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 |
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Draft USCDI V2 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Systolic Blood Pressure | Both standards are required.
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Draft USCDI V2 | Analysis of clinical specimens to obtain information about the health of a patient. |
Tests | The name of the analysis of specimens derived from humans which provide information for the diagnosis, prevention, treatment of disease, or assessment of health. |
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Draft USCDI V2 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Diastolic Blood Pressure | Both standards are required.
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Draft USCDI V2 | Unique identifier(s) for a patient's implantable device(s). |
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Marti Velezis | FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII) | ||||
Draft USCDI V2 | Representing a patient’s smoking behavior. |
Smoking Status | Representing a patient’s smoking behaviors. |
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Draft USCDI V2 | Analysis of clinical specimens to obtain information about the health of a patient. |
Values/Results | Documented findings of the analysis of a tested specimen. Includes both structured and unstructured (narrative) components. |
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Draft USCDI V2 | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Organization | Organization associated with author. |
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Draft USCDI V2 | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Time Stamp | ||||||
Draft USCDI V2 | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Test | The name of the test performed which generates visual images (radiographic, photographic, video, etc.) of anatomic structures; and requires interpretation by qualified professionals. |
• Logical Observation Identifiers Names and Codes (LOINC®) version 2.69 |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
Draft USCDI V2 | Activity performed for or on a patient as part of the provision of care. |
Procedures |
Optional:
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Draft USCDI V2 | Analysis of clinical specimens to obtain information about the health of a patient. |
Pathology Report Narrative |
Contains a consulting specialist’s interpretation of the pathology report. This data element was reclassified from Clinical Notes to Laboratory. |
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Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Date of Birth | ||||||
Draft USCDI V2 | Analysis of clinical specimens to obtain information about the health of a patient. |
Laboratory Report Narrative |
Contains a consulting specialist’s interpretation of the laboratory report. This data element was reclassified from Clinical Notes to Laboratory. |
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Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Last Name | ||||||
Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Sex (Assigned at Birth) | Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows:
Adopted at 45 CFR 170.207(n) |
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Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Middle Name (Including middle initial) | ||||||
Draft USCDI V2 | Health professional’s conclusions and working assumptions that will guide treatment of the patient. |
Assessment and Plan of Treatment | ||||||
Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Previous Name | ||||||
Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Race | Both standards are required
Adopted at 45 CFR 170.207(f) |
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Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Suffix |