Version 2.80

52526-1 Attending physician name

Observation ID in Form

CMS-2728_E46

Observation Required in Panel

Required

Fully-Specified Name

Component
Attending physician name
Property
Pn
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.24
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
7284

Member of these Panels

LOINC Long Common Name
80190-2 Catheterization and angiography procedure details panel
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
55140-8 Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Όνομα θεράποντος ιατρού:Pn:Pt:Πάροχος:Nom:
Synonyms: Pn Ιατρός Όνομα Όνομα θεράποντος ιατρού
es-MX Spanish (Mexico) Nombre del médico tratante:Pn:Punto temporal:Proveedor:Nominal:
it-IT Italian (Italy) Medico curante, nome:Pn:Pt:Provider:Nom:
Synonyms: Clinico Nome del medico curante Nome di persona Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Nome do médico atendente:Pn:Pt:Provedor:Nom:
Synonyms: Person name; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) Штатный лечащий врач фамилия:Фам:ТчкВрм:Провайдер:Ном:
Synonyms: Номинальный;Именной Специалист с высшим медицинским образованием Точка во времени;Момент Фамилия
zh-CN Chinese (China) 主治医师姓名:人员姓名:时间点:服务提供者:名义型:
Synonyms: 主治医生姓名;主治医姓名 人名 内科医师;内科医生;医生 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 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间

68340-9 Attending physician phone number

Observation ID in Form

CMS-2728_E47

Observation Required in Panel

Required

Fully-Specified Name

Component
Attending physician phone number
Property
Tele
Time
Pt
System
Provider
Scale
Nom
Method

Long Common Name

Attending physician phone number Provider

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
8270

Member of these Panels

LOINC Long Common Name
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

68468-8 Attending physician NPI Provider

Observation ID in Form

CMS-2728_E48

Observation Required in Panel

Required

Fully-Specified Name

Component
Attending physician NPI
Property
ID
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.63 (MIN)
Order vs. Observation
Observation

Normative Answer List LL512-5

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.3077
Link to External List
https://nppes.cms.hhs.gov/

Member of these Panels

LOINC Long Common Name
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
86636-8 Family planning report - FPAR 2.0 set
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106523-4 Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]

68355-7 Date

Observation ID in Form

CMS-2728_E50

Observation Required in Panel

Required

Fully-Specified Name

Component
Date signed
Property
TmStp
Time
Pt
System
Form
Scale
Qn
Method

Long Common Name

Date signed

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.48 (MIN)

Member of these Panels

LOINC Long Common Name
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

8251-1 Service comment

Part Descriptions

LP17773-0   Service comment
Service comment terms (Service comment, Service comment 02, Service comment 03, etc.) were requested by a lab to use as an OBX lab result message for user-defined text results. Source: Regenstrief LOINC

Observation ID in Form

CMS-2728_E53

Observation Required in Panel

Optional

Fully-Specified Name

Component
Service comment
Property
Imp
Time
Pt
System
XXX
Scale
Nom
Method

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 1.0h(2)
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
117

HL7® Attributes

HL7® Field ID
NTE-3

Member of these Panels

LOINC Long Common Name
95405-7 Assay related variables panel [PhenX]
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
93340-8 PhenX - complete blood count protocol 220501
62787-7 PhenX domain - Diabetes
62949-3 PhenX domain - Gastrointestinal
62863-6 PhenX domain - Infectious diseases and immunity
62755-4 PhenX domain - Neurology
62812-3 PhenX domain - Physical activity and physical fitness
62611-9 PhenX domain - Respiratory
62896-6 PhenX domain - Skin, bone, muscle and joint
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Σχόλιο υπηρεσίας:Imp:Pt:XXX:Nom:
Synonyms: Imp Σχόλιο Σχόλιο υπηρεσίας Υπηρεσία
es-AR Spanish (Argentina) comentario del servicio, 01:impresión/interpretación del estudio:punto en el tiempo:XXX:Nominal:
es-ES Spanish (Spain) Comentario del servicio 01:Impresión/interpretación del estudio:Punto temporal:XXX:Nom:
es-MX Spanish (Mexico) Comentario de servicio:Impresión / interpretación del estudio:Punto temporal:XXX:Nominal:
fr-FR French (France) Commentaire de service:Interprétation:Ponctuel:Milieux divers:Résultat nominal:
it-IT Italian (Italy) Commento di servizio 01:Imp:Pt:XXX:Nom:
Synonyms: Impressione/interpretazione di studio Miscellanea Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Comentários de serviço 01:Imp:Pt:XXX:Nom:
Synonyms: ; Service Cmnt 01; Remarks; Interpretation; Interp; Impression; Impressions; Point in time; Random; Miscellaneous; Unspecified; Other; Nominal; Com; Comm; Commt; Comments; cmnt; cmmt
ru-RU Russian (Russian Federation) Служебный комментарий:Впчт:ТчкВрм:XXX:Ном:
Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
tr-TR Turkish (Turkey) Servis önerisi:İzlnm:Zmlı:XXX:Snf:
zh-CN Chinese (China) 服务注释:印象:时间点:XXX:名义型:
Synonyms: 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 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 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 备注 备注;评论;注解;说明;评语 意见 时刻;随机;随意;瞬间 服务注释（备注、注解、评论说明、意见） 杂项;杂项类;杂项试验 注解 短评 解说 解释 评定 评注 评论 评语 说明

68355-7 Date

Observation ID in Form

CMS-2728_F55a

Observation Required in Panel

Required

Fully-Specified Name

Component
Date signed
Property
TmStp
Time
Pt
System
Form
Scale
Qn
Method

Long Common Name

Date signed

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.48 (MIN)

Member of these Panels

LOINC Long Common Name
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728

65838-5 Date submitted

Observation ID in Form

CMS-2728_F55b

Observation Required in Panel

Required

Fully-Specified Name

Component
Date submitted
Property
Date
Time
Pt
System
Form
Scale
Qn
Method

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.36
Last Updated
Version 2.50 (MAJ)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728