Minimum Data Set (MDS)
Transcription
Minimum Data Set (MDS)
SCH/HFID/MDS/V4 2015 October 22, 2015 Revision date: 1 September 2015 Disclaimer This document has been created by or on behalf of the Supreme Council of Health (SCH). It may only be accessed, downloaded and used by the National Health Insurance Company (NHIC), Providers within the NHIC provider network or those intending to enrol in the network, and subcontractors of the NHIC (each an Authorised User) as part of the National Health Insurance Scheme’s work in the State of Qatar. No other individual or organization may access, download or use it without prior consent from the SCH and/or NHIC. The Supreme Council of Health is the owner or licensee of all intellectual property rights in this document, and this document is protected by copyright laws and treaties around the world. All such rights are reserved. If the documentation or any information contained within it is used or relied upon by any person other than an Authorised User or by an Authorised User for any reason otherwise than for which it was intended, neither the Supreme Council of Health nor the National Health Insurance Company nor their representatives or agents will be held liable for any loss or damage arising out of such use or reliance, whether foreseeable or not. Unauthorized use may also result in the Supreme Council of Health taking legal action, including bringing claims for damages based on the unauthorized use. The Supreme Council of Health makes no representations, warranties or guarantees of any kind whether express or implied that the content of this document is accurate, complete or up-to-date. To the extent permitted by law, we exclude all conditions, warranties, representations or other terms which may apply to this document, whether express or implied. Summary of Revisions for MDS Version 4.0 Chapter cations Disclaimer New 2.5 Mother’s Q-ID Number 2. Admi ed P ent MDS 3. Non-Admi ed Pa 4. Concepts MDS 2.24 Diagnosis Codes 2.32 Drug Item Unit type 2.33 Inwani Building Number (Mandatory effec ve from 1 Jan. 2016) 2.34 LOINC Laboratory Code – Measurement (Mandatory effec ve from 1 Jan. 2016) 3.46 Add onal Diagnosis Code 3.47 Referral Reference Number 3.48 Referral Date 3.49 Referral Organiz onal Code 3.50 Referral Healthcare Professional ID 3.51 Referral Healthcare Professional Type 3.52 Number of Referrals Issued 3.53 Number of Hours of Home Care Per Day 3.54 List of Homecare Services Rendered Per Day 3.55 Drug Item Unit Type 3.56 Drug Item Treatment Du on 3.57 Drug Item Treatment Details 3.58 No. of Authorized Repeats For a Drug 3.59 No. of Times The Drug Has Already Been Dispensed Under The Same Prescrip on 3.60 Inwani Building Number (Mandatory effec ve from 1 Jan. 2016) 3.61 LOINC Laboratory Code – Measurement (Mandatory effec ve from 1 Jan. 2016) 3.62 Eligibility Check Reference Number 4.35 Referrals 4.36 Home Care 4.37 Drug Item 4.38 Inwani 4.39 LOINC 4.40 Eligibility Check Reference Number Type of Revision New Revised Defin on, form and layout Add onal field layout New fields Add onal field layout New fields New fields 5.1 Appendix A – Automatically Admitted Procedure List 5.2 Appendix B – Non-automatically Admitted Procedure List 5. Appendices 6. Patient Minimum Data Set (Tabular Form) 5.6 Appendix F – Emergency Department Diagnosis Short list (mapped to Major Diagnostic Blocks (MDBs) ICD-10-AM code Diagnosis description URG MDB code URG MDB description Amend all code layout Remove code 30653-00 Remove code 30663-00 Amend all code layout Add code 30653-00 Add code 30663-00 Amend all code layout Replace ACHI code E10.63 with E10.64 Replace ACHI code E11.63 with E11.64 5.8 Appendix H – Imaging codes Replace code 57360-00 with 57350-08 Remove code 56999-99 Referral Reference Number Referral Date Referring Organizational Code Referring Healthcare Professional ID Referring Healthcare Professional Type Number of Referrals Issued Number of Hours of Care Per Day List of Services Rendered Per Day Drug Item - Unit Type Drug Item - Treatment Duration Drug Item - Treatment Details Drug Item - No. of Authorized Repeats For a Drug Drug Item - No. of Times The Drug Has Already Been Dispensed Under The Same Prescription Inwani – Building Number LOINC – Laboratory Code - Measurement Eligibility Check Reference Number New fields Patient Minimum Data Set | Contents 1 Contents 1 Introduction 5 1.1 Purpose and Intended Audience 5 1.2 Sources and Acknowledgment 5 1.3 Data Item Name 6 2 Admitted Patient MDS 7 2.1 Patient Name 8 2.2 Patient National Identity number (Q-ID) 8 2.3 Patient Passport Number/Alternative Identification Number 8 2.4 Patient Identifier 9 2.5 Mother›s Q-ID Number 9 2.6 Date of Birth 9 2.7 Nationality 10 2.8 Country of Residence 10 2.9 Sex 11 2.10 Mobile Phone Number 11 2.11 Prior Authorisation Number 11 2.12 Organisation Code 12 2.13 Campus Code 12 2.14 Episode Number 13 2.15 Healthcare Professional ID 13 2.16 Admission Date 13 2.17 Admission Time 14 2.18 Admission Type 15 2.19 Admission Weight 16 2.20 Discharge Date 16 2.21 Discharge Time 17 2.22 Discharge Mode 17 2.23 Care Type 18 2.24 Diagnosis Codes 21 2.25 Procedure Codes 21 2.26 Duration of Mechanical Ventilation in Intensive Care Unit 21 2.27 Duration of Stay in Intensive Care Unit 22 2.28 Duration of Leave 22 2.29 Drug Item Codes 23 2.30 Drug Item Units (Quantity) 23 2.31 Durable Medical Equipment (DME) and Other Billable Items 24 2.32 Drug Item Unit Type 24 2.33 Inwani Building Number 25 2.34 LOINC Laboratory Code – Measurement 26 2 | Patient Minimum Data Set Contents 3 Non-Admitted Patient MDS 27 3.1 Patient Name 29 3.2 Patient National Identity number (Q-ID) 29 3.3 Patient Passport Number/Alternative Identification Number 29 3.4 Patient Identifier 30 3.5 Date of Birth 30 3.6 Nationality 30 3.7 Country of Residence 31 3.8 Sex 31 3.9 Mobile Phone Number 31 3.10 Organisation Code 32 3.11 Campus Code 32 3.12 Episode Number 32 3.13 Healthcare Professional ID 33 3.14 Healthcare Professional Type 33 3.15 Clinic Category Code 35 3.16 Clinic Code 35 3.17 Prior Authorisation Number 36 3.18 Outpatient Service Event Date 36 3.19 Outpatient Service Event Time 37 3.20 Initial or Subsequent Service Event 37 3.21 Primary Diagnosis Code 38 3.22 Procedure Codes 38 3.23 Durable Medical Equipment (DME)/other billable items 39 3.24 ED Presentation Date 39 3.25 ED Presentation Time 40 3.26 ED Disposition Code 40 3.27 ED Triage Code 41 3.28 ED Major Diagnostic Block (MDB) Category Code 42 3.29 ED Primary Diagnosis 42 3.30 ED See and Treat Flag 43 3.31 Primary Diagnosis for See and Treat Emergency Patients 43 3.32 ED Service Commencement Date 44 3.33 ED Service Commencement Time 44 3.34 ED Episode End Date 45 3.35 ED Episode End Time 45 3.36 Service Category for Primary Care Visits 46 3.37 Visit Type Code 47 3.38 Dental Procedures – Tooth Number 47 3.39 Laboratory Tests Performed 48 3.40 Number of Laboratory Tests Performed 48 3.41 Imaging Tests Performed 48 3.42 Number of Imaging Tests Performed 49 3.43 Drug Item Codes 49 3.44 Drug Item Units (Quantity) 49 3.45 Prescription Dispense Date 50 3.46 Additional Diagnosis Code 50 3.47 Referral Reference Number 51 Patient Minimum Data Set | 3 Contents 3.48 Referral Date 51 3.49 Referral Organizational Code 52 3.50 Referral Healthcare Professional ID 52 3.51 Referral Healthcare Professional Type 53 3.52 Number of Referrals Issued 53 3.53 Number of Hours of Home Care Per Day 53 3.54 List of Homecare Services Rendered Per Day 54 3.55 Drug Item Unit Type 54 3.56 Drug Item Treatment Duration 55 3.57 Drug Item Treatment Details 56 3.58 No. of Authorized Repeats For a Drug 57 3.59 No. of Times The Drug Has Already Been Dispensed Under The Same Prescription 58 3.60 Inwani Building Number 58 3.61 LOINC Laboratory Code – Measurement 59 3.62 Eligibility Check Reference Number 60 4 Concepts 61 4.1 Acute Care 61 4.2 Admission 61 4.3 Admitted Patient 61 4.4 Age 61 4.5 Boarder 61 4.6 Cardiac/Coronary Care Unit 62 4.7 Care Type 62 4.8 Criteria for Admission 63 4.9 Discharge 65 4.10 DRG Classification 66 4.11 Emergency Department 66 4.12 Episode of Admitted Patient Care 66 4.13 Hospital 67 4.14 Hospital Stay 67 4.15 Intensive Care Unit 67 4.16 Leave 68 4.17 Length of Stay 68 4.18 Live Birth 68 4.19 Neonate 68 4.20 Non-Admitted Patient 68 4.21 Maintenance Care 69 4.22 Outpatient Clinic 69 4.23 Overnight or Multi-day Stay Patient 69 4.24 Palliative Care 70 4.25 Patient 70 4.26 Patient Day 70 4.27 Principal Diagnosis 70 4.28 Primary Diagnosis 70 4.29 Procedure 71 4.30 Reciprocal Health Care Agreements (RHCA) 71 4 | Patient Minimum Data Set Contents 4.31 Rehabilitation Care 71 4.32 Same Day Patient 71 4.33 Time of Death 72 4.34 Transfer 72 4.35 Referrals 73 4.36 Home Care 73 4.37 Drug Item 73 4.38 INWANI 73 4.39 LOINC 73 4.40 Eligibility Check Reference Number 73 5 Appendices 74 5.1 Appendix A - Automatically Admitted Procedures List 74 5.2 Appendix B - Non-automatically Admitted Procedures List 180 5.3 Appendix C - Sample Organisation Code Table 217 5.4 Appendix D - Sample Campus Code Table 218 5.5 Appendix E - Sample Clinic Code Table 219 5.6 Appendix F - Emergency Department Diagnosis Short list (mapped to Major Diagnostic Blocks (MDBs) 220 5.7 Appendix G - Emergency Department Major Diagnostic Blocks (MDBs) 235 5.8 Appendix H - Imaging codes 236 5.9 Appendix I - Dental codes 245 5.10 Appendix J - Medications List Codes 264 6 Patient Minimum Data Set (Tabular Form) 399 1. Introduction 1.1 Purpose and Intended Audience 1.2 Sources and Acknowledgment The following document is the Qatar Patient Minimum Data Set (MDS). The MDS is used to inform providers of the minimum data elements that need to be submitted to obtain funding under Qatar’s National Health Insurance Programme. This MDS comprises two main sections which provide guidance to Qatari providers for the admitted and nonadmitted patients. The MDS has been developed from the Victorian and Australian Minimum Data Sets, and has been tailored to suit Qatar’s unique healthcare market characteristics after extensive interviews with local providers and regulators, and detailed current state assessment. The MDS document should be read in conjunction with Volume 1: Price schedule for Stage 2 of the National Health Insurance Scheme and Volume 2: Qatari Outpatient Classification System (QOCS) Version 2.0 and classification and business rules for other streams of care for further understanding of the outpatient related data elements. The first section covers providers who provide services for patients in the admitted setting. The Admitted Patient MDS (see page 6) contains the description and specifications of data element fields required from providers. All data elements are required for funding. Similarly, the second section entitled the Nonadmitted MDS (see page 24) is available for providers in the non-admitted setting. All data elements are required for funding. Acknowledgment and thanks are made to the Department of Health in Victoria, the Victorian Government, and the Australian Government. Patient Minimum Data Set | Introduction 6 1.3 Data Item Name The following is a guide to the format of the MDS data element descriptions. It provides the specifications for each data item collected during an episode of care and later transmitted to the Third Party Administrator (TPA). Specification Definition A statement that expresses the essential nature of a data item and its differentiation from all other data items. The type of symbol, character or other designation used to represent a data element, that is: Data type • Alphanumeric – A field on which calculations may not be performed. Form A name or description of the form of representation for the data element such as: date, code (code set), numeric value or quantitative value. Layout The layout of characters for the data element, expressed by a character string representation. Examples include: “DDMMYYY” for dates, “N” for a 1-digit numeric value, spaces or blank, and “A” for a 1-character alpha value, spaces or blank. “X” for spaces, apostrophes, hyphens, alphas, or numerics. NULL denotes an empty field. Even if field is NULL it needs to be included in the export (e.g. through two adjoining delimiter characters). Please be advised that padding with leading zeroes/ characters is not required but can be done optionally. If padding is used, it needs to be right justified. • Numeric – A field on which calculations may be performed. • NULL – A field which can optionally be empty Field size The maximum number of characters accommodated by this field. Location The Transaction Record in which this element is transmitted to TPA. For example, the Episode Record. Reported by The requirement for this data element to be collected by public hospitals only, or public and private hospitals (includes day procedure centres). Reported for The specific circumstances when this data item must be reported. Reported when The stage in the episode/data submission cycle when this data element is to be reported to TPA. Code set The set of representation of permissible values for the data item, according to the form, layout, data type and field size. Reporting guide Additional comments or advice on reporting the data item. Admitted Patient MDS 2. Admitted Patient MDS 2.1 Patient Name 2.2 Patient National Identity number (Q-ID) 2.3 Patient Passport Number/Alternative Identification Number 2.4 Patient Identifier 2.5 Mother’s Patient Identifier 2.6 Date of Birth 2.7 Nationality 2.8 Country of Residence 2.9 Sex 2.10 Mobile phone number 2.11 Prior Authorisation Number 2.12 Organisation Code 2.13 Campus Code 2.14 Episode Number 2.15 Healthcare Professional ID 2.16 Admission Date 2.17 Admission Time 2.18 Admission Type 2.19 Admission Weight 2.20 Discharge Date 2.21 Discharge Time 2.22 Discharge Mode 2.23 Care Type 2.24 Diagnosis Codes 2.25 Procedure Codes 2.26 Duration of Mechanical Ventilation in Intensive Care Unit 2.27 Duration of Stay in Intensive Care Unit 2.28 Duration of Leave 2.29 Drug Item Codes 2.30 Drug Item Units (Quantity) 2.31 Durable Medical Equipment (DME) & other billable items 2.32 Drug Item Unit type 2.33 Inwani Building Number 2.34 LOINC Laboratory Code – Measurement Patient Minimum Data Set | Admitted Patient MDS 2.1 Patient Name Specification Definition The full name of the patient as per the Qatar ID card or passport Data type Alphabetic Form Text Field size 60 Layout AAAAAAAAAA Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set A valid name. Reporting guide The passport is only used in cases when a Qatar ID card has not yet been issued for patient or patient is a visitor. 2.2 Patient National Identity number (Q-ID) Specification Definition The national ID number issued to the patient by the government of Qatar. Data type Numeric Form Numerical value Field size 11 Layout NNNNNNNNNNN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set A valid Qatari ID number. Reporting guide A valid Qatari ID number as listed on the patient’s QID card. Can be NULL if a QID card has not been issued for the patient. 2.3 Patient Passport Number/Alternative Identification Number Specification Definition The passport number of the patient or temporary registration number for Newborn. Data type Alphanumeric Form Text Field size Up to 20 Layout XXXXXXX Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set A valid passport number. 8 9 | Patient Minimum Data Set Reporting guide 2.4 Admitted Patient MDS Can be NULL if QID card is used as an identification measure for the patient. The Q-ID number which is available for underage children (e.g. through birth certificate) MUST be the primary method of identification - alternative ID (e.g. Passport or NHIC Ref Nr.) only for patients were a QID has not been issued. Patient Identifier Specification Definition An identifier, unique to a patient. Data type Alphanumeric Form Code Field size Max. 20 Layout XXXXXXXXXXXXXXXXXXXX Location Episode Record Reported by Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set HC or hospital-generated. Individual facilities may use their own alphabetic, numeric or alphanumeric coding system. Reporting guide 2.5 Patient Identifier is unique to the patient. All newborns must have their own Patient Identifier. This cannot be the newborn’s mother’s Patient Identifier but could be the mother’s Patient Identifier with a prefix or suffix. Mother’s Q-ID Number Specification Definition The National ID number issued by the government of Qatar Data type Numeric Form Numeric Value Field size 8 Layout NNNNNNNNNNN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set A valid date. Reporting guide The Date of Birth must be on or before Date of Admission. 2.6 Year (YYYY) can only be 18xx, 19xx or 20xx. Date of Birth Specification Definition The date of birth of the person. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Episode Record Patient Minimum Data Set | Admitted Patient MDS Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set A valid date. Reporting guide Patient Identifier is unique to the patient. All newborns must have their own Patient Identifier. This cannot be the newborn’s mother’s Patient Identifier but could be the mother’s Patient Identifier with a prefix or suffix. 2.7Nationality Specification Definition The country in which the person is a national. Data type Numeric Form Code Field size 3 Layout NNN Location Episode Record Reported by All hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Refer to ISO Country code set as issued by the Supreme Council of Health. Reporting guide Report the nationality of the patient as defined by his/her passport. Reporting guide Report the nationality of the patient as defined by his/her passport. 2.8 Country of Residence Specification Definition The country in which the person resides as represented by a code. Data type Numeric Form Code Field size 3 Layout NNN Location Episode Record Reported by All hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Refer to ISO Country code set as prescribed by the Supreme Council of Health. Reporting guide Report the country of residence. 10 11 | Patient Minimum Data Set Admitted Patient MDS 2.9Sex Specification Definition The sex of the person. Data type Numeric Form Code Field size 1 Layout N Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Reporting guide Code Descriptor 1 Male 2 Female 3 Indeterminate Sex should be inferred or accepted as reported by the respondent, as at the time of the admission. That is, it is usually unnecessary and may be inappropriate or even offensive to ask a person their sex. Sex may be inferred from other cues such as observation, relationship to respondent, or first name. Code 3 Indeterminate should be used for infants with ambiguous genitalia, where the biological sex, even following genetic testing, cannot be determined. Code 3 can only be assigned for infants aged less than 90 days. 2.10 Mobile Phone Number Specification Definition The mobile phone number including the country code (e.g. 974) without any non-numerical characters (e.g. +,-, SPACE) of the patient or his/her parent. Data type Numeric Form Numeric value Field size Max 15 Layout NNNNNNNNNNNNNNN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set A valid mobile number. Reporting guide 2.11 Prior Authorisation Number Specification Definition The unique identification number assigned to each authorization request by the health organization. Data type Numeric Form Text Field size 10 x 5 Layout NNNNNNNNNN Patient Minimum Data Set | Admitted Patient MDS 12 Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set A valid Authorization number. Reporting guide For Prior Authorization process and conditions that requires prior authorization please refer to the NHIC provider manual. Can be NULL if no prior authorization was required. 2.12 Organisation Code Specification Definition Indicates the healthcare provider organisation where the episode of care was provided. Patient activity must be reported under the organisation code at which it occurred. Data type Alphanumeric Form Code Field size 3 Layout ANN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Refer to Sample Organisation Code Table in Appendix C for illustrative purposes only. The SCH shall develop the Organisation Code. Reporting guide The Organisation Code is to be provided by the SCH, which the Provider must attain prior to submission of the MDS. 2.13 Campus Code Specification Definition The campus where the episode of care was provided. Data type Numeric Form Code Field size 2 Layout NN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Provider generated. Refer to the Sample Campus Code Table in Appendix D for illustrative purposes only. Reporting guide The Campus Code for single campus hospitals is 00. The Provider shall submit Campus Codes to the SCH and/or NHIC. Patient activity must be reported under the campus code at which it occurred. 13 | Patient Minimum Data Set Admitted Patient MDS 2.14 Episode Number Specification Definition The episode number specific to an individual admitted patient episode of care. Data type Alphanumeric Form Code Field size 12 Layout XXXXXXXXXXXX Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when Episode Record is created. Code set Hospital-generated. The Episode Number can be computer-generated or have specific relevance at the hospital. Reporting guide An Episode Number should not be changed. If in exceptional circumstances there is a need to alter the number (e.g. mis-punched) the original episode would have to be deleted and re-submitted with a new Unique Key. Do not re-use an Episode Number; an Episode Number must not be re-assigned to another episode for the same patient or to another patient. When changing software supplier, care must be taken to ensure Episode Numbers remain unique, i.e. new episodes should be allocated a number higher than the last number reported in the previous software. 2.15 Healthcare Professional ID Specification Definition A valid unique identification code provided by the Supreme Council of Health to the discharging physicians Data type Numeric Form Code Field size 6 Layout NNNNNN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set Refer to SCH code set. Reporting guide The reported physician ID is the Attending Physician ID, even if the actual services were rendered by a resident. 2.16 Admission Date Specification Definition Date on which an admitted patient commences an episode of care (formal or statistical). Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Episode Record Patient Minimum Data Set | Admitted Patient MDS Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care Reported when The Episode Record reported Code set Valid date 14 Admission of Birth Episode For the first episode of a Newborn, the Admission Date will be the Date of Birth, except in the unusual circumstance where the newborn is born before arrival at this hospital, and where the birth occurs just before midnight and the newborn arrives at this hospital after midnight. Reporting guide Admission from Non-admitted Services Non-admitted (emergency or outpatient) services provided to a patient who is subsequently classified as an admitted patient shall be regarded as separate to the admitted episode. For example, when a patient is admitted from the Emergency Department, then the admission time is the time the patient is transferred to the inpatient ward (which may include an intensive care unit or an operating theatre), and not the time treatment was started in the Emergency Department. Statistical Admissions 2.17 Admission Time Specification Definition Time at which an admitted patient commences an episode of care. Data type Numeric Form (24 Hour) Time Field size 4 Layout HHMM Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set A valid 24-hour time (not 0000 or 2400). For a formal admission, the Admission Time is the actual time at which patient was admitted (at the admission desk), the time of birth For a statistical admission (Care Type change or when the Episode of care has reached the maximum of 180 days), a dummy Admission Time is acceptable to enable the times to be automatically recorded. Care Type changes could be recorded as occurring at midday. The Admission Time must be one minute later than the Discharge Time of the preceding episode (for example, if Discharge Time of the earlier episode was made to be 1200, Admission Time of the new episode would be 1201). Reporting guide Midnight Following international convention, midnight is either 2359 of preceding date or 0001 of following date (0000 and 2400 are not accepted). Newborns • For newborns born in this hospital, the Admission Time is the time of birth. • For newborns born before arrival or transferred to this hospital from another, the Admission Time is time of arrival at this hospital. 