United States Health Information Knowledgebase


Type of substance involved

Data Element ID: DE270
Name: Type of substance involved
Version: Hospital Version 1.1, Hospital Version 1.2
Data Element ISO Name: Event_Medication-Substance_Type,CD
Definition: Determination of the type of medication/substance involved in the event.
Question: What type of medication/substance was involved?
Multiple Choice: No
Form Name: Medication or Other Substance
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: Added A1216 (a) "Drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission" to the answer value set;
Changed A1197 (a) from "Medication" to "Medications", A1200 (b) from "Biological product" to "Biological products", A1203 (c) from "Nutritional product" to "Nutritional products", and A1213 (g) from "Radiopharmaceutical" to "Radiopharmaceuticals" in the answer value set;
Changed Maximum Length of characters for free text from "500" to "2000"
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: The substances whose use is covered by the Medications or Other Substances Common Formats, with the exception of expressed human breast milk, are articles or substances regulated by the Food and Drug Administration (FDA). See, Title 21, Code of Federal Regulations (CFR).
A 'medication' is a type of drug.
A 'biological product' means any virus, therapeutic serum, toxin, antitoxin, or analogous product applicable to the prevention, treatment or cure of disease or injury. 21 CFR 600.3
A 'nutritional product', for the purposes of these Common Formats, does not include "conventional" food.
'Expressed human breast milk' is human breast milk that was produced by manipulating the lactating breast, either by hand or with a breast pump.
A 'Medical gas (e.g., oxygen, nitrogen, nitrous oxide)' also includes medical air or an inhalation anesthetic and, when manufactured, packaged and intended for administration to a patient in anesthesia, therapy or diagnosis, constitutes a type of drug.
'Contrast media' constitute a type of drug. They are used to enhance the contrast of structures or fluids within the body during medical imaging.
A 'radiopharmaceutical' is a radioactive chemical or pharmaceutical preparation that is labeled with a radionuclide in tracer or therapeutic concentration and this is used as a diagnostic or therapeutic agent.
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 5 (2000 for free text associated with 'Other: Please specify' response.)
Answer Code Answer ID Answer Value Code System Code System Name
A1197 a Medications 2.16.840.1.113883. AHRQ Common Formats
A1200 b Biological products 2.16.840.1.113883. AHRQ Common Formats
A1203 c Nutritional products 2.16.840.1.113883. AHRQ Common Formats
A1206 d Expressed human breast milk 2.16.840.1.113883. AHRQ Common Formats
A1209 e Medical gases (e.g., oxygen, nitrogen, nitrous oxide) 2.16.840.1.113883. AHRQ Common Formats
A1212 f Contrast media 2.16.840.1.113883. AHRQ Common Formats
A1213 g Radiopharmaceuticals 2.16.840.1.113883. AHRQ Common Formats
A1214 h Patient food (not suspected in drug-food interactions) 2.16.840.1.113883. AHRQ Common Formats
A1216 i Drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission 2.16.840.1.113883. AHRQ Common Formats
A1215 j Other substance: Please specify 2.16.840.1.113883. AHRQ Common Formats
Effective Date: 03/31/2010
Until Date: - -
Update Date: 04/03/2012
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: Answer Value clarification;
Increased narrative field size to accommodate more information
Administrative Status: Final
Administrative Status Date: 04/03/2012
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