Version 2.77

75208-9 Maternal information section [CDC.CS]

Fully-Specified Name

Component
Maternal information section
Property
-
Time
Pt
System
^Mother
Scale
-
Method
CDC.CS

Basic Attributes

Class
PANEL.SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75201-4 Mother's obstetric history: G

Observation ID in Form

9a

Fully-Specified Name

Component
Pregnancies
Property
Num
Time
Pt
System
^Mother
Scale
Qn
Method
Reported

Basic Attributes

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

Survey Question

Source
CS.9a

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

Unit Source
{#} Example UCUM Units

75202-2 Mother's obstetric history: P

Observation ID in Form

9b

Fully-Specified Name

Component
Births.live
Property
Num
Time
Pt
System
^Mother
Scale
Qn
Method
Reported

Basic Attributes

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

Survey Question

Source
CS.9b

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

Unit Source
{#} Example UCUM Units

75203-0 Last menstrual period (LMP) (before delivery)

Observation ID in Form

10

Fully-Specified Name

Component
Date last menstrual period^pre delivery
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.10

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75200-6 Indicate date of first prenatal visit

Observation ID in Form

11a1

Skip Logic

If No prenatal care, Go to Q12

Fully-Specified Name

Component
Date first prenatal visit
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Source
CS.11a

Member of these Panels

LOINC Long Common Name
85735-9 Congenital rubella case report panel
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75204-8 Prenatal care indicator [CDC.CS]

Observation ID in Form

11a

Fully-Specified Name

Component
Prenatal care indicator
Property
Arb
Time
Pt
System
^Mother
Scale
Ord
Method
CDC

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.61
Change Reason
Updated Method from "CDC.CS" since this concept is used across CDC case reports not just for congenital syphilis.
Order vs. Observation
Observation

Survey Question

Source
CS.11a1

Example Answer List LL2939-8

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No prenatal care 0 LA21278-9
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
85735-9 Congenital rubella case report panel
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75163-6 Indicate trimester of first prenatal visit

Observation ID in Form

11b

Fully-Specified Name

Component
Trimester of first prenatal visit
Property
Time
Time
Pt
System
^Mother
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.11b

Normative Answer List LL2913-3

Answer Code Score Answer ID
1st trimester 1 LA21196-3
2nd trimester 2 LA21197-1
3rd trimester 3 LA21198-9
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75164-4 Did the mother have non-treponemal test or treponemal test at first prenatal visit

Observation ID in Form

14a

Fully-Specified Name

Component
Non-treponemal or treponemal test was performed at first prenatal visit
Property
Find
Time
Pt
System
^Mother
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the mother have non-treponemal test or treponemal test at first prenatal visit
Source
CS.14a

Normative Answer List LL2916-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75165-1 Did the mother have non-treponemal test or treponemal test at 28-32 weeks gestation?

Observation ID in Form

14b

Fully-Specified Name

Component
Non-treponemal or treponemal test was performed at 28-32 weeks gestation
Property
Find
Time
Pt
System
^Mother
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the mother have non-treponemal test or treponemal test at 28-32 weeks gestation?
Source
CS.14b

Normative Answer List LL2916-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75166-9 Did the mother have non-treponemal test or treponemal test at delivery?

Observation ID in Form

14c

Fully-Specified Name

Component
Non-treponemal or treponemal test was performed at delivery
Property
Find
Time
Pt
System
^Mother
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the mother have non-treponemal test or treponemal test at delivery?
Source
CS.14c

Normative Answer List LL2916-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75257-6 Mother's marital status

Observation ID in Form

15

Fully-Specified Name

Component
Marital status
Property
Type
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.15

Normative Answer List LL2917-4

Answer Code Score Answer ID
Single, never married 1 LA21200-3
Married 2 LA48-4
Separated/Divorced 3 LA21201-1
Widow 4 LA21202-9
Other 8 LA46-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75167-7 Indicate during pregnancy and delivery date of most recent non-treponemal test

