Representing Tribal Affiliation

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7 TribalEntityUS	Final	Production	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
Any patient receiving healthcare in the United States may have some tribal affiliation, including patients from any other country or locale in the world. Some patients are members of a federally recognized tribe, some are members of a state recognized tribe, some are members of tribes in the process of seeking federal or state recognition, and some may self-report an affiliation or enrollment in more than one tribe or community inside or outside the U.S. Only tribes define and determine tribal enrollment. Federal, state, and local entities do not have the ability to verify tribal enrollment. Use of tribal affiliation allows for the collection of what tribe(s) an individual patient identifies with, without impeding on tribal sovereignty in any way. The HL7 TribalEntityUS code system is modeled after the Bureau of Indian Affairs (BIA) list of federally recognized tribes, state recognized tribes, and other entities in Alaska and the contiguous U.S. To aid in identifying Tribal name changes, the Tribe's previously listed, former name, or also known as (aka) is included in parentheses after the correct current Tribal name on the https://www.bia.gov/as-ia/ofa website.	The HL7 codesystem for TribalEntityUS is defined as "Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairs". This Code system is referenced in the content logical definition of the following value sets: NativeEntityAlaska NativeEntityContiguous TribalEntityUS urn:oid:2.16.840.1.113883.5.140

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

Any patient receiving healthcare in the United States may have some tribal affiliation, including patients from any other country or locale in the world. Some patients are members of a federally recognized tribe, some are members of a state recognized tribe, some are members of tribes in the process of seeking federal or state recognition, and some may self-report an affiliation or enrollment in more than one tribe or community inside or outside the U.S. Only tribes define and determine tribal enrollment. Federal, state, and local entities do not have the ability to verify tribal enrollment. Use of tribal affiliation allows for the collection of what tribe(s) an individual patient identifies with, without impeding on tribal sovereignty in any way.
The HL7 TribalEntityUS code system is modeled after the Bureau of Indian Affairs (BIA) list of federally recognized tribes, state recognized tribes, and other entities in Alaska and the contiguous U.S. To aid in identifying Tribal name changes, the Tribe's previously listed, former name, or also known as (aka) is included in parentheses after the correct current Tribal name on the https://www.bia.gov/as-ia/ofa website.

The HL7 codesystem for TribalEntityUS is defined as "Indian entities recognized and eligible to receive services from the United States Bureau of Indian Affairs".
This Code system is referenced in the content logical definition of the following value sets:
- NativeEntityAlaska
- NativeEntityContiguous
- TribalEntityUS
- urn:oid:2.16.840.1.113883.5.140

Representing Tribal Affiliation

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