74495-3  Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]Patient safety event report - hospital - healthcare event reporting form - version 1.2: -: Pt: ^Patient: -: AHRQ  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  74495-3   Patient Safety Event Report - Hospital: Healthcare Event Reporting Form (HERF) Hospital - Version 1.2    
       74081-1   Event ID: R 1..1   
       30947-6   Initial Report Date (HERF Q1): R 1..1  {mm/dd/yyyy} 
       30947-6   Report Date: R 1..1  {mm/dd/yyyy} 
       74079-5   What is being reported? R 1..1   
       74555-4   Event Discovery Date & Time: C 1..1  {mm/dd/yyyy} 
       74554-7   Briefly describe the event that occurred or unsafe condition: O 0..1   
       74553-9   Briefly describe the location where the event occurred or where the unsafe condition exists: O 0..1   
       74552-1   Which of the following categories are associated with the event or unsafe condition? R 1..10   
       74772-5   Patient Information [AHRQ]Patient Information [AHRQ]Patient information: -: Pt: ^Patient: -: AHRQ    
            54125-0   Patient's Name: R 1..1   
            21112-8   Patient's Date of Birth: O 0..1  {mm/dd/yyyy} 
            46106-1   Patient's Medical Record #: R 1..1   
            74698-2   Patient's Gender: R 1..1   
       74551-3   Is this event a perinatal incident that affected a neonate? O 0..1   
       74771-7   Neonatal Patient Information [AHRQ]Neonatal Patient Information [AHRQ]Neonatal patient information: -: Pt: ^Patient: -: AHRQ    
            54125-0   Neonate's Name: C 1..1   
            21112-8   Neonate's Date of Birth: O 0..1  {mm/dd/yyyy} 
            46106-1   Neonate's Medical Record #: C 1..1   
            74698-2   Neonate's Gender: C 1..1   
       74770-9   Report and Event Reporter Information    
            74550-5   Anonymous reporter [AHRQ]Anonymous reporter [AHRQ]Anonymous reporter: Find: Pt: ^Event: Ord: AHRQ O 0..1   
            74549-7   Reporter's Name: C 1..1   
            74548-9   Telephone Number: C 1..1   
            74547-1   Email Address: C 1..1   
            74546-3   Reporter's Job or Position: C 1..1   
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient safety event report - hospital - healthcare event reporting form - version 1.2  Pt  ^Patient  AHRQ
  Override Display Name for Form:  Patient Safety Event Report - Hospital: Healthcare Event Reporting Form (HERF) Hospital - Version 1.2
  Long Common Name:  Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

TERM DEFINITION/DESCRIPTION(S)
  The Healthcare Event Reporting Form (HERF) captures information on incidents, near misses (close calls), and unsafe conditions. This form is analogous to incident reports commonly used in hospitals today. It contains structured questions and allows for a brief narrative to document the precise details of the event or unsafe condition. The HERF solicits only the most basic information about an event or unsafe condition and is intended to start a reporting process that is completed using other generic and event-specific forms. For perinatal events, the HERF contains basic patient identifiers for both the mother and neonate.
 
 

FORM CODING INSTRUCTIONS
Use this form to report either a patient safety event of unsafe condition. The term event includes both an incident that reached the patient and a near miss (close call) that did not.

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.AHRQ/Survey
  Panel Type: Panel
  First Released in Version: 2.48
  Last Updated in Version: 2.54
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP182344-4  Patient safety event report - hospital - healthcare event reporting form - version 1.2   [Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Agency for Healthcare Research and Quality Panel Random
  AHRQ survey Pnl Panl Survey
  Form version Pnl SURVEY.AHRQ
  Hosp Point in time  
  Pan Pt safety event  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Long Common Name: Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  Fully Specified Name: Patient safety event report - hospital - healthcare event reporting form - version 1.2: -: Pt: ^Patient: -: AHRQ
     
  Component Word Count: 11
  ID: 74944
  # of Panel Elements: 26
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



74081-1   Patient safety event [AHRQ]Patient safety event [AHRQ]Patient safety event: ID: Pt: ^Event: Nom: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient safety event  ID  Pt  ^Event  Nom  AHRQ
  Override Display Name for Form:  Event ID:
  Long Common Name:  Patient safety event [AHRQ]

OBSERVATION ID IN FORM
DE2

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.46
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74080-3 Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ]
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  74501-8 Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ]
  74502-6 Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
  74725-3 Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP173704-0  Patient safety event 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 

RELATED NAMES
  Agency for Healthcare Research and Quality Nominal Random
  Ident Point in time Survey
  Identifier Pt safety event SURVEY.AHRQ

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Long Common Name: Patient safety event [AHRQ]
  Fully Specified Name: Patient safety event: ID: Pt: ^Event: Nom: AHRQ
     
  Component Word Count: 3
  ID: 74390
  Status (Raw): ACTIVE


30947-6   Date form completedDate form completedDate form completed: Date: Pt: Form: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date form completed  Date  Pt  Form  Qn 
  Override Display Name for Form:  Initial Report Date (HERF Q1):
  Long Common Name:  Date form completed
  Short Name:  Date form completed

OBSERVATION ID IN FORM
DE30

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.04
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46611-0 Mental residual functional capacity (RFC) assessment form
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  60687-1 Test of Infant Motor Performance Version 5.1
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  74080-3 Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ]
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  74501-8 Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ]
  74502-6 Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
  74725-3 Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72361-6  Date form completed 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP29994-8  Form 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  表单完成日期:日期:时间点:表单:定量型:表单完成日期:日期:时间点:表单:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Data completamento form:Data:Pt:Modulo:Qn:Data completamento form:Data:Pt:Modulo:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data formulário preenchido:TmStp:Pt:Forma:Qn:Data formulário preenchido:TmStp:Pt:Forma:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Дата форма заполнение:Дата:ТчкВрм:Форма:Колич:Дата форма заполнение:Дата:ТчкВрм:Форма:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:

