United States Core Data for Interoperability (USCDI)

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USCDIImage

The United States Core Data for Interoperability (USCDI) is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange. For data class descriptions and applicable standards supporting data elements, view the USCDI v1 in PDF format.

  • A USCDI “Data Class” is an aggregation of various Data Elements by a common theme or use case.
  • A USCDI “Data Element” is the most granular level at which a piece of data is exchanged.
    • For example, Date of Birth is a Data Element rather than its component Day, Month, or Year, because Date of Birth is the unit of exchange.

ONC will follow a predictable, transparent, and collaborative process to expand the USCDI, providing stakeholders the opportunity to comment on the USCDI’s expansion. ONC will launch a public website to solicit recommendation from public for changes and additions to the USCDI. Based on public input, the draft of the next version of USCDI will be presented to the public for review and comment before finalizing it. 

The USCDI standard will follow the Standards Version Advancement Process described in the Cures rule to allow health IT developers to update their systems to newer version of USCDI and provide these updates to their customers.  

USCDI v1 Summary of Data Classes and Data Elements

Allergies and Intolerance
  • Substance (Medication)
  • Substance (Drug Class)
  • Reaction
Assessment and Plan of Treatment
Care Team Members
Clinical Notes
  • Consultation Note
  • Discharge Summary Note
  • History & Physical
  • Imaging Narrative
  • Laboratory Report Narrative
  • Pathology Report Narrative
  • Procedure Note
  • Progress Note
Goals
  • Patient Goals
Health Concerns
Immunizations
Laboratory
  • Tests
  • Values/Results
Medications
  • Medications
  • Medication Allergies
Patient Demographics
  • First Name
  • Last Name
  • Previous Name
  • Middle Name (including middle initial)
  • Suffix
  • Birth Sex
  • Date of Birth
  • Race
  • Ethnicity
  • Preferred Language
  • Current Address
  • Previous Address
  • Phone Number
  • Phone Number type
  • Email Address
Problems
Procedures
Provenance
  • Author Time Stamp
  • Author Organization
Smoking Status
Unique Device Identifier(s) for a Patient's Implantable Device(s)
Vital Signs
  • Diastolic Blood Pressure
  • Systolic Blood Pressure
  • Body Height
  • Body Weight
  • Heart Rate
  • Respiratory Rate
  • Body Temperature
  • Pulse Oximetry
  • Inhaled Oxygen Concentration
  • BMI Percentile (2-20 years)
  • Weight-for-length Percentile (Birth - 36 months)
  • Head Occipital-frontal Circumference Percentile (Birth - 36 months)

 

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