15 | Patient Minimum Data Set Admitted Patient MDS Admission from Non-admitted Services Reporting guide Non-admitted (emergency or outpatient) services provided to a patient who is subsequently classified as an admitted patient shall be regarded as separate to the admitted episode. For example, when a patient is admitted from the Emergency Department, then the admission time is the time the patient is transferred to the inpatient ward (which may include an intensive care unit or an operating theatre), and not the time treatment was started in the Emergency Department. 2.18 Admission Type Specification Definition The category of admission (patient characteristic) relating to this episode of care. Data type Alphabetic Form Code Field size 1 Layout A Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Code Descriptor S Statistical admission (change in Care Type within this hospital organisation) E Emergency L Elective O Other: Emergency X Other admission S Statistical admission (change in Care Type within this hospital organisation) Used for statistical admissions. E Emergency Admission of an emergency patient arising from presentation at an Emergency Department of this hospital organisation. L Elective Reporting guide Admission of a patient currently on the waiting list for elective medical or surgical treatment as an admitted patient. The waiting list will include the patient’s name, address and other necessary details prepared from a written request from the patient’s doctor. O Other: Emergency Admission of an emergency patient not arising from presentation at the Emergency Department of the same hospital organisation. Includes: • GP referred admission or self referral for an acute illness. e.g. unstable diabetes, asthma attack, coronary failure • Threatened miscarriage • Admission from an Outpatient Department where patient is an emergency patient Patient Minimum Data Set | Admitted Patient MDS 16 X Other admission Routine or elective admission where the patient is not recorded on the waiting list. Includes: Reporting guide • Planned admission for the patient to receive limited care or treatment for a current condition e.g. dialysis or chemotherapy. • Follow-up admission following a previous emergency admission or presentation where the patient has not been added to a waiting list. • Admission from an Outpatient Department where the patient is not an emergency patient and has not been added to the waiting list. 2.19 Admission Weight Specification Definition The birth weight of the live baby or the weight of the neonate or infant (under one year of age) on the date admitted, if this is different from the date of birth. Data type Numeric Form Quantitative value (in grams) Field size 4 Layout NNNN or NULL Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted patients under 1 year of age. Reported when A Discharge Date is reported in the Episode Record. Code set Valid weight in grams, 100-9999. If Admission Weight is not required, transmit spaces, not zeros. Reporting guide Admission Weight is required for all infants under 1 year of age at admission (that is, admitted on a date earlier than the infant’s first birthday). Where the admission starts on the day of birth, the birth weight is the Admission Weight. If Admission Weight is unknown or heavier than 9999, and the patient is aged greater than 27 days, use 9999. If the patient is less than 28 days, estimate the weight. 2.20 Discharge Date Specification Definition Date on which an admitted patient completes an episode of care. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The episode of care is completed. Code set A valid date. The Discharge Date must be on or after the Admission Date. Reporting guide If no other discharge details are submitted (patient not yet discharged), zero-filled Discharge Date is accepted. The Discharge Date may relate to a formal or statistical discharge. 17 | Patient Minimum Data Set Reporting guide Admitted Patient MDS Statistical Discharges Statistical Discharge must have a Discharge Date equalling the next episode’s Admission Date. Statistical discharges and admissions cannot occur over midnight. 2.21 Discharge Time Specification Definition The time at which a patient completes an episode of care. Data type Numeric Form Time Field size 4 Layout HHMM Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when A Discharge Date is reported in the Episode Record. Code set A valid 24-hour time (not 0000 or 2400). For a formal discharge, the Discharge Time is the time at which patient presents at the discharge office/desk. For patients who leave against medical advice, Discharge Time is the time of last patient contact. For patients who die in hospital, Discharge Time is the time of death as per clinical guidelines. Reporting guide For a statistical discharge, (Care Type change), a dummy Discharge Time is acceptable to enable the times to be automatically recorded. Care Type changes could be recorded as occurring at midday. The Discharge Time must be one minute earlier than the Admission Time of the following episode (for example, if Discharge Time of the earlier episode was made to be 1200, Admission Time of the new episode would be 1201). Midnight Following international convention, midnight is either 2359 of preceding date or 0001 of following date (0000 and 2400 are not accepted). 2.22 Discharge Mode Specification Definition Status at discharge of the person, and place to which the person is released (where applicable). Data type Alpha Form Code Field size 1 Layout A Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when A Discharge Date is reported in the Episode Record. Code set Code Descriptor S Statistical Discharge (change in Care Type within the same organisation) D Death Patient Minimum Data Set | Admitted Patient MDS 18 Z Left against medical advice X Discharge to another care facility in a different hospital organisation in Qatar O Discharge to another care facility in a different hospital organisation overseas H Discharge to private residence/accommodation Code set S Statistical admission (change in Care Type within this hospital organisation) Used for statistical admissions. E Emergency Admission of an emergency patient arising from presentation at an Emergency Department of this hospital organisation. L Elective Reporting guide Admission of a patient currently on the waiting list for elective medical or surgical treatment as an admitted patient. The waiting list will include the patient’s name, address and other necessary details prepared from a written request from the patient’s doctor. O Other: Emergency Admission of an emergency patient not arising from presentation at the Emergency Department of the same hospital organisation. Includes: • GP referred admission or self referral for an acute illness. e.g. unstable diabetes, asthma attack, coronary failure • Threatened miscarriage • Admission from an Outpatient Department where patient is an emergency patient 2.23 Care Type Specification Definition The nature of the clinical service provided to an admitted patient during an episode of care. Data type Numeric Form Code Field size 2 Layout NN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported. Code set Code Descriptor 01 Acute Care 02 Rehabilitation 03 General Maintenance 04 Complex Maintenance 05 Boarder 06 Palliative 19 | Patient Minimum Data Set Admitted Patient MDS Care Type reported should reflect the treatment the patient receives, not the location of the bed in the facility. 1 Acute Care Acute care is care in which the clinical intent or treatment goal is to: • Manage labour (obstetric) • Cure illness or provide definitive treatment of injury • Perform surgery • Relieve symptoms of illness or injury (excluding palliative care) • Reduce severity of an illness or injury • Protect against exacerbation and/or complication of an illness and/or injury which could threaten life or normal function • Perform diagnostic or therapeutic procedures Note: After 35 days of continuous hospitalisation under the acute care type, a patient is classified as a general maintenance care patient unless a medical practitioner provides certification documented in the medical record that the patient is in need of acute care. This certification will be required every 35 days of the patient’s acute care stay thereafter. 2 Rehabilitation Reporting guide Rehabilitation care is care in which the clinical intent or treatment goal is to improve the functional status of a patient with an impairment, disability or handicap. It is evidenced by a multidisciplinary rehabilitation plan comprising negotiated goals and indicative time frames which are evaluated by a periodic assessment using a recognized functional assessment measure. It is care provided: • in a designated rehabilitation unit, and • in a designated multi-discipline rehabilitation program, and • under the principal clinical management of a specialised rehabilitation physician Note: After 35 days of continuous hospitalisation under the rehabilitation care type, a patient is classified as a general maintenance care patient unless a medical practitioner (or their delegate) provides certification documented in the medical record that the patient is in need of rehabilitation care. This certification will be required every 35 days of the patient’s rehabilitation care stay thereafter. 3. General Maintenance Care General Maintenance care is care in which the clinical intent or treatment goal is prevention of deterioration in the functional and current health status of a patient with a disability or severe level of functional impairment. Following assessment of the patient, the General Maintenance care does not require further complex assessment or stabilization, and may (but not necessarily) require care over an indefinite period. This care includes that provided to a patient in hospital or other specialized setting e.g. in a residential care service/long term care facility. Note: After 90 days of continuous hospitalization under the general maintenance care type, a medical practitioner needs to re-certify that the patient is still in need of general maintenance care and document the certification in the medical record. This certification will be required every 90 days of the patient’s general maintenance care stay thereafter. Patient Minimum Data Set | Admitted Patient MDS 20 4. Complex Maintenance Care Complex Maintenance Care has a similar intent to General Maintenance Care; however, it requires further complex assessment or stabilization of patients. Patients in this cohort require complex interventions including Continuous Ventilatory Support (CVS – which includes mechanical ventilation via ETT or Tracheostomy). The day to day maintenance of such patients requires a significant amount of medical and nursing resources. Examples of patients under this care type include children in the Rumailah Hospital Rehab unit and adults in the HMC Skilled Nursing Facility that are receiving continuous ventilatory support. Note: After 180 days of continuous hospitalization under the complex maintenance care type, a medical practitioner needs to re-certify that the patient is still in need of complex maintenance care and document the certification in the medical record. This certification will be required every 180 days of the patient’s complex maintenance care stay thereafter. 5. Boarder Hospital boarder is a person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care. Hospital boarders are not admitted to the hospital. However, a hospital may register a boarder. Reporting guide A hospital boarder may be a relative of an admitted patient or a patient who refuses to leave the hospital despite a medical practitioner certifying that the patient no longer needs care in the hospital. 6. Palliative Care Applies to a patient who is an admitted patient for whom Palliative care is the principal clinical intent. Palliative care as principal clinical intent occurs when the patient is primarily managed by a medical practitioner who is a specialist in palliative care and uses a multidisciplinary team approach to address the needs of patients and their families, including bereavement counselling, if indicated. All episodes For all episodes, if the Care Type changes during the episode, the date of that change must be reported in the Discharge Date field and other Discharge Status details completed; then a new Episode Record must be started for all care types other than Boarder (that is, a statistical discharge and a statistical admission). No Episode of care should exceed 180 days. At 180 days from the time of an episode start (formal or statistical), the patient’s condition should be reviewed and a decision made as to whether they need continued hospitalization. If so, a statistical discharge should occur (with the discharge mode indicating a statistical type change), and a new Episode Record must be started. The patient’s Care type must be reassessed at this point and specified for the new Episode of care. A new Episode Record requires Diagnosis and Procedure Codes specific to that episode and therefore a separate DRG identified. The Discharge Mode in the earlier Episode Record indicates the episode is being completed not because the patient has been discharged or died, but because the Care Type has changed or the Episode has reached the maximum 180 days. 21 | Patient Minimum Data Set Admitted Patient MDS 2.24 Diagnosis Codes Specification Definition Only one principal diagnosis and up to 39 ICD-10-AM (Seventh Edition) codes reflecting injuries, disease conditions, patient characteristics and circumstances impacting this episode of care. Data type Alphanumeric Form Code Field size 7 (x 40) Layout ANN.NN or ANN.N or ANN or ANNNN/N Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when A Discharge Date is reported in the Episode Record. Code set ICD-10-AM 7th Edition Reporting guide Report diagnoses in accordance with Australian Coding Standards. 2.25 Procedure Codes Specification Definition Up to 40 ACHI Seventh Edition codes reflecting the interventions used for the diagnosis and/or treatment of ill health during this episode of care. Data type Numeric Form Code Field size 8 (x 40) Layout NNNNN-NN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when A Discharge Date is reported in the Episode Record. Code set ICD-10-AM, 7th edition. Reporting guide Report procedures undertaken during this episode of care in accordance with the Australian Coding Standards (ACS) and other related National Coding Standard requirements. 2.26 Duration of Mechanical Ventilation in Intensive Care Unit Specification Definition Total duration of Mechanical Ventilation (MV) in hours provided in an approved Intensive Care Unit (ICU), Coronary Care Unit (CCU) or Neonatal Intensive Care (NICU) during this episode of care. Data type Numeric Form Quantitative value (in hours) Field size 7 Layout NNNNNNN Location Episode Record Reported by Public and private hospitals with an approved CCU/ICU or NICU. Otherwise, report NULL. Reported for Episodes where MV is provided in such an CCU/ICU or NICU. Otherwise, report NULL. Reported when A Discharge Date is reported in the Episode Record. Code set A number in the range 1 to 9999999 Patient Minimum Data Set | Admitted Patient MDS 22 If the patient has more than one period of MV in ICU during this episode, the total duration of all such periods is reported. Duration is reported in hours, rounded up. Only MV hours provided in an ICU are counted: • Where a patient is intubated and MV starts in an operating theatre, for the purposes of the Duration of MV field, the counting of the duration of MV commences when the patient enters the ICU. Reporting guide • It is not necessary to stop the MV clock when a ventilated patient is transferred from the ICU to theatre and back; instead the intervening hours will count towards the total MV hours. Refer to ACS 1006 Ventilatory support. Duration of MV is edited against Duration of Stay in CCU/ICU/NICU. Note: Duration of MV is not incorporated into the grouper; the grouper uses the duration from the ACHI ventilation procedure code. 2.27 Duration of Stay in Intensive Care Unit Specification Definition Total duration of stay (hours) in an approved Intensive Care Unit (ICU)/Coronary Care Unit (CCU) or Neonatal Intensive Care Unit (NICU), during this episode of care. Data type Numeric Form Quantitative value (in hours) Field size 7 Layout NNNNNNN Location Episode Record Reported by Public and private hospitals with an approved ICU/CCU/NICU. Otherwise, report spaces. Reported for Episodes where time is spent in such an ICU/CCU/NICU. Otherwise, report spaces. Reported when A Discharge Date is reported in the Episode Record. Code set A number in the range 1 to 9999999 If patient has more than one period in ICU/CCU/NICU during this episode, the total duration of all such periods is reported. Duration is reported in hours, rounded up. Only the time in the ICU/CCU/NICU is counted, not time, for example, in an operating theatre. Reporting guide Where patient is located in an NICU/CCU/ICU but does not require the level of care normally provided in a NICU/CCU/ICU (for example, due to a lack of beds elsewhere), Duration of Stay in ICU must not be reported. After 21 days continuous hospitalisation in the ICU/CCU/NICU, a patient must undergo a clinical assessment by a medical practitioner to certify whether the patient is in need of intensive care. The certification shall be documented in the medical record. If the patient does not need intensive care, he/she shall be transferred to a ward or discharged. This certification will be required every 21 days of the patient’s intensive care stay thereafter. 2.28 Duration of Leave Specification Definition Total duration of leave (with and without permission) during this episode of care. Data type Numeric Form Quantitative value (in days) Field size 3 Layout NNN or spaces 23 | Patient Minimum Data Set Admitted Patient MDS Location Episode Record Reported by All Qatari hospitals (public and private). Reported for Reported when Code set Episodes where patients are on leave with or without permission. Otherwise report NULL. A Discharge Date is reported in the Episode Record. A valid number in the range 000 to 999. If patient has more than one period of leave during this episode, the total duration of all such periods is reported. Duration is reported in days, rounded up. If the total duration of leave is less than one day, then report NULL. Examples where leave should be recorded are: • In Mental Health services, patients may go on “trial leave.” They are permitted to go home by the doctor to test if they can cope in a non-hospital setting, however they are not dis charged. This is documented in the patient file and monitored by the multi-disciplinary case management teams. Maximum duration on leave for acute hospitalization of patients is 7 calendar consecutive days. After 7 calendar consecutive days the patient is considered as discharged. For non-acute hospitalizations, maximum duration of leave should not exceed 30 calendar consecutive days. After 30 calendar consecutive days the patient is considered as discharged. Reporting guide • Long term residential care patients can take leave for up to 3 months without being dis charged. This leave from their residential bed may be for family holiday. 2.29 Drug Item Codes Specification Definition Up to 40 drug item codes reflecting the drugs dispensed for the treatment of ill health during this episode of care. Data type Alphanumeric Form Code Field size 8 Layout AAAAANNN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set Refer to SCH code set. Reporting guide All drug items are reported. 2.30 Drug Item Units (Quantity) Specification Definition Quantity of each Drug item as defined in 2.29 Drug Item Codes dispensed for the treatment of ill health during this episode of care. Data type Numeric Form Quantitative value Field size 3 Layout NNN or spaces Location Episode Record Patient Minimum Data Set | Admitted Patient MDS Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported Code set A valid number in the range 00 to 99. Reporting guide The quantity (box/package level) of dispensed drug is reported. Every drug item is reported in this field, as per 2.29 requirements. 24 2.31 Durable Medical Equipment (DME) and other billable items Specification Definition Up to 20 codes reflecting individual items from the DME list. Data type Alphanumeric Form Code Field size 10 (x 20) Layout XXXXXXXX Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The inpatient Service Event Record is reported. Code set See Volume 1: Price schedule for Stage 2 of the National Health Insurance Scheme. Items subject to prior authorization, as per the rules in Volume 1 and the accompanying Volume 2. Reporting guide Note that for inpatients, this data element only relates to accommodation provided to a parent accompanying their hospitalized child. One parent accommodation event code is to be used for each day that a parent accompanies a child during an inpatient stay. For example, if a parent is staying with the child for three days, three fields are to be filled with the parent accommodation event code. 2.32 Drug Item Unit Type Specification Definition The unit of a medicinal product dispensed to an inpatient while in hospital. Data type Alphanumeric Form Code Field size 2 (x 40) Layout AA Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The episode record is reported. Code set Code Description 01 Boxes 02 Strips 03 Tubes 25 | Patient Minimum Data Set Code set Reporting Guide Admitted Patient MDS 04 Bottles 05 Vials 06 Spray 07 Bags 08 Units (Cartridges, flex pens, suppositories, pills, tablets … ) 98 Other specified unit form not listed above The dispensing organization MUST report the unit type used when dispensing a drug to an inpatient. Each drug will have a fixed number of unit types that can be used when reporting the unit dispensed. This information will be part of the NHIC drug list. The type reported must be compatible with the drug code. 2.33 Building Number (Mandatory effective from 1 January 2016 subject to NHIC’s training and technical support) Specification Definition The complete member address as collect by the provider. Data type Alphanumeric Form Text Field size Max 20 Layout XXXXX^XXXX^XXXX Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record is reported Code set Each complete address consists of 3 set of information separated by a “^” and in the following order: 1 - The Zone, code set 2 - The Street, as reported by the member and validated on the “Inwani” website 3 - The Building, as reported by the member and validated on the “Inwani” website As an example if the address is as follow The reported data should be: 00061^0820^0058 Reporting guide On each interaction with the member, the provider should try and request if the member address has changed compared to what the provider has on record. With each encounter number the provider has to submit the latest information available in the member records. Patient Minimum Data Set | Admitted Patient MDS 26 2.34 Laboratory Code – Measurement (Mandatory effective from 1 January 2016 subject to NHIC’s training and technical support) Specification Definition The tests, measurements, and observations conducted with value and unit. Data type Alphanumeric Form Text Field size 60 x (Max 30) Layout NNNNNNNNNNNN^NNNNNN^NNNNNNNNN Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when A Discharge Date is reported in the Episode record. A valid LOINC number with valid values and unit separated by “^” in the below order: Code set 1. A valid LOINC code of the format NNNNNNNNNN-N or NNNNNNNNN 2. The measurement or observation value 3. The measurement unit If the measurement or observation values and units are not required, the separator “^” should be reported without any space in between. Reporting guide For each episode of care, when a measurement that influence or supports the medical condition reported is performed, the measurement LOINC code, the value and the unit of measurement have to be reported. Non-Admitted Patient MDS 3. Non-Admitted Patient MDS 3.1 Patient Name 3.2 Patient National Identity number (Q-ID) 3.3 Patient Passport Number/Alternative identification Number 3.4 Patient Identifier 3.5 Date of Birth 3.6 Nationality 3.7 Country of Residence 3.8 Sex 3.9 Mobile Phone Number 3.10 Organisation Code 3.11 Campus Code 3.12 Episode Number 3.13 Healthcare Professional ID 3.14 Healthcare Professional Type 3.15 Clinic Category Code 3.16 Clinic Code 3.17 Prior Authorization number 3.18 Outpatient Service Event Date 3.19 Outpatient Service Event Time 3.20 Initial or subsequent service event 3.21 Primary Diagnosis Code 3.22 Procedure Codes 3.23 Durable Medical Equipment (DME) and other billable items 3.24 ED Presentation Date 3.25 ED Presentation Time 3.26 ED Disposition Code 3.27 ED Triage Code 3.28 ED MDB Category Code 3.29 ED Primary Diagnosis Non-Admitted Patient MDS Patient Minimum Data Set | 3.30 ED See and Treat Flag 3.31 Primary diagnosis for See and Treat emergency patients 3.32 ED Service Commencement Date 3.33 ED Service Commencement Time 3.34 ED Episode End Date 3.35 ED Episode End Time 3.36 Service Category for Primary care 3.37 Visit Type Code 3.38 Dental Procedures - Tooth number 3.39 Laboratory Tests Performed 3.40 Number of Laboratory Tests Performed 3.41 Imaging tests performed 3.42 Number of Imaging Tests Performed 3.43 Drug Item Codes 3.44 Drug Item Units (Quantity) 3.45 Prescription Fill Date 3.46 Additional Diagnosis Code 3.47 Referral Reference Number 3.48 Referral Date 3.49 Referral Organizational Code 3.50 Referral Healthcare Professional ID 3.51 Referral Healthcare Professional Type 3.52 Number of Referrals Issued 3.53 Number of Hours of Home Care Per Day 3.54 List of Homecare Services Rendered Per Day 3.55 Drug Item Unit Type 3.56 Drug Item Treatment Duration 3.57 Drug Item Treatment Details 3.58 No. of Authorized Repeats For a Drug 3.59 No. of Times The Drug Has Already Been Dispensed Under The Same Prescription 3.60 Inwani Building Number 3.61 LOINC Laboratory Code – Measurement 3.62 Eligibility Check Reference Number 28 29 | Patient Minimum Data Set Non-Admitted Patient MDS 3.1 Patient Name Specification Definition The full name of the patient as per the Qatar ID card or passport Data type Alphabetic Form Text Field size 60 Layout AAAAAAAAAA Location Episode Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid name. Reporting guide The passport is only used in cases case when a Qatar ID card has not yet been issued for patient or patient is a visitor. 3.2 Patient National Identity number (Q-ID) Specification Definition The national ID number issued to the patient by the government of Qatar. Data type Numeric Form Numerical value Field size 11 Layout NNNNNN Location Episode Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid Qatari ID number. Reporting guide A valid Qatari ID number as listed on the patient’s QID card. Can be NULL if a QID card has not been issued for the patient. 3.3 Patient Passport Number/Alternative Identification Number Specification Definition The passport number of the patient or temporary registration number for Newborn Data type Alphanumeric Form Text Field size Up to 20 Layout XXXXXXX Location Episode Record Reported by All Qatari hospitals (public and private). Reported for All admitted episodes of care. Reported when The Episode Record reported. Code set A valid passport number. Can be NULL if QID card is used as an identification measure for the patient. Reporting guide The Q-ID number which is available for underage children (e.g. through birth certificate) MUST be the primary method of identification - alternative ID (e.g. Passport or NHIC Ref Nr.) only for patients were a QID has not been issued. Patient Minimum Data Set | Non-Admitted Patient MDS 3.4 Patient Identifier Specification Definition An identifier, unique to a patient. Data type Alphanumeric Form Code Field size Max 20 Layout XXXXXXXXXXXXXXXXXXXX Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set HC or facility-generated. Individual facilities may use their own alphabetic, numeric or alphanumeric coding system. Reporting guide Individual agencies, establishments or collection authorities may use their own alphabetic, numeric or alphanumeric coding systems. 3.5 Date of Birth Specification Definition The date of birth of the person. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid date. Reporting guide The Date of Birth must be on or before Date of Admission. Year (YYYY) can only be 18xx, 19xx or 20xx. 3.6Nationality Specification Definition The country in which the person is a national. Data type Numeric Form Code Field size 3 Layout NNN Location Outpatient Service Event Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Refer to ISO Country code set as issued by the Supreme Council of Health. Reporting guide Report the nationality of the patient as defined by his/her passport. 30 31 | Patient Minimum Data Set Non-Admitted Patient MDS 3.7 Country of Residence Specification Definition The country in which the person resides as represented by a code. Data type Numeric Form Code Field size 3 Layout NNN Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Refer to ISO Country code set as prescribed by the Supreme Council of Health. Reporting guide Report the country of residence. 3.8Sex Specification Definition The sex of the person. Data type Numeric Form Code Field size 1 Layout N Location Outpatient Service Event Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Reporting guide Code Descriptor 1 Male 2 Female 3 Indeterminate Sex should be inferred or accepted as reported by the respondent, as at the time of the admission. That is, it is usually unnecessary and may be inappropriate or even offensive to ask a person their sex. Sex may be inferred from other cues such as observation, relationship to respondent, or first name. Code 3 Indeterminate should be used for infants with ambiguous genitalia, where the biological sex, even following genetic testing, cannot be determined. Code 3 can only be assigned for infants aged less than 90 days. 3.9 Mobile Phone Number Specification Definition The Mobile phone number including the country code (e.g. 974) without any non-numerical characters (e.g. +,-, SPACE) of the patient or his/her parent. Data type Numeric Form Numerical Field size Max 15 Layout NNNNNN Location Episode Record Patient Minimum Data Set | Non-Admitted Patient MDS Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid mobile number. 32 Reporting guide 3.10 Organisation Code Specification Definition Indicates the healthcare provider organisation where the outpatient service event was provided. Patient activity must be reported under the organisation code at which it occurred. Data type Alphanumeric Form Code Field size 3 Layout ANN Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Refer to Sample Organisation Code Table in Appendix C for illustrative purposes only. The SCH shall develop the Organisation Code. Reporting guide The Organisation Code is to be provided by the SCH, which the Provider must attain prior to submission of the MDS. 3.11 Campus Code Specification Definition The campus where the outpatient service event was provided. Data type Numeric Form Code Field size 2 Layout NN Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Provider generated. Refer to Sample Campus Code Table in Appendix D for illustrative purposes only. Reporting guide The Campus Code for single campus facilities is 00. Campus Codes are developed by the Provider. The Provider shall submit Campus Codes to the SCH and/or NHIC. Patient activity must be reported under the campus code at which it occurred. 3.12 Episode Number Specification Definition The episode number specific to an individual patient non-admitted service event. Data type Alphanumeric Form Code 33 | Patient Minimum Data Set Non-Admitted Patient MDS Field size Max 12 Layout XXXXXXXXXXXX Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Provider-generated. The Episode Number can be computer-generated or have specific relevance at the Outpatient Clinic. Reporting guide An Episode Number shall not be changed. If in exceptional circumstances there is a need to alter the number (e.g. mis-punched) the original episode would have to be deleted and re-submitted with a new Unique Key. Do not re-use an Episode Number; an Episode Number must not be re-assigned to another episode for the same patient or to another patient. When changing software supplier, care must be taken to ensure Episode Numbers remain unique, i.e. new episodes should be allocated a number higher than the last number reported in the previous software. 3.13 Healthcare Professional ID Specification Definition A valid unique identification code provided by the Supreme Council of Health to all licensed physicians. Data type Numeric Form Code Field size 6 Layout NNNNNN Location Episode Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Refer to SCH code set. Reporting guide 3.14 Healthcare Professional Type Specification Definition The category of the healthcare professional that has provided the service to the patient for a given outpatient service event. Data type Alphanumeric Form Code Field size 4 Layout A.NN Location Outpatient Service Event Record Reported by All Qatari outpatient clinics , Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, GP-led standalone clinics, and Dental clinics Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Patient Minimum Data Set | Non-Admitted Patient MDS Code set Code Descriptor F.30 Primary Care Physician F.31 Primary Care Physician with Special Interest F.32 General Physician with Special Interest F.33 Primary Care Specialist Family Physician F.34 Primary Care Consultant Family Physician F.35 Primary Care Senior Consultant Family Physician F.36 Allied Health/Clinical Nurse Professional F.37 Specialist/Consultant Physician F.38 Dentist – General scope of practice F.39 Dentist – Specialist scope of practice 34 The definitions are based on information provided by PHCC leadership: Primary Care Physician Physician who has graduated from medical school, however has no recognized post-graduate training. The definitions are based on information provided by PHCC leadership: Primary Care Physician Physician who has graduated from medical school, however has no recognized post-graduate training. Primary Care Physician with Special Interest Physician with some type of formal post-graduate training, recognized, but not at the level of Board equivalent, with a Master’s Degree in Family Medicine, Paediatrics, or Internal Medicine; differences in experience can be shown by salary level. General Physician with Special Interest Reporting guide Physician with some type of formal post-graduate training, recognized, but not at the level of Board equivalent, with a Master’s Degree in ENT, Ophthalmology, and Dermatology; differences in experience can be shown by salary level. These physicians run the ENT, Ophthalmology, Dermatology clinics at PHCC, have the relevant Master’s Degree to do so. Primary Care Specialist Family Physician Physician with recognized Board (or equivalent including MRCGP-UK) in Family Medicine. Primary Care Consultant Family Physician Physician with recognized Board (or equivalent) in Family Medicine, with necessary years of experience for consultant level: 4 years after Board qualification and 6 years after PhD or MRCGP-UK. Primary Care Senior Consultant Family Physician Physician with recognized Board (or equivalent) in Family Medicine, with necessary years of experience for senior consultant level: 6 years after Consultant position. Allied Health/Clinical Nurse Professional Refers to services provided by clinical nurse and allied health professionals who are clinically and professionally qualified healthcare professionals with the requisite clinical knowledge and experience to carry out primary care services. Specialist/ consultant physician A Specialist is a Board certified physician who “holds a specialist scope license”. 35 | Patient Minimum Data Set Non-Admitted Patient MDS A Consultant is a Board certified physician who “holds a specialist scope license, [has] worked continuously with a specialist scope license (or equivalent) for at least the past three years, and has been certified by the QCHP when [it was] established” . A specialist scope of practice requires a primary medical degree from a recognized medical school and Board certification or equivalent for area of medical specialization as qualifications in addition to 5 years of work experience after graduation from primary degree. A general scope of practice requires a primary medical degree from a recognized medical school, 5 years work experience after graduation from primary degree and passing the NHA general scope physician exam or recognized equivalent . This category excludes dentists with a specialist scope of practice. These should be classified under the ‘F.39 Dentist – Specialist Scope of Practice’ category (see description below). Reporting guide Dentist General scope of practice. Works within the NHA’s definition of the practice of dentistry and subject to any conditions set by the NHA. Holds a primary dental degree from a recognized dental school, and has 3 years work experience after graduation from primary degree. Must have passed the NHA general scope dentist exam, and other requirements as set out in the SCH licensing arrangements . Works under the supervision of a dentist licensed in a speciality scope of practice. Dental specialist Specialist scope of practice. Subject to any conditions set by the NHA, may work within the NHA’s definition of the practice of dentistry AND within a specialized area of dentistry for which they are deemed qualified by the NHA3. Requires a primary dental degree from a recognized dental school AND Board certification or other accepted qualification for area of dental specialization. Must have at least 3 years work experience after graduation from primary degree. 3.15 Clinic Category Code Specification Definition The code of the clinic under which the outpatient service event (i.e.: visit) has been classified. Data type Alphanumeric Form Code Field size 6 Layout A.NNNX Location Outpatient Service Event Record Reported by All Qatari outpatient clinics (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, GP-led standalone clinics, and Dental clinics Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Refer to Volume 2: Qatari Outpatient Classification System (QOCS) Version 2.0 and classification and business rules for other streams of care to obtain a list of clinic category codes. Codes for Dental clinics are also in Appendix I of this document. Reporting guide Refer to Volume 2: Qatari Outpatient Classification System (QOCS) Version 2.0 and classification and business rules for other streams of care for code set list, definitions, and business rules. 3.16 Clinic Code Specification Definition Indicates the code of the clinic where the outpatient service event was provided. Data type Alphanumeric Form Code Field size 7 Layout AAXXXNN Patient Minimum Data Set | Non-Admitted Patient MDS 36 Location Outpatient Service Event Record Reported by All outpatient clinics and Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, GP-led standalone clinics, and Dental clinics Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Refer to Sample Clinic Code Table in Appendix E for illustrative purposes only. Clinic Codes are developed by the Provider. Reporting guide The clinic code can be shared across multiple campuses. For example: two campuses may have the same clinic code for their PM ENT clinic such as ENTPM01. The Provider shall submit Clinic Codes to the SCH and/or NHIC. 3.17 Prior Authorisation Number Specification Definition The unique identification number assigned to each authorization request by the health organization. Data type Numeric Form Text Field size 10 x 5 Layout NNNNNNNNNN Location Episode Record Reported by All Qatari outpatient clinics (public and private) excluding Emergency Departments. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid Authorization number. Reporting guide For Prior Authorization process and conditions that requires prior authorization please refer to the NHIC provider manual. 3.18 Outpatient Service Event Date Specification Definition Date at which an outpatient service event occurred. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Outpatient Service Event Record Reported by All Qatari outpatient clinics (public and private) excluding Emergency Departments. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Valid date Reporting guide If the service event continues past midnight, then the date the service commenced should be recorded. 37 | Patient Minimum Data Set Non-Admitted Patient MDS 3.19 Outpatient Service Event Time Specification Definition Time at which an outpatient service event occurred. Data type Numeric Form Time Field size 4 Layout HHMM Location Outpatient Service Event Record Reported by All Qatari outpatient clinics (public and private) excluding Emergency Departments. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Valid 24-hour time (not 0000 or 2400) Reporting guide If the service event continues past midnight, then the date the service commenced should be recorded. 3.20 Initial or subsequent service event Specification Definition An indicator of whether the service event is the first service event for a new referral or a follow up service event. Data type Numeric Form Code Field size 1 Layout N Location Outpatient service event record Reported by All Qatari Outpatient Clinics (public and private) excluding Emergency Departments Reported for All outpatient service events Reported when The Outpatient Service Event Record is reported. Code set Code Descriptor 1 Initial client service event 2 Subsequent client service event Initial service events typically involve taking a comprehensive client history and a thorough assessment of the client’s presenting problem(s). When a client returns to the same service entity for the same problem 12 months after their previous visit, this is an ‘initial’ service event. To assist in interpreting the business rule related to initial or subsequent service events for the Qatar MDS, the following additional information is provided: Reporting guide • The first presentation of a registered client/patient to an individual health service provider is always considered to be initial except when the individual service provider is of the same specialty (including trainees) as another individual service provider that had previously seen that client/patient and is continuing the care of the client/patient for the same set of related problems or issues in the same health service entity. • Initial presentations result from a referral (which may be a self-referral) and involve the taking of a detailed client/patient history and a comprehensive assessment of the client’s/ patient’s presenting problems or issues. • Further presentations are also initial if they deal with a problem or issue that is different to the one dealt with at previous presentations. Patient Minimum Data Set | Non-Admitted Patient MDS 38 • Different means that the problem/ issue is not part of the same course/ progression of the initial problem for which the patient presented. For example, a patient with diabetes mellitus developing an ophthalmic complication due to their diabetes is regarded as having the same problem and should be regarded as a subsequent appointment. • Generally, problems/ issues relating to the same body system (e.g. circulatory system) as the patient presented with for the initial appointment are regarded as the same problem/ issue in subsequent visits and therefore should be coded as subsequent. • A different presenting problem/diagnosis than the one previously treated is one that is not part of the same disease course/ progression, nor part of the same body system. Reporting guide • Further presentations are subsequent if they deal with the same problem or issue as a previous presentation and/or they occur as a result of an appointment made or requested to be made at a previous presentation. • In circumstances where the same clinician sees a client/patient in two different settings (e.g. as an inpatient and then as an outpatient) for the same set of related problems or issues, only the first service event is regarded as initial. For example, an allied health professional engaged by a hospital sees an admitted patient on the ward but then subsequently sees the same patient following discharge from hospital as an outpatient for the same problem. The first outpatient service event is considered to be subsequent (event though the client/patient has not been seen previously as an outpatient). 3.21 Primary Diagnosis Code Specification Definition The primary diagnosis code refers to the main diagnosis reflecting the main injuries, disease condition, patient characteristics or circumstances impacting this outpatient service event, as determined by the physician at the conclusion of the visit. Data type Alphanumeric Form Field size 7 Layout Location Outpatient Service Event Record Reported by All Qatari outpatient clinics excluding Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set ICD-10-AM 7th Edition Reporting guide The primary diagnosis code to be reported for an outpatient visit should reflect the main condition for which the patient has visited the physician, as diagnosed by the physician at the end of the visit. Code ANN.NN or ANN.N or ANN Left justify 3.22 Procedure Codes Specification Definition Up to 40 ACHI Seventh Edition codes reflecting the interventions used for the diagnosis and/or treatment of ill health during this episode of care. Data type Alphanumeric Form Code Field size 9 (x 40) Layout NNNNN-NNX Location Episode Record Reported by All Qatari outpatient clinics (public and private) excluding Emergency Departments. Reported for All outpatient service events. 39 | Patient Minimum Data Set Reported when Code set Non-Admitted Patient MDS The Outpatient Service Event Record is reported. Australian Classification of Health Interventions (ACHI), 7th edition. Report procedures undertaken during this episode of care in accordance with the Australian Classification of Health Interventions (ACHI), 7th edition code set. Reporting guide Codes for dental procedures are mainly ACHI codes, with some supplementary codes for additional procedures not adequately captured in ACHI 7th edition. Appendix I of this document contains the ACHI codes applicable to each QOCS Dental Clinic. See Volume 1: Price schedule for Stage 2 of the National Health Insurance Scheme and Volume 2: Qatari Outpatient Classification System (QOCS) Version 2.0 and classification and business rules for other streams of care for further information on the QOCS Dental Clinics codes and associated ACHI codes. 3.23 Durable Medical Equipment (DME)/other billable items Specification Definition Up to 20 codes reflecting individual items from the DME list. Data type Alphanumeric Form Code Field size 10 (x 20) Layout XXXXXXXX Location Outpatient Service Event Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events and other encounters resulting in the provision of durable medical equipment and other billable items. Reported when The Outpatient Service Event Record is reported. Code set See Volume 1: Price schedule for Stage 2 of the National Health Insurance Scheme. Items subject to prior authorization, as per the rules in Volume 1 and the accompanying Volume 2. Reporting guide Report DMEs & other billable items provided to patients. DME can only be claimed for non-admitted patients. Only accommodation for a parent accompanying a child in hospital is applicable to inpatients under this category. This is a separate data element related to the inpatient MDS (see 2.31). 3.24 ED Presentation Date Specification Definition The date on which the patient/client presents for the delivery of a service Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Outpatient Service Event Record Reported by Emergency Departments Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid date. Reporting guide The date of patient presentation at the Emergency Department is the earliest occasion of being registered clerically or triaged. The date that the patient presents is not necessarily the date at which commencement of care actually occurs. Patient Minimum Data Set | Non-Admitted Patient MDS 40 3.25 ED Presentation Time Specification Definition The time at which the patient presents for the delivery of a service. Data type Numeric Form Time Field size 4 Layout HHMM Location Outpatient Service Event Record Reported by Emergency Departments Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid 24-hour time (not 0000 or 2400). Reporting guide The time of patient presentation at the Emergency Department is the earliest occasion of being clerically registered. The time that the patient presents is not necessarily the time at which commencement of care actually occurs. 3.26 ED Disposition Code Specification Definition The status of the patient at the end of the non-admitted patient outpatient service event, as represented by a code. Data type Numeric Form Code Field size 1 Layout N Location Outpatient Service Event Record Reported by Emergency Department Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Code Descriptor 1 Non-admitted service completed 2 Dead on arrival 3 Did not wait 4 Admitted 5 Died in the emergency department 1 Non-admitted service completed Includes: Reporting guide Non-admitted patient Emergency Department service episode completed – departed without being admitted or referred to another hospital or died. 2 Dead on arrival Includes: Dead on arrival; not treated in Emergency Department, and an emergency department clinician certified the death of the patient. Excludes patients who die in the emergency department. 41 | Patient Minimum Data Set Non-Admitted Patient MDS 3 Did not wait Includes: Did not wait to be attended by a health care professional. Left at his/her own risk without receiving treatment (or before treatment completed). Reporting guide 4 Admitted Includes: Admitted to this hospital (includes short stay unit, ward, operating theatre or intensive care unit). 5 Died in ED Includes: Patients who die after presentation to the emergency department. Includes patients who are dead on arrival. 3.27 ED Triage Code Specification Definition A code representing the triage category for a given non-admitted ED attendance. Data type Numeric Form Code Field size 1 Layout N Location Outpatient Service Event Record Reported by Emergency Department Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Code set Code Descriptor 1 Resuscitation Immediate 2 Emergency 3 Urgent 4 Semi urgent 5 Non urgent 6 Dead on arrival This triage classification is to be used in the Emergency Departments of hospitals Patients will be triaged into one of five categories on the Canadian Triage and Acuity Scale, according to the triageur’s response to the question: ‘This patient should wait for medical care no longer than [...] minutes?’. Reporting guide The triage category is allocated by an experienced registered nurse or medical practitioner. If the triage category changes, both triage categories can be captured, but the original category must be reported in this data element. Patients that die in the emergency department after arrival should remain with the triage category assigned at presentation. The times related to each of the triage categories are as follows: • Resuscitation Immediate - patient needs to be seen by a physician immediately 98% of the time. • Emergency - patient needs to be seen by a physician within 15 minutes 95% of the time). • Urgent - patient needs to be seen by a physician within 30 minutes 90% of the time. Patient Minimum Data Set | Non-Admitted Patient MDS 42 • Semi urgent - patient needs to be seen by a physician within 60 minutes 85% of the time. Reporting guide • Non urgent: Patient needs to 3.28 ED Major Diagnostic Block (MDB) Category Code Specification Definition Indicated the code of the Major diagnostic block under which the non-admitted ED attendance is classified. Data type Alphanumeric Form Code Field size 3 Layout NXX Location Outpatient Service Event Record Reported by Emergency Departments Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set See Appendix G. Reporting guide The MDB relates directly to the Emergency Department Primary Diagnosis. A mapping of diagnoses in the Emergency Department Primary Diagnosis Short List to MDBs is in Appendix F. Where the code does not include a letter a space is entered after the single digit. 3.29 ED Primary Diagnosis Specification Definition The diagnosis established at the conclusion of the patient's attendance in an Emergency Department to be the most significant problem and the one mainly responsible for the consumption of the most resources and for occasioning the attendance following the consideration of the clinical assessment. Data type Alphanumeric Form Code Field size 7 Layout ANN.NN or ANN.N or ANN Location Outpatient Service Event Record Reported by Emergency Departments Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Emergency Department Diagnosis Short List as described in Appendix F (coded in ICD-10-AM 7th Edition) Reporting guide The ED primary diagnosis refers to the main problem that has been treated in the ED attendance. It is the diagnosis for which most of the resources have been used and which impacts the outcome for the patient. This may or may not be the same as the condition for which the patient presents to the ED. For example, the patient may present to the ED for cellulitis of the leg, but actually be having a Myocardial Infarction. In this case, the AMI is considered the primary diagnosis since it is the most significant problem and more resources would have been consumed to diagnose and treat this condition. An Emergency Department care episode ends when either the patient is admitted, died or, if the patient is not to be admitted, when the patient is recorded as ready to leave the Emergency Department or when they are recorded as having left at their own risk. 43 | Patient Minimum Data Set Reporting guide Non-Admitted Patient MDS The phrase ‘at the conclusion’ in the definition refers to evaluation of findings interpreted by the clinician available at the end of the Emergency Department episode. This may include information gained from the history of illness, any mental status evaluation, specialist consultations, physical examination, diagnostic tests or procedures, surgical procedures and pathological or radiological examination. 3.30 ED See and Treat Flag Specification Definition The See and Treat flag is required for cases that are treated in the “See and Treat” designated area at HMC and for any non-urgent non-admitted primary care service provided at the ED of private hospitals. Data type Binary Form Code Field size 1 Layout N Location Outpatient Service Event Record Reported by Emergency Department Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Report “1” for patients who meet the definition and “0” otherwise. Reporting guide 3.31 Primary diagnosis for See and Treat emergency patients Specification Definition The diagnosis established at the conclusion of a ‘See and Treat’ patient's attendance to an Emergency Department as their most significant problem and the one mainly responsible for their presentation. Data type Numeric Form Code Field size 2 Layout NN Location Outpatient Service Event Record Reported by Emergency Departments Reported for Only for Emergency Departments patients with ‘See and Treat Flag’ of ‘1’ Reported when The Outpatient Service Event Record is reported. Code set Code Descriptor 1 Infection 2 Neoplasm 3 Hematologic and immunologic disease 4 Endocrine, nutritional and metabolic disease 5 Mental and behavioral disorder 6 Disease of the nervous system 7 Disease of the eye and adnexa 8 Disease of the circulatory system 9 Disease of the respiratory system 10 Disease of the digestive system Patient Minimum Data Set | Non-Admitted Patient MDS Code set 11 Dermatologic disease 12 Disease of the musculoskeletal system or connective tissue 13 Disease of the genitourinary system 14 Pregnancy 15 Condition originating in the perinatal period 16 Symptom, sign or abnormal finding 17 Injury & poisoning 18 Other contact with health services 98 Other specified diagnosis/ complaint 44 The ED primary diagnosis refers to the main problem that has been treated during their ED attendance. Reporting guide It is the diagnosis for which most of the resources have been used and which impacts the outcome for the patient. It is made after undertaking a physical or any other investigation. In the case of a definitive diagnosis not being available, the presenting complaint should instead be recorded. The presenting complaint is that given by the patient as the reason for their presentation to the emergency department, as interpreted by the triage/ registration nurse and/or accepted by the treating clinician. 3.32 ED Service Commencement Date Specification Definition The date on which an Emergency Department service event commences. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Outpatient Service Event Record Reported by Emergency Department Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid date Reporting guide 3.33 ED Service Commencement Time Specification Definition The time at which an Emergency Department service event commences. Data type Numeric Form Time Field size 4 Layout HHMM Location Outpatient Service Event Record Reported by Emergency Department Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. 45 | Patient Minimum Data Set Code set Non-Admitted Patient MDS A valid 24-hour time (not 0000 or 2400). An Emergency Department service event can be commenced by a doctor, nurse, mental health practitioner or other health professional, when investigation, care and/or treatment is provided in accordance with an established clinical pathway defined by the Emergency Department. Placement of a patient in a cubicle and observations taken to monitor a patient pending a clinical decision regarding commencement of a clinical pathway do not constitute commencement. Example: • A patient presents at the Emergency Department with mild asthma. At triage, the patient is categorised as category three and returns to the waiting area. Reporting guide • The patient has a more severe asthma attack in the waiting area, is re-triaged to category two and shown to a cubicle where standard observations are taken. A nurse comes to the cubicle and commences treatment based on an acknowledged clinical pathway of the Emergency Department. At this point: Emergency Department service event has commenced 3.34 ED Episode End Date Specification Definition The date at the end of the non-admitted patient Emergency Department service episode Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Outpatient Service Event Record Reported by Emergency Department Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid date A non-admitted episode may be concluded in the following ways: • Non-admitted patient Emergency Department service episode completed: departed without being admitted or referred to another hospital, referred to another hospital for admission, did not wait to be attended by a health care professional or left at own risk after being attended by a health care professional Reporting guide • Non-admitted patient Emergency Department service episode not completed: departed without being admitted or referred to another hospital, referred to another hospital for admission, did not wait to be attended by a health care professional or left at own risk after being attended by a health care professional • Dead on arrival, not treated in Emergency Department 3.35 ED Episode End Time Specification Definition The time at the end of the non-admitted patient Emergency Department service episode. Data type Numeric Form Time Field size 4 Layout HHMM Location Outpatient Service Event Record Reported by Emergency Department Patient Minimum Data Set | Non-Admitted Patient MDS Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid 24-hour time (not 0000 or 2400). 46 A non-admitted episode may be concluded in the following ways: • Non-admitted patient Emergency Department service episode completed: departed without being admitted or referred to another hospital, referred to another hospital for admis sion, did not wait to be attended by a health care professional or left at own risk after being attended by a health care professional Reporting guide • Non-admitted patient Emergency Department service episode not completed: departed without being admitted or referred to another hospital, referred to another hospital for admission, did not wait to be attended by a health care professional or left at own risk after being attended by a health care professional • Dead on arrival, not treated in Emergency Department 3.36 Service Category for Primary care visits Specification Definition Indicates the code of the service(s) provided as part of a given primary care service event. Data type Alphanumeric Form Code Field size 2 Layout AA Location Outpatient Service Event Record Reported by Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and GP-led standalone clinics Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Reporting guide Code Descriptor 01 Family medicine/general medicine 02 Antenatal care 03 Well baby/immunizations 04 Pediatric other 05 Well woman 06 Diabetes 07 Other chronic disease management 08 Pre-marital consultation 09 Reproductive health 10 Screening services 11 Home care 12 Medical commission 98 Other primary care 47 | Patient Minimum Data Set Non-Admitted Patient MDS 3.37 Visit Type Code Specification Definition Indicates whether the patient’s visit is scheduled or a walk-in visit. Data type Alphanumeric Form Code Field size 4 Layout A.NN Location Outpatient Service Event Record Reported by Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and GP-led standalone clinics Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set Code Descriptor G.01 Scheduled visit G.02 Walk-in visit Reporting guide 3.38 Dental Procedures – Tooth number Specification Definition The tooth number to be reported for every dental procedure applicable to a single tooth or multiple teeth. Data type Alphanumeric Form Code Field size 40 (x 40) Layout XX or XX;XX or XX;XX;XX … Location Episode Record Reported by All Qatari outpatient clinics, Emergency Departments (public and private) and Primary care clinics including Primary Health Care Corporation centres providing dental services, standalone dental practices Reported for All outpatient service events. Reported when The Dental Service Event Record is reported. Code set Dental: Universal Numbering System Report the tooth number in order for each procedure for dental claims or dental procedures. Non-dental procedure or dental procedures that do not require a tooth number to be reported ,the field must be left blank to preserve the order. Examples: Reporting guide • If exclusively dental procedures are reported, the teeth numbering would begin with the first field. • If there are 2 non-dental procedures before 1 dental procedure reported, then the 3rd field would include the tooth number relating to the reported procedure. If a procedure is performed on multiple teeth, only one field including multiple tooth numbers separated by a “;” is to be reported to preserve the order. Patient Minimum Data Set | Non-Admitted Patient MDS 48 3.39 Laboratory Tests Performed Specification Definition Codes for performed laboratory services for patients as the result of an outpatient service event. Data type Alphanumeric Form Code Field size 8 (10 fields) Layout XXXXX-XX Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and standalone laboratory service providers. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set List of codes for laboratory services as described in Volume 2: Qatari Outpatient Classification System (QOCS) Version 2.0 and classification and business rules for other streams of care. Reporting guide The MDS provides 10 fields to code provided laboratory services. If less than 10 tests have been performed, the unused fields are to be included in the submission as empty fields. 3.40 Number of Laboratory Tests Performed Specification Definition Number of laboratory tests performed for patients as the result of an outpatient service event. Data type Numeric Form Quantitative value Field size 2 Layout NN Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and standalone laboratory service providers. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid number between 01 and 99. Reporting guide 3.41 Imaging Tests Performed Specification Definition Codes for performed imaging tests for patients as the result of an outpatient service event. Data type Alphanumeric Form Code Field size 10 (10 fields) Layout XXXXX-XX or XXXXX-XXX or XXXXX-XXXX Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and standalone imaging service providers. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. 49 | Patient Minimum Data Set Non-Admitted Patient MDS Code set List of codes for imaging studies as described in Appendix H. The list is based on ACHI 7th edition, supplemented to include additional imaging tests. ACHI codes should be expressed as XXXXX-XX. Modified ACHI codes are expressed as the ACHI code followed by an alphabetic suffix, in the form of XXXXX-XXXX. Reporting guide The MDS provides 10 fields for imaging tests. If less than 10 tests have been performed, the unused fields are to be included as empty fields. 3.42 Number of Imaging Tests Performed Specification Definition Number of imaging tests performed for patients as the result of an outpatient service event. Data type Numeric Form Quantitative value Field size 2 Layout NN Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and standalone imaging service providers. Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid number between 01 and 99. Reporting guide 3.43 Drug Item Codes Specification Definition Up to 40 Pharmaceutical codes reflecting the drugs dispensed for the patient by the Pharmacy. Data type Alphanumeric Form Code Field size 8 Layout AAAAANNN Location Pharmacy Service Event Record Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies Reported for All pharmaceuticals dispensed via pharmacy. Reported when The Pharmacy Service Event Record is reported Code set Refer to SCH code set. Reporting guide All drug items dispensed are reported. To be dispensed, the drugs need to be prescribed by a licensed healthcare practitioner. 3.44 Drug Item Units (Quantity) Specification Definition Quantity of Drug items dispensed for the patient by the Pharmacy Data type Numeric Form Quantitative value Field size 3 (40 fields) Layout NNN or spaces. Location Outpatient Service Event Record Patient Minimum Data Set | Non-Admitted Patient MDS 50 Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for All outpatient service events. Reported when The Pharmacy Service Event Record is reported. Code set A valid number in the range 00 to 99. Reporting guide The quantity of the dispensed drug is reported. To be dispensed, the drugs need to be prescribed by a licensed healthcare practitioner. The MDS provides 40 fields for reporting the quantity of drug item units. If less than 40 drug item quantities haven reported, the unused fields are to be included as empty fields. 3.45 Prescription Dispense Date Specification Definition The date on which the drug was dispensed to the patient based on the prescription. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Episode Record Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for All pharmaceuticals dispensed via pharmacy. Reported when The Pharmacy Service Event Record is reported Code set A valid date Reporting guide To be dispensed, the drugs need to be prescribed by a licensed healthcare practitioner. 3.46 Additional Diagnosis Code Specification Definition The code that describes any other coexisting conditions apart from the conditions described by the primary diagnosis code. (The primary diagnosis code refers to the main diagnosis reflecting the main injuries, disease condition, patient characteristics or circumstances impacting this outpatient service event, as determined by the physician at the conclusion of the visit). Data type Alphanumeric Form Code Field size 7 (max 40) Layout AANN.NN or ANN.N or ANN or ANNNN/N Left justify. Episode Record Location Outpatient Service Event Record Reported by All Qatari outpatient clinics and Emergency Departments (public and private). Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set ICD-10-AM 7th Edition Reporting guide The additional diagnosis code to be reported for an outpatient visit should reflect any other coexisting conditions apart from the conditions described by the primary diagnosis code for which the patient has visited the physician, as diagnosed by the physician at the end of the visit. 51 | Patient Minimum Data Set Non-Admintted Patient MDS 3.47 Referral Reference Number Specification Definition The reference number specified by the referring organization. Data type Alphanumeric Form Code Field size Max 12 Layout XXXXXXXXXXXX Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Standalone Pharmacies. Reported for All Referred Stand Alone outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Captured from referral information. Reporting guide The referring organization MUST report through the referral number. The referral number MUST be the encounter number under which the referring Organization will report its service event. The Organization that provides the referred services MUST capture this information and report it in its encounter submission. 3.48 Referral Date Specification Definition The referral date specified by the referring organization. Data type Numeric Form Date Field size 8 Layout DDMMYYYY Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Standalone Pharmacies. Reported for All Referred Stand Alone outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Captured from referral information. Reporting guide The referring organization MUST report the referral was made. The referral date MUST be the same as the event date under which the referring Organization will report its service event that gave rise to a drug prescription or test order. The Organization that provides the services MUST capture this information and report it in its encounter submission. Patient Minimum Data Set | Non-Admitted Patient MDS 3.49 Referring Organizational Code Specification Definition The referring Organization code the patient was referred from. Data type Alphanumeric Form Code Field size 3 Layout ANN Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Standalone Pharmacies. Reported for All Referred Stand Alone outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Refer to Sample Organization Code Table in Appendix C for illustrative purposes only. The SCH shall develop the Organization Code. Reporting guide The referring organization MUST report through the referral its Organization code as it was assigned to it by NHIC/SCH. The Organization that provides the referred services MUST capture this information and report it in its encounter submission. 3.50 Referring Healthcare Professional ID Specification Definition A valid unique identification code provided by the Supreme Council of Health to all licensed health care professional. The referring Professional code the patient was referred from. Data type Numeric Form Code Field size 6 Layout NNNNNN Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Standalone Pharmacies. Reported for All Referred Stand Alone outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Refer to SCH code set. Reporting guide The referring organization MUST report through the referral the Health Care Professional code that the referral came from. This ID MUST be the same as the one that will be reported with the referring encounter by the referring provider. The Organization that provides the referred services MUST capture this information and report it in its encounter submission. 52 53 | Patient Minimum Data Set Non-Admintted Patient MDS 3.51 Referring Healthcare Professional Type Specification Definition The referring Professional Type code the patient was referred from. Data type Alphanumeric Form Code Field size 4 Layout A.NN Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Standalone Pharmacies. Reported for All Referred Stand Alone outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Refer to Item 3.14 Healthcare Professional Type. Reporting guide The referring organization MUST report through the referral the Health Care Professional type that the referral came from. This type MUST be the same as the one that will be reported with the referring encounter by the referring provider. The Organization that provides the referred services MUST capture this information and report it in its encounter submission. 3.52 Number of Referrals Issued Specification Definition The number of referrals issued during this encounter. Data type Numeric Form Quantitative value Field size 1 Layout N Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Standalone Pharmacies. Reported for All Referred Stand Alone outpatient service events. Reported when Outpatient Service Event Record is reported. Code set Number of issued referrals: 0 (no referral) 9. Reporting guide The organization issuing referrals MUST report through this field how many referrals were issued. 3.53 Number of Hours of Homecare Per Day Specification Definition Amount of hours spend for homecare per day – reported for one week. Data type Numeric, with “;” as separator Form QOCS Home Care Item Code Field size 20 Layout NN;NN;NN;NN;NN;NN;NN Location Outpatient Service Event Record. Reported by All home care provider. Reported for All home care outpatient service events. Patient Minimum Data Set | Non-Admitted Patient MDS Reported when Home care Service Event Record is reported. Code set Numeric: 00, 01, 02, 03 or 04 Reporting guide The home care provider needs to provide the amount of hours (as defined by the respective QOCS Home Care Item Code) spend each day per week on each patient not to exceed the approved amount of hours. The hours will be reported as a sum of all services provided per day if more than one service has been rendered. The field allows for the entry of hours for seven fields representing each individual day of the week in order: Sunday, Monday, Tuesday, … , Saturday separated by a “:”. 00: No service has been performed 01: Up to 2h 02: Greater than 2h but less than 6h 03: Greater than 6h but less than 12h 04: Greater than 12h Example: 1h of service has been provided on Sunday, 1h and 2h on Monday, 7 on Tuesday, Thursday and Saturday: “01;02;03;00;03;00;03”. 3.54 List of Homecare Services Rendered Per Day Specification Definition List of provided homecare services per day – reported for one week. Data type Alphanumeric Form QOCS Home Care Clinic Category Code Field size 200 Layout D.XX; D.XX; D.XX; D.XX; D.XX; D.XX; D.XX Location Outpatient Service Event Record. Reported by All home care provider. Reported for All home care outpatient service events. Reported when Home care Service Event Record is reported. Code set QOCS Home Care Clinic Category Codes. Reporting guide The home care provider needs to provide the type of services rendered for the patient on each day (as defined by the respective QOCS Clinic Category Codes). If multiple services have been rendered on the same day they can be reported separated by a “,”. The field allows for the entry of hours for seven fields representing each individual day of the week in order: Sunday, Monday, Tuesday, … , Saturday separated by a “;” Example: Services D.80 and D.85 have been provided on Sunday, D.85 on Monday, D.87 on Tuesday, Thursday and Saturday: “D80,D.85;D.85;D.87;00;D.87;00;D.87”. 3.55 Drug Item - Unit Type Specification Definition The unit of a medicinal product dispensed. Data type Alphanumeric Form QOCS Home Care Item Code Field size 2 (x40) Layout AA Location Episode Record. 54 55 | Patient Minimum Data Set Non-Admintted Patient MDS Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for The Pharmacy Service Event Record is reported. Reported when Outpatient Pharmacy Service Event Record is reported. Code set Code Description 01 Boxes 02 Strips 03 Tubes 04 Bottles 05 Vials 06 Spray 07 Bags 08 Units (Cartridges, flex pens, suppositories, pills, tablets … ) 98 Other specified unit form not listed above The dispensing organization MUST report the unit type used when dispensing the drug to the member. Reporting guide Each drug will have a fixed number of unit types that can be used when reporting the unit dispensed. This information will be part of the NHIC drug list. If the type reported is not compatible with the drug code (reporting pill for a cream), the claim will be rejected. The reimbursed price will be calculated based on the unit price divided by the sub unit quantity used for dispensing, multiplied by the quantity dispensed. The final price might be less or more than the drug package price, depending on the quantity dispensed. 3.56 Drug Item - Treatment Duration Specification Definition The expected treatment duration for the specific medicinal product dispensed in days. Data type Numeric Form Quantitative value Field size 3 (x40) Layout NNN Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for Episode Record Reported when The Pharmacy Service Event Record is reported. Code set A valid number in the range 0 to 999. Reporting guide The dispensing organization MUST report the treatment duration that the dispensed medication covers. This number might be less than the treatment period prescribed by the physician if the member is supposed to have refills. This number MUST be consistent with the quantity of medicine dispensed. Patient Minimum Data Set | Non-Admitted Patient MDS 3.57 Drug Item - Treatment Details Specification Definition The treatment details as prescribed by the physician Data type Alphanumeric Form Code Field size 12 (x40) Layout NNN;AA;NNN;A Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for Episode Record. Reported when The Pharmacy Service Event Record is reported. The code is composed of 4 values concatenated and separated by a “;”, the 4 values are: 1- The unit value per use. This is the quantity of medicinal product prescribed per use. It is a valid number in the range of 0 to 999 representing the number of single dose units prescribed per use, as follows: Code set • number of tablets or capsules prescribed per use • number of suppositories prescribed per use • number of dose powders prescribed per use • number of dose sprays prescribed per use • number of enemas prescribed per use • number of plasters prescribed per use • number of vials prescribed per use OR for medicinal products not available as single dose units: • number of milliliters (mL) of solution prescribed per use • number of grams (g) of powder or cream prescribed per use 2- The Unit type. This is the quantity type that the quantity per use reported in item 1 above refers to. The below is the code set. Unit type code Unit type description For medicinal products that are available as single dose units: 01 02 03 04 05 06 07 08 09 10 11 Tablets Capsules Suppositories Drops Enemas Plasters Vials Puffs Injections Patches Applications (Cream) For medicinal products that are NOT available as single dose units: 56 57 | Patient Minimum Data Set 12 13 Non-Admintted Patient MDS Milligrams (mg) Millilitres (ml) For other specified unit forms not listed above: 98 Other specified unit form not listed above 3 - Frequency value is the frequency of use per a certain time (day, week .. ). For example: 4- Frequency type Frequency type code Frequency type description D W M O Reporting guide Other frequency rather than the type/values dispensed. 3.58 Drug Item - No. of Authorized Repeats for a Drug Specification Definition Data type Numeric Field size Form Quantitative value Layout N Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for Episode Record. Reported when Code set Patient Minimum Data Set | Non-Admitted Patient MDS Reporting guide 58 This is the number of times that the prescribing physician has authorised for a specific quantity of a drug to be dispensed to the patient under the same prescription (i.e. without the patient having to go back for a new prescription). 3.59 Drug Item - No. of Times The Drug Has Already Been Dispensed Under The Same Prescription Specification Definition The number of times that the drug has already been dispensed under this prescription. Data type Numeric Form Quantitative value Field size 1 (x40) Layout N Location Outpatient Service Event Record. Reported by All Qatari outpatient clinics, Emergency Departments (public and private), Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and community pharmacies. Reported for Episode Record. Reported when The Pharmacy Service Event Record is reported. Code set A valid number in the range 0 to 9. The original supply is 1, and each supply following the original is the next sequential number, up to the maximum number authorised to be dispensed under the same prescription code. Reporting guide This is the number of times that the drug has already been dispensed under the same prescription code, including the current supply. When pharmacies dispense a drug to a patient, they must mark the original prescription to indicate the fact that the drug has been dispensed to the patient. When the patient returns for a repeat prescription, the pharmacy must again mark the original prescription to indicate this next instance of the supply of the drug, and add the current supply to the previous supply to determine the number of times that the drug has been dispensed. No pharmacy MUST supply a drug beyond the number of authorised repeats in the original prescription. 3.60 Building Number (Mandatory effective from 1 January 2016 subject to NHIC’s training and technical support) Specification Definition The complete member address as collect by the provider Data type Alphanumeric Form Text Field size Max 20 Layout XXXXX^XXXX^XXXX Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers, Diagnostic Centres , Standalone Pharmacies and Emergency Department (Public and Private) Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. 59 | Patient Minimum Data Set Non-Admintted Patient MDS Each complete address consists of 3 set of information separated by a “^” and in the following order: 1- The Zone, code set 2- The Street, as reported by the member and validated on the “Inwani” website 3- The Building, as reported by the member and validated on the “Inwani” website As an example if the address is as follow Code set The reported data should be: 00061^0820^0058 Reporting guide On each interaction with the member, the provider should try and request if the member address has changed compared to what the provider has on record. With each encounter number the provider has to submit the latest information available in the member records. 3.61 Laboratory Code – Measurement (Mandatory effective from 1 January 2016 subject to NHIC’s training and technical support) Specification Definition The tests, measurements, and observations conducted with value and unit. Data type Alphanumeric Form Text Field size 60 x (Max 30) Layout NNNNNNNNNNNN^NNNNNN^NNNNNNNNN Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers and Diagnostic Centres (Public and Private) Reported for All outpatient service events where a tests, measurements, and observations was conducted. Reported when The Outpatient Service Event Record is reported. A valid LOINC number with valid values and unit separated by “^” in the below order: Code set 1. 2. 3. A valid LOINC code of the format NNNNNNNNNN-N or NNNNNNNNN The measurement or observation value The measurement unit If the measurement or observation values and units are not required, the separator “^” should be reported without any space in between. Reporting guide For each episode of care, when a measurement that influence or supports the medical condition reported is performed, the measurement LOINC code, the value and the unit of measurement have to be reported. Patient Minimum Data Set | Non-Admitted Patient MDS 3.62 Eligibility Check Reference Number Specification Definition The unique number generated by the system and printed on the consent form Data type Alphanumeric Form Text Field size Max 10 Layout NNNNNNNNNN Location Outpatient Service Event Record Reported by All Qatari outpatient clinics, and Primary care clinics including Primary Health Care, Standalone medical equipment providers, Diagnostic Centers, Standalone Pharmacies and Emergency Departments (public and private) Reported for All outpatient service events. Reported when The Outpatient Service Event Record is reported. Code set A valid consent form number Reporting guide For each episode of care, a consent form is generated. Each consent form generated has a unique sequence number printed on it. For each reported episode of care the number on the consent form generated for this specific episode of care should be reported. Discrepancies between the information reported during the consent form generated and the episode of care information reported could result in a rejection of payment 60 Concepts 4.Concepts 4.1 Acute Care Acute Care is (admitted patient) care in which the clinical intent or treatment goal is to: • Manage labor (obstetric); • Cure illness or provide definitive treatment of injury; • Perform surgery; Definition • Relieve symptoms of illness or injury (excluding palliative care); • Reduce severity of an illness or injury; • Protect against exacerbation and/or complication of an illness and/or injury; which could threaten life or normal function; and/or • Perform diagnostic or therapeutic procedures Guide for use Refer to: Admitted Patient, Care Type, Episode of Admitted Patient Care. 4.2Admission Definition Guide for use An admission is a process whereby the hospital accepts responsibility for the patient’s care and/or treatment. Admission follows a clinical decision based upon specified criteria that a patient requires same-day or overnight [or multi-day] care or treatment Refer to: Criteria for Admission. 4.3 Admitted Patient Definition Guide for use A patient who meets the Criteria for Admission and is admitted. Refer to: Admission, Criteria for Admission. 4.4Age Definition The patient’s age at the time of admission Guide for use Age is calculated as admission Date minus Date of Birth. It is rounded down to the nearest year. 4.5Boarder Definition A person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care. Patient Minimum Data Set | Concepts 62 4.6 Cardiac/Coronary Care Unit Definition Definition A Cardiac/Coronary Care Unit (CCU) is defined as a designated ward of a hospital which is specifically staffed and equipped to provide observation, care and treatment to patients with acute cardiac problems, such as acute myocardial infarction and unstable angina, and who may have undergone interventional procedures from which recovery is possible. The CCU provides special facilities and utilizes the expertise and skills of medical, nursing and other staff trained and experienced in the management of these conditions. 4.7 Care Type An episode is not defined by the patient’s arrival at, and departure from, the hospital but rather by the start and completion of a ‘type of care’. There are a number of types of care that a hospital can provide for admitted patients. A multiday stay patient may receive more than one type of care during the period of hospitalization: the period of hospitalization is then broken into Episodes of Care, one for each type of care (Care Type). Definition The Episode of Care ends when the Care Type changes or the patient is discharged from hospital. If Care Type changes it automatically triggers a statistical discharge and admission. Admitted patient episodes must be assigned a Care Type from the list within that data item. Only one Care Type can apply per day of a hospital stay. If a change occurs twice in one day, only the Care Type applicable as of midnight should be reported. Refer to: Episode of Admitted Patient Care, and Hospital Stay. After 35 days of continuous hospitalization, the patient is classified as a General or Complex Maintenance Care patient unless a medical practitioner certifies that the patient is in need of Acute Care, Rehabilitation, or Palliative Care, etc. For example: • Professional attention for an acute phase of the patient’s condition. • Active rehabilitation. • Continued management, for medical reasons as an admitted patient. Guide for use For all patients, a medical practitioner or their delegate must provide certification that the patient requires acute, rehabilitation or palliative care after 35 days of continuous hospitalization. The decision for a patient to continue to receive acute, rehabilitation or palliative care following 35 days of continuous hospitalization is a clinical one, which needs to be clearly documented then communicated to the relevant staff who report data on admitted episodes of care. This enables the identification of episodes that continue to be acute beyond 35 days and thus do not require statistical discharge from an acute episode and a statistical admission to commence a Maintenance Care episode. This documentation can be subject to audit by SCH. Note that 35 days of hospitalization can be accrued when a patient is transferred across facilities in the same hospital organization. 63 | Patient Minimum Data Set Concepts For example: • A patient receives admitted patient care in a hospital for 20 days and is then transferred to another hospital. On the 16th day of the second admission, the patient Guide for use becomes a General Maintenance care patient (if acute care certification does not exist). • If a General Maintenance Care patient is out of any hospital for more than seven consecutive days, the 35 day count begins again. 4.8 Criteria for Admission The Criteria for Admission reflect the intended level of treatment that the patient is to receive. The decision to admit is based on Criteria so the decision should not precede consideration of the Criteria. The criterion under which each patient is admitted does not have an impact on casemix funding. Hospitals are responsible for ensuring that appropriate procedures and records are maintained to facilitate accurate reporting, and to justify the admission. The list of criteria for admission in the definition is complete – there are no other criteria for admission. Definition Care provided to a patient in a non-admitted hospital setting over an extended period of time does not in itself constitute (conversion to) an admission. A patient in a non-admitted care setting may only be admitted after at least one of the admission criteria is met. Under these criteria, the fact that a procedure is undertaken in a procedure room does not, in itself, justify admission. The Criterion for Admission is determined at the point of admission and does not change even if the patient’s circumstances change. There are five Criteria for Admission. These are outlined below: Type 1: Patient expected to require hospitalization for a minimum of one night The patient is expected to require overnight or multi-day hospitalization. Type 1 should be used where there is an expectation that the patient will require ongoing admitted care. Type 1 includes: Patients who present to the Emergency Department, but die within a few hours, despite intensive resuscitative treatment but whose treatment plan initially included an expectation that they would require hospitalisation for a minimum of one night. Type 1 excludes: Guide for use Patients whose treatment is expected to be concluded on the same day. Type 2: Statistical Admission: is the administrative process by which a hospital records the commencement of a new episode of care, with a new care type, for a patient within the one hospital stay. Type 3: Day-only Automatically Admitted Procedures In order to meet Criterion for Admission 3, it must be the intention that the patient will: • Receive at least one procedure listed on the Automatically Admitted Procedure List; AND • Receive treatment on a day-only basis. Patient Minimum Data Set | Concepts A patient who is not intended to receive an Automatically Admitted Procedure cannot meet Criterion for Admission Type 3. Same day IV therapy is included as a Type 3 procedure, but non-therapeutic IV administration is excluded (for example, administration of contrast for radiological procedures). Placement of an IV cannula alone, or injection via an IV cannula, does not warrant admission. Type 4: Day-only Extended Medical Treatment Where patients receive or are expected to receive a minimum of four hours of continuous active management consisting of: • Regular observations (which may include diagnostic or investigative procedures); OR • Continuous monitoring. When determining a patient’s eligibility for admission under this criterion, the following factors could be taken into account: Regular observations may include: • Observations of vital or neurological signs provided on a repeated and periodic basis during the patient’s treatment. • Provision of repeated and periodic diagnostic or investigative procedures or provision of treatment. Guide for use Hospitals are encouraged to develop local policies or guidelines as to what constitutes regular observations. These guidelines should be consistent with established clinical pathways, protocols or accepted clinical practice. • Continuous monitoring could include: • Continual monitoring via ECG or similar technologies. (Note: continual blood pressure and/or pulse monitoring is not considered a sufficient level of continual monitoring for these purposes). • Continuous active supervision or treatment by clinical staff. Type 4 excludes: • Patient has been provided with clinical intervention/s for their condition and requires time to rest prior to discharge home. • Patient has a length of stay of more than four hours, primarily consisting of waiting for results of diagnostic tests. • Patient has been present at the hospital for more than four hours, but has not been engaged in treatment or diagnosis. Non-admitted (emergency or outpatient) services provided to a patient who is subsequently classified as an admitted patient shall be regarded as separate to the admitted episode. When a patient is transferred from the Emergency Department or outpatient clinic to a ward (including short stay units), the Admission Time is the time that the patient was transferred. Any intervention provided after transfer occurs should be recorded and identified as part of the admitted patient’s episode of care, else all other interventions prior to the transfer should be regarded as part of the emergency department episode. 64 65 | Patient Minimum Data Set Concepts Type 5: Day-only Not Automatically Qualified Procedures The Not Automatically Qualified for Admission List identifies procedures that would normally be undertaken on a non-admitted basis and therefore not normally accepted as admissions in their own right. In order to meet Criterion for Admission 5, a patient must: • Receive a procedure on the Not Automatically Qualified for Admission List; AND • Be intended to be treated on a day-only basis; AND • The treating doctor must provide evidence that the patient’s special circumstances justify admission for the purpose of having this procedure. This evidence must be documented in the patient’s medical record. Guide for use Audits of medical records may be conducted for the purpose of ensuring that treatment of such patients in an admitted patient setting is warranted. A patient who does not undergo a procedure listed on the Not Automatically Qualified for Admission List cannot meet Criterion for Admission 5. A patient who is intended to receive a procedure on the Not Automatically Qualified for Admission List as part of an overnight or multi-day stay can be admitted under Criterion 1 Cancelled Treatment There will be occasions where a patient who is admitted, subsequently has their planned treatment cancelled. If a patient is admitted to a hospital for a procedure or surgery and for whichever reason the procedure is not performed, the patient should be discharged and the episode should be coded according to the Australian Coding Standards. 4.9Discharge The process by which an episode of care for an admitted patient ceases. Definition A patient is discharged at the time the hospital ceases to be responsible for the patient’s care and the patient is discharged from hospital accommodation. Hospital waiting areas, transit lounges and discharge lounges are not considered hospital accommodation unless the patient is receiving care or treatment in these areas. A discharge may be formal or statistical. Formal discharge: the administrative process by which a hospital records the cessation of treatment and/or care and/or accommodation of a patient. Statistical discharge: the administrative process by which a hospital records the cessation of a care type for a patient within the one hospital stay. Formal: Where the patient meets one of the following criteria: • Is discharged to private accommodation or other residence. • Is physically relocated to another hospital facility in a different hospital organisation. Guide for use • Is discharged following a procedure from the Automatically Admitted Procedure List. • Dies. • Leaves against medical advice, and does not return for continuing treatment within seven days. Where a patient is discharged, then deteriorates and returns to the hospital and is subsequently re-admitted, this should be recorded as two separate episodes, even where both episodes occur on the same day. Patient Minimum Data Set | Concepts 66 Statistical: Guide for use Where a hospital records the completion of treatment and/or care and accommodation following a change of Care Type (transfer between Care Types) occurring within the one hospital stay (for example, transfer from Acute to General Maintenance Type care or transfer from Acute to Rehabilitation care in a designated rehabilitation program), or when the Episode of care reaches the maximum length of stay of 180 days. Where two episodes are created by a statistical discharge, the Admission Time of the second episode must be one minute after the Discharge Time of the first episode. Refer to: Episode of Admitted Patient Care, Hospital Stay, Leave with Permission, Overnight or Multi-day Stay Patient, and Same Day Patient. 4.10 DRG Classification The Diagnosis Related Group (DRG) classification system clusters patients into groups that are clinically meaningful and resource-use homogenous. The concept of clinical coherence requires that patient characteristics included in the definition of each DRG relate to a common organ system or etiology (disease cause), and that a specific medical specialty should typically provide care to the patients in that DRG. Definition A single Diagnosis Related Group (DRG) can be derived for an episode of care, based on documentation in the patient’s medical record. A DRG is assigned by computer software (Grouper) using codes for: • Principal diagnosis, • Procedures undertaken, • Presence or absence of other diagnosis codes for co-morbidities and complications, and • Other variables such as age, sex and discharge status, mental health legal status and, for neonates, admission weight. Episodes can be grouped into multiple versions of the Grouper. The NHIC is using Australian Refined Diagnosis Related Groups (AR-DRGs), v6.0x. 4.11 Emergency Department Definition Emergency Departments are purposely designated and equipped areas with designated assessment, treatment, and resuscitation areas and can provide resuscitation, stabilization and initial management of all emergencies. They also have medical staff available in the hospital 24 hours a day and designated ED nursing staff and nursing unit manager 24 hours per day 7 days per week. 4.12 Episode of Admitted Patient Care Definition An Episode of Care refers to a phase of treatment and is designed to reflect the changing diagnosis and/or treatment of the patient. The Episode of Care ends when the Care Type changes or the patient meets the criteria for discharge or when it reaches the maximum of 180 days stay. The period of admitted patient care between a formal or statistical admission and a formal or statistical discharge is characterized by only one care type. 67 | Patient Minimum Data Set Concepts 4.13Hospital A health care facility established under Qatari legislation as a hospital or a free-standing day procedure unit, and authorized to provide treatment and/or care to patients. A hospital may be located at one physical site or may be a multi-campus hospital. Definition For the purposes of these definitions, ‘hospital’ includes satellite units managed and staffed by the hospital. Refer to: Transfer 4.14 Hospital Stay Definition The period of time between a formal admission and a formal discharge. A hospital stay may comprise more than one episode of care where: • The episodes occur at one hospital campus; and • Where the first episode has a statistical Discharge Mode and the subsequent episode(s) has a statistical Admission Source. Guide for use In practice, hospital stay refers to the time elapsing between a patient entering the hospital campus and leaving the hospital campus. Refer to: Admission, Admitted Patient, Care Type, Episode of admitted patient care, and Discharge. 4.15 Intensive Care Unit Definition An intensive care unit (ICU) is a designated ward of a hospital that is specially staffed and equipped to provide observation, care and treatment to patients with actual or potential life-threatening illnesses, injuries or complications, from which recovery is possible. The ICU provides special expertise and facilities for the support of vital functions and utilizes the skills of medical, nursing and other staff trained and experienced in the management of these problems. Coronary Care Units (CCUs) provide high level expertise treatment to coronary/ cardiology patients. Where a hospital has combined ICU/CCU, this should be reported as CCU. There are five different types and levels of ICU, details of which are listed below: Adult intensive care – level 3, level 2, level 1 Paediatric intensive care Neonatal intensive care – level 3 Guide for use As defined, ICUs do not include Special Care Nurseries, Coronary Care Units, High Dependency Units, Intensive Nursing Units or Stepdown Units. All types of ICU must substantially conform to appropriate guidelines of the Supreme Council of Health Adult Intensive Care Unit – Level 3 Nature of Facility A level 3 adult ICU must be a separate and self-contained facility in the hospital capable of providing complex, multi-system life support for an indefinite period. It must be a tertiary referral centre for intensive care patients and have extensive back up laboratory and clinical service facilities to support this tertiary referral role. Patient Minimum Data Set | Concepts 68 4.16Leave Leave may occur with or without permission. Leave with permission: Leave with permission occurs when an overnight or multi-day patient leaves the hospital temporarily with the approval of the hospital and/or treating medical practitioner, with the intention that the patient will return within an agreed-upon duration to continue the current treatment. Neonates are not permitted to go on Leave with Permission. The permitted leave must be documented in the medical record and the patient must sign a leave form. Definition Patients going on leave with permission are not discharged unless the patient fails to return within the agreed-upon period. If so, the patient should be formally discharged, effective from the date of leaving the hospital. If the patient later returns to the hospital, a new episode is started and the patient is formally admitted. Leave without permission: Leave without permission occurs when a patient absconds or leaves against medical advice. Patients going on leave without permission are not discharged unless the patient fails to return within the seven days. If so, the patient should be formally discharged, effective from the date of leaving the hospital. If the patient later returns to the hospital, a new episode is started and the patient is formally admitted. No patient day charges are raised, nor patient days counted, while the patient is on leave, with or without permission. 4.17 Length of Stay Definition The length of stay of an admitted patient is measured in patient days. A same day patient should be allocated a length of stay of one patient day. The length of stay of an overnight or multi-day stay patient is calculated by subtracting the Admission Date from the Discharge Date and deducting total leave days. 4.18 Live Birth Definition A live birth, as defined by the World Health Organization. Guide for use Only live births are reported. Fetal deaths are not reported. 4.19Neonate Definition A live-born baby (live birth) who is less than 28 days old. The formula for calculating age is Admission Date minus Date of Birth. Guide for use Refer to: Admission Date, Admission Weight, Age, Date Of Birth, and Newborn. 4.20 Non-Admitted Patient A patient who does not undergo a hospital’s formal admission process. There are four categories of non-admitted patient: Emergency Department patient, outpatient, primary care clinics patients, and other non-admitted patient (treated by hospital employees off the hospital site —includes community/outreach services). Definition The term non-admitted patient is synonymous with the term ambulatory, as used by hospitals. Records for non-admitted patients should not be transmitted to the Episode Record. Refer to: Admitted Patient and Patient. 69 | Patient Minimum Data Set Concepts 4.21 Maintenance Care In the Qatar healthcare system context, Maintenance Care has been divided into two types: General and Complex Maintenance Care. General Maintenance Care Definition General Maintenance care is care in which the clinical intent or treatment goal is prevention of deterioration in the functional and current health status of a patient with a disability or severe level of functional impairment. Following assessment of the patient, the General Maintenance care does not require further complex assessment or stabilization, and may (but not necessarily) require care over an indefinite period. This care includes that provided to a patient in hospital or other specialized setting e.g. in a residential care service/long term care facility. Complex Maintenance Care Complex Maintenance Care has a similar intent to General Maintenance Care; however, it requires further complex assessment or stabilization of patients. Patients in this cohort require complex interventions including Continuous Ventilatory Support (CVS – which includes mechanical ventilation via ETT or Tracheostomy). The day to day maintenance of such patients requires a significant amount of medical and nursing resources. Guide for use After 90 days of continuous hospitalization under the general maintenance care type, a medical practitioner needs to re-certify that the patient is still in need of general maintenance care and document the certification in the medical record. This certification will be required every 90 days of the patient’s general maintenance care stay thereafter. After 180 days of continuous hospitalization under the complex maintenance care type, a medical practitioner needs to re-certify that the patient is still in need of complex maintenance care and document the certification in the medical record. This certification will be required every 180 days of the patient’s complex maintenance care stay thereafter. 4.22 Outpatient Clinic Definition Various settings under which outpatient services to non-admitted non-Emergency Department patients are provided. Services provided through specific organizational units staffed to administer and provide a certain range of outpatient care in defined locations, at regular or irregular times and where one or more providers deliver care to patients. Generally, in such clinics, a booking system is administered and patient care records are maintained to document patient attendances and care provided However, services can also be provided to walk-in patients, with no scheduled appointments, who attend the outpatient clinic and receive the same level of care as booked patients. 4.23 Overnight or Multi-day Stay Patient Definition A patient who is admitted to and separated from the hospital on different dates. The category of overnight or multi-day stay is determined retrospectively; that is, it is not based on the intention to admit for one night or more. Guide for use Therefore, a booked same day patient who is subsequently required to stay in hospital for one night or more is an overnight patient; a patient who dies, is transferred to another hospital in a different hospital organization or leaves of their own accord on their first day in the hospital is a same day patient, even if the intention at admission was that they remain in hospital at least overnight. An overnight or multi-day stay patient in one hospital cannot be concurrently a patient in another hospital. Refer to: Admitted Patient, Length of Stay. Patient Minimum Data Set | Concepts 70 4.24 Palliative Care Definition Care in which the clinical intent or treatment goal is primarily quality of life for a patient with an active, progressive disease with little or no prospect of cure. It is usually evidenced by an interdisciplinary assessment and/or management of the physical, psychological, emotional and spiritual needs of the patient; and grief and bereavement support service for the patient and their carers/family. Refer to: Episode of Admitted Patient Care. 4.25Patient A patient is a person for whom a healthcare provider accepts responsibility for treatment and/ or care. Definition There are two categories of patient: admitted patient and non-admitted patient. Boarders are not patients. Refer to: Section 2: Admitted Patient, Boarder and Non-admitted Patient. 4.26 Patient Day A day or part of a day that a patient is admitted to receive hospital treatment. The patient day is the unit of measurement for the length of stay of an episode of care. Definition The term ‘patient day’ is synonymous with the term ‘bed day’ as used in hospitals. Refer to: Length of Stay 4.27 Principal Diagnosis Definition The diagnosis established after study to be chiefly responsible for occasioning an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment, as represented by a code The principal diagnosis must be determined from the ICD-10-AM Seventh Edition code set. It is derived from and must be substantiated by clinical documentation. Guide for use The term principal diagnosis is specific to the inpatient setting of care. Refer to: DRG Classification. 4.28 Primary Diagnosis Definition The primary diagnosis code refers to the main diagnosis reflecting the main injuries, disease condition, patient characteristics or circumstances impacting this outpatient service event, as determined by the physician at the conclusion of the visit. The primary diagnosis must be determined from the ICD-10-AM 7th Edition code set. Guide for use The term primary diagnosis is specific to the outpatient setting of care. 71 | Patient Minimum Data Set Concepts 4.29Procedure A clinical intervention that: • Is surgical in nature; and/or Definition • Carries a procedural risk; and/or • Carries an anaesthetic risk; and/or • Requires specialised training; and/or • Requires special facilities or equipment only available in an acute care setting. 4.30 Reciprocal Health Care Agreements (RHCA) Definition Agreements negotiated by Qatari authorities with other countries which enable visitors to Qatar, who are ordinarily resident in a country with which Qatar has a RHCA, to access immediately necessary treatment of ill health arising during the stay and which requires attention before the patient returns home: pre-arranged and elective treatment is not covered. This agreement provides for admitted patient care, for such medical treatment as is clinically necessary for the diagnosis, alleviation or care of the condition requiring attention, on terms no less favorable than would apply to a Qatari resident. 4.31 Rehabilitation Care Rehabilitation care is care in which the clinical intent or treatment goal is to improve the functional status of a patient with an impairment, disability or handicap. It is evidenced by a multi-disciplinary rehabilitation plan comprising negotiated goals and indicative time frames which are evaluated by a periodic assessment using a recognized functional assessment measure. It is care provided: Definition in a designated rehabilitation unit, and in a designated multi-discipline rehabilitation program, and under the principal clinical management of a specialized rehabilitation physician Refer to: Episode of Admitted Patient Care. 4.32 Same Day Patient Definition A patient who is admitted and discharged on the same date. A same day patient may be either a booked or an emergency patient. A patient cannot be both a same day patient and an overnight or multi-day stay patient at the one hospital. Treatment within an emergency department provided to a patient who is subsequently admitted as an overnight or multi-day stay patient in the same hospital shall be treated as separate from the episode of care. Guide for use The category of ‘same day’ is determined retrospectively; that is, it is not based on the intention to admit and discharge on the same date. Therefore, patients who die, transfer to another facility in a different hospital organization, or leave of their own accord on their first day in the hospital are included. Booked same day patients who are subsequently required to stay in hospital for one night or more are excluded. Refer to: Admitted Patient, Criteria for Admission, Length of Stay and Discharge. Patient Minimum Data Set | Concepts 72 4.33 Time of Death Definition Guide for use For the purposes of reporting to the NHIC, time of death is the time recorded by the clinician (or clinicians) as when respiration ceased or when the patient was declared brain-stem dead. Circulation of oxygenated blood may be continued after this time by artificial/mechanical means for organ procurement purposes, without affecting the time of death. The time of death is recorded as the Discharge Time and is also the time at which the various counts must cease: Duration of Mechanical Ventilation in ICU, of Non-invasive Ventilation (NIV), of Stay in Cardiac/Coronary Care Unit, and of Stay in Intensive Care Unit. 4.34Transfer Definition A transfer of patient during an acute care episode is defined as (1) intra-facility transfer i.e. the movement of a patient between areas of care within the same facility; (2) inter-facility transfer i.e. the movement of a patient between different facilities within the same hospital group/ organization Transfer refers to the movement of a patient during an acute care episode of care between areas of care (or wards) within a facility or between different facilities within or outside the same hospital group/organization where: • They were assessed or received care and treatment in the first area of care/facility; and • It is intended that the patient receive admitted care in the second area of care/facility. Within or between facilities, transfers may occur between the following areas of care: • From a ward to a ward • From a ward to a critical care unit Guide for use • From a critical care unit to a ward • From an emergency department to another • From an emergency department to a ward, critical care unit, or operating theatre In the event of a transfer within the same hospital organisation, the episode of care is not considered to have ended, and no formal discharge or admission occur from the transfer source and transfer destination respectively. Statistical discharge and admission occur when there is a change of care type and thus the first episode of care ends and another one begins. In the event of a transfer between hospital organizations, the patient must be discharged from the first hospital and admitted into the other. 73 | Patient Minimum Data Set Concepts 4.35 Referrals Definition Referred services are for services which a health care provider cannot provide and therefore need to be rendered by a different health care provider. Guide for use The documentation of referrals in the current state is straight forward. Most of the required fields have to be submitted by the organization performing the referred services. The practical implementation and usage of referral forms will be explained in the provider manual. 4.36 Home Care Definition Home care services are health care services provided at a patient’s home instead of hospital or outpatient clinic. Guide for use Home care services are reported for a full week (1 week equals 1 claim line). It basically consists of the service codes (found in the QOCS document) and the mount of hours provided each day 4.37 Drug Item Definition A drug item denotes a dispensed pharmaceutical Guide for use Drug items are reported on in great detail in the MDS. Especially outpatient claims require not just information about the dispensed drug but also about the posology (dosage, intake frequency and route of administration) 4.38 INWANI Definition Inwani refers to the member’s address presented in a property identification number that represents the zone, the street and the building number on an address plate Guide for use On each interaction with the member, the provider should try and request if the member address has changed compared to what the provider has on record. With each encounter number the provider has to submit the latest information available in the member records 4.39 LOINC Definition LOINC refers to the national standardized laboratory coding system Guide for use For each episode of care Codes for laboratory results and clinical observations LOINC codes are captured 4.40 Eligibility Check Reference Number Definition The unique number generated by the system and printed on the consent form Guide for use For each episode of care, a consent form is generated. Each consent form generated has a unique sequence number printed on it. For each reported episode of care the number on the consent form generated for this specific episode of care should be reported. Discrepancies between the information reported during the consent form generated and the episode of care information reported could result in a rejection of payment 5.Appendices 5.1 Appendix A – Automatically Admitted Procedures List ACHI Code Long description 11600-02 Central venous pressure monitoring 13020-00 Hyperbaric oxygen therapy, > 90 minutes and <= 3 hours 13025-00 Hyperbaric oxygen therapy, more than 3 hours 13100-00 Haemodialysis 13100-01 Intermittent haemofiltration 13100-02 Continuous haemofiltration 13100-03 Intermittent haemodiafiltration 13100-04 Continuous haemodiafiltration 13100-05 Haemoperfusion 13100-06 Peritoneal dialysis, short term 13100-07 Intermittent peritoneal dialysis, long term 13100-08 Continuous peritoneal dialysis, long term 13106-00 Thrombectomy of an external arteriovenous shunt 13109-00 Insertion and fixation of indwelling peritoneal catheter for long term peritoneal dialysis 13109-01 Replacement of indwelling peritoneal catheter for peritoneal dialysis 13110-00 Removal of indwelling peritoneal catheter for peritoneal dialysis 13112-00 Establishment of peritoneal dialysis by abdominal puncture and insertion of temporary catheter 13212-00 Transvaginal oocyte retrieval 13212-01 Transabdominal oocyte retrieval 13215-00 Gamete intrafallopian transfer [GIFT] 13215-01 Embryo transfer to uterus 13215-02 Embryo transfer to fallopian tube 13215-03 Other reproductive medicine procedure 13700-00 Procurement of bone marrow for transplantation 13706-00 Allogeneic bone marrow or stem cell transplantation, matched related donor, without in vitro processing 13706-01 Administration of whole blood 13706-02 Administration of packed cells 13706-03 Administration of platelets 13706-04 Administration of leukocytes 13706-05 Administration of gamma globulin 13706-06 Allogeneic bone marrow or stem cell transplantation, matched related donor, with in vitro processing 13706-07 Autologous bone marrow or stem cell transplantation, without in vitro processing 13706-08 Autologous bone marrow or stem cell transplantation, with in vitro processing 13706-09 Allogeneic bone marrow or stem cell transplantation, other donor, without in vitro processing 13706-10 Allogeneic bone marrow or stem cell transplantation, other donor, with in vitro processing Patient Minimum Data Set | Appendices 13750-00 Therapeutic plasmapheresis 13750-01 Therapeutic leukopheresis 13750-02 Therapeutic erythropheresis 13750-03 Therapeutic plateletpheresis 13750-04 Apheresis of stem cells 13750-05 Apheresis of stem cells with cryopreservation 13750-06 Other therapeutic haemapheresis 13755-00 Donor haemapheresis 13757-00 Therapeutic venesection 13815-01 Percutaneous central vein catheterisation 13882-01 Management of continuous ventilatory support, more than 24 hours and less than 96 hours 13882-02 Management of continuous ventilatory support, 96 hours or more 15303-00 Brachytherapy, intrauterine, low dose rate 15304-00 Brachytherapy, intrauterine, high dose rate 15311-00 Brachytherapy, intravaginal, low dose rate 15312-00 Brachytherapy, intravaginal, high dose rate 15319-00 Brachytherapy, combined intrauterine and intravaginal, low dose rate 15320-00 Brachytherapy, combined intrauterine and intravaginal, high dose rate 15327-00 Brachytherapy with implantation of removable single plane, low dose rate 15327-01 Brachytherapy with implantation of removable single plane, pulsed dose rate 15327-02 15327-03 75 Brachytherapy with implantation of removable multiple planes or volume implant, low dose rate Brachytherapy with implantation of removable multiple planes or volume implant, pulsed dose rate 15327-04 Brachytherapy with implantation of permanent implant, < 10 sources 15327-05 Brachytherapy with implantation of permanent implant, >= 10 sources 15327-06 Brachytherapy with implantation of removable single plane, high dose rate 15327-07 Brachytherapy with implantation of removable multiple planes or volume implant, high dose rate 15338-00 Brachytherapy, prostate 15360-00 Brachytherapy, intravascular 15539-00 Brachytherapy planning, prostate 15541-00 Brachytherapy planning, intravascular 15600-00 Stereotactic radiation treatment, single dose 15600-01 Stereotactic radiation treatment, fractionated 15600-02 Hemi body irradiation 15600-03 Total body irradiation 15600-04 Total skin irradiation 16511-00 Insertion of cervical suture 16512-00 Removal of cervical suture 16514-00 Internal fetal monitoring 16520-00 Elective classical caesarean section 16520-01 Emergency classical caesarean section 16520-02 Elective lower segment caesarean section 16520-03 Emergency lower segment caesarean section 16564-00 Postpartum evacuation of uterus by dilation and curettage 16564-01 Postpartum evacuation of uterus by suction curettage 16567-00 Other management of postpartum haemorrhage 76 | Patient Minimum Data Set 16570-00 Manual correction of inverted uterus 16570-01 Surgical correction of inverted uterus 16571-00 Suture of current obstetric laceration of cervix 16573-00 Suture of third or fourth degree tear of perineum 16603-00 Chorionic villus sampling 16609-00 Intrauterine fetal intravascular blood transfusion 16612-00 Intrauterine fetal intraperitoneal blood transfusion 16615-00 Intrauterine fetal intraperitoneal and intravascular blood transfusion 16618-00 Therapeutic amniocentesis 16621-00 Amnio-infusion 16624-00 Drainage of fetal fluid cavity 16627-00 Insertion of feto-amniotic shunt 18216-00 Epidural infusion of local anaesthetic 18216-03 Epidural infusion of opioid 18216-06 Epidural infusion of other or combined therapeutic substance(s) 18216-09 Caudal infusion of local anaesthetic 18216-12 Caudal infusion of opioid 18216-15 Caudal infusion of other or combined therapeutic substance(s) 18216-18 Spinal infusion of local anaesthetic 18216-21 Spinal infusion of opioid 18216-24 Spinal infusion of other or combined therapeutic substance(s) 18216-27 Epidural injection of local anaesthetic 18216-28 Epidural injection of opioid 18216-29 Caudal injection of local anaesthetic 18216-30 Caudal injection of opioid 18216-31 Appendices Spinal injection of local anaesthetic 18216-32 Spinal injection of opioid 18230-00 Epidural injection of neurolytic agent 18230-01 Spinal injection of neurolytic agent 18233-00 Spinal blood patch 18242-00 Administration of anaesthetic agent around occipital nerve 18274-00 Administration of anaesthetic agent around paravertebral cervical nerve 18274-01 Administration of anaesthetic agent around paravertebral thoracic nerve 18274-02 Administration of anaesthetic agent around paravertebral lumbar nerve 18274-03 Administration of anaesthetic agent around paravertebral sacral nerve 18274-04 Administration of anaesthetic agent around paravertebral coccygeal nerve 18276-00 Administration of anaesthetic agent around paravertebral nerves, multiple levels 18280-00 Administration of anaesthetic agent around sphenopalatine ganglion 18284-00 Administration of anaesthetic agent around cervical portion of sympathetic nervous system 18286-00 Administration of anaesthetic agent around thoracic portion of sympathetic nervous system 18286-01 Administration of anaesthetic agent around lumbar portion of sympathetic nervous system 18286-02 Administration of anaesthetic agent around other sympathetic nerve 18290-00 Administration of neurolytic agent into cranial nerve 18294-00 Administration of neurolytic agent into coeliac plexus 18294-01 Administration of neurolytic agent into splanchnic nerve Patient Minimum Data Set | Appendices 18296-00 Administration of neurolytic agent into lumbar portion of sympathetic nervous system 18298-00 Administration of neurolytic agent into cervical portion of sympathetic nervous system 18298-01 Administration of neurolytic agent into thoracic portion of sympathetic nervous system 22007-00 Endotracheal intubation, single lumen 22007-01 Management of endotracheal intubation, single lumen 22008-00 Endotracheal intubation, double lumen 22008-01 Management of endotracheal intubation, double lumen 30017-01 Excisional debridement of burn, < 10% of body surface area excised or debrided 30020-00 Excisional debridement of burn, >= 10% of body surface area excised or debrided 30023-00 Excisional debridement of soft tissue 30023-01 Excisional debridement of soft tissue involving bone or cartilage 30052-01 Repair of wound of eyelid 30052-04 Closure of fistula of mouth 30058-01 Control of postoperative haemorrhage, not elsewhere classified 30068-00 Removal of foreign body in soft tissue, not elsewhere classified 30075-00 Biopsy of lymph node 30075-01 Biopsy of soft tissue 30075-02 Biopsy of parathyroid glands 30075-03 Biopsy of thyroid gland 30075-04 Biopsy of adrenal gland 30075-05 Biopsy of pituitary gland, transfrontal approach 30075-06 Biopsy of pituitary gland, transsphenoidal approach 30075-07 Biopsy of thymus 30075-08 Biopsy of pineal gland 30075-09 Biopsy of spleen 30075-10 Biopsy of bladder 30075-11 Excision of internal mammary lymph node 30075-12 Biopsy of stomach 30075-13 Biopsy of small intestine 30075-14 Biopsy of large intestine 30075-15 Biopsy of gallbladder or bile duct 30075-16 Biopsy of pancreas 30075-17 Biopsy of abdominal wall or umbilicus 30075-19 Biopsy of tongue 30075-20 Biopsy of blood vessel 30075-21 Biopsy of seminal vesicle 30075-22 Biopsy of salivary gland or duct 30075-24 Biopsy of soft palate 30075-25 Biopsy of tonsils and adenoids 30075-27 Biopsy of penis 30075-29 Biopsy of middle ear 30075-30 Biopsy of inner ear 30075-32 Biopsy of perirenal or perivesical tissue 30075-33 Open biopsy of ureter 30075-35 Biopsy of lacrimal gland 77 78 | Patient Minimum Data Set 30075-36 Biopsy of extraocular muscle or tendon 30075-37 Biopsy of peritoneum 30081-00 Biopsy of bone marrow 30084-00 Percutaneous biopsy of bone marrow 30087-00 Aspiration biopsy of bone marrow 30093-00 Needle biopsy of vertebra 30094-00 Percutaneous [needle] biopsy of soft tissue 30094-01 Percutaneous [needle] biopsy of parathyroid glands 30094-02 Percutaneous [needle] biopsy of adrenal gland 30094-03 Percutaneous [needle] biopsy of spleen 30094-04 Percutaneous needle biopsy of gall bladder or bile duct 30094-05 Percutaneous needle biopsy of pancreas 30094-06 Percutaneous needle biopsy of intra-abdominal mass 30094-07 Percutaneous [needle] biopsy of testis 30094-08 Percutaneous [needle] biopsy of seminal vesicle 30094-09 Percutaneous needle biopsy of salivary gland or duct 30094-10 Percutaneous [needle] biopsy of thyroid gland 30094-11 Percutaneous [needle] biopsy of pineal gland 30094-12 Percutaneous [needle] biopsy of thymus gland 30096-00 Biopsy of scalene node 30099-00 Excision of sinus of skin and subcutaneous tissue 30103-00 Excision of sinus involving soft tissue, not elsewhere classified 30104-00 Excision of pre-auricular sinus 30107-00 Excision of ganglion, not elsewhere classified 30107-01 Excision of small bursa 30111-00 Excision of large bursa 30114-00 Excision of Baker's cyst 30165-00 Lipectomy of abdominal apron 30168-00 Lipectomy, 1 excision 30171-00 Lipectomy, 2 or more excisions 30174-00 Lipectomy of abdominal apron, subumbilical 30177-00 Lipectomy of abdominal apron, radical 30178-00 Closure of secondary defect of abdomen with umbilicus reconstruction 30180-00 Partial excision of axillary sweat glands 30183-00 Total excision of axillary sweat glands 30189-00 Removal of molluscum contagiosum 30189-01 Removal of other wart 30190-00 Laser to lesion of face or neck 30223-00 Incision and drainage of haematoma of skin and subcutaneous tissue 30223-01 Incision and drainage of abscess of skin and subcutaneous tissue 30223-02 Other incision and drainage of skin and subcutaneous tissue 30223-03 Incision and drainage of abscess of soft tissue 30224-00 Percutaneous drainage of abscess of soft tissue 30224-01 Percutaneous drainage of intra-abdominal abscess, haematoma or cyst Appendices Patient Minimum Data Set | Appendices 30224-02 Percutaneous drainage of retroperitoneal abscess 30225-00 Reinsertion of soft tissue abscess drainage tube 30226-00 Fasciotomy, not elsewhere classified 30229-00 Excision of muscle, not elsewhere classified 30235-00 Repair of ruptured muscle, not elsewhere classified 30238-00 Repair of fascia, not elsewhere classified 30241-00 Excision of lesion of bone, not elsewhere classified 30244-00 Removal of styloid process of temporal bone 30247-00 Total excision of parotid gland 30250-00 Total excision of parotid gland with preservation of facial nerve 30253-00 Partial excision of parotid gland 30255-00 Removal of submandibular ducts 30256-00 Excision of submandibular gland 30259-00 Excision of sublingual gland 30262-00 Dilation of salivary gland or duct 30262-01 Diathermy of salivary gland or duct 30266-01 Marsupialisation of cyst of salivary gland or duct 30269-00 Repair of fistula of salivary gland or duct 30272-00 Partial excision of tongue 30275-00 Radical excision of intraoral lesion 30281-00 Labial fraenotomy 30281-01 Labial fraenectomy 30283-00 Excision of cyst of mouth 30286-00 Excision of branchial cyst 30289-00 Excision of branchial fistula 30293-00 Oesophagostomy 30293-01 Closure of oesophagostomy 30293-02 Oesophagotomy 30294-00 Cervical oesophagectomy 30294-01 Laryngopharyngectomy and plastic reconstruction 30296-01 Total thyroidectomy 30297-02 Thyroidectomy following previous thyroid surgery 30300-00 Sentinel lymph node biopsy 30306-01 Total thyroid lobectomy, unilateral 30308-00 Subtotal thyroidectomy, bilateral 30310-00 Subtotal thyroidectomy, unilateral 30313-00 Excision of thyroglossal cyst 30314-00 Radical excision of thyroglossal cyst or fistula 30315-00 Subtotal parathyroidectomy 30315-01 Total parathyroidectomy 30317-00 Re-exploration of lymph node of neck 30320-00 Exploration of mediastinum via mediastinotomy 30321-00 Excision of retroperitoneal neuro-endocrine lesion 30323-00 Excision of retroperitoneal neuro-endocrine lesion with retroperitoneal dissection 30329-00 Excision of lymph node of groin 79 80 | Patient Minimum Data Set 30329-01 Regional excision of lymph nodes of groin 30330-00 Radical excision of lymph nodes of groin 30332-00 Excision of lymph node of axilla 30335-00 Regional excision of lymph nodes of axilla 30336-00 Radical excision of lymph nodes of axilla 30373-00 Exploratory laparotomy 30375-00 Caecostomy 30375-01 Other enterostomy 30375-02 Colotomy 30375-03 Enterotomy of small intestine 30375-04 Other colostomy 30375-05 Cholecystostomy 30375-06 Gastrotomy 30375-07 Gastrostomy 30375-08 Reduction of intussusception of small intestine 30375-09 Excision of Meckel's diverticulum 30375-10 Suture of perforated ulcer 30375-11 Reduction of intussusception of large intestine 30375-12 Reduction of gastric volvulus 30375-13 Pyloroplasty 30375-14 Incision and drainage of pancreas 30375-15 Gastrotomy with removal of foreign body 30375-17 Reduction of volvulus of large intestine 30375-18 Reduction of volvulus of small intestine 30375-19 Other repair of small intestine 30375-20 Splenotomy 30375-21 Other procedures on spleen 30375-22 Transabdominal gastroscopy 30375-23 Endoscopic examination of large intestine via laparotomy 30375-24 Suture of small intestine 30375-25 Suture of laceration of large intestine 30375-26 Cholecystotomy 30375-27 Marsupialisation of pancreatic cyst 30375-28 Temporary colostomy 30375-29 Temporary ileostomy 30375-30 Appendicostomy 30378-00 Division of abdominal adhesions 30382-00 Radical repair of enterocutaneous fistula of small intestine 30382-01 Percutaneous repair of enterocutaneous fistula of small intestine 30382-02 Radical repair of enterocutaneous fistula of large intestine 30382-03 Percutaneous repair of enterocutaneous fistula of large intestine 30384-00 Staging laparotomy for lymphoma 30385-00 Postoperative reopening of laparotomy site 30390-00 Laparoscopy 30392-00 Debulking of intra-abdominal lesion Appendices Patient Minimum Data Set | Appendices 30393-00 Laparoscopic division of abdominal adhesions 30394-00 Drainage of intra-abdominal abscess, haematoma or cyst 30394-01 Laparoscopic drainage of intra-abdominal abscess, haematoma or cyst 30396-00 Debridement and lavage of peritoneal cavity 30397-00 Laparostomy via previous surgical wound 30399-00 Closure of laparostomy 30402-00 Drainage of retroperitoneal abscess 30403-00 Repair of incisional hernia 30403-01 Repair of other abdominal wall hernia 30403-03 Reclosure of postoperative disruption of abdominal wall 30403-04 Delayed closure of granulating abdominal wound 30403-05 Repair of abdominal wall following procurement of myocutaneous flap 30405-00 Repair of incisional hernia with muscle transposition 30405-01 Repair of incisional hernia with prosthesis 30405-02 Repair of incisional hernia with resection of strangulated intestine 30405-03 Repair of other abdominal wall hernia with muscle transposition 30405-04 Repair of other abdominal wall hernia with prosthesis 30405-05 Repair of other abdominal wall hernia with resection of strangulated intestine 30406-00 Abdominal paracentesis 30408-00 Insertion of peritoneovenous shunt 30409-00 Percutaneous [closed] liver biopsy 30411-00 Intraoperative biopsy of liver 30412-00 Intraoperative needle biopsy of liver 30414-00 Excision of lesion of liver 30415-00 Segmental resection of liver 30416-00 Laparoscopic marsupialisation of liver cyst 30417-00 Laparoscopic marsupialisation of multiple liver cysts 30418-00 Lobectomy of liver 30419-00 Cryotherapy of liver 30421-00 Trisegmental resection of liver 30422-00 Repair of traumatic superficial laceration of liver 30425-00 Repair of traumatic deep, multiple lacerations of liver 30431-00 Abdominal drainage of liver abscess 30433-00 Abdominal drainage of multiple liver abscesses 30434-00 Evacuation of hydatid cyst of liver 30434-01 Evacuation of hydatid cyst of peritoneum 30434-02 Evacuation of hydatid cyst of abdominal organ 30436-00 Evacuation of hydatid cyst of liver with omentoplasty or myeloplasty 30436-01 Evacuation of hydatid cyst of peritoneum with omentoplasty or myeloplasty 30436-02 Evacuation of hydatid cyst of abdominal organ with omentoplasty or myeloplasty 30438-00 Excision of hydatid cyst of liver with drainage and excision of liver tissue 30440-00 Percutaneous transhepatic cholangiography 30440-01 Percutaneous biliary drainage 30442-00 Choledochoscopy 30443-00 Cholecystectomy 81 82 | Patient Minimum Data Set 30445-00 Laparoscopic cholecystectomy 30446-00 Laparoscopic cholecystectomy proceeding to open cholecystectomy 30448-00 Laparoscopic cholecystectomy with exploration of common bile duct via cystic duct 30449-00 Laparoscopic cholecystectomy with exploration of common bile duct via laparoscopic choledochotomy 30450-00 Extraction of calculus of biliary tract by imaging techniques 30450-01 Extraction of calculus of renal tract by imaging techniques 30451-00 Other replacement of biliary stent 30451-01 Other removal of biliary stent 30451-02 Endoscopic replacement of biliary stent 30451-03 Endoscopic removal of biliary stent 30452-00 Choledochoscopy with dilation 30452-01 Choledochoscopy with stenting 30452-02 Choledochoscopy with removal of calculus 30454-00 Choledochotomy 30454-01 Cholecystectomy with choledochotomy 30455-00 Cholecystectomy with choledochotomy and biliary intestinal anastomosis 30457-00 Intrahepatic choledochotomy with removal of intrahepatic bile duct calculus 30458-00 Biopsy of sphincter of Oddi 30458-01 Incision of sphincter of Oddi 30458-02 Local excision of lesion of bile ducts or sphincter of Oddi 30458-03 Removal of bile duct calculus from sphincter of Oddi 30458-04 Repair of sphincter of Oddi 30458-06 Repair of pancreatic duct sphincter 30460-00 Cholecystoduodenostomy 30460-01 Cholecystoenterostomy 30460-02 Cholecystopancreatostomy 30460-03 Choledochoduodenostomy 30460-04 Choledochojejunostomy 30460-05 Choledochoenterostomy 30460-06 Choledochopancreatostomy 30460-07 Hepaticoenterostomy 30460-08 Roux-en-Y intestino-biliary bypass 30461-00 Radical resection of porta hepatis 30463-00 Radical resection of hepatic ducts 30464-00 Radical resection of hepatic ducts with resection of segment of liver 30466-00 Bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system 30467-00 Bypass of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system 30469-00 Repair of biliary stricture 30472-00 Repair of hepatic duct 30472-01 Repair of common bile duct 30473-00 Panendoscopy to duodenum 30473-01 Panendoscopy to duodenum with biopsy 30473-02 Panendoscopy through artificial stoma 30473-03 Oesophagoscopy 30473-04 Oesophagoscopy with biopsy Appendices Patient Minimum Data Set | Appendices 30473-05 Panendoscopy to ileum 30473-06 Panendoscopy to ileum with biopsy 30473-07 Panendoscopy to duodenum with administration of tattooing agent 30473-08 Panendoscopy to ileum with administration of tattooing agent 30475-00 Endoscopic dilation of gastric stricture 30475-01 Endoscopic dilation of gastroduodenal stricture 30476-00 Endoscopic administration of agent into nonbleeding lesion of oesophagus 30476-01 Endoscopic administration of agent into nonbleeding lesion of oesophagogastric junction 30476-02 Endoscopic banding of oesophageal varices 30476-03 Endoscopic banding of gastric varices 30478-00 Panendoscopy to duodenum with removal of foreign body 30478-01 Panendoscopy to duodenum with diathermy 30478-02 Panendoscopy to duodenum with heater probe coagulation 30478-03 Panendoscopy to duodenum with laser coagulation 30478-04 Panendoscopy to duodenum with excision of lesion 30478-05 Percutaneous endoscopic jejunostomy [PEJ] 30478-06 Endoscopic administration of agent into bleeding lesion of oesophagus 30478-07 Endoscopic administration of agent into lesion of stomach or duodenum 30478-08 Removal of gastrostomy tube 30478-09 Endoscopic administration of agent into bleeding lesion of oesophagogastric junction 30478-10 Oesophagoscopy with removal of foreign body 30478-11 Oesophagoscopy with diathermy 30478-12 Oesophagoscopy with heater probe coagulation 30478-13 Oesophagoscopy with excision of lesion 30478-14 Panendoscopy to ileum with removal of foreign body 30478-15 Panendoscopy to ileum with diathermy 30478-16 Panendoscopy to ileum with heater probe coagulation 30478-17 Panendoscopy to ileum with laser coagulation 30478-18 Panendoscopy to ileum with excision of lesion 30478-19 Oesophagoscopy with other coagulation 30478-20 Panendoscopy to duodenum with other coagulation 30478-21 Panendoscopy to ileum with other coagulation 30479-00 Endoscopic laser therapy to oesophagus 30479-01 Endoscopic laser therapy to rectum 30479-02 Endoscopic laser therapy to large intestine 30481-00 Initial insertion of percutaneous endoscopic gastrostomy [PEG] tube 30482-00 Repeat insertion of percutaneous endoscopic gastrostomy [PEG] tube 30484-00 Endoscopic retrograde cholangiopancreatography [ERCP] 30484-01 Endoscopic retrograde cholangiography [ERC] 30484-02 Endoscopic retrograde pancreatography [ERP] 30485-00 Endoscopic sphincterotomy 30485-01 Endoscopic sphincterotomy with extraction of calculus from common bile duct 30490-00 Endoscopic insertion of oesophageal prosthesis 30490-01 Endoscopic replacement of oesophageal prosthesis 30490-02 Endoscopic removal of oesophageal prosthesis 83 84 | Patient Minimum Data Set 30491-00 Endoscopic stenting of other parts of biliary tract 30491-02 Endoscopic stenting of pancreatic duct 30491-03 Endoscopic replacement of pancreatic stent 30491-04 Endoscopic removal of pancreatic stent 30492-00 Percutaneous stenting of biliary tract 30492-01 Percutaneous replacement of biliary stent 30492-02 Percutaneous removal of biliary stent 30493-00 Biliary manometry 30494-00 Endoscopic dilation of other parts of biliary tract 30495-00 Percutaneous dilation of biliary tract 30496-00 Selective vagotomy 30496-01 Selective vagotomy with pyloroplasty 30496-02 Selective vagotomy with gastro-enterostomy 30497-00 Selective vagotomy with partial gastrectomy and gastroduodenal anastomosis 30497-01 Selective vagotomy with partial gastrectomy and gastrojejunal anastomosis 30497-02 Selective vagotomy with partial gastrectomy and Roux-en-Y reconstruction 30499-00 Highly selective vagotomy 30500-00 Highly selective vagotomy with duodenoplasty 30502-00 Highly selective vagotomy with dilation of pylorus Appendices 30503-00 Partial gastrectomy with gastroduodenal anastomosis following previous procedure for peptic ulcer disease 30503-01 Partial gastrectomy with gastrojejunal anastomosis following previous procedure for peptic ulcer disease 30503-02 Partial gastrectomy with Roux-en-Y reconstruction following previous procedure for peptic ulcer disease 30503-03 Selective vagotomy with partial gastrectomy and gastroduodenal anastomosis following previous procedure for peptic ulcer disease 30503-04 Selective vagotomy with partial gastrectomy and gastrojejunal anastomosis following previous procedure for peptic ulcer disease 30503-05 Selective vagotomy with partial gastrectomy and Roux-en-Y reconstruction following previous procedure for peptic ulcer disease 30505-00 Control of bleeding peptic ulcer 30509-00 Control of bleeding peptic ulcer by gastric resection 30511-00 Gastric reduction 30511-01 Laparoscopic gastric reduction 30512-00 Gastric bypass 30512-01 Laparoscopic biliopancreatic diversion 30512-02 Biliopancreatic diversion 30514-00 Surgical reversal of procedure for morbid obesity 30515-00 Gastro-enterostomy 30515-01 Enterocolostomy 30515-02 Enteroenterostomy 30517-00 Reconstruction of pyloroplasty 30517-01 Reconstruction of gastroenterostomy 30518-00 Partial distal gastrectomy with gastroduodenal anastomosis 30518-01 Partial distal gastrectomy with gastrojejunal anastomosis Patient Minimum Data Set | Appendices 30518-02 Partial proximal gastrectomy with oesophagogastric anastomosis 30520-00 Local excision of lesion of stomach 30521-00 Total gastrectomy 30523-00 Subtotal gastrectomy 30524-00 Radical gastrectomy 30527-00 Fundoplasty, laparoscopic approach 30527-01 Fundoplasty, laparoscopic approach, with closure of diaphragmatic hiatus 30527-02 Fundoplasty, abdominal approach 30527-03 Fundoplasty, abdominal approach, with closure of diaphragmatic hiatus 30527-04 Fundoplasty, transthoracic approach 30527-05 Fundoplasty, transthoracic approach, with closure of diaphragmatic hiatus 30529-00 Fundoplasty, abdominal approach, with oesophagoplasty 30529-01 Fundoplasty, transthoracic approach, with oesophagoplasty 30530-00 Fundoplasty with cardiopexy 30532-00 Oesophagogastric myotomy, laparoscopic approach 30532-01 Oesophagogastric myotomy, abdominal approach, with closure of diaphragmatic hiatus 30532-02 Oesophagogastric myotomy, abdominal approach 30532-03 Oesophagogastric myotomy, thoracic approach, with closure of diaphragmatic hiatus 30532-04 Oesophagogastric myotomy, thoracic approach 30532-05 Oesophagogastric myotomy, laparoscopic approach, with closure of diaphragmatic hiatus 30533-00 30533-01 30533-02 30533-03 30533-04 85 Oesophagogastric myotomy, abdominal approach, with fundoplasty Oesophagogastric myotomy, abdominal approach, with fundoplasty and closure of diaphragmatic hiatus Oesophagogastric myotomy, thoracic approach, with fundoplasty Oesophagogastric myotomy, thoracic approach, with fundoplasty and closure of diaphragmatic hiatus Oesophagogastric myotomy, laparoscopic approach, with fundoplasty 30533-05 Oesophagogastric myotomy, laparoscopic approach, with fundoplasty and closure of diaphragmatic hiatus 30535-00 Oesophagectomy by abdominal and transthoracic mobilisation, with thoracic oesophagogastric anastomosis 30536-00 Oesophagectomy by abdominal and transthoracic mobilisation, with cervical oesophagogastric anastomosis 30536-01 Oesophagectomy by abdominal and transthoracic mobilisation, with cervical oesophagostomy 30541-00 Trans-hiatal oesophagectomy by abdominal and cervical mobilisation, with oesophagogastric anastomosis 30541-01 Trans-hiatal oesophagectomy by abdominal and cervical mobilisation, with oesophagojejunal anastomosis 30545-00 Oesophagectomy by abdominal and thoracic mobilisation with thoracic anastomosis, large intestine interposition and anastomosis 30545-01 Oesophagectomy by abdominal and thoracic mobilisation with thoracic anastomosis using Rouxen-Y reconstruction 30550-00 Oesophagectomy by abdominal and thoracic mobilisation with cervical anastomosis, large intestine interposition and anastomosis 30550-01 Oesophagectomy by abdominal and thoracic mobilisation with cervical anastomosis using Rouxen-Y reconstruction 30554-00 Oesophagectomy with reconstruction by free jejunal flap 30554-01 Oesophagectomy with reconstruction by other free flap 86 | Patient Minimum Data Set 30559-00 Local excision of lesion of oesophagus 30560-00 Repair of oesophageal perforation 30562-00 Closure of loop ileostomy 30562-01 Closure of ileostomy with restoration of bowel continuity, without resection 30562-02 Closure of loop colostomy 30562-03 Closure of colostomy with restoration of bowel continuity 30562-04 Closure of other stoma of small intestine 30562-05 Closure of other stoma of large intestine 30563-00 Revision of stoma of small intestine 30563-01 Revision of stoma of large intestine 30563-02 Repair of parastomal hernia 30563-03 Repair of parastomal hernia with resiting of stoma 30564-00 Strictureplasty of small intestine 30565-00 Resection of small intestine with formation of stoma 30566-00 Resection of small intestine with anastomosis 30568-00 Endoscopic examination of small intestine via intraoperative enterotomy 30569-00 Endoscopic examination of small intestine via laparotomy 30571-00 Appendicectomy 30572-00 Laparoscopic appendicectomy 30575-00 Incision and drainage of pancreatic abscess 30577-00 Major pancreatic or retropancreatic dissection 30578-00 Excision of lesion of pancreas or pancreatic duct 30580-00 Excision of lesion of duodenum 30581-00 Exploration of pancreas 30581-01 Exploration of duodenum 30583-00 Distal pancreatectomy 30584-00 Pancreaticoduodenectomy with formation of stoma 30586-00 Anastomosis of pancreas to duodenum 30586-01 Anastomosis of pancreas to stomach 30587-00 Anastomosis of pancreas to Roux-en-Y loop of jejunum 30589-00 Pancreaticojejunostomy 30593-00 Pancreatectomy 30593-01 Pancreatectomy with splenectomy 30596-00 