LinuxForHealth Common Data Model definition of what fields we currently define for an appointment

Basic is a special type of resource that doesn’t correspond to a specific pre-defined HL7 concept. The CDMBasic profile extends the base FHIR Basic resource with support for additional code types.

LinuxForHealth Common Data Model definition of what fields we currently define for a care plan

A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement. The CDMClaim profile extends the base FHIR Claim resource with additional details.

The CDMClaimDrug profile extends the base CDMClaim profile with additional details that are specific to pharmacy claims

The CDMClaimFacility profile extends the base CDMClaim profile with additional details that are specific to facility claims

This resource provides the adjudication details from the processing of a Claim resource. The CDMClaimResponse profile extends the base FHIR ClaimResponse resource with additional adjudication details.

This resource provides the adjudication details from the processing of a Claim resource. The CDMClaimResponseDrug profile extends the CDMClaimResponse resource with additional adjudication details that are specific to pharmacy claims.

LinuxForHealth Common Data Model definition of what fields we currently define for a communication

LinuxForHealth Common Data Model definition of what fields we currently define for a communication request

LinuxForHealth Common Data Model definition of what fields we currently define for a condition

Describes the healthcare benefit coverage of a member as it relates to a health plan. Coverage determines how the health care products and services the member receives may be paid. The CDMCoverage profile extends the base FHIR Coverage resource with additional benefit coverage details.

LinuxForHealth Common Data Model definition of what fields we currently define for a detected issue

LinuxForHealth Common Data Model definition of what fields we currently define for an eligibility record

LinuxForHealth Common Data Model definition of what fields we currently define for an encounter

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. The CDMExplanationOfBenefit profile extends the base FHIR ExplanationOfBenefit resource with additional details.

The CDMExplanationOfBenefitForAnalytics profile extends the base CDMExplanationOfBenefit profile with additional details that are useful for analytics.

LinuxForHealth Common Data Model definition of what fields we currently define for an insurance plan

LinuxForHealth Common Data Model definition of what fields we currently define for a library

LinuxForHealth Common Data Model definition of what fields we currently define for a location

Match location record created when matched locations are found, containing links to the source location resources that were matched

Match patient record created when matched patients are found, containing links to the source patient resources that were matched

Match practitioner record created when matched practitioners are found, containing links to the source practitioner resources that were matched

LinuxForHealth Common Data Model definition of what fields we currently define for an observation

LinuxForHealth Common Data Model definition of what fields we currently define for a organization

LinuxForHealth CDM organization affiliation with versioned hierarchy levels used to relate parent and child organizations

LinuxForHealth Common Data Model definition of what fields we currently define for a patient

LinuxForHealth Common Data Model definition of what fields we currently define for a person

LinuxForHealth Common Data Model definition of what fields we currently define for a practitioner

LinuxForHealth bundle used to package Common Data Model practitioner resources for data ingestion

LinuxForHealth Common Data Model definition of what fields we currently define for a practitioner role

LinuxForHealth Common Data Model definition of what fields we currently define for a procedure

A record of a request for service such as diagnostic investigations, treatments, or operations to be performed. The CDMServiceRequest profile extends the base FHIR ServiceRequest resource with additional details.

Detected issues to record a history of open and closed care gaps identified for a patient over time.

This profile is a record of an engagement communication to a patient including successful, planned, and failed communications.

This profile is a record of an engagement request for a communication to a patient.

LinuxForHealth Common Data Model definition of what fields we currently define for an FFV initiative record

Practitioner role used to represent a hierarchy within an organization

Observation created by LinuxForHealth processes to record measure populations for a patient over time

A list of references to specific patients

A list of references to specific practitioners

The quality measure profile is limited to measures with proportion and ratio scoring methods. The profile requires an initial population, denominator, and numerator in accordance with FHIR quality reporting guidelines. Measure population and measure population exclusions are not allowed. The profile also supports care gap populations for additional use cases.

A list of references to specific measures

A quality measure report with an organizational focus

A quality measure report focused on a single patient

A quality measure report focused on practitioner performance

An abstract quality measure report profile. This profile serves as the base for organizational, practitioner, and patient-focused quality measure reports.

Address wtih common extensions

Contact point extended with country and phone ext for communications

ContactPoint wtih common extensions

CDM identifier with extensions

ParameterDefinition with optional detailt value

ParameterDefinition with the parameter value that was used

Data lineage meta with process extensions

Quantity with converted quanitity for standard unit values

A reference with one or more contextual codes and an optional period defining the time period in which the reference is valid

A reference with a period defining the time period in which the reference is valid

A reference with an optional sequence defining the order in which the reference is considered

Code for Affordable Care Act (ACA) HIOS plan. The value is the combination of HIOS Issuer ID, Product ID, Component ID, and Cost Sharing Variant.

Code for Affordable Care Act (ACA) HIOS product ID and component code of the associated plan

Code for Affordable Care Act (ACA) market type of the associated plan

Code for Affordable Care Act (ACA) metal tier of the associated plan

Date on which the payment status of the claim was adjudicated

Used to determine which facility claims should be counted as inpatient admissions

Standard code for groupings that combine age and gender

Standard code for age groupings

Indicates whether this claim record is included in the adjustment processing of the aggregate build logic for admissions, episodes or DCGs

Allowed amount for an in-patient, in USD

Allowed amount for the managing physician, in USD

The practitioner assigned to the patient

A reference to an attributed practitioner resource with a period defining the time period in which the attribution is valid

FFV initiative attribution method code

The average wholesale price charged by wholesalers for the specific drug

HIPAA standard code for the benefit status

Canonical reference to the specific version of the measure used to generate the resource.

Indicates whether this service (encounter record) was capitated

Code for the capitation arrangement

Text describing the treatment or compliance event required to close the care gap. Should be suitable for display to patient.

Text describing the frequency of the treatment or compliance event required to close the care gap. Frequency should be suitable for display to patient.

Indicates if the patient received the targeted treatment to close the care gap.

Code for the carveout group

Top level category for classification purposes

Description of the level of the child practitioner within the organinzational hierarchy

Numeric level of the child practitioner within the organinzational hierarchy

Customer-specific code for the citizenship status of the person

The code for the claim’s adjustment type

Standard HIPAA code for the category of the claim status

Group ID of the plan member. This ID associates the primary plan holder with any dependents.

Classification of the information contained in this claim item detail section

Date the claim was received

The benefit plan on the claim item

Payment status of claim item

Original provider name as reported on the claim

Original provider postal code, as reported on the claim

Code for the status of a claim

Type of claim determined from the clinical source and not adjudicated claim

Indicator of Consolidated Omnibus Budget Reconciliation Act(COBRA) continuation for the person

ID of care gap for which we are communicating

Phone number, email, or address to contact

Language used for communication messaging content

Reference to the measure that resulted in the communication

Attributed provider, location, or organization communication is on-behalf of

Opt-out patient for communications by product and/or mode

Vendor-specific communication response code or text

Contains dynamic data elements and vendor / medium specific elements to be included in the message payload

Priority of the communication request (1 = highest)

Product generating the communication

Sequence for subsequent communication attempts to reengage the patient

Retry limit configuration, may vary by medium and vendor

Time communication was attempted

ID or url reference to template to be used for communication

Vendor used to send the communication

Company code of the subscriber as reported on the claim

Customer-specific code for the compound of the drug

Clinical course of the disease (how the disease behaves over time), such as acute versus chronic

Type of conversation, used for chat communications

Converted quantity expressed in standard unit value

Customer-specific code for the exclusion reason of a copayment

Code for Affordable Care Act (ACA) cost sharing reduction variant of the associated plan

The county code for the address

Number of covered days of eligibility

Reference to the insurance plan for this coverage

Date which reflects the month of eligibility

Snippet of covered text used as input to the insight asseessment

Indicates whether the claim is a crossover claim where a portion is paid by Medicare

Number of days between the date the claim was received and the date the claim was processed

Default value for the parameter

Indicator of the fully insured dental coverage for the member or employee

Plain text description that explains the insight score result

When the insight evaluation occurred.

Customer-specific code for the disposition reason, as related to how the claim was paid

Sex coding indicated on the legal document

Source type of the legal document

Source system or jurisdiction of the legal document

Indicator of the fully insured drug coverage for the member or employee

Indicator of dual eligibility for the Medicaid market

Effective period

Classification of the origin of the data value associated to a given element in a FHIR resource. The intent is that this extension value should be populated with a code from the process-meta-source-classification valueset.

Average number of hours the employee is scheduled to work per day

Birthdate of the employee or contract holder. For security, this field may be hidden or the value stored in this field should only contain the year

Business unit of the subscriber as reported on the claim

Code for the company of the employee

Code for the cost center of the employee

Flag of the employees in the eligibility record. Each employee is identified with a value of 1. All others are given values of 0.

Code for the department of the employee

Code for the division of the employee

Code indicating the highest level of education that the employee has completed (e.g., not a high school graduate, high school graduate, some college, associates degree, bachelors degree, graduate degree)

Indicator of whether the employee status is exempt or non-exempt

Full Time Equivalent calculation for the employee. Example 1: A full-time employee would have a value of 1. Example 2: A 20-hour per week employee would have a value of 0.5.

Total family size of the employee, whether or not dependents are insured or participating in any programs

Employee gender code

First date of employment for the employee

Identifier for the employee

Code for the job family of the employee

Code for the job grade of the employee

Code for the physical location where the employee works

Job title of the employee

Code for the labor union of the employee

Code indicating the frequency with which the employee is paid (e.g., daily, weekly, monthly)

Code indicating the performance rating of the employee, assigned as of the last review period

Date of retirement for the employee or contract holder

Code indicating the regular shift which the employee is scheduled to work (e.g., day, afternoon, midnight)

Age in years at the time of the event for the employee

Status of the employee based on one or more code systems. Example codes include HIPAA (HipaaEmployeeStatusCodeSystem), Payer (PayerEmployeeStatusCodeSystem) or customer-specific codes.

Code of the sub business unit of the employee

Last date of employment for the employee

Code indicating the reason for employee termination, if the employee was terminated (e.g., discharged, resigned)

Identification for the labor union member

Wage amount of the employee for the time period represented by the Wage Basis field

Code indicating the basis on which the wages of the employee are calculated (e.g., hourly, daily, weekly, bimonthly, monthly, annually)

Net credited service in years for the employee

Code for the employer as reported on the claim record

Encrypted state

Provider identifier of the primary care physician for the plan member

Original primary care physician (PCP) name as reporting on the eligibility record

Original primary care physician (PCP) zip code as reporting on the eligibility record

Code for the type of enrollment

Number of admissions related to the episode of care

Allowed amount for an out-patient episode, in USD

Allowed amount per episide for the primary care physician, in USD

Allowed amount per episide for the primary physician, in USD

Allowed amount per episode for the medications, in USD

Total allowed amount per episode, in USD

Body system related to the episode of care

Cost scale of the episode of care

Derived code for the episode of care

Derived indicator for the episode of care

Disease stage code for the episode of care

Duration of the episode of care, specified in days

Group code for the episode of care

Primary physician associated with the episode of care

Primary procedure type AHRQ code for the episode of care

Count of medications for the episode of care

Summary group code for the episode of care

Use scale for the episode of care

Code for the ethnicity of the person

Attachment for content created as output when producing the insight.

Indicator that identifies if the plan is available on a healthcare exchange marketplace

Schedule code for the FFV initiative

The unique identifier for the subscriber (contract holder, employee) and the associated dependents

Code for the family income level of the person based on the Federal Poverty Level (FPL)

Customer-specific code for the financial system

Indicates whether the claim was for a fully insured plan

Code for the funding arrangement

Version date of the organinzational hierarchy represented

Numeric version of the organinzational hierarchy represented

Gender, typically described in terms of masculinity and femininity, is a social construction that varies across different cultures and over time. This value is often used for identity purposes and should be collected directly from the patient.

Customer-specific code for the immigration status of the person

Industry classification code which can be based on the North American Industry Classification System (NAICS)

The ID generated by an ingestion service. This represents a producer-submitted message collection

Element level insights relating to the element values in the contained resource instance

Value the insight result used as input

Insight Confidence Details

The break down of information referenced to produce the insight and information specific scoring breakdown and output when appropriate

ID for the insight as it is known by the source (or source system) that this insight was provided from

Reference to content leveraged to produce the insight.

Value specific insight result details

Value specific final insight results

Score result produced by the scoring method for a specific insight

Summarizes the insight associated with the element that the insight summary extension is embedded in. The insight array element in the meta section of the resource with the same insight record id contains the full details on the insight.

Code for the specific insight type.

Field value that this insight result pertains to.

Container for elements providing insurance context

Category of insurance

Ordered rank to associate with an insurance option within a particular context (such as an Encounter)

Classifcation group of the job role of the employee, for example, Top Executives, Post-secondary teachers, and Engineers

5-digit zip code of the facility where the employee works

Specify preferred order of language use (1 = highest)

Indicates whether this claim record is the last or most recent claim

Latitude for the address

Sex as defined or amended on the patient’s legal documentation, for example a birth certificate or driver’s license

Code for the level of care

Code for the line of business

Customer-specific quantity of either services or units

Customer-specific code for the race of the person

Long term disability (LTD) benefit rate, expressed as a percentage of base wages (for example, 50.00%, 60.00%, 70.00%)

Longitude for the address

Number of weeks for which the employee is eligible for long-term disability (LTD) benefits

Elimination or waiting period for the long-term disability (LTD) benefit (for example, 90, 180 or 365 days). This is the amount of time between the first absent date and the coverage begin date.

Body system or disease related groupings of clinical conditions, based on diagnosis codes

Reference to the record that was compared for matching

Confidence code for the match

Confidence score for the match

Criteria or algorythm used to identify the matched resource

Detailed match algorthm results used to match resources

Method used to identify the matched resource

Time period when match is valid

Reference to the source resource that is matched

Defined parameter options implemented by the measure

Measure parameter value used to generate the measure report

Unique static identifier for the measure population that does not change between cohort engine runs. This is a user-friendly textual key (internal use only) that identifies a specific population. This id should be unique across all measures and should not change when a measure is versioned or when overrides are applied.

The provider identifier of the physician(s) assigned to the rule measure using one of the physician attribution methods

Supporting evidence showing detailed data about why a patient qualified (or did not qualify) for measure rules

Population id of populations that reference or utilize the rule definition

Textual title or description of the rule definition within a measure report

Output value of rule definition within a measure report

Measure Weight

Indicator of the fully insured medical coverage for the member or employee

Standard code for the type of Medicare coverage, if any, for the person

Indicator of Medicare coverage for the member

Code indicates whether the member is either an employee of the health plan, or the dependent of an employee of the health plan

Customer-specific identifier of the patient provider network in which the member is enrolled

Code for the language of the person

Customer-specific quantity of services or units allowed

Indicates whether the claim was for a nursing home patient

Offset location of the first character for the span of covered text in relation to the overall reference where this span of text appears

Offset location of the last character for the span of covered text in relation to the overall reference where this span of text appears

Value that was used for the parameter

Description of the level of the parent within the organinzational hierarchy

Numeric level of the parent within the organinzational hierarchy

Customer-specific code for the participating plan

Path to a FHIR element

Code to identify if the person is a U.S. Citizen

Indicates whether the member has dental benefit coverage: Y or N

Indicates whether the member has drug benefit coverage: Y or N

Indicates whether the member has hearing benefit coverage: Y or N

Indicates whether the member or employee has long-term care benefit coverage

Code for the managed care plan type under which the eligible individual is enrolled

Indicates whether the member has medical benefit coverage: Y or N

Indicates whether the member has mental health ambulatory benefit coverage: Y or N. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting.

Indicates whether the member has mental health day-night benefit coverage: Y or N. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting.

Indicates whether the member has mental health Inpatient benefit coverage: Y or N. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting.

Indicates whether the primary care physician is the physician considered either responsible or accountable for this claim

Indicates whether the member has mental health and substance abuse benefit coverage: Y or N

Specifies whether the member should be counted as eligible for the coverage period

Indicates whether the member or employee has short-term care benefit coverage

Indicator of Substance Abuse (chemical dependency) Ambulatory benefit coverage for the member. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting.

Indicator of Substance Abuse (chemical dependency) day-night benefit coverage for the member. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting.

Indicator of Substance Abuse (chemical dependency) inpatient benefit coverage for the member. This finer granularity of MHSA benefit coverage may be used in HEDIS reporting.

Indicates whether the member has vision benefit coverage: Y or N

Code indicating whether the member is an employee of the health plan or the dependent of an employee of the health plan

Description of the level of the practitioner within the organinzational hierarchy

Numeric level of the practitioner within the organinzational hierarchy

Indicates prior authorization for the claim

Problem priority code

Problem type code

Code assigned to categorize related procedures

Modifier codes used either to supplement information, or to adjust procedure care descriptions

The ID of the client as recorded in the data producer or data integrator source system(s)

The name of the process or service that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, use the process-name as the name of that analytic service.

