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

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

Narrative patient data relevant to the context identified by note types.

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  • 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

Tests that result in visual images requiring interpretation by a credentialed professional.

Imaging Narrative

Contains a consulting specialist’s interpretation of diagnostic imaging data.

This data element was reclassified from Clinical Notes to Diagnostic Imaging.

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

  • Diagnostic Imaging Study (LOINC® code 18748-4
Draft USCDI V2

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

Laboratory Report Narrative

Contains a consulting specialist’s interpretation of the laboratory report.

This data element was reclassified from Clinical Notes to Laboratory.

Draft USCDI V2

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

Phone Number Type
Draft USCDI V2

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

Pathology Report Narrative

Contains a consulting specialist’s interpretation of the pathology report.

This data element was reclassified from Clinical Notes to Laboratory.

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

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

Email Address
Draft USCDI V2

Desired state to be achieved by a patient.

Patient Goals

Desired outcomes of patient's care.

Draft USCDI V2

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

Body Temperature
  • 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

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

Pulse Oximetry
  • 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
USCDI V2 Vital Signs

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 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V2 Patient Demographics/Information

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

Sex (Assigned at Birth)

Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor attributed as follows:

  • Female. F
  • Male. M
  • Unknown. nullFlavor UNK

Adopted at 45 CFR 170.207(n) 

USCDI V2 Allergies and Intolerances

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

Substance (Medication)
  • RxNorm® Full Monthly Release, June 7, 2021
USCDI V2 Patient Demographics/Information

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

Date of Birth
USCDI V2 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 V2 Vital Signs

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

Body Temperature
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V2 Patient Demographics/Information

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

Ethnicity

Both standards are required

  • The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
  • CDC Race and Ethnicity Code Set Version 1.0 (March 2000)

Adopted at 45 CFR 170.207(f)