USCDI Export for the Public

Coded diagnoses associated with an episode of care. 

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
• International Classification of Diseases ICD-10-CM 2022

Amount of a medication for each administration.

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

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

Sequence of characters used to uniquely refer to a member of the care team. (e.g., National Provider Identifier (NPI), National Council of State Boards of Nursing Identifier (NCSBN ID))

Place where care is delivered by a care team member. (e.g., clinic address, location description)

Responsibility of an individual within the care team. (e.g., primary care physician, caregiver)

Phone or email contact information for a care team member

• 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 (incorporated by reference in § 170.299)
• 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

Place where a patient’s care is delivered.

Units of measure of a medication. (e.g., milligrams, milliliters)

• The Unified Code for Units of Measure, Revision 2.1

Sign, symptom, or medical condition that leads to the recommendation of a treatment, test, or procedure.

State of a medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)

Assessment of a patient's level of cognitive functioning. (e.g., alertness, orientation, comprehension, concentration, and immediate memory for simple commands)

• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72

State or condition of being pregnant or intent to become pregnant. (e.g., pregnant, not pregnant, intent to become pregnant, unknown)

Screening questionnaire-based, structured evaluation (e.g., PRAPARE, Hunger Vital Sign®, AHC-HRSN screening tool) for a Social Determinants of Health-related risk. (e.g., food insecurity, housing instability, or transportation insecurity)

• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72

Optional:

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release

Social Determinants of Health-related health concerns, conditions, or diagnoses. (e.g., homelessness, food insecurity)

• Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
• International Classification of Diseases ICD-10-CM 2022

Desired future states (e.g., food security) for an identified Social Determinants of Health-related health concern, condition, or diagnosis. (e.g., food insecurity)

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72

Actions or services to address an identified Social Determinants of Health-related health concern, condition, or diagnosis (e.g., education about food pantry program, referral to non-emergency medical transportation program)

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
• Current Procedural Terminology (CPT®) 2022, 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

Sequence of characters used to uniquely refer to the individual that selects insurance benefits.