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Classification Level Sort descending	Data Class	Data Class Description	Data Element	Data Element Description	Applicable Standards	Submitter Name	Submitter Organization	Submission Date
Level 0	Laboratory	Analysis of clinical specimens to obtain information about the health of a patient.	Specimen Received Date/time	Date (and optionally time) when specimen was received by the testing laboratory	V2 = SPM-18 (Specimen Received Date/Time) https://www.hl7.eu/refactored/segSPM#248 and also in OBR-14 (Specimen Received Date/Time) = https://www.hl7.eu/refactored/segOBR.html#248 in versions before SPM segment was added, in FHIR = https://build.fhir.org/specimen-definitions.html#Specimen.receivedTime	Riki Merrick	APHL	09/30/2024 - 17:51
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Category	Type of harm – wrong patient, medication mishap, wrong body site, etc.	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Actuality	Did the event (harm) occur or is there potential for harm – ie. Actual, potential	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
Level 0	Health Status Assessments	Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s authorized representative, or patient’s healthcare provider that could identify a need, problem, or condition.	Physical Activity – Minutes/Day	On those days that the patient engages in moderate to vigorous exercise, how many minutes, on average, do they exercise?	The following LOINC codes correspond to components of the proposed measures: 89555-7 – Physical Activity – Days/Week 68516-4 – Physical Activity – Minutes/Day 82291-6 – Physical Activity – Muscle-Strengthening For the overall minutes/week measure, there is a standard LOINC code 89574-8 – Exercise Vital Sign that groups the Days/Week and Minutes/Day component, however it does not actually support capturing the calculated Minutes/Week component, even though the submitter of the code (Kaiser Permanente) makes regular use of the calculated value. HL7 will work with Kaiser and Regenstrief to either allow the existing ‘panel’ code to capture the calculated days/week measure or add an additional component that supports the calculation, making it easier to query for patients outside guideline without requiring client-side calculation.	Laurie P. Whitsel	American Heart Association/Physical Activity Alliance	09/30/2022 - 05:35
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)	09/20/2023 - 23:39
Level 0	Clinical Notes	Narrative patient data relevant to the context identified by note types. Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name.	Complications	The data element specifically documents complications that result from different modalities of therapy. There is currently no way of collecting this information and thus we miss the opportunity for quality improvement and true informed consent. High level complications should be recorded and ascribed to the modality (ies) of therapy.	ICD-10 : https://www.cms.gov/Medicare/Coding/ICD10 SNOMED CT: https://www.snomed.org/	Kevin Jung	University of California San Francisco Breast Care Center	09/30/2022 - 23:23
Level 0	Provenance	The metadata, or extra information about data, regarding who created the data and when it was created.	Custodian	The custodian is the organization that is in charge of maintaining and is entrusted with the care of the document.		Sarah Gaunt	The Association of Public Health Laboratories (APHL)	04/16/2024 - 02:45
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Outcome Status	Adverse Event Status – i.e. in-progress, completed, entered-in-error, unknown	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
Level 0	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.	Visual Fields	Narrative clinical assessment of the Visual Fields evaluation.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Urine Output	The total urine output during a calendar day, from all sources including voids, bladder catherization, urostomy, nephrostomy tubes.	LOINC 9097-7 Fluid balance 24hrs SNOMED CT 251856003 Fluid balance	Ali Abbas MD	UCSF	09/20/2023 - 17:28
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Subject	Subject impacted by event - reference to Patient, Practitioner, Related Person, etc.	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
Level 0	Provenance	The metadata, or extra information about data, regarding who created the data and when it was created.	Custodian Organization Id	An identifier of the custodian organization.		Sarah Gaunt	The Association of Public Health Laboratories (APHL)	04/16/2024 - 02:45
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Contributing Factor	Contributing factors suspected to have increased the probability or severity of the adverse event	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
Level 0	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Total Output	The total volume that the patient put out during a calendar day, from all sources, including urine, stool, and drains like chest tubes, surgical drains, intrathecal catheters, external ventricular drains, peritoneal catheters.	LOINC 9097-7 Fluid balance 24hrs SNOMED CT 251856003 Fluid balance	Ali Abbas MD	UCSF	09/20/2023 - 17:28
Level 0	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.	Holter monitor	Narrative clinical assessment of the Holter monitor results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Clinical Notes	Narrative patient data relevant to the context identified by note types. Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name.	Psychological Testing	Narrative clinical assessment of the Psychological Testing results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Genomics		Variant Clinical Significance	Clinical significance is an assessment of the magnitude of a genetic variant's clinical effects as per estimates supplied by researchers and/or guidelines (source: HL7 Clinical Genomics Working Group).	LOINC is the reference terminology proposed by the HL7 Genomics Reporting FHIR IG (http://hl7.org/fhir/uv/genomics-reporting/index.html) for codifying the ACMG clinical significance categories (https://loinc.org/LL4034-6/)	May Terry	MITRE Corporation	09/20/2023 - 20:29
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Mitigating action	Ameliorating actions taken after the adverse event occurred in order to reduce the extent of harm	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
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	09/13/2023 - 19:55
Level 0	Health Status Assessments	Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s authorized representative, or patient’s healthcare provider that could identify a need, problem, or condition.	Physical Activity – Muscle-strengthening	As part of an average week, on how many days does the patient perform muscle-strengthening activities such as weight or resistance training?	The following LOINC codes correspond to components of the proposed measures: 89555-7 – Physical Activity – Days/Week 68516-4 – Physical Activity – Minutes/Day 82291-6 – Physical Activity – Muscle-Strengthening For the overall minutes/week measure, there is a standard LOINC code 89574-8 – Exercise Vital Sign that groups the Days/Week and Minutes/Day component, however it does not actually support capturing the calculated Minutes/Week component, even though the submitter of the code (Kaiser Permanente) makes regular use of the calculated value. HL7 will work with Kaiser and Regenstrief to either allow the existing ‘panel’ code to capture the calculated days/week measure or add an additional component that supports the calculation, making it easier to query for patients outside guideline without requiring client-side calculation.	Laurie P. Whitsel	American Heart Association/Physical Activity Alliance	09/30/2022 - 05:35