74502-6
Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
Active
Term Description
The Patient Information Form (PIF) is used to collect demographic information as well as additional information about the impact of the event on a patient (e.g., level of harm, unplanned interventions). It supplements the Healthcare Event Reporting Form (HERF) in cases where an incident is being reported.
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 74502-6 | Patient Safety Event Report - Hospital: Patient Information Form - Version 1.2 | |||
| Indent74081-1 | Event ID: | R | 1..1 | |
| Indent30947-6 | Initial Report Date (HERF Q1): | R | 1..1 | {mm/dd/yyyy} |
| Indent74500-0 | At the time of the event what was the patient's age? | R | 1..1 | |
| Indent74694-1 | Is the patient's ethnicity Hispanic or Latino? | R | 1..1 | |
| Indent74693-3 | What is the patient's race? | R | 1..1 | |
| Indent52797-8 | ICD-9-CM or ICD-10-CM principal diagnosis code at discharge (if available): | O | 0..1 | |
| Indent74562-0 | Was any intervention attempted in order to "rescue" the patient (i.e., to prevent, to minimize, or to reverse harm)? | R | 1..1 | |
| Indent74561-2 | Which of the following interventions (rescue) were documented? | C | 1..1 | |
| Indent74560-4 | After any intervention to reduce harm, what was the degree of residual harm to the patient from the incident (and subsequent intervention)? | R | 1..1 | |
| Indent74559-6 | What is the anticipated duration of the harm to the patient? | R | 1..1 | |
| Indent74558-8 | Approximately when after discovery of the incident was harm assessed? | R | 1..1 | |
| Indent74557-0 | Did, or will, the incident result in an increased length of stay? | R | 1..1 | |
| Indent74556-2 | After the discovery of the incident, was the patient, patient's family, or guardian notified? | R | 1..1 |
Fully-Specified Name
- Component
- Patient safety event report - hospital - patient information form - version 1.2
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- AHRQ
Basic Attributes
- Class
- PANEL.SURVEY.AHRQ
- Type
- Surveys
- First Released
- Version 2.48
- Last Updated
- Version 2.54
- Panel Type
- Panel
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=74502-6 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/74502-6
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright