ACESOAI

American Physical Therapy Association registry panel

Label Value Unit
APTA Reg org data pnl
APTA Reg prov data panel
APTA Reg pt reg pnl
APTA Reg pt EOC pnl
Federal employer tax ID Organization
Pt ID ?
Pt ID ?
Federal employer tax ID Organization
Organization Name
Organization Name
Pt ID assign auth ?
Pt ID assign auth ?
Patient Last name
Name Facility
Organization EOC unique ID ?
Organization ZIP code
Provider First name
National provider ID:ID:Pt:Provider:Nom:
Name Facility
Patient First name
Patient middle name
Provider Last name
Provider Last name
Postal code Facility
National provider ID:ID:Pt:Provider:Nom:
National provider ID:ID:Pt:Provider:Nom:
Provider First name
Birth date {mm/dd/yyyy}
Social Security #
Primary insurance
Middle name Provider
Sex of Provider ?
Medicare or comparable #
Postal code
Birth Date Provider {mm/dd/yyyy}
Secondary insurance
Sex:Type:Pt:^Patient:Nom:HL7.v3 ?
Race OMB.1997 ?
PT referral source APTA
Provider race OMB.1997
Care transfer loc APTA
Provider ethnicity OMB.1997
Ethnicity OMB.1997 ?
Provider Grad year ? {yyyy}
Marital status+living arrang
EOC dx.primary ?
Date of onset Reported {mm/dd/yyyy}
Patient Email address
Grad state Provider ?
PT provider type APTA ?
EOC dx.secondary ?
Surg hx relevant to PT tx ?
PT Prov entry-level degree ?
PT Prov highest educ ?
Date+time of surgery {tmstp}
Prem infant
PT provider residency or fellowship APTA ?
PT provider specialty APTA ?
GA--@ birth wk
Weight Measured
Body height Measured
Tobac smoke stat
Physical Activity APTA
PT init visit Pnl
PT sub visit Pnl
PT reexam pnl
PT concl of care Pnl
PT POC Pnl
APTA Reg ids pnl
Pt ID ?
Pt ID ?
Pt ID ?
Pt ID ?
PT loc registry ID ?
Pt ID ?
Pt ID assign auth ?
Pt ID assign auth ?
Pt ID assign auth ?
Pt ID assign auth ?
PT org registry ID ?
Pt ID assign auth ?
Organization EOC unique ID ?
Organization EOC unique ID ?
Organization EOC unique ID ?
Organization EOC unique ID ?
Phys therapist reg ID ?
Organization EOC unique ID ?
Federal employer tax ID Organization
Federal employer tax ID Organization
Federal employer tax ID Organization
Federal employer tax ID Organization
Episode of care unique ID
Federal employer tax ID Organization
Name Facility
Name Facility
Name Facility
Name Facility
Name Facility
Date of first visit ? {mm/dd/yyyy}
Visit date {mm/dd/yyyy}
Visit date {mm/dd/yyyy}
PT Discharge date ? {mm/dd/yyyy}
Patient Last name
Provider First name
Provider First name
Provider First name
Provider First name
Patient First name
Provider Last name
Provider Last name
Provider Last name
Provider Last name
Patient middle name
National provider ID:ID:Pt:Provider:Nom:
National provider ID:ID:Pt:Provider:Nom:
National provider ID:ID:Pt:Provider:Nom:
National provider ID:ID:Pt:Provider:Nom:
Birth date {mm/dd/yyyy}
Provider role ?
Provider role ?
Provider role ?
Provider role ?
Sex:Type:Pt:^Patient:Nom:HL7.v3 ?
Diagnosis.primary:Imp:Pt:^Patient:Nom:
Intervention or services provided pnl
Diagnosis.primary:Imp:Pt:^Patient:Nom:
Movement system dx ?
Patient Email address
Dx.secondary
Billing info pnl
Dx.secondary
Diagnosis.primary:Imp:Pt:^Patient:Nom:
Date of first visit ? {mm/dd/yyyy}
Movement system dx ?
Movement system dx ?
Dx.secondary
Provider First name
Primary health cond ?
Primary health cond ?
Primary health cond ?
Provider Last name
Other health condition ?
Other health condition ?
Other health condition ?
National provider ID:ID:Pt:Provider:Nom:
Body function ICF code ?
Body function ICF code ?
Body function ICF code ?
Care team info Pnl
Body structure ICF code ?
Body structure ICF code ?
Body structure ICF code ?
PT health concerns Pnl
Activities and participation ICF code ?
Activities and participation ICF code ?
Activities and participation ICF code ?
PT goals Pnl
Clinical presentation status
Clinical presentation status
Reason for discharge APTA
Planned intervention or services Pnl
Medication documentation status
Medication documentation status
Care transfer loc APTA
Prescriptions ?
Prescriptions ?
Pt satisfaction w healthcare Score ? {score}
Prognosis for rehabilitation
Prognosis for rehabilitation
Prescriptions ?
Glob meas of phys function Pnl APTA ?
Glob meas of phys function Pnl APTA ?
Glob meas of phys function Pnl APTA ?
Condition-spec function Pnl APTA ?
Condition-spec function Pnl APTA ?
Condition-spec function Pnl APTA ?
Self-care and mobility Pnl APTA ?
Self-care and mobility Pnl APTA ?
Self-care and mobility Pnl APTA ?
PT goals Pnl
PT goals Pnl
Intervention or services provided pnl
Planned intervention or services Pnl
Planned intervention or services Pnl
Billing info pnl
Intervention or services provided pnl
Intervention or services provided pnl
Billing info pnl
Billing info pnl
Instructions provided
Provider Last name
Diagnosis.primary:Imp:Pt:^Patient:Nom:
Planned interv +or serv dur time frame wk
PT goal
Dx.secondary
Provider First name
Airway clearance technique perf
Planned interv +or serv dur visits {#}
PT goal attain dur - time frame wk
Planned interv +or serv visit freq
Movement system dx ?
PT goal attain dur - visits ? {#}
National provider ID:ID:Pt:Provider:Nom:
Assistive technology prov
Instructions plan
Provider role ?
Biophysical agent used
Primary health cond ?
Other health condition ?
Functional training perf
Airway clearance technique plan
Body function ICF code ?
Integ repair protect technique
Assistive technology plan
Body structure ICF code ?
Manual therapy technique used
Biophysical agent plan
Functional training plan
Motor function training perf
Activities and participation ICF code ?
Integ repair protect technique plan
Prognosis for rehabilitation
Ther exercise perf
Other intervention or service provided
Manual therapy technique plan
Reason for referral:Find:Pt:^Patient:Nar:
Motor function training plan
Ther exercise plan
Other intervention or service plan