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Below is a table that contains the data elements for the organization or person having a relationship with a designee.  There are two types of high level relationships.

  1. A person or organization that provides financial and other benefit to the person providing the financial disclosure.
  2. A person or organization that the designee may provide financial or other benefit too.

 

NumberFirst Level Data ElementSecond Level Data ElementThird Level Data ElementComments
Financial Interest Entity (There may be a better term for this data component)
1Unique Identifier   
2Organization Name   
3Person Name   
4Address   
5 Organization  
6 Street Address Line  
7 City  
8 State Or Province  
9 Postal Code  
10 Region  
11 District  
12 Country  
13  Country Name 
14  Country Code 
15Telephone   
16Email   
17Relationship To Disclosee   
18 Founder  
19 Owner Of Non Incorporated Entity  
20 Partner Of Non Incorporated Entity  
21 Equity Owner  
22 Fiduciary  
23 Employee  
24 Independendent Contractor  
25 Intellectual Property Owner  
26 Gift Receiver  
27 Financial Support Receiver  
28 Family Member  
29  SpouseThese relationship categories are the realtionships defined by CMS.  It may not be necessary to use all of them.
30  Parent
31  Grandparent
32  Grandchild
33  Parent Sibling
34  Sibling Child
35  Cousin
36  Adopted Child
37  Foster Child
38  Child In Law
39  Sibling In Law
40  Sibling
41  Ward
42  Step Parent
43  Step Child
44  Child
45  Sponsored Dependent
46  Dependent Of Minor Dependent
47  Ex Spouse
48  Guardian
49  Court Appointed Guardian
50  Collateral Dependent
51  Life Partner
52  Annultant
53  Trustee
54 Other  
55Disclosee Relationship To Entity   
56 Founder  
56 Owner Of Non Incorporated Entity  
58 Partner Of Non Incorporated Entity  
59 Equity Owner  
60 Fiduciary  
61 Employee  
62 Independent Contractor  
63 Intellectual Property Owner  
64 Gift Receiver  
65 Financial Support Receiver  
66 Family Member  
67  SpouseThese relationship categories are the realtionships defined by CMS.  It may not be necessary to use all of them.
68  Parent
69  Grandparent
70  Grandchild
71  Parent Sibling
72  Sibling Child
73  Cousin
74  Adopted Child
75  Foster Child
76  Child In Law
77  Sibling In Law
78  Sibling
79  Ward
80  Step Parent
81  Step Child
82  Child
83  Sponsored Dependent
84  Dependent Of Minor Dependent
85  Ex Spouse
86  Guardian
87  Court Appointed Guardian
88  Collateral Dependent
89  Life Partner
90  Annultant
91  Trustee
92 Other  
93Associated Product   
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