Version 2.78

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
Order vs. Observation
Observation

Survey Question

Source
HERF.Q16

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]

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

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Observation

Survey Question

Source
HERF.Q17

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

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Observation

Survey Question

Source
HERF.Q18

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

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Observation

Survey Question

Source
HERF.Q19

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

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Observation

Survey Question

Source
HERF.Q20

Member of these Panels

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