Version 2.80

56799-0 Patient's home/mailing address

Fully-Specified Name

Component
Address
Property
Addr
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Address

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
8050

HL7® Attributes

HL7® Field ID
PID-11

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]
80399-9 Occupational exposure information panel
79191-3 Patient demographics panel
93149-3 PhenX - bone age protocol 220301
63052-5 PhenX - current address protocol 010801
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διεύθυνση:Addr:Pt:^Ασθενής:Nom:
Synonyms: Addr Διεύθυνση
es-ES Spanish (Spain) Dirección:Dirección:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Dirección:Dirección:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Indirizzo:Addr:Pt:^Paziente:Nom:
Synonyms: Amministrativo Indirizzo (HL7 data type) Paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) adres:adres (HL7-datatype):moment:^patiënt:nominaal:
pt-BR Portuguese (Brazil) Endereço:#N/A:Pt:^Paciente:Nom:
Synonyms: Point in time; Random; Nominal; EMERGENCY DEPARTMENT (DEEDS); DEEDS; EMERGENCY DEPARTMENT (DEEDS)
ru-RU Russian (Russian Federation) Адрес:Адр:ТчкВрм:^Пациент:Ном:
Synonyms: Адрес (HL7 data type) Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 地址:地址:时间点:^患者:名义型:
Synonyms: 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 地址(来自HL7) 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

42077-8 Best contact phone number

Term Description

The patient's telephone number.

Fully-Specified Name

Component
Phone number
Property
Tele
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Patient phone number

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.16
Last Updated
Version 2.73 (MIN)
Change Reason
Revised description and removed NORMATIVE answer list, which only included results for unknown or no phone number available. The answer choices did not include entering the patient's phone number. This term was originally created for the NAACCR v11 tumor registry. The coding instructions in the term description and as part of the answer list are now available as Form Coding Instructions for the term in the instance of the NAACCR version 11 panel [LOINC: 49083-9].
Order vs. Observation
Observation
Common Test Rank Get Info
7124

HL7® Attributes

HL7® Field ID
PID-13

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
47245-6 HIV treatment form Document
49083-9 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel
80399-9 Occupational exposure information panel
79191-3 Patient demographics panel
55140-8 Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τηλεφωνικός αριθμός:Tele:Pt:^Ασθενής:Nom:
Synonyms: Tele Αριθμός Τηλεφωνικός αριθμός
es-ES Spanish (Spain) Número de teléfono:Teléfono:Punto temporal:^paciente:Nom:
Synonyms: Número de teléfono (datos de HL7)
es-MX Spanish (Mexico) Número de teléfono:NúmeroTeléfono:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Numero telefonico:Tele:Pt:^Paziente:Nom:
Synonyms: Amministrativo Numero di telefono (HL7 datatype) Paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) telefoonnummer:telefoonnummer (HL7-datatype):moment:^patiënt:nominaal:
pt-BR Portuguese (Brazil) Telefone:Tele:Pt:^Paciente:Nom:
Synonyms: Telecommunication number; Telephone number; Point in time; Random; Nominal; TUMOR REGISTRY(NAACCR); TUMOR REGISTRY(NAACCR)
ru-RU Russian (Russian Federation) Телефонный номер:Тел:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Телефонный номер (HL7 datatype) Точка во времени;Момент
zh-CN Chinese (China) 电话号码:电话号码:时间点:^患者:名义型:
Synonyms: 个数;数目 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 无线电通讯号码;无线电通讯编号;电话号码(来自HL7);远程通信号码;远程通信编号;长途通信号码;长途通信编号 时刻;随机;随意;瞬间 电话 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

89057-4 You have my permission to send text reminder messages for upcoming visits to my cell phone number. (There may be a charge for this)

Term Description

Does the patient grant permission to be sent text messages from provider/organization

Fully-Specified Name

Component
Permission to receive text messages
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Permission to receive text messages

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4959-4

Answer Code Score Answer ID
Permission granted LA28800-3
Permission not granted LA28801-1

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Άδεια λήψης γραπτών μηνυμάτων:Εύρεση:Pt:^Ασθενής:Ord:
Synonyms: Άδεια λήψης γραπτών μηνυμάτων Εύρεση
es-MX Spanish (Mexico) Permiso para recibir mensajes de texto.:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Permesso di ricevere messaggi di testo:Osservazione:Pt:^Paziente:Ord:
Synonyms: Amministrativo Osservazione Paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 允许接收文本消息:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 允许（批准、许可、同意）接收文本消息（短消息、短信、短信息） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）

45396-9 Last 4 digits of SSN

Form Coding Instructions

XXX-XX-####

Source: Duke University

Fully-Specified Name

Component
Social Security number
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Social Security number [Identifier]

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.17
Last Updated
Version 2.73 (MIN)
Change Reason
Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component
Order vs. Observation
Both
Common Test Rank Get Info
6170

HL7® Attributes

HL7® Field ID
PID-19

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
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]
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
106623-2 Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
106625-7 Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
106933-5 Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [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]
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]
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]
104608-5 MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7 MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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
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]
106523-4 Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]
62812-3 PhenX domain - Physical activity and physical fitness
46637-5 Residual physical functional capacity (RFC) assessment form [RFC]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αριθμός μητρώου κοινωνικής ασφάλισης:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό Αριθμός Αριθμός μητρώου κοινωνικής ασφάλισης
es-MX Spanish (Mexico) Número de seguro social:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Previdenza Sociale, numero:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente Numero di Previdenza Sociale paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 社会安全号码:标识符:时间点:^患者:名义型:
Synonyms: Social Security number;SSN;社会保险号码;社会保障号码;社会保障号 个数;数目 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 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符（Identifier，ID） 皮下 皮下的 皮内 皮内（Intradermal，ID） 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识） 识别 识别符

89059-0 Full name of relative/friend who does not live with the patient

Fully-Specified Name

Component
Secondary contact name
Property
Pn
Time
Pt
System
^Contact
Scale
Nom
Method

Long Common Name

Secondary contact name

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Όνομα δευτερεύουσας επαφής:Pn:Pt:^Επικοινωνία:Nom:
Synonyms: Pn Όνομα Όνομα δευτερεύουσας επαφής Όνομα επαφής
es-MX Spanish (Mexico) Nombre de contacto secundario:Pn:Punto temporal:^ Contacto:Nominal:
it-IT Italian (Italy) Contatto secondario, nome:Pn:Pt:^Contatto:Nom:
Synonyms: Amministrativo Nome del contatto Nome del contatto secondario Nome di persona Punto nel tempo (episodio)
zh-CN Chinese (China) 第二联系人姓名:人员姓名:时间点:^联系人:名义型:
Synonyms: 人名 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 姓名;名字;名 时刻;随机;随意;瞬间 第二联络人姓名 联系人（联络人、联络员、联系人员、联络人员）姓名（名字、名称） 联络人 行政;管理;施行;执行;经营

89060-8 Patient's secondary contact's phone number

Fully-Specified Name

Component
Phone number
Property
Tele
Time
Pt
System
^Contact
Scale
Nom
Method

Long Common Name

Contact Phone number

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.66 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τηλεφωνικός αριθμός:Tele:Pt:^Επικοινωνία:Nom:
Synonyms: Tele Αριθμός Τηλεφωνικός αριθμός
es-MX Spanish (Mexico) Número de teléfono:NúmeroTeléfono:Punto temporal:^ Contacto:Nominal:
it-IT Italian (Italy) Numero telefonico:Tele:Pt:^Contatto:Nom:
Synonyms: Amministrativo Numero di telefono (HL7 datatype) Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) telefoonnummer:telefoonnummer (HL7-datatype):moment:^contact:nominaal:
zh-CN Chinese (China) 电话号码:电话号码:时间点:^联系人:名义型:
Synonyms: 个数;数目 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 无线电通讯号码;无线电通讯编号;电话号码(来自HL7);远程通信号码;远程通信编号;长途通信号码;长途通信编号 时刻;随机;随意;瞬间 电话 联络人 行政;管理;施行;执行;经营

89058-2 Patient's secondary contact's email address

Fully-Specified Name

Component
Email address
Property
EmailAddr
Time
Pt
System
^Contact
Scale
Nom
Method

Long Common Name

Contact email address

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διεύθυνση ηλεκτρονικού ταχυδρομείου:EmailAddr:Pt:^Επικοινωνία:Nom:
Synonyms: EmailAddr Διεύθυνση Διεύθυνση ηλεκτρονικού ταχυδρομείου
es-MX Spanish (Mexico) Dirección de correo electrónico:CorreoElectrónico:Punto temporal:^ Contacto:Nominal:
it-IT Italian (Italy) Indirizzo email:Indirizzo email:Pt:^Contatto:Nom:
Synonyms: Amministrativo Punto nel tempo (episodio)
zh-CN Chinese (China) 电子邮件地址:电子邮件地址:时间点:^联系人:名义型:
Synonyms: 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 时刻;随机;随意;瞬间 电子邮件（电邮、邮件、邮箱、电子邮箱）地址 电邮地址;邮件地址 联络人 行政;管理;施行;执行;经营

32624-9 Race

Fully-Specified Name

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

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.09
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
1224

HL7® Attributes

HL7® Field ID
PID-10

Normative Answer List LL4960-2

Answer Code Score Answer ID
American Indian or Alaska Native LA6155-1
Asian LA6156-9
Black or African American LA10610-6
White LA4457-3
Multiple races LA28802-9
Other LA46-8
Prefer not to say LA28803-7

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
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
45963-6 Deprecated MDS basic assessment tracking form - version 2.0
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
49087-0 Maternal screen clinical predictors panel
82259-3 Metabolic equivalent of task and Resting metabolic rate panel
80399-9 Occupational exposure information panel
79191-3 Patient demographics panel
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
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

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Φυλή:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Φυλή
es-AR Spanish (Argentina) raza:tipo:punto en el tiempo:^paciente:Nominal:
es-MX Spanish (Mexico) Raza:Tipo:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Race:Type:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Razza:Tipo:Pt:^Paziente:Nom:
Synonyms: Clinico paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) ras:type:moment:^patiënt:nominaal:
pt-BR Portuguese (Brazil) Raça:Tipo:Pt:^Paciente:Nom:
Synonyms: Ethnicity; Typ; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) раса:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
tr-TR Turkish (Turkey) Irk:Tip:Zmlı:^Hasta:Snf:
Synonyms: Tür
uk-UA Ukrainian (Ukraine) Раса:Тип:МоментЧасу:^Пацієнт:Категорійно:
Synonyms: AOEObservation; CLIN; Ethnicity; Nominal; Point in time; Random; Typ
zh-CN Chinese (China) 种族:类型:时间点:^患者:名义型:
Synonyms: 人种;族;民族;种 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 时刻;随机;随意;瞬间

56051-6 Is your ethnicity Hispanic?

Fully-Specified Name

Component
Hispanic or Latino
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Hispanic or Latino

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73 (MIN)
Change Reason
Release 2.67: ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer Lists ; Previous Releases: Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.
Common Test Rank Get Info
19967

Normative Answer List LL1270-9

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
Refused -1 LA4389-8
Not asked -2 LA14761-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
62299-3 PhenX - ethnicity protocol 010501
62263-9 PhenX domain - Nutrition and dietary supplements
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ισπανική ή Λατινοαμερικάνικη:Εύρεση:Pt:^Ασθενής:Ord:
Synonyms: Εύρεση Ισπανική ή Λατινοαμερικάνικη
es-MX Spanish (Mexico) hispano o latino:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Ispanico o Latino:Osservazione:Pt:^Paziente:Ord:
Synonyms: Amministrativo Dati demografici del paziente Osservazione Paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Испанское или латиноамериканское происхождение:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 西班牙裔或拉丁裔:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 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 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据） 西班牙裔美国人;西班牙美国籍;西班牙裔;拉美裔美国籍;拉美裔;拉丁美洲人;具有拉丁血统的人;拉丁裔;美籍拉美移民;美籍拉美后裔;美籍拉美人

69431-5 Are you covered through Medicare?

