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Patient Demographics

Data Element	Applicable Standard(s)
First Name
Last Name
Previous Name
Middle Name (including middle initial)
Suffix
Birth Sex	Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor (https://www.healthit.gov/sites/default/files/170299_f_29_hl7_v3_agender_and_nullflavor.pdf) attributed as follows: Male. M Female. F Unknown. nullFlavor UNK
Date of Birth
Race	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 (https://obamawhitehouse.archives.gov/omb/fedreg_1997standards) CDC Race and Ethnicity Code Set Version 1.0 (March 2000) (https://www.cdc.gov/phin/resources/vocabulary/index.html)
Ethnicity	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 (https://obamawhitehouse.archives.gov/omb/fedreg_1997standards) CDC Race and Ethnicity Code Set Version 1.0 (March2000) (https://www.cdc.gov/phin/resources/vocabulary/index.html)
Preferred Language	Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009 (http://www.rfc-editor.org/info/rfc5646) See https://tools.ietf.org/html/bcp47
Current Address
Previous Address
Phone Number	ITU–T E.123 (02/2001) International Telecommunication Union E.123: Notation for national and international telephone numbers, e-mail addresses and web addresses ITU–T E.164 International Telecommunication Union E.164: The international public telecommunication numbering plan
Phone Number Type
Email Address

Data Element	Applicable Standard(s)
First Name
Last Name
Previous Name
Middle Name (including middle initial)
Suffix
Birth Sex	Birth sex must be coded in accordance with HL7 Version 3 (V3) Standard, Value Sets for AdministrativeGender and NullFlavor (https://www.healthit.gov/sites/default/files/170299_f_29_hl7_v3_agender_and_nullflavor.pdf) attributed as follows: Male. M Female. F Unknown. nullFlavor UNK
Date of Birth
Race	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 (https://obamawhitehouse.archives.gov/omb/fedreg_1997standards) CDC Race and Ethnicity Code Set Version 1.0 (March 2000) (https://www.cdc.gov/phin/resources/vocabulary/index.html)
Ethnicity	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 (https://obamawhitehouse.archives.gov/omb/fedreg_1997standards) CDC Race and Ethnicity Code Set Version 1.0 (March2000) (https://www.cdc.gov/phin/resources/vocabulary/index.html)
Preferred Language	Request for Comment (RFC) 5646, “Tags for Identifying Languages”, September 2009 (http://www.rfc-editor.org/info/rfc5646) See https://tools.ietf.org/html/bcp47
Current Address
Previous Address
Phone Number	ITU–T E.123 (02/2001) International Telecommunication Union E.123: Notation for national and international telephone numbers, e-mail addresses and web addresses ITU–T E.164 International Telecommunication Union E.164: The international public telecommunication numbering plan
Phone Number Type
Email Address

Data Element
Birth time
Deceased date
Gender Identity
Identifier
Medicare Patient Identifier
Mother's Maiden Name
Multiple Birth Order
Sexual Orientation

Data Element
Medical Record Number
Next of Kin Name
Next of Kin Relationship
Patient Address Use Period
Patient Marital Status
Patient Social Security Number
Patient's Primary Care Provider

Data Element
Current and Previous Address
Income
Insurance Status
Patient Vital Status

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