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 V2 Vital Signs

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

Heart Rate
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
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 Care Team Members

Information about a person who participates or is expected to participate in the care of a patient.

Care Team Member Location

Physical location of provider or other care team member

Al Taylor ONC
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 Role

Function or functions that a person may perform while participating in the care for a patient

Al Taylor ONC
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 Goals

Desired state to be achieved by a patient.

SDOH Goals

Identifies a future desired condition or change in condition related to an SDOH risk in any domain and is established by the patient or provider. (e.g., Has adequate quality meals and snacks, Transportation security-able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes.

  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2021 Release
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
Mark Savage for Gravity Project Gravity Project
USCDI V2 Vital Signs

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

Body Height
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V2 Vital Signs

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 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V2 Vital Signs

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

Systolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
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 Telecom

Electronic contact information of a provider or other care team member

  • ITU-T E.123, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - General provisions concerning users: Notation for national and international telephone numbers, email addresses and web addresses (incorporated by reference in § 170.299); and
  • ITU-T E.164, Series E: Overall Network Operation, Telephone Service, Service Operation and Human Factors, International operation - Numbering plan of the international telephone service: The international public telecommunication numbering plan
Keith W. Boone Audacious Inquiry
USCDI V2 Encounter Information

Information related to interactions between healthcare providers and a patient.

Encounter Location

Location of facility which delivered a person’s health care or related services

Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
USCDI V2 Vital Signs

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 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V2 Vital Signs

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

Diastolic Blood Pressure

Both standards are required.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
USCDI V2 Procedures

Activity performed for or on a patient as part of the provision of care.

Procedures
  • SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2021 Release
  • Current Procedural Terminology (CPT®) 2021, as maintained and distributed by the American Medical Association, for physician services and other health care services, and Healthcare Common Procedure Coding System (HCPCS), as maintained and distributed by HHS.
  • For technology primarily developed to record dental procedures: Code on Dental Procedures and Nomenclature (CDT), maintained and distributed by the American Dental Association, for dental services.

Optional:

  • International Classification of Diseases ICD-10-PCS 2021
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

The name of the non-imaging or non-laboratory test performed on a patient.

  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
Joel Andress Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ)
USCDI V2 Provenance

The metadata, or extra information about data, regarding who created the data and when it was created.

Author Time Stamp
USCDI V2 Problems

Condition, diagnosis, or reason for seeking medical attention.

Date of Diagnosis

Date of first determination by a qualified professional of the presence of a problem or condition affecting a patient.

Steven Lane Sutter Health
USCDI V2 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)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1
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 Vital Signs

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

Weight-for-length Percentile (Birth - 36 Months)
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70
  • The Unified Code of Units for Measure (UCUM), Revision 2.1