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Classification Level Data Class Data Class Description Data Element Data Element Description Applicable Standards Submitter Name Submitter Organization Submission Date
Level 0 Patient Demographics/Information

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

 <prTag>timestamp

The time stamp indicates the time the <prTag> is created.
An example is 2022-10-06T22:02:15.877567436Z

ASTM/ANSI E 1714 Standard Guide for Properties of a Universal Healthcare Identifier (UHID), originally approved in 1995. Most recently approved in 2007.

 Barry R Hieb Global Patient Identifiers, Inc. (GPII)
Level 0 Patient Demographics/Information

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

 <prTag>status

<prTag> status is a character string that gives the status of its associated <prTag>. Possible values include:
“active”, “locked”, “terminated”, or “invalid”

ASTM/ANSI E 1714 Standard Guide for Properties of a Universal Healthcare Identifier (UHID), originally approved in 1995. Most recently approved in 2007.

 Barry R Hieb Global Patient Identifiers, Inc. (GPII)
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Line Number

Line identification number that represents the number assigned in a source system for identification and processing.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Service to Date

Date on which services ended. Located on CMS 1500 (Form Locator 24A)

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Type of Service

High level classification of services into logical grouping.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Place of Service Code

Code indicating the location, such as inpatient, outpatient facility, office, or home health agency, where this service was performed.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Revenue Center Code

Code used on the UB-04 (Form Locator 42) to identify a specific accommodation, ancillary service, or billing calculation related to the service being billed.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Allowed Number of Units

The quantity of units, times, days, visits, services, or treatments allowed for the service described by the HCPCS code, revenue code or procedure code, submitted by the provider.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 National Drug Code

National Drug Code (NDC), or if the prescription is a compound, the value 'Compound'

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Compound Code

The code indicating whether or not the prescription is a compound. NCPDP field # 406-D6

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Quantity Dispensed

Quantity dispensed for the drug.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Quantity Qualifier Code

The unit of measurement for the drug. (gram, ml, etc.).

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Provenance

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

 Element Level GUID

The Element Level Globally Unique Identifier (GUID) ensures that each data element instance:
1) Has a single non-duplicative identifier;
2) Assigned at the point of origination by the source EHR/PHR/HIT system;
3) Inseparably bound to the data element instance;
4) Maintained in perpetuity during the lifespan of that data element instance;
5) From source to use (point of origination to each ultimate point of use), including all intermediate stages and lifecycle events (retention, update/amendment, verification/attestation, exchange...).
6) Can be bound together within a correlated set - elements of content bound to elements of related context.

 Gary Dickinson EHR Standards Consulting
Level 0 Referral Referral Category The classification of the referral, or the service being requested. For example a procedure, an intervention such as counseling or education, or a service.

HL7 FHIR US Core ServiceRequest Category Codes HL7 Service Request Category

 Grace Glennon, on behalf of NCQA NCQA
Level 0 Encounter Information

Information related to interactions between healthcare providers and a patient.

 Trauma Activation or Trauma Alert Type with Activation Date and Activation Time

To be used with trauma patients to have activation type (full, partial or activation/alert, etc.) and date/time of trauma activation type.

 Valerie Brockman UCHealth
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Line Copay Amount

Medical: Amount an insured individual pays directly to a provider at the time the services or supplies are rendered. Usually, a copay will be a fixed amount per service, such as $15.00 per office visit.
Pharmacy: Amount to be collected from a patient that is included in the Patient Pay Amount that is due to a per prescription copay or coinsurance.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Line Member Liability

The amount of the member's liability.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Cancer Care Staging System

A cancer staging system is used to describe the extent of cancer in the body. There are many staging systems. Some, such as the TNM staging system, are used for many types of somatic cancer. Others are specific to a particular type of cancer (Source: NCI). Examples of non-TNM staging systems include the Cotswolds Modifications of the Ann Arbor Staging Classification, Revised International Staging System (R-ISS), and Rai and Binet staging systems for chronic lymphocytic leukemia.

SNOMED CT specifies codes for describing different cancer staging systems.
mCODE further specifies a value set of SNOMED CT codes for cancer staging systems (http://hl7.org/fhir/us/mcode/ValueSet-mcode-cancer-staging-system-vs.ht…).

 May Terry MITRE Corporation
Level 0 Vital Signs

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

 Individual Administering Vital Signs

Identify the role of the individual taking the vital signs, differentiating between inputs that are from a care team member, patient or family/caregiver, as separate from an automated device or home monitoring system.

For care team members: Examples include but are not limited to National Provider Identifier (NPI) and National Council of State Boards of Nursing Identifier (NCSBN ID).

For FDA approved devices: FDA Unique Device Identification (UDI) System

 Tayler Williams American Medical Informatics Association (AMIA)
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

 Line Submitted Amount

Amount submitted by the provider for reimbursement of health care services. This amount includes non-covered services.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners