United States Health Information Knowledgebase

 

Data Elements

The heart of the registry is the data element; a basic unit of information collected about anything of interest—for example, a pharmaceutical name or the city in which a patient lives. The data in the registry is not the drug name itself or the actual city name, but rather the metadata about how information is collected. Metadata is often defined as "data about data", a definition which is technically correct, but does not convey the richness of data information which must be recorded. In order to use a piece of data, one must know specific things precisely placing the data item in terms of meaning, quality, context, chronology, and source. The specific things—metadata—are expressed in the form of attributes.

The content of the attributes for each data element is found at the most specific level of the registry on the Data Element Details page. Not all attributes may be collected by each organization for each data element, although there is a subset, which is generally considered best practice and, for standards purposes, is required. Data elements within the Registry are documented within a standard format, using the ISO/IEC international standard 11179, "Information technology — Metadata Registries — Part 3, Registry Metamodel and basic attributes." According to the registry metamodel standard, a data element is essentially a unit of data for which the definition, identification, representation, and permissible values are specified by means of a set of attributes.


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Audit Range Qualifier Indicates the type of range being requested. 04-2014
Audit Range Start Indicates the beginning of the audit range of data. 10-2011
Audit Range Start Indicates the beginning of the audit range of data. 04-2014
Audit Sponsor Payer, Plan Sponsor or PBM who is requesting the audit be performed. 10-2011
Audit Sponsor Payer, Plan Sponsor or PBM who is requesting the audit be performed. 04-2014
Audit Request Type Type of audit being requested. 10-2011
Audit Request Type Type of audit being requested. 04-2014
AuthorizationNumber See Authorization Number (503-F3) 04-2014
Authorization Number Number assigned by the processor to identify an authorized transaction. 10-2011
Authorization Number Number assigned by the processor to identify an authorized transaction. 04-2014
Authorized Representative City Address Free-form text for city name. 10-2011
Authorized Representative City Address Free-form text for city name. 04-2014
Authorized Representative Country Code Code of the country. 04-2014
Authorized Representative First Name First name of the patient's authorized representative. 10-2011
Authorized Representative First Name First name of the patient's authorized representative. 04-2014
Authorized Representative Last Name Last name of the patient's authorized representative. 10-2011
Authorized Representative Last Name Last name of the patient's authorized representative. 04-2014
Authorized Representative State/Province Address Standard State/Province code as defined by appropriate government agency. 10-2011
Authorized Representative State/Province Address State/Province Code of the authorized representative. 04-2014
Authorized Representative Street Address Free-form text for address information. 10-2011
Authorized Representative Street Address Line 1 Free-form text for address line 1 information. 04-2014
Authorized Representative Street Address Line 2 Free-form text for address line 2 information. 04-2014
Authorized Representative Zip/Postal Code Code defining international postal code excluding punctuation of authorized representative. 04-2014
Authorized Representative Zip/Postal Zone Code defining international postal zone excluding punctuation and blanks (zip code for US). 10-2011
Average Cost Per Quantity Unit Price Average Cost Per Quantity as defined by processor. 10-2011
Average Cost Per Quantity Unit Price Average Cost Per Quantity as defined by processor. 04-2014
Average Generic Unit Price Average Generic Price per unit as defined by processor. 10-2011
Average Generic Unit Price Average Generic Price per unit as defined by processor. 04-2014
Average Wholesale Unit Price Average Wholesale Price per unit for the drug as defined by processor. 10-2011
Average Wholesale Unit Price Average Wholesale Price per unit for the drug as defined by processor. 04-2014
Balance Forward Indicates an amount from a previous payment cycle that will be applied in the current cycle's claim activity. This field will not be populated if the amount is not being applied in the current payment cycle 10-2011
Bank Account Identifies the bank account used to deposit funds when ACH deposits are made instead of checks. 10-2011
Bank Routing ID Identifies the bank routing ID when ACH deposits are used instead of checks. 10-2011
Basis Of Calculation-Copay Code indicating how the Copay reimbursement amount was calculated for 'Patient Pay Amount' (505-F5). 10-2011
Basis Of Calculation-Dispensing Fee Code indicating how the reimbursement amount was calculated for 'Dispensing Fee Paid' (507-F7). 10-2011
Basis Of Calculation-Dispensing Fee Code indicating how the reimbursement amount was calculated for 'Dispensing Fee Paid' (507-F7). 04-2014
Basis Of Calculation-Flat Sales Tax Code indicating how the reimbursement amount was calculated for 'Flat Sales Tax Amount Paid' (558-AW). 10-2011
Basis Of Calculation-Percentage Sales Tax Code indicating how the reimbursement amount was calculated for 'Percentage Sales Tax Amount Paid' (559-AX). 10-2011
Basis of Calculation -Coinsurance Code indicating how the Coinsurance reimbursement amount was calculated for 'Patient Pay Amount' (505-F5). 10-2011
Basis of Calculation - Coinsurance Code indicating how the Coinsurance reimbursement amount was calculated for 'Patient Pay Amount' (5(5-F5). 04-2014
Basis Of Calculation - Copay Code indicating how the Copay reimbursement amount was calculated for 'Patient Pay Amount' (505-F5). 04-2014
Basis Of Calculation - Flat Sales Tax Code indicating how the reimbursement amount was calculated for 'Flat Sales Tax Amount Paid' (558-AW). 04-2014
Basis Of Calculation - Percentage Sales Tax Code indicating how the reimbursement amount was calculated for 'Percentage Sales Tax Amount Paid' (559-AX). 04-2014
Basis Of Cost Determination Code indicating the method by which 'Ingredient Cost Submitted' (Field 409-D9) was calculated. 10-2011
Basis Of Cost Determination Code indicating the method by which 'Ingredient Cost Submitted' (Field 409-D9) was calculated. 04-2014
Basis Of Days Supply Determination Code indicating the method by which the days supply was determined. 10-2011
Basis Of Reimbursement Determination Code identifying how the reimbursement amount was calculated for 'Ingredient Cost Paid' (506-F6). 10-2011
Basis Of Reimbursement Determination Code identifying how the reimbursement amount was calculated for 'Ingredient Cost Paid' (506-F6). 04-2014
Basis Of Request Code describing the reason for prior authorization request. 10-2011
Basis Of Request Code describing the reason for prior authorization request. 04-2014
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