{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-276.6.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-276.6.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-276.6.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-276.6.html"}],"law_id":77566,"edition_id":1,"section_id":77566,"structure_id":14841,"section_number":"32.1-276.6","catch_line":"Patient level data system continued; reporting requirements","history":"1996, c. 902; 2001, c. 341; 2003, c. 466; 2009, c. 652; 2025, c. 487.","full_text":"A\n\nThe Virginia Patient Level Data System is hereby continued, hereinafter referred to as the “System.” Its purpose shall be to establish and administer an integrated system for collection and analysis of data which shall be used by consumers, employers, providers, and purchasers of health care and by state government to continuously assess and improve the quality, appropriateness, and accessibility of health care in the Commonwealth and to enhance their ability to make effective health care decisions.B\n\nEvery inpatient hospital shall submit to the Board patient level data as set forth in this subsection. Every general hospital, ordinary hospital, outpatient surgical hospital or other facility licensed or certified pursuant to Article 1 (\u00a7 32.1-123 et seq.) of Chapter 5 of this title and every physician and every oral and maxillofacial surgeon certified to perform certain procedures pursuant to \u00a7 54.1-2709.1 performing surgical procedures in his office shall also submit to the board outpatient surgical data as set forth in this subsection. Every oral and maxillofacial surgeon certified to perform certain procedures pursuant to \u00a7 54.1-2709 shall submit to the Board outpatient surgical data as set forth in this subsection for only those procedures for which certification is required pursuant to \u00a7 54.1-2709.1.\n\t\t\tAny such hospital, facility, physician or oral and maxillofacial surgeon, as defined in \u00a7 32.1-276.3, may report the required data directly to the nonprofit organization cited in \u00a7 32.1-276.4. Unless otherwise noted, patient level data elements for hospital inpatients and patients having outpatient surgery shall include, where applicable and included on standard claim forms:1\n\nHospital identifier;2\n\nAttending physician identifier (inpatient only);3\n\nOperating physician or oral and maxillofacial surgeon identifier;4\n\nPayor identifier;5\n\nEmployer identifier as required on standard claims forms;6\n\nPatient identifier (all submissions);7\n\nPatient sex, race (inpatient only), date of birth (including century indicator), street address, city or county, zip code, employment status code, status at discharge, and birth weight for infants (inpatient only);8\n\nAdmission type, source (inpatient only), date and hour, and diagnosis;9\n\nDischarge date (inpatient only) and status;10\n\nPrincipal and secondary diagnoses;11\n\nExternal cause of injury;12\n\nCo-morbid conditions existing but not treated;13\n\nProcedures and procedure dates;14\n\nRevenue center codes, units, and charges as required on standard claims forms; and15\n\nTotal charges.C\n\nState agencies providing coverage for outpatient services shall submit to the Board patient level data regarding paid outpatient claims. Information to be submitted shall be extracted from standard claims forms and, where available, shall include:1\n\nProvider identifier;2\n\nPatient identifier;3\n\nPhysician or oral and maxillofacial surgeon identifier;4\n\nDates of service and diagnostic, procedural, demographic, pharmaceutical, and financial information; and5\n\nOther related information.D\n\nWhen a patient has experienced a nonfatal opioid overdose, the Board shall report admission, transfer, and discharge data elements submitted for such patient pursuant to § 32.1-372 to the Department of Health Professions for use in the Prescription Monitoring Program established in § 54.1-2520. The Department of Health Professions shall consult with the Department as appropriate to ensure the successful transfer of admission, transfer, and discharge data elements for use in the Prescription Monitoring Program. The Department of Health Professions shall only provide such data to practitioners as provided in § 54.1-2522.1 and in accordance with the confidentiality requirements of this chapter and § 54.1-2523.\n\t\t\tThe Board shall promulgate regulations specifying the format for submission of such outpatient data. State agencies may submit this data directly to the nonprofit organization cited in § 32.1-276.4.","order_by":null,"text":{"0":{"id":278262,"text":"The Virginia Patient Level Data System is hereby continued, hereinafter referred to as the “System.” Its purpose shall be to establish and administer an integrated system for collection and analysis of data which shall be used by consumers, employers, providers, and purchasers of health care and by state government to continuously assess and improve the quality, appropriateness, and accessibility of health care in the Commonwealth and to enhance their ability to make effective health care decisions.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":278263,"text":"Every inpatient hospital shall submit to the Board patient level data as set forth in this subsection. Every general hospital, ordinary hospital, outpatient surgical hospital or other facility licensed or certified pursuant to Article 1 (\u00a7 32.1-123 et seq.) of Chapter 5 of this title and every physician and every oral and maxillofacial surgeon certified to perform certain procedures pursuant to \u00a7 54.1-2709.1 performing surgical procedures in his office shall also submit to the board outpatient surgical data as set forth in this subsection. Every oral and maxillofacial surgeon certified to perform certain procedures pursuant to \u00a7 54.1-2709 shall submit to the Board outpatient surgical data as set forth in this subsection for only those procedures for which certification is required pursuant to \u00a7 54.1-2709.1.\n\t\t\tAny such hospital, facility, physician or oral and maxillofacial surgeon, as defined in \u00a7 32.1-276.3, may report the required data directly to the nonprofit organization cited in \u00a7 32.1-276.4. Unless otherwise noted, patient level data elements for hospital inpatients and patients having outpatient surgery shall include, where applicable and included on standard claim forms:","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"B1"},"2":{"id":278264,"text":"Hospital identifier;","type":"section","prefixes":["B","1"],"prefix":"1","entire_prefix":"B1","prefix_anchor":"B1","level":2,"prior_prefix":"B","next_prefix":"B2"},"3":{"id":278265,"text":"Attending physician identifier (inpatient only);","type":"section","prefixes":["B","2"],"prefix":"2","entire_prefix":"B2","prefix_anchor":"B2","level":2,"prior_prefix":"B1","next_prefix":"B3"},"4":{"id":278266,"text":"Operating physician or oral and maxillofacial surgeon identifier;","type":"section","prefixes":["B","3"],"prefix":"3","entire_prefix":"B3","prefix_anchor":"B3","level":2,"prior_prefix":"B2","next_prefix":"B4"},"5":{"id":278267,"text":"Payor identifier;","type":"section","prefixes":["B","4"],"prefix":"4","entire_prefix":"B4","prefix_anchor":"B4","level":2,"prior_prefix":"B3","next_prefix":"B5"},"6":{"id":278268,"text":"Employer identifier as required on standard claims forms;","type":"section","prefixes":["B","5"],"prefix":"5","entire_prefix":"B5","prefix_anchor":"B5","level":2,"prior_prefix":"B4","next_prefix":"B6"},"7":{"id":278269,"text":"Patient identifier (all submissions);","type":"section","prefixes":["B","6"],"prefix":"6","entire_prefix":"B6","prefix_anchor":"B6","level":2,"prior_prefix":"B5","next_prefix":"B7"},"8":{"id":278270,"text":"Patient sex, race (inpatient only), date of birth (including century indicator), street address, city or county, zip code, employment status code, status at discharge, and birth weight for infants (inpatient only);","type":"section","prefixes":["B","7"],"prefix":"7","entire_prefix":"B7","prefix_anchor":"B7","level":2,"prior_prefix":"B6","next_prefix":"B8"},"9":{"id":278271,"text":"Admission type, source (inpatient only), date and hour, and diagnosis;","type":"section","prefixes":["B","8"],"prefix":"8","entire_prefix":"B8","prefix_anchor":"B8","level":2,"prior_prefix":"B7","next_prefix":"B9"},"10":{"id":278272,"text":"Discharge date (inpatient only) and status;","type":"section","prefixes":["B","9"],"prefix":"9","entire_prefix":"B9","prefix_anchor":"B9","level":2,"prior_prefix":"B8","next_prefix":"B10"},"11":{"id":278273,"text":"Principal and secondary diagnoses;","type":"section","prefixes":["B","10"],"prefix":"10","entire_prefix":"B10","prefix_anchor":"B10","level":2,"prior_prefix":"B9","next_prefix":"B11"},"12":{"id":278274,"text":"External cause of injury;","type":"section","prefixes":["B","11"],"prefix":"11","entire_prefix":"B11","prefix_anchor":"B11","level":2,"prior_prefix":"B10","next_prefix":"B12"},"13":{"id":278275,"text":"Co-morbid conditions existing but not treated;","type":"section","prefixes":["B","12"],"prefix":"12","entire_prefix":"B12","prefix_anchor":"B12","level":2,"prior_prefix":"B11","next_prefix":"B13"},"14":{"id":278276,"text":"Procedures and procedure dates;","type":"section","prefixes":["B","13"],"prefix":"13","entire_prefix":"B13","prefix_anchor":"B13","level":2,"prior_prefix":"B12","next_prefix":"B14"},"15":{"id":278277,"text":"Revenue center codes, units, and charges as required on standard claims forms; and","type":"section","prefixes":["B","14"],"prefix":"14","entire_prefix":"B14","prefix_anchor":"B14","level":2,"prior_prefix":"B13","next_prefix":"B15"},"16":{"id":278278,"text":"Total charges.","type":"section","prefixes":["B","15"],"prefix":"15","entire_prefix":"B15","prefix_anchor":"B15","level":2,"prior_prefix":"B14","next_prefix":"C"},"17":{"id":278279,"text":"State agencies providing coverage for outpatient services shall submit to the Board patient level data regarding paid outpatient claims. Information to be submitted shall be extracted from standard claims forms and, where available, shall include:","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B15","next_prefix":"C1"},"18":{"id":278280,"text":"Provider identifier;","type":"section","prefixes":["C","1"],"prefix":"1","entire_prefix":"C1","prefix_anchor":"C1","level":2,"prior_prefix":"C","next_prefix":"C2"},"19":{"id":278281,"text":"Patient identifier;","type":"section","prefixes":["C","2"],"prefix":"2","entire_prefix":"C2","prefix_anchor":"C2","level":2,"prior_prefix":"C1","next_prefix":"C3"},"20":{"id":278282,"text":"Physician or oral and maxillofacial surgeon identifier;","type":"section","prefixes":["C","3"],"prefix":"3","entire_prefix":"C3","prefix_anchor":"C3","level":2,"prior_prefix":"C2","next_prefix":"C4"},"21":{"id":278283,"text":"Dates of service and diagnostic, procedural, demographic, pharmaceutical, and financial information; and","type":"section","prefixes":["C","4"],"prefix":"4","entire_prefix":"C4","prefix_anchor":"C4","level":2,"prior_prefix":"C3","next_prefix":"C5"},"22":{"id":278284,"text":"Other related information.","type":"section","prefixes":["C","5"],"prefix":"5","entire_prefix":"C5","prefix_anchor":"C5","level":2,"prior_prefix":"C4","next_prefix":"D"},"23":{"id":278285,"text":"When a patient has experienced a nonfatal opioid overdose, the Board shall report admission, transfer, and discharge data elements submitted for such patient pursuant to § 32.1-372 to the Department of Health Professions for use in the Prescription Monitoring Program established in § 54.1-2520. The Department of Health Professions shall consult with the Department as appropriate to ensure the successful transfer of admission, transfer, and discharge data elements for use in the Prescription Monitoring Program. The Department of Health Professions shall only provide such data to practitioners as provided in § 54.1-2522.1 and in accordance with the confidentiality requirements of this chapter and § 54.1-2523.\n\t\t\tThe Board shall promulgate regulations specifying the format for submission of such outpatient data. State agencies may submit this data directly to the nonprofit organization cited in § 32.1-276.4.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C5"}},"ancestry":[{"id":14841,"edition_id":1,"name":"Health Care Data Reporting","identifier":"7.2","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:50:19","date_modified":"2026-06-26 03:50:19","permalink":{"id":204329,"object_type":"structure","relational_id":14841,"identifier":"7.2","token":"32.1\/7.2","url":"\/32.1\/7.2\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":79337,"structure_id":14841,"section_number":"32.1-276.10","catch_line":"Chapter and actions thereunder not to be construed as approval of charges or costs","url":"\/32.1-276.10\/","token":"32.1\/7.2\/32.1-276.10","metadata":false},{"id":68729,"structure_id":14841,"section_number":"32.1-276.11","catch_line":"Violations","url":"\/32.1-276.11\/","token":"32.1\/7.2\/32.1-276.11","metadata":false},{"id":71744,"structure_id":14841,"section_number":"32.1-276.2","catch_line":"Health care data reporting; purpose","url":"\/32.1-276.2\/","token":"32.1\/7.2\/32.1-276.2","metadata":false},{"id":67276,"structure_id":14841,"section_number":"32.1-276.3","catch_line":"Definitions","url":"\/32.1-276.3\/","token":"32.1\/7.2\/32.1-276.3","metadata":false},{"id":56739,"structure_id":14841,"section_number":"32.1-276.4","catch_line":"Agreements for certain data services","url":"\/32.1-276.4\/","token":"32.1\/7.2\/32.1-276.4","metadata":false},{"id":84829,"structure_id":14841,"section_number":"32.1-276.5","catch_line":"Providers to submit data; civil penalty","url":"\/32.1-276.5\/","token":"32.1\/7.2\/32.1-276.5","metadata":false},{"id":62565,"structure_id":14841,"section_number":"32.1-276.5:1","catch_line":"Repealed","url":"\/32.1-276.5_1\/","token":"32.1\/7.2\/32.1-276.5_1","metadata":false},{"id":77566,"structure_id":14841,"section_number":"32.1-276.6","catch_line":"Patient level data system continued; reporting requirements","url":"\/32.1-276.6\/","token":"32.1\/7.2\/32.1-276.6","metadata":false},{"id":67668,"structure_id":14841,"section_number":"32.1-276.7","catch_line":"Methodology to review and measure the efficiency and productivity of health care providers","url":"\/32.1-276.7\/","token":"32.1\/7.2\/32.1-276.7","metadata":false},{"id":85887,"structure_id":14841,"section_number":"32.1-276.7:1","catch_line":"All-Payer Claims Database created; purpose; reporting requirements","url":"\/32.1-276.7_1\/","token":"32.1\/7.2\/32.1-276.7_1","metadata":false},{"id":73124,"structure_id":14841,"section_number":"32.1-276.8","catch_line":"Fees for processing, verification, and dissemination of data","url":"\/32.1-276.8\/","token":"32.1\/7.2\/32.1-276.8","metadata":false},{"id":80143,"structure_id":14841,"section_number":"32.1-276.9","catch_line":"Confidentiality, subsequent release of data and relief from liability for reporting; penalty for wrongful disclosure; individual action for damages","url":"\/32.1-276.9\/","token":"32.1\/7.2\/32.1-276.9","metadata":false},{"id":81074,"structure_id":14841,"section_number":"32.1-276.9:1","catch_line":"Health information needs related to reform; work group","url":"\/32.1-276.9_1\/","token":"32.1\/7.2\/32.1-276.9_1","metadata":false}],"previous_section":{"id":62565,"structure_id":14841,"section_number":"32.1-276.5:1","catch_line":"Repealed","url":"\/32.1-276.5_1\/","token":"32.1\/7.2\/32.1-276.5_1","metadata":false},"next_section":{"id":67668,"structure_id":14841,"section_number":"32.1-276.7","catch_line":"Methodology to review and measure the efficiency and productivity of health care providers","url":"\/32.1-276.7\/","token":"32.1\/7.2\/32.1-276.7","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-276.6\/","history_text":"

