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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	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	<prTag>identifier	Globally unique identifier	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)	01/30/2023 - 16:17
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	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.	Follow-Up	Follow-up after interventions will assess the efficacy of different treatment modalities as well as potential post-treatment complications that can help inform clinical decision making.	ICD-10 and SNOMED CT ICD-10 : https://www.cms.gov/Medicare/Coding/ICD10 SNOMED CT: https://www.snomed.org/	Kevin Jung	University of California, San Francisco Breast Cancer Center	09/30/2022 - 22:40
Level 0	Provenance	The metadata, or extra information about data, regarding who created the data and when it was created.	Unique Identifier	Numeric or alphanumeric code that uniquely identifies a document.		Sandi Mitchell	J P Systems, Inc.	09/28/2023 - 14:48
Level 0	Special Alerts for Care Handoffs		Risk Scores	LACE - https://www.mdcalc.com/calc/3805/lace-index-readmission	ICD 10, SNOMED, LOINC, RxNorm	Holly Miller, MD	MedAllies	09/22/2022 - 19:51
Level 0	Care Team Members	Information about a person who participates or is expected to participate in the care of a patient.	Caregiver of disabled person	Person serving as a primary caregiver for a disabled person.	American Community Survey disability value set	Charles Mayo	University of Michigan, American Association of Physicists in Medicine	04/27/2022 - 15:25
Level 0	Medical Devices	An instrument, machine, appliance, implant, software or other article intended to be used for a medical purpose.	Status Date	The date associated with the corresponding implantable device status.	standard date formats	TICIA Louise GERBER	Health Level Seven International	10/22/2020 - 17:52
Level 0	Cancer Care		Radiation Therapy Course Target Dose Unit	Unit corresponding to numerical value of radiation dose (e.g. cGy)		Elizabeth Covington	University of Michigan	09/29/2022 - 12:17
Level 0	Adverse Events	Unintended effects associated with clinical interventions.	Adverse Event Severity	Degree to which an an unfavorable or unintended disease, sign, or symptom that is temporally associated with the use of a medical treatment or procedure, affects the health and wellbeing of the subject. Usage Note: Adverse event may or may not be directly caused by the medical treatment or procedure. Severity may be represented by several scales or descriptions.	The use of NCI CTCAE and SNOMED CT. The severity value sets of the adverse event are part of an existing FHIR CodeSystem: AdverseEventSeverity	Vulcan	Vulcan	09/26/2024 - 17:06
Level 0	Cancer Care		Radiation Therapy Course Target Dose Volume	Radiation dose delivered to the target volume in fulfilling the prescription (e.g. 7200 cGy).		Elizabeth Covington	University of Michigan	09/29/2022 - 12:17
Level 0	Cancer Care		Radiation Therapy Course Target Dose Volume	Name of target volume structure for radiation therapy (e.g. Prostate).		Elizabeth Covington	University of Michigan	09/29/2022 - 12:17
Level 0	Cancer Care		Radiation Therapy Course Target Dose Volume	Identify targets and overall doses treated with the radiation therapy course. This supports systematic reporting what was done for treatment summaries. For example it enables identifying that the prostate received a dose of 7200 cGy. Where the prescription reflects intent, this element reflects what was delivered.		Elizabeth Covington	University of Michigan	09/29/2022 - 12:17
Level 0	Cancer Care		Radiation Therapy Course - Involves Reirradiation	Does the radiation field for the current course overlap with radiation fields from prior courses of therapy?		Elizabeth Covington	University of Michigan	09/29/2022 - 12:00
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.	Autopsy Report	An autopsy is a post-mortem medical examination that a forensic pathologist, coroner, or medical examiner performs on the body of a deceased person.	https://loinc.org/18743-5/	Grace Cordovano	Enlightening Results	07/13/2021 - 20:57
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.	Maternal Social Determinants of Health Note	The Maternal Social Determinants of Health Note supports the aggregation of significant events, social problems and related health concerns, and plans of care derived from the visits over the course of a maternal care episode. It is a summary of the most critical information maternal care providers capture and share regarding the status of a maternal patient's social issues. The information is aggregated data from which the patient’s interactions with healthcare and social services providers are captured. The Maternal Social Determinants of Health Note includes information such as structured evaluation of risk (e.g., PRAPARE, homelessness, AHC-HRSN screening tool, etc.) for any maternal health SDOH data related to conditions in which people live, learn, work, and play and their effects on health risks and outcomes; plan of care including social support interventions including but not limited to access to care; education; income; food stability; housing; neighborhood characteristics; safety; transportation security; violence/abuse preventions, ETOH, Smoking, Substance use disorder assessment and treatment drug abuse prevention and treatment; living arrangement; Social support involvement baby father involvement; etc.	SNOMED CT 183425000 Social care 61072005 Social factor 315042007 Social support 161152002 Social problem 310134006 Social services 406551008 Social assessment 405076007 Social support status 108329005 Social context finding LOINC 52234-2 Medical social services treatment plan, Assessment information Set 52218-5 Medical social services treatment plan, Referral information Set 29762-2 Social history Narrative 91642-9 Medical Outcomes Study Social Support Survey panel 91663-5 Social support index ICD10 Z60.9 Problem related to social environment, unspecified Z60.8 Other problems related to social environment ICD9 CM Complications of Pregnancy, Childbirth and the Puerperium ICD10CM, SNOMEDCT Complications of Pregnancy, Childbirth and the Puerperium Pregnancy SNOMED CT: https://www.snomed.org/ LOINC: https://loinc.org/ ICD10: https://www.icd10data.com/	Asha G Immanuelle	Center For Black Women's Wellness	04/29/2022 - 15:06
