USCDI Export for the Public

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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.	Occupation	Type of work of a person. Examples include but are not limited to infantry, business analyst, and social worker.	Occupational Data for Health	Nedra Garrett	CDC	09/30/2021 - 18:18
Draft USCDI V7	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.	SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition	Shelly Spiro	Pharmacy HIT Collaborative	09/30/2021 - 23:53
Draft USCDI V7	Health Insurance Information	Data related to an individual’s insurance coverage for healthcare.	Relationship to Health Insurance Subscriber	Relationship of a patient to the primary insured person.		Mark Roberts	Leavitt Partners	09/30/2021 - 22:24
Draft USCDI V7	Health Insurance Information	Data related to an individual’s insurance coverage for healthcare.	Health Insurance Plan	Health insurance offering or package.		Mark Roberts	Leavitt Partners	09/30/2021 - 22:24
Draft USCDI V7	Health Insurance Information	Data related to an individual’s insurance coverage for healthcare.	Health Insurance Plan Identifier	Sequence of characters used to uniquely refer to an insurance plan.		Mark Roberts	Leavitt Partners	09/30/2021 - 22:24
Draft USCDI V7	Health Insurance Information	Data related to an individual’s insurance coverage for healthcare.	Health Insurance Coverage Status	Presence or absence of healthcare insurance.		Mark Roberts	Leavitt Partners	09/30/2021 - 22:24
Draft USCDI V7	Orders	Provider-authored request for the delivery of patient care services. Usage notes: Orders convey a provider’s intent to have a service performed on or for a patient, or to give instructions on future care.	Portable Medical Order	Provider-authored request for end-of-life or life-sustaining care for a person who has a serious life-limiting medical condition. Usage note: These are meant to follow a person regardless of when and where such an order might be needed (e.g., hospital, care facility, community, home). There are variations in requirements and names for portable medical orders based on jurisdiction. Examples include but are not limited to POLST (Portable Medical Order for Life-Sustaining Treatment), MOLST (Medical Orders for Life-Sustaining Treatment), and out-of-hospital DNR (do-not-resuscitate).		Grace Glennon on behalf of Joel Andress and CMS-CCSQ	On behalf of Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)	09/28/2021 - 12:56
Draft USCDI V7	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		09/30/2021 - 20:21
Draft USCDI V7	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.	SNOMED Clinical Terms (SNOMED CT®) U.S. Edition Health Level 7® (HL7) Code System ObservationInterpretation	Riki Merrick	Association of Public Health Laboratories	09/30/2021 - 23:20
Draft USCDI V7	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	09/30/2021 - 23:05
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.	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.	Logical Observation Identifiers Names and Codes (LOINC®)	Clem McDonald	National Library of Medicine	09/29/2021 - 20:14
Draft USCDI V7	Clinical Notes	Narrative patient data relevant to the context identified by note types. Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name.	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.	Logical Observation Identifiers Names and Codes (LOINC®) At minimum: Surgical operation note (LOINC® code 11504-8)	Leslie Kelly Hall	Engaging Patient Strategy	06/29/2021 - 15:22
Draft USCDI V7	Goals and Preferences	Desired state to be achieved by a person or a person’s elections to guide 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	09/29/2022 - 19:28
Draft USCDI V7	Adverse Events	Unintended effects associated with clinical interventions.	Adverse Event	A change to patient condition that could be an unintended effect of clinical interventions.	SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition	Mitra Rocca	Food and Drug Administration	09/30/2022 - 23:30
Draft USCDI V7	Care Plans	Information that guides treatment of the patient and recommendations for future treatment.	Care Plan	Shared plan informed by members of a coordinated care team that details conditions, needs, and goals along with strategies for addressing them. Usage notes: Includes problems, health concerns, assessments, goals, and interventions from across care settings. Examples include but are not limited to clinical care plans, condition-specific care plans, coordinated care plan.		Julia Skapik	NACHC	10/01/2022 - 03:51
Draft USCDI V7	Laboratory	Analysis of clinical specimens to obtain information about the health of a patient.	Specimen Condition	Information about a specimen, including the container, that is used to determine 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.	SNOMED Clinical Terms (SNOMED CT®) U.S. Edition Health Level 7® (HL7) Code System SpecimenCondition	Han Tran	College of American Pathologists (CAP)	09/30/2022 - 20:15
Draft USCDI V7	Laboratory	Analysis of clinical specimens to obtain information about the health of a patient.	Result Reference Range	Upper and lower limit of quantitative test values expected for a designated population of individuals. Usage note: Reference range values may differ by patient characteristics, laboratory test manufacturer, and laboratory test performer.	The Unified Code for Units of Measure (UCUM)	Nedra Y Garrett	CDC	09/30/2022 - 15:39
Draft USCDI V7	Laboratory	Analysis of clinical specimens to obtain information about the health of a patient.	Result Unit of Measure	Unit of measurement to report quantitative results.	The Unified Code for Units of Measure (UCUM)	Nedra Y Garrett	CDC	09/30/2022 - 16:17
Draft USCDI V7	Diagnostic Imaging	Tests that result in visual images requiring interpretation by a credentialed professional.	Diagnostic Imaging Reference	The information that can be used to access a diagnostic imaging study. Examples include but are not limited to imaging study endpoint weblink, unique identifiers, and contextual information needed to retrieve a diagnostic imaging study.		Brian Bialecki	American College of Radiology	09/19/2022 - 16:02
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.	Physical Activity	Evaluation of a patient's current or usual exercise. Examples include but are not limited to frequency of muscle-strengthening physical activity, days per week with moderate to strenuous physical activity, and minutes per day of moderate to strenuous physical activity.	Logical Observation Identifiers Names and Codes (LOINC®)	Laurie P. Whitsel	American Heart Association/Physical Activity Alliance	09/30/2022 - 05:35