RELATED NAMES
  ADMIN Quan Random
  Point in time Quant  
  QNT Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   Z0500B     3.00 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Attachment Units Required: N
  Long Common Name: Date form completed
  Shortname: Date form completed
  Fully Specified Name: Date form completed: Date: Pt: Form: Qn:
     
  Component Word Count: 3
  ID: 22884
  Status (Raw): ACTIVE


30947-6   Date form completedDate form completedDate form completed: Date: Pt: Form: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date form completed  Date  Pt  Form  Qn 
  Override Display Name for Form:  Report Date:
  Long Common Name:  Date form completed
  Short Name:  Date form completed

OBSERVATION ID IN FORM
DE30

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: ADMIN/Clinical
  First Released in Version: 2.04
  Last Updated in Version: 2.61
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46611-0 Mental residual functional capacity (RFC) assessment form
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  60687-1 Test of Infant Motor Performance Version 5.1
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  74080-3 Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ]
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  74501-8 Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ]
  74502-6 Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
  74725-3 Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72361-6  Date form completed 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP29994-8  Form 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  表单完成日期:日期:时间点:表单:定量型:表单完成日期:日期:时间点:表单:定量型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Data completamento form:Data:Pt:Modulo:Qn:Data completamento form:Data:Pt:Modulo:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data formulário preenchido:TmStp:Pt:Forma:Qn:Data formulário preenchido:TmStp:Pt:Forma:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Дата форма заполнение:Дата:ТчкВрм:Форма:Колич:Дата форма заполнение:Дата:ТчкВрм:Форма:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:

RELATED NAMES
  ADMIN Quan Random
  Point in time Quant  
  QNT Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   Z0500B     3.00 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Attachment Units Required: N
  Long Common Name: Date form completed
  Shortname: Date form completed
  Fully Specified Name: Date form completed: Date: Pt: Form: Qn:
     
  Component Word Count: 3
  ID: 22884
  Status (Raw): ACTIVE


74079-5   Event [AHRQ]Event [AHRQ]Event: Type: Pt: ^Event: Nom: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Event  Type  Pt  ^Event  Nom  AHRQ
  Long Common Name:  Event [AHRQ]

OBSERVATION ID IN FORM
DE3

ANSWER CARDINALITY
1..1

FORM CODING INSTRUCTIONS
Check one:

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.46
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL2683-2)  
 
Source: Agency for Healthcare Research and Quality
  SEQ#        Answer        Code         Answer ID    
  1       Incident
Description: A patient safety event that reached the patient, whether or not the patient was harmed.
  a       LA20347-3  
  2       Near miss
Description: A patient safety event that did not reach the patient.
  b       LA20346-5  
  3       Unsafe condition
Description: Any circumstance that increases the probability of a patient safety event.
  c       LA20314-3  

SURVEY QUESTION
Text: What is being reported?
Source: HERF.Q2

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP36131-8  Event 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 

RELATED NAMES
  Agency for Healthcare Research and Quality Random Typ
  Nominal Survey  
  Point in time SURVEY.AHRQ  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Long Common Name: Event [AHRQ]
  Fully Specified Name: Event: Type: Pt: ^Event: Nom: AHRQ
     
  Component Word Count: 1
  ID: 74388
  Status (Raw): ACTIVE


74555-4   Event discovery date and timeEvent discovery date and timeEvent discovery date & time: TmStp: Pt: ^Event: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Event discovery date & time  TmStp  Pt  ^Event  Qn 
  Override Display Name for Form:  Event Discovery Date & Time:
  Long Common Name:  Event discovery date and time

TERM DEFINITION/DESCRIPTION(S)
  The month, day, year, and time the event (incident or near miss) was discovered.
 
 

OBSERVATION ID IN FORM
DE9

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182410-3  Event discovery date & time   [Event discovery date and time] 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7753-9  Qn 

RELATED NAMES
  Date and time Quant SURVEY.AHRQ
  Point in time Quantitative Time stamp
  QNT Random Timestamp
  Quan Survey  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Long Common Name: Event discovery date and time
  Fully Specified Name: Event discovery date & time: TmStp: Pt: ^Event: Qn:
     
  Component Word Count: 4
  ID: 75084
  Status (Raw): ACTIVE


74554-7   Description of patient safety event or unsafe condition [AHRQ]Description of patient safety event or unsafe condition [AHRQ]Description of patient safety event or unsafe condition: Find: Pt: ^Event: Nar: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Description of patient safety event or unsafe condition  Find  Pt  ^Event  Nar  AHRQ
  Override Display Name for Form:  Briefly describe the event that occurred or unsafe condition:
  Long Common Name:  Description of patient safety event or unsafe condition [AHRQ]

OBSERVATION ID IN FORM
DE15

ANSWER CARDINALITY
0..1

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q5

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182364-2  Description of patient safety event or unsafe condition 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7749-7  Nar 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 

RELATED NAMES
  Agency for Healthcare Research and Quality Point in time Survey
  Finding Pt safety event SURVEY.AHRQ
  Findings Random  
  Narrative Report  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Long Common Name: Description of patient safety event or unsafe condition [AHRQ]
  Fully Specified Name: Description of patient safety event or unsafe condition: Find: Pt: ^Event: Nar: AHRQ
     
  Component Word Count: 8
  ID: 75083
  Status (Raw): ACTIVE


74553-9   Location of patient safety event or unsafe condition - Narrative [AHRQ]Location of patient safety event or unsafe condition - Narrative [AHRQ]Location of patient safety event or unsafe condition: Find: Pt: ^Event: Nar: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Location of patient safety event or unsafe condition  Find  Pt  ^Event  Nar  AHRQ
  Override Display Name for Form:  Briefly describe the location where the event occurred or where the unsafe condition exists:
  Long Common Name:  Location of patient safety event or unsafe condition - Narrative [AHRQ]

OBSERVATION ID IN FORM
DE18

ANSWER CARDINALITY
0..1

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q6

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182365-9  Location of patient safety event or unsafe condition 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7749-7  Nar 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 

RELATED NAMES
  Agency for Healthcare Research and Quality Point in time Survey
  Finding Pt safety event SURVEY.AHRQ
  Findings Random  
  Narrative Report  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:58 PM
  Long Common Name: Location of patient safety event or unsafe condition - Narrative [AHRQ]
  Fully Specified Name: Location of patient safety event or unsafe condition: Find: Pt: ^Event: Nar: AHRQ
     
  Component Word Count: 8
  ID: 75082
  Status (Raw): ACTIVE


74552-1   Categories associated with patient safety event or unsafe condition [AHRQ]Categories associated with patient safety event or unsafe condition [AHRQ]Categories associated with patient safety event or unsafe condition: Find: Pt: ^Event: Nom: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Categories associated with patient safety event or unsafe condition  Find  Pt  ^Event  Nom  AHRQ
  Long Common Name:  Categories associated with patient safety event or unsafe condition [AHRQ]

OBSERVATION ID IN FORM
DE21

ANSWER CARDINALITY
1..10

FORM CODING INSTRUCTIONS
Check all that apply: For each category selected below, except 'Other', please complete the corresponding category-specific form. All categories include reporting of incidents. The 'Blood or Blood Product', 'Device or Medical/Surgical Supply including HIT', 'Medication or Other Substance', 'Surgery or Anesthesia', and 'Other' categories include reporting of near misses. The 'Blood or Blood Product', 'Device or Medical/Surgical Supply including HIT', 'Medication or Other Substance', and 'Other' categories include reporting of unsafe conditions.

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL2825-9)  
 
Source: 
  SEQ#        Answer        Code         Answer ID    
  1       Blood or Blood Product       a       LA20769-8  
  2       Device or Medical/Surgical Supply, including Health Information Technology (HIT)       b       LA20770-6  
  3       Fall       c       LA7238-4  
  4       Healthcare-associated Infection       d       LA20771-4  
  5       Medication or Other Substance       e       LA20772-2  
  6       Perinatal       f       LA20773-0  
  7       Pressure ulcer       g       LA19028-2  
  8       Surgery or Anesthesia (includes invasive procedure)       h       LA20774-8  
  9       Venous Thromboembolism       i       LA20775-5  
  10       Other: PLEASE SPECIFY       j       LA20318-4  

SURVEY QUESTION
Text: Which of the following categories are associated with the event or unsafe condition?
Source: HERF.Q7

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182366-7  Categories associated with patient safety event or unsafe condition 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP28580-6  Associated 

RELATED NAMES
  Agency for Healthcare Research and Quality Nominal Survey
  Assoc Point in time SURVEY.AHRQ
  Finding Pt safety event  
  Findings Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Long Common Name: Categories associated with patient safety event or unsafe condition [AHRQ]
  Fully Specified Name: Categories associated with patient safety event or unsafe condition: Find: Pt: ^Event: Nom: AHRQ
     
  Component Word Count: 9
  ID: 75081
  Status (Raw): ACTIVE


74772-5   Patient Information [AHRQ]Patient Information [AHRQ]Patient information: -: Pt: ^Patient: -: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Patient information  Pt  ^Patient  AHRQ
  Long Common Name:  Patient Information [AHRQ]

FORM CODING INSTRUCTIONS
COMPLETE ONLY IF INCIDENT

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.AHRQ/Survey
  Panel Type: Organizer
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP36348-8  Patient information 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Agency for Healthcare Research and Quality Panl Survey
  AHRQ survey Pnl Pnl SURVEY.AHRQ
  Pan Point in time  
  Panel Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Long Common Name: Patient Information [AHRQ]
  Fully Specified Name: Patient information: -: Pt: ^Patient: -: AHRQ
     
  Component Word Count: 2
  ID: 76406
  Status (Raw): ACTIVE


54125-0   NameNameName: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name  Pn  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient's Name:
  Long Common Name:  Name

