LOINC - LOINC Panel Details 74502-6 Patient Safety Event Report - Hospital: Patient Information Form

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

74500-0 At the time of the event what was the patient's age?

Observation ID in Form

DE45

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Age at time of event
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: AHRQ

Long Common Name

Age at time of event [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 LL2814-3

Answer	Code	Answer ID
Neonate (0-28 days)	a	LA20736-7
Infant (>28 days <1 year)	b	LA20737-5
Child (1-12 years)	c	LA20738-3
Adolescent (13-17 years)	d	LA20739-1
Adult (18-64 years)	e	LA20740-9
Mature adult (65-74 years)	f	LA20741-7
Older adult (75-84 years)	g	LA20742-5
Aged adult (85+ years)	h	LA20743-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	i	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74694-1 Is the patient's ethnicity Hispanic or Latino?

Observation ID in Form

DE48

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

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

Long Common Name

Ethnicity [AHRQ]

Basic Attributes

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

HL7^® Attributes

HL7^® Field ID: PID-22

Normative Answer List LL2815-0

Answer	Code	Answer ID
Hispanic or Latino	a	LA6214-6
Not Hispanic or Latino	b	LA19555-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74693-3 What is the patient's race?

Observation ID in Form

DE51

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

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

Long Common Name

Race [AHRQ]

Basic Attributes

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

HL7^® Attributes

HL7^® Field ID: PID-10

Normative Answer List LL2816-8

Answer	Code	Answer ID
American Indian or Alaska Native	a	LA6155-1
Asian	b	LA6156-9
Black or African American	c	LA10610-6
Native Hawaiian or Other Pacific Islander	d	LA10611-4
White	e	LA4457-3
More than one race	f	LA20744-1
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	g	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

52797-8 ICD-9-CM or ICD-10-CM principal diagnosis code at discharge (if available):

Observation ID in Form

DE54

Observation Required in Panel

Optional

Fully-Specified Name

Component: Diagnosis ICD code
Property: Prid
Time: Pt
System: ^Patient
Scale: Nom
Method

Long Common Name

Diagnosis ICD code [Identifier]

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.26
Last Updated: Version 2.73 (MIN)
Change Reason: Changed CLASS from SURVEY.MDS to CLIN
Order vs. Observation: Both
Common Test Rank Get Info: 743

Example Answer List LL4547-7

Externally Defined: Yes
Code System
Code System OID: 1.3.6.1.4.1.12009.10.1.3459
Link to External List: http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
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]
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]
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]
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]
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]
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]
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]
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]
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]
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]
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]
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]
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]
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]
89724-9	Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
87825-6	National Trauma Data Standard - version 2018 set
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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)	Κωδικός ICD διάγνωσης:Prid:Pt:^Ασθενής:Nom: Synonyms: - CLIN Nom Prid Pt Ασθενής Διάγνωση Κωδικός ICD διάγνωσης
es-ES	Spanish (Spain)	Código CIE del diagnóstico:Presencia o identidad:Punto temporal:^paciente:Nom:
es-MX	Spanish (Mexico)	Código ICD de diagnóstico:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi, codice ICD:Prid:Pt:^Paziente:Nom: Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio)
pl-PL	Polish (Poland)	Kod ICD rozpoznania:obecność lub identyfikacja:punkt w czasie:^pacjent:skala nominalna: Synonyms: wynik kategorialny
zh-CN	Chinese (China)	诊断 ICD 代码:存在与否或特征标识:时间点:^患者:名义型: Synonyms: ICD 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 - 病人国际疾病分类（International Classification of Diseases，ICD）国际疾病分类法国际疾病分类系统存在;存在与否;特征标识;身份;身份标识时刻;随机;随意;瞬间诊断 ICD 编码;ICD 诊断代码;ICD 诊断编码;国际疾病分类;international Classification of diseases;ICD 诊断结论;判断;结论

Related Codes

Code System	Code	Code Version
CMS IRF-PAI	22A,	4.0
CMS IRF-PAI	22B	4.0
CMS IRF-PAI	22C	4.0
CMS LCDS	I0050A	5.00
CMS MDS	I0020B	1.17.2
CMS MDS	I8000A-I8000J	1.17.2
CMS MDS	I0020B	v1.18.11
CMS LCDS	I0050A	3.00
CMS IRF-PAI	22A	2.0
CMS IRF-PAI	22B	2.0
CMS IRF-PAI	22C	2.0
CMS MDS	I0020A	1.16.1
CMS MDS	I8000A-I8000J	1.16.1
CMS IRF-PAI	22	1.5
CMS IRF-PAI	22A	1.5
CMS IRF-PAI	22A	3.0
CMS IRF-PAI	22B	1.5
CMS IRF-PAI	22B	3.0
CMS IRF-PAI	22C	1.5
CMS IRF-PAI	22C	3.0
CMS LCDS	I0050A	4.00
CMS MDS	I8000	1.14.1
CMS MDS	I8000A	1.14.1
CMS MDS	I8000A-I8000J	1.15.1
CMS MDS	I8000B	1.14.1
CMS MDS	I8000C	1.14.1
CMS MDS	I8000D	1.14.1
CMS MDS	I8000E	1.14.1
CMS MDS	I8000F	1.14.1
CMS MDS	I8000G	1.14.1
CMS MDS	I8000H	1.14.1
CMS MDS	I8000I	1.14.1
CMS MDS	I8000J	1.14.1
CMS MDS	I0020B	1.17.1
CMS MDS	I8000A-I8000J	1.17.1
CMS MDS	I8000A-I8000J	v1.18.11

74562-0 Was any intervention attempted in order to "rescue" the patient (i.e., to prevent, to minimize, or to reverse harm)?

