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 |
|---|---|---|---|---|---|---|---|---|
| USCDI V4 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Coverage Type |
Category of health care payers, insurance products, or benefits. Examples include but are not limited to Medicaid, commercial, HMO, Medicare Part D, and dental. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V4 | Health Insurance Information | 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 | ||
| USCDI V4 | Laboratory | 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 | ||
| USCDI V4 | Clinical Tests | 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. Examples include but are not limited to electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT). |
|
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |
| USCDI V4 | Diagnostic Imaging | 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 | |
| USCDI V4 | Diagnostic Imaging | 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 | ||
| USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Source Site |
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 | |
| USCDI V4 | Laboratory | 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 | |
| USCDI V4 | Procedures | 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) | |
| USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Relationship Type |
Relationship of a person to a patient. Examples include but are not limited to parent, next-of-kin, guardian, and custodian. |
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| USCDI V4 | Patient Demographics/Information | 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 | ||
| USCDI V4 | Patient Demographics/Information | 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 | ||
| USCDI V4 | Health Insurance Information | 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 | ||
| USCDI V4 | Clinical Tests | 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 | ||
| USCDI V4 | Health Status Assessments | 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 person’s ability to perform activities of daily living and activities across other situations and settings. Examples include but are not limited to bathing, ambulation, and preparing a light meal. |
|
Holly Miller, MD | MedAllies | |
| USCDI V4 | Health Status Assessments | 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. |
Disability Status |
Assessments of a patient’s physical, cognitive, intellectual, or psychiatric disabilities. Examples include but are not limited to vision, hearing, memory, and activities of daily living. |
|
Grace Cordovano | Enlightening Results | |
| USCDI V4 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Instructions |
Directions for administering or taking a medication. Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications. Usage notes: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper). |
Shelly Spiro | Pharmacy HIT Collaborative | ||
| USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation Industry |
Type of business that compensates for work or assigns work to an unpaid worker or volunteer. Examples include but are not limited to U.S. Army, cement manufacturing, and children and youth services. |
|
Nedra Garrett | CDC | |
| USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation |
Type of work of a person. Examples include but are not limited to infantry, business analyst, and social worker. |
|
Nedra Garrett | CDC | |
| USCDI V4 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Adherence |
Statement of whether a medication has been consumed according to instructions. Examples include but are not limited to taking as directed, taking less than directed, and not taking. |
|
Shelly Spiro | Pharmacy HIT Collaborative |