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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	Genomics		Variant Clinical Significance	Clinical significance is an assessment of the magnitude of a genetic variant's clinical effects as per estimates supplied by researchers and/or guidelines (source: HL7 Clinical Genomics Working Group).	LOINC is the reference terminology proposed by the HL7 Genomics Reporting FHIR IG (http://hl7.org/fhir/uv/genomics-reporting/index.html) for codifying the ACMG clinical significance categories (https://loinc.org/LL4034-6/)	May Terry	MITRE Corporation	09/20/2023 - 20:29
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.	Physical Exam	Narrative clinical assessment of the Physical Exam results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Cancer Care		Provider Reported Toxicity Value	For each Cancer Patient - Provider Reported Toxicity record the Toxicity Value corresponding to the Toxicity Measure specified indicates the severity of the toxicity using the standardized table. specifies what value is measured. For example if CTCAE v5.0 (https://ctep.cancer.gov/protocoldevelopment/electronic_applications/doc…) the values in the standardized set are 0,1,2,3,4,5 The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) identified this as a high priority element supporting patient care, outcomes research and public policy	Common Terminology Criteria for Adverse Events https://ctep.cancer.gov/protocoldevelopment/electronic_applications/doc…	Charles Mayo	University of Michigan	09/28/2022 - 21:38
Level 0	Cancer Care		Provider Reported Toxicity Measure	For each Cancer Patient - Provider Reported Toxicity record the Toxicity Measure specifies what value is measured. For example if CTCAE v5.0 (https://ctep.cancer.gov/protocoldevelopment/electronic_applications/doc…) is used then the Toxicity Measure would correspond to CTCAE Term (e.g. Dry Mouth, or Dry Mouth) The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) identified this as a high priority element supporting patient care, outcomes research and public policy	Common Terminology Criteria for Adverse Events https://ctep.cancer.gov/protocoldevelopment/electronic_applications/doc…	Charles Mayo	University of Michigan	09/28/2022 - 21:38
Level 0	Cancer Care		Radiation Therapy Outcome/Disease Status	Status of the disease treated with radiation therapy at the time of the record. This is vital information both for clinical care and for public health policy The AAPM Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) noted a Delphi process to identify standard values recommended for classification. These were Under Treatment No evidence of disease (NED) Stable Disease Partial Response Progressive Disease Indeterminate (possible pseudo-progression) Complete Response Biochemical Recurrence Primary Recurrence Local Recurrence Nodal Recurrence Distant Recurrence In OORO for each instance record of a Cancer Patient Treatment Outcome, multiple values of Disease Status can be selected e.g. Biochemical Recurrence, Nodal Recurrence		Charles Mayo	University of Michigan	09/28/2022 - 20:48
Level 0	Outcomes		Outcome	Outcome of the event – i.e. death, hospitalization, fever	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
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.	Psychological Testing	Narrative clinical assessment of the Psychological Testing results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Outcomes		Mitigating action	Ameliorating actions taken after the adverse event occurred in order to reduce the extent of harm	HL7.org FHIR R4 v4.0	Sandi Mitchell	J P Systems, Inc.	09/20/2023 - 16:24
Level 0	Medications	Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.	Medication Start/End Date	The start and end date of a medication order.		Sandi Mitchell	J P Systems, Inc.	09/28/2023 - 14:46
Level 0	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Total Output	The total volume that the patient put out during a calendar day, from all sources, including urine, stool, and drains like chest tubes, surgical drains, intrathecal catheters, external ventricular drains, peritoneal catheters.	LOINC 9097-7 Fluid balance 24hrs SNOMED CT 251856003 Fluid balance	Ali Abbas MD	UCSF	09/20/2023 - 17:28
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.	Neuropsychological Testing	Narrative clinical assessment of the Neuropsychological Testing results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Urine Output	The total urine output during a calendar day, from all sources including voids, bladder catherization, urostomy, nephrostomy tubes.	LOINC 9097-7 Fluid balance 24hrs SNOMED CT 251856003 Fluid balance	Ali Abbas MD	UCSF	09/20/2023 - 17:28
Level 0	Health Status Assessments	Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.	Mental Status Evaluation	Narrative clinical assessment of the Mental Status Evaluation.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
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.	Genetic Testing	Narrative clinical assessment of the Genetic Testing results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Cancer Care		Secondary Cancer Condition	Also known as secondary malignant neoplasm, secondary cancer condition is used to describe either a new primary cancer or cancer that has spread from the place in which it started to other parts of the body (Source: NCI).	Three terminologies are commonly referenced for the exchange of secondary/metastatic cancer conditions: • International Classification of Diseases, 10th version, Clinical Modification (ICD-10-CM) guidelines for coding and reporting and includes specific guidelines on inclusion of secondary codes needed to properly code a neoplasm. • SNOMED CT, which includes dedicated codes for describing metastatic malignant neoplasms. • International Classification of Diseases for Oncology version 3 (ICD-O-3), which includes codes that assert a neoplasm is metastatic.	May Terry	MITRE Corporation	09/20/2023 - 00:25
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.	EKG/ECG Tracing Image	Narrative interpretation of the EKG/ECG Tracing Image.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
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.	Myelogram	Narrative clinical assessment of the Myelogram results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
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.	Colonoscopy	Narrative clinical assessment of the Colonoscopy results.	Please see suggestions from attached Excel document	Melissa Ayres	SSA	09/30/2022 - 20:25
Level 0	Cancer Care		Staging System	A cancer staging system is used to describe the extent of cancer in the body. There are many staging systems. Some, such as the TNM staging system, are used for many types of somatic cancer. Others are specific to a particular type of cancer (Source: NCI). Examples of non-TNM staging systems include the Cotswolds Modifications of the Ann Arbor Staging Classification, Revised International Staging System (R-ISS), and Rai and Binet staging systems for chronic lymphocytic leukemia.	SNOMED CT specifies codes for describing different cancer staging systems. mCODE further specifies a value set of SNOMED CT codes for cancer staging systems (http://hl7.org/fhir/us/mcode/ValueSet-mcode-cancer-staging-system-vs.ht…).	May Terry	MITRE Corporation	09/20/2023 - 20:04
Level 0	Vital Signs	Physiologic measurements of a patient that indicate the status of the body’s life sustaining functions.	Individual Administering Vital Signs	Identify the role of the individual taking the vital signs, differentiating between inputs that are from a care team member, patient or family/caregiver, as separate from an automated device or home monitoring system.	For care team members: Examples include but are not limited to National Provider Identifier (NPI) and National Council of State Boards of Nursing Identifier (NCSBN ID). For FDA approved devices: FDA Unique Device Identification (UDI) System	Tayler Williams	American Medical Informatics Association (AMIA)	09/20/2023 - 23:39