USCDI Export for the Public

Units of measure of a medication. 

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

• The Unified Code for Units of Measure (UCUM)

Sign, symptom, or medical condition that is the reason for a care activity.

Usage note: Indication may be included with a procedure, medication, and an order.

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

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

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

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®)

State or condition of being pregnant or intent to become pregnant.

Examples include but are not limited to pregnant, not pregnant, and unknown.

• Logical Observation Identifiers Names and Codes (LOINC®)

Immunization event information source.

Examples include but are not limited to facility administering the immunization and an external record.

State of an immunization event.

Screening questionnaire-based, structured evaluation for a Social Determinants of Health-related risk.

Examples include but are not limited to food, housing, transportation security, and health literacy.

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

Person's goals, preferences, and priorities for care and treatment in case that person is unable to make medical decisions because of a serious illness or injury.

Examples include but are not limited to thoughts on cardiopulmonary resuscitation, mental health treatment preferences, and thoughts on pain management.

• Logical Observation Identifiers Names and Codes (LOINC®)

Person's goals, preferences, and priorities for overall experiences during their care and treatment.

Examples include but are not limited to religious beliefs, dislikes and fears, and thoughts and feelings to be shared.

• Logical Observation Identifiers Names and Codes (LOINC®)

Individual legally authorized to make healthcare decisions on behalf of a patient when the patient is unable to do so because of an illness or injury.

Evaluation of a patient's reported use of drugs or other substances for non-medical purposes or in excess of a valid prescription.

Examples include but are not limited to substance use disorder score, and substance use knowledge assessment.

• Logical Observation Identifiers Names and Codes (LOINC®)

Function performed by the actor that participated in the creation or revision of data.

Usage note: The source of the information can be used to form assessments about its quality, reliability, trustworthiness, or can indicate where to go to determine the origins of the information.

Examples include but are not limited to provider, patient, family member, and device.

Sequence of characters used to uniquely refer to the individual that selects insurance benefits.

Sequence of characters used to uniquely refer to an insurance payer.

Category of healthcare payers, insurance products, or benefits. 

Examples include but are not limited to Medicaid, commercial, HMO, Veterans Benefits Administration, Medicare Part D, and dental.

• Source of Payment Typology (SOPT)

The time frame in which the policy is in force.

Sequence of characters used to uniquely refer to a specific health insurance plan.

Kind of instrument, machine, appliance, implant, software, and similar medical device.

• SNOMED Clinical Terms (SNOMED CT®) U.S. Edition

State or condition of a laboratory test.