74495-3
Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
Active
Term Description
The Healthcare Event Reporting Form (HERF) captures information on incidents, near misses (close calls), and unsafe conditions. This form is analogous to incident reports commonly used in hospitals today. It contains structured questions and allows for a brief narrative to document the precise details of the event or unsafe condition. The HERF solicits only the most basic information about an event or unsafe condition and is intended to start a reporting process that is completed using other generic and event-specific forms. For perinatal events, the HERF contains basic patient identifiers for both the mother and neonate.
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 74495-3 | Patient Safety Event Report - Hospital: Healthcare Event Reporting Form (HERF) Hospital - Version 1.2 | |||
| Indent74081-1 | Event ID: | R | 1..1 | |
| Indent30947-6 | Initial Report Date (HERF Q1): | R | 1..1 | {mm/dd/yyyy} |
| Indent30947-6 | Report Date: | R | 1..1 | {mm/dd/yyyy} |
| Indent74079-5 | What is being reported? | R | 1..1 | |
| Indent74555-4 | Event Discovery Date & Time: | C | 1..1 | {mm/dd/yyyy} |
| Indent74554-7 | Briefly describe the event that occurred or unsafe condition: | O | 0..1 | |
| Indent74553-9 | Briefly describe the location where the event occurred or where the unsafe condition exists: | O | 0..1 | |
| Indent74552-1 | Which of the following categories are associated with the event or unsafe condition? | R | 1..10 | |
| Indent74772-5 | Patient Information [AHRQ] | |||
| Indent Indent54125-0 | Patient's Name: | R | 1..1 | |
| Indent Indent21112-8 | Patient's Date of Birth: | O | 0..1 | {mm/dd/yyyy} |
| Indent Indent46106-1 | Patient's Medical Record #: | R | 1..1 | |
| Indent Indent74698-2 | Patient's Gender: | R | 1..1 | |
| Indent74551-3 | Is this event a perinatal incident that affected a neonate? | O | 0..1 | |
| Indent74771-7 | Neonatal Patient Information [AHRQ] | |||
| Indent Indent54125-0 | Neonate's Name: | C | 1..1 | |
| Indent Indent21112-8 | Neonate's Date of Birth: | O | 0..1 | {mm/dd/yyyy} |
| Indent Indent46106-1 | Neonate's Medical Record #: | C | 1..1 | |
| Indent Indent74698-2 | Neonate's Gender: | C | 1..1 | |
| Indent74770-9 | Report and Event Reporter Information | |||
| Indent Indent74550-5 | Anonymous reporter [AHRQ] | O | 0..1 | |
| Indent Indent74549-7 | Reporter's Name: | C | 1..1 | |
| Indent Indent74548-9 | Telephone Number: | C | 1..1 | |
| Indent Indent74547-1 | Email Address: | C | 1..1 | |
| Indent Indent74546-3 | Reporter's Job or Position: | C | 1..1 |
Fully-Specified Name
- Component
- Patient safety event report - hospital - healthcare event reporting form - version 1.2
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- AHRQ
Basic Attributes
- Class
- PANEL.SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.48
- Last Updated
- Version 2.54
- Panel Type
- Panel
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=74495-3 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/74495-3
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright