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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
Draft USCDI V2		Information related to interactions between healthcare providers and a patient.	Encounter Time	Represents a date/time 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
Draft USCDI V2		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Body Temperature		Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2		Data used to categorize individuals for identification, records matching, and other purposes.	Middle Name (Including middle initial)
Draft USCDI V2		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 2.69 Progress Note (LOINC® code 11506-3)
Draft USCDI V2		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Respiratory Rate		Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2		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 V2		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, September 2020 Release
Draft USCDI V2		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Heart Rate		Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2		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 2.69	Swapna Abhyankar	Regenstrief Institute, LOINC Document Ontology Subcommittee	10/23/2020 - 16:12
Draft USCDI V2		Desired state to be achieved by a patient.	Patient Goals	Desired outcomes of patient's care.
Draft USCDI V2		Information related to interactions between healthcare providers and a patient.	Encounter Diagnosis		SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release International Classification of Diseases ICD-10-CM 2021	Joel Andress	Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	10/02/2020 - 08:35
Draft USCDI V2		Condition, diagnosis, or reason for seeking medical attention.	Date of Diagnosis	Date of first determination by a qualified professional of the presence of a problem or condition affecting a patient.		Steven Lane	Sutter Health	09/11/2020 - 05:08
Draft USCDI V2		Data used to categorize individuals for identification, records matching, and other purposes.	Date of Birth
USCDI V2	Problems	Condition, diagnosis, or reason for seeking medical attention.	Problems		Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2021 Release International Classification of Diseases ICD-10-CM 2021
USCDI V2	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 1.0 (March 2000) Adopted at 45 CFR 170.207(f)
USCDI V2	Problems	Condition, diagnosis, or reason for seeking medical attention.	SDOH Problems/Health Concerns	An identified Social Determinants of Health-related condition (e.g., Homelessness (finding), Lack of adequate food Z59.41, Transport too expensive (finding)). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.	SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2021 Release International Classification of Diseases ICD-10-CM 2021	Mark Savage for Gravity Project	Gravity Project	11/04/2020 - 17:30
USCDI V2	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Phone Number		Both standards are required 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, February 2001 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, November 2010 Adopted at 45 CFR 170.207(q)(1)
USCDI V2	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.	History & Physical	Documents the current and past conditions and observations of the patient.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.70 Discharge Summary (LOINC® code 34117-2)
USCDI V2	Assessment and Plan of Treatment	Health professional’s conclusions and working assumptions that will guide treatment of the patient.	SDOH Assessment	Structured evaluation of risk (e.g., PRAPARE, Hunger Vital Sign, AHC-HRSN screening tool) for any Social Determinants of Health domain such as food, housing, or transportation security. SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.	Logical Observation Identifiers Names and Codes (LOINC®) version 2.70 SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2021 Release	Mark Savage for Gravity Project	Gravity Project	11/04/2020 - 17:30
USCDI V2	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Suffix