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Common Formats forms and corresponding versions are listed below. Select a form to view detailed information about the form and its associated data elements.
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Administrative 1.2 04/01/2012 - -
Administrative 1.1 03/31/2010 - -
Blood or Blood Product 1.2 04/01/2012 - -
Blood or Blood Product 1.1 03/31/2010 - -
Device or Medical/Surgical Supply, including Health Information Technology (HIT) 1.2 04/01/2012 - -
Device or Medical/Surgical Supply 1.1 03/31/2010 - -
Fall 1.2 04/01/2012 - -
Fall 1.1 03/31/2010 - -
Healthcare-associated Infection 1.2 04/01/2012 - -
Healthcare-associated Infection 1.1 03/31/2010 - -
Healthcare Event Reporting Form (HERF) 1.2 04/01/2012 - -
Healthcare Event Reporting Form (HERF) 1.1 03/31/2010 - -
Medication or Other Substance 1.2 04/01/2012 - -
Medication or Other Substance 1.1 03/31/2010 - -
Patient Information Form (PIF) 1.2 04/01/2012 - -
Patient Information Form (PIF) 1.1 03/31/2010 - -
Perinatal 1.2 04/01/2012 - -
Perinatal 1.1 03/31/2010 - -
Pressure Ulcer 1.2 04/01/2012 - -
Pressure Ulcer 1.1 03/31/2010 - -
Summary of Initial Report (SIR) 1.2 04/01/2012 - -
Summary of Initial Report (SIR) 1.1 03/31/2010 - -
Surgery or Anesthesia 1.2 04/01/2012 - -
Surgery or Anesthesia 1.1 03/31/2010 - -
Venous Thromboembolism 1.2 04/01/2012 - -
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