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 V5 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Relationship Type |
Relationship of a person to a patient. Examples include but are not limited to parent, next-of-kin, guardian, and custodian. |
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| USCDI V5 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Name |
Name of a person with a legal or familial relationship to a patient. |
Nedra Garrett | Centers for Disease Control and Prevention | ||
| USCDI V5 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Date of Death |
Known or estimated year, month, and day of the patient’s death. |
Jeff Lyall | Cigna | ||
| USCDI V5 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Member Identifier |
Sequence of characters used to uniquely refer to an individual with respect to their insurance. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V5 | Clinical Tests | Non-imaging and non-laboratory tests performed that result in structured or unstructured findings specific to the patient to facilitate the diagnosis and management of conditions. |
Clinical Test Result/Report |
Findings of clinical tests. |
Melissa Ayres | SSA | ||
| USCDI V5 | 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. |
Functional Status |
Assessment of a person’s ability to perform activities of daily living and activities across other situations and settings. Examples include but are not limited to Functional Assessment Standardized Items (FASI) and Timed Up and Go (TUG). |
|
Holly Miller, MD | MedAllies | |
| USCDI V5 | 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. |
Disability Status |
Assessment of a patient’s physical, cognitive, or psychiatric disabilities. Examples include but are not limited to American Community Survey, Veterans RAND Health Survey, and Patient-Reported Outcomes Measurement Information System (PROMIS). |
|
Grace Cordovano | Enlightening Results | |
| USCDI V5 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Instructions |
Directions for administering or taking a medication. Usage note: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper). Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications. |
Shelly Spiro | Pharmacy HIT Collaborative | ||
| USCDI V5 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation Industry |
Type of business that compensates for work or assigns work to an unpaid worker or volunteer. Examples include but are not limited to U.S. Army, cement manufacturing, and children and youth services. |
|
Nedra Garrett | CDC | |
| USCDI V5 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation |
Type of work of a person. Examples include but are not limited to infantry, business analyst, and social worker. |
|
Nedra Garrett | CDC | |
| USCDI V5 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Adherence |
Statement of whether a medication has been consumed according to instructions. Examples include but are not limited to taking as directed, taking less than directed, and not taking. |
|
Shelly Spiro | Pharmacy HIT Collaborative | |
| USCDI V5 | 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 V5 | Health Insurance Information | Data related to an individual’s insurance coverage for healthcare. |
Coverage Status |
Presence or absence of healthcare insurance. |
Mark Roberts | Leavitt Partners | ||
| USCDI V5 | 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 V5 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Interpretation |
Categorical assessment of a laboratory value, often in relation to a test's reference range. Examples include but are not limited to high, low, critical high, and normal. |
|
Riki Merrick | Association of Public Health Laboratories | |
| USCDI V5 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Identifier |
Sequence of characters assigned by a laboratory for an individual specimen. Example includes but is not limited to accession number. |
Riki Merrick | Association of Public Health Laboratories | ||
| USCDI V5 | 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. |
Alcohol Use |
Evaluation of a patient's consumption of alcohol. Examples include but are not limited to history of alcohol use, alcohol use disorder identification test, and alcohol intake assessment. |
|
Clem McDonald | National Library of Medicine | |
| USCDI V5 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
|
Operative Note |
Narrative summary of a surgical procedure. Usage note: May include procedures performed, operative and anesthesia times, findings observed, fluids administered, specimens obtained, and complications identified. |
|
Leslie Kelly Hall | Engaging Patient Strategy | |
| USCDI V5 | Observations | Findings or other clinical data collected about a patient during care. |
Advance Directive Observation |
Information about a patient or provider authored document indicating its location, content, type, and verification status. Usage note: May include structured or unstructured data, whether a person has one or more advance directive documents, the type of advance directive, the location of the document, and whether it has been verified. Such documents may be used should a person be unable to communicate their wishes, preferences, or priorities to their provider. Examples include but are not limited to an indication that a living will is on file, a reference to the location of durable medical power of attorney, and the validating provider. |
Rachel Eager | New York eHealth Collaborative | ||
| USCDI V5 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Condition Acceptability |
Information regarding a specimen, including the container, that does not meet a laboratory’s criteria for acceptability. Usage note: This may include information about the contents of the container, the container, and the label. Examples include but are not limited to hemolyzed, clotted, container leaking, and missing patient name. |
|
Han Tran | College of American Pathologists (CAP) |