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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.	Tribal Enrollment	A tribe of which the patient is an enrolled member.	HL7 FHIR: US Public Health Tribal Affiliation extension HL7 CDA: Tribal Affiliation template HL7 Value Set: TribalEntityUS	Laura Conn		09/30/2021 - 20:21
Level 0	Patient Demographics/Information	Data used to categorize individuals for identification, records matching, and other purposes.	HL7-Identifier	Globally unique identifier assigned to a patient by an organization asserting compliance with the referenced HL7 FHIR Identify Matching IG	A system exists for using the identifier within HL7 FHIR transactions, particularly those invoking $match, but the standard also intends for the identifier to be used in other health information exchange transaction types as well as in non-healthcare specific transactions for example in OpenID Connect identity claims.	Julie Maas	EMR Direct	04/15/2023 - 11:55
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	Care Team Members	Information about a person who participates or is expected to participate in the care of a patient.	Proxy Decision Maker	Individual designated by the patient to make healthcare decisions for the patient in the event the patient is unable.		Holly Miller, MD	MedAllies	10/19/2021 - 12:28
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.	Audiogram	Standard under development by HL7 in Diagnostic Audiology Reporting HL7 V2 Implementation Guide https://confluence.hl7.org/display/PHWG/Diagnostic+Audiology+Reporting+… Subset of this implementation guide that = Audiogram is •Diagnostic audiology tests performed •Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made. •Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made. •Results of diagnostic evaluation in the form of audiogram		Troy Kaji	Contra Costa Health Services	10/05/2021 - 20:29
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 Payment Denial Code	Reason codes used to interpret the Non-Covered Amount that are provided to the Provider	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.	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	09/30/2021 - 22:05
Level 0	Diagnostic Imaging	Tests that result in visual images requiring interpretation by a credentialed professional.	Requested Procedure Identifier	The Requested Procedure is the unit of work resulting in one Diagnostic Imaging Report (https://www.healthit.gov/isa/taxonomy/term/2471/uscdi-v3#uscdi-proposal-mode-uscdi-data-element-page-display) with associated codified and billable acts. One or more Requested Procedures may have to be performed to satisfy an Imaging Service Request. Add info for field below: The current USCDI v2 Data Element, Diagnostic Imaging Test does not convey the hierarchy established in Diagnostic Imaging. The Order/Imaging Service Request generates one or more Requested Procedures, which generates one or more Scheduled Procedure Steps. See Appendix A, Clarification of Accession Number and Requested Procedure ID of Volume 1 of the IHE Radiology Technical Framework and DICOM Section 7.3 Extension of the DICOM Model of the Real World.	LOINC/RSNA Radiology Playbook includes Diagnostic Imaging Procedure Codes and Descriptions. HL7 Standard for CDA® Release 2: Imaging Integration; Basic Imaging Reports in CDA and DICOM Release 1 references LOINC® Document Type Codes, SNOMED CT® Quantity Measurement Type Codes, as well as DICOM Code Systems. FHIR ImagingStudy references SNOMED CT Body Structures	Brian Bialecki	American College of Radiology	09/19/2022 - 16:02
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	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.	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	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.	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	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.	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	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.	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	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.	Benefit Payment Status	Indicates the in network or out of network payment status of the claim.	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	Procedures	Activity performed for or on a patient as part of the provision of care.	Procedures Provenance	Procedure provenance defines if the procedure was self-reported by the patient during the visit or completed by the provider.		Rachel Eager	New York eHealth Collaborative	09/29/2022 - 20:02
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 Amount Paid by Patient	Medical: The amount paid by the member at the point of service. Pharmacy: Amount that is calculated by the processor and returned to the pharmacy as the total amount to be paid by the patient to the pharmacy; the patient’s total cost share, including copayments, amounts applied to deductible, over maximum amounts, penalties, etc	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.	Line Discount Amount	The amount of the discount.	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.	Line Payment Amount	The amount sent to the payee from the health plan. This amount is to exclude any member cost sharing. It should include the total of member and provider payments.	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.	Line Member Reimbursement	The amount paid to the member.	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.	Line Noncovered Amount	Medical: The portion of the cost of this service that was deemed not eligible by the insurer because the service or member was not covered by the subscriber contract. Pharmacy: Non-Covered Amount represents the NCPDP financial response field Amount Exceeding Periodic Benefit Maximum.	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