The organizing entity that owns the process that has produced the data held in the FHIR resource or element. Example: If an analytic service has been the producer, the process-organization value should reflect the organaization reponsible for the service.

The record ID that the data producer or data integrator uses internally to identify this data

The timestamp when the data was generated within the FHIR resource or element

The classification type of the process that has produced the data held in either the FHIR resource or element. Example: If the process is primarily a Natural Language Processing (NLP) service, you can specify NLP as the type. Or, if the process is primarily one that aggregates and groups related items, you can specify Grouper as the type.

The version of either the process or the service that has produced the data held in the FHIR resource or element

Customer-specific description of the region for the address

Quality measures related to the FFV intitiative

Code for the geographic insurance rating area of the associated plan

Facility where condition was recorded

Communication reengagement sequence display text

Communication reengagement sequence value

A code describing the context of the reference

Path to FHIR element in the reference that was leveraged to produce the insight.

A time period in which the reference is valid

Ordered rank of the reference. This can apply to any of the referenced resources. For example, Procedure ranked as 1, 2,3, etc.

Indicates whether the service resulted from a referral

Customer-specific code for the geographic region of the address

Method of payment code for the claim

Indicates whether the reinsurance amount was met

Related issues that can be combined to fulfill a single time period for a given care gap.

Related observations that can be combined to fulfill a single time period for a given care gap or other measure population.

Code of the scope of Medicaid or CHIP benefits for a person

Customer-specific code for the ITS routing number

Count of prescriptions for the drug claim

Indicates whether the prescription drug is included in the formulary

Customer-specific code for the payment tier of the drug Claim

Indicates whether the drug claim is a medical supply (Y) or a drug (N)

Indicator of whether the employee status is salaried

Customer-specific code for the type of third party savings

Method used to assess score the insight

References matched source entities. Links a matched resource to one or more source resources that refer the same person (patient, practitioner) or entity (location, organization).

Records date/time and outcome of communication attempts with the recipient

Records date/time and outcome of communications sent to vendor

Number of days between the date of service and the date the claim was received

Sex assigned at birth based on observation by a physician. Also called phenotype, or how the genes were expressed, based on the observation of the doctor. This assignment may not match the gender identity of the person, which will not be known until the newborn is older.

Patient’s physical, romantic, and/or emotional attraction towards other people

Short term disability (STD) benefit rate, expressed as a percentage of base wages or benefit amount (for example, 50.00%, 60.00%, 70.00%)

Number of weeks for which the employee is eligible for short-term disability (STD) benefits

Elimination or waiting period for the short-term disability (STD) benefit (for example, 90, 180 or 365 days). This is the amount of time between the first absent date and the coverage begin date.

Date indicating when the age fields were calculated

Age in months at the time of the event

Age in weeks at the time of the event

Age in years at the time of the event

Version of the source system’s data model, used by either the data producer or the data integrator

Date and time of the source event that triggers either the creation or updating of this FHIR resource

The event that is the catalyst for creating or updating this FHIR resource

The ID for a file from which the data producer or data integrator extracted knowledge, to produce the data within this FHIR resource or element

The ID of the source of information provided

The ID for a record that the data producer or data integrator extracted knowledge from to produce the data within the FHIR resource or element

Either the data model type or schema type that generates this FHIR resource

Detail on a span of text from a reference source used as input for an insight evaluation

Method used to identify the matched resource to split

Indicates if the person receives Supplemental Security Income (SSI) administered via the Social Security Administration (SSA), at the time of coverage

Standard code of the Supplemental Security Income (SSI) status for the person, at the time of coverage

Recorded reason specified by the recipient

Customer-specific patient status codes

Customer-specific code for the type of electronic submission

Encrypted identifier of the subscriber or family

Standard code of the Temporary Assistance for Needy Families (TANF) benefits for the person

The ID for either the client or tenant that holds the contract with the data receiver, as recorded by the data receiver. This ID must be unique to data sent on behalf of that client or tenant within the data receiver systems. The receiver systems should associate this ID to the messages that originate from this client or tenant. This supports traceability, data protection, and data isolation, when appropriate.

