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 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) | ||
| USCDI V2 | Immunizations | Record of vaccine administration. |
Immunizations |
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| USCDI V2 | Unique Device Identifier(s) for a Patient's Implantable Device(s) | Unique identifier(s) for a patient's implantable device(s). |
Unique Device Identifier(s) for a patient's implantable device(s) |
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Marti Velezis | FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII) | ||
| USCDI V2 | Procedures | Activity performed for or on a patient as part of the provision of care. |
Procedures |
Optional:
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| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number Type | |||||
| USCDI V2 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
BMI Percentile (2 - 20 years) |
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| USCDI V2 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Time Stamp | |||||
| USCDI V2 | 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) |
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| USCDI V2 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Values/Results | Documented findings of the analysis of a tested specimen. Includes both structured and unstructured (narrative) components. |
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| USCDI V2 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Organization | Organization associated with author. |
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| USCDI V2 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Report | Interpreted results of imaging test that includes the study performed, reason, findings, and impressions. Includes both structured and unstructured (narrative) components. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| USCDI V2 | Smoking Status | Representing a patient’s smoking behavior. |
Smoking Status | Representing a patient’s smoking behaviors. |
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| 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) | ||
| USCDI V2 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Inhaled Oxygen Concentration |
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| 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 Role |
Function or functions that a person may perform while participating in the care for a patient |
Al Taylor | ONC | ||
| 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 Telecom |
Electronic contact information of a provider or other care team member |
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Keith W. Boone | Audacious Inquiry | |
| USCDI V2 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Diastolic Blood Pressure | Both standards are required.
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| USCDI V2 | 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 | The name of the non-imaging or non-laboratory test performed on a patient. |
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Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |
| USCDI V2 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
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Procedure Note | Encompasses non-operative procedures including interventional cardiology, gastrointestinal endoscopy, osteopathic manipulation, and other specialty’s procedures. |
Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
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| USCDI V2 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Type | Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) |