Observation ID in Form

16a

Fully-Specified Name

Component
Date of most recent non-treponemal test
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

Class
SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.50
Order vs. Observation
Observation

Survey Question

Source
CS.16a

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75168-5 Indicate during pregnancy and delivery most recent non-treponemal test result

Observation ID in Form

16a1

Fully-Specified Name

Component
Most recent non-treponemal test result
Property
Find
Time
Pt
System
^Mother
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.16a1

Normative Answer List LL2918-2

Answer Code Score Answer ID
Reactive Copyright http://snomed.info/sct ID:11214006 Reactive (qualifier value) 1 LA15255-5
Nonreactive Copyright http://snomed.info/sct ID:131194007 Non-reactive (qualifier value) 2 LA15256-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75169-3 Indicate during pregnancy and delivery most recent non-treponemal test titer

Observation ID in Form

16a2

Fully-Specified Name

Component
Most recent non-treponemal test titer
Property
Titr
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.16a2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

Unit Source
{titer} Example UCUM Units

75170-1 Indicate during pregnancy and delivery date of first non-treponemal test

Observation ID in Form

16b

Fully-Specified Name

Component
Date first non-treponemal test
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.16b

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75171-9 Indicate during pregnancy and delivery first non-treponemal test result

Observation ID in Form

16b1

Fully-Specified Name

Component
First non-treponemal test result
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.16b1

Normative Answer List LL2918-2

Answer Code Score Answer ID
Reactive Copyright http://snomed.info/sct ID:11214006 Reactive (qualifier value) 1 LA15255-5
Nonreactive Copyright http://snomed.info/sct ID:131194007 Non-reactive (qualifier value) 2 LA15256-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75172-7 Indicate during pregnancy and delivery first non-treponemal test titer

Observation ID in Form

16b2

Fully-Specified Name

Component
First non-treponemal test titer
Property
Titr
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.16b2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

Unit Source
{titer} Example UCUM Units

75173-5 Indicate during pregnancy and delivery date of first treponemal test

Observation ID in Form

17a1

Fully-Specified Name

Component
Date of first treponemal test
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.17a1

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75174-3 Indicate during pregnancy and delivery first treponemal test type

Observation ID in Form

17b1

Fully-Specified Name

Component
First treponemal test type
Property
Type
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.17b1

Normative Answer List LL2936-4

Answer Code Score Answer ID
EIA or CLIA 1 LA21250-8
TP-PA 2 LA21251-6
Other 3 LA46-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75175-0 Indicate during pregnancy and delivery first treponemal test result

Observation ID in Form

17c1

Fully-Specified Name

Component
First treponemal test result
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.17c1

Normative Answer List LL2918-2

Answer Code Score Answer ID
Reactive Copyright http://snomed.info/sct ID:11214006 Reactive (qualifier value) 1 LA15255-5
Nonreactive Copyright http://snomed.info/sct ID:131194007 Non-reactive (qualifier value) 2 LA15256-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75176-8 Indicate during pregnancy the date of most recent treponemal test

Observation ID in Form

17a2

Fully-Specified Name

Component
Date of most recent treponemal test
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.17a2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75177-6 Indicate during pregnancy most recent treponemal test type

Observation ID in Form

17b2

Fully-Specified Name

Component
Most recent treponemal test type
Property
Type
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.17b2

Normative Answer List LL2936-4

Answer Code Score Answer ID
EIA or CLIA 1 LA21250-8
TP-PA 2 LA21251-6
Other 3 LA46-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75178-4 Indicate during pregnancy most recent treponemal test result

Observation ID in Form

17c2

Fully-Specified Name

Component
Most recent treponemal result
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.17c2

Normative Answer List LL2918-2

Answer Code Score Answer ID
Reactive Copyright http://snomed.info/sct ID:11214006 Reactive (qualifier value) 1 LA15255-5
Nonreactive Copyright http://snomed.info/sct ID:131194007 Non-reactive (qualifier value) 2 LA15256-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75179-2 What was the mother's HIV status during pregnancy?

Observation ID in Form

18

Fully-Specified Name

Component
HIV status during pregnancy
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
What was the mother's HIV status during pregnancy?
Source
CS.18

Normative Answer List LL2919-0

Answer Code Score Answer ID
Positive Copyright http://snomed.info/sct ID:10828004 Positive (qualifier value) P LA6576-8
equivocal test E LA21206-0
Negative Copyright http://snomed.info/sct ID:260385009 Negative (qualifier value) N LA6577-6
patient not tested X LA21205-2
Unk U LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75180-0 What clinical stage of syphilis did mother have during pregnancy?

Observation ID in Form

19

Fully-Specified Name

Component
Clinical stage of syphilis during pregnancy
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
What clinical stage of syphilis did mother have during pregnancy?
Source
CS.19

Normative Answer List LL2921-6

Answer Code Score Answer ID
Primary 1 LA21208-6
Secondary 2 LA18924-3
early latent 3 LA21207-8
late or late latent 4 LA21210-2
previously treated/serofast 5 LA21211-0
Other 8 LA46-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75181-8 What surveillance stage of syphilis did mother have during pregnancy?

Observation ID in Form

20

Fully-Specified Name

Component
Surveillance stage of syphilis during pregnancy
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
What surveillance stage of syphilis did mother have during pregnancy?
Source
CS.20

Normative Answer List LL2922-4

Answer Code Score Answer ID
Primary 1 LA21208-6
Secondary 2 LA18924-3
early latent 3 LA21207-8
late or late latent 4 LA21210-2
Other 8 LA46-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75182-6 When (date) did mother receive her first dose of benzathine penicillin?

Observation ID in Form

21a

Skip Logic

If No treatment, go to Q24

Fully-Specified Name

Component
Date of first syphilis treatment during pregnancy
Property
Date
Time
Pt
System
^Mother
Scale
Qn
Method

Basic Attributes

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

Survey Question

Text
When (date) did mother receive her first dose of benzathine penicillin?
Source
CS.21a

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75183-4 When (trimester) did mother receive her first dose of benzathine penicillin?

Observation ID in Form

21b

Fully-Specified Name

Component
When mother received first dose of benzathine penicillin
Property
Find
Time
Pt
System
^Mother
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
When (trimester) did mother receive her first dose of benzathine penicillin?
Source
CS.21b

Normative Answer List LL2924-0

Answer Code Score Answer ID
Before pregnancy 1 LA21212-8
1st trimester 2 LA21196-3
2nd trimester 3 LA21197-1
3rd trimester 4 LA21198-9
No Treatment 5 LA21213-6
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75184-2 What was the mother's treatment?

Observation ID in Form

22

Fully-Specified Name

Component
Amount of benzathine penicillin treatment
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
What was the mother's treatment?
Source
CS.22

Normative Answer List LL2925-7

Answer Code Score Answer ID
2.4 M units benzathine penicillin 1 LA21214-4
4.8 M units benzathine penicillin 2 LA21215-1
7.2 M units benzathine penicillin 3 LA21216-9
Other 8 LA46-8
Unk 0 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75185-9 Did the mother have an appropriate serologic response?

Observation ID in Form

23

Fully-Specified Name

Component
Mother had appropriate serologic response following syphilis treatment
Property
Find
Time
Pt
System
^Mother
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the mother have an appropriate serologic response?
Source
CS.23

Normative Answer List LL2926-5

Answer Code Score Answer ID
Yes, appropriate response 1 LA21217-7
No, inappropriate response: evidence of treatment failure or reinfection 2 LA21218-5
Response could not be determined from available non-treponemal titer information 3 LA21219-3
Not enough time for titer to change 4 LA21220-1

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75209-7 Infant or child information section [CDC.CS]

Fully-Specified Name

Component
Infant or child information section
Property
-
Time
Pt
System
^Patient
Scale
-
Method
CDC.CS

Basic Attributes

Class
PANEL.SURVEY.CDC
Type
Surveys
First Released
Version 2.48
Last Updated
Version 2.48
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

21112-8 Date of Delivery

Observation ID in Form

24

Fully-Specified Name

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

Additional Names

Short Name
Birth date
Display Name
Birth date [Date/time]
Consumer Name Alpha Get Info
Birth date

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 1.0m
Last Updated
Version 2.73
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]
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]
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]
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
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 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]
87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 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]
87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 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]
87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 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]
87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 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]
49087-0 Maternal screen clinical predictors panel
90480-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
90479-7 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 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90478-9 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 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5 MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
90481-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment]
91552-0 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3 MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
101111-3 MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
101108-9 MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set 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]
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
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
de-DE German (Germany) Geburtsdatum:Zeitstempel:Zeitpunkt:^Patient:Quantitativ:
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:
es-AR Spanish (Argentina) fecha de nacimiento:marca de tiempo:fecha y hora:punto en el tiempo:^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

75186-7 Vital status [CDC.CS]

Observation ID in Form

25

Skip Logic

If Stillborn or Unknown, Go to Q27

Fully-Specified Name

Component
Vital status
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Source
CS.25

Normative Answer List LL2927-3

Answer Code Score Answer ID
Alive 1 LA4247-8
Born alive, then died 2 LA21222-7
Stillborn 3 LA14271-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 9 LA4489-6

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75207-1 Stillbirth indicator [CDC.CS]

Observation ID in Form

38

Fully-Specified Name

Component
Stillbirth indicator
Property
Arb
Time
Pt
System
^Patient
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Normative Answer List LL2916-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

31211-6 Indicate date of death

Observation ID in Form

26

Fully-Specified Name

Component
Date of death
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Date of death

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 2.07
Last Updated
Version 2.56

HL7® Attributes

HL7® Field ID
PID-29

Member of these Panels

LOINC Long Common Name
78000-7 Case notification panel [CDC.PHIN]
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
47245-6 HIV treatment form Document
48547-4 Omaha System 2005 panel
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
86345-6 U.S. standard certificate of death - recommended 2003 revision set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) fecha de fallecimiento:marca de tiempo:fecha y hora:punto en el tiempo:^paciente:cuantitativo:
es-MX Spanish (Mexico) Fecha de muerte:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Data di morte:TmStp:Pt:^Paziente:Qn:
Synonyms: paziente Punto nel tempo (episodio) Registro tumori Time stamp (Data e Ora)
pt-BR Portuguese (Brazil) Data da morte:TmStp:Pt:^Paciente:Qn:
Synonyms: Expired date; Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Дата смерти:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 死亡日期:时间戳:时间点:^患者:定量型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记(NAACCR);肿瘤登记(癌症登记中心北美协会);癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 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

56056-5 Birthweight

Observation ID in Form

PX020203010100

Form Coding Instructions

in grams

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Body weight^at birth
Property
Mass
Time
Pt
System
^Patient
Scale
Qn
Method
Reported

Additional Names

Short Name
Birth weight Reported
Consumer Name Alpha Get Info
Birth Weight

Basic Attributes

Class
BDYWGT.MOLEC
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
Common Test Rank Get Info
3878

Survey Question

Text
How much did you weigh at birth?

