LOINC Panel Details

Panel: 76473-8 - APTA Reg pt EOC pnl

• 76473-8 - APTA Reg pt EOC pnl (Seq: 4, Type: N/A) None
  • 76435-7 - Pt ID (Patient identifier) (Seq: 1, Type: N/A) None
  • 76698-0 - Pt ID assign auth (Patient identifier assigning authority) (Seq: 2, Type: N/A) None
  • 76471-2 - Organization EOC unique ID (Seq: 3, Type: N/A) None
  • 76417-5 - Provider First name (Physical therapist of Record first name) (Seq: 4, Type: N/A) None
  • 76419-1 - Provider Last name (Physical therapist of Record last name) (Seq: 5, Type: N/A) None
  • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Physical therapist of Record NPI number) (Seq: 6, Type: N/A) None
  • 76437-3 - Primary insurance (Seq: 7, Type: N/A) None
  • 45397-7 - Medicare or comparable # (Seq: 8, Type: N/A) None
  • 76438-1 - Secondary insurance (Seq: 9, Type: N/A) None
  • 76439-9 - PT referral source APTA (Physical therapy referral source) (Seq: 10, Type: N/A) None
  • 76440-7 - Care transfer loc APTA (Care transfer location) (Seq: 11, Type: N/A) None
  • 81892-2 - EOC dx.primary (Seq: 12, Type: N/A) None
  • 76425-8 - Date of onset Reported (Date of onset of primary diagnosis) (Seq: 13, Type: N/A) {mm/dd/yyyy}
  • 81891-4 - EOC dx.secondary (Seq: 14, Type: N/A) None
  • 76467-0 - Surg hx relevant to PT tx (Seq: 15, Type: N/A) None
  • 80992-1 - Date+time of surgery (Seq: 16, Type: N/A) {tmstp}
  • 76517-2 - Prem infant (Seq: 17, Type: N/A) None
  • 76516-4 - GA--@ birth (Seq: 18, Type: N/A) wk
  • 3141-9 - Weight Measured (Seq: 19, Type: N/A) [lb_av];kg
  • 3137-7 - Body height Measured (Seq: 20, Type: N/A) [in_us];cm;m
  • 72166-2 - Tobac smoke stat (Seq: 21, Type: N/A) None
  • 76460-5 - Physical Activity APTA (Physical activity) (Seq: 22, Type: N/A) None
  • 76453-0 - PT init visit Pnl (Seq: 23, Type: N/A) None
    • 76435-7 - Pt ID (Patient identifier) (Seq: 1, Type: N/A) None
    • 76698-0 - Pt ID assign auth (Patient identifier assigning authority) (Seq: 2, Type: N/A) None
    • 76471-2 - Organization EOC unique ID (Seq: 3, Type: N/A) None
    • 76470-4 - Federal employer tax ID Organization (Physical therapy organization federal tax ID) (Seq: 4, Type: N/A) None
    • 76696-4 - Name Facility (Physical therapy facility name) (Seq: 5, Type: N/A) None
    • 76423-3 - Date of first visit (Seq: 6, Type: N/A) {mm/dd/yyyy}
    • 76417-5 - Provider First name (Seq: 7, Type: N/A) None
    • 76419-1 - Provider Last name (Seq: 8, Type: N/A) None
    • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Provider NPI) (Seq: 9, Type: N/A) None
    • 86637-6 - Provider role (Seq: 10, Type: N/A) None
    • 18630-4 - Diagnosis.primary:Imp:Pt:^Patient:Nom: (Seq: 11, Type: N/A) None
    • 81885-6 - Dx.secondary (Seq: 12, Type: N/A) None
    • 89177-0 - Movement system dx (Seq: 13, Type: N/A) None
    • 76442-3 - Primary health cond (Seq: 14, Type: N/A) None
    • 76472-0 - Other health condition (Seq: 15, Type: N/A) None
    • 76444-9 - Body function ICF code (Problem Body function ICF code) (Seq: 16, Type: N/A) None
    • 76445-6 - Body structure ICF code (Problem Body structure ICF code) (Seq: 17, Type: N/A) None
    • 76446-4 - Activities and participation ICF code (Problem Activities and participation ICF code) (Seq: 18, Type: N/A) None
    • 89189-5 - Clinical presentation status (Seq: 19, Type: N/A) None
    • 89188-7 - Medication documentation status (Seq: 20, Type: N/A) None
    • 57828-6 - Prescriptions (Seq: 21, Type: N/A) None
    • 92725-1 - Prognosis for rehabilitation (Seq: 22, Type: N/A) None
    • 77574-2 - Glob meas of phys function Pnl APTA (Global measure of physical function panel) (Seq: 23, Type: N/A) None
      • 79529-4 - Basic mobility score [AM-PAC] (Seq: 1, Type: N/A) {score}
      • 79530-2 - Basic mobility score SE [AM-PAC] (Seq: 2, Type: N/A) {score}
      • 79531-0 - Basic mobility items # [AM-PAC] (Seq: 3, Type: N/A) {#}
      • 79532-8 - Daily activity score [AM-PAC] (Seq: 4, Type: N/A) {score}
      • 79533-6 - Daily activity score SE [AM-PAC] (Seq: 5, Type: N/A) {score}
      • 79534-4 - Daily activity items # [AM-PAC] (Seq: 6, Type: N/A) {#}
      • 79535-1 - Applied cognitive score [AM-PAC] (Seq: 7, Type: N/A) {score}
      • 79536-9 - Applied cognitive score SE [AM-PAC] (Seq: 8, Type: N/A) {score}
      • 79537-7 - Applied cognitive items # [AM-PAC] (Seq: 9, Type: N/A) {#}
