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 V4

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

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

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
  • Current Procedural Terminology (CPT®) 2022, as maintained and distributed by the American Medical Association, for physician services and other health care services, and Healthcare Common Procedure Coding System (HCPCS), as maintained and distributed by HHS.
  • For technology primarily developed to record dental procedures: Code on Dental Procedures and Nomenclature (CDT), maintained and distributed by the American Dental Association, for dental services.

Optional:

  • International Classification of Diseases ICD-10-PCS 2022
Draft USCDI V4

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

Date and time of author action.

Draft USCDI V4

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

Organization associated with author.

Draft USCDI V4

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.

Assessment of a patient’s smoking behaviors.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
Draft USCDI V4

Instrument, machine, appliance, implant, software, or similar device intended to be used for a medical purpose.

Numeric or alphanumeric code that uniquely identifies an implantable device.

Usage note: Contains a Device Identifier (DI) and one or more Production Identifiers (PI).

  • FDA Unique Device Identification System (UDI System)
Marti Velezis FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII)
Draft USCDI V4

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

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

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

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4

Harmful or undesired physiological responses associated with exposure to a substance.

Pharmacologic agent believed to cause a harmful or undesired physiologic response following exposure.

  • RxNorm® Full Monthly Release, January 3, 2023
Draft USCDI V4

Harmful or undesired physiological responses associated with exposure to a substance.

Pharmacologic category for an agent believed to cause a harmful or undesired physiologic response following exposure.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
Draft USCDI V4

Harmful or undesired physiological responses associated with exposure to a substance.

Harmful or undesired physiologic response following exposure to a pharmacologic agent or class of agents.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release