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.	Diagnosis Type	ICD-10-CM code describing the condition chiefly responsible for a patient's admission to a facility. It may be different from the principal diagnosis, which is the diagnosis assigned after evaluation. Decimals will be included. The member's principal condition treated during this service. This may or may not be different from the admitting diagnosis. Decimals will be included. Additional diagnosis identified for this member. Decimals will be included.	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	Laboratory	Analysis of clinical specimens to obtain information about the health of a patient.	Test Kit Unique Device Identifier	Uniquely identifies the type of test (at minimum by using test name and manufacturer (similar to the make and model of a car)) that was used to obtain the Test Result Value. It is a device identifier and should be referenced using Device Identifiers (DI), when available. The DI is contained within the unique device identifier (UDI), created by manufacturer (Manufacturer requests UDI issuance, then provides DI, or can be pulled from GUDID database (https://accessgudid.nlm.nih.gov/)		Riki Merrick	Association of Public Health Laboratories	09/30/2021 - 22:25
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 Service Start Date	Date on which services began.	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	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 Service End Date	Date on which services ended.	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	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 Paid Date	The date the claim was paid.	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Modifier Code -4	Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service.	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Modifier Code -3	Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service.	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.	Complications	The data element specifically documents complications that result from different modalities of therapy. There is currently no way of collecting this information and thus we miss the opportunity for quality improvement and true informed consent. High level complications should be recorded and ascribed to the modality (ies) of therapy.	ICD-10 : https://www.cms.gov/Medicare/Coding/ICD10 SNOMED CT: https://www.snomed.org/	Kevin Jung	University of California San Francisco Breast Care Center	09/30/2022 - 23:23
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.	Follow-Up	Follow-up after interventions will assess the efficacy of different treatment modalities as well as potential post-treatment complications that can help inform clinical decision making.	ICD-10 and SNOMED CT ICD-10 : https://www.cms.gov/Medicare/Coding/ICD10 SNOMED CT: https://www.snomed.org/	Kevin Jung	University of California, San Francisco Breast Cancer Center	09/30/2022 - 22:40
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.	Modifier Code -2	Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service.	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Modifier Code -1	Modifier(s) for the procedure represented on this line. Identifies special circumstances related to the performance of the service.	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Procedure Type	Additional surgical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10).	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Procedure Code Type	Indicates if the inpatient institutional procedure (ICD-PCS) is the principal procedure or another procedure	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Procedure Code Type	Principal medical procedure a patient received during inpatient stay. Current coding methods include: International Classification of Diseases Surgical Procedures (ICD-9). Information located on UB04 (Form Locator 74). Additional surgical procedure surgical (ICD-9) administered during inpatient stay. Principal medical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10). Additional surgical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10).	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Procedure Date	Principal medical procedure a patient received during inpatient stay. Current coding methods include: International Classification of Diseases Surgical Procedures (ICD-9). Information located on UB04 (Form Locator 74). Additional surgical procedure surgical (ICD-9) administered during inpatient stay. Principal medical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10). Additional surgical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10).	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	Explanation of Benefit	Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.	Procedure Code	Principal medical procedure a patient received during inpatient stay. Current coding methods include: International Classification of Diseases Surgical Procedures (ICD-9). Information located on UB04 (Form Locator 74). Additional surgical procedure surgical (ICD-9) administered during inpatient stay. Principal medical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10). Additional surgical procedure a patient received during inpatient stay. Coding methods for this field is International Classification of Diseases Surgical Procedures (ICD-10). Medical procedure a patient received from a health care provider. Current coding methods include: CPT-4 and HCFA Common Procedure Coding System Level II - (HCPCSII). Health Insurance Prospective Payment System (HIPPS) rate codes represent specific sets of patient characteristics (or case-mix groups) health insurers use to make payment determinations under several prospective payment systems.	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	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.	Physical Activity – Muscle-strengthening	As part of an average week, on how many days does the patient perform muscle-strengthening activities such as weight or resistance training?	The following LOINC codes correspond to components of the proposed measures: 89555-7 – Physical Activity – Days/Week 68516-4 – Physical Activity – Minutes/Day 82291-6 – Physical Activity – Muscle-Strengthening For the overall minutes/week measure, there is a standard LOINC code 89574-8 – Exercise Vital Sign that groups the Days/Week and Minutes/Day component, however it does not actually support capturing the calculated Minutes/Week component, even though the submitter of the code (Kaiser Permanente) makes regular use of the calculated value. HL7 will work with Kaiser and Regenstrief to either allow the existing ‘panel’ code to capture the calculated days/week measure or add an additional component that supports the calculation, making it easier to query for patients outside guideline without requiring client-side calculation.	Laurie P. Whitsel	American Heart Association/Physical Activity Alliance	09/30/2022 - 05:35
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.	Diagnosis Code Type	Indicates if the diagnosis is admitting, principal, other, an external cause of injury or secondary	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	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.	Physical Activity – Days/week	For an average week in the last 30 days, how many days per week did the patient engage in moderate to vigorous exercise (like walking fast, running, jogging, dancing, swimming, biking, or other activities that cause a light or heavy sweat)?	The following LOINC codes correspond to components of the proposed measures: 89555-7 – Physical Activity – Days/Week 68516-4 – Physical Activity – Minutes/Day 82291-6 – Physical Activity – Muscle-Strengthening For the overall minutes/week measure, there is a standard LOINC code 89574-8 – Exercise Vital Sign that groups the Days/Week and Minutes/Day component, however it does not actually support capturing the calculated Minutes/Week component, even though the submitter of the code (Kaiser Permanente) makes regular use of the calculated value. HL7 will work with Kaiser and Regenstrief to either allow the existing ‘panel’ code to capture the calculated days/week measure or add an additional component that supports the calculation, making it easier to query for patients outside guideline without requiring client-side calculation.	Laurie P. Whitsel	American Heart Association/Physical Activity Alliance	09/30/2022 - 05:35
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.	Line Coinsurance Amount	Medical: The amount the insured individual pays, as a set percentage of the cost of covered medical services, as an out-of-pocket payment to the provider. Example: Insured pays 20% and the insurer pays 80%. Pharmacy: Amount to be collected from a patient that is included in the Patient Pay Amount that is due to a per prescription copay or coinsurance.	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