      • 79421-4 - NM func index Score CareConn (Seq: 10, Type: N/A) {score}
      • 79422-2 - Ortho func index Score CareConn (Seq: 11, Type: N/A) {score}
      • 77866-2 - PROMIS physical function - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 12, Type: N/A) {Tscore}
      • 77874-6 - PROMIS physical function - version 1.2 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 13, Type: N/A) {Tscore}
      • 91721-1 - PROMIS physical function - version 2.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 14, Type: N/A) {Tscore}
      • 77580-9 - PROMIS physical function w mobility aids - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 15, Type: N/A) {Tscore}
      • 92391-2 - PROMIS self-efficacy for managing daily activities - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 16, Type: N/A) {Tscore}
      • 92448-0 - PROMIS self-efficacy for managing symptoms - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 17, Type: N/A) {Tscore}
      • 91612-2 - PROMIS upper extremity version 2.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 18, Type: N/A) {Tscore}
      • 77578-3 - PROMIS parent proxy mobility - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS.PARENTPROXY (Seq: 19, Type: N/A) {Tscore}
      • 90705-5 - PROMIS parent proxy mobility - version 2.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS.PARENTPROXY (Seq: 20, Type: N/A) {Tscore}
      • 90884-8 - PROMIS pediatric mobility - version 2.0 T-Score:Tscore:Pt:^Patient:Qn:PROMIS.PEDS (Seq: 21, Type: N/A) {Tscore}
      • 77579-1 - PROMIS pediatric physical function - mobility - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS.PEDS (Seq: 22, Type: N/A) {Tscore}
    • 77575-9 - Condition-spec function Pnl APTA (Condition- or population-specific panel) (Seq: 24, Type: N/A) None
      • 52742-4 - Pain severity during last 2D:Score:2D:^Patient:Ord:Reported (Pain intensity rating) (Seq: 1, Type: N/A) None
      • 71971-6 - PROMIS-10 Global Physical Health score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 2, Type: N/A) {score}
      • 71969-0 - PROMIS-10 Global Mental Health score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 3, Type: N/A) {score}
      • 77865-4 - PROMIS pain interference - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS (Seq: 4, Type: N/A) {Tscore}
      • 89950-0 - PROMIS parent proxy pain interference - version 2.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS.PARENTPROXY (Seq: 5, Type: N/A) {Tscore}
      • 89936-9 - PROMIS pediatric pain interference - version 2.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS.PEDS (Seq: 6, Type: N/A) {Tscore}
      • 82324-5 - Knee injury and osteoarthritis outcome score for joint replacement:-:Pt:^Patient:-:KOOSJR (Seq: 7, Type: N/A) None
        • 82325-2 - How severe is your knee stiffness after first wakening in the morning during the last W:Find:1W:^Patient:Ord:KOOS (Seq: 1, Type: N/A) None
        • 86631-9 - Pain panel:-:1W:^Patient:-:KOOSJR (Pain) (Seq: 2, Type: N/A) None
          • 82326-0 - Amount of knee pain experienced while twisting &or pivoting on your knee in the last W:Find:1W:^Patient:Ord:KOOS (Seq: 1, Type: N/A) None
          • 82327-8 - Amount of knee pain experienced while straightening knee fully in the last W:Find:1W:^Patient:Ord:KOOS (Seq: 2, Type: N/A) None
          • 82328-6 - Amount of knee pain experienced while going up or down stairs in the last W:Find:1W:^Patient:Ord:KOOS (Seq: 3, Type: N/A) None
          • 82329-4 - Amount of knee pain experienced while standing upright in the last W:Find:1W:^Patient:Ord:KOOS (Seq: 4, Type: N/A) None
        • 86632-7 - Function and daily living panel:-:1W:^Patient:-:KOOSJR (Function, daily living) (Seq: 3, Type: N/A) None
          • 82330-2 - Degree of difficulty experienced due to your knee while rising from sitting in the last W:Find:1W:^Patient:Ord:KOOS (Seq: 1, Type: N/A) None
          • 82331-0 - Degree of difficulty experienced due to your knee while bending to floor &or pick up an object in the last W:Find:1W:^Patient:Ord:KOOS (Seq: 2, Type: N/A) None
        • 82332-8 - Total interval score:Score:Pt:^Patient:Qn:KOOSJR (Seq: 4, Type: N/A) {score}
      • 82226-2 - Neck Disability Index:-:Pt:^Patient:-:NDI (Seq: 8, Type: N/A) None
        • 82227-0 - Pain intensity:Find:Pt:^Patient:Ord:NDI (Seq: 1, Type: N/A) None

          Required: R
        • 82228-8 - Personal care (washing, dressing, etc):Find:Pt:^Patient:Ord:NDI (Seq: 2, Type: N/A) None

          Required: R
        • 82229-6 - Lifting:Find:Pt:^Patient:Ord:NDI (Seq: 3, Type: N/A) None

          Required: R
        • 82230-4 - Reading:Find:Pt:^Patient:Ord:NDI (Seq: 4, Type: N/A) None

          Required: R
        • 82231-2 - Headaches:Find:Pt:^Patient:Ord:NDI (Seq: 5, Type: N/A) None

          Required: R
        • 82232-0 - Concentration:Find:Pt:^Patient:Ord:NDI (Seq: 6, Type: N/A) None

          Required: R
        • 82233-8 - Work:Find:Pt:^Patient:Ord:NDI (Seq: 7, Type: N/A) None

          Required: R
        • 82234-6 - Driving:Find:Pt:^Patient:Ord:NDI (Seq: 8, Type: N/A) None

          Required: R
        • 82235-3 - Sleeping:Find:Pt:^Patient:Ord:NDI (Seq: 9, Type: N/A) None

          Required: R
        • 82236-1 - Recreation:Find:Pt:^Patient:Ord:NDI (Seq: 10, Type: N/A) None

          Required: R
        • 82237-9 - Total score:Score:Pt:^Patient:Qn:NDI (Seq: 11, Type: N/A) {score}

