L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012

L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012.xlsx

Physician Quality Reporting System (PQRS)

L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012

OMB: 0938-1059

Document [xlsx]
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Overview

Appendix_AA-OIDs
Appendix_AB-Ethnicity
Appendix_AC-Gender
Appendix_AD-Race
Appndix AE-Vocabs_and_ValueSets
Appendix_AF-CCD_Template_IDs
Appendix_AG-Coding_Systems
Appendix_AH-Payers
Appendix_AI-Insurance_Plan_Type
Appendix_AJ-Custom_Template_IDs
Appendix_AK-States

Sheet 1: Appendix_AA-OIDs
This is a table with 3 rows and 56 rows

Appendix_AA (Commonly referenced OID’s)

OID HL7 Symbolic Name Description
(OIDs)
2.16.840.1.113883.4.1 SSN United States Social Security Number (SSN). Assigned by the U.S. Social Security Administration. Note: IRS assigned ITINs are often used as drop-ins for social security numbers.
2.16.840.1.113883.4.2 TIN United States Individual Taxpayer Identification Number (ITIN). Assigned by the U.S. Internal Revenue Service (IRS) to alien taxpayers not eligible to a social security number. ITIN are used as drop-ins for Social Security Numbers.
2.16.840.1.113883.4.3.40 OklahomaDLN Oklahoma Motor Vehicle Bureau
2.16.840.1.113883.4.3.49 UtahDLN Utah Motor Vehicle Bureau
2.16.840.1.113883.4.3.38 NorthDakotaDLN North Dakota Motor Vehicle Bureau
2.16.840.1.113883.4.3.37 NorthCarolinaDLN North Carolina Motor Vehicle Bureau
2.16.840.1.113883.4.3.36 NewYorkDLN New York Motor Vehicle Bureau
2.16.840.1.113883.4.3.35 NewMexicoDLN New Mexico Motor Vehicle Bureau
2.16.840.1.113883.4.3.34 NewJerseyDLN New Jersey Motor Vehicle Bureau
2.16.840.1.113883.4.3.48 TexasDLN Texas Motor Vehicle Bureau
2.16.840.1.113883.4.3.32 NevadaDLN Nevada Motor Vehicle Bureau
2.16.840.1.113883.4.3.39 OhioDLN Ohio Motor Vehicle Bureau
2.16.840.1.113883.4.3.15 HawaiiDLN Hawaii Motor Vehicle Bureau
2.16.840.1.113883.4.3.51 VirginiaDLN Virginia Motor Vehicle Bureau
2.16.840.1.113883.4.3.53 WashingtonDLN Washington Motor Vehicle Bureau
2.16.840.1.113883.4.3.54 WestVirginiaDLN West Virginia Motor Vehicle Bureau
2.16.840.1.113883.4.3.55 WisconsinDLN Wisconsin Motor Vehicle Bureau
2.16.840.1.113883.4.3.56 WyomingDLN Wyoming Motor Vehicle Bureau
2.16.840.1.113883.4.3.42 PennsylvaniaDLN Pennsylvania Motor Vehicle Bureau
2.16.840.1.113883.4.3.47 TennesseeDLN Tennessee Motor Vehicle Bureau
2.16.840.1.113883.4.3.41 OregonDLN Oregon Motor Vehicle Bureau
2.16.840.1.113883.4.3.46 SouthDakotaDLN South Dakota Motor Vehicle Bureau
2.16.840.1.113883.4.3.45 SouthCarolinaDLN South Carolina Motor Vehicle Bureau
2.16.840.1.113883.4.3.31 NebraskaDLN Nebraska Motor Vehicle Bureau
2.16.840.1.113883.4.3.50 VermontDLN Vermont Motor Vehicle Bureau
2.16.840.1.113883.4.3.30 MontanaDLN Montana Motor Vehicle Bureau
2.16.840.1.113883.4.3.44 RhodeIslandDLN Rhode Island Motor Vehicle Bureau
2.16.840.1.113883.4.3.16 IdahoDLN Idaho Motor Vehicle Bureau
2.16.840.1.113883.4.3.5 ArkansasDLN Arkansas Motor Vehicle Bureau
2.16.840.1.113883.4.3.9 ConnecticutDLN Connecticut Motor Vehicle Bureau
2.16.840.1.113883.4.3.8 ColoradoDLN Colorado Motor Vehicle Bureau
2.16.840.1.113883.4.3.6 CaliforniaDLN California Motor Vehicle Bureau
2.16.840.1.113883.4.3.33 NewHampshireDLN New Hampshire Motor Vehicle Bureau
2.16.840.1.113883.4.3.11 DCDLN District of Columbia Motor Vehicle Bureau
2.16.840.1.113883.4.3.10 DelawareDLN Delaware Motor Vehicle Bureau
2.16.840.1.113883.4.3.12 FloridaDLN Florida Motor Vehicle Bureau
2.16.840.1.113883.4.3.4 ArizonaDLN Arizona Motor Vehicle Bureau
2.16.840.1.113883.4.3.2 AlaskaDLN Alaska Motor Vehicle Bureau
2.16.840.1.113883.4.3.1 AlabamaDLN Alabama Motor Vehicle Bureau
2.16.840.1.113883.4.3 USDLN United States Driver License Number. These identifiers are assigned by each state. The OID numbers in this branch have been assigned according to FIPS PUB 5-2 numeric state codes. U.S. territories have not been included. This branch is to be maintained such that each driver license assigning authorities has one entry, independent of political organization and independent of FIPS PUB 5-2.
2.16.840.1.113883.4.3.17 IllinoisDLN Illinois Motor Vehicle Bureau
2.16.840.1.113883.4.3.26 MichiganDLN Michigan Motor Vehicle Bureau
2.16.840.1.113883.4.3.29 MissouriDLN Missouri Motor Vehicle Bureau
2.16.840.1.113883.4.3.18 IndianaDLN Indiana Bureau for Motor Vehicles (BMV)
2.16.840.1.113883.4.3.28 MississippiDLN Mississippi Motor Vehicle Bureau
2.16.840.1.113883.4.3.25 MassachusettsDLN Massachusetts Motor Vehicle Bureau
2.16.840.1.113883.4.3.24 MarylandDLN Maryland Motor Vehicle Bureau
2.16.840.1.113883.4.3.23 MaineDLN Maine Motor Vehicle Bureau
2.16.840.1.113883.4.3.13 GeorgiaDLN Georgia Motor Vehicle Bureau
2.16.840.1.113883.4.3.22 LouisianaDLN Louisiana Motor Vehicle Bureau
2.16.840.1.113883.4.3.21 KentuckyDLN Kentucky Motor Vehicle Bureau
2.16.840.1.113883.4.3.20 KansasDLN Kansas Motor Vehicle Bureau
2.16.840.1.113883.4.3.19 IowaDLN Iowa Motor Vehicle Bureau
2.16.840.1.113883.4.3.27 MinnesotaDLN Minnesota Motor Vehicle Bureau
2.16.840.1.113883.4.4 EIN U.S. IRS Assigned Employer Identification Number EIN. An EIN is a nine-digit number (for example, “12-3456789”) assigned to sole proprietors, corporations, partnerships, estates, trusts, withholding agents, and other entities for tax filing and reporting purposes. An EIN can not be used in place of a social security number (SSN).
2.16.840.1.113883.4.5 PTIN U.S. IRS Assigned Preparer Tax Identification Number PTIN. Section 3710 of the Internal Revenue Service Restructuring and Reform Act of 1998 defines the PTIN. The PTIN has the form of an SSN. It is used as an alias SSN to identify paid preparers of tax returns.

Sheet 2: Appendix_AB-Ethnicity
This is a table with 2 columns and 43 rows
Appendix_AB (Ethnicity)
Value (Ethnicity) Description (Ethnicity)
2135-2 Hispanic or Latino
2137-8 Spaniard
2138-6 Andalusian
2139-4 Asturian
2140-2 Castillian
2141-0 Catalonian
2142-8 Belearic Islander
2143-6 Gallego
2144-4 Valencian
2145-1 Canarian
2146-9 Spanish Basque
2148-5 Mexican
2149-3 Mexican American
2150-1 Mexicano
2151-9 Chicano
2152-7 La Raza
2153-5 Mexican American Indian
2155-0 Central American
2156-8 Costa Rican
2157-6 Guatemalan
2158-4 Honduran
2159-2 Nicaraguan
2160-0 Panamanian
2161-8 Salvadoran
2162-6 Central American Indian
2163-4 Canal Zone
2165-9 South American
2166-7 Argentinean
2167-5 Bolivian
2168-3 Chilean
2169-1 Colombian
2170-9 Ecuadorian
2171-7 Paraguayan
2172-5 Peruvian
2173-3 Uruguayan
2174-1 Venezuelan
2175-8 South American Indian
2176-6 Criollo
2178-2 Latin American
2180-8 Puerto Rican
2182-4 Cuban
2184-0 Dominican
2186-5 Not Hispanic or Latino

Sheet 3: Appendix_AC-Gender
This a table with 3 columns and 3 rows

Appendix_AC (Administrative Gender Code)

Value (Administrative Gender Code) HL7 Symbolic Name Description
(Administrative Gender Code)
F Female Female
M Male Male
UN Undifferentiated The gender of a person could not be uniquely defined as male or female, such as hermaphrodite.