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
62405-6 PhenX - birth weight protocol 020201

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Peso corporal ^ al nacer:Masa:Punto temporal:^ Paciente:Cuantitativo:Reported
fr-FR French (France) Poids corporel à la naissance:Masse:Ponctuel:Patient:Numérique:Résultat rapporté par un tiers
it-IT Italian (Italy) Peso corporeo^alla nascita:Massa:Pt:^Paziente:Qn:Riportato
Synonyms: paziente Peso del corpo - molecolare Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) lichaamsgewicht^bij geboorte:massa:moment:^patiënt:kwantitatief:rapportage
pt-BR Portuguese (Brazil) Peso corporal^no nascimento:#N/A:Pt:^Paciente:Qn:Relatado
Synonyms: ; Wt; Bdy weight; @ birth; Newborn; New born; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY WEIGHT.MOLEC; BODY WEIGHT.MOLEC
ru-RU Russian (Russian Federation) Масса тела^при рождении:Масса:ТчкВрм:^Пациент:Колич:Сообщенный
Synonyms: Анамнестические сведения;Сообщенная третьим лицом информация Количественный Точка во времени;Момент
zh-CN Chinese (China) 体重^出生时:质量:时间点:^患者:定量型:报告法
Synonyms: 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在出生时 时刻;随机;随意;瞬间 标本重量;重 物体 特殊体重;特殊身体重量;身体重量.分子型 身体重量 重量

Example Units

Unit Source
[lb_av];kg Example UCUM Units
gm REGENSTRIEF

18185-9 Estimated gestational age

Part Descriptions

LP19507-0   Gestational age
The age of the conceptus, beginning from the time of fertilization. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last menstruation which is about 2 weeks before ovulation and fertilization. Source: National Library of Medicine, MeSH 2006

Reference Information

Type Source Reference
Mapping Guidance Regenstrief Help This term is preferred over the two separate terms for gestational age in weeks [LOINC: 49051-6] and in days [LOINC: 49052-4] so that only one variable is used. Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations

Observation ID in Form

28

Skip Logic

If infant was stillborn, go to Q37

Fully-Specified Name

Component
Gestational age
Property
Time
Time
Pt
System
^Fetus
Scale
Qn
Method

Additional Names

Short Name
GA

Basic Attributes

Class
OB.US
Type
Clinical
First Released
Version 1.0l
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
1105

Member of these Panels

LOINC Long Common Name
76478-7 Acetylcholinesterase panel - Amniotic fluid
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]
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
49087-0 Maternal screen clinical predictors panel
96978-2 Noninvasive prenatal fetal aneuploidy and 22q11.2 deletion panel - Plasma cell-free+WBC DNA by Dosage of chromosome-specific cfDNA
75547-0 Noninvasive prenatal fetal aneuploidy and microdeletion panel based on Plasma cell-free+WBC DNA by Dosage of chromosome-specific circulating cell free (ccf) DNA
96977-4 Noninvasive prenatal fetal aneuploidy panel - Plasma cell-free+WBC DNA by Dosage of chromosome-specific cfDNA
100230-2 Routine prenatal assessment panel
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