OBSERVATION ID IN FORM
DE46

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.USSGFHT/Survey
  First Released in Version: 2.26
  Last Updated in Version: 2.30
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54127-6 US Surgeon General family health portrait [USSG-FHT]
  60687-1 Test of Infant Motor Performance Version 5.1
  62812-3 PhenX domain - Physical activity and physical fitness
  63009-5 PhenX domain - Social environments
  69723-5 Patient Health Questionnaire (PHQ) [Reported]
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  86504-8 These questions three panel
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72974-6  Name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  Nominal Random  
  Person name Survey  
  Point in time SURVEY.USSGFHT  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX150701040000   PX150701_Name   
   https://www.phenxtoolkit.org   PX211101010100   PX211101_Person1_Name   
   https://www.phenxtoolkit.org   PX211101020100   PX211101_Person2_Name   
   https://www.phenxtoolkit.org   PX211101030100   PX211101_Person3_Name   
   https://www.phenxtoolkit.org   PX211101040100   PX211101_Person4_Name   
   https://www.phenxtoolkit.org   PX211101050100   PX211101_Person5_Name   
   https://www.phenxtoolkit.org   PX211101060100   PX211101_Person6_Name   
   https://www.phenxtoolkit.org   PX211101070100   PX211101_Person7_Name   
   https://www.phenxtoolkit.org   PX211101080100   PX211101_Person8_Name   
   https://www.phenxtoolkit.org   PX211101090100   PX211101_Person9_Name   
   https://www.phenxtoolkit.org   PX211101100100   PX211101_Person10_Name   
   https://www.phenxtoolkit.org   PX211101110100   PX211101_Person11_Name   
   https://www.phenxtoolkit.org   PX211101120100   PX211101_Person12_Name   
   https://www.phenxtoolkit.org   PX211101130100   PX211101_Person13_Name   
   https://www.phenxtoolkit.org   PX211101140100   PX211101_Person14_Name   
   https://www.phenxtoolkit.org   PX211101150100   PX211101_Person15_Name   
   https://www.phenxtoolkit.org   PX211101160100   PX211101_Person16_Name   
   https://www.phenxtoolkit.org   PX211101170100   PX211101_Person17_Name   
   https://www.phenxtoolkit.org   PX211101180100   PX211101_Person18_Name   
   https://www.phenxtoolkit.org   PX211101190100   PX211101_Person19_Name   
   https://www.phenxtoolkit.org   PX211101200100   PX211101_Person20_Name   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Attachment Units Required: N
  Long Common Name: Name
  Fully Specified Name: Name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 48415
  Status (Raw): ACTIVE


21112-8   Birth dateBirth dateBirth date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Birth date  TmStp  Pt  ^Patient  Qn 
  Override Display Name for Form:  Patient's Date of Birth:
  Long Common Name:  Birth date
  Short Name:  Birth date
  Display Name:  Birth date [Date/time]

OBSERVATION ID IN FORM
DE47

ANSWER CARDINALITY
0..1

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: MISC/Lab
  Common Lab Results Rank: #1736
  Common SI Lab Results Rank: #1736
  First Released in Version: 1.0m
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-7.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  35086-8 Second trimester triple maternal screen panel - Serum or Plasma
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  47245-6 HIV treatment form Document
  48798-3 First trimester maternal screen panel - Serum or Plasma
  48799-1 Second trimester penta maternal screen panel - Serum or Plasma
  48800-7 Second trimester quad maternal screen panel - Serum or Plasma
  48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
  49085-4 First and Second trimester integrated maternal screen panel
  49086-2 First trimester maternal screen with nuchal translucency panel
  49087-0 Maternal screen clinical predictors panel
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54127-6 US Surgeon General family health portrait [USSG-FHT]
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
  60687-1 Test of Infant Motor Performance Version 5.1
  61129-3 PhenX domain - Demographics
  62263-9 PhenX domain - Nutrition and dietary supplements
  62611-9 PhenX domain - Respiratory
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70182-1 NIH Stroke Scale
  70297-7 ESRD patient information panel
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP19498-2  Birth date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出生日期:时间戳:时间点:^患者:定量型:出生日期:时间戳:时间点:^患者:定量型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Birth date:TmStp:Pt:^Patient:Qn:Birth date:TmStp:Pt:^Patient:Qn:Date de naissance [Horodatage] Patient ; Numérique
  German (GERMANY)  (From: Institute for Medical Documentation and Information (DIMDI))
 
  Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Data di nascita:TmStp:Pt:^Paziente:Qn:Data di nascita:TmStp:Pt:^Paziente:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data de nascimento:TmStp:Pt:^Paciente:Qn:Data de nascimento:TmStp:Pt:^Paciente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:

RELATED NAMES
  Birthdate Point in time Random
  Date and time QNT Time stamp
  Date of birth Quan Timestamp
  DOB Quant  
  MISC Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   6     2.0 
   CMS IRF-PAI   6     1.4 
   CMS IRF-PAI   6     1.5 
   CMS IRF-PAI   6     3.0 
   CMS LCDS   A0900     4.00 
   CMS LCDS   A0900     3.00 
   CMS MDS   A0900     1.15.1 
   CMS MDS   A0900     1.16.1 
   CMS MDS   A0900     1.17.1 
   CMS MDS   A0900     1.14.1 
   CMS MDS   X0400     1.16.1 
   CMS MDS   X0400     1.15.1 
   CMS MDS   X0400     1.17.1 
   CMS MDS   X0400     1.14.1 
   CMS OASIS   M0066     C2 
   CMS OASIS   M0066     D 
   https://www.phenxtoolkit.org   PX010101010100   PX010101_Birthdate_Month   
   https://www.phenxtoolkit.org   PX010101010200   PX010101_Birthdate_Day   
   https://www.phenxtoolkit.org   PX010101010300   PX010101_Birthdate_Year   
   https://www.phenxtoolkit.org   PX091502030000   PX091502_Child_Birth_Date   
   https://www.phenxtoolkit.org   PX091601410000   PX091601_Date_Of_Birth   
   https://www.phenxtoolkit.org   PX150701060000   PX150701_Birth_Date   
   https://www.phenxtoolkit.org   PX221001030000   PX221001_MFHP_BirthDate   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Attachment Units Required: Y
  Long Common Name: Birth date
  Shortname: Birth date
  Fully Specified Name: Birth date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 12108
  Status (Raw): ACTIVE


46106-1   Medical record number [Identifier]Medical record number [Identifier]Medical record number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medical record number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Patient's Medical Record #:
  Long Common Name:  Medical record number [Identifier]
  Short Name:  MRN

OBSERVATION ID IN FORM
DE49

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Removed method of MDS and copyright information since this is not an MDS-specific concept. Also change scale from narrative to nominal since this is not a narrative concept.; Changed CLASS from SURVEY.MDS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  54580-6 Minimum Data Set - version 3.0
  62949-3 PhenX domain - Gastrointestinal
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  84908-3 Cancer pathology panel - Prostate cancer
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75102-1  Medical record number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  病历编号:标识符:时间点:^患者:名义型:病历编号:标识符:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Numero di cartella clinica:ID:Pt:^Paziente:Nom:Numero di cartella clinica:ID:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Intradermal Num
  ADMIN.PATIENT Medical record no. Point in time
  ADMIN.PATIENT.ID MRN Random
  Ident No  
  Identifier Nominal  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   A1300A     1.16.1 
   CMS MDS   A1300A     1.15.1 
   CMS MDS   A1300A     1.14.1 
   CMS MDS   A1300A     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Attachment Units Required: N
  Long Common Name: Medical record number [Identifier]
  Shortname: MRN
  Fully Specified Name: Medical record number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 39511
  Status (Raw): ACTIVE


74698-2   Sex [AHRQ]Sex [AHRQ]Sex: Type: Pt: ^Patient: Nom: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sex  Type  Pt  ^Patient  Nom  AHRQ
  Override Display Name for Form:  Patient's Gender:
  Long Common Name:  Sex [AHRQ]

TERM DEFINITION/DESCRIPTION(S)
  The patient's documented sex (gender) on arrival at the hospital. This term was created for the "Patient gender" data element on the Agency for Healthcare Research and Quality (AHRQ) Healthcare Event Reporting Form (HERF), version 1.2. [https://ushik.ahrq.gov/ViewItemDetails?&system=mdr&itemKey=169064000&enableAsynchronousLoading=true]
 
 

PART DEFINITION/DESCRIPTION(S)
  Part: Sex
  In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en)
 
 

OBSERVATION ID IN FORM
DE42

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Required

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.56
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.

HL7 ATTRIBUTES
  HL7 Field ID: PID-8

NORMATIVE ANSWER LIST    (LL2827-5)  
 
Source: Agency for Healthcare Research and Quality
  SEQ#        Answer        Code         Answer ID    
  1       Male       a       LA2-8  
  2       Female       b       LA3-6  
  3       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  c       LA4489-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP101395-4  Sex 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP345158-2  Sex 

RELATED NAMES
  Agency for Healthcare Research and Quality Point in time SURVEY.AHRQ
  Gender Random Typ
  Nominal Survey  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Long Common Name: Sex [AHRQ]
  Fully Specified Name: Sex: Type: Pt: ^Patient: Nom: AHRQ
     
  Component Word Count: 1
  ID: 75227
  Status (Raw): ACTIVE


74551-3   Perinatal incident that affected a neonate [AHRQ]Perinatal incident that affected a neonate [AHRQ]Perinatal incident that affected a neonate: Find: Pt: ^Event: Ord: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Perinatal incident that affected a neonate  Find  Pt  ^Event  Ord  AHRQ
  Long Common Name:  Perinatal incident that affected a neonate [AHRQ]

TERM DEFINITION/DESCRIPTION(S)
  Indicates if the patient safety event is a perinatal incident that affected a neonate. A perinatal event involves an adverse outcome occurring to the mother, fetus(es), or neonate(s) during the perinatal period and involves either the birthing process or an intrauterine procedure. The perinatal period extends from the 20th week of gestation through 4 weeks (28 days) postpartum.
 
 

ANSWER CARDINALITY
0..1

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL2828-3)  
 
Source: Agency for Healthcare Research and Quality
  SEQ#        Answer        Code         Answer ID    
  1       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  a       LA33-6  
  2       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  b       LA32-8  

SURVEY QUESTION
Text: Is this event a perinatal incident that affected a neonate?

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182379-0  Perinatal incident that affected a neonate 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7751-3  Ord 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 

RELATED NAMES
  Agency for Healthcare Research and Quality QL Survey
  Finding Qual SURVEY.AHRQ
  Findings Qualitative  
  Ordinal Random  
  Point in time Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Long Common Name: Perinatal incident that affected a neonate [AHRQ]
  Fully Specified Name: Perinatal incident that affected a neonate: Find: Pt: ^Event: Ord: AHRQ
     
  Component Word Count: 6
  ID: 75080
  Status (Raw): ACTIVE


74771-7   Neonatal Patient Information [AHRQ]Neonatal Patient Information [AHRQ]Neonatal patient information: -: Pt: ^Patient: -: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Neonatal patient information  Pt  ^Patient  AHRQ
  Long Common Name:  Neonatal Patient Information [AHRQ]

FORM CODING INSTRUCTIONS
COMPLETE ONLY FOR NEONATE AFFECTED BY PERINATAL INCIDENT

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.AHRQ/Survey
  Panel Type: Organizer
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP183566-1  Neonatal patient information 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Agency for Healthcare Research and Quality Panl Survey
  AHRQ survey Pnl Pnl SURVEY.AHRQ
  Pan Point in time  
  Panel Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Long Common Name: Neonatal Patient Information [AHRQ]
  Fully Specified Name: Neonatal patient information: -: Pt: ^Patient: -: AHRQ
     
  Component Word Count: 3
  ID: 76405
  Status (Raw): ACTIVE


54125-0   NameNameName: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name  Pn  Pt  ^Patient  Nom 
  Override Display Name for Form:  Neonate's Name:
  Long Common Name:  Name

OBSERVATION ID IN FORM
DE34

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.USSGFHT/Survey
  First Released in Version: 2.26
  Last Updated in Version: 2.30
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  54127-6 US Surgeon General family health portrait [USSG-FHT]
  60687-1 Test of Infant Motor Performance Version 5.1
  62812-3 PhenX domain - Physical activity and physical fitness
  63009-5 PhenX domain - Social environments
  69723-5 Patient Health Questionnaire (PHQ) [Reported]
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  86504-8 These questions three panel
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72974-6  Name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

RELATED NAMES
  Nominal Random  
  Person name Survey  
  Point in time SURVEY.USSGFHT  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX150701040000   PX150701_Name   
   https://www.phenxtoolkit.org   PX211101010100   PX211101_Person1_Name   
   https://www.phenxtoolkit.org   PX211101020100   PX211101_Person2_Name   
   https://www.phenxtoolkit.org   PX211101030100   PX211101_Person3_Name   
   https://www.phenxtoolkit.org   PX211101040100   PX211101_Person4_Name   
   https://www.phenxtoolkit.org   PX211101050100   PX211101_Person5_Name   
   https://www.phenxtoolkit.org   PX211101060100   PX211101_Person6_Name   
   https://www.phenxtoolkit.org   PX211101070100   PX211101_Person7_Name   
   https://www.phenxtoolkit.org   PX211101080100   PX211101_Person8_Name   
   https://www.phenxtoolkit.org   PX211101090100   PX211101_Person9_Name   
   https://www.phenxtoolkit.org   PX211101100100   PX211101_Person10_Name   
   https://www.phenxtoolkit.org   PX211101110100   PX211101_Person11_Name   
   https://www.phenxtoolkit.org   PX211101120100   PX211101_Person12_Name   
   https://www.phenxtoolkit.org   PX211101130100   PX211101_Person13_Name   
   https://www.phenxtoolkit.org   PX211101140100   PX211101_Person14_Name   
   https://www.phenxtoolkit.org   PX211101150100   PX211101_Person15_Name   
   https://www.phenxtoolkit.org   PX211101160100   PX211101_Person16_Name   
   https://www.phenxtoolkit.org   PX211101170100   PX211101_Person17_Name   
   https://www.phenxtoolkit.org   PX211101180100   PX211101_Person18_Name   
   https://www.phenxtoolkit.org   PX211101190100   PX211101_Person19_Name   
   https://www.phenxtoolkit.org   PX211101200100   PX211101_Person20_Name   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Attachment Units Required: N
  Long Common Name: Name
  Fully Specified Name: Name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 1
  ID: 48415
  Status (Raw): ACTIVE


21112-8   Birth dateBirth dateBirth date: TmStp: Pt: ^Patient: Qn:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Birth date  TmStp  Pt  ^Patient  Qn 
  Override Display Name for Form:  Neonate's Date of Birth:
  Long Common Name:  Birth date
  Short Name:  Birth date
  Display Name:  Birth date [Date/time]

OBSERVATION ID IN FORM
DE37

ANSWER CARDINALITY
0..1

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: MISC/Lab
  Common Lab Results Rank: #1736
  Common SI Lab Results Rank: #1736
  First Released in Version: 1.0m
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-7.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  35086-8 Second trimester triple maternal screen panel - Serum or Plasma
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  47245-6 HIV treatment form Document
  48798-3 First trimester maternal screen panel - Serum or Plasma
  48799-1 Second trimester penta maternal screen panel - Serum or Plasma
  48800-7 Second trimester quad maternal screen panel - Serum or Plasma
  48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
  49085-4 First and Second trimester integrated maternal screen panel
  49086-2 First trimester maternal screen with nuchal translucency panel
  49087-0 Maternal screen clinical predictors panel
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54127-6 US Surgeon General family health portrait [USSG-FHT]
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
  60687-1 Test of Infant Motor Performance Version 5.1
  61129-3 PhenX domain - Demographics
  62263-9 PhenX domain - Nutrition and dietary supplements
  62611-9 PhenX domain - Respiratory
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70182-1 NIH Stroke Scale
  70297-7 ESRD patient information panel
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
  75854-0 PCORnet common data model set - version 1.0 [PCORnet]
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86636-8 Family planning report - FPAR 2.0 set
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP19498-2  Birth date 
Property   LP6882-7  TmStp   [Time Stamp (Date and Time)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  出生日期:时间戳:时间点:^患者:定量型:出生日期:时间戳:时间点:^患者:定量型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
  French (FRANCE)  (From: ASIP Santé (Agence des systèmes d'information partagés de santé))
 
  Birth date:TmStp:Pt:^Patient:Qn:Birth date:TmStp:Pt:^Patient:Qn:Date de naissance [Horodatage] Patient ; Numérique
  German (GERMANY)  (From: Institute for Medical Documentation and Information (DIMDI))
 
  Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:Geburtsdatum:ZtStpl:Pkt:^Patient:Qn:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Data di nascita:TmStp:Pt:^Paziente:Qn:Data di nascita:TmStp:Pt:^Paziente:Qn:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Data de nascimento:TmStp:Pt:^Paciente:Qn:Data de nascimento:TmStp:Pt:^Paciente:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:

RELATED NAMES
  Birthdate Point in time Random
  Date and time QNT Time stamp
  Date of birth Quan Timestamp
  DOB Quant  
  MISC Quantitative  

EXAMPLE UNITS
  Unit  Source Type
  {mm/dd/yyyy}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {mm/dd/yyyy} 

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   6     2.0 
   CMS IRF-PAI   6     1.4 
   CMS IRF-PAI   6     1.5 
   CMS IRF-PAI   6     3.0 
   CMS LCDS   A0900     4.00 
   CMS LCDS   A0900     3.00 
   CMS MDS   A0900     1.15.1 
   CMS MDS   A0900     1.16.1 
   CMS MDS   A0900     1.17.1 
   CMS MDS   A0900     1.14.1 
   CMS MDS   X0400     1.16.1 
   CMS MDS   X0400     1.15.1 
   CMS MDS   X0400     1.17.1 
   CMS MDS   X0400     1.14.1 
   CMS OASIS   M0066     C2 
   CMS OASIS   M0066     D 
   https://www.phenxtoolkit.org   PX010101010100   PX010101_Birthdate_Month   
   https://www.phenxtoolkit.org   PX010101010200   PX010101_Birthdate_Day   
   https://www.phenxtoolkit.org   PX010101010300   PX010101_Birthdate_Year   
   https://www.phenxtoolkit.org   PX091502030000   PX091502_Child_Birth_Date   
   https://www.phenxtoolkit.org   PX091601410000   PX091601_Date_Of_Birth   
   https://www.phenxtoolkit.org   PX150701060000   PX150701_Birth_Date   
   https://www.phenxtoolkit.org   PX221001030000   PX221001_MFHP_BirthDate   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Attachment Units Required: Y
  Long Common Name: Birth date
  Shortname: Birth date
  Fully Specified Name: Birth date: TmStp: Pt: ^Patient: Qn:
     
  Component Word Count: 2
  ID: 12108
  Status (Raw): ACTIVE


46106-1   Medical record number [Identifier]Medical record number [Identifier]Medical record number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Medical record number  ID  Pt  ^Patient  Nom 
  Override Display Name for Form:  Neonate's Medical Record #:
  Long Common Name:  Medical record number [Identifier]
  Short Name:  MRN

OBSERVATION ID IN FORM
DE40

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Removed method of MDS and copyright information since this is not an MDS-specific concept. Also change scale from narrative to nominal since this is not a narrative concept.; Changed CLASS from SURVEY.MDS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  54580-6 Minimum Data Set - version 3.0
  62949-3 PhenX domain - Gastrointestinal
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  84908-3 Cancer pathology panel - Prostate cancer
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75102-1  Medical record number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  病历编号:标识符:时间点:^患者:名义型:病历编号:标识符:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Numero di cartella clinica:ID:Pt:^Paziente:Nom:Numero di cartella clinica:ID:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Intradermal Num
  ADMIN.PATIENT Medical record no. Point in time
  ADMIN.PATIENT.ID MRN Random
  Ident No  
  Identifier Nominal  

RELATED CODES
Code System Code Code Text Code Version
   CMS MDS   A1300A     1.16.1 
   CMS MDS   A1300A     1.15.1 
   CMS MDS   A1300A     1.14.1 
   CMS MDS   A1300A     1.17.1 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Attachment Units Required: N
  Long Common Name: Medical record number [Identifier]
  Shortname: MRN
  Fully Specified Name: Medical record number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 39511
  Status (Raw): ACTIVE


74698-2   Sex [AHRQ]Sex [AHRQ]Sex: Type: Pt: ^Patient: Nom: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sex  Type  Pt  ^Patient  Nom  AHRQ
  Override Display Name for Form:  Neonate's Gender:
  Long Common Name:  Sex [AHRQ]

TERM DEFINITION/DESCRIPTION(S)
  The patient's documented sex (gender) on arrival at the hospital. This term was created for the "Patient gender" data element on the Agency for Healthcare Research and Quality (AHRQ) Healthcare Event Reporting Form (HERF), version 1.2. [https://ushik.ahrq.gov/ViewItemDetails?&system=mdr&itemKey=169064000&enableAsynchronousLoading=true]
 
 

PART DEFINITION/DESCRIPTION(S)
  Part: Sex
  In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en)
 
 

OBSERVATION ID IN FORM
DE43

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.56
  Order vs. Obs.: Observation
  Status: Active.
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.

HL7 ATTRIBUTES
  HL7 Field ID: PID-8

NORMATIVE ANSWER LIST    (LL2827-5)  
 
Source: Agency for Healthcare Research and Quality
  SEQ#        Answer        Code         Answer ID    
  1       Male       a       LA2-8  
  2       Female       b       LA3-6  
  3       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  c       LA4489-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP101395-4  Sex 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP345158-2  Sex 

RELATED NAMES
  Agency for Healthcare Research and Quality Point in time SURVEY.AHRQ
  Gender Random Typ
  Nominal Survey  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:47:59 PM
  Long Common Name: Sex [AHRQ]
  Fully Specified Name: Sex: Type: Pt: ^Patient: Nom: AHRQ
     
  Component Word Count: 1
  ID: 75227
  Status (Raw): ACTIVE


74770-9   Reporter Information [AHRQ]Reporter Information [AHRQ]Reporter information: -: Pt: ^Event: -: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reporter information  Pt  ^Event  AHRQ
  Override Display Name for Form:  Report and Event Reporter Information
  Long Common Name:  Reporter Information [AHRQ]

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.AHRQ/Survey
  Panel Type: Organizer
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Subset
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP183567-9  Reporter information 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7747-1 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Agency for Healthcare Research and Quality Panl Survey
  AHRQ survey Pnl Pnl SURVEY.AHRQ
  Pan Point in time  
  Panel Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:48:00 PM
  Long Common Name: Reporter Information [AHRQ]
  Fully Specified Name: Reporter information: -: Pt: ^Event: -: AHRQ
     
