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 V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Previous Name
Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Middle Name (Including middle initial)
Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Name Suffix

Name component following family name that may be used to describe a person's position in a family.

Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Sex

Documentation of a specific instance of sex.

Both values must be supported: 

  • SNOMED CT U.S. Edition: 248152002 (Female)
  • SNOMED CT U.S. Edition: 248153007 (Male)
Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Date of Birth

Known or estimated year, month, and day of the patient’s birth

Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Race

Both standards are required:

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15
  • CDC Race and Ethnicity Code Set
Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Ethnicity

Both standards are required:

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15
  • CDC Race and Ethnicity Code Set
Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Preferred Language
  • IETF (Internet Engineering Task Force) Request for Comment (RFC) 5646, “Tags for Identifying Languages”

Adopted at 45 CFR 170.207(g)(2)

Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Current Address

Place where a person is located or may be contacted. 

Usage note: If the address pattern is not supported in the standard, implementations should align as closely as possible and avoid truncating any values. 

  • Project US@ Technical Specification for Patient Addresses
Draft USCDI V7 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Phone Number

Numbers and symbols to contact an individual when using a phone. 

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
  • TU-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) 
Draft USCDI V7 Problems

Condition, diagnosis, or reason for seeking medical attention.

Problem

Condition, diagnosis, or reason for seeking medical attention.

Examples include but are not limited to diabetes, asthma, homelessness, food insecurity, and lead exposure.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
Draft USCDI V7 Procedures

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

Procedure

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

Examples include but are not limited to suture placement, gait training, knee replacement, and education about a food pantry program. 

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition
  • Current Procedural Terminology (CPT®)
  • Code on Dental Procedures and Nomenclature (CDT)

Optional:

  • International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS)
Draft USCDI V7 Provenance

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

Author Time Stamp

Date and time of author action.

Draft USCDI V7 Provenance

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

Author Organization

Organization associated with author.

Draft USCDI V7 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.

Tobacco Use

Assessment of a patient’s tobacco product use behaviors. Tobacco products may include smokeless tobacco, cigarette tobacco, cigars, pipe tobacco, waterpipes (or hookah), nicotine pouches, nicotine gum, e-cigarettes, and other electronic nicotine delivery systems.

Examples include but are not limited to duration and frequency of use, mode of consumption, and type of product used.
 

  • Logical Observation Identifiers Names and Codes (LOINC®)
  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition
Draft USCDI V7 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.

  • Logical Observation Identifiers Names and Codes (LOINC®)
  • The Unified Code of Units for Measure (UCUM)
Draft USCDI V7 Vital Signs

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

Systolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®)
  • The Unified Code of Units for Measure (UCUM)
Draft USCDI V7 Vital Signs

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

Body Height

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®)
  • The Unified Code of Units for Measure (UCUM)
Draft USCDI V7 Vital Signs

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

Body Weight

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®)
  • The Unified Code of Units for Measure (UCUM)
Draft USCDI V7 Vital Signs

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

Heart Rate

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®)
  • The Unified Code of Units for Measure (UCUM)