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 V7 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Average Blood Pressure represents the average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. (Of note, average blood pressure is not the same as a mean arterial pressure.) The average blood pressure has a systolic and a diastolic component. |
Both standards are required.
|
Matt Reid | American Medical Association | |||
| Draft USCDI V7 | Harmful or undesired physiological responses associated with exposure to a substance. |
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 V7 | Activity performed for or on a patient as part of the provision of care. |
Time and/or date an activity is performed. Examples include but are not limited to vaccine or medication administration times, surgery start time, time ultrasound performed, and laboratory specimen collection time. |
Sheila Abner | CDC/NHSN | ||||
| Draft USCDI V7 | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Units of measure of a medication. Examples include but are not limited to milligram (mg) and milliliter (mL). |
|
Maria Michaels | CDC | |||
| Draft USCDI V7 | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Sign, symptom, or medical condition that is the reason for giving or taking a medication. |
|
Maria Michaels | CDC | |||
| Draft USCDI V7 | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
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 V7 | 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. |
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 V7 | 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. |
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 V7 | 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. |
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 V7 | Condition, diagnosis, or reason for seeking medical attention. |
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 | |||
| Draft USCDI V7 | Desired state to be achieved by a person or a person’s elections to guide care. |
Desired future state for an identified Social Determinants of Health-related concern, condition, or diagnosis. Examples include but are not limited to food security, transportation security, and ability to access healthcare. |
|
Mark Savage for Gravity Project | Gravity Project | |||
| Draft USCDI V7 | Activity performed for or on a patient as part of the provision of care. |
Actions or services to address an identified Social Determinants of Health-related concern, condition, or diagnosis. Examples include but are not limited to education about food pantry program and referral to non- emergency medical transportation program. |
|
Mark Savage for Gravity Project | Gravity Project | |||
| Draft USCDI V7 | Desired state to be achieved by a person or a person’s elections to guide care. |
Person's goals, preferences, and priorities for care and treatment in case that person is unable to make medical decisions because of a serious illness or injury. Examples include but are not limited to thoughts on cardiopulmonary resuscitation, mental health treatment preferences, and thoughts on pain management. |
|
Matt Elrod on behalf of ADVault, Inc. | ADVault, Inc. | |||
| Draft USCDI V7 | Desired state to be achieved by a person or a person’s elections to guide care. |
Person's goals, preferences, and priorities for overall experiences during their care and treatment. Examples include but are not limited to religious beliefs, dislikes and fears, and thoughts and feelings to be shared. |
|
Matt Elrod on behalf of ADVault, Inc. | ADVault, Inc. | |||
| Draft USCDI V7 | 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. |
Evaluation of a patient's reported use of drugs or other substances for non-medical purposes or in excess of a valid prescription. Examples include but are not limited to substance use disorder score, and substance use knowledge assessment. |
|
Jessica Cotto | National Institute on Drug Abuse | |||
| Draft USCDI V7 | The metadata, or extra information about data, regarding who created the data and when it was created. |
Category of actor that participated in the creation or revision of data. Usage note: The source of the information can be used to form assessments about its quality, reliability, trustworthiness, or can indicate where to go to determine the origins of the information. Examples include but are not limited to provider, patient, family member, and device. |
Gary Dickinson | EHR Standards Consulting | ||||
| Draft USCDI V7 | Data related to an individual’s insurance coverage for health care. |
Sequence of characters used to uniquely refer to the individual that selects insurance benefits. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||||
| Draft USCDI V7 | Data related to an individual’s insurance coverage for health care. |
Sequence of characters used to uniquely refer to an insurance payer. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||||
| Draft USCDI V7 | Data related to an individual’s insurance coverage for health care. |
Category of healthcare payers, insurance products, or benefits. Examples include but are not limited to Medicaid, commercial, HMO, Veterans Benefits Administration, Medicare Part D, and dental. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||||
| Draft USCDI V7 | Data related to an individual’s insurance coverage for health care. |
Sequence of characters used to uniquely refer to a specific health insurance plan. |
Robert C Dieterle | On behalf of the Da Vinci Project |