Number of dependents covered by the group health medical plan

Indicator that the contract holder (subscriber) belongs to a union

Usual and customary amount on the drug claim

Customer-specific code for the type of utilization review

Indicates whether the individual served in the active military, naval, or air service

Indicator of the fully insured vision coverage for the member or employee

Value set that defines a tooth quadrant

Value set that defines a tooth

Adjudication category value set for claims

Standard value set for age and gender based on HEDIS cohort codes

Age group value set for claims.

Extended set of reasons for the cancellation of an appointment

Types of attribution used to associate a patient to a provider

Products that associate a patient to a practitioner

Sources of attribution used to associate a patient to a practitioner

Value set for the basic resource type

Citizenship status codes

Value set that defines the function of a team member within a care team

Item detail classification value set for claims

Value set for the claim subtypes used to further define the claim type

Category that groups related types of supporting info supplied on the claim

Supporting information type codes for claims

Value set for the coverage type under which the claim was paid

Value set for clinical course of a disease (how the disease behaves over time)

The Present On Admission (POA) value set for diagnosis codes on an inpatient acute care facility Claim

Value set for the diagnosis codes on a claim

Extended class codes for encounters

Communication modes supported for Engagement communication

Status codes detailing the reason and status history for an Engagement communication request.

Status codes detailing the reason and status history for an Engagement communication.

Codes indicating types for Engagement communications

Codes indicating reasons patients may specify for opting-out of Engagement communications

LinuxForHealth engagement products

Er Or Observation Room Service value set for claims

LinuxForHealth valuset defining fee for value initiative schedule codes

Typically, gender identity codes are described in terms of masculinity and femininity. Gender identity is a social construct that varies, both across different cultures and over time. This value is often used for identity purposes, and should be collected directly from the patient.

HIPAA standard value set for the benefit status

HIPAA standard value set for the employee status

HIPAA standard value set for the relationship of the member to the contract holder

Extended set of identifier type codes from FHIR HL7 and extended LinuxForHealth Common Data Model resource identifiers

Values for the top level categorization of an insight produced relating to specific FHIR element(s) in the resource instance.

The value set that indicates the specific types of costs (admin fees, premiums, etc.) that may be tied to a member based on their Insurance plan cost category

The value set that indicates the specific benefit categories a member may have (medical, dental, vision, etc) based on benefit election.

The value set that indicates the specific benefit categories a member may have (medical, dental, vision, etc) based on benefit election.

Value set that defines a category of insurance

Codes indicating the source of legal document used for identification

Codes indicating the system of legal document used for identification

Codes indicating confidence level of matched entities

Codes indicating methods used to identify matched entities

LinuxForHealth measure population types

Medication knowledge cost type value set

The Diagnosis Related Group (MS-DRG) value set under which the claim was paid, as reported on the facility Claim

The NCPDP industry standard description of how the product was dispensed.

A common set of non-hyphenated National Drug Codes listed by the FDA (Food and Drug Administration). Non-hpyhenated codes are recieved for prescription drug claims. Hyphenated NDC codes should also be included as an additional coding, when available.

LinuxForHealth standard values for organization type

An indicator of whether the claim was paid at the in-network or out-of-network level.

Patient importance status codes derived from customer-specific code mappings, used to trigger or limit LinuxForHealth patient operations.

Examples of customer-specific patient status codes

Value set containing payer codes indicating the type of adjustment for the claim

Value set containing payer codes for the payment status of the claim.

LinuxForHealth standard value set for the coverage class

Value set containing payer coodes for the education level

Payer employee status value set for claims

Payer gender value set

Payer indicator type value set

Value set containing payer codes for the job title, based on Bureau of Labor Statistics, Standard Occupational Classification (SOC) system.

Value set containing major diagnostic category codes for payers

Value set containting payer codes for the type of Medicare coverage, if any, for the person

Value set containing procedure group codes for payers

Payer Supplemental Security Income (SSI) status value set for the person

Payer subscriber relationship value set for the relationship of the member to the contract holder

Temporary Assistance for Needy Families (TANF) benefit value set for the person

The value set that indicates the place of service, based on standard values from Centers for Medicare and Medicaid Services (CMS).

LinuxForHealth standard values for practitioner role type

The value set indicating the procedure modifiers

The value set indicating the procedure type

LinuxForHealth measure population types for qualiity measures

LinuxForHealth measure scoring methods for qualiity measures

The Value Set for the flag indicating the type of room and board services on a facility Claim

LinuxForHealth standard value set indicating the purchase place of the prescription.

