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 V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Diastolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Analysis of clinical specimens to obtain information about the health of a patient.

Tests

The name of the analysis of specimens derived from humans which provide information for the diagnosis, prevention, treatment of disease, or assessment of health.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Systolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Body Height
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

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. 
Discharge Summary Note

A synopsis of a patient’s admission and course in a hospital or post-acute care setting.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.69

  • Discharge Summary (LOINC® code 18842-5)
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Body Weight
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Record of vaccine administration.

Immunizations
  • CDC IIS: Current HL7 Standard Code Set, CVX -- Vaccines Administered, updates through November 16, 2020
  • CDC National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through November 13, 2020
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Heart Rate
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Respiratory Rate
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Information about a person who participates or is expected to participate in the care of a patient.

Care Team Member Identifier Al Taylor ONC
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Weight-for-length Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

Inhaled Oxygen Concentration
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Data used to categorize individuals for identification, records matching, and other purposes.

Previous Address

Includes street name, number, city/town, state, and zip code.

Draft USCDI V2

Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.

BMI Percentile (2 - 20 years)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
Draft USCDI V2

Harmful or undesired physiological responses associated with exposure to a substance.

Reaction
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release
Draft USCDI V2

Information related to interactions between healthcare providers and a patient.

Encounter Diagnosis
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release
  • International Classification of Diseases ICD-10-CM 2021
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V2

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
Draft USCDI V2

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. 
Progress Note

Represents a patient’s interval status during a hospitalization, outpatient visit, treatment with a post-acute care provider, or other healthcare encounter.

Logical Observation Identifiers Names and Codes (LOINC®) version 2.69

  • Progress Note (LOINC® code 11506-3)
Draft USCDI V2

Harmful or undesired physiological responses associated with exposure to a substance.

Substance (Drug Class)
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2020 Release
Draft USCDI V2

Harmful or undesired physiological responses associated with exposure to a substance.

Substance (Medication)
  • RxNorm®, January 4, 2021 Full Release Update