Version 2.78

75617-1 Residence

Term Description

The patient's home type such as; patient home, nursing home, or homeless.
Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Residence
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NAMCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
11200

Example Answer List LL3031-3

Answer Code Score Answer ID
Client's or patient's home 1 LA21588-1
Nursing Home 2 LA27-8
Homeless 3 LA20561-9
Other 4 LA46-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 5 LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75636-1 Emergency severity index [ESI]

Part Descriptions

LP185954-7   Emergency severity index
The Emergency Severity Index© Version 4 (ESI) is an emergency department (ED) triage tool. The ESI© triage algorithm yields rapid, reproducible, and clinically relevant stratification of patients into five groups, from level 1 (most urgent) to level 5 (least urgent). The ESI provides a method for categorizing ED patients by both acuity and resource needs. Source: Regenstrief LOINC, ESI© Triage Research Team

Fully-Specified Name

Component
Emergency severity index
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ESI

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Example Answer List LL3056-0

Answer Code Score Answer ID
Requires immediate life-saving intervention ESI-1 LA21567-5
High risk or confused/lethargic/disoriented or severe pain/distress ESI-2 LA21752-3
Needs 2 or more resources ESI-3 LA21753-1
Needs 1 resource ESI-4 LA21754-9
Needs no resources ESI-5 LA21755-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75910-0 Canadian triage and acuity scale [CTAS]

Part Descriptions

LP185955-4   Canadian triage and acuity scale
The Canadian Triage and Acuity Score (CTAS) is a 5-level scale designed to support triage nurses prioritize ED patients based on acuity and time sensitive conditions. It is built on a 17 group, 166 standardized complaints, each of which draws on a list of first order (vital sign, pain score, mechanism of injury, and bleeding risk) modifiers and complaint specific special modifiers to assign the most appropriate acuity score and to then stream patients to the right care area. For patient safety and quality of care it is recommended for CTAS level 1 to be seen immediately, CTAS 2 within 15 minutes, CTAS 3 within 30 minutes, CTAS 4 within 1 hour and CTAS 5 within 2 hours. Source: Regenstrief LOINC, Canadian Triage And Acuity Scale (CTAS)

Fully-Specified Name

Component
Canadian triage and acuity scale
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
CTAS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Preferred Answer List LL3059-4

Answer Code Score Answer ID
1 LA6112-2
2 or more LA6113-0
3 LA6114-8
4 LA6115-5
5 LA10137-0

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75616-3 Generic five level triage system

Part Descriptions

LP185965-3   Generic five level triage system
A triage acuity system that has five levels, (for example, 1-resuscitation, 2- emergent, 3- urgent, 4- less urgent, 5- nonurgent). Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Generic five level triage system
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NAMCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Example Answer List LL3052-9

Answer Code Score Answer ID
Resuscitation 1 LA21538-6
Emergent 2 LA19759-2
Urgent 3 LA21544-4
Less urgent 4 LA21587-3
Nonurgent 5 LA21545-1

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75615-5 Four level triage system

Part Descriptions

LP185966-1   Four level triage system
A triage acuity systems with four-level scales. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Four level triage system
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NAMCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Example Answer List LL3053-7

Answer Code Score Answer ID
Resuscitation 1 LA21538-6
Emergent 2 LA19759-2
Urgent 3 LA21544-4
Nonurgent 4 LA21545-1

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75614-8 Three level triage system

Part Descriptions

LP185967-9   Three level triage system
A triage acuity systems with three-level scales (e.g., 1-emergent, 2- urgent, 3-nonurgent). Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Three level triage system
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NAMCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Example Answer List LL3054-5

Answer Code Score Answer ID
Emergent 1 LA19759-2
Urgent 2 LA21544-4
Nonurgent 3 LA21545-1

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75613-0 ED episode of care

Part Descriptions

LP185956-2   ED episode of care
Indicates whether a patient's emergency department (ED) visit is an initial or follow-visit. An ED episode of care begins with the initial visit for care for a particular problem and ends when the patient is no longer continuing treatment. A subsequent visit for the problem is considered a follow-up ED episode of care. An initial visit may be diagnostic in nature whereas a follow-up visit may be to check progress or continue therapy. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
ED episode of care
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Example Answer List LL3034-7

