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Sequence of characters used to uniquely refer to the individual that selects insurance benefits.

Interpreted results of imaging tests. Includes structured and unstructured components.

Responsibility of an individual within the care team. (e.g., primary care physician, caregiver)

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
• Current Procedural Terminology (CPT®) 2022, as maintained and distributed by the American Medical Association, for physician services and other health care services, and Healthcare Common Procedure Coding System (HCPCS), as maintained and distributed by HHS.
• For technology primarily developed to record dental procedures: Code on Dental Procedures and Nomenclature (CDT) 2022, maintained and distributed by the American Dental Association, for dental services.

Optional:

• 2022 International Classification of Diseases  ICD-10-PCS 

Both standards are required

• The Office of Management and Budget Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997
• CDC Race and Ethnicity Code Set Version 1.2 (July 2021)

Desired future states (e.g., food security) for an identified Social Determinants of Health-related health concern, condition, or diagnosis. (e.g., food insecurity)

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release
• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72

Harmful or undesired physiologic response following exposure to a pharmacologic agent or class of agents.

• SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2022 Release

Tribe or band with which an individual associates.

Analysis of specimens derived from humans which provide information for the diagnosis, prevention, treatment of disease, or assessment of health.

• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72

Relationship of a patient to the primary insured person.

Vaccine product administered, planned, or reported.

Both standards are required

• IIS: Current HL7 Standard Code Set, CVX – Vaccines Administered, updates through June 15, 2022
• Vaccine National Drug Code (NDC) Directory – Vaccine NDC Linker Table, updates through June 16, 2022

Summary of a patient’s interval status during an encounter (e.g., hospitalization, outpatient visit, treatment with a post-acute care provider, or other healthcare encounter)

• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72
  • At minimum: Progress Note (LOINC® code 11506-3)

Assessments of a patient’s physical, cognitive, intellectual, or psychiatric disabilities. (e.g., vision, hearing, memory, activities of daily living)

• Logical Observation Identifiers Names and Codes (LOINC®) version 2.72

Prior place where a person may have been located or could have been contacted.

• Project US@ Technical Specification for Patient Addresses, Final Version 1.0

Known or estimated year, month, and day of the patient's birth.

Sequence of characters used to uniquely refer to an insurance payer.

Place where a patient’s care is delivered.

Name component following family name that may be used to describe a person's position in a family.

Units of measure of a medication. (e.g., milligrams, milliliters)

• The Unified Code for Units of Measure, Revision 2.1

Sign, symptom, or medical condition that leads to the recommendation of a treatment, test, or procedure.