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 | 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 | Information related to interactions between healthcare providers and a patient. |
Encounter Diagnosis |
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Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| Draft USCDI V2 | Harmful or undesired physiological responses associated with exposure to a substance. |
Reaction |
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| Draft USCDI V2 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
BMI Percentile (2 - 20 years) |
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| 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. |
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| Draft USCDI V2 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Inhaled Oxygen Concentration |
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| Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number Type | ||||||
| Draft USCDI V2 | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Pulse Oximetry |
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| Draft USCDI V2 | Information about a person who participates or is expected to participate in the care of a patient. |
Care Team Member Name | Al Taylor | ONC | ||||
| Draft USCDI V2 | Narrative patient data relevant to the context identified by note types.
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Procedure Note | Encompasses non-operative procedures including interventional cardiology, gastrointestinal endoscopy, osteopathic manipulation, and other specialty’s procedures. |
Logical Observation Identifiers Names and Codes (LOINC®) version 2.69
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| Draft USCDI V2 | Data used to categorize individuals for identification, records matching, and other purposes. |
Email Address | ||||||
| Draft USCDI V2 | Health related matter that is of interest, importance, or worry to someone who may be the patient, patient’s family or patient’s health care provider. |
Health Concerns | ||||||
| Draft USCDI V2 | Information related to interactions between healthcare providers and a patient. |
Encounter Time | Represents a date/time related to an encounter (e.g., scheduled appointment time, check in time, start and stop times). |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | |||
| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Gender Identity | A person’s internal sense of being a man, woman, both, or neither. |
Gender Identify must be coded in accordance with SNOMED CT® and HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor, attributed as follows:
Adopted at 45 CFR 170.207(o)(2) |
A. Taylor | ONC | |
| USCDI V2 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Test | The name of the test performed which generates visual images (radiographic, photographic, video, etc.) of anatomic structures; and requires interpretation by qualified professionals. |
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Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | |
| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Preferred Language | Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009 Adopted at 45 CFR 170.207(g) |
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| USCDI V2 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Report | Interpreted results of imaging test that includes the study performed, reason, findings, and impressions. Includes both structured and unstructured (narrative) components. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Previous Name | |||||
| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Current Address | Includes street name, number, city/town, state, and zip code. |
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| USCDI V2 | 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 Result/Report | Interpreted results of clinical tests that may include study performed, reason performed, findings, and impressions. Includes both structured and unstructured (narrative) components. |
Melissa Ayres | SSA |