Codes describing a role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered. This extended valueset includes the standard HL7 FHIR codes plus CMS Place of Service Codes.

Sex assigned at birth based on observation by a physician. Also called phenotype, or how the genes were expressed, based on the observation of the doctor. This assignment may not match the gender identity of the person, which will not be known until the newborn is older.

Codes indicating a person’s physical, romantic, and/or emotional attraction towards other people

Value set for classifying data origin

Codes indicating methods used to identify matched entities to split

Value set for the UB04 admission billing type

Value set for the UB04 admission type

Code system that defines a tooth

Code system that defines a tooth quadrant

Adjudication category codes for claims

Standard codes for age and gender based on HEDIS cohort codes

Age group codes for claims.

Extended reasons for the cancellation of an appointment

Types of attribution used to associate a patient to a provider

Product that associate a patient to a practitioner

Sources of attribution used to associate a patient to a practitioner

Standard codes for the basic resource type

Code system that defines the function of a team member within a care team

Item detail classification for claims

Standard codes for the claim subtypes used to further define the claim type

Claim supporting info category codes for LinuxForHealth claims

Supporting information type codes for claims

Codes for clinical course of a disease (how the disease behaves over time). These are part of SNOMED course parent concept (288524001).

The Present On Admission (POA) code for diagnosis codes on an inpatient acute care facility Claim

Standard codes for the diagnosis codes on a claim

Extended class codes for encounters

Communication modes supported for Engagement communication

Status codes detailing the reason and status history for an Engagement communication request.

Status codes detailing the reason and status history for an Engagement communication.

Codes indicating conversation types for Engagement communications

Codes indicating reasons patients may specify for opting-out of Engagement communications

LinuxForHealth engagement products

Er Or Observation Room Service codes for claims

LinuxForHealth fee for value initiative schedule codes

Typically, gender identity codes are described in terms of masculinity and femininity. Gender identity is a social construct that varies, both across different cultures and over time. This value is often used for identity purposes, and should be collected directly from the patient.

HIPAA standard codes for the benefit status

HIPAA standard codes for the employee status

HIPAA standard codes for the relationship of the member to the contract holder

Extended set of Identifier type code for LinuxForHealth Common Data Model resources

Top level categorization of an insight produced relating to specific FHIR element(s) in the resource instance.

The codes that indicates the specific types of costs (admin fees, premiums, etc.) that may be tied to a member based on their Insurance plan cost category

The codes that indicates the specific benefit categories a member may have (medical, dental, vision, etc) based on benefit election.

The codes that indicates the specific benefit categories a member may have (medical, dental, vision, etc) based on benefit election.

Code system that defines a category of insurance

Codes indicating the source of legal document used for identification

Codes indicating the system of legal document used for identification

Codes indicating confidence level of matched entities

Codes indicating methods used to identify matched entities

LinuxForHealth measure population types

Medication knowledge cost type code

The Diagnosis Related Group (MS-DRG) code under which the claim was paid, as reported on the facility Claim

The NCPDP industry standard description of how the product was dispensed.

A common set of non-hyphenated National Drug Codes listed by the FDA (Food and Drug Administration). Non-hpyhenated codes are recieved for prescription drug claims. Hyphenated NDC codes should also be included as an additional coding, when available.

An indicator of whether the claim was paid at the in-network or out-of-network level.

Patient status code examples

Patient status code examples

Payer codes for the type of adjustment for the claim

Payer codes for the payment status of the claim.

Payer codes for the coverage type under which the claim was paid

LinuxForHealth standard code for the coverage class

Payer codes for the education level

Payer employee status value set for claims

Payer gender codes

Payer indicator type code

Major diagnostic category codes for payers

Payer codes for the type of Medicare coverage, if any, for the person

Procedure group codes for payers

Payer provider type code as reported on the claim.

Payer Supplemental Security Income (SSI) status codes for the person

Payer subscriber relationship value set for the relationship of the member to the contract holder

Temporary Assistance for Needy Families (TANF) benefits for the person

Codes indicating the procedure modifiers

Codes indicating the procedure type

Identifies the class of origin of the data elements

The code for the flag indicating the type of room and board services on a facility Claim

LinuxForHealth standard codes indicating the purchase place of the prescription.