  Component Word Count: 2
  ID: 76404
  Status (Raw): ACTIVE


74550-5   Anonymous reporter [AHRQ]Anonymous reporter [AHRQ]Anonymous reporter: Find: Pt: ^Event: Ord: AHRQ  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Anonymous reporter  Find  Pt  ^Event  Ord  AHRQ
  Long Common Name:  Anonymous reporter [AHRQ]

OBSERVATION ID IN FORM
DE33

ANSWER CARDINALITY
0..1

OBSERVATION REQUIRED IN PANEL
Optional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

NORMATIVE ANSWER LIST    (LL2828-3)  
 
Source: Agency for Healthcare Research and Quality
  SEQ#        Answer        Code         Answer ID    
  1       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  a       LA33-6  
  2       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  b       LA32-8  

SURVEY QUESTION
Source: HERF.Q16

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182388-1  Anonymous reporter 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7751-3  Ord 
Method   LP173651-3  AHRQ   [Agency for Healthcare Research and Quality] 

RELATED NAMES
  Agency for Healthcare Research and Quality QL Survey
  Finding Qual SURVEY.AHRQ
  Findings Qualitative  
  Ordinal Random  
  Point in time Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:48:00 PM
  Long Common Name: Anonymous reporter [AHRQ]
  Fully Specified Name: Anonymous reporter: Find: Pt: ^Event: Ord: AHRQ
     
  Component Word Count: 2
  ID: 75079
  Status (Raw): ACTIVE


74549-7   Reporter of adverse event or unsafe conditionReporter of adverse event or unsafe conditionReporter of adverse event or unsafe condition: Pn: Pt: ^Event: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reporter of adverse event or unsafe condition  Pn  Pt  ^Event  Nom 
  Override Display Name for Form:  Reporter's Name:
  Long Common Name:  Reporter of adverse event or unsafe condition

OBSERVATION ID IN FORM
DE50

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q17

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  78000-7 Case notification panel [CDC.PHIN]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182444-2  Reporter of adverse event or unsafe condition 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 

RELATED NAMES
  AE Point in time Survey
  Nominal Random SURVEY.AHRQ
  Person name Reporter adverse event  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:48:00 PM
  Long Common Name: Reporter of adverse event or unsafe condition
  Fully Specified Name: Reporter of adverse event or unsafe condition: Pn: Pt: ^Event: Nom:
     
  Component Word Count: 7
  ID: 75078
  Status (Raw): ACTIVE


74548-9   Reporter phone numberReporter phone numberReporter phone number: Tele: Pt: ^Event: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reporter phone number  Tele  Pt  ^Event  Nom 
  Override Display Name for Form:  Telephone Number:
  Long Common Name:  Reporter phone number

OBSERVATION ID IN FORM
DE52

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q18

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  78000-7 Case notification panel [CDC.PHIN]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182449-1  Reporter phone number 
Property   LP6871-0  Tele   [Telephone number (HL7 datatype)] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 

RELATED NAMES
  No Point in time SURVEY.AHRQ
  Nominal Random Telecommunication number
  Num Reporter phone # Telephone number
  Phone # Survey  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:48:00 PM
  Long Common Name: Reporter phone number
  Fully Specified Name: Reporter phone number: Tele: Pt: ^Event: Nom:
     
  Component Word Count: 3
  ID: 75077
  Status (Raw): ACTIVE


74547-1   Reporter emailReporter emailReporter email: EmailAddr: Pt: ^Event: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reporter email  EmailAddr  Pt  ^Event  Nom 
  Override Display Name for Form:  Email Address:
  Long Common Name:  Reporter email

OBSERVATION ID IN FORM
DE53

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q19

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  78000-7 Case notification panel [CDC.PHIN]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182385-7  Reporter email 
Property   LP91370-4  EmailAddr   [Email Address] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 

RELATED NAMES
  Nominal Survey  
  Point in time SURVEY.AHRQ  
  Random    

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:48:00 PM
  Long Common Name: Reporter email
  Fully Specified Name: Reporter email: EmailAddr: Pt: ^Event: Nom:
     
  Component Word Count: 2
  ID: 75076
  Status (Raw): ACTIVE


74546-3   Reporter job or positionReporter job or positionReporter job or position: Type: Pt: ^Event: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reporter job or position  Type  Pt  ^Event  Nom 
  Override Display Name for Form:  Reporter's Job or Position:
  Long Common Name:  Reporter job or position

OBSERVATION ID IN FORM
DE36

ANSWER CARDINALITY
1..1

OBSERVATION REQUIRED IN PANEL
Conditional

BASIC ATTRIBUTES
  Class/Type: SURVEY.AHRQ/Survey
  First Released in Version: 2.48
  Last Updated in Version: 2.48
  Order vs. Obs.: Observation
  Status: Active

SURVEY QUESTION
Source: HERF.Q20

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP182448-3  Reporter job or position 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP94957-5  Event 
Scale   LP7750-5  Nom 

RELATED NAMES
  Nominal Survey  
  Point in time SURVEY.AHRQ  
  Random Typ  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:48:00 PM
  Long Common Name: Reporter job or position
  Fully Specified Name: Reporter job or position: Type: Pt: ^Event: Nom:
     
  Component Word Count: 4
  ID: 75075
  Status (Raw): ACTIVE

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  Code System: http://snomed.info/sct
  This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

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