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 V5 Facility Information

Physical place of available services or resources.

Facility Type

Category of service or resource available in a location.

Examples include but are not limited to hospital, laboratory, pharmacy, ambulatory clinic, long-term and post-acute care facility, and food pantry.

Keith W. Boone Audacious Inquiry
Draft USCDI V5 Provenance

The metadata, or extra information about data, regarding who created the data and when it was created.

Author

Actor that participated in the creation or revision of data.

KarenP-SSA Social Security Administration (SSA)
Draft USCDI V5 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Type

Category of health care service.

Examples include but are not limited to office visit, telephone assessment, and home visit.

Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V5 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Time

Date/times related to an encounter.

Examples include but are not limited to 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 V5 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Disposition

Place or setting where the patient went after a hospital stay or encounter.

Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V5 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Diagnosis

Coded diagnoses associated with an episode of care.

  • Systematized Nomenclature of Medicine Clinical Terms® (SNOMED CT®) U.S. Edition, September 2023 Release
  • International Classification of Diseases Clinical Modification (ICD-10-CM) 2023
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V5 Medications

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

Dose

Amount of a medication for each administration.

Joel Andress CMS
Draft USCDI V5 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 V5 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 V5 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 V5 Care Team Members

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

Care Team Member Identifier

Sequence of characters used to uniquely refer to a member of the care team.

Examples include but are not limited to National Provider Identifier (NPI) and National Council of State Boards of Nursing Identifier (NCSBN ID).

Al Taylor ONC
Draft USCDI V5 Care Team Members

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

Care Team Member Location

Place where care is delivered by a care team member.

Examples include but are not limited to clinic address and location description.

Al Taylor ONC
Draft USCDI V5 Care Team Members

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

Care Team Member Role

Responsibility of an individual within the care team.

Examples include but are not limited to primary care physician and caregiver.

Al Taylor ONC
Draft USCDI V5 Care Team Members

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

Care Team Member Telecom

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
Keith W. Boone Audacious Inquiry
Draft USCDI V5 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Location

Place where a patient’s care is delivered.

  • National Healthcare Safety Network (NHSN) Healthcare Facility Patient Care Location (HSLOC)
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V5 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Identifier

Sequence of characters by which an encounter is known.

Maria Michaels CDC
Draft USCDI V5 Vital Signs

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

Average Blood Pressure

Arithmetic average of systolic and diastolic components of two of more blood pressure readings in a specified time period or according to a specified algorithm or protocol.

Examples include but are not limited to 3-day morning and evening home monitoring, clinical encounter repeat average, and 24-hour ambulatory measurement.

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.76
  • The Unified Code of Units for Measure, Revision 2.1
Matt Reid American Medical Association
Draft USCDI V5 Allergies and Intolerances

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

Substance (Non-Medication)

Non-pharmacologic agent believed to cause a harmful or undesired physiologic response following exposure.

Examples include but are not limited to latex, eggs, pollen, and peanuts.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2023 Release
John D'Amore Diameter Health
Draft USCDI V5 Procedures

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

Performance Time

Time and/or date a procedure is performed.

Examples include but are not limited to vaccine or medication administration times, surgery start time, and time ultrasound performed.

Sheila Abner CDC/NHSN
Draft USCDI V5 Medications

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

Dose Unit of Measure

Unit of measure of a medication.

Examples include but are not limited to milligram (mg) and milliliter (mL).

  • The Unified Code for Units of Measure, Revision 2.1
Maria Michaels CDC