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
Draft USCDI V3

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

Phone Number

Both standards are required

  • ITU-T E.123, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - General provisions concerning users: Notation for national and international telephone numbers, email addresses and web addresses, February 2001
  • ITU-T E.164, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - Numbering plan of the international telephone service, The international public telecommunication numbering plan, November 2010

Adopted at 45 CFR 170.207(q)(1)

Draft USCDI V3

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

Medications
  • RxNorm® Full Monthly Release, January 3, 2022
Draft USCDI V3

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

Care Team Member Role Al Taylor ONC
Draft USCDI V3

Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Health Concerns
Draft USCDI V3

Health professional’s conclusions and working assumptions that will guide treatment of the patient.

Assessment and Plan of Treatment
Draft USCDI V3

Activity performed for or on a patient as part of the provision of care.

A service offered to a patient to address identified Social Determinants of Health concerns, problems, or diagnoses (e.g., Education about Meals on Wheels Program, Referral to transportation support programs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
  • Current Procedural Terminology (CPT®) 2021, as maintained and distributed by the American Medical Association, for physician services and other health care services
  • Healthcare Common Procedure Coding System (HCPCS) Level II, as maintained and distributed by HHS
Mark Savage for Gravity Project Gravity Project
Draft USCDI V3

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

A self-reported term for the type of work done by a person. For a military position, this is the primary occupational specialty

Occupational Data for Health

Nedra Garrett CDC
Draft USCDI V3

Desired state to be achieved by a patient.

SDOH Goals

Identifies a future desired condition or change in condition related to an SDOH risk in any domain and is established by the patient or provider. (e.g., Has adequate quality meals and snacks, Transportation security-able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
Mark Savage for Gravity Project Gravity Project
Draft USCDI V3

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

Related Person's Relationship

Represents the relationship between a patient and a person involved in the care of a patient (e.g., parent, next-of-kin, guardian, custodian).

Draft USCDI V3

Non-imaging and non-laboratory tests performed that result in structured or unstructured findings specific to the patient to facilitate the diagnosis and management of conditions.

Clinical Test Result/Report

Interpreted results of clinical tests that may include study performed, reason performed, findings, and impressions. Includes both structured and unstructured (narrative) components.

Melissa Ayres SSA
Draft USCDI V3

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 V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Weight-for-length Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Body Height
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.71
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V3

Harmful or undesired physiological responses associated with exposure to a substance.

Reaction
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, January 2022 Release
Draft USCDI V3

Narrative patient data relevant to the context identified by note types.

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  • 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. 
Discharge Summary Note

A synopsis of a patient’s admission and course in a hospital or post-acute care setting. Must contain admission and discharge dates and locations, discharge instructions, and reason(s) for hospitalization.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.71

  • Discharge Summary (LOINC® code 18842-5)
Draft USCDI V3

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

Care Team Member Location Al Taylor ONC
Draft USCDI V3

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

Preferred Language

Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009

Adopted at 45 CFR 170.207(g)

Draft USCDI V3

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

Current Address

Includes street name, number, city/town, state, and zip code.

Draft USCDI V3

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

Related Person's Name

The name of a person involved in the care of a patient, but who is not the target of that care.

CDC-defined HL70063

Nedra Garrett Centers for Disease Control and Prevention
Draft USCDI V3

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

Care Team Member Identifier Al Taylor ONC