Member of these Groups Get Info

LOINC Group Group Name
LG50112-8 Gestational ageTime^Fetus

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Edad gestacional:Tiempo:Punto temporal:^Feto:Qn:
Synonyms: Cuantitativo
es-AR Spanish (Argentina) edad gestacional:tiempo:punto en el tiempo:^feto:cuantitativo:
es-MX Spanish (Mexico) Edad gestacional:Tiempo:Punto temporal:^ Feto:Cuantitativo:
et-EE Estonian (Estonia) Raseduse kestus:Aeg:Pt:^loode:Qn:
Synonyms: Juhuslik Kvantitatiivne
fr-BE French (Belgium) Age gestationnel:Durée:Temps ponctuel:^Foetus:Quantitatif:
fr-FR French (France) Âge gestationnel:Temps:Ponctuel:Concerne le foetus:Numérique:
it-IT Italian (Italy) Età gestazionale:Tempo:Pt:^feto:Qn:
Synonyms: Ecografia ostetrica Punto nel tempo (episodio) Tempo (e.g. secondi)
nl-NL Dutch (Netherlands) zwangerschapsduur:tijd:moment:^foetus:kwantitatief:
pt-BR Portuguese (Brazil) Idade gestacional:Tempo:Pt:^Feto:Qn:
Synonyms: ; GA; Point in time; Random; Fet; Fetal; Quantitative; QNT; Quant; Quan; Gest; Gestation; Prenatal; OBSTERICAL.ULTRASOUND; OBSTERICAL.ULTRASOUND; Obstetrical; Obstetrics
ru-RU Russian (Russian Federation) Гестационный возраст:Время:ТчкВрм:^Плод:Колич:
Synonyms: Время (в т.ч. в секундах) Гестационный срок Количественный Точка во времени;Момент
tr-TR Turkish (Turkey) Doğurma yaşı:Süre:Zmlı:^Fetus:Kant:
Synonyms: Gestasyonel yaş
uk-UA Ukrainian (Ukraine) Гестаційний вік:Час:МоментЧасу:^Плід:Кількісно:
Synonyms: Fetal; GA; Gest; Gestation; Gyn; Gynecology; OB; ObGyn; OBSTERICAL; OBSTERICAL.ULTRASOUND; Obstetrical; Obstetrics; Point in time; Prenatal; QNT; Quan; Quant; Quantitative; Random
zh-CN Chinese (China) 孕龄:时间:时间点:^胎儿:定量型:
Synonyms: 产科 产科.超声;产科.超声.印象与测量指标;产科学.超声;产科学.超声.印象与测量指标;产科学检查与测量指标.超声.印象与测量指标;产科学超声印象与测量指标 产科学 受孕 受孕期 受孕期的 受孕的 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 妊娠 妊娠期的 妊娠的 怀卵 怀卵期 怀卵期的 怀卵的 怀孕 怀孕期 怀孕期的 怀孕的 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 胎;超系统 - 胎儿 胎龄;Gestational Age;GA

Example Units

Unit Source
wk Example UCUM Units
week REGENSTRIEF

75187-5 Did the infant/child have a reactive non-treponemal test for syphilis?

Observation ID in Form

29a

Skip Logic

Go to Q30 unless reactive

Form Coding Instructions

(eg., VDRL, RPR)

Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Non-treponemal test was reactive
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the infant/child have a reactive non-treponemal test for syphilis?
Source
CS.29a

Normative Answer List LL2928-1

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
No test 3 LA21224-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75188-3 When was the infant/child's first reactive non-treponemal test for syphilis?

Observation ID in Form

29b

Fully-Specified Name

Component
Date of first reactive non-treponemal test
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

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

Survey Question

Text
When was the infant/child's first reactive non-treponemal test for syphilis?
Source
CS.29b

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75189-1 Indicate titer of infant/child's non-treponemal test for syphilis

Observation ID in Form

29c

Fully-Specified Name

Component
First reactive non-treponemal test titer
Property
Titr
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

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

Survey Question

Source
CS.29c

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

Unit Source
{titer} Example UCUM Units

75190-9 Did infant/child have a reactive treponemal test for syphilis?

Observation ID in Form

30a

Fully-Specified Name

Component
Treponemal test was reactive
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did infant/child have a reactive treponemal test for syphilis?
Source
CS.30a

Normative Answer List LL2928-1

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
No test 3 LA21224-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75191-7 When was the infant/child's first reactive treponemal test?

Observation ID in Form

30b

Fully-Specified Name

Component
Date of first reactive treponemal test
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

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

Survey Question

Text
When was the infant/child's first reactive treponemal test?
Source
CS.30b

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

Example Units

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

75192-5 Did infant/child, placenta or cord have darkfield exam, DFA, or special stains?

Observation ID in Form

31

Fully-Specified Name

Component
Darkfield exam, DFA, or special stain was performed & test findings
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did infant/child, placenta or cord have darkfield exam, DFA, or special stains?
Source
CS.31

Normative Answer List LL2929-9

Answer Code Score Answer ID
Yes, positive 1 LA21225-0
Yes, negative 2 LA21226-8
No test 3 LA21224-3
No lesions and no tissue to test 4 LA21227-6
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75193-3 Did the infant/child have any signs of CS?

