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Form Coding Instructions

1. For each time period, write in the activity number that corresponds to the main activity you actually performed during that particular time period. 2. Then rate how physically hard each activity was. Place a "√" in the timetable to indicate one of the following intensity levels for each activity

Source: Consensus measures for Phenotypes and Exposures

66276-7 Day name [PhenX]

Fully-Specified Name

Component
Day name
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
PhenX

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.65 (MIN)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Example Answer List LL1429-1

AnswerCodeScoreAnswer ID
Sunday1LA15212-6
Monday2LA15206-8
Tuesday3LA15207-6
Wednesday4LA15208-4
Thursday5LA15209-2
Friday6LA15210-0
Saturday7LA15211-8

Member of these Panels

LOINCLong Common Name
62812-3PhenX domain - Physical activity and physical fitness

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Όνομα ημέρας:Type:Pt:^Ασθενής:Nom:PhenX
Synonyms: - Nom PHENX Pt Type Ασθενής Ημέρα Όνομα Όνομα ημέρας
es-MXSpanish (Mexico)Nombre del día:Tipo:Punto temporal:^ Paciente:Nominal:PhenX
it-ITItalian (Italy)Giorno, nome:Tipo:Pt:^Paziente:Nom:PhenX
Synonyms: paziente PhenX Punto nel tempo (episodio)
ru-RURussian (Russian Federation)Дня название:Тип:ТчкВрм:^Пациент:Ном:PhenX
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)星期几名称:类型:时间点:^患者:名义型:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 周几名称;日子名称;日名称;一周当中各日的名称;一星期当中各日的名称 型 姓名;名字;名 日;昼;白天;周几;星期几 时刻;随机;随意;瞬间

66267-6 Time period [PhenX]

Fully-Specified Name

Component
Time period
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method
PhenX

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.65 (MIN)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Normative Answer List LL1897-9

AnswerCodeScoreAnswer ID
7:00-7:30amLA17866-7
7:30-8:00amLA17867-5
8:00-8:30amLA17868-3
8:30-9:00amLA17869-1
9:00-9:30amLA17870-9
9:30-10:00amLA17871-7
11:00-11:30amLA17874-1
11:30-12:00pmLA17875-8
12:00-12:30pmLA17876-6
12:30-1:00pmLA17877-4
1:00-1:30pmLA17878-2
1:30-2:00pmLA17879-0
2:00-2:30pmLA17880-8
2:30-3:00pmLA17881-6
3:30-4:00pmLA17882-4
4:00-4:30pmLA17883-2
4:30-5:00pmLA17884-0
5:00-5:30pmLA17885-7
5:30-6:00pmLA17886-5
6:00-6:30pmLA17887-3
6:30-7:00pmLA17888-1
7:00-7:30pmLA17889-9
7:30-8:00pmLA17890-7
8:00-8:30pmLA17891-5
8:30-9:00pmLA17892-3
9:00-9:30pmLA17893-1
9:30-10:00pmLA17894-9
10:00-10:30pmLA17895-6
10:30-11:00pmLA17896-4
11:00-11:30pmLA17897-2
11:30-12:00amLA17898-0

Member of these Panels

LOINCLong Common Name
62812-3PhenX domain - Physical activity and physical fitness

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Χρονική περίοδος:Time:Pt:^Ασθενής:Qn:PhenX
Synonyms: - PHENX Pt Qn Time Ασθενής Χρονική περίοδος
es-MXSpanish (Mexico)Periodo de tiempo:Tiempo:Punto temporal:^ Paciente:Cuantitativo:PhenX
it-ITItalian (Italy)Periodo di tempo:Tempo:Pt:^Paziente:Qn:PhenX
Synonyms: paziente PhenX Punto nel tempo (episodio) Tempo (e.g. secondi)
ru-RURussian (Russian Federation)Временной период:Время:ТчкВрм:^Пациент:Колич:PhenX
Synonyms: Время (в т.ч. в секундах) Количественный Точка во времени;Момент
zh-CNChinese (China)时期:时间:时间点:^患者:定量型:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 时间阶段;期限;时间周期;期间;时段

66268-4 Adolescent activity [PhenX]

Fully-Specified Name

Component
Adolescent activity
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
PhenX

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.65 (MIN)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Normative Answer List LL1898-7

AnswerCodeScoreAnswer ID
Eating a mealLA17899-8
SnackingLA17900-4
Working nowLA17901-2
Doing house choresLA17902-0
Yard workLA17903-8
ChurchLA17904-6
Hanging aroundLA17905-3
HomeworkLA17906-1
Listening to musicLA17907-9
Marching band - flag - drill teamLA17908-7
Music lesson - playing instrumentLA17909-5
Playing video games - surfing internetLA17910-3
ReadingLA17911-1
ShoppingqLA17912-9
Talking on phoneLA17913-7
Watching TV or movieLA17914-5
Riding in a car - busLA17915-2
Travel by walkingLA17916-0
Travel by bicyclingLA17917-8
Getting dressedLA17918-6
Getting ready - hair - make-up etc.LA17919-4
Showering - bathingLA17920-2
SleepingLA11864-8
Club - student activityLA17921-0
Lunch - free time - study hallLA17922-8
Physical education (P.E.) classLA17923-6
R.O.T.C.LA17924-4
Sitting in classLA17925-1
Aerobics - aerobic dancingLA17926-9
BasketballLA17927-7
BicyclingLA11837-4
BowlingLA17928-5
Calisthenics - jumping jacks - sit-upsLA17929-3
CheerleadingLA17930-1
Dancing - social, recreationalLA17931-9
Dancing - ballet, jazz, modern, tapLA17932-7
Field hockeyLA17933-5
FrisbeeLA17934-3
GolfLA17935-0
Horseback ridingLA17936-8
Ice - rolling skatingLA17937-6
Jogging - runningLA17938-4
Karate - judo, martial arts, self defenseLA17939-2
RollerbladingLA17940-0
SkateboardingLA17941-8
SoccerLA17942-6
Softball - baseballLA17943-4
Stationary exercise machines - cycle, ski machine, stairclimber, treadmillLA17944-2
Street hockeyLA17945-9
SwimmingLA11838-2
TennisLA17947-5
VolleyballLA17948-3
Walking - brisklyLA17949-1
Weight - circuit trainingLA17950-9
Gymnastics - tumblingLA17951-7
Kick boxing - Tae BoLA17952-5
Track and fieldLA17953-3
TrampolineLA17954-1
OtherLA46-8

Member of these Panels

LOINCLong Common Name
62812-3PhenX domain - Physical activity and physical fitness

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Δραστηριότητα εφήβου:Εύρεση:Pt:^Ασθενής:Nom:PhenX
Synonyms: - Nom PHENX Pt Ασθενής Δραστηριότητα Δραστηριότητα εφήβου Εύρεση
es-MXSpanish (Mexico)Actividad adolescente:Tipo:Punto temporal:^ Paciente:Nominal:PhenX
it-ITItalian (Italy)Attività adolescienziale:Osservazione:Pt:^Paziente:Nom:PhenX
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RURussian (Russian Federation)Подростка активность:Находка:ТчкВрм:^Пациент:Ном:PhenX
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)青少年活动:发现:时间点:^患者:名义型:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 活动

66269-2 Write in the activity number that corresponds to the main activity you actually performed during that particular time period.

Fully-Specified Name

Component
Number that corresponds to the main activity you actually performed during that particular time period
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
PhenX

Long Common Name

Number that corresponds to the main activity you actually performed during that particular time period [PhenX]

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.65 (MIN)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Member of these Panels

LOINCLong Common Name
62812-3PhenX domain - Physical activity and physical fitness

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Αριθμός που αντιστοιχεί στην κύρια δραστηριότητα που πραγματοποιήσατε πραγματικά κατά τη συγκεκριμένη χρονική περίοδο:Εύρεση:Pt:^Ασθενής:Nom:PhenX
Synonyms: - Nom PHENX Pt Time Αριθμός Αριθμός που αντιστοιχεί στην κύρια δραστηριότητα που πραγματοποιήσατε πραγματικά κατά τη συγκεκριμένη χρονική περίοδο Ασθενής Δραστηριότητα Εύρεση Χρονική περίοδος
es-MXSpanish (Mexico)Número que corresponde a la actividad principal que realmente realizó durante ese período de tiempo en particular:Tipo:Punto temporal:^ Paciente:Nominal:PhenX
it-ITItalian (Italy)Numero che corrisponde all'attività principale che ha realmente svolto durante quel periodo di tempo particolare:Osservazione:Pt:^Paziente:Nom:PhenX
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RURussian (Russian Federation)Число, соответствующее основной активности, которую Вы в действительности совершали в тот временной период:Находка:ТчкВрм:^Пациент:Ном:PhenX
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)对应于您在那段特定的时期内实际所从事的主要活动的数量:发现:时间点:^患者:名义型:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 个数;数目 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 对应于您在那段特定的时期（时限、周期）内实际所从事（进行、完成）的主要活动的数量 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 时间阶段;期限;时间周期;期间;时段 活动

66270-0 Activity intensity [PhenX]

Reference Information

TypeSourceReference
ImageConsensus measures for Phenotypes and Exposures
Light - Slow breathing, little or no movement Image for Light - Slow breathing, little or no movement
ImageConsensus measures for Phenotypes and Exposures
Moderate - Normal breathing and some movement Image for Moderate - Normal breathing and some movement
ImageConsensus measures for Phenotypes and Exposures
Hard - Increased breathing and moderate movement Image for Hard - Increased breathing and moderate movement
ImageConsensus measures for Phenotypes and Exposures
Very Hard - Hard breathing and quick movement Image for Very Hard - Hard breathing and quick movement

Fully-Specified Name

Component
Activity intensity
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
PhenX

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.65 (MIN)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Normative Answer List LL1899-5

AnswerCodeScoreAnswer ID
LightLA15831-3
ModerateLA6751-7
HardLA14745-6
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
62812-3PhenX domain - Physical activity and physical fitness

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Ένταση δραστηριότητας:Εύρεση:Pt:^Ασθενής:Nom:PhenX
Synonyms: - Nom PHENX Pt Ασθενής Δραστηριότητα Ένταση δραστηριότητας Εύρεση
es-MXSpanish (Mexico)Intensidad de actividad:Tipo:Punto temporal:^ Paciente:Nominal:PhenX
it-ITItalian (Italy)Attività, intensità:Osservazione:Pt:^Paziente:Nom:PhenX
Synonyms: Intensità dell''attività Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RURussian (Russian Federation)Активности интенсивность:Находка:ТчкВрм:^Пациент:Ном:PhenX
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)活动强度:发现:时间点:^患者:名义型:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 活动

54125-0 Patient name

Fully-Specified Name

Component
Name
Property
Pn
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.26
Last Updated
Version 2.73 (MIN)
Change Reason
Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;
Common Test Rank Get Info
18024

HL7® Attributes

HL7® Field ID
PID-5

Member of these Panels

LOINCLong Common Name
89070-7ADAPTABLE patient reported item set [ADAPTABLE]
63009-5Deprecated PhenX domain - Social environments
89724-9Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
69723-5Patient Health Questionnaire (PHQ) [Reported]
74495-3Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
93149-3PhenX - bone age protocol 220301
62812-3PhenX domain - Physical activity and physical fitness
60687-1Test of Infant Motor Performance Version 5.1
111760-5Therapeutic direction panel
86504-8These questions three panel
54127-6US Surgeon General family health portrait [USSG-FHT]

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Όνομα:Pn:Pt:^Ασθενής:Nom:
Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Όνομα
es-ESSpanish (Spain)Nombre:Pn:Punto temporal:^paciente:Nom:
es-MXSpanish (Mexico)Nombre:Pn:Punto temporal:^ Paciente:Nominal:
fr-FRFrench (France)Nom:Personne:Ponctuel:^patient:Résultat nominal:
it-ITItalian (Italy)Nome:Pn:Pt:^Paziente:Nom:
Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NLDutch (Netherlands)naam:persoonsnaam:moment:^patiënt:nominaal:
ru-RURussian (Russian Federation)Фамилия:Фам:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент Фамилия
zh-CNChinese (China)名称:人员姓名:时间点:^患者:名义型:
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 姓名;名字;名 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

45396-9 Social Security number [Identifier]

Observation ID in Form

AA5a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Social Security number
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.73 (MIN)
Change Reason
Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component
Order vs. Observation
Both
Common Test Rank Get Info
6170

HL7® Attributes

HL7® Field ID
PID-19

Member of these Panels

LOINCLong Common Name
89070-7ADAPTABLE patient reported item set [ADAPTABLE]
76464-7American Physical Therapy Association registry panel
103991-6CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52745-7Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6Deprecated MDS basic assessment tracking form - version 2.0
86870-3Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1Deprecated 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]
86873-7Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5Deprecated 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]
88285-2Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9Deprecated 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]
88947-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6Deprecated Minimum Data Set - version 3.0
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7ESRD patient information panel
106623-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
104608-5MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
46611-0Mental residual functional capacity (RFC) assessment form
108256-9Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
62812-3PhenX domain - Physical activity and physical fitness
46637-5Residual physical functional capacity (RFC) assessment form [RFC]
100997-6Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Αριθμός μητρώου κοινωνικής ασφάλισης:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός μητρώου κοινωνικής ασφάλισης Ασθενής
es-MXSpanish (Mexico)Número de seguro social:ID:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Previdenza Sociale, numero:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero di Previdenza Sociale paziente Punto nel tempo (episodio)
zh-CNChinese (China)社会安全号码:标识符:时间点:^患者:名义型:
Synonyms: Social Security number;SSN;社会保险号码;社会保障号码;社会保障号 个数;数目 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符（Identifier，ID） 皮下 皮下的 皮内 皮内（Intradermal，ID） 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识） 识别 识别符

21112-8 Birth date

Observation ID in Form

AA3

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Birth date
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 1.0m
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
1746

HL7® Attributes

HL7® Field ID
PID-7.1

Member of these Panels

LOINCLong Common Name
89070-7ADAPTABLE patient reported item set [ADAPTABLE]
58735-2Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3Alpha-1-Fetoprotein panel - Serum or Plasma
76464-7American Physical Therapy Association registry panel
103991-6CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
75199-0Congenital syphilis case investigation and report panel [CDC.CS]
52747-3Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
85645-0Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
87509-6Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
85671-6Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
87506-2Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 during assessment period [CMS Assessment]
85662-5Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
87507-0Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]
85668-2Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
87508-8Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 during assessment period [CMS Assessment]
45963-6Deprecated MDS basic assessment tracking form - version 2.0
86870-3Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1Deprecated 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]
86873-7Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5Deprecated 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]
88285-2Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9Deprecated 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]
88947-7Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home and Swing bed tracking (NT and ST) item set during assessment period [CMS Assessment]
90473-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6Deprecated Minimum Data Set - version 3.0
46462-8Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0Deprecated Outcome and assessment information set (OASIS) form - version C
57190-1Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
85907-4Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
68359-9End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70297-7ESRD patient information panel
86636-8Family planning report - FPAR 2.0 set
49085-4First and Second trimester integrated maternal screen panel
48798-3First trimester maternal screen panel - Serum or Plasma
49086-2First trimester maternal screen with nuchal translucency panel
47245-6HIV treatment form Document
106623-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]
106625-7Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
107631-4Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment]
106933-5Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment]
107633-0Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment]
113114-3Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.4 during assessment period [CMS Assessment]
93128-7Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
100203-9Knee Society Score post-op panel [Knee Society Score]
100159-3Knee Society Score pre-op panel [Knee Society Score]
93222-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
113119-2Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment]
93219-4Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.00 during assessment period [CMS Assessment]
103948-6Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
113164-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment]
93221-0Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
113166-3Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment]
93220-2Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.00 during assessment period [CMS Assessment]
103947-8Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
113165-5Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment]
49087-0Maternal screen clinical predictors panel
104608-5MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
108256-9Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
70182-1NIH Stroke Scale
88373-6Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
108291-6Outcome and assessment information set (OASIS) form - version E2 - Start of Care during assessment period [CMS Assessment]
74495-3Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
75854-0PCORnet common data model set - version 1.0 [PCORnet]
85057-8PCORnet Common Data Model set - version 3.0 [PCORnet]
62293-6PhenX - current age protocol 010101
62263-9PhenX domain - Nutrition and dietary supplements
62812-3PhenX domain - Physical activity and physical fitness
62611-9PhenX domain - Respiratory
100997-6Respiratory Allergen Panel, Area 5 - Serum
48799-1Second trimester penta maternal screen panel - Serum or Plasma
48800-7Second trimester quad maternal screen panel - Serum or Plasma
35086-8Second trimester triple maternal screen panel - Serum or Plasma
60687-1Test of Infant Motor Performance Version 5.1
54127-6US Surgeon General family health portrait [USSG-FHT]
55140-8Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)Datum narození:Časové razítko (datum a čas):Časový bod:^Pacient:Kvantitativní:
de-DEGerman (Germany)Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
el-GRGreek (Greece)Ημερομηνία γέννησης:TmStp:Pt:^Ασθενής:Qn:
Synonyms: - MISC Pt Qn TmStp Ασθενής Ημερομηνία γέννησης
es-ARSpanish (Argentina)fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-ESSpanish (Spain)Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn:
Synonyms: Cuantitativo
es-MXSpanish (Mexico)Fecha de nacimiento:Sello de hora (fecha y hora):Punto temporal:^ Paciente:Cuantitativo:
fr-FRFrench (France)Date de naissance:Horodatage:Ponctuel:^patient:Numérique:
it-ITItalian (Italy)Data di nascita:TmStp:Pt:^Paziente:Qn:
Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NLDutch (Netherlands)geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
pt-BRPortuguese (Brazil)Data de nascimento:TmStp:Pt:^Paciente:Qn:
Synonyms: Dob; Date of birth; Birthdate; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan
ru-RURussian (Russian Federation)Рождения дата:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени;Момент
tr-TRTurkish (Turkey)Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:
zh-CNChinese (China)出生日期:时间戳:时间点:^患者:定量型:
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印时戳;时标;时间戳(日期与时间);时间标记;计时标记 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验 生日

Example Units

UnitSource
{mm/dd/yyyy}Example UCUM Units

66280-9 Name of participant's school

Fully-Specified Name

Component
Name
Property
ID
Time
Pt
System
School
Scale
Nom
Method

Long Common Name

School Name

Basic Attributes

Class
ADMIN.FACILITY
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.66 (MAJ)
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Removed Method of "PhenX" since this is a general concept not specific to PhenX. Updated Class from PHENX to ADMIN.FACILITY and Status from TRIAL to ACTIVE.

Member of these Panels

LOINCLong Common Name
62812-3PhenX domain - Physical activity and physical fitness

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Όνομα:Αναγνωριστικό:Pt:Σχολή:Nom:
Synonyms: ADMIN ADMIN.FACILITY Nom Pt Αναγνωριστικό Όνομα Σχολή
es-MXSpanish (Mexico)Nombre:ID:Punto temporal:Colegio:Nominal:
it-ITItalian (Italy)Nome:ID:Pt:Scuola:Nom:
Synonyms: Amministrativo Identificatore Punto nel tempo (episodio) Struttura
nl-NLDutch (Netherlands)naam:identificator:moment:school:nominaal:
ru-RURussian (Russian Federation)Фамилия:ID:ТчкВрм:Школа:Ном:
Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)名称:标识符:时间点:学校:名义型:
Synonyms: 专业学校;专科学校;大学;学院;系;院;学派;流派;群 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 姓名;名字;名 时刻;随机;随意;瞬间 标识;身份标识符;身份标识 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.设施（场所、设备、特别装置、服务特色）