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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State Abbreviation of state. 10-2011
Carrier Number Account Number assigned during installation. 10-2011
Carrier Number Account Number assigned during installation. 04-2014
Contract Number Account Number assigned during installation for segments of business 10-2011
Contract Number Account Number assigned during installation for segments of business 04-2014
Prior Authorization Quantity Accumulated Accumulated authorized amount expressed in metric decimal units. 10-2011
Prior Authorization Quantity Accumulated Accumulated authorized amount expressed in metric decimal units. 04-2014
Days Supply Used to Date Accumulated authorized amount of days supply used to date 10-2011
Days Supply Used to Date Accumulated authorized amount of days supply used to date 04-2014
Result of Service Code Action taken by a pharmacist or prescriber in response to a conflict or the result of a pharmacist's professional service. 10-2011
Result of Service Code Action taken by a pharmacist or prescriber in response to a conflict or the result of a pharmacist's professional service. 04-2014
ServiceResultCode Action taken in response to a conflict. 10-2011
ServiceResultCode Action taken in response to a conflict. 04-2014
Record Indicator Action to be taken on the record. 10-2011
Record Indicator Action to be taken on the record. 04-2014
MeasurementValue Actual value of clinical information. 10-2011
Measurement Value Actual value of clinical information. 10-2011
MeasurementValue Actual value of clinical information. 04-2014
Measurement Value Actual value of clinical information. 04-2014
Plan ID Extension Additional information to describe the plan identification. 10-2011
AcknowledgementReason Additional textual information regarding intervention and/or acknowledgment associated with a DUE conflict. 10-2011
AcknowledgementReason Additional textual information regarding intervention and/or acknowledgment associated with a DUE conflict. 04-2014
DrugAdminReasonText Additional textual information regarding the message. 10-2011
DrugAdminReasonText Additional textual information regarding the message. 04-2014
Carrier Address Address of the carrier. 10-2011
Carrier Address Address of the carrier. 04-2014
Processor Address Address of the processor corresponding to field 840-5W. 10-2011
Administrative Fee Amount Administrative fee charge per claim. 10-2011
Administrative Fee Amount Administrative fee charge per claim. 04-2014
Allowed Amount Allowable charges for covered services based on the specially negotiated fee between the provider and MCO. 10-2011
Allowed Amount Allowable charges for covered services based on the specially negotiated fee between the provider and MCO. 04-2014
ProhibitRefillRequest Allows the prescriber to indicate to the pharmacy that the pharmacy should never request refills for this specific prescription by any technique. 10-2011
ProhibitRefillRequest Allows the prescriber to indicate to the pharmacy that the pharmacy should never request refills for this specific prescription by any technique. 04-2014
Question Alphanumeric Response Alphanumeric response to a question (part of the question information). 10-2011
Question Alphanumeric Response Alphanumeric response to a question (part of the question information). 04-2014
Alternate Group Number Alternate group number assigned to the cardholder by the client. 10-2011
Alternate ID Number Alternate ID number assigned to the cardholder or family member. 10-2011
Alternate ID Number Alternate ID number assigned to the cardholder or family member. 04-2014
Alternate Person Code Alternate person code assigned to family members. 10-2011
Preferred Product ID Alternate product recommended by the plan. 10-2011
Preferred Product ID Alternate product recommended by the plan. 04-2014
Out Of Pocket Apply Amount Amount applied to out of pocket expense. 10-2011
Out Of Pocket Apply Amount Amount applied to out of pocket expense. 04-2014
Prior Authorization Quantity Amount authorized expressed in metric decimal units. 10-2011
Prior Authorization Quantity Amount authorized expressed in metric decimal units. 04-2014
Prior Authorization Dollars Authorized Amount authorized in the prior authorization. 10-2011
Prior Authorization Dollars Authorized Amount authorized in the prior authorization. 04-2014
Usual and Customary Charge Amount charged cash customers for the prescription exclusive of sales tax or other amounts claimed. 10-2011
Usual and Customary Charge Amount charged cash customers for the prescription exclusive of sales tax or other amounts claimed. 04-2014
Quantity Prescribed Amount expressed in metric decimal units. 10-2011
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