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 |
|---|---|---|---|---|---|---|---|---|
| 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 | 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 |
|
Keith W. Boone | Audacious Inquiry | |
| USCDI V3.1 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
|
Consultation Note |
Response to request from a clinician for an opinion, advice, or service from another clinician. |
|
|||
| 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 Identifier |
Sequence of characters used to uniquely refer to a member of the care team. (e.g., National Provider Identifier (NPI), National Council of State Boards of Nursing Identifier (NCSBN ID)) |
Al Taylor | ONC | ||
| USCDI V3.1 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Relationship to Subscriber |
Relationship of a patient to the primary insured person. |
Mark Roberts | Leavitt Partners | ||
| 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) |
|
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. |
Health Concerns |
Health-related issue or worry. (e.g., weight gain, cancer risk) |
||||
| USCDI V3.1 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
Problems |
Condition, diagnosis, or reason for seeking medical attention. |
|
|||
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number Type |
Contact point when using a phone (e.g., home, work, mobile). |
||||
| USCDI V3.1 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Head Occipital-frontal Circumference Percentile (Birth - 36 Months) | Both standards are required
|
||||
| USCDI V3.1 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
|
Progress Note |
Summary of a patient’s interval status during an encounter (e.g., hospitalization, outpatient visit, treatment with a post-acute care provider, or other healthcare encounter) |
|
|||
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Tribal Affiliation |
Tribe or band with which an individual associates. |
Laura Conn | |||
| 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:
|
|||
| 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 Role |
Responsibility of an individual within the care team. (e.g., primary care physician, caregiver) |
Al Taylor | ONC | ||
| USCDI V3.1 | Procedures | Activity performed for or on a patient as part of the provision of care. |
Reason for Referral |
Explanation or justification for a referral or consultation. |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | ||
| 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 | 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) |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V3.1 | Problems | 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 | ||
| 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 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Race | Both standards are required:
|