This law was first created in 1996. The record of its establishment is cataloged in chapter 902<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 4 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 2001, chapter 341<\/a>; in 2003, chapter 466<\/a>; in 2009, chapter 652<\/a>; in 2025, chapter 487<\/a>.<\/p>","references":[{"id":73124,"section_number":"32.1-276.8","catch_line":"Fees for processing, verification, and dissemination of data","order_by":null,"url":"\/32.1-276.8\/"}],"refers_to":[{"id":80727,"section_number":"32.1-123","catch_line":"(Effective January 1, 2026) Definitions","order_by":null,"url":"\/32.1-123\/"},{"id":67276,"section_number":"32.1-276.3","catch_line":"Definitions","order_by":null,"url":"\/32.1-276.3\/"},{"id":56739,"section_number":"32.1-276.4","catch_line":"Agreements for certain data services","order_by":null,"url":"\/32.1-276.4\/"},{"id":75214,"section_number":"32.1-372","catch_line":"Smartchart Network Program established; purpose","order_by":null,"url":"\/32.1-372\/"},{"id":55075,"section_number":"54.1-2520","catch_line":"Program establishment; Director's regulatory authority","order_by":null,"url":"\/54.1-2520\/"},{"id":72705,"section_number":"54.1-2522.1","catch_line":"(Effective July 1, 2027) Requirements of practitioners","order_by":null,"url":"\/54.1-2522.1\/"},{"id":56919,"section_number":"54.1-2523","catch_line":"Confidentiality of data; disclosure of information; discretionary authority of Director","order_by":null,"url":"\/54.1-2523\/"},{"id":72802,"section_number":"54.1-2709","catch_line":"License; application; qualifications; examinations","order_by":null,"url":"\/54.1-2709\/"},{"id":54080,"section_number":"54.1-2709.1","catch_line":"Certain certification required","order_by":null,"url":"\/54.1-2709.1\/"}],"permalink":{"id":204359,"object_type":"law","relational_id":77566,"identifier":"32.1-276.6","token":"32.1\/7.2\/32.1-276.6","url":"\/32.1-276.6\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-276.6\/","token":"32.1\/7.2\/32.1-276.6","dublin_core":{"Title":"Patient level data system continued; reporting requirements","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-276.6","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The Virginia Patient Level Data System<\/span> is hereby continued, hereinafter referred to as the “System<\/span>.” Its purpose shall be to establish and administer an integrated system<\/span> for collection and analysis of data which shall be used by consumers<\/span>, employers, providers, and purchasers of health care and by state government to continuously assess and improve the quality, appropriateness, and accessibility of health care in the Commonwealth and to enhance their ability to make effective health care decisions. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> Every inpatient hospital<\/span> shall submit to the Board<\/span> patient level data as set forth in this subsection. Every general hospital, ordinary hospital, outpatient surgical hospital or other facility licensed or certified pursuant to Article 1 (\u00a7 32.1-123<\/a> et seq.) of Chapter 5 of this title and every physician<\/span> and every oral and maxillofacial surgeon certified to perform certain procedures pursuant to \u00a7 54.1-2709.1<\/a> performing surgical procedures in his office shall also submit to the board<\/span> outpatient surgical data as set forth in this subsection. Every oral and maxillofacial surgeon certified to perform certain procedures pursuant to \u00a7 54.1-2709<\/a> shall submit to the Board<\/span> outpatient surgical data as set forth in this subsection for only those procedures for which certification is required pursuant to \u00a7 54.1-2709.1<\/a>.\n\t\t\tAny such hospital, facility, physician<\/span> or oral and maxillofacial surgeon, as defined in \u00a7 32.1-276.3<\/a>, may report the required data directly to the nonprofit organization<\/span> cited in \u00a7 32.1-276.4<\/a>. Unless otherwise noted, patient level data elements for hospital inpatients and patients having outpatient surgery<\/span> shall include, where applicable and included on standard claim forms: <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> Hospital identifier; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> Attending physician<\/span> identifier (inpatient only); <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> Operating physician<\/span> or oral and maxillofacial surgeon identifier; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