Sheet 4: Appendix_AD-Race
This is a table with 2 columns and 921 rows
Appendix_AD (Race Code)
Value (Race) Description (Race)
1002-5 American Indian or Alaska Native
1004-1 American Indian
1006-6 Abenaki
1008-2 Algonquian
1010-8 Apache
1011-6 Chiricahua
1012-4 Fort Sill Apache
1013-2 Jicarilla Apache
1014-0 Lipan Apache
1015-7 Mescalero Apache
1016-5 Oklahoma Apache
1017-3 Payson Apache
1018-1 San Carlos Apache
1019-9 White Mountain Apache
1021-5 Arapaho
1022-3 Northern Arapaho
1023-1 Southern Arapaho
1024-9 Wind River Arapaho
1026-4 Arikara
1028-0 Assiniboine
1030-6 Assiniboine Sioux
1031-4 Fort Peck Assiniboine Sioux
1033-0 Bannock
1035-5 Blackfeet
1037-1 Brotherton
1039-7 Burt Lake Band
1041-3 Caddo
1042-1 Oklahoma Cado
1044-7 Cahuilla
1045-4 Agua Caliente Cahuilla
1046-2 Augustine
1047-0 Cabazon
1048-8 Los Coyotes
1049-6 Morongo
1050-4 Santa Rosa Cahuilla
1051-2 Torres-Martinez
1053-8 California Tribes
1054-6 Cahto
1055-3 Chimariko
1056-1 Coast Miwok
1057-9 Digger
1058-7 Kawaiisu
1059-5 Kern River
1060-3 Mattole
1061-1 Red Wood
1062-9 Santa Rosa
1063-7 Takelma
1064-5 Wappo
1065-2 Yana
1066-0 Yuki
1068-6 Canadian and Latin American Indian
1069-4 Canadian Indian
1070-2 Central American Indian
1071-0 French American Indian
1072-8 Mexican American Indian
1073-6 South American Indian
1074-4 Spanish American Indian
1076-9 Catawba
1078-5 Cayuse
1080-1 Chehalis
1082-7 Chemakuan
1083-5 Hoh
1084-3 Quileute
1086-8 Chemehuevi
1088-4 Cherokee
1089-2 Cherokee Alabama
1090-0 Cherokees of Northeast Alabama
1091-8 Cherokees of Southeast Alabama
1092-6 Eastern Cherokee
1093-4 Echota Cherokee
1094-2 Etowah Cherokee
1095-9 Northern Cherokee
1096-7 Tuscola
1097-5 United Keetowah Band of Cherokee
1098-3 Western Cherokee
1100-7 Cherokee Shawnee
1102-3 Cheyenne
1103-1 Northern Cheyenne
1104-9 Southern Cheyenne
1106-4 Cheyenne-Arapaho
1108-0 Chickahominy
1109-8 Eastern Chickahominy
1110-6 Western Chickahominy
1112-2 Chickasaw
1114-8 Chinook
1115-5 Clatsop
1116-3 Columbia River Chinook
1117-1 Kathlamet
1118-9 Upper Chinook
1119-7 Wakiakum Chinook
1120-5 Willapa Chinook
1121-3 Wishram
1123-9 Chippewa
1124-7 Bad River
1125-4 Bay Mills Chippewa
1126-2 Bois Forte
1127-0 Burt Lake Chippewa
1128-8 Fond du Lac
1129-6 Grand Portage
1130-4 Grand Traverse Band of Ottawa-Chippewa
1131-2 Keweenaw
1132-0 Lac Courte Oreilles
1133-8 Lac du Flambeau
1134-6 Lac Vieux Desert Chippewa
1135-3 Lake Superior
1136-1 Leech Lake
1137-9 Little Shell Chippewa
1138-7 Mille Lacs
1139-5 Minnesota Chippewa
1140-3 Ontonagon
1141-1 Red Cliff Chippewa
1142-9 Red Lake Chippewa
1143-7 Saginaw Chippewa
1144-5 St. Croix Chippewa
1145-2 Sault Ste. Marie Chippewa
1146-0 Sokoagon Chippewa
1147-8 Turtle Mountain
1148-6 White Earth
1150-2 Chippewa Cree
1151-0 Rocky Boy's Chippewa Cree
1153-6 Chitimacha
1155-1 Choctaw
1156-9 Clifton Choctaw
1157-7 Jena Choctaw
1158-5 Mississippi Choctaw
1159-3 Mowa Band of Choctaw
1160-1 Oklahoma Choctaw
1162-7 Chumash
1163-5 Santa Ynez
1165-0 Clear Lake
1167-6 Coeur D'Alene
1169-2 Coharie
1171-8 Colorado River
1173-4 Colville
1175-9 Comanche
1176-7 Oklahoma Comanche
1178-3 Coos, Lower Umpqua, Siuslaw
1180-9 Coos
1182-5 Coquilles
1184-1 Costanoan
1186-6 Coushatta
1187-4 Alabama Coushatta
1189-0 Cowlitz
1191-6 Cree
1193-2 Creek
1194-0 Alabama Creek
1195-7 Alabama Quassarte
1196-5 Eastern Creek
1197-3 Eastern Muscogee
1198-1 Kialegee
1199-9 Lower Muscogee
1200-5 Machis Lower Creek Indian
1201-3 Poarch Band
1202-1 Principal Creek Indian Nation
1203-9 Star Clan of Muscogee Creeks
1204-7 Thlopthlocco
1205-4 Tuckabachee
1207-0 Croatan
1209-6 Crow
1211-2 Cupeno
1212-0 Agua Caliente
1214-6 Delaware
1215-3 Eastern Delaware
1216-1 Lenni-Lenape
1217-9 Munsee
1218-7 Oklahoma Delaware
1219-5 Rampough Mountain
1220-3 Sand Hill
1222-9 Diegueno
1223-7 Campo
1224-5 Capitan Grande
1225-2 Cuyapaipe
1226-0 La Posta
1227-8 Manzanita
1228-6 Mesa Grande
1229-4 San Pasqual
1230-2 Santa Ysabel
1231-0 Sycuan
1233-6 Eastern Tribes
1234-4 Attacapa
1235-1 Biloxi
1236-9 Georgetown
1237-7 Moor
1238-5 Nansemond
1239-3 Natchez
1240-1 Nausu Waiwash
1241-9 Nipmuc
1242-7 Paugussett
1243-5 Pocomoke Acohonock
1244-3 Southeastern Indians
1245-0 Susquehanock
1246-8 Tunica Biloxi
1247-6 Waccamaw-Siousan
1248-4 Wicomico
1250-0 Esselen
1252-6 Fort Belknap
1254-2 Fort Berthold
1256-7 Fort Mcdowell
1258-3 Fort Hall
1260-9 Gabrieleno
1262-5 Grand Ronde
1264-1 Gros Ventres
1265-8 Atsina
1267-4 Haliwa
1269-0 Hidatsa
1271-6 Hoopa
1272-4 Trinity
1273-2 Whilkut
1275-7 Hoopa Extension
1277-3 Houma
1279-9 Inaja-Cosmit
1281-5 Iowa
1282-3 Iowa of Kansas-Nebraska
1283-1 Iowa of Oklahoma
1285-6 Iroquois
1286-4 Cayuga
1287-2 Mohawk
1288-0 Oneida
1289-8 Onondaga
1290-6 Seneca
1291-4 Seneca Nation
1292-2 Seneca-Cayuga
1293-0 Tonawanda Seneca
1294-8 Tuscarora
1295-5 Wyandotte
1297-1 Juaneno
1299-7 Kalispel
1301-1 Karuk
1303-7 Kaw
1305-2 Kickapoo
1306-0 Oklahoma Kickapoo
1307-8 Texas Kickapoo
1309-4 Kiowa
1310-2 Oklahoma Kiowa
1312-8 Klallam
1313-6 Jamestown
1314-4 Lower Elwha
1315-1 Port Gamble Klallam
1317-7 Klamath
1319-3 Konkow
1321-9 Kootenai
1323-5 Lassik
1325-0 Long Island
1326-8 Matinecock
1327-6 Montauk
1328-4 Poospatuck
1329-2 Setauket
1331-8 Luiseno
1332-6 La Jolla
1333-4 Pala
1334-2 Pauma
1335-9 Pechanga
1336-7 Soboba
1337-5 Twenty-Nine Palms
1338-3 Temecula
1340-9 Lumbee
1342-5 Lummi
1344-1 Maidu
1345-8 Mountain Maidu
1346-6 Nishinam
1348-2 Makah
1350-8 Maliseet
1352-4 Mandan
1354-0 Mattaponi
1356-5 Menominee
1358-1 Miami
1359-9 Illinois Miami
1360-7 Indiana Miami
1361-5 Oklahoma Miami
1363-1 Miccosukee
1365-6 Micmac
1366-4 Aroostook
1368-0 Mission Indians
1370-6 Miwok
1372-2 Modoc
1374-8 Mohegan
1376-3 Mono
1378-9 Nanticoke
1380-5 Narragansett
1382-1 Navajo
1383-9 Alamo Navajo
1384-7 Canoncito Navajo
1385-4 Ramah Navajo
1387-0 Nez Perce
1389-6 Nomalaki
1391-2 Northwest Tribes
1392-0 Alsea
1393-8 Celilo
1394-6 Columbia
1395-3 Kalapuya
1396-1 Molala
1397-9 Talakamish
1398-7 Tenino
1399-5 Tillamook
1400-1 Wenatchee
1401-9 Yahooskin
1403-5 Omaha
1405-0 Oregon Athabaskan
1407-6 Osage
1409-2 Otoe-Missouria
1411-8 Ottawa
1412-6 Burt Lake Ottawa
1413-4 Michigan Ottawa
1414-2 Oklahoma Ottawa
1416-7 Paiute
1417-5 Bishop
1418-3 Bridgeport
1419-1 Burns Paiute
1420-9 Cedarville
1421-7 Fort Bidwell
1422-5 Fort Independence
1423-3 Kaibab
1424-1 Las Vegas
1425-8 Lone Pine
1426-6 Lovelock
1427-4 Malheur Paiute
1428-2 Moapa
1429-0 Northern Paiute
1430-8 Owens Valley
1431-6 Pyramid Lake
1432-4 San Juan Southern Paiute
1433-2 Southern Paiute
1434-0 Summit Lake
1435-7 Utu Utu Gwaitu Paiute
1436-5 Walker River
1437-3 Yerington Paiute
1439-9 Pamunkey
1441-5 Passamaquoddy
1442-3 Indian Township
1443-1 Pleasant Point Passamaquoddy
1445-6 Pawnee
1446-4 Oklahoma Pawnee
1448-0 Penobscot
1450-6 Peoria
1451-4 Oklahoma Peoria
1453-0 Pequot
1454-8 Marshantucket Pequot
1456-3 Pima
1457-1 Gila River Pima-Maricopa
1458-9 Salt River Pima-Maricopa
1460-5 Piscataway
1462-1 Pit River
1464-7 Pomo
1465-4 Central Pomo
1466-2 Dry Creek
1467-0 Eastern Pomo
1468-8 Kashia
1469-6 Northern Pomo
1470-4 Scotts Valley
1471-2 Stonyford
1472-0 Sulphur Bank
1474-6 Ponca
1475-3 Nebraska Ponca
1476-1 Oklahoma Ponca
1478-7 Potawatomi
1479-5 Citizen Band Potawatomi
1480-3 Forest County
1481-1 Hannahville
1482-9 Huron Potawatomi
1483-7 Pokagon Potawatomi
1484-5 Prairie Band
1485-2 Wisconsin Potawatomi
1487-8 Powhatan
1489-4 Pueblo
1490-2 Acoma
1491-0 Arizona Tewa
1492-8 Cochiti
1493-6 Hopi
1494-4 Isleta
1495-1 Jemez
1496-9 Keres
1497-7 Laguna
1498-5 Nambe
1499-3 Picuris
1500-8 Piro
1501-6 Pojoaque
1502-4 San Felipe
1503-2 San Ildefonso
1504-0 San Juan Pueblo
1505-7 San Juan De
1506-5 San Juan
1507-3 Sandia
1508-1 Santa Ana
1509-9 Santa Clara
1510-7 Santo Domingo
1511-5 Taos
1512-3 Tesuque
1513-1 Tewa
1514-9 Tigua
1515-6 Zia
1516-4 Zuni
1518-0 Puget Sound Salish
1519-8 Duwamish
1520-6 Kikiallus
1521-4 Lower Skagit
1522-2 Muckleshoot
1523-0 Nisqually
1524-8 Nooksack
1525-5 Port Madison
1526-3 Puyallup
1527-1 Samish
1528-9 Sauk-Suiattle
1529-7 Skokomish
1530-5 Skykomish
1531-3 Snohomish
1532-1 Snoqualmie
1533-9 Squaxin Island
1534-7 Steilacoom
1535-4 Stillaguamish
1536-2 Suquamish
1537-0 Swinomish
1538-8 Tulalip
1539-6 Upper Skagit
1541-2 Quapaw
1543-8 Quinault
1545-3 Rappahannock
1547-9 Reno-Sparks
1549-5 Round Valley
1551-1 Sac and Fox
1552-9 Iowa Sac and Fox
1553-7 Missouri Sac and Fox
1554-5 Oklahoma Sac and Fox
1556-0 Salinan
1558-6 Salish
1560-2 Salish and Kootenai
1562-8 Schaghticoke
1564-4 Scott Valley
1566-9 Seminole
1567-7 Big Cypress
1568-5 Brighton
1569-3 Florida Seminole
1570-1 Hollywood Seminole
1571-9 Oklahoma Seminole
1573-5 Serrano
1574-3 San Manual
1576-8 Shasta
1578-4 Shawnee
1579-2 Absentee Shawnee
1580-0 Eastern Shawnee
1582-6 Shinnecock
1584-2 Shoalwater Bay
1586-7 Shoshone
1587-5 Battle Mountain
1588-3 Duckwater
1589-1 Elko
1590-9 Ely
1591-7 Goshute
1592-5 Panamint
1593-3 Ruby Valley
1594-1 Skull Valley
1595-8 South Fork Shoshone
1596-6 Te-Moak Western Shoshone
1597-4 Timbi-Sha Shoshone
1598-2 Washakie
1599-0 Wind River Shoshone
1600-6 Yomba
1602-2 Shoshone Paiute
1603-0 Duck Valley
1604-8 Fallon
1605-5 Fort McDermitt
1607-1 Siletz
1609-7 Sioux
1610-5 Blackfoot Sioux
1611-3 Brule Sioux
1612-1 Cheyenne River Sioux
1613-9 Crow Creek Sioux
1614-7 Dakota Sioux
1615-4 Flandreau Santee
1616-2 Fort Peck
1617-0 Lake Traverse Sioux
1618-8 Lower Brule Sioux
1619-6 Lower Sioux
1620-4 Mdewakanton Sioux
1621-2 Miniconjou
1622-0 Oglala Sioux
1623-8 Pine Ridge Sioux
1624-6 Pipestone Sioux
1625-3 Prairie Island Sioux
1626-1 Prior Lake Sioux
1627-9 Rosebud Sioux
1628-7 Sans Arc Sioux
1629-5 Santee Sioux
1630-3 Sisseton-Wahpeton
1631-1 Sisseton Sioux
1632-9 Spirit Lake Sioux
1633-7 Standing Rock Sioux
1634-5 Teton Sioux
1635-2 Two Kettle Sioux
1636-0 Upper Sioux
1637-8 Wahpekute Sioux
1638-6 Wahpeton Sioux
1639-4 Wazhaza Sioux
1640-2 Yankton Sioux
1641-0 Yanktonai Sioux
1643-6 Siuslaw
1645-1 Spokane
1647-7 Stewart
1649-3 Stockbridge
1651-9 Susanville
1653-5 Tohono O'Odham
1654-3 Ak-Chin
1655-0 Gila Bend
1656-8 San Xavier
1657-6 Sells
1659-2 Tolowa
1661-8 Tonkawa
1663-4 Tygh
1665-9 Umatilla
1667-5 Umpqua
1668-3 Cow Creek Umpqua
1670-9 Ute
1671-7 Allen Canyon
1672-5 Uintah Ute
1673-3 Ute Mountain Ute
1675-8 Wailaki
1677-4 Walla-Walla
1679-0 Wampanoag
1680-8 Gay Head Wampanoag
1681-6 Mashpee Wampanoag
1683-2 Warm Springs
1685-7 Wascopum
1687-3 Washoe
1688-1 Alpine
1689-9 Carson
1690-7 Dresslerville
1692-3 Wichita
1694-9 Wind River
1696-4 Winnebago
1697-2 Ho-chunk
1698-0 Nebraska Winnebago
1700-4 Winnemucca
1702-0 Wintun
1704-6 Wiyot
1705-3 Table Bluff
1707-9 Yakama
1709-5 Yakama Cowlitz
1711-1 Yaqui
1712-9 Barrio Libre
1713-7 Pascua Yaqui
1715-2 Yavapai Apache
1717-8 Yokuts
1718-6 Chukchansi
1719-4 Tachi
1720-2 Tule River
1722-8 Yuchi
1724-4 Yuman
1725-1 Cocopah
1726-9 Havasupai
1727-7 Hualapai
1728-5 Maricopa
1729-3 Mohave
1730-1 Quechan
1731-9 Yavapai
1732-7 Yurok
1733-5 Coast Yurok
1735-0 Alaska Native
1737-6 Alaska Indian
1739-2 Alaskan Athabascan
1740-0 Ahtna
1741-8 Alatna
1742-6 Alexander
1743-4 Allakaket
1744-2 Alanvik
1745-9 Anvik
1746-7 Arctic
1747-5 Beaver
1748-3 Birch Creek
1749-1 Cantwell
1750-9 Chalkyitsik
1751-7 Chickaloon
1752-5 Chistochina
1753-3 Chitina
1754-1 Circle
1755-8 Cook Inlet
1756-6 Copper Center
1757-4 Copper River
1758-2 Dot Lake
1759-0 Doyon
1760-8 Eagle
1761-6 Eklutna
1762-4 Evansville
1763-2 Fort Yukon
1764-0 Gakona
1765-7 Galena
1766-5 Grayling
1767-3 Gulkana
1768-1 Healy Lake
1769-9 Holy Cross
1770-7 Hughes
1771-5 Huslia
1772-3 Iliamna
1773-1 Kaltag
1774-9 Kluti Kaah
1775-6 Knik
1776-4 Koyukuk
1777-2 Lake Minchumina
1778-0 Lime
1779-8 Mcgrath
1780-6 Manley Hot Springs
1781-4 Mentasta Lake
1782-2 Minto
1783-0 Nenana
1784-8 Nikolai
1785-5 Ninilchik
1786-3 Nondalton
1787-1 Northway
1788-9 Nulato
1789-7 Pedro Bay
1790-5 Rampart
1791-3 Ruby
1792-1 Salamatof
1793-9 Seldovia
1794-7 Slana
1795-4 Shageluk
1796-2 Stevens
1797-0 Stony River
1798-8 Takotna
1799-6 Tanacross
1800-2 Tanaina
1801-0 Tanana
1802-8 Tanana Chiefs
1803-6 Tazlina
1804-4 Telida
1805-1 Tetlin
1806-9 Tok
1807-7 Tyonek
1808-5 Venetie
1809-3 Wiseman
1811-9 Southeast Alaska
1813-5 Tlingit-Haida
1814-3 Angoon
1815-0 Central Council of Tlingit and Haida Tribes
1816-8 Chilkat
1817-6 Chilkoot
1818-4 Craig
1819-2 Douglas
1820-0 Haida
1821-8 Hoonah
1822-6 Hydaburg
1823-4 Kake
1824-2 Kasaan
1825-9 Kenaitze
1826-7 Ketchikan
1827-5 Klawock
1828-3 Pelican
1829-1 Petersburg
1830-9 Saxman
1831-7 Sitka
1832-5 Tenakee Springs
1833-3 Tlingit
1834-1 Wrangell
1835-8 Yakutat
1837-4 Tsimshian
1838-2 Metlakatla
1840-8 Eskimo
1842-4 Greenland Eskimo
1844-0 Inupiat Eskimo
1845-7 Ambler
1846-5 Anaktuvuk
1847-3 Anaktuvuk Pass
1848-1 Arctic Slope Inupiat
1849-9 Arctic Slope Corporation
1850-7 Atqasuk
1851-5 Barrow
1852-3 Bering Straits Inupiat
1853-1 Brevig Mission
1854-9 Buckland
1855-6 Chinik
1856-4 Council
1857-2 Deering
1858-0 Elim
1859-8 Golovin
1860-6 Inalik Diomede
1861-4 Inupiaq
1862-2 Kaktovik
1863-0 Kawerak
1864-8 Kiana
1865-5 Kivalina
1866-3 Kobuk
1867-1 Kotzebue
1868-9 Koyuk
1869-7 Kwiguk
1870-5 Mauneluk Inupiat
1871-3 Nana Inupiat
1872-1 Noatak
1873-9 Nome
1874-7 Noorvik
1875-4 Nuiqsut
1876-2 Point Hope
1877-0 Point Lay
1878-8 Selawik
1879-6 Shaktoolik
1880-4 Shishmaref
1881-2 Shungnak
1882-0 Solomon
1883-8 Teller
1884-6 Unalakleet
1885-3 Wainwright
1886-1 Wales
1887-9 White Mountain
1888-7 White Mountain Inupiat
1889-5 Mary's Igloo
1891-1 Siberian Eskimo
1892-9 Gambell
1893-7 Savoonga
1894-5 Siberian Yupik
1896-0 Yupik Eskimo
1897-8 Akiachak
1898-6 Akiak
1899-4 Alakanuk
1900-0 Aleknagik
1901-8 Andreafsky
1902-6 Aniak
1903-4 Atmautluak
1904-2 Bethel
1905-9 Bill Moore's Slough
1906-7 Bristol Bay Yupik
1907-5 Calista Yupik
1908-3 Chefornak
1909-1 Chevak
1910-9 Chuathbaluk
1911-7 Clark's Point
1912-5 Crooked Creek
1913-3 Dillingham
1914-1 Eek
1915-8 Ekuk
1916-6 Ekwok
1917-4 Emmonak
1918-2 Goodnews Bay
1919-0 Hooper Bay
1920-8 Iqurmuit (Russian Mission)
1921-6 Kalskag
1922-4 Kasigluk
1923-2 Kipnuk
1924-0 Koliganek
1925-7 Kongiganak
1926-5 Kotlik
1927-3 Kwethluk
1928-1 Kwigillingok
1929-9 Levelock
1930-7 Lower Kalskag
1931-5 Manokotak
1932-3 Marshall
1933-1 Mekoryuk
1934-9 Mountain Village
1935-6 Naknek
1936-4 Napaumute
1937-2 Napakiak
1938-0 Napaskiak
1939-8 Newhalen
1940-6 New Stuyahok
1941-4 Newtok
1942-2 Nightmute
1943-0 Nunapitchukv
1944-8 Oscarville
1945-5 Pilot Station
1946-3 Pitkas Point
1947-1 Platinum
1948-9 Portage Creek
1949-7 Quinhagak
1950-5 Red Devil
1951-3 St. Michael
1952-1 Scammon Bay
1953-9 Sheldon's Point
1954-7 Sleetmute
1955-4 Stebbins
1956-2 Togiak
1957-0 Toksook
1958-8 Tulukskak
1959-6 Tuntutuliak
1960-4 Tununak
1961-2 Twin Hills
1962-0 Georgetown
1963-8 St. Mary's
1964-6 Umkumiate
1966-1 Aleut
1968-7 Alutiiq Aleut
1969-5 Tatitlek
1970-3 Ugashik
1972-9 Bristol Bay Aleut
1973-7 Chignik
1974-5 Chignik Lake
1975-2 Egegik
1976-0 Igiugig
1977-8 Ivanof Bay
1978-6 King Salmon
1979-4 Kokhanok
1980-2 Perryville
1981-0 Pilot Point
1982-8 Port Heiden
1984-4 Chugach Aleut
1985-1 Chenega
1986-9 Chugach Corporation
1987-7 English Bay
1988-5 Port Graham
1990-1 Eyak
1992-7 Koniag Aleut
1993-5 Akhiok
1994-3 Agdaagux
1995-0 Karluk
1996-8 Kodiak
1997-6 Larsen Bay
1998-4 Old Harbor
1999-2 Ouzinkie
2000-8 Port Lions
2002-4 Sugpiaq
2004-0 Suqpigaq
2006-5 Unangan Aleut
2007-3 Akutan
2008-1 Aleut Corporation
2009-9 Aleutian
2010-7 Aleutian Islander
2011-5 Atka
2012-3 Belkofski
2013-1 Chignik Lagoon
2014-9 King Cove
2015-6 False Pass
2016-4 Nelson Lagoon
2017-2 Nikolski
2018-0 Pauloff Harbor
2019-8 Qagan Toyagungin
2020-6 Qawalangin
2021-4 St. George
2022-2 St. Paul
2023-0 Sand Point
2024-8 South Naknek
2025-5 Unalaska
2026-3 Unga
2028-9 Asian
2029-7 Asian Indian
2030-5 Bangladeshi
2031-3 Bhutanese
2032-1 Burmese
2033-9 Cambodian
2034-7 Chinese
2035-4 Taiwanese
2036-2 Filipino
2037-0 Hmong
2038-8 Indonesian
2039-6 Japanese
2040-4 Korean
2041-2 Laotian
2042-0 Malaysian
2043-8 Okinawan
2044-6 Pakistani
2045-3 Sri Lankan
2046-1 Thai
2047-9 Vietnamese
2048-7 Iwo Jiman
2049-5 Maldivian
2050-3 Nepalese
2051-1 Singaporean
2052-9 Madagascar
2054-5 Black or African American
2056-0 Black
2058-6 African American
2060-2 African
2061-0 Botswanan
2062-8 Ethiopian
2063-6 Liberian
2064-4 Namibian
2065-1 Nigerian
2066-9 Zairean
2067-7 Bahamian
2068-5 Barbadian
2069-3 Dominican
2070-1 Dominica Islander
2071-9 Haitian
2072-7 Jamaican
2073-5 Tobagoan
2074-3 Trinidadian
2075-0 West Indian
2076-8 Native Hawaiian or Other Pacific Islander
2078-4 Polynesian
2079-2 Native Hawaiian
2080-0 Samoan
2081-8 Tahitian
2082-6 Tongan
2083-4 Tokelauan
2085-9 Micronesian
2086-7 Guamanian or Chamorro
2087-5 Guamanian
2088-3 Chamorro
2089-1 Mariana Islander
2090-9 Marshallese
2091-7 Palauan
2092-5 Carolinian
2093-3 Kosraean
2094-1 Pohnpeian
2095-8 Saipanese
2096-6 Kiribati
2097-4 Chuukese
2098-2 Yapese
2100-6 Melanesian
2101-4 Fijian
2102-2 Papua New Guinean
2103-0 Solomon Islander
2104-8 New Hebrides
2106-3 White
2108-9 European
2109-7 Armenian
2110-5 English
2111-3 French
2112-1 German
2113-9 Irish
2114-7 Italian
2115-4 Polish
2116-2 Scottish
2118-8 Middle Eastern or North African
2119-6 Assyrian
2120-4 Egyptian
2121-2 Iranian
2122-0 Iraqi
2123-8 Lebanese
2124-6 Palestinian
2125-3 Syrian
2126-1 Afghanistani
2127-9 Israeili
2129-5 Arab
2131-1 Other Race
2500-7 Other Pacific Islander