Term Description

Identifies the status of a patient's Medicare eligibility

Fully-Specified Name

Component
Medicare enrollment status
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Medicare enrollment status

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.64 (MIN)

Example Answer List LL1940-7

Answer Code Score Answer ID
Medicare application pending LA18070-5
No Medicare LA6284-9
Medicare coverage LA18071-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

76437-3 Select your insurance provider:

Fully-Specified Name

Component
Primary insurance
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Primary insurance

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN
Order vs. Observation
Observation

Normative Answer List LL4962-8

Answer Code Score Answer ID
Aetna LA28804-5
Anthem LA28805-2
Humana LA28806-0
United Healthcare LA28807-8
None of the above LA9-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
76464-7 American Physical Therapy Association registry panel
96749-7 Association of Asian Pacific Community Health Organizations enabling services and social intervention panel AAPCHO
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Κύρια ασφάλιση:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Κύρια ασφάλιση
es-MX Spanish (Mexico) Seguro primario:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Assicurazione primaria:Tipo:Pt:^Paziente:Nom:
Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 主保险:类型:时间点:^患者:名义型:
Synonyms: 优先保险;原保险;主险;一级保险;主要保险 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 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

89061-6 Insurance group number [Identifier]

Fully-Specified Name

Component
Insurance group number
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

HL7® Attributes

HL7® Field ID
PID-3.1

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αριθμός ασφαλιστικής ομάδας:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό Αριθμός Αριθμός ασφαλιστικής ομάδας
es-MX Spanish (Mexico) Número de grupo de seguros:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Numero del gruppo assicurativo:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 保险集团编号:标识符:时间点:^患者:名义型:
Synonyms: 个数;数目 保险团体编号;保险群体编号;保险组编号;保险公司编号 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 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符（Identifier，ID） 皮下 皮下的 皮内 皮内（Intradermal，ID） 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识） 识别 识别符

76435-7 Insurance number

Term Description

The patient identifier is a unique alphanumeric string that identifies a specific patient and is assigned by a specific organization (the assigning authority) that should be reported using [LOINC: 76698-0]. In HL7 v2 messages, the patient identifier is reported in PID-3.1 and the assigning authority in PID-3.4. Examples of patient identifiers are medical record number, driver's license number and Social Security number, and their corresponding assigning authorities are the appropriate healthcare facility, state motor vehicle administration and the Social Security Administration, respectively.

Fully-Specified Name

Component
Identifier
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Patient identifier

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN.ID
Order vs. Observation
Observation

HL7® Attributes

HL7® Field ID
PID-3.1

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
76464-7 American Physical Therapy Association registry panel
86636-8 Family planning report - FPAR 2.0 set
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94655-8 Identifier and Assigning authority panel
89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αναγνωριστικό:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό
es-ES Spanish (Spain) Identificador:Código identificador:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Identificador:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Identificatore:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Идентификатор:ID:ТчкВрм:^Пациент:Ном:
Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 标识符:标识符:时间点:^患者:名义型:
Synonyms: 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 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识;身份标识符;身份标识;ID 标识符 标识符（Identifier，ID） 皮下 皮下的 皮内 皮内（Intradermal，ID） 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识） 识别 识别符

76698-0 Patient identifier assigning authority

Term Description

The patient identifier assigning authority is the organization that assigned the patient identifier reported using [LOINC: 76435-7]. In HL7 v2 messages, the patient identifier is reported in PID-3.1 and the assigning authority in PID-3.4. Examples of patient identifiers are medical record number, driver's license number and Social Security number, and their corresponding assigning authorities are the appropriate healthcare facility, state motor vehicle administration and the Social Security Administration, respectively.

Fully-Specified Name

Component
Identifier assigning authority
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Both

HL7® Attributes

HL7® Field ID
PID-3.4

Example Answer List LL5044-4

Answer Code Score Answer ID
Aetna LA28804-5
Anthem LA28805-2
Humana LA28806-0
United Healthcare LA28807-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
76464-7 American Physical Therapy Association registry panel
94655-8 Identifier and Assigning authority panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αναγνωριστικό αναθέτουσας αρχής:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό Αναγνωριστικό αναθέτουσας αρχής
es-MX Spanish (Mexico) Autoridad de asignación de identificador:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Responsabili dell'assegnazione del identificatore:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 标识符指定机构:标识符:时间点:^患者:名义型:
Synonyms: 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 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识;身份标识符;身份标识;ID 标识指定机构;ID 指定机构;身份标识指定机构;标识符分配机构;标识符分派机构;标识符指派机构;标识符赋予机构 标识符 标识符（Identifier，ID） 皮下 皮下的 皮内 皮内（Intradermal，ID） 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.标识号（ID、身份标识符、身份标识） 识别 识别符

64234-8 Are you currently a cigarette smoker (at least one cigarette a day)?

Fully-Specified Name

Component
Current smoker
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Current smoker

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
1051

Normative Answer List LL361-7

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

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
97782-7 Spine Tango Surgery 2017

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Εν ενεργεία καπνιστής:Εύρεση:Pt:^Ασθενής:Ord:
Synonyms: Εν ενεργεία καπνιστής Εύρεση
es-MX Spanish (Mexico) Actual fumador:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Attuale fumatore:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Активный курильщик:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 现时吸烟者:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 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 现时烟民;现时吸烟;当前吸烟;当前抽烟 病史与体格检查

89076-4 Before joining ADAPTABLE were you regularly taking aspirin?

Fully-Specified Name

Component
Aspirin usage^pre enrollment in ADAPTABLE study
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ADAPTABLE

Long Common Name

Aspirin usage--pre enrollment in ADAPTABLE study [ADAPTABLE]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL361-7

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

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

89066-5 What year did you begin regularly taking aspirin?

Fully-Specified Name

Component
Year aspirin regimen began
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Long Common Name

Year aspirin regimen began [Date]

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Έτος έναρξης αγωγής με ασπιρίνη:Ημερομηνία:Pt:^Ασθενής:Qn:
Synonyms: Έτος έναρξης αγωγής με ασπιρίνη Ημερομηνία
es-MX Spanish (Mexico) Año en que comenzó el régimen de aspirina:Fecha:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Anno in cui ha iniziato il regime di aspirina:Data:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 阿司匹林治疗方案开始年份:日期: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 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 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 病史与体格检查 阿司匹林治疗方案（方案）开始（起始）年份

Example Units

Unit Source
{yyyy} Example UCUM Units

89081-4 What dosage were you taking BEFORE joining ADAPTABLE?

Fully-Specified Name

Component
Aspirin dose^pre enrollment in ADAPTABLE study
Property
Mass
Time
Pt
System
Dose
Scale
Qn
Method
ADAPTABLE

Long Common Name

Aspirin dose--pre enrollment in ADAPTABLE study Dose [ADAPTABLE]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL4963-6

Answer Code Score Answer ID
81 mg LA28808-6
162 mg LA28809-4
325 mg LA28810-2
Other, Enter dose LA46-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Example Units

Unit Source
mg Example UCUM Units

89074-9 Now that you are a part of ADAPTABLE are you regularly taking aspirin?

Fully-Specified Name

Component
Aspirin usage^post enrollment in ADAPTABLE study
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ADAPTABLE

Long Common Name

Aspirin usage--post enrollment in ADAPTABLE study [ADAPTABLE]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL361-7

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

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

89072-3 Which dose are you taking?

Fully-Specified Name

Component
Aspirin dose^post enrollment in ADAPTABLE study
Property
Mass
Time
Pt
System
^Patient
Scale
Qn
Method
ADAPTABLE

Long Common Name

Aspirin dose--post enrollment in ADAPTABLE study [ADAPTABLE]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL4963-6

Answer Code Score Answer ID
81 mg LA28808-6
162 mg LA28809-4
325 mg LA28810-2
Other, Enter dose LA46-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Example Units

Unit Source
mg Example UCUM Units

89069-9 Is your aspirin tablet enteric coated?

Fully-Specified Name

Component
Enteric coated aspirin tablet
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Enteric coated aspirin tablet

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL361-7

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

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Εντερικό επικαλυμμένο δισκίο ασπιρίνης:Εύρεση:Pt:^Ασθενής:Ord:
Synonyms: Εντερικό επικαλυμμένο δισκίο ασπιρίνης Εύρεση
es-MX Spanish (Mexico) Tableta de aspirina con recubrimiento entérico:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Compressa di aspirina rivestita con enterica:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 阿司匹林肠溶包衣片:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 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 阿司匹林肠溶片

89073-1 Why did you stop taking aspirin?

Fully-Specified Name

Component
Reason for discontinuing aspirin use
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Reason for discontinuing aspirin use

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4964-4

Answer Code Score Answer ID
I stopped because of GI upset LA28811-0
I stopped because of bleeding LA28812-8
I stopped because of other:, Please provide the reason LA28816-9
My doctor told me to stop taking aspirin because of GI upset LA28813-6
My doctor told me to stop taking aspirin because of need for a different medication LA28814-4
My doctor told me to stop taking aspirin because of bleeding LA28815-1
My doctor told me to stop taking aspirin because of other:, Please provide the reason LA28817-7
Not sure why my doctor wanted to stop it LA28818-5

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

89068-1 When did you stop taking aspirin?

Fully-Specified Name

Component
Date aspirin discontinued
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Long Common Name

Date aspirin discontinued

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ημερομηνία διακοπής της ασπιρίνης:Ημερομηνία:Pt:^Ασθενής:Qn:
Synonyms: Ημερομηνία Ημερομηνία διακοπής της ασπιρίνης
es-MX Spanish (Mexico) Fecha de descontinuación de la aspirina:Fecha:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Data cessazione aspirina:Data:Pt:^Paziente:Qn:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 阿司匹林停用日期:日期: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 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 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 病史与体格检查 阿司匹林停用（停止使用、停止服用、停止）日期

Example Units

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

89067-3 Are you currently taking any of these blood thinning medications?

Fully-Specified Name

Component
Type of blood thinning medication used
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Type of blood thinning medication used

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4965-1

Answer Code Score Answer ID
Effient (prasugrel) LA28819-3
Plavix (clopidogrel) LA28820-1
Pletal (cilostazol) LA28821-9
Ticlid (ticlopidine) LA28822-7
Zontivity (vorapaxar) LA28823-5
I don't take any of these routinely LA28824-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Χρησιμοποιηθείς τύπος φαρμάκου αραίωσης του αίματος:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Αίμα Φαρμακευτική αγωγή Χρησιμοποιηθείς τύπος φαρμάκου αραίωσης του αίματος
es-MX Spanish (Mexico) Tipo de medicamento anticoagulante utilizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tipo di farmaco per fluidificare il sangue utilizzato:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 所采用的血液稀释药物的类型:类型:时间点:^患者:名义型:
Synonyms: 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 型 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 所采用（使用、运用）的血液稀释药物的类型 时刻;随机;随意;瞬间 病史与体格检查 血;全血

89065-7 Are you currently taking any nonsteroidal anti-inflammatory drugs (NSAIDs) several times a week?

Term Description

Which, if any, NSAIDS are taken by the patient several times per week

Fully-Specified Name

Component
Type of nonsteroidal anti-inflammatory drugs (NSAIDs) used several times a week
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Type of nonsteroidal anti-inflammatory drugs (NSAIDs) used several times a week

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4966-9

Answer Code Score Answer ID
Celecoxib (Celebrex) LA28827-6
Diclofenac (Voltaren) LA28828-4
Ibuprofen (Motrin, Advil) LA28829-2
Indomethacin (Indocin) LA28830-0
Naproxen (Aleve, Anaprox, Naprosyn) LA28831-8
Ketorolac (Toradol) LA28832-6
Meloxicam (Mobic) LA28833-4
I don't take any of these routinely LA28824-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τύπος μη στεροειδών αντιφλεγμονωδών φαρμάκων (ΜΣΑΦ) που χρησιμοποιούνται αρκετές φορές την εβδομάδα:Type:Pt:^Ασθενής:Nom:
Synonyms: A Type Τύπος μη στεροειδών αντιφλεγμονωδών φαρμάκων (ΜΣΑΦ) που χρησιμοποιούνται αρκετές φορές την εβδομάδα Φαρμακευτικά σκευάσματα
es-MX Spanish (Mexico) Tipo de antiinflamatorios no esteroideos (AINE) que se utilizan varias veces a la semana:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tipo di farmaci antinfiammatori non steroidei (FANS) usati più volte alla settimana:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 每星期使用数次的非甾体抗炎药物的类型:类型:时间点:^患者:名义型:
Synonyms: A 型 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 型 时刻;随机;随意;瞬间 每星期（周、礼拜）使用（服用、施用）数次（多次、若干次）的非甾体抗炎药物（非甾体抗炎药、非甾体类抗炎药、非固醇类消炎药物、非甾体类抗炎镇痛药、NSAIDs、NSAID）的类型 病史与体格检查 药品;药品类;药物;毒品;毒品类

89064-0 Are you currently taking any of these medications that are typically for stomach upset?

Fully-Specified Name

Component
Type of medication used for stomach upset
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Type of medication used for stomach upset

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4967-7

Answer Code Score Answer ID
Cimetidine (Tagamet) LA28825-0
Dexlansoprazole (Dexilant, Kapidex) LA28826-8
Esomeprazole (Nexium) LA28834-2
Famotidine (Pepcid) LA28835-9
Lansoprazole (Prevacid) LA28836-7
Nizadtidine (Axid) LA28837-5
Omeprazole (Prilosec, Zegerid) LA28838-3
Pantoprazole (Protonix) LA28839-1
Rabeprazole (Aciphex) LA28840-9
Ranitidine (Zantac) LA28841-7
I don't take any of these routinely LA28824-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τύπος φαρμάκου που χρησιμοποιείται για στομαχικές διαταραχές:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Τύπος φαρμάκου που χρησιμοποιείται για στομαχικές διαταραχές Φαρμακευτική αγωγή
es-MX Spanish (Mexico) Tipo de medicamento utilizado para el malestar estomacal.:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tipo di farmaco utilizzato per mal di stomaco:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 用于治疗胃部不适的药物的类型:类型:时间点:^患者:名义型:
Synonyms: 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 型 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 时刻;随机;随意;瞬间 用于治疗（缓解）胃部不适（胃不舒服、肠胃不适、反胃）的药物的类型 病史与体格检查

89078-0 Have you been hospitalized since you joined the ADAPTABLE study?

Fully-Specified Name

Component
Hospitalization^post enrollment in ADAPTABLE study
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ADAPTABLE

Long Common Name

History of hospitalization--post enrollment in ADAPTABLE study [ADAPTABLE]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL361-7

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

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

58237-9 Where were you hospitalized?

Fully-Specified Name

Component
Name
Property
ID
Time
Pt
System
Hospital
Scale
Nom
Method

Long Common Name

Hospital Name

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.30
Last Updated
Version 2.64 (MIN)
Change Reason
Changed Long Common Name from "Name [Identifier] Hospital" to "Hospital Name" for clarity

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
70182-1 NIH Stroke Scale
62400-7 PhenX - arrhythmia protocol 041101
62949-3 PhenX domain - Gastrointestinal
62863-6 PhenX domain - Infectious diseases and immunity

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Όνομα:Αναγνωριστικό:Pt:Νοσοκομείο:Nom:
Synonyms: Αναγνωριστικό Όνομα
es-MX Spanish (Mexico) Nombre:ID:Punto temporal:Hospital:Nominal:
it-IT Italian (Italy) Nome:ID:Pt:Ospedale:Nom:
Synonyms: Identificatore PhenX Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) naam:identificator:moment:ziekenhuis:nominaal:
ru-RU Russian (Russian Federation) Фамилия:ID:ТчкВрм:Госпиталь:Ном:
Synonyms: Идентификатор Медицинская организация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 名称:标识符:时间点:医院:名义型:
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 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 姓名;名字;名 时刻;随机;随意;瞬间 标识;身份标识符;身份标识 病院;院

65833-6 Hospital address

Fully-Specified Name

Component
Address
Property
Addr
Time
Pt
System
Facility
Scale
Nom
Method

Long Common Name

Facility Address

Basic Attributes

Class
SURVEY.ESRD
Type
Surveys
First Released
Version 2.36
Last Updated
Version 2.64 (MIN)
Change Reason
Changed Long Commmon Name from "Address Facility" to "Facility Address" for clarity
Order vs. Observation
Order

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
71747-0 Facility panel [ESRD]
80399-9 Occupational exposure information panel
62949-3 PhenX domain - Gastrointestinal

52455-3 When were you hospitalized?

