USCDI Export for the Public

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Classification Level Data Class Data Class Description Data Element Data Element Description Applicable Standards Submitter Name Submitter Organization Submission Date
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Email Address
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Race

Both standards are required

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
  • CDC Race and Ethnicity Code Set Version 1.0 (March 2000)

Adopted at 45 CFR 170.207(f)
Draft USCDI V2 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

 Care Team Member
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Date of Birth
Draft USCDI V2 Encounter Information

Information related to interactions between healthcare providers and a patient.

 Encounter Type Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V2 Encounter Information

Information related to interactions between healthcare providers and a patient.

 Encounter Time

Represents a date/time related to an encounter (e.g., scheduled appointment time, check in time, start and stop times).

 Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V2 Encounter Information

Information related to interactions between healthcare providers and a patient.

 Encounter Diagnosis
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release
  • International Classification of Diseases ICD-10-CM 2021
 Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V2 Patient Demographics/Information

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:

  • Female. F
  • Male. M
  • Unknown. nullFlavor UNK

Adopted at 45 CFR 170.207(n) 
Draft USCDI V2 Problems

Condition, diagnosis, or reason for seeking medical attention.

 Date of Diagnosis

Date of first determination by a qualified professional of the presence of a problem or condition affecting a patient.

 Steven Lane Sutter Health
Draft USCDI V2 Problems

Condition, diagnosis, or reason for seeking medical attention.

 Date of Resolution

Date of subsiding or termination of a symptom, problem, or condition.

 Steven Lane Sutter Health
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Suffix
Draft USCDI V2 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

 Care Team Member Name Al Taylor ONC
Draft USCDI V2 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

 Care Team Member Identifier Al Taylor ONC
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Middle Name (including middle initial)
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Previous Name
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 Last Name
Draft USCDI V2 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

 First Name
Draft USCDI V2 Medications

Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

 Medications
  • RxNorm®, January 4, 2021 Full Release Update
Draft USCDI V2 Laboratory

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.
Draft USCDI V2 Diagnostic Imaging

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