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 |
|---|---|---|---|---|---|---|---|---|
| USCDI V3.1 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Weight-for-length Percentile (Birth - 24 Months) | Both standards are required
|
||||
| USCDI V3.1 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Member Identifier |
Sequence of characters used to uniquely refer to an individual with respect to their insurance. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| 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 Type |
Category of health care service. (e.g., office visit, telephone assessment, home visit) |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number |
Numbers and symbols to contact an individual when using a phone. |
Both standards are required:
Adopted at 45 CFR 170.207(q)(1) |
|||
| 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. |
Health Concerns |
Health-related issue or worry. (e.g., weight gain, cancer risk) |
||||
| USCDI V3.1 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
BMI Percentile (2 - 20 years) | Both standards are required
|
||||
| USCDI V3.1 | Immunizations | Record of vaccine administration. |
Immunizations |
Vaccine product administered, planned, or reported. |
Both standards are required
|
|||
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Preferred Language |
Adopted at 45 CFR 170.207(g)(2) |
||||
| USCDI V3.1 | Goals | Desired state to be achieved by a patient. |
Patient Goals | Desired outcomes of patient's care. |
||||
| 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. |
Functional Status |
Assessment of a patient’s capabilities, or their risks of development or worsening of a condition or problem. (e.g., fall risk, pressure ulcer risk, alcohol use) |
|
Holly Miller, MD | MedAllies | |
| USCDI V3.1 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
|
History & Physical |
Summary of current and past conditions and observations used to inform an episode of care. (e.g. admission, surgery, or other procedure) |
|
|||
| 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 | ||
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Race | Both standards are required
|
||||
| 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. |
|
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |
| 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 | Goals | Desired state to be achieved by a patient. |
SDOH Goals |
Desired future states (e.g., food security) for an identified Social Determinants of Health-related health concern, condition, or diagnosis. (e.g., food insecurity) |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V3.1 | Procedures | Activity performed for or on a patient as part of the provision of care. |
SDOH Interventions |
Actions or services to address an identified Social Determinants of Health-related health concern, condition, or diagnosis (e.g., education about food pantry program, referral to non-emergency medical transportation program) |
|
Mark Savage for Gravity Project | Gravity Project | |
| USCDI V3.1 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Ethnicity | Both standards are required
|
||||
| USCDI V3.1 | Problems | Condition, diagnosis, or reason for seeking medical attention. |
Problems |
Condition, diagnosis, or reason for seeking medical attention. |
|