United States Health Information Knowledgebase


Level of sedation

Data Element ID: DE474
Name: Level of sedation
Version: 1.1
Data Element ISO Name: Sedation-Level,CD
Synonym: None defined at this time
Definition: Determination of the level of sedation used.
Question: What was the level of sedation?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Surgery or Anesthesia
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Not applicable for this release
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: It is assumed that general anesthesia involves a deep level of sedation. Thus answer this question only if 'regional anesthesia' or 'local or topical anesthesia' or 'sedation only' was the type of anesthesia used.

The level of sedation should be documented as such in the patient's medical record. If necessary, consult the anesthesiologist, anesthetist or person who performed the procedure.

If sedation was used in addition to 'regional anesthesia' or 'local or topical anesthesia', enter the level of sedation. If sedation was not used in conjunction with either of those anesthetics, select 'No sedation.'

If the answer to the previous question was 'Sedation only,' select the level of sedation. Do not select 'No sedation.'

Select 'No sedation' if regional, local, or topical anesthesia was used without sedation.
Format: Not Applicable
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 5
Answer Code Answer ID Answer Value Code System Code System Name
A1980 a Deep sedation or analgesia 2.16.840.1.113883. AHRQ Common Formats
A1983 b Moderate sedation or analgesia (conscious sedation) 2.16.840.1.113883. AHRQ Common Formats
A1986 c Minimal sedation (anxiolysis) 2.16.840.1.113883. AHRQ Common Formats
A1989 d No sedation (if regional, local, or topical anesthesia) 2.16.840.1.113883. AHRQ Common Formats
UNK e Unknown 2.16.840.1.113883.5.1008 HL7 NullFlavor
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
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 (AHRQ)
References: http://www.asahq.org/For-Members/~/media/For%20Members/Standards%20and%20Guideli... Exit Disclaimer
Rationale for Change: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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