provision of care.

SDOH Interventions

Actions or services to address an identified Social Determinants of Health-related health concern, condition, or diagnosis (e.g., education about food pantry program, referral to non-emergency medical transportation program)

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
  • Current Procedural Terminology (CPT®) 2022, as maintained and distributed by the American Medical Association, for physician services and other health care services
  • Healthcare Common Procedure Coding System (HCPCS) Level II, as maintained and distributed by HHS
Mark Savage for Gravity Project Gravity Project
USCDI V3.1 Health Status Assessments

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

State or condition of being pregnant or intent to become pregnant. (e.g., pregnant, not pregnant, intent to become pregnant, unknown)

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
USCDI V3.1 Health Insurance Information

Data related to an individual’s insurance coverage for healthcare.

Payer Identifier

Sequence of characters used to uniquely refer to an insurance payer.

Robert C Dieterle On behalf of the Da Vinci Project
USCDI V3.1 Patient Demographics/Information

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

Related Person's Relationship

Relationship of a person to a patient. (e.g., parent, next-of-kin, guardian, custodian)

USCDI V3.1 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Type

Category of health care service. (e.g., office visit, telephone assessment, home visit)

Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
USCDI V3.1 Clinical Tests

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 Result/Report

Findings of clinical tests.

Melissa Ayres SSA
USCDI V3.1 Health Insurance Information

Data related to an individual’s insurance coverage for healthcare.

Subscriber Identifier

Sequence of characters used to uniquely refer to the individual that selects insurance benefits.

Robert C Dieterle On behalf of the Da Vinci Project