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Classification Level Data Class Data Class Description Data Element Data Element Description Applicable Standards Submitter Name Submitter Organization Submission Date
Level 0 Newborn's Delivery Information Gestational Age at Birth

LOINC codes are available for gestational age

 Kensaku Kawamoto, MD, PhD, MHS University of Utah
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 Payer Identifier

The identifier assigned to the Operating Surgeon.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
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 Payment Status Code

Indicates whether the claim was paid or denied.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
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 Payee

Recipient reference.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
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 Payee Type

Identifies the type of recipient of the adjudication amount; i.e., provider, subscriber, beneficiary or another recipient

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
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 Payer Name

Name of the payer responsible for the claim

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

 Mark Roberts Leavitt Partners
Level 0 Outcomes Participant(s) Who was involved in the adverse event or the potential adverse event and what they did

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
Level 0 Cancer Care Radiation Therapy Dose Objective Condition

Desired relationship of the Dose Objective to the Value Standard Values (List): = < <= > >= ALARA

 Elizabeth Covington University of Michigan
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 Acuity Mike Schmidt HiQ Services, LLC
Level 0 Outcomes Detected

Date/Time the event was detected

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Recorded Date

When the event was recorded

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Resulting Effect

Effect on the subject due to the event

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Location

Location where adverse event occurred

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
Level 0 Cancer Care Radiation Therapy Dose Objective

TG-263 (https://www.aapm.org/pubs/reports/RPT_263.pdf) name of DVH metric for the objective

 Elizabeth Covington University of Michigan
Level 0 Cancer Care Radiation Therapy Structure Name

TG-263 (https://www.aapm.org/pubs/reports/RPT_263.pdf) name of structure, if it exists.

 Elizabeth Covington University of Michigan
Level 0 Cancer Care Structure Type

Defines if the radiation therapy structure a target structure (e.g. PTV, CTV, GTV) or an organ at risk.

Standard Values (List): Target; Organ at Risk

 Elizabeth Covington University of Michigan
Level 0 Cancer Care Radiation Therapy Prescription Number of Sessions Per Week

The number of radiation therapy treatment sessions delivered per week. Some radiation therapy protocols do not deliver treatment every day.

 Elizabeth Covington University of Michigan
Level 0 Outcomes Recorder

Who recorded the adverse event

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Study

Research study that the subject is enrolled in

HL7.org FHIR R4 v4.0

 Sandi Mitchell J P Systems, Inc.
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