Answer Code Score Answer ID
Initial patient assessment 1 1 LA21589-9
Follow-up visit 2 2 LA21590-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 3 3 LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75527-2 Vital status at discharge

Term Description

The patient's vital status (alive or expired/deceased) at discharge.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Vital status^at discharge
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

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

Example Answer List LL3017-2

Answer Code Score Answer ID
Discharged alive A LA21431-4
Expired E LA10325-1
No information NI LA21413-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) UN LA4489-6
Other OT LA46-8

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]

75618-9 Comorbid condition

Part Descriptions

LP185958-8   Comorbid condition
Medical diagnoses or clinical conditions the patient has at the time of the encounter that may or may not be associated with the primary or any other reason for the encounter. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Comorbid condition
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Comorbid condition

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.50
Last Updated
Version 2.70
Order vs. Observation
Observation

Example Answer List LL3043-8

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.1957
Link to External List
https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.3.88.12.3221.7.4

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]
98871-7 COVID-19 comorbidity and healthcare questionnaire
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 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]
96569-9 LACE index panel
81958-1 National Health Care Surveys report R1 - recommended CDA set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Condición comórbida:Tipo:Punto temporal:^ Paciente:Nominal:
fr-FR French (France) Comorbidité:Recherche:Ponctuel:Patient:Résultat nominal:
it-IT Italian (Italy) Condizione di comorbilità:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 共病情况:发现:时间点:^患者:名义型:
Synonyms: 健康状况;疾病;情况;病情;状态;条件 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 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 病史与体格检查 相伴疾病;共病;共病情形;共病状况

75612-2 Number of visits to this healthcare entity in the last 12 months

Part Descriptions

LP185960-4   Number of visits to this healthcare entity in the last 12Mo
The number of times the patient was seen by the reporting healthcare entity in the past 12 months. Source: Regenstrief Institute

Fully-Specified Name

Component
Number of visits to this healthcare entity in the last 12Mo
Property
NRat
Time
12Mo
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.66
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

Example Units

Unit Source
/a Example UCUM Units

75611-4 Patient seen in this ED in last 72 hours and discharged

Part Descriptions

LP185961-2   Patient seen in this ED in last 72H and discharged
Indicates whether the patient was seen in this emergency department within the 72 hours prior to the current visit and then was discharged from the emergency department. Source: Regenstrief Institute

Fully-Specified Name

Component
Patient seen in this ED in last 72H and discharged
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Example Answer List LL1362-4

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
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 3 LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75610-6 Oxygen therapy at arrival

Part Descriptions

LP185962-0   Oxygen therapy at arrival
The patient was on oxygen upon arrival to the hospital. Source: Regenstrief Institute

Fully-Specified Name

Component
Oxygen therapy at arrival
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Example Answer List LL1362-4

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
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 3 LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

75912-6 Observation unit stay discharge

Part Descriptions

LP187151-8   Observation unit stay discharge
The date and time the patient was discharged from a designated observation unit operated by the Emergency Department (ED) for evaluation and management. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Observation unit stay discharge
Property
TmStp
Time
Pt
System
^Patient
Scale
Qn
Method
NAMCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.52
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

Example Units

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

78020-5 Admission priority

Term Description

The type of admission, which is an indication of how quickly the patient needs clinical intervention or resuscitation. This term was created for, but not limited in use to, the Priority (Type) of Admission or Visit in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Part Descriptions

LP193698-0   Admission priority
The admission priority indicates the general level of acuity of the patient and how quickly clinical intervention or resuscitation is necessary, from newborn to elective to emergent. The priority and diagnosis or reason for admission have some overlap but are not the same. For example, one patient with leukemia might be admitted emergently for sepsis, while another patient with the same diagnosis might have a scheduled admission for chemotherapy. Source: Regenstrief LOINC

Fully-Specified Name

Component
Admission priority
Property
Type
Time
Pt
System
^Patient
Scale
Ord
Method
NHCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3652-6

Answer Code Score Answer ID
Emergent LA19759-2
Urgent LA21544-4
Elective LA19760-0
Newborn LA10403-6
Non-urgent Trauma LA24212-5
Emergent Trauma LA24213-3
Information not available LA21297-9