Sheet 5: Appndix AE-Vocabs_and_ValueSets
This is a table with 5 columns and 325 rows




Appendix_AE (Vocabularies_and_ValueSets)




valueSetOID code displayName codeSystem Code System Name
2.16.840.1.113883.1.11.20 (HL7 SDTC Value Set OID Root)




2.16.840.1.113883.1.11.19832 (ActCoverageType) Any subtype of ActCoverageType 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.20.1 (AdvanceDirectiveStatusCode) 425392003 Current and Verified 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.1 (AdvanceDirectiveStatusCode) 425394002 Supported By Healthcare Will 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.1 (AdvanceDirectiveStatusCode) 425393008 Supported By Durable Power of Attorney for Healthcare 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.1 (AdvanceDirectiveStatusCode) 425396000 Verified With Family Only 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.1 (AdvanceDirectiveStatusCode) 310305009 Verified By Medical Record Only 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 304251008 Resuscitation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 52765003 Intubation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 225204009 IV Fluid and Support 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 89666000 CPR 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 281789004 Antibiotics 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 78823007 Life Support 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 61420007 Tube Feedings 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.2 (AdvanceDirectiveTypeCode) 71388002 Other Directive 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.3 (AlertStatusCode) 55561003 Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.3 (AlertStatusCode) 392521001 Prior History 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.3 (AlertStatusCode) 73425007 No Longer Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.4 (AlertTypeCode) 106190000 Allergy 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.4 (AlertTypeCode) 281647001 Adverse Reaction 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.13955 (EncounterCode) Any subtype of ActEncounterCode

2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) AMB Ambulatory 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) EMER Emergency 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) FLD Field 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) HH Home Health 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) VR Virtual 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) IMP Inpatient 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) ACUTE Acute 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) NONAC Non-acute 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) ALC Alternative Level of Care 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) CARD Cardiology 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) CHR Chronic 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) DNTL Dental 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) DRGRHB Drug Rehab 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) GENRL General 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) MED Medical 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) OBS Obstetrics 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) ONC Oncology 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) PALL Palliative 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) PED Pediatrics 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) PHAR Pharmaceutical 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) PHYRHB Physical Rehab 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) PSYCH Psychatric 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.13955 (EncounterCode) SURG Surgical 2.16.840.1.113883.5.4 ActCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) Any subtype of FAMMEMB

2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) CHILD Child 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) CHLDADOPT adopted child 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) DAUADOPT adopted daughter 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SONADOPT adopted son 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) CHLDINLAW child in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) DAUINLAW daughter in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SONINLAW son in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) CHLDFOST foster child 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) DAUFOST foster daughter 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SONFOST foster son 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NCHILD natural child 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) DAU natural daughter 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SON natural son 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPCHLD step child 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPDAU stepdaughter 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPSON stepson 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GRNDCHILD grandchild 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GRNDDAU granddaughter 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GRNDSON grandson 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GRPRN Grandparent 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GRFTH Grandfather 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GRMTH Grandmother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GGRPRN great grandparent 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GGRFTH great grandfather 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) GGRMTH great grandmother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NIENEPH niece/nephew 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NEPHEW nephew 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NIECE niece 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) PRN Parent 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NPRN natural parent 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NFTH natural father 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NMTH natural mother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) PRNINLAW parent in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) FTHINLAW father-in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) MTHINLOAW mother-in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPPRN step parent 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPFTH stepfather 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPMTH stepmother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) FTH Father 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) MTH Mother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SIB Sibling 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) HSIB half-sibling 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) HBRO half-brother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) HSIS half-sister 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NSIB natural sibling 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NBRO natural brother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NSIS natural sister 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SIBINLAW sibling in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) BROINLAW brother-in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SISLINLAW sister-in-law 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPSIB step sibling 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPBRO stepbrother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) STPSIS stepsister 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) BRO Brother 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SIS Sister 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SIGOTHR significant other 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) SPS spouse 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) HUSB husband 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) WIFE wife 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) AUNT aunt 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) COUSN cousin 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) DOMPART domestic partner 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) ROOM Roomate 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) UNCLE uncle 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) FRND unrelated friend 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.19579 (FamilyHistoryRelated SubjectCode) NBOR neighbor 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.20.6 (FunctionalStatusTypeCode) 282097004 Ambulatory Status 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.6 (FunctionalStatusTypeCode) 363871006 Mental Status 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.6 (FunctionalStatusTypeCode) 129025006 Activities of Daily Living 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.6 (FunctionalStatusTypeCode) 4683004 Home/Living Situation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.6 (FunctionalStatusTypeCode) 284773001 Ability to Care for Self 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.7 (MedicationStatusCode) 55561003 Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.7 (MedicationStatusCode) 421139008 On Hold 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.7 (MedicationStatusCode) 392521001 Prior History 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.7 (MedicationStatusCode) 73425007 No Longer Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 373873005 Medication 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 354078009 IV Fluid 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 327838005 Parenteral Nutrition 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 108961000 Supplemental Nutrition 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 350326008 Immunization 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 425398004 Supplies 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 49062001 Device 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 40388003 Implantable Device 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.8 (MedicationTypeCode) 425399007 Durable Medical Equipment 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 71388002 Order 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 308335008 Encounter 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 71388002 Procedure 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 127777001 Service 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 260787004 Product 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 127785005 Immunization 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 416118004 Medication 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 386336002 Authorization 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 3457005 Referral 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.9 (OrderRequestTypeCode) 11429006 Consultation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) new Ordered 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) new Requested 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) active Pending 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) active In Process 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) held On Hold 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) cancelled Cancelled 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) -any- Repeat 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.10 (PlanOfCareStatusCode) Aborted No Show 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 223452003 Reminder 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 71388002 Order 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 416118004 Prescription 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 386336002 Request For Authorization 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 386336002 Authorization 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 3457005 Referral 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 11429006 Request For Consultation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.11 (PlanOfCareTypeCode) 391157003 Treatment Recommendation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.19809 (PolicyOrProgramCoverageRoleType) Any subtype of PolicyOrProgramCoverage RoleType 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 81323004 Alive and well 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 313386006 In remission 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 162467007 Symptom free 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 161901003 Chronically ill 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 271593001 Severely ill 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 21134002 Disabled 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 161045001 Severely disabled 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.12 (ProblemHealthStatusCode) 419099009 Deceased 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 55561003 Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 73425007 Inactive 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 90734009 Chronic 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 7087005 Intermittent 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 255227004 Recurrent 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 415684004 Rule out 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 410516002 Ruled out 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 413322009 Resolved 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.13 (ProblemStatusCode) 309648009 On examination - communication (finding) 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 64572001 Condition 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 418799008 Symptom 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 404684003 Finding 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 409586006 Complaint 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 248536006 Functional limitation 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 55607006 Problem 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.14 (ProblemTypeCode) 282291009 Diagnosis 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.15 (ProcedureStatusCode) cancelled Cancelled 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.15 (ProcedureStatusCode) Held On Hold 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.15 (ProcedureStatusCode) Active In Progress 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.15 (ProcedureStatusCode) Aborted Not Completed 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.15 (ProcedureStatusCode) completed Completed 2.16.840.1.113883.5.14 ActStatus
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 252275004 Hematology 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 275711006 Chemistry 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 68793005 Serology 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 395124008 Virology 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 69200006 Toxicology 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 19851009 Microbiology 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 363679005 Imaging 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 363680008 X-ray 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 16310003 Ultrasound 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 77477000 CT 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 113091000 MRI 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 77343006 Angiography 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 40701008 Cardiac Echo 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 371572003 Nuclear Medicine 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 108257001 Pathology 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 71388002 Procedure 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.16 (ResultTypeCode) 46680005 Vital Sign 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.14581 (RouteOfAdministration) Any subtype of RouteOfAdministration 2.16.840.1.113883.5.112 RouteOf Administration
2.16.840.1.113883.1.11.20.17 (SocialHistoryStatusCode) 55561003 Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.17 (SocialHistoryStatusCode) 392521001 Prior History 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.17 (SocialHistoryStatusCode) 73425007 No Longer Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.17 (SocialHistoryStatusCode) 261665006 Unknown 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 125680007 Marital Status 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 160538000 Religion 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 364699009 Ethnicity 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 103579009 Race 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 61909002 Language 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 229819007 Smoking 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 256235009 Exercise 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 364393001 Diet 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 364703007 Employment 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 425400000 Toxic Exposure 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 160573003 ETOH Use 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 363908000 Drug Use 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.18 (SocialHistoryTypeCode) 228272008 Other Social History 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.5 (StatusOfFuntionalStatusCode) 55561003 Active 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.5
(StatusOfFuntionalStatusCode)		 90734009 Chronic 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.5
(StatusOfFuntionalStatusCode)		 14803004 Temporary 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.20.5
(StatusOfFuntionalStatusCode)		 370996005 Resolved 2.16.840.1.113883.6.96 SNOMED CT
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CVDX Cardiovascular diagnostics or therapeutics unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CATH Cardiac catheterization lab 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ECHO Echocardiography lab 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) GIDX Gastroenterology diagnostics or therapeutics lab 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ENDOS Ambulatory Health Care Facilities; Clinic/Center; Endoscopy 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) RADDX Ambulatory Health Care Facilities; Clinic/Center; Radiology 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) DX Diagnostics or therapeutics unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CHR Chronic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) GACH General acute care hospital 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) MHSP Military Hospital 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) RH Hospitals; Rehabilitation Hospital 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) HOSP Hospital 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PSYCHF Psychiatric Care Facility 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ER Error/reject only 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ETU Emergency trauma unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDICU Pediatric intensive care unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDNICU Pediatric neonatal intensive care unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ICU Intensive care unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDU Pediatric unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) HU Hospital unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) BMTU Bone marrow transplant unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CCU Coronary care unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CHEST Chest unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) EPIL Epilepsy unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) HD hour of the day 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) NCCS Neurology critical care and stroke
unit		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) NS Neurosurgery unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PHU Hospital Units; Psychiatric Unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) RHU Hospital Units; Rehabilitation Unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) SLEEP Sleep disorders unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) NCCF Nursing or custodial care facility 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) SNF Nursing & Custodial Care Facilities; Skilled Nursing Facility 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CARD Cardiology 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ENDO Endocrinology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDE Pediatric endocrinology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) GI Gastroenterology clinic
2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDGI Pediatric gastroenterology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) HEM Hematology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDHEM Pediatric hematology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) INFD Infectious disease clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDID Pediatric infectious disease clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ONCL Medical oncology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDHO Pediatric oncology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) NEPH Nephrology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDNEPH Pediatric nephrology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ORTHO orthodontic service 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) HAND Hand clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDC Pediatrics clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDCARD Pediatric cardiology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) RHEUM Rheumatology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PEDRHEUM Pediatric rheumatology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) SU Surgery clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PLS Plastic surgery clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) URO Urology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) OF Outpatient facility 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ALL Allergy clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) AMPUT Amputee clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) BREAST Breast clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CANC Child and adolescent neurology
clinic		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CAPC Child and adolescent psychiatry
clinic		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) COAG Coagulation clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) CRS Colon and rectal surgery clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) DERM Dermatology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ENT Enteric bacteria transport medium 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) FMC Family medicine clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) GIM General internal medicine clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) GYN Gynecology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) HTN Hypertension clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) IEC Impairment evaluation center 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) INV Infertility clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) LYMPH Lympedema clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) MGEN Medical genetics clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) NEUR Neurology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) OB Obstetrics clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) OMS Ambulatory Health Care Failities;
Clinic/Center; Surgery,
Oral/Maxillofacial 		2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) OPH Opthalmology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PAINCL Ambulatory Health Care Facilities;
Clinic/Center; Pain		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PC Ambulatory Health Care Failities;
Clinic/Center; Primary Care		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) POD Ambulatory Health Care Faciities;
Podiatric		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PREV has previous instance 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PROCTO Proctology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PROFF Provider's Office 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PROS Prosthodontics clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PSI Psychology clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PSY psychiatry relate 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) SPMED Sports medicine clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) TR Transplant clinic 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) TRAVEL travel 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) WND Wound 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) RTF Residential treatment facility 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PRC Pain rehabilitation center 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) SURF Residential Treatment Facilities;
Substance Use Rehabilitation
Facility		 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) MOBL Mobile Unit 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) AMB ambulatory 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) DADDR Delivery Address 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PHARM Pharmacy 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) ACC accident site 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) COMM Community Location 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) PTRES Patient's Residence 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) SCHOOL School Accident 2.16.840.1.113883.5.111 RoleCode
2.16.840.1.113883.1.11.17660 (ServiceDeliveryLocationRoleType) WORK work site 2.16.840.1.113883.5.111 RoleCode