          Required: R
      • 89196-0 - Patient reported outcome measure panel:-:Pt:^Patient:-: (Seq: 9, Type: N/A) None
        • 89195-2 - Patient reported outcome measure name:ID:Pt:^Patient:Nom: (Seq: 1, Type: N/A) None
        • 89194-5 - Patient reported outcome measure score:Score:Pt:^Patient:Ord: (Seq: 2, Type: N/A) {score}
        • 89193-7 - Patient reported outcome measure score interpretation:Imp:Pt:^Patient:Ord: (Seq: 3, Type: N/A) None
      • 89197-8 - Performance-based measure panel:-:Pt:^Patient:-: (Seq: 10, Type: N/A) None
        • 89190-3 - Performance-based measure name:ID:Pt:^Patient:Nom: (Seq: 1, Type: N/A) None
        • 89191-1 - Performance-based measure score:Score:Pt:^Patient:Ord: (Seq: 2, Type: N/A) None
        • 89192-9 - Performance-based measure score interpretation:Imp:Pt:^Patient:Ord: (Seq: 3, Type: N/A) None
    • 77576-7 - Self-care and mobility Pnl APTA (Self-care and mobility panel) (Seq: 25, Type: N/A) None
      • 52642-6 - Eating during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 1, Type: N/A) None
      • 52644-2 - Oral hygiene during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 2, Type: N/A) None
      • 52645-9 - Toilet hygiene during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 3, Type: N/A) None
      • 52662-4 - Shower &or bathe self during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 4, Type: N/A) None
      • 52646-7 - Upper body dressing during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 5, Type: N/A) None
      • 52647-5 - Lower body dressing during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 6, Type: N/A) None
      • 52666-5 - Putting on &or taking off footwear during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 7, Type: N/A) None
      • 52663-2 - Roll left and right during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 8, Type: N/A) None
      • 52664-0 - Sit to lying during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 9, Type: N/A) None
      • 52648-3 - Lying to sitting on side of bed during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 10, Type: N/A) None
      • 52649-1 - Sit to stand during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 11, Type: N/A) None
      • 52650-9 - Chair-bed to chair transfer during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 12, Type: N/A) None
      • 52651-7 - Toilet transfer during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 13, Type: N/A) None
      • 52672-3 - Car transfer during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 14, Type: N/A) None
      • 52656-6 - Walk 10 ft (3 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 15, Type: N/A) None
      • 52668-1 - Walk 50 feet with two turns during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 16, Type: N/A) None
      • 52654-1 - Walk 100 ft (30 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 17, Type: N/A) None
      • 52653-3 - Walk 150 ft (45 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 18, Type: N/A) None
      • 52660-8 - Wheel 10 ft (3 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 19, Type: N/A) None
      • 52659-0 - Wheel 50 ft (15 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 20, Type: N/A) None
      • 52658-2 - Wheel 100 ft (30 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 21, Type: N/A) None
      • 52657-4 - Wheel 150 ft (45 m) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 22, Type: N/A) None
      • 52671-5 - Walking 10 feet on uneven surfaces during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 23, Type: N/A) None
      • 52667-3 - One step (curb) during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 24, Type: N/A) None
      • 52670-7 - Four steps-exterior during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 25, Type: N/A) None