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78021-3 Specialty unit type

Term Description

The kind of hospital unit having any necessary specialized equipment and/or personnel for handling critically ill or injured patients. This term was created for, but not limited in use to, the Specialty Unit Type in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Specialty care unit
Property
Type
Time
Pt
System
Hospital
Scale
Nom
Method
NHCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3653-4

Answer Code Score Answer ID
Adult Burn Critical Care Unit LA10143-8
Adult Medical Cardiac Critical Care Unit LA24094-7
Adult Medical Critical Care Unit LA10146-1
Adult Med-Surg Critical Care Unit LA24095-4
Adult Neurology Critical Care and Stroke Unit LA24098-8
Adult Neurosurgery Critical Care Unit LA24099-6
Adult Pulmonary Critical Care Unit LA10148-7
Adult Surgical Critical Care Unit LA10149-5
Adult Cardiothoracic Critical Care Unit LA10144-6
Adult Trauma Critical Care Unit LA10150-3
Prenatal Critical Care Unit LA24103-6
Neonatal Critical Care Unit (Level II/III) LA24096-2
Neonatal Critical Care Unit (Level III) LA24097-0
Pediatric Burn Critical Care Unit LA10197-4
Pediatric Medical Critical Care Unit LA10200-6
Pediatric Med-Surg Critical Care Unit LA24100-2
Pediatric Neurology Critical Care Unit LA10201-4
Pediatric Neurosurgery Critical Care Unit LA24102-8
Pediatric Pulmonary Critical Care Unit LA10202-2
Pediatric Cardiothoracic Critical Care Unit LA10198-2
Pediatric Surgical Critical Care Unit LA10203-0
Pediatric Trauma Critical Care Unit LA10204-8

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78022-1 Type of clinic/location

Term Description

The location or setting where a health care service (e.g. procedure, treatment) was provided. This term was created for, but not limited in use to, the Service Delivery Location template in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1. The value set associated with this term is based on the National Healthcare Safety Network (NHSN) location code system that has been developed over a number of years through CDC's interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Care setting
Property
Type
Time
Pt
System
Facility
Scale
Nom
Method
NHCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Preferred Answer List LL3654-2

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.2289
Link to External List
https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.113883.13.19

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

74290-8 Discharge disposition IP

Part Descriptions

LP72749-2   Hospital discharge disposition
The hospital discharge status or disposition of the patient having a hospitalization associated with the encounter at the emergency department. Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Hospital discharge disposition
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NTDS

Additional Names

Short Name
Hosp discharge dispo [NTDS]

Basic Attributes

Class
TRAUMA
Type
Clinical
First Released
Version 2.46
Last Updated
Version 2.52
Order vs. Observation
Observation

Survey Question

Source
O_05

Normative Answer List LL2766-5

Answer Code Score Answer ID
Discharged/Transferred to a short-term general hospital for inpatient care 1 LA20616-1
Discharged/Transferred to an Intermediate Care Facility (ICF) 2 LA20617-9
Discharged/Transferred to home under care of organized home health service 3 LA20613-8
Left against medical advice or discontinued care 4 LA20622-9
Expired 5 LA10325-1
Discharged home with no home services 6 LA20614-6
Discharged/Transferred to Skilled Nursing Facility 7 LA20619-5
Discharged/Transferred to hospice care 8 LA20615-3
Discharged/Transferred to another type of rehabilitation or long-term care facility 9 LA20618-7

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Disposición de alta hospitalaria:Tipo:Punto temporal:^ Paciente:Nominal:NTDS
it-IT Italian (Italy) Dimissione ospedaliera, disposizioni:Tipo:Pt:^Paziente:Nom:NTDS
Synonyms: Disposizioni di dimissione ospedaliera Neglected tropical diseases (NTD);Malattie tropica paziente Punto nel tempo (episodio) Trauma
zh-CN Chinese (China) 医院出院去向:类型:时间点:^患者:名义型:NTDS
Synonyms: 允许...离开(医院、军队);(从监狱)释放 出院安排 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 创伤（外伤、损伤）;外伤;损伤 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 医院出院处置;医院出院安置;醫院出院動向;醫院出院後安置;病院出院動向;医院出院后安置;医院出院后安排 型 处理;安排;布置 时刻;随机;随意;瞬间 病院 美国国家创伤数据标准;美国全国创伤数据标准;全美创伤数据标准;National Trauma Data Standards 院

11302-7 ED discharge disposition

Fully-Specified Name

Component
ED discharge disposition
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
ED dc dispo

Basic Attributes

Class
ED
Type
Clinical
First Released
Version 1.0j-a
Last Updated
Version 2.66
Change Reason
Previous Releases: ; Updated System from "?" to "^Patient" since this term is meant to represent the disposition of the patient at discharge from an emergency department.

Preferred Answer List LL3677-3

Answer Code Score Answer ID
No follow-up planned LA24304-0
Return to ED LA24286-9
Return/refer to physician/clinic for outpatient mental health treatment LA24287-7
Return/refer to physician/clinic for substance abuse treatment LA24288-5
Return/refer to physician/clinic for follow-up LA24289-3
Left without being seen LA24301-6
Left before treatment was complete LA24300-8
Left against medical advice LA20595-7
Dead on arrival LA24302-4
Died in ED LA24303-2
Return/transfer to nursing home LA24290-1
Return/transfer to jail/prison/law enforcement LA24291-9
Transfer to psychiatric inpatient treatment - involuntary status LA24292-7
Transfer to psychiatric inpatient treatment - voluntary status LA24293-5
Transfer to psychiatric inpatient treatment - status not documented LA24294-3
Transfer to substance abuse treatment facility LA24295-0
Transfer to inpatient behavioral healthcare facility - type unknown LA24296-8
Transfer to other non-psychiatric hospital LA24297-6
Admit to this hospital LA24305-7
Admit to observation unit then hospitalized LA24306-5
Admit to observation unit then discharged LA24307-3
Other LA46-8

Member of these Panels

LOINC Long Common Name
81898-9 Composite triage and nursing note - recommended IHE set
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
81958-1 National Health Care Surveys report R1 - recommended CDA set
87825-6 National Trauma Data Standard - version 2018 set

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) disposición del servicio de emergencias:tipo:punto en el tiempo:?:Nominal:
es-MX Spanish (Mexico) Disposición de alta en urgencias:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) PS, disposizione:Tipo:Pt:^Paziente:Nom:
Synonyms: Disposizione di Pronto Soccorso Emergenza (DEEDS - Data Elements for Emergency Dep paziente Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Disposição do PS:Tipo:Pt:?:Nom:
Synonyms: ; ED dispo; Typ; Point in time; Random; Nominal; Emergency Department; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) ОЭП диспозиция:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Выписка Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 急诊科出院处置:类型:时间点:^患者:名义型:
Synonyms: ED 允许...离开(医院、军队);(从监狱)释放 出院安排 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 型 处理;安排;布置 急诊出院处置;急诊科出院处理;急诊科处置;急诊处置;急诊科处理 急诊科 急诊科（DEEDS）变量;DEEDS 变量;急诊;急诊科;Emergency Department;ED;急诊科（急诊科系统代码之数据元素）变量;急诊科（急诊科系统代码之数据元素）指标;急诊科（美国CDC急诊科系统代码之数据元素）指标;急诊科指标 急诊科（Emergency Department，ED） 急诊部 时刻;随机;随意;瞬间

78025-4 Disposition OPD

Term Description

The location and type of care arranged for the patient at the end of an outpatient visit.This term was created for, but not limited in use to, the Outpatient Visit Discharge Disposition observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Outpatient visit discharge disposition
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NHCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Preferred Answer List LL3676-5

Answer Code Score Answer ID
Return to referring physician/provider LA24271-1
Refer to other physician/provider LA24277-8
Return in less than 1 week LA24272-9
Return in 1 week to less than 2 months LA24273-7
Return in 2 months or greater LA24275-2
Return at unspecified time LA24274-5
Return as needed (p.r.n.) LA24276-0
Refer to E.R. for Admission to Hospital LA24278-6
Other LA46-8
Routine discharge to customary residence LA24279-4
Discharge to observation status LA24280-2
Discharge to post-surgical/recovery care facility LA24281-0
Admitted to hospital as inpatient LA24282-8
Referred to ED LA24324-8
Surgery terminated LA24283-6
Procedure cancelled on arrival to Ambulatory Surgical Unit LA24284-4
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) LA4489-6
Move to observation/post surgical/recovery area in the same hospital, i.e., not admitted as an inpatient LA24285-1

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78026-2 Present on admission

Term Description

Indicates whether or not the diagnosis was present on admission (POA) when the patient was admitted into the hospital as an inpatient. This term was created for, but not limited in use to, the Present on Admission observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Whether or not a specific condition was present at the time a patient was admitted. Note that the concept of "diagnosis" is different than a "condition". Conditions include symptoms, diseases, injuries, and non-pathologic states, while diagnoses are specifically identified by a provider as the source of a patient's signs and symptoms. For example, a patient admitted to the hospital with conditions that include abdominal pain, fever, and vomiting may be diagnosed with appendicitis by a provider based on the history, physical exam, and various test results. To report whether a condition was present on admission, use [LOINC: 89251-3].
Source: Regenstrief LOINC

Fully-Specified Name

Component
Diagnosis present on admission
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.70
Change Reason
Added to the term description in order to distinguish the concepts of "diagnosis" and "condition"
Order vs. Observation
Observation

Example Answer List LL3044-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) UNK LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78027-0 Follow-up attempt made within 24-hours after surgery

Term Description

Health care staff made effort to contact the patient within one day following an outpatient surgical procedure in order to ascertain the patient's state of well being. This term was created for, but not limited in use to, the Follow-Up Attempt observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Follow-up attempt within 24H
Property
Find
Time
24H
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.70
Order vs. Observation
Observation

Example Answer List LL3044-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) UNK LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78028-8 Follow-up attempt outcome

Term Description

The finding(s) or result(s) of contact made by healthcare staff with a patient after an outpatient surgical procedure. This term was created for, but not limited in use to, the Follow-Up Attempt Outcome observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Follow-up attempt outcome
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NHCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3656-7

Answer Code Score Answer ID
Patient unavailable LA24214-1
No complaints LA24215-8
Patient reported problems and sought medical care LA24216-6
Patient reported problems and was advised by ambulatory surgical staff to seek medical care LA24217-4
Patient reported problems, but no follow-up medical care was needed LA24218-2
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) LA4489-6
Other LA46-8

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78029-6 Point of origin

Term Description

Where the patient was located immediately prior to arriving at the health care facility.This term was created for, but not limited in use to, the Point of Origin observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Arrived from
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
NHCS

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Normative Answer List LL3674-0

Answer Code Score Answer ID
Information not available LA21297-9
Transfer from a different hospital LA24308-1
Transfer from one distinct unit of the hospital to another distinct unit of the hospital resulting in a separate claim to the payer LA24312-3
Transfer from jail or court under supervision of law enforcement LA24310-7
Transfer from Ambulatory Surgery Center LA24313-1
Transfer from a Hospice Facility LA24314-9
Transfer from Skilled Nursing Facility LA24315-6
Transfer from Intermediate Care Facility LA24316-4
Transfer from Assisted Living Facility LA24317-2
Clinic LA24318-0
Physician's Office LA4685-9
Newborn born inside this hospital LA24321-4
Newborn born outside this hospital LA24322-2
Transfer from another type of Healthcare facility NOS LA24311-5
Non-Healthcare facility point of origin LA24323-0

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set

78030-4 Episode of care

Term Description

Indicates whether a patient's visit is an initial or follow-visit. An episode of care begins with the initial visit for care for a particular problem and ends when the patient is no longer continuing treatment. An initial visit may be diagnostic in nature whereas a follow-up visit may be to check progress or continue therapy. This term was created for, but not limited in use to, the Episode of Care observation in the HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys Release 1.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Type of encounter
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.NHCS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.70
Order vs. Observation
Observation

Preferred Answer List LL3034-7

Answer Code Score Answer ID
Initial patient assessment 1 1 LA21589-9
Follow-up visit 2 2 LA21590-7
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) 3 3 LA4489-6

Member of these Panels

LOINC Long Common Name
81958-1 National Health Care Surveys report R1 - recommended CDA set