United States Health Information Knowledgebase

 

Administrative


Form ID: F12
Form Name: Administrative
Version: 1.1
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 for this release
Data Element ID Sort Data Element Name Sort Question Number Sort Version Sort Effective Date Sort Until Date Sort
DE1 Provider ID 1.1 03/31/2010 - -
DE4 PSO OID 1.1 03/31/2010 - -
DE2 Event ID 1.1 03/31/2010 - -
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality
References: No specific reference at this time
Administrative Status: Final
Administrative Status Date: 03/31/2010
Downloads
PDF
Download as a PDF file.
[Download PDF Reader Exit Disclaimer]
Download as an MS Excel™ spreadsheet.
[Download Excel Reader Exit Disclaimer]
Scroll To Top