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.	Postpartum Summary Note	The postpartum summary note supports the inclusion of any interval medical history since delivery, physical and pelvic examination information, review of newborn status, discussion of birth control options, depression and intimate partner violence screenings, immunization review, counseling regarding any future pregnancies, and any interventional education, screenings, tests and results including laboratory. The postpartum summary note includes information such as structured evaluation of risk (e.g., PRAPARE, homelessness, AHC-HRSN screening tool, etc.) for any maternal health SDOH data related to conditions in which people live, learn, work, and play and their effects on health risks and outcomes; plan of care including social support interventions including but not limited to access to care; education; income; food stability; housing; neighborhood characteristics; safety; transportation security; violence/abuse preventions, ETOH, Smoking, Substance use disorder assessment and treatment drug abuse prevention and treatment; living arrangement; Social support involvement baby father involvement; etc.	SNOMED CT 55410009 Maternal postpartum 86569001 Postpartum state LOINC: 57076-2 Postpartum hospitalization treatment Narrative https://loinc.org/57076-2/ 57083-8 Labor and Delivery record panel https://loinc.org/57083-8/ 92576-8 Maternal discharge summary - recommended IHE set https://loinc.org/92576-8/ ICD9 CM Complications of Pregnancy, Childbirth and the Puerperium http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.11.1021 ICD10CM, SNOMED CT Complications of Pregnancy, Childbirth and the Puerperium http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1012 Pregnancy https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.378/expansion	Andrea Fourquet	IHE USA	04/30/2022 - 00:30
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.	Antepartum Summary Note	The Antepartum Summary Note defines the aggregation of significant events, diagnoses, and plans of care derived from the visits over the course of an antepartum episode. It is a summary of the most critical information antepartum care providers capture and share regarding the status of a patient’s pregnancy. It is represented in part by Estimated Due Dates and summaries of the various antepartum visits. The information is aggregated data from which the patient’s interactions with care providers are captured. It includes data such as the patient’s allergies, advance directives, care planning, and selected histories. The antepartum summary note includes information such as structured evaluation of risk (e.g., PRAPARE, homelessness, AHC-HRSN screening tool, etc.) for any maternal health SDOH data related to conditions in which people live, learn, work, and play and their effects on health risks and outcomes; plan of care including social support interventions including but not limited to access to care; education; income; food stability; housing; neighborhood characteristics; safety; transportation security; violence/abuse preventions, ETOH, Smoking, Substance use disorder assessment and treatment drug abuse prevention and treatment; living arrangement; Social support involvement baby father involvement; etc.	SNOMED CT 276986009 Antepartum LOINC: 57061-4 Antepartum flowsheet panel Narrative https://loinc.org/57061-4/ 57055-6 Antepartum summary note https://loinc.org/57055-6/ ICD9 CM Complications of Pregnancy, Childbirth and the Puerperium http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.11.1021 ICD10CM, SNOMEDCT Complications of Pregnancy, Childbirth and the Puerperium http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.111.12.1012 Pregnancy https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.378/expansion	Andrea Fourquet	IHE USA	04/30/2022 - 01:26
Level 0	Pregnancy Information		Last Menstrual Period (LMP)	Date of the first day of the last menstrual period.	LOINC : 8665-2 Last menstrual period start date IHE 1.3.6.1.4.1.19376.1.5.3.1.3.18 HL7 FHIR observation - https://www.hl7.org/fhir/observation-example-date-lastmp.html CMS - https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/dwnlds/R81CPpdf.pdf (Pg. 4, )	Andrea Fourquet	IHE USA	04/30/2022 - 01:14
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.	Claim Bill Facility Type Code	UB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The first digit of the three-digit number denotes the type of facility.	NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.	Mark Roberts	Leavitt Partners	09/30/2021 - 22:05
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.	Claim Frequency Code	UB04 (Form Locator 4) type of bill code provides specific information for payer purposes. The third digit identifies the frequency of the bill for a specific course of treatment or inpatient confinement.	NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.	Mark Roberts	Leavitt Partners	09/30/2021 - 22:05