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 V6 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
Date of Onset |
Date or estimated date when signs or symptoms of a condition began. Usage note: This may be a specific day, week, month, or year, or it may be an estimate. |
Steven Lane | Sutter Health | ||
| Draft USCDI V6 | 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 V6 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
Family Health History |
Family member’s health conditions that are relevant to a patient's care. |
|
Al Taylor | ONC | |
| Draft USCDI V6 | 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 V6 | 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 V6 | 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 V6 | 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 V6 | 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 V6 | 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 V6 | 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 V6 | 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 V6 | Allergies and Intolerances | Harmful or undesired physiological responses associated with exposure to a substance. |
Non-Medication Allergy Intolerance |
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 V6 | 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 V6 | 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 | |
| Draft USCDI V6 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Indication |
Sign, symptom, or medical condition that is the reason for giving or taking a medication. |
|
Maria Michaels | CDC | |
| Draft USCDI V6 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Fill Status |
State of a medication with regards to dispensing or other activity. Examples include but are not limited to dispensed, partially dispensed, and not dispensed. |
Robert C Dieterle | Submitted on behalf of the Da Vinci Project | ||
| Draft USCDI V6 | 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. |
Mental/Cognitive Status |
Assessment or screening for the presence of a mental or behavioral problem. Examples include but are not limited to Confusion Assessment Method (CAM) and Patient Health Questionnaire (PHQ). |
|
Michelle Dougherty | Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup | |
| Draft USCDI V6 | 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. |
Pregnancy Status |
State or condition of being pregnant or intent to become pregnant. Examples include but are not limited to pregnant, not pregnant, and unknown. |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | ||
| Draft USCDI V6 | 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. |
SDOH Assessment |
Screening questionnaire-based, structured evaluation for a Social Determinants of Health-related risk. Examples include but are not limited to food, housing, transportation security, and health literacy. |
|
Mark Savage for Gravity Project | Gravity Project | |
| Draft USCDI V6 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
SDOH Problems/Health Concerns |
Social Determinants of Health-related concerns, conditions, or diagnoses. Examples include but are not limited to homelessness and food insecurity. |
|
Mark Savage for Gravity Project | Gravity Project |