Sex assigned at birth based on observation by a physician. Also called phenotype, or how the genes were expressed, based on the observation of the doctor. This assignment may not match the gender Identity of the person, which will not be known until the newborn is older.

Codes indicating a person’s physical, romantic, and/or emotional attraction towards other people

Codes indicating methods used to identify matched entities to split

Codes for the UB04 admission billing type

Codes for the UB04 admission type

Sample appointment in booked status

Sample of a CDM Basic Resource with PII token

Sample of a CDM Drug Claim

Sample of a CDM Facility Claim

Sample of a CDM Professional Claim

Sample of a CDM Drug Claim Response

Sample of a CDM Facility Claim Response

Sample of a CDM Professional Claim Response

Sample of a hypertension condition diagnosed by a condition record

Sample encounter

Sample of a CDM Explanation of Benefit for a pharmacy claim

Sample of a CDM Explanation of Benefit for a profession claim

Sample library entry for CMS146, including example default parameter values

Example of a CDMPatient representing a patient ingested from a EMR or PMS system who is deceased

Example of a CDMPatient representing a patient ingested from a EMR or PMS system

Sample CDM Patient showing various PCP attributions with period

Sample CDM Patient showing multiple opt-out modes

Sample CDM Patient showing customer-specific privacy and derived LinuxForHealth VIP and DO-NOT-CONTACT codes

CDM Patient example where data quality process has specified value specific data quality cross-check insights

Sample imputed PCP created from Advantage Suite

Sample CDM PractitionerRole created by engagement PCP attribution

Sample CDM PractitionerRole ingested from EMR or PMS system

Sample CDM PractitionerRole ingested from Enrollment or Payer system

Sample clinical exam procedure

Sample of a CDM Service Request

Example of an detected issue indicating that the patient was in a care gap over a period of time

Sample CDM Organization representing a communication vendor

Condition example where condition code is set from NLP derived insights

Example of a coverage record for a deceased patient beneficiary

Example of a coverage record for a child beneficiary

Sample of a CDM Drug Coverage Claim

Example of a coverage record for a patient beneficiary

Sample CDM Practitioner ingested from a EMR or PMS system

Sample CDM Practitioner ingested from a EMR or PMS system

Sample CDM Organization representing an employer

Example of an engagement communication to send a SMS text to a patient concerning a care gap

Example of an engagement communication request to send a SMS text to a patient concerning a care gap

Example instance of an Fee for Value Initative

Example Quality Measure List containing entry references to specific measures

Sample CDM Organizationr representing a hospital ingested from a EMR or PMS system

Sample CDM Organization representing LinuxForHealth

Example of a insurance plan record for a patient beneficiary

Sample CDM Location ingested from a EMR or PMS system

Sample of a matched location linked to multiple source locations, each with confidence level and period

Sample of a matched source location with mpi guid identifier and reference to the match location

Sample of a matched source location with mpi guid identifier and reference to the match location

Sample of a matched patient linked to multiple source patients, each with confidence level and period

Sample of a matched source patient with reference to the match patient. Used to demonstrate patient matching.

Sample of a matched source patient with reference to the match patient. Used to demonstrate patient matching.

Sample of a matched source patient with reference to the match patient. Used to demonstrate patient matching.

Sample of a matched source patient with a reference to the a different match patient due to a fuzzy low-confidence match and a manaul user split. Used to demonstrate patient matching.

Sample of a matched practitioner linked to multiple source practitioners, each with confidence level and period

Sample of a matched source practitioner with mpi guid identifier and reference to the match practitioner

Sample of a matched source practitioner with mpi guid identifier and reference to the match practitioner

Sample information about a medication for a drug claim

Sample medication request or order for a drug claim

Example instance of an Fee for Value Initative milesone incentive program

Example of an observation indicating that the patient was in a numerator over a period of time

Example of an observation indicating that the patient was in a care gap over a period of time

Sample observation showing a high blood pressure panel

Sample CDM Organization representing a payer

Example of primary payer data originating from an EMR system

Sample CDM Organization representing a provider

Example measure containing criteria for measure rules

Example measure report containing individual measure results for a single patient

Example measure report containing measure results for an attributed practitioner

Example of a related care gap detected issue that has been resolved or reassigned to another provider.

Example of an observation indicating that the patient was in a related care gap over a period of time

Example of an observation indicating that the patient was in a related numerator over a period of time

Example of secondary payer data originating from an EMR system