Observation ID in Form

32

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Clinical signs of congenital syphilis
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the infant/child have any signs of CS?
Source
CS.32

Normative Answer List LL2930-7

Answer Code Score Answer ID
no signs/asymptomatic LA21232-6
condyloma lata LA21233-4
snuffles LA21234-2
syphilitic skin rash LA21235-9
hepatosplenomegaly LA21228-4
jaundice/hepatitis LA21229-2
pseudo paralysis LA21230-0
Edema LA17263-7
Other LA46-8
Unk LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75194-1 Did the infant/child have long bone x-rays?

Observation ID in Form

33

Fully-Specified Name

Component
Long bone x-rays were performed and consistent with congenital syphilis
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the infant/child have long bone x-rays?
Source
CS.33

Normative Answer List LL2931-5

Answer Code Score Answer ID
Yes, changes consistent with CS 1 LA21236-7
Yes, no signs of CS 2 LA21237-5
No X-rays 3 LA21247-4
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75195-8 Did the infant/child have a CSF-VDRL?

Observation ID in Form

34

Fully-Specified Name

Component
CSF Venereal Disease Research Laboratory test was performed & test findings
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the infant/child have a CSF-VDRL?
Source
CS.34

Normative Answer List LL2932-3

Answer Code Score Answer ID
Yes, reactive 1 LA21248-2
Yes, nonreactive 2 LA21249-0
No test 3 LA21224-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75196-6 Did the infant/child have a CSF WBC count or CSF protein test?

Part Descriptions

LP20670-3   Leukocyte
Leukocytes or white blood cells (WBCs) are immune cells that fight infection, neoplasms and other inflammatory conditions, and mediate allergic responses. There are five types of WBCs normally present in the circulation that are all derived from a similar stem cell in the bone marrow. The five type of WBCs are divided into two groups based on the presence or absence of granules in the cytoplasm. The granulocytes include the neutrophils, basophils and eosinophils. The non-granulocytes include the lymphocytes and the monocytes. The neutrophils fight infection by ingesting and digesting bacteria. Eosinophils and basophils respond to allergic reactions and are capable of ingesting antigen-antibody complexes. Monocytes phagocytose bacteria and release interferon to stimulate the immune system. Lymphocytes are divided into T-cells and B-cells. T-cell immunity is cellular and involves the activation of phagocytes and B-cell immunity uses antibodies to fight infection. Both elevated and low leukocyte counts can be markers of infection and malignancy, and low leukocyte counts are associated with a variety of primary and secondary immunodeficiencies, depending on the WBC type(s) that are out of range. (Mosby's manual of diagnostic and laboratory tests, Kathleen Deska Pagana; Timothy James Pagana, Elsevier St. Louis, Mo ©2010) Source: Regenstrief LOINC

Observation ID in Form

35

Fully-Specified Name

Component
Leukocyte count or protein test was performed on CSF & test findings
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Did the infant/child have a CSF WBC count or CSF protein test?
Source
CS.35

Normative Answer List LL2933-1

Answer Code Score Answer ID
Yes, CSF WBC count elevated 1 LA21252-4
Yes, CSF protein elevated 2 LA21253-2
both tests elevated 3 LA21238-3
neither test elevated 4 LA21239-1
No test 5 LA21224-3
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]

75197-4 Was the infant/child treated?

Observation ID in Form

36

Fully-Specified Name

Component
Syphilis treatment was given & treatment description
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
CDC.CS

Basic Attributes

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

Survey Question

Text
Was the infant/child treated?
Source
CS.36

Normative Answer List LL2934-9

Answer Code Score Answer ID
Yes, with aqueous or procaine penicillin for 10 days 1 LA21240-9
Yes, with benzathine penicillin x 1 3 LA21241-7
Yes, with other treatment 4 LA21242-5
No Treatment 5 LA21213-6
Unk 9 LA14945-2

Member of these Panels

LOINC Long Common Name
75199-0 Congenital syphilis case investigation and report panel [CDC.CS]