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 V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Group Identifier | The identifier associated with a specific health insurance plan typically provided thorough an employer. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V3 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Result Status | Maria Michaels | CDC | |||
| USCDI V3 | 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. |
Joel Andress | Centers for Medicare and Medicaid Services (CMS) Center for Clinical Standards and Quality (CCSQ) | ||
| USCDI V3 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Test | The name of the test performed which generates visual images (radiographic, photographic, video, etc.) of anatomic structures; and requires interpretation by qualified professionals. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| USCDI V3 | Diagnostic Imaging | Tests that result in visual images requiring interpretation by a credentialed professional. |
Diagnostic Imaging Report | Interpreted results of imaging test that includes the study performed, reason, findings, and impressions. Includes both structured and unstructured (narrative) components. |
Swapna Abhyankar | Regenstrief Institute, LOINC Document Ontology Subcommittee | ||
| USCDI V3 | Laboratory | Analysis of clinical specimens to obtain information about the health of a patient. |
Specimen Type | Type of specimen (e.g., nasopharyngeal swab, whole blood, serum, urine, wound swab) on which a lab test is performed. |
Nedra Garrett | Centers for Disease Control and Prevention | ||
| USCDI V3 | Procedures | Activity performed for or on a patient as part of the provision of care. |
Reason for Referral | Adam Bazer, MPD | Integrating the Healthcare Enterprise USA (IHE USA) | |||
| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Relationship | Represents the relationship between a patient and a person involved in the care of a patient (e.g., parent, next-of-kin, guardian, custodian). |
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| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Related Person's Name | The name of a person involved in the care of a patient, but who is not the target of that care. |
Nedra Garrett | Centers for Disease Control and Prevention | ||
| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Date of Death | Known or estimated year, month, and day of the patient's death. |
Jeff Lyall | Cigna | ||
| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Gender Identity | A person’s internal sense of being a man, woman, both, or neither. |
Gender Identify must be coded in accordance with SNOMED CT® and HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor, attributed as follows:
Adopted at 45 CFR 170.207(o)(2) |
A. Taylor | ONC | |
| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Sexual Orientation | A person’s identification of their emotional, romantic, sexual, or affectional attraction to another person |
Sexual orientation must be coded in accordance with SNOMED CT® and HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor, attributed as follows:
Adopted at 45 CFR 170.207(o)(1) |
A. Taylor | ONC | |
| USCDI V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Member Identifier | Identifies an individual covered by the benefits offered by an employer or healthcare insurer. |
Robert C Dieterle | On behalf of the Da Vinci Project | ||
| USCDI V3 | 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 V3 | 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 | Represents assessments of a patient’s capabilities, or their risks of development or worsening of a condition or problem (e.g., Morse Scale - falls, Bradon Scale - pressure ulcer, VR-12 Health Survey, CAGE – alcohol use disorder) |
Holly Miller, MD | MedAllies | ||
| USCDI V3 | 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 | Represents assessments of an individual's physical, cognitive, intellectual, or psychiatric disabilities (e.g., vision, hearing, memory, activities of daily living) |
Grace Cordovano | Enlightening Results | ||
| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation Industry | A self-reported term for the primary business activity of an entity for which a person works, including volunteer work. For a military position, this is the self-reported branch of service. |
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Nedra Garrett | CDC | |
| USCDI V3 | Patient Demographics/Information | Data used to categorize individuals for identification, records matching, and other purposes. |
Occupation | A self-reported term for the type of work done by a person. For a military position, this is the primary occupational specialty. |
|
Nedra Garrett | CDC | |
| USCDI V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Relationship to Subscriber | Relationship of a person to the primary insured person in an insurance plan. |
Mark Roberts | Leavitt Partners | ||
| USCDI V3 | Health Insurance Information | Data related to an individual’s insurance coverage for health care. |
Coverage Status | The presence or absence of coverage for a particular encounter or claim. |
Mark Roberts | Leavitt Partners |