Term Description

Determination if intervention was attempted to rescue the patient.

Observation ID in Form

DE63

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Rescue intervention was attempted
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: AHRQ

Long Common Name

Rescue intervention was attempted [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 LL2817-6

Answer	Code	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	a	LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	b	LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74561-2 Which of the following interventions (rescue) were documented?

Term Description

Determination of the interventions performed in order to rescue the patient.

Observation ID in Form

DE66

Observation Required in Panel

Conditional

Form Coding Instructions

Check all that apply:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Documented rescue interventions
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method: AHRQ

Long Common Name

Documented rescue interventions [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 LL2818-4

Answer	Code	Answer ID
Transfer, including transfer to a higher level care area within facility, transfer to another facility, or hospital admission (from outpatient)	a	LA20745-8
Monitoring, including observation, physiological examination, laboratory testing, phlebotomy, and/or imaging studies	b	LA20746-6
Medication therapy, including administration of antidote, change in pre-incident dose or route	c	LA21144-3
Surgical/procedural intervention	d	LA21145-0
Respiratory support (e.g., ventilation, tracheotomy)	e	LA21146-8
Blood transfusion	f	LA21147-6
Counseling or psychotherapy	g	LA21148-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	h	LA4489-6
Other intervention: PLEASE SPECIFY	i	LA21149-2

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74560-4 After any intervention to reduce harm, what was the degree of residual harm to the patient from the incident (and subsequent intervention)?

Term Description

The extent of harm to the patient after discovery of the incident and any attempts to minimize adverse consequences.

Observation ID in Form

DE55

Observation Required in Panel

Required

Form Coding Instructions

Check first applicable:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Extent of harm to the patient
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method: AHRQ

Long Common Name

Extent of harm to the patient [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 LL2819-2

Answer	Code	Answer ID
Death: Dead at time of assessment.	a	LA20747-4
Severe harm: Bodily or psychological injury (including pain or disfigurement) that interferes significantly with functional ability or quality of life.	b	LA20748-2
Moderate harm: Bodily or psychological injury adversely affecting functional ability or quality of life, but not at the level of severe harm.	c	LA20749-0
Mild harm: Bodily or psychological injury resulting in minimal symptoms or loss of function, or injury limited to additional treatment, monitoring, and/or increased length of stay.	d	LA21150-0
No harm: Event reached patient, but no harm was evident.	e	LA21151-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	f	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74559-6 What is the anticipated duration of the harm to the patient?

Term Description

Determination of the anticipated duration of the harm to the patient.

Observation ID in Form

DE59

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Anticipated duration of harm to the patient
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: AHRQ

Long Common Name

Anticipated duration of harm to the patient [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 LL2820-0

Answer	Code	Answer ID
Permanent: not expected to revert to approximately normal (i.e., patient's baseline)	a	LA20750-8
Temporary: expected to revert to approximately normal (i.e., patient's baseline)	b	LA20751-6
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74558-8 Approximately when after discovery of the incident was harm assessed?

Term Description

Determination of approximately when after the discovery of the incident the harm was assessed.

Observation ID in Form

DE60

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Timing of harm assessment
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: AHRQ

Long Common Name

Timing of harm assessment [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 LL2821-8

Answer	Code	Answer ID
Within 24 hours	a	LA20752-4
After 24 hours but before 3 days	b	LA20753-2
Three days or later	c	LA20754-0
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	d	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74557-0 Did, or will, the incident result in an increased length of stay?

Term Description

Determination if the incident resulted in an increased length of stay.

Observation ID in Form

DE69

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Increased length of stay due to incident
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: AHRQ

Long Common Name

Increased length of stay due to incident [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 LL2822-6

Answer	Code	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	a	LA33-6
No (or not anticipated)	b	LA20755-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74556-2 After the discovery of the incident, was the patient, patient's family, or guardian notified?

Term Description

Determination if the patient, patient's family or guardian was notified of an incident.

Observation ID in Form

DE72

Observation Required in Panel

Required

Form Coding Instructions

Check one:

Source: Agency for Healthcare Research and Quality

Fully-Specified Name

Component: Family or guardian was notified
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: AHRQ

Long Common Name

Family or guardian was notified [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 LL2817-6

Answer	Code	Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)	a	LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)	b	LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	c	LA4489-6

Member of these Panels

LOINC	Long Common Name
74502-6	Patient safety event report - hospital - patient information form (PIF) - 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.

74502-6

Patient Safety Event Report - Hospital: Patient Information Form - Version 1.2

Active

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

74500-0 At the time of the event what was the patient's age?

Observation ID in Form

Observation Required in Panel

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL2814-3

Member of these Panels

Related Names

Third Party Copyright

74694-1 Is the patient's ethnicity Hispanic or Latino?

Observation ID in Form

Observation Required in Panel

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

HL7® Attributes

Normative Answer List LL2815-0

Member of these Panels

Related Names

Third Party Copyright

74693-3 What is the patient's race?

Observation ID in Form

Observation Required in Panel

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

HL7® Attributes

Normative Answer List LL2816-8

Member of these Panels

Related Names

Third Party Copyright

52797-8 ICD-9-CM or ICD-10-CM principal diagnosis code at discharge (if available):

Observation ID in Form

Observation Required in Panel

Fully-Specified Name

Long Common Name

Basic Attributes

Example Answer List LL4547-7

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

74562-0 Was any intervention attempted in order to "rescue" the patient (i.e., to prevent, to minimize, or to reverse harm)?

Term Description

Observation ID in Form

Observation Required in Panel

Form Coding Instructions

Fully-Specified Name

Long Common Name

Basic Attributes

Normative Answer List LL2817-6

Member of these Panels

Related Names

Third Party Copyright

HL7^® Attributes

HL7^® Attributes