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 V3 | Harmful or undesired physiological responses associated with exposure to a substance. |
Substance (Medication) |
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| Draft USCDI V3 | Data related to an individual’s insurance coverage for health care. |
Member Identifier | Identifies an individual covered by the benefits offered by an employer or healthcare insurer. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| Draft USCDI V3 | 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. |
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| Draft USCDI V3 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Diastolic Blood Pressure | Both standards are required.
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| Draft USCDI V3 | Data related to an individual’s insurance coverage for health care. |
Relationship to Subscriber | Relationship of a person to the primary insured person in an insurance plan. |
Mark Roberts | Leavitt Partners | |||
| Draft USCDI V3 | 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. |
Functional Status | Represents assessments of a patient’s capabilities, or their risks of development or worsening of a condition or problem (e.g., Morse Scale - falls, Bradon Scale - pressure ulcer, VR-12 Health Survey, CAGE – alcohol use disorder) |
|
Holly Miller, MD | MedAllies | ||
| Draft USCDI V3 | Information related to interactions between healthcare providers and a patient. |
Encounter Location | Location of facility which delivered a person’s health care or related services |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| Draft USCDI V3 | Data used to categorize individuals for identification, records matching, and other purposes. |
Suffix | ||||||
| Draft USCDI V3 | Data related to an individual’s insurance coverage for health care. |
Payer Identifier | The identifier defining a payer entity. |
Robert C Dieterle | On behalf of the Da Vinci Project | |||
| USCDI V3.1 | Problems | 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 | ||
| USCDI V3.1 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Disposition |
Place or setting to which the patient left a hospital or encounter. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V3.1 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Diagnosis |
Coded diagnoses associated with an episode of care. |
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Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |
| USCDI V3.1 | 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. |
Clinical Test |
Non-imaging or non-laboratory test. |
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Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |
| USCDI V3.1 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Report |
Interpreted results of imaging tests. Includes structured and unstructured components. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation |
Type of work of a person. (e.g., infantry, business analyst, social worker) |
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Nedra Garrett | CDC | |
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Relationship |
Relationship of a person to a patient. (e.g., parent, next-of-kin, guardian, custodian) |
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| USCDI V3.1 | 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. |
Disability Status |
Assessments of a patient’s physical, cognitive, intellectual, or psychiatric disabilities. (e.g., vision, hearing, memory, activities of daily living) |
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Grace Cordovano | Enlightening Results | |
| USCDI V3.1 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Payer Identifier |
Sequence of characters used to uniquely refer to an insurance payer. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V3.1 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Name | Al Taylor | ONC | |||
| USCDI V3.1 | Care Team Members | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Identifier |
Sequence of characters used to uniquely refer to a member of the care team. (e.g., National Provider Identifier (NPI), National Council of State Boards of Nursing Identifier (NCSBN ID)) |
Al Taylor | ONC |