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 V6 Encounter Information

Information related to interactions between healthcare providers and a patient.

Coded diagnoses associated with an episode of care.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2025
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
USCDI V6 Medications

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Dose

Amount of a medication for each administration.

Joel Andress CMS
USCDI V6 Problems

Condition, diagnosis, or reason for seeking medical attention.

Date of first determination by a qualified professional of the presence of a problem or condition affecting a patient.

Steven Lane Sutter Health
USCDI V6 Problems

Condition, diagnosis, or reason for seeking medical attention.

Date or estimated date when signs or symptoms of a condition began.

Usage note: This may be a specific day, week, month, or year, or it may be an estimate.

Steven Lane Sutter Health
USCDI V6 Problems

Condition, diagnosis, or reason for seeking medical attention.

Date of subsiding or termination of a symptom, problem, or condition.

Steven Lane Sutter Health
USCDI V6 Family Health History

Family member health condition(s) that are relevant to a patient's care.

Family member health condition(s) that are relevant to a patient's care.

  • SNOMED Clinical Terms (SNOMED CT) U.S. Edition, March 2025 Release
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2025
Al Taylor ONC
USCDI V6 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Care Team Member Name Al Taylor ONC
USCDI V6 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Care Team Member Identifier

Sequence of characters used to uniquely refer to a member of the care team.

Examples include but are not limited to National Provider Identifier (NPI) and National Council of State Boards of Nursing Identifier (NCSBN ID).

Al Taylor ONC
USCDI V6 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Place where care is delivered by a care team member.

Examples include but are not limited to clinic address and location description.

Al Taylor ONC
USCDI V6 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Responsibility of an individual within the care team.

Examples include but are not limited to primary care physician and caregiver.

Al Taylor ONC
USCDI V6 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Phone or email contact information for a care team member.

  • 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 (incorporated by reference in § 170.299)
  • 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
Keith W. Boone Audacious Inquiry
USCDI V6 Encounter Information

Information related to interactions between healthcare providers and a patient.

Place where a patient’s care is delivered.

  • National Healthcare Safety Network (NHSN) Healthcare Facility Patient Care Location (HSLOC) Version 2022
  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
USCDI V6 Encounter Information

Information related to interactions between healthcare providers and a patient.

Sequence of characters by which an encounter is known.

Maria Michaels CDC
USCDI V6 Vital Signs

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

Arithmetic average of systolic and diastolic components of two of more blood pressure readings in a specified time period or according to a specified algorithm or protocol.

Examples include but are not limited to 3-day morning and evening home monitoring, clinical encounter repeat average, and 24-hour ambulatory measurement.

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.80
  • The Unified Code of Units for Measure, Revision 2.2
Matt Reid American Medical Association
USCDI V6 Allergies and Intolerances

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

Non-Medication Allergy Intolerance

Non-pharmacologic agent believed to cause a harmful or undesired physiologic response following exposure.

Examples include but are not limited to latex, eggs, pollen, and peanuts.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release
John D'Amore Diameter Health
USCDI V6 Procedures

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

Performance Time

Time and/or date an activity is performed. 

Examples include but are not limited to vaccine or medication administration times, surgery start time, time ultrasound performed, and laboratory specimen collection time.

Sheila Abner CDC/NHSN
USCDI V6 Medications

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Dose Unit of Measure

Unit of measure of a medication.

Examples include but are not limited to milligram (mg) and milliliter (mL).

  • The Unified Code for Units of Measure, Revision 2.2
Maria Michaels CDC
USCDI V6 Medications

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Indication

Sign, symptom, or medical condition that is the reason for giving or taking a medication.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2025
Maria Michaels CDC
USCDI V6 Medications

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Dispense Status

State of a medication with regards to dispensing or other activity.

Examples include but are not limited to dispensed, partially dispensed, and not dispensed.

Robert C Dieterle Submitted on behalf of the Da Vinci Project
USCDI V6 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.

Mental/Cognitive Status

Assessment or screening for the presence of a mental or behavioral problem.

Examples include but are not limited to Confusion Assessment Method (CAM) and Patient Health Questionnaire (PHQ).

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.80
Michelle Dougherty Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup