74495-3

Patient Safety Event Report - Hospital: Healthcare Event Reporting Form (HERF) Hospital - Version 1.2

Active

Form Coding Instructions

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

Source: Agency for Healthcare Research and Quality

74081-1 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:Ημερομηνία:Pt:Μορφή:Qn: Synonyms: ADMIN Pt Qn Ημερομηνία Ημερομηνία συμπλήρωσης εντύπου Μορφή
es-AR	Spanish (Argentina)	fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:
es-MX	Spanish (Mexico)	Formulario de fecha completado:Fecha:Punto temporal:Formulario:Cuantitativo:
it-IT	Italian (Italy)	Data completamento form:Data:Pt:Modulo:Qn: Synonyms: Amministrativo Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Data formulário preenchido:TmStp:Pt:Forma:Qn: Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; VACCINE
ru-RU	Russian (Russian Federation)	Дата форма заполнение:Дата:ТчкВрм:Форма:Колич: Synonyms: Дата заполнения формы Количественный Точка во времени;Момент
zh-CN	Chinese (China)	表单完成日期:日期:时间点:表单:定量型: Synonyms: 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;瞬间行政;管理;施行;执行;经营表单填写日期表格;表;窗体

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Code System	Code	Code Text	Code Version
CMS LCDS	Z0500B		3.00
CMS MDS	Z0500B		v1.18.11

30947-6 Report Date:

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:Ημερομηνία:Pt:Μορφή:Qn: Synonyms: ADMIN Pt Qn Ημερομηνία Ημερομηνία συμπλήρωσης εντύπου Μορφή
es-AR	Spanish (Argentina)	fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:
es-MX	Spanish (Mexico)	Formulario de fecha completado:Fecha:Punto temporal:Formulario:Cuantitativo:
it-IT	Italian (Italy)	Data completamento form:Data:Pt:Modulo:Qn: Synonyms: Amministrativo Punto nel tempo (episodio)
pt-BR	Portuguese (Brazil)	Data formulário preenchido:TmStp:Pt:Forma:Qn: Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; VACCINE
ru-RU	Russian (Russian Federation)	Дата форма заполнение:Дата:ТчкВрм:Форма:Колич: Synonyms: Дата заполнения формы Количественный Точка во времени;Момент
zh-CN	Chinese (China)	表单完成日期:日期:时间点:表单:定量型: Synonyms: 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;瞬间行政;管理;施行;执行;经营表单填写日期表格;表;窗体

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Code System	Code	Code Text	Code Version
CMS LCDS	Z0500B		3.00
CMS MDS	Z0500B		v1.18.11

74079-5 What is being reported?

Observation ID in Form

DE3

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Event
Property: Type
Time: Pt
System: ^Event
Scale: Nom
Method: AHRQ

Long Common Name

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 LL2683-2

Answer	Code	Answer ID
Incident A patient safety event that reached the patient, whether or not the patient was harmed.	a	LA20347-3
Near miss A patient safety event that did not reach the patient.	b	LA20346-5
Unsafe condition Any circumstance that increases the probability of a patient safety event.	c	LA20314-3

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74555-4 Event Discovery Date & Time:

Term Description

The month, day, year, and time the event (incident or near miss) was discovered.

Observation ID in Form

DE9

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Event discovery date & time
Property: TmStp
Time: Pt
System: ^Event
Scale: Qn
Method

Long Common Name

Event discovery date and time

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

74554-7 Briefly describe the event that occurred or unsafe condition:

Observation ID in Form

DE15

Observation Required in Panel

Optional

Fully-Specified Name

Component: Description of patient safety event or unsafe condition
Property: Find
Time: Pt
System: ^Event
Scale: Nar
Method: AHRQ

Long Common Name

Description of patient safety event or unsafe condition [AHRQ]

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74553-9 Briefly describe the location where the event occurred or where the unsafe condition exists:

Observation ID in Form

DE18

Observation Required in Panel

Optional

Fully-Specified Name

Component: Location of patient safety event or unsafe condition
Property: Find
Time: Pt
System: ^Event
Scale: Nar
Method: AHRQ

Long Common Name

Location of patient safety event or unsafe condition - Narrative [AHRQ]

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74552-1 Which of the following categories are associated with the event or unsafe condition?

Observation ID in Form

DE21

Observation Required in Panel

Required

Form Coding Instructions

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

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Categories associated with patient safety event or unsafe condition
Property: Find
Time: Pt
System: ^Event
Scale: Nom
Method: AHRQ

Long Common Name

Categories associated with patient safety event or unsafe condition [AHRQ]

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Normative Answer List LL2825-9

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

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74772-5 Patient Information [AHRQ]

Form Coding Instructions

COMPLETE ONLY IF INCIDENT

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Patient information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: AHRQ

Basic Attributes

Class: PANEL.SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

54125-0 Patient's Name:

Observation ID in Form

DE46

Observation Required in Panel

Required

Fully-Specified Name

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

Long Common Name

Patient name

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

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

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Όνομα
es-ES	Spanish (Spain)	Nombre:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Nombre:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Nom:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	naam:persoonsnaam:moment:^patiënt:nominaal:
ru-RU	Russian (Russian Federation)	Фамилия:Фам:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент Фамилия
zh-CN	Chinese (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）

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX150701040000	PX150701_Name
https://www.phenxtoolkit.org	PX211101010100	PX211101_Person1_Name
https://www.phenxtoolkit.org	PX211101020100	PX211101_Person2_Name
https://www.phenxtoolkit.org	PX211101030100	PX211101_Person3_Name
https://www.phenxtoolkit.org	PX211101040100	PX211101_Person4_Name
https://www.phenxtoolkit.org	PX211101050100	PX211101_Person5_Name
https://www.phenxtoolkit.org	PX211101060100	PX211101_Person6_Name
https://www.phenxtoolkit.org	PX211101070100	PX211101_Person7_Name
https://www.phenxtoolkit.org	PX211101080100	PX211101_Person8_Name
https://www.phenxtoolkit.org	PX211101090100	PX211101_Person9_Name
https://www.phenxtoolkit.org	PX211101100100	PX211101_Person10_Name
https://www.phenxtoolkit.org	PX211101110100	PX211101_Person11_Name
https://www.phenxtoolkit.org	PX211101120100	PX211101_Person12_Name
https://www.phenxtoolkit.org	PX211101130100	PX211101_Person13_Name
https://www.phenxtoolkit.org	PX211101140100	PX211101_Person14_Name
https://www.phenxtoolkit.org	PX211101150100	PX211101_Person15_Name
https://www.phenxtoolkit.org	PX211101160100	PX211101_Person16_Name
https://www.phenxtoolkit.org	PX211101170100	PX211101_Person17_Name
https://www.phenxtoolkit.org	PX211101180100	PX211101_Person18_Name
https://www.phenxtoolkit.org	PX211101190100	PX211101_Person19_Name
https://www.phenxtoolkit.org	PX211101200100	PX211101_Person20_Name
https://www.phenxtoolkit.org	PX221001010000	PX221001_MFHP_Name
https://www.phenxtoolkit.org	PX220301210000	PX220301_Bone_Age_Patient_Name
https://www.phenxtoolkit.org	PX221201010000	PX221201_Growth_Chart_Patient_Name

21112-8 Patient's Date of Birth:

Observation ID in Form

DE47

Observation Required in Panel

Optional

Fully-Specified Name

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

Long Common Name

Birth date

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

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

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Datum narození:Časové razítko (datum a čas):Časový bod:^Pacient:Kvantitativní:
de-DE	German (Germany)	Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Ημερομηνία γέννησης:TmStp:Pt:^Ασθενής:Qn: Synonyms: - MISC Pt Qn TmStp Ασθενής Ημερομηνία γέννησης
es-AR	Spanish (Argentina)	fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-ES	Spanish (Spain)	Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Fecha de nacimiento:Sello de hora (fecha y hora):Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Date de naissance:Horodatage:Ponctuel:^patient:Numérique:
it-IT	Italian (Italy)	Data di nascita:TmStp:Pt:^Paziente:Qn: Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NL	Dutch (Netherlands)	geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (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-RU	Russian (Russian Federation)	Рождения дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:
zh-CN	Chinese (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

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
CMS IRF-PAI	6		4.0
CMS LCDS	A0900		5.00
CMS OASIS	M0066		D1
CMS LCDS	A0900		3.00
CMS IRF-PAI	6		2.0
CMS MDS	A0900		1.16.1
CMS OASIS	M0066		D
CMS MDS	X0400		1.16.1
CMS IRF-PAI	6		1.4
CMS IRF-PAI	6		1.5
CMS IRF-PAI	6		3.0
CMS LCDS	A0900		4.00
CMS MDS	A0900		1.14.1
CMS MDS	A0900		1.15.1
CMS MDS	X0400		1.14.1
CMS MDS	X0400		1.15.1
CMS OASIS	M0066		C2
https://www.phenxtoolkit.org	PX010101010100	PX010101_Birthdate_Month
https://www.phenxtoolkit.org	PX010101010200	PX010101_Birthdate_Day
https://www.phenxtoolkit.org	PX010101010300	PX010101_Birthdate_Year
https://www.phenxtoolkit.org	PX091502030000	PX091502_Child_Birth_Date
https://www.phenxtoolkit.org	PX091601410000	PX091601_Date_Of_Birth
https://www.phenxtoolkit.org	PX150701060000	PX150701_Birth_Date
https://www.phenxtoolkit.org	PX221001030000	PX221001_MFHP_BirthDate
CMS MDS	A0900		1.17.1
CMS MDS	X0400		1.17.1
https://www.phenxtoolkit.org	PX010101010400	PX010101_Birthdate_Coded
https://www.phenxtoolkit.org	PX221201060000	PX221201_Growth_Chart_Date_Of_Birth
CMS OASIS	M0066		E
CMS MDS	A0900		v1.18.11
CMS MDS	X0400		v1.18.11
CMS MDS	A0900		1.17.2
CMS MDS	X0400		1.17.2

46106-1 Patient's Medical Record #:

Observation ID in Form

DE49

Observation Required in Panel

Required

Fully-Specified Name

Component: Medical record number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Medical record number [Identifier]

Basic Attributes

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

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
84908-3	Cancer pathology panel - Prostate cancer
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated 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]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
62949-3	PhenX domain - Gastrointestinal
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός ιατρικού αρχείου:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός ιατρικού αρχείου Ασθενής
es-MX	Spanish (Mexico)	Numero de historia CLINICA:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Numero di cartella clinica:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	病历编号:标识符:时间点:^患者:名义型: Synonyms: 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）病历号;病案编号;病案号;病案号码;病历号码;医疗记录编号;医疗记录号;医疗记录蛤蟆;医疗档案编号;医疗档案号;医疗档案号码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

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A1300A		v1.18.11
CMS MDS	A1300A		1.17.2
CMS MDS	A1300A		1.16.1
CMS MDS	A1300A		1.14.1
CMS MDS	A1300A		1.15.1
CMS MDS	A1300A		1.17.1
https://www.phenxtoolkit.org	PX221201020000	PX221201_Growth_Chart_Patient_Record_Number

74698-2 Patient's Gender:

Term Description

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

Part Descriptions

LP101395-4 Sex
In LOINC, sex refers to the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. Our definition is based on the World Health Organization's definition of sex and gender: sex (male, female) refers to biological and physiological characteristics, and gender (masculine, feminine) refers to socially constructed roles, behaviors, activities, and attributes. (http://www.who.int/gender/whatisgender/en) Source: Regenstrief LOINC, WHO: gender

Observation ID in Form

DE42

Observation Required in Panel

Required

Fully-Specified Name

Component: Sex
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: AHRQ

Long Common Name

Sex [AHRQ]

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.56 (MIN)
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.
Order vs. Observation: Observation

HL7^® Attributes

HL7^® Field ID: PID-8

Normative Answer List LL2827-5

Answer	Code	Answer ID
Male	a	LA2-8
Female	b	LA3-6
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - 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.

74551-3 Is this event a perinatal incident that affected a neonate?

Term Description

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

Observation Required in Panel

Optional

Fully-Specified Name

Component: Perinatal incident that affected a neonate
Property: Find
Time: Pt
System: ^Event
Scale: Ord
Method: AHRQ

Long Common Name

Perinatal incident that affected a neonate [AHRQ]

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
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
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

Third Party Copyright

74771-7 Neonatal Patient Information [AHRQ]

Form Coding Instructions

COMPLETE ONLY FOR NEONATE AFFECTED BY PERINATAL INCIDENT

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Neonatal patient information
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: AHRQ

Basic Attributes

Class: PANEL.SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

54125-0 Neonate's Name:

Observation ID in Form

DE34

Observation Required in Panel

Conditional

Fully-Specified Name

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

Long Common Name

Patient name

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

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

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Όνομα:Pn:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT Nom Pn Pt Ασθενής Όνομα
es-ES	Spanish (Spain)	Nombre:Pn:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Nombre:Pn:Punto temporal:^ Paciente:Nominal:
fr-FR	French (France)	Nom:Personne:Ponctuel:^patient:Résultat nominal:
it-IT	Italian (Italy)	Nome:Pn:Pt:^Paziente:Nom: Synonyms: Amministrativo Nome di persona Paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	naam:persoonsnaam:moment:^patiënt:nominaal:
ru-RU	Russian (Russian Federation)	Фамилия:Фам:ТчкВрм:^Пациент:Ном: Synonyms: Номинальный;Именной Точка во времени;Момент Фамилия
zh-CN	Chinese (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）

Related Codes

Code System	Code	Code Text
https://www.phenxtoolkit.org	PX150701040000	PX150701_Name
https://www.phenxtoolkit.org	PX211101010100	PX211101_Person1_Name
https://www.phenxtoolkit.org	PX211101020100	PX211101_Person2_Name
https://www.phenxtoolkit.org	PX211101030100	PX211101_Person3_Name
https://www.phenxtoolkit.org	PX211101040100	PX211101_Person4_Name
https://www.phenxtoolkit.org	PX211101050100	PX211101_Person5_Name
https://www.phenxtoolkit.org	PX211101060100	PX211101_Person6_Name
https://www.phenxtoolkit.org	PX211101070100	PX211101_Person7_Name
https://www.phenxtoolkit.org	PX211101080100	PX211101_Person8_Name
https://www.phenxtoolkit.org	PX211101090100	PX211101_Person9_Name
https://www.phenxtoolkit.org	PX211101100100	PX211101_Person10_Name
https://www.phenxtoolkit.org	PX211101110100	PX211101_Person11_Name
https://www.phenxtoolkit.org	PX211101120100	PX211101_Person12_Name
https://www.phenxtoolkit.org	PX211101130100	PX211101_Person13_Name
https://www.phenxtoolkit.org	PX211101140100	PX211101_Person14_Name
https://www.phenxtoolkit.org	PX211101150100	PX211101_Person15_Name
https://www.phenxtoolkit.org	PX211101160100	PX211101_Person16_Name
https://www.phenxtoolkit.org	PX211101170100	PX211101_Person17_Name
https://www.phenxtoolkit.org	PX211101180100	PX211101_Person18_Name
https://www.phenxtoolkit.org	PX211101190100	PX211101_Person19_Name
https://www.phenxtoolkit.org	PX211101200100	PX211101_Person20_Name
https://www.phenxtoolkit.org	PX221001010000	PX221001_MFHP_Name
https://www.phenxtoolkit.org	PX220301210000	PX220301_Bone_Age_Patient_Name
https://www.phenxtoolkit.org	PX221201010000	PX221201_Growth_Chart_Patient_Name

21112-8 Neonate's Date of Birth:

Observation ID in Form

DE37

Observation Required in Panel

Optional

Fully-Specified Name

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

Long Common Name

Birth date

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

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

Language Variants Get Info

Tag	Language	Translation
cs-CZ	Czech (Czechia)	Datum narození:Časové razítko (datum a čas):Časový bod:^Pacient:Kvantitativní:
de-DE	German (Germany)	Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
el-GR	Greek (Greece)	Ημερομηνία γέννησης:TmStp:Pt:^Ασθενής:Qn: Synonyms: - MISC Pt Qn TmStp Ασθενής Ημερομηνία γέννησης
es-AR	Spanish (Argentina)	fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-ES	Spanish (Spain)	Fecha de nacimiento:Certificado de tiempo (Dia y Hora):Punto temporal:^paciente:Qn: Synonyms: Cuantitativo
es-MX	Spanish (Mexico)	Fecha de nacimiento:Sello de hora (fecha y hora):Punto temporal:^ Paciente:Cuantitativo:
fr-FR	French (France)	Date de naissance:Horodatage:Ponctuel:^patient:Numérique:
it-IT	Italian (Italy)	Data di nascita:TmStp:Pt:^Paziente:Qn: Synonyms: Miscellanea paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
nl-NL	Dutch (Netherlands)	geboortedatum:tijdstempel:moment:^patiënt:kwantitatief:
pt-BR	Portuguese (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-RU	Russian (Russian Federation)	Рождения дата:TmStp:ТчкВрм:^Пациент:Колич: Synonyms: Time Stamp (Дата и Время) Дата рождения Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Doğum tarihi:ZBel:Zmlı:^Hasta:Kant:
zh-CN	Chinese (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

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
CMS IRF-PAI	6		4.0
CMS LCDS	A0900		5.00
CMS OASIS	M0066		D1
CMS LCDS	A0900		3.00
CMS IRF-PAI	6		2.0
CMS MDS	A0900		1.16.1
CMS OASIS	M0066		D
CMS MDS	X0400		1.16.1
CMS IRF-PAI	6		1.4
CMS IRF-PAI	6		1.5
CMS IRF-PAI	6		3.0
CMS LCDS	A0900		4.00
CMS MDS	A0900		1.14.1
CMS MDS	A0900		1.15.1
CMS MDS	X0400		1.14.1
CMS MDS	X0400		1.15.1
CMS OASIS	M0066		C2
https://www.phenxtoolkit.org	PX010101010100	PX010101_Birthdate_Month
https://www.phenxtoolkit.org	PX010101010200	PX010101_Birthdate_Day
https://www.phenxtoolkit.org	PX010101010300	PX010101_Birthdate_Year
https://www.phenxtoolkit.org	PX091502030000	PX091502_Child_Birth_Date
https://www.phenxtoolkit.org	PX091601410000	PX091601_Date_Of_Birth
https://www.phenxtoolkit.org	PX150701060000	PX150701_Birth_Date
https://www.phenxtoolkit.org	PX221001030000	PX221001_MFHP_BirthDate
CMS MDS	A0900		1.17.1
CMS MDS	X0400		1.17.1
https://www.phenxtoolkit.org	PX010101010400	PX010101_Birthdate_Coded
https://www.phenxtoolkit.org	PX221201060000	PX221201_Growth_Chart_Date_Of_Birth
CMS OASIS	M0066		E
CMS MDS	A0900		v1.18.11
CMS MDS	X0400		v1.18.11
CMS MDS	A0900		1.17.2
CMS MDS	X0400		1.17.2

46106-1 Neonate's Medical Record #:

Observation ID in Form

DE40

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Medical record number
Property: ID
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Medical record number [Identifier]

Basic Attributes

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

HL7^® Attributes

HL7^® Field ID: PID-3

Member of these Panels

LOINC	Long Common Name
84908-3	Cancer pathology panel - Prostate cancer
45981-8	Deprecated MDS full assessment form - version 2.0
46102-0	Deprecated MDS quarterly assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86870-3	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
86874-5	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
86875-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated 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]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86877-8	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88279-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88280-3	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88281-1	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88286-0	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88951-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
88952-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
88953-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88948-5	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
90480-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7	Deprecated 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]
90473-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
90474-8	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
104608-5	MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7	MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
108256-9	Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
62949-3	PhenX domain - Gastrointestinal
100997-6	Respiratory Allergen Panel, Area 5 - Serum

Language Variants Get Info

Tag	Language	Translation
el-GR	Greek (Greece)	Αριθμός ιατρικού αρχείου:Αναγνωριστικό:Pt:^Ασθενής:Nom: Synonyms: - ADMIN ADMIN.PATIENT ADMIN.PATIENT.ID Nom Pt Αναγνωριστικό Αριθμός Αριθμός ιατρικού αρχείου Ασθενής
es-MX	Spanish (Mexico)	Numero de historia CLINICA:ID:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Numero di cartella clinica:ID:Pt:^Paziente:Nom: Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	病历编号:标识符:时间点:^患者:名义型: Synonyms: 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）病历号;病案编号;病案号;病案号码;病历号码;医疗记录编号;医疗记录号;医疗记录蛤蟆;医疗档案编号;医疗档案号;医疗档案号码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

Related Codes

Code System	Code	Code Text	Code Version
CMS MDS	A1300A		v1.18.11
CMS MDS	A1300A		1.17.2
CMS MDS	A1300A		1.16.1
CMS MDS	A1300A		1.14.1
CMS MDS	A1300A		1.15.1
CMS MDS	A1300A		1.17.1
https://www.phenxtoolkit.org	PX221201020000	PX221201_Growth_Chart_Patient_Record_Number

74698-2 Neonate's Gender:

Term Description

Part Descriptions

Observation ID in Form

DE43

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Sex
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: AHRQ

Long Common Name

Sex [AHRQ]

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.56 (MIN)
Change Reason: Changed Component from 'Gender' to 'Sex' to align with the World Health Organization (WHO) definition of this concept.
Order vs. Observation: Observation

HL7^® Attributes

HL7^® Field ID: PID-8

Normative Answer List LL2827-5

Answer	Code	Answer ID
Male	a	LA2-8
Female	b	LA3-6
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

Third Party Copyright

74770-9 Report and Event Reporter Information

Fully-Specified Name

Component: Reporter information
Property: -
Time: Pt
System: ^Event
Scale: -
Method: AHRQ

Long Common Name

Reporter Information [AHRQ]

Basic Attributes

Class: PANEL.SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74550-5 Anonymous reporter [AHRQ]

Observation ID in Form

DE33

Observation Required in Panel

Optional

Fully-Specified Name

Component: Anonymous reporter
Property: Find
Time: Pt
System: ^Event
Scale: Ord
Method: AHRQ

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
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
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

Third Party Copyright

74549-7 Reporter's Name:

Observation ID in Form

DE50

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Reporter of adverse event or unsafe condition
Property: Pn
Time: Pt
System: ^Event
Scale: Nom
Method

Long Common Name

Reporter of adverse event or unsafe condition

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
78000-7	Case notification panel [CDC.PHIN]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74548-9 Telephone Number:

Observation ID in Form

DE52

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Reporter phone number
Property: Tele
Time: Pt
System: ^Event
Scale: Nom
Method

Long Common Name

Reporter phone number

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
78000-7	Case notification panel [CDC.PHIN]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74547-1 Email Address:

Observation ID in Form

DE53

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Reporter email
Property: EmailAddr
Time: Pt
System: ^Event
Scale: Nom
Method

Long Common Name

Reporter email

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
78000-7	Case notification panel [CDC.PHIN]
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74546-3 Reporter's Job or Position:

Observation ID in Form

DE36

Observation Required in Panel

Conditional

Fully-Specified Name

Component: Reporter job or position
Property: Type
Time: Pt
System: ^Event
Scale: Nom
Method

Long Common Name

Reporter job or position

Basic Attributes

Class: SURVEY.AHRQ
Type: Surveys
First Released: Version 2.48
Last Updated: Version 2.48 (MIN)
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
74495-3	Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]

74495-3

Patient Safety Event Report - Hospital: Healthcare Event Reporting Form (HERF) Hospital - Version 1.2

Active

Form Coding Instructions

74081-1 Event ID:

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

30947-6 Initial Report Date (HERF Q1):

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Example Units

Related Codes

30947-6 Report Date:

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Language Variants Get Info

Related Names

Example Units

Related Codes

74079-5 What is being reported?

Observation ID in Form

Observation Required in Panel

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL2683-2

Member of these Panels

Related Names

74555-4 Event Discovery Date & Time:

Term Description

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

Example Units

74554-7 Briefly describe the event that occurred or unsafe condition:

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

74553-9 Briefly describe the location where the event occurred or where the unsafe condition exists:

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Member of these Panels

Related Names

74552-1 Which of the following categories are associated with the event or unsafe condition?

Observation ID in Form

Observation Required in Panel

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL2825-9

Member of these Panels

Related Names

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes

HL7^® Attributes