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
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		Analysis of clinical specimens to obtain information about the health of a patient.	Laboratory Report Narrative	Contains a consulting specialist’s interpretation of the laboratory report. This data element was reclassified from Clinical Notes to Laboratory.
Draft USCDI V2		Analysis of clinical specimens to obtain information about the health of a patient.	Pathology Report Narrative	Contains a consulting specialist’s interpretation of the pathology report. This data element was reclassified from Clinical Notes to Laboratory.
Draft USCDI V2		Data used to categorize individuals for identification, records matching, and other purposes.	Suffix
Draft USCDI V2		Desired state to be achieved by a patient.	Patient Goals	Desired outcomes of patient's care.
Draft USCDI V2		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Inhaled Oxygen Concentration		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.	Sex (Assigned at Birth)		Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows: Female. F Male. M Unknown. nullFlavor UNK Adopted at 45 CFR 170.207(n)
Draft USCDI V2		Data used to categorize individuals for identification, records matching, and other purposes.	Email Address
Draft USCDI V2		Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	BMI Percentile (2 - 20 years)		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		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 2.69 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.	First Name
Draft USCDI V2		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
USCDI V2	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Sex (Assigned at Birth)		Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows: Female. F Male. M Unknown. nullFlavor UNK Adopted at 45 CFR 170.207(n)
USCDI V2	Encounter Information	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
USCDI V2	Care Team Members	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
USCDI V2	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Current Address	Includes street name, number, city/town, state, and zip code.
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	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	Date of Birth
USCDI V2	Encounter Information	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