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 |
|---|---|---|---|---|---|---|---|---|
| Level 0 | Outcomes | Recorder | Who recorded the adverse event |
HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | ||
| Level 0 | Cancer Care | Radiation Therapy Prescription Number of Sessions Per Week | The number of radiation therapy treatment sessions delivered per week. Some radiation therapy protocols do not deliver treatment every day. |
Elizabeth Covington | University of Michigan | |||
| Level 0 | Cancer Care | Structure Type | Defines if the radiation therapy structure a target structure (e.g. PTV, CTV, GTV) or an organ at risk. Standard Values (List): Target; Organ at Risk |
Elizabeth Covington | University of Michigan | |||
| Level 0 | Cancer Care | Radiation Therapy Structure Name | TG-263 (https://www.aapm.org/pubs/reports/RPT_263.pdf) name of structure, if it exists. |
Elizabeth Covington | University of Michigan | |||
| Level 0 | Cancer Care | Radiation Therapy Dose Objective | TG-263 (https://www.aapm.org/pubs/reports/RPT_263.pdf) name of DVH metric for the objective |
Elizabeth Covington | University of Michigan | |||
| Level 0 | Outcomes | Location | Location where adverse event occurred |
HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | ||
| Level 0 | Outcomes | Resulting Effect | Effect on the subject due to the event |
HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | ||
| Level 0 | Outcomes | Recorded Date | When the event was recorded |
HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | ||
| Level 0 | Outcomes | Detected | Date/Time the event was detected |
HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | ||
| Level 0 | Clinical Tests | Non-imaging and non-laboratory tests performed that result in structured or unstructured findings specific to the patient to facilitate the diagnosis and management of conditions. |
Visual Acuity | Mike Schmidt | HiQ Services, LLC | |||
| Level 0 | Cancer Care | Radiation Therapy Dose Objective Condition | Desired relationship of the Dose Objective to the Value Standard Values (List): = < <= > >= ALARA |
Elizabeth Covington | University of Michigan | |||
| 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 |
Craig Newman | Altarum | ||
| Level 0 | Newborn's Delivery Information | Newborn hearing screen of ear - left | The hearing screening result for the leftear provides coded result values for pass, refer and not performed. There should be separate results for both the right Ear and left ear. |
54108-6 - Newborn hearing screen of Ear - left (including Preferred Answer List LL618-0) |
Craig Newman | Altarum | ||
| Level 0 | Newborn's Delivery Information | Newborn hearing screen reason not performed of ear - right | The reason why the hearing screen was not done in right ear. |
73742-9 - Newborn hearing screen reason not performed of Ear - right (including Example Answer List LL2769-9) |
Craig Newman | Altarum | ||
| Level 0 | Outcomes | Outcome Status | Adverse Event Status – i.e. in-progress, completed, entered-in-error, unknown | HL7.org FHIR R4 v4.0 |
Sandi Mitchell | J P Systems, Inc. | ||
| 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. |
Care Team Member Completing Health Status Assessment | Care Team Member Conducting Health Status Assessment |
For the Care Team Member Identifier: National Provider Identifier (NPI) and National Council of State Boards of Nursing Identifier (NCSBN ID). |
Tayler Williams | American Medical Informatics Association (AMIA) | |
| Level 0 | Newborn's Delivery Information | Newborn hearing screen reason not performed of ear - left | The reason why the hearing screen was not done in left ear. |
73739-5 - Newborn hearing screen reason not performed of Ear - left (including Preferred Answer List LL2769-9) |
Craig Newman | Altarum | ||
| 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 | ||
| 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. |
Depression Screening | Assessment of clinical depression using standardized tools. |
LOINC |
Grace Glennon, on behalf of NCQA | NCQA | |
| 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. |
Nutrition Status | A systematic nutrition assessment of an individual's nutrition intake, physical exam, anthropometric measurements, biochemical, and health condition data compared to accepted standards, recommendations, and/or goals to arrive at a determination of the client’s nutrition well-being or malnutrition. |
LOINC 75304-6 Nutrition status observation panel |
Michelle Ashafa | Academy of Nutrition and Dietetics |