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 V4 Vital Signs

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

Respiratory Rate

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 Vital Signs

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

Body Temperature

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 Vital Signs

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

Pulse Oximetry

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 Vital Signs

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

Inhaled Oxygen Concentration

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 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

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 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

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 Vital Signs

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

Head Occipital-frontal Circumference Percentile (Birth - 36 Months)

Both standards are required

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.73
  • The Unified Code of Units for Measure, Revision 2.1
Draft USCDI V4 Allergies and Intolerances

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

Substance (Medication)

Pharmacologic agent believed to cause a harmful or undesired physiologic response following exposure.

  • RxNorm® Full Monthly Release, January 3, 2023
Draft USCDI V4 Allergies and Intolerances

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

Substance (Drug Class)

Pharmacologic category for an agent believed to cause a harmful or undesired physiologic response following exposure.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
Draft USCDI V4 Allergies and Intolerances

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

Reaction

Harmful or undesired physiologic response following exposure to a pharmacologic agent or class of agents.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
Draft USCDI V4 Patient Demographics/Information

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

Previous Address

Prior place where a person may have been located or could have been contacted.

  • Project US@ Technical Specification for Patient Addresses, Final Version 1.0
Draft USCDI V4 Patient Demographics/Information

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

Phone Number Type

Contact point when using a phone.

Examples include but are not limited to home, work, and mobile.

Draft USCDI V4 Patient Demographics/Information

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

Email Address

Unique identifier of an individual's email account that is used to send and receive email messages.

Draft USCDI V4 Facility Information

Physical place of available services or resources.

Facility Name

Word or words by which a facility is known.

Keith W. Boone Audacious Inquiry
Draft USCDI V4 Facility Information

Physical place of available services or resources.

Facility Identifier

Sequence of characters representing a physical place of available services or resources.

Keith W. Boone Audacious Inquiry
Draft USCDI V4 Facility Information

Physical place of available services or resources.

Facility Type

Category describing available services or resources.

Examples include but are not limited to laboratory, pharmacy, hospital, ambulatory providers, long-term and post-acute care.

Keith W. Boone Audacious Inquiry
Draft USCDI V4 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Type

Category of health care service.

Examples include but are not limited to office visit, telephone assessment, and home visit. 

Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
Draft USCDI V4 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Time

Date/times related to an encounter.

Examples include but are not limited to 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)
Draft USCDI V4 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)
Draft USCDI V4 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Diagnosis

Coded diagnoses associated with an episode of care.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, September 2022 Release
  • International Classification of Diseases ICD-10-CM 2022
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)