74080-3
Patient Safety Event Report - Hospital: Medication or Other Substance - Version 1.2
Active
Form Coding Instructions
Use this form to report any patient safety event or unsafe condition involving a substance such as medications, biological products, nutritional products, expressed human breast milk, medical gases, or contrast media. Do not complete this form if the event involves appropriateness of therapeutic choice or decision making (e.g., physician decision to prescribe mediction despite known drug-drug interaction). If the event involves a device, please also complete the Device or Medical/Surgical Supply including Health Information Technology (HIT) form. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF)
Source: Agency for Healthcare Research and Quality74081-1 Event ID:
Observation ID in Form
DE2
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Patient safety event
- Property
- ID
- Time
- Pt
- System
- ^Event
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Patient safety event [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.66 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74725-3 | Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ] |
| 74495-3 | Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ] |
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 74502-6 | Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ] |
| 74501-8 | Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ] |
30947-6 Initial Report Date (HERF Q1):
Observation ID in Form
DE30
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Date form completed
- Property
- Date
- Time
- Pt
- System
- Form
- Scale
- Qn
- Method
Long Common Name
Date form completed
Basic Attributes
- Class
- ADMIN
- Type
- Clinical
- First Released
- Version 2.04
- Last Updated
- Version 2.61 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 97887-4 | Core Outcome Measures Index for the Back [COMI] |
| 97327-1 | Core Outcome Measures Index for the Neck [COMI] |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] |
| 85671-6 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment] |
| 85662-5 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment] |
| 85668-2 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment] |
| 106623-2 | Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment] |
| 107632-2 | Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment] |
| 106625-7 | Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment] |
| 107631-4 | Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.01 during assessment period [CMS Assessment] |
| 106933-5 | Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [CMS Assessment] |
| 107633-0 | Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.01 during assessment period [CMS Assessment] |
| 100203-9 | Knee Society Score post-op panel [Knee Society Score] |
| 100159-3 | Knee Society Score pre-op panel [Knee Society Score] |
| 103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment] |
| 113119-2 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.3 during assessment period [CMS Assessment] |
| 103948-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment] |
| 113164-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.3 during assessment period [CMS Assessment] |
| 103946-0 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment] |
| 113166-3 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.3 during assessment period [CMS Assessment] |
| 103947-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment] |
| 113165-5 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.3 during assessment period [CMS Assessment] |
| 104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment] |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 104606-9 | MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 105201-8 | MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
| 104552-5 | MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 104554-1 | MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 104607-7 | MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment] |
| 104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 46611-0 | Mental residual functional capacity (RFC) assessment form |
| 107107-5 | Mini nutritional assessment MNA |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 74725-3 | Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ] |
| 74495-3 | Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ] |
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 74502-6 | Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ] |
| 74501-8 | Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ] |
| 105485-7 | PhenX - healthcare communications protocol 281101 |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
| 60687-1 | Test of Infant Motor Performance Version 5.1 |
| 55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Ημερομηνία συμπλήρωσης εντύπου: Synonyms: ADMIN Pt Qn Ημερομηνία Ημερομηνία συμπλήρωσης εντύπου Μορφή |
| es-AR | Spanish (Argentina) | fecha de formulario completo: |
| es-MX | Spanish (Mexico) | Formulario de fecha completado: |
| it-IT | Italian (Italy) | Data completamento form: Synonyms: Amministrativo Punto nel tempo (episodio) |
| pt-BR | Portuguese (Brazil) | Data formulário preenchido: Synonyms: Time stamp; |
| ru-RU | Russian (Russian Federation) | Дата форма заполнение: Synonyms: Дата заполнения формы Количественный Точка во времени; |
| zh-CN | Chinese (China) | 表单完成日期: Synonyms: 可用数量表示的; |
Example Units
| Unit | Source |
|---|---|
| {mm/dd/yyyy} | Example UCUM Units |
74076-1 What type of medication/substance was involved?
Observation ID in Form
DE270
Observation Required in Panel
Required
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Medication or substance involved
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Medication or substance involved [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2654-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Medications | a | LA20271-5 | |
| Biological products | b | LA20335-8 | |
| Nutritional products | c | LA20336-6 | |
| Expressed human breast milk | d | LA20337-4 | |
| Medical gases (e.g., oxygen, nitrogen, nitrous oxide) | e | LA20338-2 | |
| Contrast media | f | LA20339-0 | |
| Radiopharmaceuticals | g | LA20340-8 | |
| Patient food (not suspected in drug-food interactions) | h | LA20341-6 | |
| Drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission | i | LA20342-4 | |
| Other substance: PLEASE SPECIFY | j | LA20343-2 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74075-3 What type of medication?
Observation ID in Form
DE273
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Medication
- Property
- Type
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Medication type [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2655-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Prescription or over-the-counter (including herbal supplements) | a | LA20278-0 | |
| Compounded preparations | b | LA20298-8 | |
| Investigational drugs | c | LA20299-6 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | d | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74077-9 Please list all ingredients:
Observation ID in Form
DE276
Observation Required in Panel
Conditional
Fully-Specified Name
- Component
- Ingredients for compounded preparations
- Property
- Find
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Ingredients for compounded preparations Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74074-6 What type of biological product?
Observation ID in Form
DE279
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Biological product
- Property
- Type
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Biological product of Medication [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2657-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Vaccines | a | LA20283-0 | |
| Other biological products (e.g., thrombolytic) | b | LA20287-1 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
30959-1 Lot number [Identifier] Vaccine
Observation ID in Form
DE282
Observation Required in Panel
Conditional
Fully-Specified Name
- Component
- Lot number
- Property
- ID
- Time
- Pt
- System
- Vaccine
- Scale
- Nom
- Method
Basic Attributes
- Class
- VACCIN
- Type
- Clinical
- First Released
- Version 2.04
- Last Updated
- Version 2.27 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 39294-4 | Children's preventive health services attachment Set |
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 85701-1 | Rubella surveillance panel |
| 55140-8 | Vaccine Adverse Event Reporting System (VAERS) panel |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Αριθμός παρτίδας: Synonyms: Nom Pt VACCIN Αναγνωριστικό Αριθμός Αριθμός παρτίδας Εμβόλιο |
| es-AR | Spanish (Argentina) | número de lote: |
| es-MX | Spanish (Mexico) | Numero de lote: |
| it-IT | Italian (Italy) | Lotto, codice: Synonyms: Codice lotto Identificatore Punto nel tempo (episodio) Vaccinazioni |
| nl-NL | Dutch (Netherlands) | lotnummer: |
| pt-BR | Portuguese (Brazil) | Número do lote: Synonyms: Num; |
| ru-RU | Russian (Russian Federation) | Партия номер: Synonyms: Идентификатор Номер партии Номинальный; |
| zh-CN | Chinese (China) | 批号: Synonyms: 个数; |
74073-8 What type of nutritional product?
Observation ID in Form
DE285
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Type of nutritional product
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Type of nutritional product [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2659-2
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Dietary supplements (other than vitamins or minerals) | a | LA20273-1 | |
| Vitamins or minerals | b | LA16117-6 | |
| Enteral nutritional products, including infant formula | c | LA20320-0 | |
| Parenteral nutritional products | d | LA20321-8 | |
| Other: PLEASE SPECIFY | e | LA20318-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74072-0 Which of the following best characterizes the event?
Observation ID in Form
DE288
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Best characterization of medication or other substance event
- Property
- Find
- Time
- Pt
- System
- ^Event
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Best characterization of medication or other substance event [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2660-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication) | a | LA20275-6 | |
| Unsafe condition | b | LA20314-3 | |
| Adverse reaction in patient to the administered substance without any apparent incorrect action | c | LA20315-0 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | d | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74071-2 What was the incorrect action?
Observation ID in Form
DE291
Observation Required in Panel
Conditional
Form Coding Instructions
Check all that apply:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Incorrect action
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Incorrect action [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2661-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Incorrect patient | a | LA20276-4 | |
| Incorrect medication/substance | b | LA20302-8 | |
| Incorrect dose(s) | c | LA20303-6 | |
| Incorrect route of administration | d | LA20304-4 | |
| Incorrect timing | e | LA20305-1 | |
| Incorrect rate | f | LA20306-9 | |
| Incorrect duration of administration or course of therapy | g | LA20307-7 | |
| Incorrect dosage form (e.g., sustained release instead of immediate release) | h | LA20308-5 | |
| Incorrect strength or concentration | i | LA20309-3 | |
| Incorrect preparation, including inappropriate cutting of tablets, error in compounding, mixing, etc. | j | LA20310-1 | |
| Expired or deteriorated medication/substance | k | LA20311-9 | |
| Medication/substance that is known to be an allergen to the patient | l | LA20312-7 | |
| Medication/substance that is known to be contraindicated for the patient | m | LA20345-7 | |
| Incorrect patient/family action (e.g., self-administration error) | n | LA20313-5 | |
| Other: PLEASE SPECIFY | o | LA20318-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74070-4 Which best describes the incorrect dose(s)?
Observation ID in Form
DE294
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Best description for the incorrect dose
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Best description for the incorrect dose [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2662-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Overdose | a | LA20277-2 | |
| Underdose | b | LA20300-2 | |
| Missed or omitted dose | c | LA20301-0 | |
| Extra dose | d | LA7271-5 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | e | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74069-6 Which best describes the incorrect timing?
Observation ID in Form
DE297
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Best description for the incorrect timing
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- AHRQ
Long Common Name
Best description for the incorrect timing [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2663-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Too early | a | LA20280-6 | |
| Too late | b | LA20290-5 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | c | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74068-8 Which best describes the incorrect rate?
Observation ID in Form
DE300
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Best description for the incorrect rate
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- AHRQ
Long Common Name
Best description for the incorrect rate [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2664-2
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Too quickly | a | LA20282-2 | |
| Too slowly | b | LA20288-9 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | c | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74067-0 Which best describes the incorrect strength or concentration?
Observation ID in Form
DE303
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Best description for incorrect strength or concentration
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- AHRQ
Long Common Name
Best description for incorrect strength or concentration [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2665-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Too high | a | LA20281-4 | |
| Too low | b | LA20289-7 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | c | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74066-2 What was the expiration date?
Observation ID in Form
DE306
Observation Required in Panel
Conditional
Fully-Specified Name
- Component
- Expiration date
- Property
- Date
- Time
- Pt
- System
- Medication
- Scale
- Qn
- Method
- AHRQ
Long Common Name
Expiration date of Medication [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.50 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Example Units
| Unit | Source |
|---|---|
| {mm/dd/yyyy} | Example UCUM Units |
74065-4 Was there a documented history of allergies or sensitivities to the medication/substance administered?
Observation ID in Form
DE309
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- History of allergies or sensitivities to the medication or substance administered was documented
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- AHRQ
Long Common Name
History of allergies or sensitivities to the medication or substance administered was documented [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2817-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | a | LA33-6 | |
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | b | LA32-8 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | c | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74064-7 What was the contraindication (potential or actual interaction)?
Observation ID in Form
DE312
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Medication or substance contraindication - potential or actual interaction
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Medication or substance contraindication - potential or actual interaction [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2668-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Drug-drug | a | LA20274-9 | |
| Drug-food | b | LA20316-8 | |
| Drug-disease | c | LA20317-6 | |
| Other: PLEASE SPECIFY | d | LA20318-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74063-9 At what stage in the process did the event originate, regardless of the stage at which it was discovered?
Observation ID in Form
DE315
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Stage in the process that the event originated, regardless of the stage at which it was discovered
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Stage in the process that the event originated, regardless of the stage at which it was discovered [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2669-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Purchasing | a | LA20279-8 | |
| Storing | b | LA20291-3 | |
| Prescribing/ordering | c | LA20292-1 | |
| Transcribing | d | LA20293-9 | |
| Preparing | e | LA20294-7 | |
| Dispensing | f | LA20295-4 | |
| Administering | g | LA20296-2 | |
| Monitoring | h | LA20297-0 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | i | LA4489-6 | |
| Other: PLEASE SPECIFY | j | LA20318-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74078-7 Medication or other substance details panel [AHRQ]
Observation Required in Panel
Conditional
Form Coding Instructions
Please provide the following medication details for any medications or other substances directly involved in the event
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Medication or other substance details panel
- Property
- -
- Time
- Pt
- System
- Medication
- Scale
- -
- Method
- AHRQ
Basic Attributes
- Class
- PANEL.SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Subset
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74062-1 Generic name or investigational drug name
Observation ID in Form
DE318
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Generic or investigational drug name
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Generic or investigational drug name of Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74061-3 Ingredient RXCUI (if known)
Observation ID in Form
DE319
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- Ingredient - RxNorm RXCUI
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Ingredient - RxNorm RXCUI of Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
74060-5 Brand name (if known)
Observation ID in Form
DE321
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- Brand name
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Brand name of Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74059-7 Brand name RXCUI (if known)
Observation ID in Form
DE322
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- Brand name - RxNorm RXCUI
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Brand name - RxNorm RXCUI of Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
74058-9 Manufacturer (if known)
Observation ID in Form
DE324
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- Manufacturer name
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Manufacturer name of Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74057-1 Strength or concentration of product
Term Description
Medication strength is based on the amount of active ingredient present in each dosage.
Observation ID in Form
DE327
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Medication strength
- Property
- Dosage
- Time
- Pt
- System
- Medication
- Scale
- Qn
- Method
Long Common Name
Medication strength
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.58 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
74056-3 Clinical drug component RXCUI (if known)
Term Description
The Clinical drug component (RxNorm RXCUI) is the ingredient plus strength (e.g....)
Observation ID in Form
DE328
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- Clinical drug component - RxNorm RXCUI
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Clinical drug component - RxNorm RXCUI of Medication
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 85057-8 | PCORnet Common Data Model set - version 3.0 [PCORnet] |
74055-5 Dosage form of product
Observation ID in Form
DE330
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Dose form
- Property
- Type
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Dose form of Medication
Basic Attributes
- Class
- MEDS
- Type
- Clinical
- First Released
- Version 2.46
- Last Updated
- Version 2.58 (MIN)
- Order vs. Observation
- Observation
Example Answer List LL3146-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Pill | LA16247-1 | ||
| Tablet | LA21908-1 | ||
| Capsule | LA21907-3 | ||
| Extended-release capsule | LA21911-5 | ||
| Granules | LA21912-3 | ||
| Suspension | LA21913-1 | ||
| Elixir | LA21914-9 | ||
| Cream | LA21915-6 | ||
| Ointment | LA21916-4 | ||
| Injectable solution | LA21917-2 | ||
| Patch | LA21918-0 | ||
| Spray | LA21919-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
| 85038-8 | Somatotropin monitoring panel |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Έντυπο δόσης: Synonyms: MEDS Nom Pt Type Έντυπο δόσης Μορφή Φαρμακευτική αγωγή |
| es-MX | Spanish (Mexico) | Forma de dosis: |
| fr-FR | French (France) | Forme posologique: |
| it-IT | Italian (Italy) | Dose, forma: Synonyms: Medicazione Punto nel tempo (episodio) |
| ru-RU | Russian (Russian Federation) | Доза форма: Synonyms: Номинальный; |
| zh-CN | Chinese (China) | 剂型: Synonyms: 一剂物质 一剂药物 分类型应答; |
74054-8 Dose form RXCUI (if known)
Observation ID in Form
DE331
Observation Required in Panel
Optional
Fully-Specified Name
- Component
- Dose form - RxNorm RXCUI
- Property
- ID
- Time
- Pt
- System
- Medication
- Scale
- Nom
- Method
Long Common Name
Dose form - RxNorm RXCUI of Medication
Basic Attributes
- Class
- MEDS
- Type
- Clinical
- First Released
- Version 2.46
- Last Updated
- Version 2.58 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Μορφή δόσης - RxNorm RXCUI: Synonyms: MEDS Nom Pt Αναγνωριστικό Έντυπο δόσης Μορφή Μορφή δόσης - RxNorm RXCUI Φαρμακευτική αγωγή |
| es-MX | Spanish (Mexico) | Forma de dosis - RxNorm RXCUI: |
| it-IT | Italian (Italy) | Dose, forma - RxNorm RXCUI: Synonyms: Identificatore Medicazione Punto nel tempo (episodio) |
| ru-RU | Russian (Russian Federation) | Лекарственная форма - RxNorm RXCUI: Synonyms: Идентификатор Номинальный; |
| zh-CN | Chinese (China) | 剂型 - RxNorm RXCUI: Synonyms: 一剂物质 一剂药物 分类型应答; |
74053-0 Was this medication/ substance prescribed for this patient?
Observation ID in Form
DE333
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Medication or substance was prescribed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- AHRQ
Long Common Name
Medication or substance was prescribed [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2828-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | a | LA33-6 | |
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | b | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74052-2 Was this medication / substance given to this patient?
Observation ID in Form
DE336
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Medication or substance was given
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- AHRQ
Long Common Name
Medication or substance was given [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2828-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | a | LA33-6 | |
| No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | b | LA32-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74051-4 What was the intended route of administration?
Observation ID in Form
DE348
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Intended route of administration
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Intended route of administration [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2682-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Cutaneous, topical application, including ointment, spray, patch | a | LA20272-3 | |
| Subcutaneous | b | LA9451-1 | |
| Ophthalmic | c | LA9444-6 | |
| Oral, including sublingual or buccal | d | LA20324-2 | |
| Otic | e | LA9445-3 | |
| Nasal | f | LA9263-0 | |
| Inhalation | g | LA9427-1 | |
| Intravenous | h | LA9437-0 | |
| Intramuscular | i | LA9429-7 | |
| Intrathecal | j | LA9435-4 | |
| Epidural | k | LA9418-0 | |
| Gastric | l | LA20332-5 | |
| Rectal | m | LA9369-5 | |
| Vaginal | n | LA9459-4 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | o | LA4489-6 | |
| Other: PLEASE SPECIFY | p | LA20318-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
74050-6 What was the actual route of administration (attempted or completed)?
Observation ID in Form
DE351
Observation Required in Panel
Conditional
Form Coding Instructions
Check one:
Source: Agency for Healthcare Research and QualityFully-Specified Name
- Component
- Actual route of administration - attempted or completed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- AHRQ
Long Common Name
Actual route of administration - attempted or completed [AHRQ]
Basic Attributes
- Class
- SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.46
- Last Updated
- Version 2.48 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL2682-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Cutaneous, topical application, including ointment, spray, patch | a | LA20272-3 | |
| Subcutaneous | b | LA9451-1 | |
| Ophthalmic | c | LA9444-6 | |
| Oral, including sublingual or buccal | d | LA20324-2 | |
| Otic | e | LA9445-3 | |
| Nasal | f | LA9263-0 | |
| Inhalation | g | LA9427-1 | |
| Intravenous | h | LA9437-0 | |
| Intramuscular | i | LA9429-7 | |
| Intrathecal | j | LA9435-4 | |
| Epidural | k | LA9418-0 | |
| Gastric | l | LA20332-5 | |
| Rectal | m | LA9369-5 | |
| Vaginal | n | LA9459-4 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | o | LA4489-6 | |
| Other: PLEASE SPECIFY | p | LA20318-4 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 74080-3 | Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ] |
Third Party Copyright
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.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.