Sheet 6: Appendix_AF-CCD_Template_IDs
This is a table with 2 columns and 44 rows
Appendix_AF (CCD Template Identifiers)
Template Identifier OID Description (CCD_Template_IDs)
Clinical Statement Templates
2.16.840.1.113883.10.20.1.17 Advance directive observation
2.16.840.1.113883.10.20.1.18 Alert observation
2.16.840.1.113883.10.20.1.19 Authorization activity
2.16.840.1.113883.10.20.1.20 Coverage activity
2.16.840.1.113883.10.20.1.21 Encounter activity
2.16.840.1.113883.10.20.1.22 Family history observation
2.16.840.1.113883.10.20.1.23 Family history organizer
2.16.840.1.113883.10.20.1.24 Medication activity
2.16.840.1.113883.10.20.1.25 Plan of care activity
2.16.840.1.113883.10.20.1.26 Policy activity
2.16.840.1.113883.10.20.1.27 Problem act
2.16.840.1.113883.10.20.1.28 Problem observation
2.16.840.1.113883.10.20.1.29 Procedure activity
2.16.840.1.113883.10.20.1.30 Purpose activity
2.16.840.1.113883.10.20.1.31 Result observation
2.16.840.1.113883.10.20.1.32 Result organizer
2.16.840.1.113883.10.20.1.33 Social history observation
2.16.840.1.113883.10.20.1.34 Supply activity
2.16.840.1.113883.10.20.1.35 Vital signs organizer
Supporting Templates (used within a clinical statement)
2.16.840.1.113883.10.20.1.36 Advance directive reference
2.16.840.1.113883.10.20.1.37 Advance directive status observation
2.16.840.1.113883.10.20.1.38 Age observation
2.16.840.1.113883.10.20.1.39 Alert status observation
2.16.840.1.113883.10.20.1.40 Comment
2.16.840.1.113883.10.20.1.41 Episode observation
2.16.840.1.113883.10.20.1.42 Family history cause of death observation
2.16.840.1.113883.10.20.1.43 Fulfillment instruction
2.16.840.1.113883.10.20.1.45 Location participation
2.16.840.1.113883.10.20.1.46 Medication series number observation
2.16.840.1.113883.10.20.1.47 Medication status observation
2.16.840.1.113883.10.20.1.48 Patient awareness
2.16.840.1.113883.10.20.1.49 Patient instruction
2.16.840.1.113883.10.20.1.51 Problem healthstatus observation
2.16.840.1.113883.10.20.1.50 Problem status observation
2.16.840.1.113883.10.20.1.53 Product
2.16.840.1.113883.10.20.1.52 Product instance
2.16.840.1.113883.10.20.1.54 Reaction observation
2.16.840.1.113883.10.20.1.55 Severity observation
2.16.840.1.113883.10.20.1.56 Social history status observation
2.16.840.1.113883.10.20.1.57 Status observation
2.16.840.1.113883.10.20.1.44 Status of functional status observation
2.16.840.1.113883.10.20.1.58 Verification of an advance directive observation

Sheet 7: Appendix_AG-Coding_Systems
This is a table with 3 columns and 11 rows

Appendix_AG (Coding_Systems)

OID
(Coding Systems) 		HL7 Symbolic Name Description
(Coding Systems)
2.16.840.1.113883.6.1 LN Logical Observation Identifier Names and Codes (LOINC)
2.16.840.1.113883.6.103 ICD-9CM (diagnosis codes) The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes I, II (diagnoses) and III (procedures) describes the classification of morbidity and mortality information for statistical purposes and for the indexing of healthcare records by diseases and procedures. The ICD-9-CM codes can be used as the value of the Act.cd attribute.
2.16.840.1.113883.6.104 ICD-9CM (procedure codes) The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes I, II (diagnoses) and III (procedures) describes the classification of morbidity and mortality information for statistical purposes and for the indexing of healthcare records by diseases and procedures. The ICD-9-CM codes can be used as the value of the Act.cd attribute.
2.16.840.1.113883.6.12 C4 American Medical Association’s Current Procedure Terminology codes.
2.16.840.1.113883.6.42 I9 ICD9
2.16.840.1.113883.6.3 ICD10 International Classification of Diseases revision 10 (ICD 10)
2.16.840.1.113883.6.69 NDC National drug codes
2.16.840.1.113883.6.96 SNOMED-CT SNOMED CT is a concept-based, scientifically validated terminology that provides a unique and permanent concept identifier that can be included in multiple HL7 data types including CD and CE. SNOMED CT's concepts are interrelated hierarchically and using description logic.
2.16.840.1.113883.6.14 HCPCS (Healthcare Financing Administration (HCFA) Common Procedure Coding System (HCPCS). Is composed of three “levels”. Level I is CPT-4, level II is CDT-2, and level 3 are the HCPCS modifiers. Only the HCPCS modifiers are maintained by the Alpha-Numeric Editorial Panel, consisting of the Health Insurance Association of America and the Blue Cross and Blue Shield Association)
2.16.840.1.113883.6.59 CVX (CDC Vaccine Codes)
2.16.840.1.113883.6.88 RxNorm RxNorm

Sheet 8: Appendix_AH-Payers
This is a table with 3 columns and 5 rows

Appendix_AH (Payers)

Value (Payers) HL7 Symbolic Name Description
(Payers)
AUTOPOL automobile Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
EHCPOL extended healthcare Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
HSAPOL health spending account Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.
PUBLICPOL public healthcare Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).
WCBPOL worker's compensation Insurance policy for injuries sustained in the work place or in the course of employment.

