USCDI Export for the Public

The name of the medical device.

Measured peak inspiratory pressure if the patient is receiving mechanical ventilation

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

The measured plateau pressure on the ventilator if the patient is receiving mechanical ventilation

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

The mode of mechanical ventilation if the patient is receiving mechanical ventilation. Could refer to LOINV 20124-4 for options.

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

The tidal volume set on the ventilator if the patient is receiving mechanical ventilation.

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

The set respiratory rate if the patient is receiving mechanical ventilation

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

The pressure support above PEEP if the patient is receiving mechanical ventilation

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

The set positive end expiratory pressure (PEEP) if the patient is receiving mechanical ventilation or a biphasic positive airway pressure.

Airway type LOINC LL5542-7
PEEP LOINC 20077-4
Pressure support LOINC 20079-0
Plateau Pressure LOINC 76259-1
Tidal Volume LOINC 76221-1
Respiratory Rate LOINC 33438-3

AMIA recommends a more thorough breakdown of the Medical Devices Data Class. For medical devices, there should be a distinguishment between permanent versus temporary data classes. Temporary devices for example PICC line, indwelling foley and suprapubic catheters, and wound vacs. Medical applications should also be included as they are considered medical digital devices, such as digital therapeutics, standard languages, payor exchanges, what is included and excluded in this category.

FDA Unique Device Identification (UDI) System

This is the collection method of the specimen sent for laboratory testing.

SNOMED CT®

Numeric or alphanumeric code that uniquely identifies a document.

standard date formats

The custodian is the organization that is in charge of maintaining and is entrusted with the care of the document.

An integer value used to version successive replacement documents of an electronic case report.

An identifier that is common across all document revisions.

A telecom of the custodian organization.

An identifier of the custodian organization.

Individual's self-identification as living in a rural area. Rurality is recognized in public health science as a significant indicator of adverse rates of morbidity and morality; this is sometimes called the 'rural health penalty'. Rurality is a complex phenomenon that researchers treat fluidly, with changing definition: https://www.sciencedirect.com/science/article/abs/pii/S0743016721000437 This failure of research to confirm a settled defintion should not constrain from asking the individual's self-identification, anymore than the failure of research to confirm a settled definition of sex or gender should constrain from asking the individual's self-identification of sex or gender.

Domain of the stated patient goal.
Examples of goal categories include housing, physical function, behavioral, and social & role functioning.

HL7 Terminology: Goal Category.

NCQA is also actively working with the HL7 Patient Goals work group to update the HL7 terminology for “goal category” to include additional patient goal categories aligned to our work.

The date on which the reporting party (e.g., physician, nurse practitioner, physician assistant, etc.), completes collection of data for the report.