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 |
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Draft USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Sexual Orientation |
A person’s emotional, romantic, sexual, or affectional attraction to another person. |
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A. Taylor | ONC | |
Draft USCDI V4 | 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 | ||
Draft USCDI V4 | 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 |
Findings of clinical tests. |
Melissa Ayres | SSA | ||
Draft USCDI V4 | 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. Examples include but are not limited to fall risk, and pressure ulcer risk. |
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Holly Miller, MD | MedAllies | |
Draft USCDI V4 | 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. Examples include but are not limited to vision, hearing, memory, and activities of daily living. |
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Grace Cordovano | Enlightening Results | |
Draft USCDI V4 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Instructions |
Directions for administering or taking a medication.Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications. |
Shelly Spiro | Pharmacy HIT Collaborative | ||
Draft USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation Industry |
Type of business that compensates for work or assigns work to an unpaid worker or volunteer. Examples include but are not limited to U.S. Army, cement manufacturing, and children and youth services. |
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Nedra Garrett | CDC | |
Draft USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation |
Type of work of a person. Examples include but are not limited to infantry, business analyst, and social worker. |
Occupational Data for Health, version 20201030 |
Nedra Garrett | CDC | |
Draft USCDI V4 | Medications | Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease. |
Medication Adherence |
Medication is consumed according to instructions. Examples include but are not limited to taking as directed, taking not as directed, and not taking. |
Shelly Spiro | Pharmacy HIT Collaborative | ||
Draft USCDI V4 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Relationship to Subscriber |
Relationship of a patient to the primary insured person. |
Mark Roberts | Leavitt Partners | ||
Draft USCDI V4 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Coverage Status |
Presence or absence of health care insurance. |
Mark Roberts | Leavitt Partners | ||
Draft USCDI V4 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Tribal Affiliation |
Tribe or band with which an individual associates. |
Laura Conn | |||
Draft USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Interpretation |
Categorical assessment of a laboratory value, often in relation to a test's reference range. Examples include but are not limited to high, low, critical, and normal. |
Riki Merrick | Association of Public Health Laboratories | ||
Draft USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Identifier |
Sequence of characters assigned by a laboratory for an individual specimen. |
Riki Merrick | Association of Public Health Laboratories | ||
Draft USCDI V4 | 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. |
Alcohol Use |
Evaluation of a patient's consumption of alcohol. Examples include but are not limited to history of alcohol use, alcohol use disorder identification test and alcohol intake assessment. |
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Clem McDonald | National Library of Medicine | |
Draft USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Condition and Disposition |
Indication whether a specimen was acceptable and reason for rejection if unacceptable. |
Han Tran | College of American Pathologists (CAP) | ||
Draft USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Reference Range |
Upper and lower limit of test values expected for a designated population of individuals. Usage note: reference range values may differ by patient characteristics, laboratory test manufacturer, and laboratory test performer. |
Nedra Y Garrett | CDC | ||
Draft USCDI V4 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Unit of Measure |
Unit of measurement to report laboratory test results so that they can be compared. Usage note: required when the test result value is numeric. |
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Nedra Y Garrett | CDC | |
USCDI V4 | Patient Summary and Plan | Conclusions and working assumptions that will guide treatment of the patient, and recommendations for future treatment. |
Assessment and Plan of Treatment |
Health professional’s conclusions and working assumptions that will guide treatment of the patient. |
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USCDI V4 | Clinical Notes | Narrative patient data relevant to the context identified by note types.
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Consultation Note |
Response to request from a clinician for an opinion, advice, or service from another clinician. Examples include but are not limited to dermatology, dentistry, and acupuncture. |
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