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. |
Head Occipital-frontal Circumference Percentile (Birth - 36 Months) |
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| USCDI V2 | Procedures | Activity performed for or on a patient as part of the provision of care. |
Procedures |
Optional:
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| USCDI V2 | Encounter Information | Information related to interactions between healthcare providers and a patient. |
Encounter Disposition | Identifies the location or type of facility to where the patient left following a hospital or encounter episode. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V2 | Unique Device Identifier(s) for a Patient's Implantable Device(s) | Unique identifier(s) for a patient's implantable device(s). |
Unique Device Identifier(s) for a patient's implantable device(s) |
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Marti Velezis | FDA/CDRH/Indira Konduri (FDA/CDRH/OPEQ/ORP/DRPIII) | ||
| USCDI V2 | Encounter Information | 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 | 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 | ||
| USCDI V2 | Smoking Status | Representing a patient’s smoking behavior. |
Smoking Status | Representing a patient’s smoking behaviors. |
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| USCDI V2 | Vital Signs | Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions. |
Inhaled Oxygen Concentration |
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| USCDI V2 | Encounter Information | 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) | ||
| USCDI V2 | Procedures | Activity performed for or on a patient as part of the provision of care. |
SDOH Interventions |
A service offered to a patient to address identified Social Determinants of Health concerns, problems, or diagnoses (e.g., Education about Meals on Wheels Program, Referral to transportation support programs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. |
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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. |
BMI Percentile (2 - 20 years) |
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| USCDI V2 | Provenance | The metadata, or extra information about data, regarding who created the data and when it was created. |
Author Organization | Organization associated with author. |
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| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number Type | |||||
| 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. |
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Mark Savage for Gravity Project | Gravity Project | |
| 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. |
SDOH Problems/Health Concerns |
An identified Social Determinants of Health-related condition (e.g., Homelessness (finding), Lack of adequate food Z59.41, Transport too expensive (finding)). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. |
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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 |
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| 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 | 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) |
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| USCDI V2 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Phone Number | Both standards are required
Adopted at 45 CFR 170.207(q)(1) |
