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. |
|
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. |
|
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. |
|
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.
|
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. |
|
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). |
|
Maria Michaels | CDC |