USCDI Export for the Public

Download CSV

Classification Level Sort descending	Data Class	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
Level 0	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Claim Type	Specifies the type of claim. (e.g., inpatient institutional, outpatient institutional, physician, etc.).	NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.	Mark Roberts	Leavitt Partners	09/30/2021 - 22:05
Level 0	Clinical Notes	Narrative patient data relevant to the context identified by note types. Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name.	Neuropsychological Testing	Narrative clinical assessment of the Neuropsychological Testing results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Clinical Notes	Narrative patient data relevant to the context identified by note types. Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name.	Psychological Testing	Narrative clinical assessment of the Psychological Testing results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Cancer Care		Radiation Therapy Outcome/Disease Status	Status of the disease treated with radiation therapy at the time of the record. This is vital information both for clinical care and for public health policy The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) noted a Delphi process to identify standard values recommended for classification. These were Under Treatment No evidence of disease (NED) Stable Disease Partial Response Progressive Disease Indeterminate (possible pseudo-progression) Complete Response Biochemical Recurrence Primary Recurrence Local Recurrence Nodal Recurrence Distant Recurrence In OORO for each instance record of a Cancer Patient Treatment Outcome, multiple values of Disease Status can be selected e.g. Biochemical Recurrence, Nodal Recurrence		Charles Mayo	University of Michigan	09/28/2022 - 20:48
Level 0	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Claim Processing Status	Claim processing status code	NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.	Mark Roberts	Leavitt Partners	09/30/2021 - 22:05
Level 0	Cancer Care		Radiation Therapy Course Target Dose Unit	Unit corresponding to numerical value of radiation dose (e.g. cGy)		Elizabeth Covington	University of Michigan	09/29/2022 - 12:17
Level 0	Newborn's Delivery Information		Hearing loss risk indicators	Documentation of specific hearing loss risk indicators for the newborn.	58232-0 - Hearing loss risk indicators (including Preferred Answer List LL862-4)	Craig Newman	Altarum	09/29/2022 - 16:08
Level 0	Newborn's Delivery Information		CCHD Newborn Screening Interpretation	The result of the screening of the preductal and postductal oxygen saturation measurements.	LOINC 73700-7 - CCHD newborn screening interpretation LOINC Preferred Answer List LL2453-0	Craig Newman	Altarum	09/29/2022 - 16:59
Level 0	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.	Health Literacy Status	Degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.	LOINC 95866-0, BRIEF health literacy screening tool [BRIEF]; LOINC LL3268-1 (for answers)	Nedra Y Garrett	CDC	09/29/2022 - 18:04
Level 0	Newborn's Delivery Information		Reason CCHD oxygen saturation screening not performed	The reason that CCHD screening for newborns was not performed on this patient.	LOINC 73698-3 - Reason CCHD oxygen saturation screening not performed (including Preferred Answer List LL2458-9)	Craig Newman	Altarum	09/29/2022 - 16:59
Level 0	Special Alerts for Care Handoffs		Scheduling (time specific interventions) LOINC	Indicate timing for scheduling essential testing, treatments, consults, procedures, and follow-up appointments.	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Patient behaviors with risk to self or others (reported or observed) ICD 10, SNOMED	Examples Include: Wandering Z91.83 Falls Z91.81 Confusion F05 Aggressive behavior F02.81 Physical violence R45.6 Suicidal ideation R45.851	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Safety risks ICD 10, SNOMED, LOINC	Risks to safety of individual and/or organization/staff Weight bearing limitations Victim of abuse with or without restraining order (domestic violence, financial abuse, etc.)	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Cancer Care		Radiation Therapy Prescription Name of Radiation Therapy Prescription	Name of the radiation therapy prescription used to distinguish it from other prescriptions.		Elizabeth Covington	University of Michigan	09/29/2022 - 12:26
Level 0	Special Alerts for Care Handoffs		External devices LOINC	Lines Tubes Drains Catheters Date/time prior urinary catheter removed	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Risk Scores	LACE - https://www.mdcalc.com/calc/3805/lace-index-readmission	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Medications RxNorm, SNOMED	Important drug-drug interactions High risk medications e.g.: anticoagulants opiates sedatives electrolyte altering hypoglycemics antipsychotics Immunosuppressants Tricyclic antidepressants Complicated regimens e.g.: loading tapering sliding scale precise schedule Instructions for missed or late medications	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Special equipment needed LOINC	Oxygen Hoyer Special fit wheelchair Bariatric Extended length Wound care VAC Prosthetics, orthoses	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Internal devices LOINC	Stents Monitors Pumps Defibrillators	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Special Alerts for Care Handoffs		Conditions with substantial risk of complications ICD 10, SNOMED	Serious chronic mental illness Transplants Substance Use Disorder Incontinence Healed pressure injury Active pressure injury	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51