      • 52669-9 - 12 steps-interior during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 26, Type: N/A) None
      • 52665-7 - Picking up objects during 2D assessment period:Find:2D:^Patient:Ord:CARE (Seq: 27, Type: N/A) None
    • 92562-8 - PT goals Pnl (Seq: 26, Type: N/A) None
    • 92566-9 - Planned intervention or services Pnl (Seq: 27, Type: N/A) None
    • 89176-2 - Intervention or services provided pnl (Seq: 28, Type: N/A) None
    • 89175-4 - Billing info pnl (Seq: 29, Type: N/A) None
  • 76454-8 - PT sub visit Pnl (Seq: 24, Type: N/A) None
    • 76435-7 - Pt ID (Patient identifier) (Seq: 1, Type: N/A) None
    • 76698-0 - Pt ID assign auth (Patient identifier assigning authority) (Seq: 2, Type: N/A) None
    • 76471-2 - Organization EOC unique ID (Seq: 3, Type: N/A) None
    • 76470-4 - Federal employer tax ID Organization (Physical therapy organization federal tax ID) (Seq: 4, Type: N/A) None
    • 76696-4 - Name Facility (Physical therapy facility name) (Seq: 5, Type: N/A) None
    • 76427-4 - Visit date (Date of visit) (Seq: 6, Type: N/A) {mm/dd/yyyy}
    • 76417-5 - Provider First name (Seq: 7, Type: N/A) None
    • 76419-1 - Provider Last name (Seq: 8, Type: N/A) None
    • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Provider NPI) (Seq: 9, Type: N/A) None
    • 86637-6 - Provider role (Seq: 10, Type: N/A) None
    • 89176-2 - Intervention or services provided pnl (Seq: 11, Type: N/A) None
      • 89187-9 - Instructions provided (Seq: 1, Type: N/A) None
      • 89186-1 - Airway clearance technique perf (Seq: 2, Type: N/A) None
      • 89185-3 - Assistive technology prov (Seq: 3, Type: N/A) None
      • 89184-6 - Biophysical agent used (Seq: 4, Type: N/A) None
      • 89183-8 - Functional training perf (Seq: 5, Type: N/A) None
      • 89182-0 - Integ repair protect technique (Seq: 6, Type: N/A) None
      • 89181-2 - Manual therapy technique used (Seq: 7, Type: N/A) None
      • 89180-4 - Motor function training perf (Seq: 8, Type: N/A) None
      • 89179-6 - Ther exercise perf (Seq: 9, Type: N/A) None
      • 92561-0 - Other intervention or service provided (Seq: 10, Type: N/A) None
      • 42349-1 - Reason for referral:Find:Pt:^Patient:Nar: (Seq: 11, Type: N/A) None
    • 89175-4 - Billing info pnl (Seq: 12, Type: N/A) None
      • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Seq: 1, Type: N/A) None
      • 52829-9 - Place of service:Type:Pt:Facility:Nom: (Seq: 2, Type: N/A) None
      • 86255-7 - Primary Dx ICD code (Seq: 3, Type: N/A) None
      • 81885-6 - Dx.secondary (Other diagnosis ICD code) (Seq: 4, Type: N/A) None
      • 89266-1 - Proc+Serv+Supp code (Seq: 5, Type: N/A) None
      • 76430-8 - CPT units (Seq: 6, Type: N/A) {#}
      • 89265-3 - Proc+Serv+Supp mod (Seq: 7, Type: N/A) None
      • 89178-8 - Financial responsibility (Seq: 8, Type: N/A) {#}
      • 76428-2 - Visit charge (Visit charge in dollars) (Seq: 9, Type: N/A) {#}
  • 76455-5 - PT reexam pnl (Seq: 25, Type: N/A) None
    • 76435-7 - Pt ID (Patient identifier) (Seq: 1, Type: N/A) None
    • 76698-0 - Pt ID assign auth (Patient identifier assigning authority) (Seq: 2, Type: N/A) None
    • 76471-2 - Organization EOC unique ID (Seq: 3, Type: N/A) None
    • 76470-4 - Federal employer tax ID Organization (Physical therapy organization federal tax ID) (Seq: 4, Type: N/A) None
    • 76696-4 - Name Facility (Physical therapy facility name) (Seq: 5, Type: N/A) None
    • 76427-4 - Visit date (Date of visit) (Seq: 6, Type: N/A) {mm/dd/yyyy}
    • 76417-5 - Provider First name (Seq: 7, Type: N/A) None
    • 76419-1 - Provider Last name (Seq: 8, Type: N/A) None
    • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Provider NPI) (Seq: 9, Type: N/A) None
    • 86637-6 - Provider role (Seq: 10, Type: N/A) None
    • 18630-4 - Diagnosis.primary:Imp:Pt:^Patient:Nom: (Seq: 11, Type: N/A) None
    • 81885-6 - Dx.secondary (Seq: 12, Type: N/A) None
    • 89177-0 - Movement system dx (Seq: 13, Type: N/A) None
    • 76442-3 - Primary health cond (Seq: 14, Type: N/A) None
    • 76472-0 - Other health condition (Seq: 15, Type: N/A) None
    • 76444-9 - Body function ICF code (Problem Body function ICF code) (Seq: 16, Type: N/A) None
    • 76445-6 - Body structure ICF code (Problem Body structure ICF code) (Seq: 17, Type: N/A) None
    • 76446-4 - Activities and participation ICF code (Problem Activities and participation ICF code) (Seq: 18, Type: N/A) None
    • 89189-5 - Clinical presentation status (Seq: 19, Type: N/A) None
    • 89188-7 - Medication documentation status (Seq: 20, Type: N/A) None
    • 57828-6 - Prescriptions (Seq: 21, Type: N/A) None
    • 92725-1 - Prognosis for rehabilitation (Seq: 22, Type: N/A) None
    • 77574-2 - Glob meas of phys function Pnl APTA (Global measure of physical function panel) (Seq: 23, Type: N/A) None
    • 77575-9 - Condition-spec function Pnl APTA (Condition- or population-specific panel) (Seq: 24, Type: N/A) None
    • 77576-7 - Self-care and mobility Pnl APTA (Self-care and mobility panel) (Seq: 25, Type: N/A) None
    • 92562-8 - PT goals Pnl (Seq: 26, Type: N/A) None
    • 92566-9 - Planned intervention or services Pnl (Seq: 27, Type: N/A) None
    • 89176-2 - Intervention or services provided pnl (Seq: 28, Type: N/A) None
    • 89175-4 - Billing info pnl (Seq: 29, Type: N/A) None
  • 76456-3 - PT concl of care Pnl (Seq: 26, Type: N/A) None
    • 76435-7 - Pt ID (Patient identifier) (Seq: 1, Type: N/A) None
    • 76698-0 - Pt ID assign auth (Patient identifier assigning authority) (Seq: 2, Type: N/A) None
    • 76471-2 - Organization EOC unique ID (Seq: 3, Type: N/A) None
    • 76470-4 - Federal employer tax ID Organization (Physical therapy organization federal tax ID) (Seq: 4, Type: N/A) None
    • 76696-4 - Name Facility (Physical therapy facility name) (Seq: 5, Type: N/A) None
    • 76429-0 - PT Discharge date (Seq: 6, Type: N/A) {mm/dd/yyyy}
    • 76417-5 - Provider First name (Seq: 7, Type: N/A) None
    • 76419-1 - Provider Last name (Seq: 8, Type: N/A) None
    • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Provider NPI) (Seq: 9, Type: N/A) None
    • 86637-6 - Provider role (Seq: 10, Type: N/A) None
    • 89177-0 - Movement system dx (Seq: 11, Type: N/A) None
    • 18630-4 - Diagnosis.primary:Imp:Pt:^Patient:Nom: (Seq: 12, Type: N/A) None
    • 81885-6 - Dx.secondary (Seq: 13, Type: N/A) None
    • 76442-3 - Primary health cond (Seq: 14, Type: N/A) None
    • 76472-0 - Other health condition (Seq: 15, Type: N/A) None
    • 76444-9 - Body function ICF code (Problem Body function ICF code) (Seq: 16, Type: N/A) None
    • 76445-6 - Body structure ICF code (Problem Body structure ICF code) (Seq: 17, Type: N/A) None
    • 76446-4 - Activities and participation ICF code (Problem Activities and participation ICF code) (Seq: 18, Type: N/A) None
    • 76462-1 - Reason for discharge APTA (Reason for discharge) (Seq: 19, Type: N/A) None
    • 76440-7 - Care transfer loc APTA (Physical therapy care transfer location) (Seq: 20, Type: N/A) None
    • 81893-0 - Pt satisfaction w healthcare Score (Seq: 21, Type: N/A) {score}
    • 57828-6 - Prescriptions (Seq: 22, Type: N/A) None
    • 77574-2 - Glob meas of phys function Pnl APTA (Global measure of physical function panel) (Seq: 23, Type: N/A) None
    • 77575-9 - Condition-spec function Pnl APTA (Condition- or population-specific panel) (Seq: 24, Type: N/A) None
    • 77576-7 - Self-care and mobility Pnl APTA (Self-care and mobility panel) (Seq: 25, Type: N/A) None
    • 89176-2 - Intervention or services provided pnl (Seq: 26, Type: N/A) None
    • 89175-4 - Billing info pnl (Seq: 27, Type: N/A) None
  • 92564-4 - PT POC Pnl (Seq: 27, Type: N/A) None
    • 76435-7 - Pt ID (Patient identifier) (Seq: 1, Type: N/A) None