4.<\/span> Payor identifier; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

5.<\/span> Employer identifier as required on standard claims forms; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

6.<\/span> Patient identifier (all submissions); <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

7.<\/span> Patient sex, race (inpatient only), date of birth (including century indicator), street address, city or county, zip code, employment status code, status at discharge, and birth weight for infants (inpatient only); <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

8.<\/span> Admission type, source (inpatient only), date and hour, and diagnosis; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

9.<\/span> Discharge date (inpatient only) and status; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

10.<\/span> Principal and secondary diagnoses; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

11.<\/span> External cause of injury; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

12.<\/span> Co-morbid conditions existing but not treated; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

13.<\/span> Procedures and procedure dates; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

14.<\/span> Revenue center codes, units, and charges as required on standard claims forms; and <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

15.<\/span> Total charges. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> State agencies providing coverage for outpatient services shall submit to the Board<\/span> patient level data regarding paid outpatient claims. Information to be submitted shall be extracted from standard claims forms and, where available, shall include: <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> Provider identifier; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> Patient identifier; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> Physician<\/span> or oral and maxillofacial surgeon identifier; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

4.<\/span> Dates of service and diagnostic, procedural, demographic, pharmaceutical, and financial information; and <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

5.<\/span> Other related information. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> When a patient has experienced a nonfatal opioid overdose, the Board<\/span> shall report admission, transfer, and discharge data elements submitted for such patient pursuant to § 32.1-372<\/a> to the Department<\/span> of Health Professions for use in the Prescription Monitoring Program established in § 54.1-2520<\/a>. The Department<\/span> of Health Professions shall consult with the Department<\/span> as appropriate to ensure the successful transfer of admission, transfer, and discharge data elements for use in the Prescription Monitoring Program. The Department<\/span> of Health Professions shall only provide such data to practitioners as provided in § 54.1-2522.1<\/a> and in accordance with the confidentiality requirements of this chapter and § 54.1-2523<\/a>.\n\t\t\tThe Board<\/span> shall promulgate regulations specifying the format for submission of such outpatient data. State agencies may submit this data directly to the nonprofit organization<\/span> cited in § 32.1-276.4<\/a>. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nPATIENT LEVEL DATA SYSTEM CONTINUED; REPORTING REQUIREMENTS (\u00a7 32.1-276.6)\n\nA. The Virginia Patient Level Data System is hereby continued, hereinafter\nreferred to as the “System.” Its purpose shall be to establish and\nadminister an integrated system for collection and analysis of data which shall\nbe used by consumers, employers, providers, and purchasers of health care and by\nstate government to continuously assess and improve the quality,\nappropriateness, and accessibility of health care in the Commonwealth and to\nenhance their ability to make effective health care decisions.\n\nB. Every inpatient hospital shall submit to the Board patient level data as set\nforth in this subsection. Every general hospital, ordinary hospital, outpatient\nsurgical hospital or other facility licensed or certified pursuant to Article 1\n(\u00a7 32.1-123 et seq.) of Chapter 5 of this title and every physician and every\noral and maxillofacial surgeon certified to perform certain procedures pursuant\nto \u00a7 54.1-2709.1 performing surgical procedures in his office shall also submit\nto the board outpatient surgical data as set forth in this subsection. Every\noral and maxillofacial surgeon certified to perform certain procedures pursuant\nto \u00a7 54.1-2709 shall submit to the Board outpatient surgical data as set forth\nin this subsection for only those procedures for which certification is required\npursuant to \u00a7 54.1-2709.1.\n\t\t\tAny such hospital, facility, physician or oral and maxillofacial surgeon, as\ndefined in \u00a7 32.1-276.3, may report the required data directly to the nonprofit\norganization cited in \u00a7 32.1-276.4. Unless otherwise noted, patient level data\nelements for hospital inpatients and patients having outpatient surgery shall\ninclude, where applicable and included on standard claim forms:\n\n 1. Hospital identifier;\n\n 2. Attending physician identifier (inpatient only);\n\n 3. Operating physician or oral and maxillofacial surgeon identifier;\n\n 4. Payor identifier;\n\n 5. Employer identifier as required on standard claims forms;\n\n 6. Patient identifier (all submissions);\n\n 7. Patient sex, race (inpatient only), date of birth (including century\n indicator), street address, city or county, zip code, employment status code,\n status at discharge, and birth weight for infants (inpatient only);\n\n 8. Admission type, source (inpatient only), date and hour, and diagnosis;\n\n 9. Discharge date (inpatient only) and status;\n\n 10. Principal and secondary diagnoses;\n\n 11. External cause of injury;\n\n 12. Co-morbid conditions existing but not treated;\n\n 13. Procedures and procedure dates;\n\n 14. Revenue center codes, units, and charges as required on standard claims\n forms; and\n\n 15. Total charges.\n\nC. State agencies providing coverage for outpatient services shall submit to the\nBoard patient level data regarding paid outpatient claims. Information to be\nsubmitted shall be extracted from standard claims forms and, where available,\nshall include:\n\n 1. Provider identifier;\n\n 2. Patient identifier;\n\n 3. Physician or oral and maxillofacial surgeon identifier;\n\n 4. Dates of service and diagnostic, procedural, demographic, pharmaceutical,\n and financial information; and\n\n 5. Other related information.\n\nD. When a patient has experienced a nonfatal opioid overdose, the Board shall\nreport admission, transfer, and discharge data elements submitted for such\npatient pursuant to § 32.1-372 to the Department of Health Professions for\nuse in the Prescription Monitoring Program established in § 54.1-2520. The\nDepartment of Health Professions shall consult with the Department as\nappropriate to ensure the successful transfer of admission, transfer, and\ndischarge data elements for use in the Prescription Monitoring Program. The\nDepartment of Health Professions shall only provide such data to practitioners\nas provided in § 54.1-2522.1 and in accordance with the confidentiality\nrequirements of this chapter and § 54.1-2523.\n\t\t\tThe Board shall promulgate regulations specifying the format for submission\nof such outpatient data. State agencies may submit this data directly to the\nnonprofit organization cited in § 32.1-276.4.\n\nHISTORY: 1996, c. 902; 2001, c. 341; 2003, c. 466; 2009, c. 652; 2025, c. 487.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}