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Administrative


Form ID: F99
Form Name: Administrative
Version: 1.2
Form Short Name: Administrative
Synonym: Administrative
Definition: Administrative form is not a Common Formats Paper Form. The Administrative form was created to capture those data elements that are part of the CDA XML file but are not specifically collected as questions within any one Common Formats Paper Form.
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Guide For Use: Administrative form is not a Common Formats Paper Form
Comments: None defined at this time
Description Of Change: Not Applicable
Data Element ID Sort Data Element Name Sort Question Number Sort Version Sort Effective Date Sort Until Date Sort
DE1 Provider ID Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE4 PSO OID Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE2 Event ID Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
Effective Date: 04/01/2012
Until Date: - -
Update Date: 04/24/2013
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
References: Not Applicable
Administrative Status: Final
Administrative Status Date: 01/24/2014
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