USCDI Export for the Public

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Classification Level Sort descending	Data Class	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
USCDI V3.1	Problems	Condition, diagnosis, or reason for seeking medical attention.	SDOH Problems/Health Concerns	Social Determinants of Health-related health concerns, conditions, or diagnoses. (e.g., homelessness, food insecurity)	SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release International Classification of Diseases ICD-10-CM 2022	Mark Savage for Gravity Project	Gravity Project	11/04/2020 - 17:30
USCDI V3.1	Provenance	The metadata, or extra information about data, regarding who created the data and when it was created.	Author Time Stamp	Date and time of author action.
USCDI V3.1	Clinical Notes	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.	Discharge Summary Note	Synopsis of a patient’s admission and course in a hospital or post-acute care setting. Must contain admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalization.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.72 At minimum: Discharge Summary (LOINC® code 18842-5)
USCDI V3.1	Health Insurance Information	Data related to an individual’s insurance coverage for healthcare.	Group Identifier	Sequence of characters used to uniquely refer to a specific health insurance plan.		Robert C Dieterle	On behalf of the Da Vinci Project	10/24/2020 - 01:51
USCDI V3.1	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	First Name
USCDI V3.1	Goals	Desired state to be achieved by a patient.	SDOH Goals	Desired future states (e.g., food security) for an identified Social Determinants of Health-related health concern, condition, or diagnosis. (e.g., food insecurity)	SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release Logical Observation Identifiers Names and Codes (LOINC®) version 2.72	Mark Savage for Gravity Project	Gravity Project	11/04/2020 - 17:30
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	10/14/2020 - 17:12
USCDI V3.1	Encounter Information	Information related to interactions between healthcare providers and a patient.	Encounter Diagnosis	Coded diagnoses associated with an episode of care.	SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release International Classification of Diseases ICD-10-CM 2022	Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
USCDI V3.1	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Preferred Language		IETF (Internet Engineering Task Force) Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009 Adopted at 45 CFR 170.207(g)(2)
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	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Ethnicity		Both standards are required: The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997 CDC Race and Ethnicity Code Set Version 1.2 (July 2021)
USCDI V3.1	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	BMI Percentile (2 - 20 years)		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	Encounter Information	Information related to interactions between healthcare providers and a patient.	Encounter Disposition	Place or setting to which the patient left a hospital or encounter.		Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
USCDI V3.1	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Race		Both standards are required: The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997 CDC Race and Ethnicity Code Set Version 1.2 (July 2021)
USCDI V3.1	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Name Suffix	Name component following family name that may be used to describe a person's position in a family.
USCDI V3.1	Assessment and Plan of Treatment	Health professional’s conclusions and working assumptions that will guide treatment of the patient.	Assessment and Plan of Treatment	Health professional’s conclusions and working assumptions that will guide treatment of the patient.
USCDI V3.1	Encounter Information	Information related to interactions between healthcare providers and a patient.	Encounter Time	Date/times related to an encounter. (e.g., scheduled appointment time, check in time, start and stop times)		Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
USCDI V3.1	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Sex	Documentation of a specific instance of sex.	Both values must be supported: SNOMED CT U.S. Edition: 248152002 (Female) SNOMED CT U.S. Edition: 248153007 (Male)
USCDI V3.1	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Inhaled Oxygen Concentration		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 Birth	Known or estimated year, month, and day of the patient's birth.