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 V3 Laboratory

Analysis of clinical specimens to obtain information about the health of a patient.

Values/Results

Documented findings of the analysis of a tested specimen. Includes both structured and unstructured (narrative) components.

USCDI V3 Medications

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

Medications
USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

First Name
USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Last Name
USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Previous Name
USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Middle Name (including middle initial)
USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Name Suffix

Name component following family name that may be used to describe a person's position in a family.

USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Sex

Documentation of a specific instance of sex.

Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows:

  • Female. F
  • Male. M
  • Unknown. nullFlavor UNK

Adopted at 45 CFR 170.207(n) 

USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Date of Birth
USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Race

Both standards are required

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
  • CDC Race and Ethnicity Code Set Version 1.0 (March 2000)

Adopted at 45 CFR 170.207(f)

USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Ethnicity

Both standards are required

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
  • CDC Race and Ethnicity Code Set Version 1.0 (March 2000)

Adopted at 45 CFR 170.207(f)

USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Preferred Language

Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009

Adopted at 45 CFR 170.207(g)

USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Current Address

Includes street name, number, city/town, state, and zip code.

USCDI V3 Patient Demographics/Information

Data used to categorize individuals for identification, records matching, and other purposes.

Phone Number

Both standards are required

  • 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, February 2001
  • 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, November 2010

Adopted at 45 CFR 170.207(q)(1)

USCDI V3 Problems

Condition, diagnosis, or reason for seeking medical attention.

Problems
USCDI V3 Provenance

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

Author Time Stamp
USCDI V3 Provenance

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

Author Organization

Organization associated with author.

USCDI V3 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.

Smoking Status

Representing a patient’s smoking behaviors.

USCDI V3 Vital Signs

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

Diastolic Blood Pressure
USCDI V3 Vital Signs

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

Systolic Blood Pressure