    • 76698-0 - Pt ID assign auth (Patient identifier assigning authority) (Seq: 2, Type: N/A) None
    • 76471-2 - Organization EOC unique ID (Seq: 3, Type: N/A) None
    • 76470-4 - Federal employer tax ID Organization (Physical therapy organization federal tax ID) (Seq: 4, Type: N/A) None
    • 76696-4 - Name Facility (Physical therapy facility name) (Seq: 5, Type: N/A) None
    • 45394-4 - Patient Last name (Seq: 6, Type: N/A) None
    • 45392-8 - Patient First name (Seq: 7, Type: N/A) None
    • 52461-1 - Patient middle name (Seq: 8, Type: N/A) None
    • 21112-8 - Birth date (Seq: 9, Type: N/A) {mm/dd/yyyy}
    • 72143-1 - Sex:Type:Pt:^Patient:Nom:HL7.v3 (Seq: 10, Type: N/A) None
    • 76458-9 - Patient Email address (Seq: 11, Type: N/A) None
    • 76423-3 - Date of first visit (Seq: 12, Type: N/A) {mm/dd/yyyy}
    • 76417-5 - Provider First name (Physical therapist of Record first name) (Seq: 13, Type: N/A) None
    • 76419-1 - Provider Last name (Physical therapist of Record last name) (Seq: 14, Type: N/A) None
    • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Physical therapist of Record NPI number) (Seq: 15, Type: N/A) None
    • 92707-9 - Care team info Pnl (Seq: 16, Type: N/A) None
      • 76419-1 - Provider Last name (Seq: 1, Type: N/A) None
      • 76417-5 - Provider First name (Seq: 2, Type: N/A) None
      • 45952-9 - National provider ID:ID:Pt:Provider:Nom: (Seq: 3, Type: N/A) None
      • 86637-6 - Provider role (Seq: 4, Type: N/A) None
    • 92563-6 - PT health concerns Pnl (Seq: 17, Type: N/A) None
      • 18630-4 - Diagnosis.primary:Imp:Pt:^Patient:Nom: (Seq: 1, Type: N/A) None
      • 81885-6 - Dx.secondary (Seq: 2, Type: N/A) None
      • 89177-0 - Movement system dx (Seq: 3, Type: N/A) None
      • 76442-3 - Primary health cond (Seq: 4, Type: N/A) None
      • 76472-0 - Other health condition (Seq: 5, Type: N/A) None
      • 76444-9 - Body function ICF code (Problem Body function ICF code) (Seq: 6, Type: N/A) None
      • 76445-6 - Body structure ICF code (Problem Body structure ICF code) (Seq: 7, Type: N/A) None
      • 76446-4 - Activities and participation ICF code (Problem Activities and participation ICF code) (Seq: 8, Type: N/A) None
      • 92725-1 - Prognosis for rehabilitation (Seq: 9, Type: N/A) None
    • 92562-8 - PT goals Pnl (Seq: 18, Type: N/A) None
      • 92710-3 - PT goal (Seq: 1, Type: N/A) None
      • 92709-5 - PT goal attain dur - time frame (Seq: 2, Type: N/A) wk
      • 92708-7 - PT goal attain dur - visits (Seq: 3, Type: N/A) {#}
    • 92566-9 - Planned intervention or services Pnl (Seq: 19, Type: N/A) None
      • 92705-3 - Planned interv +or serv dur time frame (Seq: 1, Type: N/A) wk
      • 92823-4 - Planned interv +or serv dur visits (Seq: 2, Type: N/A) {#}
      • 92704-6 - Planned interv +or serv visit freq (Seq: 3, Type: N/A) None
      • 92557-8 - Instructions plan (Seq: 4, Type: N/A) None
      • 92553-7 - Airway clearance technique plan (Seq: 5, Type: N/A) None
      • 92554-5 - Assistive technology plan (Seq: 6, Type: N/A) None
      • 92555-2 - Biophysical agent plan (Seq: 7, Type: N/A) None
      • 92556-0 - Functional training plan (Seq: 8, Type: N/A) None
      • 92558-6 - Integ repair protect technique plan (Seq: 9, Type: N/A) None
      • 92559-4 - Manual therapy technique plan (Seq: 10, Type: N/A) None
      • 92560-2 - Motor function training plan (Seq: 11, Type: N/A) None
      • 92565-1 - Ther exercise plan (Seq: 12, Type: N/A) None
      • 92706-1 - Other intervention or service plan (Seq: 13, Type: N/A) None
  • 76697-2 - APTA Reg ids pnl (Seq: 28, Type: N/A) None
    • 76431-6 - PT loc registry ID (Seq: 1, Type: N/A) None
    • 76433-2 - PT org registry ID (Seq: 2, Type: N/A) None
    • 76434-0 - Phys therapist reg ID (Seq: 3, Type: N/A) None
    • 76432-4 - Episode of care unique ID (Registry episode of care unique identifier) (Seq: 4, Type: N/A) None