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 V4 | 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. |
Evaluation of a patient's reported use of drugs or other substances for non-medical purposes or in excess of a valid prescription. Examples include but are not limited to substance use disorder score, and substance use knowledge assessment. |
|
Jessica Cotto | National Institute on Drug Abuse | |||
| Draft USCDI V4 | Data related to an individual’s insurance coverage for health care. |
Subscriber Identifier |
Sequence of characters used to uniquely refer to the individual that selects insurance benefits. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V4 | Data related to an individual’s insurance coverage for health care. |
Payer Identifier |
Sequence of characters used to uniquely refer to an insurance payer. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V4 | Data related to an individual’s insurance coverage for health care. |
Coverage Type |
Categories of health care payers. Examples include but are not limited to Medicare, Tricare, Commercial Preferred Provider Organization. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| Draft USCDI V4 | Data related to an individual’s insurance coverage for health care. |
Group Identifier |
Sequence of characters used to uniquely refer to a specific health insurance plan. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V4 | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Status |
State or condition of a laboratory test. |
Maria Michaels | CDC | |||
| Draft USCDI V4 | 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 |
Non-imaging or non-laboratory test. |
|
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| Draft USCDI V4 | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Test |
Tests that generate visual images and require interpretation by qualified professionals. Examples include but are not limited to radiographic, photographic, and video images. |
|
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| Draft USCDI V4 | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Report |
Interpreted results of imaging tests. Usage Note: Includes both structured and unstructured (narrative) components. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | |||
| Draft USCDI V4 | Analysis of clinical specimens to obtain information about the health of a patient. |
Body location from where a specimen was obtained. Examples include but are not limited to right internal jugular, left arm, and right eye. |
|
Nedra Garrett | Centers for Disease Control and Prevention | |||
| Draft USCDI V4 | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Type |
Substance being sampled or tested. Examples include but are not limited to nasopharyngeal swab, whole blood, serum, urine, and wound swab. |
|
Nedra Garrett | Centers for Disease Control and Prevention | ||
| Draft USCDI V4 | Activity performed for or on a patient as part of the provision of care. |
Reason for Referral |
Explanation or justification for a referral or consultation. |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | |||
| Draft USCDI V4 | Data used to categorize individuals for identification, records matching, and other purposes. |
Relationship of a person to a patient. Examples include but are not limited to parent, next-of-kin, guardian, and custodian. |
||||||
| Draft USCDI V4 | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Name |
Name of a person with a legal or familial relationship to a patient. |
Nedra Garrett | Centers for Disease Control and Prevention | |||
| Draft USCDI V4 | Data used to categorize individuals for identification, records matching, and other purposes. |
Date of Death |
Known or estimated year, month, and day of the patient's death. |
Jeff Lyall | Cigna | |||
| Draft USCDI V4 | Data used to categorize individuals for identification, records matching, and other purposes. |
Gender Identity | A person’s internal sense of being a man, woman, both, or neither. |
|
A. Taylor | ONC | ||
| Draft USCDI V4 | Data used to categorize individuals for identification, records matching, and other purposes. |
Sexual Orientation |
A person’s emotional, romantic, sexual, or affectional attraction to another person. |
|
A. Taylor | ONC | ||
| Draft USCDI V4 | Data related to an individual’s insurance coverage for health care. |
Member Identifier |
Sequence of characters used to uniquely refer to an individual with respect to their insurance. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V4 | 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 |
Findings of clinical tests. |
Melissa Ayres | SSA | |||
| Draft USCDI V4 | 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. |
Functional Status |
Assessment of a patient’s capabilities, or their risks of development or worsening of a condition or problem. Examples include but are not limited to fall risk, and pressure ulcer risk. |
|
Holly Miller, MD | MedAllies |