Fully-Specified Name

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

Long Common Name

Admission date

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.26
Last Updated
Version 2.63 (MIN)
Change Reason
Updated Class from SURVEY.CARE to ADMIN
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
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
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]
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]
106623-2 Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
106625-7 Hospice Outcomes and Patient Evaluation (HOPE) Discharge v1.0 during assessment period [CMS Assessment]
106933-5 Hospice Outcomes and Patient Evaluation (HOPE) Update Visit v1.0 [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]
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]
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]
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]
105008-7 MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) 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]
75854-0 PCORnet common data model set - version 1.0 [PCORnet]
85057-8 PCORnet Common Data Model set - version 3.0 [PCORnet]
97782-7 Spine Tango Surgery 2017

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ημερομηνία εισαγωγής:TmStp:Pt:^Ασθενής:Qn:
Synonyms: TmStp Ημερομηνία εισαγωγής
es-MX Spanish (Mexico) Fecha de admisión:TmStp:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Ricovero, data:TmStp:Pt:^Paziente:Qn:
Synonyms: Amministrativo Data del ricovero paziente Punto nel tempo (episodio) Time stamp (Data e Ora)
ru-RU Russian (Russian Federation) Госпитализация дата:TmStp:ТчкВрм:^Пациент:Колич:
Synonyms: Time Stamp (Дата и Время) Количественный Точка во времени;Момент
zh-CN Chinese (China) 入院日期: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 行政;管理;施行;执行;经营

Example Units

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

86947-9 Reason for hospitalization

Term Description

Identifies the specific symptom(s) or diagnosis(es) necessitating hospitalization.

Fully-Specified Name

Component
Reason for hospitalization
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.63
Last Updated
Version 2.66 (MIN)
Change Reason
Updated Classtype from 1 (Lab) to 2 (Clinical)
Order vs. Observation
Observation

Normative Answer List LL4968-5

Answer Code Score Answer ID
Chest pain LA28842-5
Heart attack (myocardial infarction) LA28843-3
Non-surgical heart artery balloon/stent procedure (percutaneous coronary intervention) LA28844-1
Heart bypass surgery (coronary artery bypass graft surgery) LA28845-8
Temporary stroke like symptoms (TIA - transient ischemic attack/mini-stroke) LA28846-6
Stroke LA22099-8
Major bleeding episode that required a blood transfusion LA28848-2
None of the above LA9-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Λόγος νοσηλείας:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Λόγος νοσηλείας Νοσηλεία
es-ES Spanish (Spain) Razón de ingreso hospitalario:Tipo:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Razón de la hospitalización:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Motivo di ricovero:Tipo:Pt:^Paziente:Nom:
Synonyms: Anamnesi paziente Punto nel tempo (episodio) Storia di ospedalizzazioni
zh-CN Chinese (China) 关于住院治疗的原因:类型:时间点:^患者:名义型:
Synonyms: 住院治疗历史; 医院收容史;送入医院;留诊史;住院史 关于住院治疗（收治入院）的理由 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 型 时刻;随机;随意;瞬间 病史与体格检查

89079-8 Did any of the following occur during the hospitalization?

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Events^during hospitalization
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
ADAPTABLE

Long Common Name

Events--during hospitalization [ADAPTABLE]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Example Answer List LL4968-5

Answer Code Score Answer ID
Chest pain LA28842-5
Heart attack (myocardial infarction) LA28843-3
Non-surgical heart artery balloon/stent procedure (percutaneous coronary intervention) LA28844-1
Heart bypass surgery (coronary artery bypass graft surgery) LA28845-8
Temporary stroke like symptoms (TIA - transient ischemic attack/mini-stroke) LA28846-6
Stroke LA22099-8
Major bleeding episode that required a blood transfusion LA28848-2
None of the above LA9-3

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]