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 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Dosage | Joel Andress | CMS | |||
| USCDI V3 | 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 | ||
| USCDI V3 | 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 | ||
| USCDI V3 | 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 | |||
| USCDI V3 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Identifier | Al Taylor | ONC | |||
| USCDI V3 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Location | Al Taylor | ONC | |||
| USCDI V3 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Role | Al Taylor | ONC | |||
| USCDI V3 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Telecom | Electronic contact information of a provider or other care team member |
See standards and IGS selected in 45 CFR 170.202(a)(2) and 202(d) |
Keith W. Boone | Audacious Inquiry | |
| USCDI V3 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Location | Location of facility which delivered a person’s health care or related services |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V3 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Dose Units of Measure | Maria Michaels | CDC | |||
| USCDI V3 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Indication | Reference to the condition or observation that supports why the prescription is being written. |
Maria Michaels | CDC | ||
| USCDI V3 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Fill Status | Robert C Dieterle | Submitted on behalf of the Da Vinci Project | |||
| 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. |
Mental/Cognitive Status | Represents observations related to a patient's current level of cognitive functioning, including alertness, orientation, comprehension, concentration, and immediate memory for simple commands. |
Michelle Dougherty | Submitted on behalf of the CMS Data Element Library (DEL) Health IT Workgroup | ||
| 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. |
Pregnancy Status |
State or condition of being pregnant or intent to become pregnant. (e.g., pregnant, not pregnant, intent to become pregnant, unknown) |
Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | ||
| USCDI V3 | Assessment and Plan of Treatment | Health professional’s conclusions and working assumptions that will guide treatment of the patient. |
SDOH Assessment | Structured evaluation of risk (e.g., PRAPARE, Hunger Vital Sign, AHC-HRSN screening tool) for any Social Determinants of Health domain such as food, housing, or transportation security. SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. |
Mark Savage for Gravity Project | Gravity Project | ||
| USCDI V3 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
SDOH Problems/Health Concerns |
Social Determinants of Health-related health concerns, conditions, or diagnoses. (e.g., homelessness, food insecurity) |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V3 | Goals | Desired state to be achieved by a patient. |
SDOH Goals | Identifies a future desired condition or change in condition related to an SDOH risk in any domain and is established by the patient or provider. (e.g., Has adequate quality meals and snacks, Transportation security-able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. |
Mark Savage for Gravity Project | Gravity Project | ||
| USCDI V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Subscriber Identifier | The identifier assigned to the individual that selects benefits offered by an employer or healthcare insurer. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Payer Identifier | The identifier defining a payer entity. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Coverage Type | Categories of health care payers. (e.g., Medicare, TRICARE, Commercial Managed Care - PPO) |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) |