Full Description 1.1 This specification covers the identification of the lexicons to be used for the data elements identified in Appendix X1 of Guide E1384. It is intended to unify the representations for: (1 ) primary record of care data elements, (2 ) the data elements identified in other standard statistical data sets, (3 ) data elements used in other healthcare data message exchange format standards, or (4 ) in data gathering forms for this purpose, and (5 ) in data derived from these elements in order that data recorded in the course of patient care be exchangeable and be the source of accurate statistical and resource management data. This specification is applicable to all paper and automated systems.