Sheet 9: Appendix_AI-Insurance_Plan_Type
This is a table with 2 columns and 63 rows
Appendix_AI (Insurance Plan Type)
Value (Insurance Plan Type) Description (Insurance Plan Type)
DD DoD-pay (U.S. Department of Defence)
MAAL Medicaid - Alabama
MAAK Medicaid - Alaska
MAAZ Medicaid - Arizona
MAAR Medicaid - Arkansas
MAAS Medicaid - American Samoa
MACA Medicaid - California (Medi-Cal)
MACO Medicaid - Colorado
MACT Medicaid - Connecticut
MADE Medicaid - Delaware
MADC Medicaid - District of Columbia
MAFL Medicaid - Florida
MAGA Medicaid - Georgia
MAGU Medicaid - Guam
MAHI Medicaid - Hawaii
MAID Medicaid - Idaho
MAIL Medicaid - Illinois
MAIN Medicaid - Indianna
MAIA Medicaid - Iowa
MAKS Medicaid - Kansas
MAKY Medicaid - Kentucky
MALA Medicaid - Louisiana
MAME Medicaid - Maine
MAMD Medicaid - Maryland
MAMA Medicaid - Massachusetts
MAMI Medicaid - Michigan
MAMN Medicaid - Minnesota
MAMS Medicaid - Mississippi
MAMO Medicaid - Missouri
MAMT Medicaid - Montana
MANE Medicaid - Nebraska
MANV Medicaid - Nevada
MANH Medicaid - New Hampshire
MANJ Medicaid - New Jersey
MANM Medicaid - New Mexico
MANY Medicaid - New York
MANC Medicaid - North Carolina
MAMP Medicaid - Nothern Mariana Islands
MAND Medicaid - North Dakota
MAOH Medicaid - Ohio
MAOK Medicaid - Oklahoma
MAOR Medicaid - Oregon
MAPA Medicaid - Pennsylvania
MAPR Medicaid - Puerto Rico
MARI Medicaid - Rhode Island
MASC Medicaid - South Carolina
MASD Medicaid - South Dakota
MATN Medicaid - Tennessee
MATX Medicaid - Texas
MAUT Medicaid - Utah
MAVT Medicaid - Vermont
MAVI Medicaid - Virgin Islands (Managed Care)
MAVA Medicaid - Virginia
MAWA Medicaid - Washington
MAWV Medicaid - West Virginia
MAWI Medicaid - Wisconsin
MAWY Medicaid - Wyoming
MC Medicare
OT Other payment source
PI Private pay insurance
PP Patient is payer
SI Self insured employer
MB Medicare Part B

Sheet 10: Appendix_AJ-Custom_Template_IDs
This is a table with 5 columns and 52 rows



Appendix_AJ (Custom_Template_IDs)



Topic Indicator Measure Details Template Id Measure Code/Code System NQF Measure
1 CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus 2.16.840.1.113883.3.249.11.2 PhysicianQualityReporting-1/ 2.16.840.1.113883.3.249.12 0059
2 CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus 2.16.840.1.113883.3.249.11.3 PhysicianQualityReporting-2/ 2.16.840.1.113883.3.249.12 0064
3 CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus 2.16.840.1.113883.3.249.11.4 PhysicianQualityReporting-3/ 2.16.840.1.113883.3.249.12 0061
5 CMS Measure #5: Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 2.16.840.1.113883.3.249.11.5 PhysicianQualityReporting-5/ 2.16.840.1.113883.3.249.12 0081
6 CMS Measure #6: Coronary Artery Disease (CAD): Antiplatelet Therapy 2.16.840.1.113883.3.249.11.201 PhysicianQualityReporting-6/ 2.16.840.1.113883.3.249.12 0067
7 CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) 2.16.840.1.113883.3.249.11.6 PhysicianQualityReporting-7/ 2.16.840.1.113883.3.249.12 0070
8 CMS Measure #8: Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 2.16.840.1.113883.3.249.11.202 PhysicianQualityReporting-8/ 2.16.840.1.113883.3.249.12 0083
9 CMS Measure #9: Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b) Effective Continuation Phase Treatment 2.16.840.1.113883.3.249.11.203 PhysicianQualityReporting-9/ 2.16.840.1.113883.3.249.12 0105
12 CMS Measure #12: Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation 2.16.840.1.113883.3.249.11.204 PhysicianQualityReporting-12/ 2.16.840.1.113883.3.249.12 0086
18 CMS Measure #18: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy 2.16.840.1.113883.3.249.11.205 PhysicianQualityReporting-18/ 2.16.840.1.113883.3.249.12 0088
19 CMS Measure #19: Diabetic Retinopathy: Communication with the Physician Managing On-going Diabetes Care 2.16.840.1.113883.3.249.11.206 PhysicianQualityReporting-19/ 2.16.840.1.113883.3.249.12 0089
39 CMS Measure #39: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older 2.16.840.1.113883.3.249.11.51 PhysicianQualityReporting-39/ 2.16.840.1.113883.3.249.12 0046
47 CMS Measure #47: Advance Care Plan 2.16.840.1.113883.3.249.11.52 PhysicianQualityReporting-47/ 2.16.840.1.113883.3.249.12 0326
48 CMS Measure #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 2.16.840.1.113883.3.249.11.53 PhysicianQualityReporting-48/ 2.16.840.1.113883.3.249.12 0098
53 CMS Measure #53: Asthma: Pharmacologic Therapy 2.16.840.1.113883.3.249.11.207 PhysicianQualityReporting-53/ 2.16.840.1.113883.3.249.12 0047
64 CMS Measure #64: Asthma: Asthma Assessment of Asthma Control 2.16.840.1.113883.3.249.11.208 PhysicianQualityReporting-64/ 2.16.840.1.113883.3.249.12 0001
66 CMS Measure #66: Appropriate Testing for Children with Pharyngitis 2.16.840.1.113883.3.249.11.209 PhysicianQualityReporting-66/ 2.16.840.1.113883.3.249.12 0002
71 CMS Measure #71: Breast Cancer: Hormonal Therapy for Stage IC–IIIC Estrogen Receptor/ Progesterone Receptor (ER/PR) Positive Breast Cancer 2.16.840.1.113883.3.249.11.210 PhysicianQualityReporting-71/ 2.16.840.1.113883.3.249.12 0387
72 CMS Measure #72: Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients 2.16.840.1.113883.3.249.11.211 PhysicianQualityReporting-72/ 2.16.840.1.113883.3.249.12 0385
102 CMS Measure #102: Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low-Risk Prostate Cancer Patients 2.16.840.1.113883.3.249.11.212 PhysicianQualityReporting-102/ 2.16.840.1.113883.3.249.12 0389
110 CMS Measure #110: Preventive Care and Screening: Influenza Immunization 2.16.840.1.113883.3.249.11.7 PhysicianQualityReporting-110/ 2.16.840.1.113883.3.249.12 0041
111 CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older 2.16.840.1.113883.3.249.11.8 PhysicianQualityReporting-111/ 2.16.840.1.113883.3.249.12 0043
112 CMS Measure #112: Preventive Care and Screening: Screening Mammography 2.16.840.1.113883.3.249.11.9 PhysicianQualityReporting-112/ 2.16.840.1.113883.3.249.12 0031
113 CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening 2.16.840.1.113883.3.249.11.10 PhysicianQualityReporting-113/ 2.16.840.1.113883.3.249.12 0034
117 CMS Measure #117: Diabetes Mellitus: Dilated Eye Exam in Diabetic Patients 2.16.840.1.113883.3.249.11.213 PhysicianQualityReporting-117/ 2.16.840.1.113883.3.249.12 0055
119 CMS Measure #119: Diabetes: Urine Screening 2.16.840.1.113883.3.249.11.214 PhysicianQualityReporting-119/ 2.16.840.1.113883.3.249.12 0062
128 CMS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 2.16.840.1.113883.3.249.11.54 PhysicianQualityReporting-128/ 2.16.840.1.113883.3.249.12 0421
163 CMS Measure #163: Diabetes Mellitus: Foot Exam 2.16.840.1.113883.3.249.11.217 PhysicianQualityReporting-163/ 2.16.840.1.113883.3.249.12 0056
173 CMS Measure #173: Preventive Care and Screening: Unhealthy Alcohol Use - Screening 2.16.840.1.113883.3.249.11.55 PhysicianQualityReporting-173/ 2.16.840.1.113883.3.249.12
197 CMS Measure #197: Coronary Artery Disease (CAD): Lipid Control 2.16.840.1.113883.3.249.11.218 PhysicianQualityReporting-197/ 2.16.840.1.113883.3.249.12 0074
200 CMS Measure #200: Heart Failure: Warfarin Therapy for Patients with Atrial Fibriliation 2.16.840.1.113883.3.249.11.219 PhysicianQualityReporting-200/ 2.16.840.1.113883.3.249.12 0084
201 CMS Measure #201: Ischemic Vascular Disease (IVD): Blood Pressure Management Control 2.16.840.1.113883.3.249.11.220 PhysicianQualityReporting-201/ 2.16.840.1.113883.3.249.12 0073
204 CMS Measure #204: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 2.16.840.1.113883.3.249.11.223 PhysicianQualityReporting-204/ 2.16.840.1.113883.3.249.12 0068
226 CMS Measure #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 2.16.840.1.113883.3.249.11.59 PhysicianQualityReporting-226/ 2.16.840.1.113883.3.249.12 0028
236 CMS Measure #236: Hypertension (HTN): Controlling High Blood Pressure 2.16.840.1.113883.3.249.11.228 PhysicianQualityReporting-236/ 2.16.840.1.113883.3.249.12 0018
237 CMS Measure #237: Hypertension (HTN): Blood Pressure Measurement 2.16.840.1.113883.3.249.11.56 PhysicianQualityReporting-237/ 2.16.840.1.113883.3.249.12 0013
238 CMS Measure #238: Drugs to be avoided in the Elderly 2.16.840.1.113883.3.249.11.57 PhysicianQualityReporting-238/ 2.16.840.1.113883.3.249.12 0022
239 CMS Measure #239: Weight Assessment and Counseling for Children and Adolescents 2.16.840.1.113883.3.249.11.58 PhysicianQualityReporting-239/ 2.16.840.1.113883.3.249.12 0024
240 CMS Measure #240: Childhood Immunization Status 2.16.840.1.113883.3.249.11.60 PhysicianQualityReporting-240/ 2.16.840.1.113883.3.249.12 0038
241 CMS Measure #241: Ischemic Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL-C) Control 2.16.840.1.113883.3.249.11.221 PhysicianQualityReporting-241/ 2.16.840.1.113883.3.249.12 0075
305 CMS Measure #305: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: (a) Inititiation, (b) Engagement 2.16.840.1.113883.3.249.11.225 PhysicianQualityReporting-305/ 2.16.840.1.113883.3.249.12 0004
306 CMS Measure #306: Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) 2.16.840.1.113883.3.249.11.226 PhysicianQualityReporting-306/ 2.16.840.1.113883.3.249.12 0012
307 CMS Measure #307: Prenatal Care: Anti-D Immune Globulin 2.16.840.1.113883.3.249.11.227 PhysicianQualityReporting-307/ 2.16.840.1.113883.3.249.12 0014
308 CMS Measure #308: Smoking and Tobacco Use Cessation, Medical Assistance: a. Advising Smokers and Tobacco Users to Quit, b. Discussing Smoking and Tobacco Use Cessation Medications, c. Discussing Smoking and Tobacco Use Cessation Strategies 2.16.840.1.113883.3.249.11.229 PhysicianQualityReporting-308/ 2.16.840.1.113883.3.249.12 0027
309 CMS Measure #309: Cervical Cancer Screening 2.16.840.1.113883.3.249.11.230 PhysicianQualityReporting-309/ 2.16.840.1.113883.3.249.12 0032
310 CMS Measure #310: Chlamydia Screening for Women 2.16.840.1.113883.3.249.11.231 PhysicianQualityReporting-310/ 2.16.840.1.113883.3.249.12 0033
311 CMS Measure #311: Use of Appropriate Medications for Asthma 2.16.840.1.113883.3.249.11.232 PhysicianQualityReporting-311/ 2.16.840.1.113883.3.249.12 0036
312 CMS Measure #312: Low Back Pain: Use of Imaging Studies 2.16.840.1.113883.3.249.11.233 PhysicianQualityReporting-312/ 2.16.840.1.113883.3.249.12 0052
313 CMS Measure #313: Diabetes Mellitus:Hemoglobin A1c Control (<8%) 2.16.840.1.113883.3.249.11.224 PhysicianQualityReporting-313/ 2.16.840.1.113883.3.249.12 0575
316 CMS Measure #316: Preventive Care and Screening: Cholesterol - Fasting Low Density Lipoprotein (LDL) Test Performed and Risk-Stratified Fasting LDL 2.16.840.1.113883.3.249.11.234 PhysicianQualityReporting-316/ 2.16.840.1.113883.3.249.12
317 CMS Measure #317: Preventive Care and Screening: Screening for High Blood Pressure 2.16.840.1.113883.3.249.11.235 PhysicianQualityReporting-317/ 2.16.840.1.113883.3.249.12
eRx Adoption/Use of Medication Electronic Prescribing Measure 2.16.840.1.113883.3.249.11.15 eRx/ 2.16.840.1.113883.3.249.12 0486






This is a table with 2 columns and 1 rows



Measure Set Template Id


CMS Physician Quality Reporting 2013 Measures Set; Version-1 2.16.840.1.113883.3.249.11.350







This is a table with 2 columns and 1 row



CDA Section CDA Section Code/Code System


Structural Data section STRUCT/2.16.840.1.113883.3.249.12







This is a table with 2 columns and 2 rows



Structural Data Section Act Template Id


Adoption/Use of EHR 2.16.840.1.113883.3.249.11.13


Electronic Prescribing 2.16.840.1.113883.3.249.11.14







This is a table with 2 columns and 1 row



CDA Section Template Id


Structural Data section 2.16.840.1.113883.3.249.11.16






This is a table with 3 columns and 19 rows



Child Template Id Template Name Parent Template Id
2.16.840.1.113883.3.249.11.100.1 Physician Quality Reporting QRDA Category I 2.16.840.1.113883.10.20.12
2.16.840.1.113883.3.249.11.100.2 Plan of care activity 2.16.840.1.113883.10.20.1.25
2.16.840.1.113883.3.249.11.100.3 Encounter activity 2.16.840.1.113883.10.20.1.21
2.16.840.1.113883.3.249.11.100.4 Social history status observation 2.16.840.1.113883.10.20.1.56
2.16.840.1.113883.3.249.11.100.5 Social history observation 2.16.840.1.113883.10.20.1.33
2.16.840.1.113883.3.249.11.100.6 Alert observation 2.16.840.1.113883.10.20.1.18
2.16.840.1.113883.3.249.11.100.7 Policy activity 2.16.840.1.113883.10.20.1.26
2.16.840.1.113883.3.249.11.100.8 Problem observation 2.16.840.1.113883.10.20.1.28
2.16.840.1.113883.3.249.11.100.9 Procedure activity 2.16.840.1.113883.10.20.1.29
2.16.840.1.113883.3.249.11.100.10 Result observation 2.16.840.1.113883.10.20.1.31
2.16.840.1.113883.3.249.11.100.11 Alert status observation 2.16.840.1.113883.10.20.1.39
2.16.840.1.113883.3.249.11.100.12 Problem status observation 2.16.840.1.113883.10.20.1.50
2.16.840.1.113883.3.249.11.100.13 Product 2.16.840.1.113883.10.20.1.53
2.16.840.1.113883.3.249.11.100.14 Reaction observation 2.16.840.1.113883.10.20.1.54
2.16.840.1.113883.3.249.11.100.15 Advance directive observation 2.16.840.1.113883.10.20.1.17
2.16.840.1.113883.3.249.11.100.20 Family history organizer 2.16.840.1.113883.10.20.1.23
2.16.840.1.113883.3.249.11.100.21 Family history observation 2.16.840.1.113883.10.20.1.22
2.16.840.1.113883.3.249.11.100.22 Supply activity 2.16.840.1.113883.10.20.1.34
2.16.840.1.113883.3.249.11.100.23 Product instance 2.16.840.1.113883.10.20.1.52
2.16.840.1.113883.3.249.11.100.24 Negation reason Not applicable
2.16.840.1.113883.3.249.11.100.25 Problem negation reason 2.16.840.1.113883.3.249.11.100.24
2.16.840.1.113883.3.249.11.100.26 Procedure negation reason 2.16.840.1.113883.3.249.11.100.24
2.16.840.1.113883.3.249.11.100.27 Medication negation reason 2.16.840.1.113883.3.249.11.100.24
2.16.840.1.113883.3.249.11.100.28 Medication activity 2.16.840.1.113883.10.20.1.24
2.16.840.1.113883.3.249.11.100.29 Immunization negation reason 2.16.840.1.113883.3.249.11.100.24
2.16.840.1.113883.3.249.11.100.30 Result negation reason 2.16.840.1.113883.3.249.11.100.24
2.16.840.1.113883.3.249.11.100.31 Vital sign negation reason 2.16.840.1.113883.3.249.11.100.24
2.16.840.1.113883.3.249.11.100.32 Plan of care negation reason Not applicable
2.16.840.1.113883.3.249.11.100.33 Vital sign result observation 2.16.840.1.113883.10.20.1.31
2.16.840.1.113883.3.249.11.100.34 Medical equipment negation reason Not applicable

Sheet 11: Appendix_AK-States
This is a table with 2 columns and 56 rows
Appendix_AK (States)
HL7 User Defined Table #347
Element State
AL Alabama
AK Alaska
AZ Arizona
AR Arkansas
AS American Samoa
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indianna
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
MP Northern Mariana Islands
ND North Dakota
OH Ohio
OK Oklahoma
OR Oregon
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00
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