Partial splenectomy 30596-01 Splenorrhaphy 30597-00 Splenectomy 30600-00 Repair of traumatic diaphragmatic hernia 30601-00 Repair of diaphragmatic hernia, abdominal approach 30601-01 Repair of diaphragmatic hernia, thoracic approach 30602-00 Insertion of portocaval shunt 30603-00 Insertion of mesocaval shunt 30605-00 Insertion of splenorenal shunt 30606-00 Oesophageal transection via stapler 30606-01 Oversewing of gastric varices 30609-00 Laparoscopic repair of femoral hernia, unilateral Appendices Patient Minimum Data Set | Appendices 30609-01 Laparoscopic repair of femoral hernia, bilateral 30609-02 Laparoscopic repair of inguinal hernia, unilateral 30609-03 Laparoscopic repair of inguinal hernia, bilateral 30614-00 Repair of femoral hernia, unilateral 30614-01 Repair of femoral hernia, bilateral 30614-02 Repair of inguinal hernia, unilateral 30614-03 Repair of inguinal hernia, bilateral 30615-00 Repair of incarcerated, obstructed or strangulated hernia 30617-00 Repair of umbilical hernia 30617-01 Repair of epigastric hernia 30617-02 Repair of linea alba hernia 30631-00 Excision of hydrocele 30635-00 Repair of varicocele 30641-00 Orchidectomy, unilateral 30641-01 Orchidectomy, bilateral 30641-02 Orchidectomy with insertion of testicular prosthesis, unilateral 30641-03 Orchidectomy with insertion of testicular prosthesis, bilateral 30644-00 Epididymotomy 30644-01 Exploration of spermatic cord 30644-02 Ligation of vas deferens 30644-03 Ligation of spermatic cord 30644-04 Testicular biopsy, unilateral 30644-05 Testicular biopsy, bilateral 30644-06 Biopsy of spermatic cord, epididymis, or vas deferens 30644-07 Excision of lesion of testicle 30644-08 Excision of lesion of spermatic cord or epididymis 30644-09 Excision of spermatic cord 30644-10 Other repair of vas deferens and epididymis 30644-11 Other repair of spermatic cord and epididymis 30644-12 Other procedures on spermatic cord, epididymis or vas deferens 30666-00 Reduction of paraphimosis 30672-00 Excision of coccyx 30676-00 Incision of pilonidal sinus or cyst 30676-01 Excision of pilonidal sinus or cyst 30679-00 Administration of agent into pilonidal sinus or cyst 31000-00 Microscopically controlled serial excision of lesion(s) of skin 31205-00 Excision of lesion(s) of skin and subcutaneous tissue of other site 31205-01 Excision of ulcer of skin and subcutaneous tissue 31230-00 Excision of lesion(s) of skin and subcutaneous tissue of eyelid 31230-01 Excision of lesion(s) of skin and subcutaneous tissue of nose 31230-02 Excision of lesion(s) of skin and subcutaneous tissue of ear 31230-03 Excision of lesion(s) of skin and subcutaneous tissue of lip 31230-04 Excision of lesion(s) of skin and subcutaneous tissue of finger 87 88 | Patient Minimum Data Set 31230-05 Excision of lesion(s) of skin and subcutaneous tissue of genitals 31235-00 Excision of lesion(s) of skin and subcutaneous tissue of other site of head 31235-01 Excision of lesion(s) of skin and subcutaneous tissue of neck 31235-02 Excision of lesion(s) of skin and subcutaneous tissue of hand 31235-03 Excision of lesion(s) of skin and subcutaneous tissue of leg 31235-04 Excision of lesion(s) of skin and subcutaneous tissue of foot 31245-00 Extensive excision of axillary sweat glands 31245-01 Extensive excision of sweat glands from natal cleft 31245-02 Extensive excision of inguinal sweat glands 31245-03 Extensive excision of skin and subcutaneous tissue for sycosis, from face or neck 31340-00 Excision of muscle, bone or cartilage involved with lesion of skin 31350-00 Excision of lesion of soft tissue, not elsewhere classified 31400-00 Excision of lesion of upper aerodigestive tract 31409-00 Excision of parapharyngeal lesion by cervical approach 31412-00 Excision of recurrent or persistent parapharyngeal lesion by cervical approach 31423-00 Excision of lymph node of neck 31423-01 Regional excision of lymph nodes of neck 31435-00 Radical excision of lymph nodes of neck 31462-00 Insertion of feeding jejunostomy tube 31466-00 Revision fundoplasty 31470-00 Laparoscopic splenectomy 31500-00 Excision of lesion of breast 31500-01 Open biopsy of breast 31515-00 Re-excision of lesion of breast 31518-00 Simple mastectomy, unilateral 31518-01 Simple mastectomy, bilateral 31524-00 Subcutaneous mastectomy, unilateral 31524-01 Subcutaneous mastectomy, bilateral 31551-00 Incision and drainage of breast 31554-00 Microdochotomy of breast 31557-00 Excision of duct (central) of breast 31560-00 Excision of accessory breast tissue 31563-00 Surgical eversion of inverted nipple 31566-00 Excision of accessory nipple 32000-00 Limited excision of large intestine with formation of stoma 32000-01 Right hemicolectomy with formation of stoma 32003-00 Limited excision of large intestine with anastomosis 32003-01 Right hemicolectomy with anastomosis 32004-00 Subtotal colectomy with formation of stoma 32004-01 Extended right hemicolectomy with formation of stoma 32005-00 Subtotal colectomy with anastomosis 32005-01 Extended right hemicolectomy with anastomosis 32006-00 Left hemicolectomy with anastomosis 32006-01 Left hemicolectomy with formation of stoma 32009-00 Total colectomy with ileostomy Appendices Patient Minimum Data Set | Appendices 32012-00 Total colectomy with ileorectal anastomosis 32015-00 Total proctocolectomy with ileostomy 32024-00 High anterior resection of rectum 32025-00 Low anterior resection of rectum 32026-00 Ultra low anterior resection of rectum 32028-00 Ultra low anterior resection of rectum with hand sutured coloanal anastomosis 32029-00 Construction of colonic reservoir 32029-01 Revision of colonic reservoir 32030-00 Rectosigmoidectomy with formation of stoma 32033-00 Restoration of bowel continuity after Hartmann's procedure 32036-00 Excision of presacral lesion 32039-00 Abdominoperineal proctectomy 32047-00 Perineal proctectomy 32051-00 Total proctocolectomy with ileo-anal anastomosis 32051-01 Total proctocolectomy with ileo-anal anastomosis and formation of temporary ileostomy 32060-00 Restorative proctectomy 32069-00 Formation of ileostomy reservoir 32069-01 Revision of ileostomy reservoir 32075-00 Rigid sigmoidoscopy 32075-01 Rigid sigmoidoscopy with biopsy 32078-00 Rigid sigmoidoscopy with polypectomy involving removal <= 9 polyps 32081-00 Rigid sigmoidoscopy with polypectomy involving removal of >= 10 polyps 32084-00 Fibreoptic colonoscopy to hepatic flexure 32084-01 Fibreoptic colonoscopy to hepatic flexure, with biopsy 32084-02 Fibreoptic colonoscopy to hepatic flexure with administration of tattooing agent 32087-00 Fibreoptic colonoscopy to hepatic flexure, with polypectomy 32090-00 Fibreoptic colonoscopy to caecum 32090-01 Fibreoptic colonoscopy to caecum, with biopsy 32090-02 Fibreoptic colonoscopy to caecum with administration of tattooing agent 32093-00 Fibreoptic colonoscopy to caecum, with polypectomy 32094-00 Endoscopic dilation of colorectal stricture 32095-00 Endoscopic examination of small intestine via artificial stoma 32096-00 Full thickness biopsy of rectum 32099-00 Per anal submucosal excision of lesion or tissue of rectum 32103-00 Per anal excision of lesion or tissue of rectum via stereoscopic rectoscopy 32105-00 Per anal full thickness excision of anorectal lesion or tissue 32108-00 Transsphincteric excision of lesion or tissue of rectum 32111-00 Reduction of rectal mucosa for rectal prolapse 32112-00 Perineal rectosigmoidectomy 32117-00 Abdominal rectopexy 32120-00 Insertion of anal suture for anorectal prolapse 32123-00 Anoplasty 32126-00 Sphincteroplasty 32131-00 Perineal repair of rectocele 32138-00 Haemorrhoidectomy 32138-01 Laser haemorrhoidectomy 89 90 | Patient Minimum Data Set Appendices 32138-02 Stapled haemorrhoidectomy 32147-00 Incision of perianal thrombus 32153-00 Dilation of anus 32159-00 Excision of anal fistula involving lower half of anal sphincter mechanism 32159-01 Insertion of seton for anal fistula involving lower half of anal sphincter mechanism 32159-02 Insertion of seton and excision of anal fistula involving lower half of anal sphincter mechanism 32162-00 Excision of anal fistula involving upper half of anal sphincter mechanism 32162-01 Insertion of seton for anal fistula involving upper half of anal sphincter mechanism 32162-02 Insertion of seton and excision of anal fistula involving upper half of anal sphincter mechanism 32165-00 Repair of anal fistula with rectal mucosa advancement flap 32166-00 Insertion of anal seton 32166-01 Adjustment of anal seton 32166-02 Removal of anal seton 32174--00 Drainage of intra-anal abscess 32174-01 Drainage of perianal abscess 32174-02 Drainage of ischiorectal abscess 32177-00 Removal of anal wart 32183-00 Intestinal sling procedure prior to radiotherapy 32186-00 Intraoperative colonic lavage 32200-00 Devascularisation of distal muscle 32203-00 Anal or perineal graciloplasty 32203-01 Revision of anal or perineal graciloplasty 32206-00 Insertion of gracilis neosphincter pacemaker 32210-00 Replacement of gracilis neosphincter pacemaker 32210-01 Adjustment of gracilis neosphincter pacemaker 32210-02 Removal of gracilis neosphincter pacemaker 32213-00 Insertion of sacral nerve electrodes 32215-00 Adjustment of sacral nerve electrodes 32216-00 Replacement of sacral nerve electrodes 32218-00 Removal of sacral nerve electrodes 32504-01 Interruption of multiple tributaries of varicose veins 32507-00 Subfascial interruption of 1 or more perforating varicose veins 32508-00 Interruption of sapheno-femoral junction varicose veins 32508-01 Interruption of sapheno-popliteal junction varicose veins 32511-00 Interruption of sapheno-femoral and sapheno-popliteal junction varicose veins 32514-00 Reoperation for varicose veins 32700-00 Carotid bypass using vein 32700-01 Carotid-carotid bypass using vein 32700-02 Carotid-subclavian bypass using vein 32700-03 Carotid-vertebral bypass using vein 32700-04 Aorto-subclavian-carotid bypass using vein 32700-05 Carotid bypass using synthetic material 32700-06 Carotid-carotid bypass using synthetic material 32700-07 Carotid-vertebral bypass using synthetic material 32700-08 Carotid-subclavian bypass using synthetic material Patient Minimum Data Set | Appendices 32700-09 Aorto-carotid bypass using synthetic material 32700-10 Aorto-carotid-brachial bypass using synthetic material 32700-11 Aorto-subclavian-carotid bypass using synthetic material 32703-00 Resection of carotid artery with reanastomosis 32708-00 Aorto-femoral bypass using synthetic material 32708-01 Aorto-femoro-femoral bypass using synthetic material 32708-02 Aorto-iliac bypass using synthetic material 32708-03 Aorto-ilio-femoral bypass using synthetic material 32712-00 Iliofemoral bypass using vein 32712-01 Iliofemoral bypass using synthetic material 32715-00 Subclavian-femoral bypass using synthetic material 32715-01 Subclavian-femoro-femoral bypass using synthetic material 32715-02 Axillo-femoral bypass using synthetic material 32715-03 Axillo-femoro-femoral bypass using synthetic material 32718-00 Iliofemoral crossover bypass 32718-01 Femoro-femoral crossover bypass 32721-00 Renal bypass using vein, unilateral 32721-01 Renal bypass using synthetic material, unilateral 32724-00 Renal bypass using vein, bilateral 32724-01 Renal bypass using synthetic material, bilateral 32730-00 Mesenteric bypass using vein, single vessel 32730-01 Mesenteric bypass using synthetic material, single vessel 32733-00 Mesenteric bypass using vein, multiple vessels 32733-01 Mesenteric bypass using synthetic material, multiple vessels 32736-00 Other procedures on inferior mesenteric artery 32739-00 Femoro-popliteal bypass using vein, above knee anastomosis 32742-00 Femoro-popliteal bypass using vein, below knee anastomosis 32745-00 Femoral to proximal tibial or peroneal artery bypass using vein 32748-00 Femoral to distal tibial or peroneal artery bypass using vein 32751-00 Femoro-popliteal bypass using synthetic material, above knee anastomosis 32751-01 Femoro-popliteal bypass using synthetic material, below knee anastomosis 32751-02 Femoral to proximal tibial or peroneal artery bypass using synthetic material 32751-03 Femoral to distal tibial or peroneal artery bypass using synthetic material 32754-00 Femoro-popliteal bypass using composite graft, above knee anastomosis 32754-01 Femoro-popliteal bypass using composite graft, below knee anastomosis 32754-02 Femoral to tibial or peroneal artery bypass using composite graft 32757-00 Femoral artery sequential bypass using vein 32757-01 Femoral artery sequential bypass using synthetic material 32760-00 Procurement of vein from limb for bypass or replacement graft 32763-00 Other arterial bypass using vein 32763-01 Other arterial bypass graft using synthetic material 32763-02 Subclavian-vertebral bypass using vein 32763-03 Subclavian-axillary bypass using vein 32763-04 Spleno-renal bypass using vein 32763-05 Aorto-coeliac bypass using vein 32763-06 Aorto-femoro-popliteal bypass using vein 91 92 | Patient Minimum Data Set Appendices 32763-07 Ilio-iliac bypass using vein 32763-08 Popliteal-tibial bypass using vein 32763-09 Aorto-subclavian bypass using synthetic material 32763-10 Subclavian-subclavian bypass using synthetic material 32763-11 Subclavian-vertebral bypass using synthetic material 32763-12 Subclavian-axillary bypass using synthetic material 32763-13 Axillo-axillary bypass using synthetic material 32763-14 Axillo-brachial bypass using synthetic material 32763-15 Spleno-renal bypass using synthetic material 32763-16 Aorto-coeliac bypass using synthetic material 32763-17 Aorto-femoro-popliteal bypass using synthetic material 32763-18 Ilio-iliac bypass using synthetic material 32763-19 Popliteal-tibial bypass using synthetic material 32766-00 Repair of other artery by direct anastomosis 32766-01 Repair of other vein by direct anastomosis 33050-00 Replacement of popliteal aneurysm using vein 33055-00 Replacement of popliteal aneurysm using synthetic graft 33070-00 Repair of aneurysm in extremity 33075-00 Repair of aneurysm in neck 33080-00 Repair of intra-abdominal aneurysm 33100-00 Replacement of carotid artery aneurysm with graft 33103-00 Replacement of thoraco-aortic aneurysm with graft 33109-00 Replacement of thoraco-abdominal aneurysm with graft 33112-00 Replacement of suprarenal abdominal aorta aneurysm with graft 33115-00 Replacement of infrarenal abdominal aortic aneurysm with tube graft 33116-00 Endovascular repair of aneurysm 33118-00 Replacement of infrarenal abdominal aortic aneurysm with bifurcation graft to iliac arteries 33121-00 Replacement of infrarenal abdominal aortic aneurysm with bifurcation graft to femoral arteries 33124-00 Replacement of iliac artery aneurysm with graft, unilateral 33127-00 Replacement of iliac artery aneurysm with graft, bilateral 33130-00 Excision and repair of visceral artery aneurysm with direct anastomosis 33130-01 Replacement of visceral artery aneurysm with graft 33133-00 Interruption of visceral artery aneurysm without restoration of continuity 33136-00 Repair of false aneurysm at aortic anastomosis following previous aortic surgery 33139-00 Repair of false aneurysm in iliac artery 33142-00 Repair of false aneurysm in femoral artery 33145-00 Replacement of ruptured thoraco-aortic aneurysm with graft 33148-00 Replacement of ruptured thoraco-abdominal aneurysm with graft 33151-00 Replacement of ruptured suprarenal abdominal aortic aneurysm with graft 33154-00 Replacement of ruptured infrarenal abdominal aortic aneurysm with tube graft 33157-00 Replacement of ruptured infrarenal aortic aneurysm with bifurcation graft to iliac arteries 33160-00 Replacement of ruptured infrarenal abdominal aortic aneurysm with bifurcation graft to femoral arteries 33163-00 Replacement of ruptured iliac artery aneurysm with graft 33166-00 Excision and repair of ruptured visceral artery aneurysm with direct anastomosis 33166-01 Replacement of ruptured visceral artery aneurysm with graft Patient Minimum Data Set | Appendices 33169-00 Interruption of ruptured visceral artery aneurysm without restoration of continuity 33172-00 Replacement of other major artery aneurysm with graft 33175-00 Repair of ruptured aneurysm in extremity 33178-00 Repair of ruptured aneurysm in neck 33181-00 Repair of ruptured intra-abdominal aneurysm 33500-00 Carotid endarterectomy 33506-00 Innominate endarterectomy 33506-01 Subclavian endarterectomy 33509-00 Aorta endarterectomy 33512-00 Aorto-iliac endarterectomy 33515-00 Aorto-femoral endarterectomy 33515-01 Iliofemoral endarterectomy, bilateral 33518-00 Iliac endarterectomy 33521-00 Iliofemoral endarterectomy, unilateral 33524-00 Renal endarterectomy, unilateral 33527-00 Renal endarterectomy, bilateral 33530-00 Coeliac endarterectomy 33530-01 Superior mesenteric endarterectomy 33533-00 Coeliac and superior mesenteric endarterectomy 33536-00 Inferior mesenteric endarterectomy 33539-00 Endarterectomy of extremities 33542-00 Extended endarterectomy of deep femoral artery 33548-00 Patch graft of artery using autologous material 33548-01 Patch graft of artery using synthetic material 33548-02 Patch graft of vein using autologous material 33548-03 Patch graft of vein using synthetic material 33551-00 Procurement of vein from limb for patch graft 33554-00 Endarterectomy in conjunction with arterial bypass to prepare site for anastomosis 33800-00 Embolectomy or thrombectomy of carotid artery 33803-00 Embolectomy or thrombectomy of subclavian artery 33803-01 Embolectomy or thrombectomy of innominate artery 33803-02 Embolectomy or thrombectomy of bypass graft of artery of trunk 33806-00 Embolectomy or thrombectomy of axillary artery 33806-01 Embolectomy or thrombectomy of brachial artery 33806-02 Embolectomy or thrombectomy of radial artery 33806-03 Embolectomy or thrombectomy of ulnar artery 33806-04 Embolectomy or thrombectomy of coeliac artery 33806-05 Embolectomy or thrombectomy of mesenteric artery 33806-06 Embolectomy or thrombectomy of renal artery 33806-07 Embolectomy or thrombectomy of splenic artery 33806-08 Embolectomy or thrombectomy of iliac artery 33806-09 Embolectomy or thrombectomy of femoral artery 33806-10 Embolectomy or thrombectomy of popliteal artery 33806-11 Embolectomy or thrombectomy of tibial artery 33806-12 Embolectomy or thrombectomy of bypass graft of artery of extremities 33810-00 Closed thrombectomy of inferior vena cava 93 94 | Patient Minimum Data Set 33810-01 Closed thrombectomy of iliac vein 33811-00 Open thrombectomy of inferior vena cava 33811-01 Open thrombectomy of iliac vein 33812-00 Thrombectomy of femoral vein 33812-01 Thrombectomy of popliteal vein 33812-02 Thrombectomy of subclavian vein 33812-03 Thrombectomy of axillary vein 33812-04 Thrombectomy of other large vein 33815-00 Direct closure of axillary artery 33815-01 Direct closure of brachial artery 33815-02 Direct closure of radial artery 33815-03 Direct closure of ulnar artery 33815-04 Direct closure of femoral artery 33815-05 Direct closure of popliteal artery 33815-06 Direct closure of tibial artery 33815-07 Direct closure of peroneal artery 33815-08 Direct closure of axillary vein 33815-09 Direct closure of brachial vein 33815-10 Direct closure of other upper limb vein 33815-11 Direct closure of femoral vein 33815-12 Direct closure of popliteal vein 33815-13 Direct closure of other lower limb vein 33818-00 Repair of axillary artery by direct anastomosis 33818-01 Repair of brachial artery by direct anastomosis 33818-02 Repair of radial artery by direct anastomosis 33818-03 Repair of ulnar artery by direct anastomosis 33818-04 Repair of femoral artery by direct anastomosis 33818-05 Repair of popliteal artery by direct anastomosis 33818-06 Repair of tibial artery by direct anastomosis 33818-07 Repair of peroneal artery by direct anastomosis 33818-08 Repair of axillary vein by direct anastomosis 33818-09 Repair of brachial vein by direct anastomosis 33818-10 Repair of other upper limb vein by direct anastomosis 33818-11 Repair of femoral vein by direct anastomosis 33818-12 Repair of popliteal vein by direct anastomosis 33818-13 Repair of other lower limb vein by direct anastomosis 33821-00 Repair of axillary artery by interposition graft 33821-01 Repair of brachial artery by interposition graft 33821-02 Repair of radial artery by interposition graft 33821-03 Repair of ulnar artery by interposition graft 33821-04 Repair of femoral artery by interposition graft 33821-05 Repair of popliteal artery by interposition graft 33821-06 Repair of tibial artery by interposition graft 33821-07 Repair of peroneal artery by interposition graft 33821-08 Repair of axillary vein by interposition graft Appendices Patient Minimum Data Set | Appendices 33821-09 Repair of brachial vein by interposition graft 33821-10 Repair of other upper limb vein by interposition graft 33821-11 Repair of femoral vein by interposition graft 33821-12 Repair of popliteal vein by interposition graft 33821-13 Repair of other lower limb vein by interposition graft 33824-00 Direct closure of carotid artery 33824-01 Direct closure of jugular vein 33827-00 Repair of carotid artery by direct anastomosis 33827-01 Repair of jugular vein by direct anastomosis 33830-00 Repair of carotid artery by interposition graft 33830-01 Repair of jugular vein by interposition graft 33833-00 Direct closure of coeliac artery 33833-01 Direct closure of renal artery 33833-02 Direct closure of mesenteric artery 33833-03 Direct closure of iliac artery 33833-04 Direct closure of renal vein 33833-05 Direct closure of portal vein 33833-06 Direct closure of splenic vein 33833-07 Direct closure of mesenteric vein 33833-08 Direct closure of iliac vein 33833-09 Direct closure of other abdominal vein 33836-00 Repair of coeliac artery by direct anastomosis 33836-01 Repair of renal artery by direct anastomosis 33836-02 Repair of iliac artery by direct anastomosis 33836-03 Repair of mesenteric artery by direct anastomosis 33836-04 Repair of renal vein by direct anastomosis 33836-05 Repair of portal vein by direct anastomosis 33836-06 Repair of splenic vein by direct anastomosis 33836-07 Repair of mesenteric vein by direct anastomosis 33836-08 Repair of iliac vein by direct anastomosis 33836-09 Repair of other abdominal vein by direct anastomosis 33839-00 Repair of coeliac artery by interposition graft 33839-01 Repair of renal artery by interposition graft 33839-02 Repair of mesenteric artery by interposition graft 33839-03 Repair of iliac artery by interposition graft 33839-04 Repair of renal vein by interposition graft 33839-05 Repair of portal vein by interposition graft 33839-06 Repair of splenic vein by interposition graft 33839-07 Repair of mesenteric vein by interposition graft 33839-08 Repair of iliac vein by interposition graft 33839-09 Repair of other abdominal vein by interposition graft 33842-00 Control of postoperative bleeding or thrombosis after carotid or vertebral artery surgery 33845-00 Control of postoperative bleeding or thrombosis after intra-abdominal vascular procedure 33848-00 Control of postoperative bleeding or thrombosis of an extremity after vascular procedure 34100-00 Exploration of carotid artery 95 96 | Patient Minimum Data Set 34100-01 Exploration of jugular vein 34100-02 Interruption of carotid artery 34100-03 Interruption of jugular vein 34103-00 Exploration of subclavian artery 34103-01 Exploration of axillary artery 34103-02 Exploration of iliac artery 34103-03 Exploration of femoral artery 34103-04 Exploration of popliteal artery 34103-05 Exploration of subclavian vein 34103-06 Exploration of axillary vein 34103-07 Exploration of iliac vein 34103-08 Exploration of femoral vein 34103-09 Exploration of popliteal vein 34103-10 Interruption of subclavian artery 34103-11 Interruption of axillary artery 34103-12 Interruption of iliac artery 34103-13 Interruption of femoral artery 34103-14 Interruption of popliteal artery 34103-15 Interruption of subclavian vein 34103-16 Interruption of axillary vein 34103-17 Interruption of iliac vein 34103-18 Interruption of femoral vein 34103-19 Interruption of popliteal vein 34106-00 Exploration of brachial artery 34106-01 Exploration of radial artery 34106-02 Exploration of ulnar artery 34106-03 Exploration of tibial artery 34106-04 Exploration of other artery 34106-05 Exploration of brachial vein 34106-06 Exploration of radial vein 34106-07 Exploration of ulnar vein 34106-08 Exploration of tibial vein 34106-09 Exploration of other vein 34106-10 Interruption of brachial artery 34106-11 Interruption of radial artery 34106-12 Interruption of ulnar artery 34106-13 Interruption of tibial artery 34106-14 Interruption of other artery 34106-15 Interruption of brachial vein 34106-16 Interruption of radial vein 34106-17 Interruption of ulnar vein 34106-18 Interruption of tibial vein 34106-19 Interruption of other vein 34109-00 Biopsy of temporal artery 34112-00 Excision or ligation of simple arteriovenous fistula of limb Appendices Patient Minimum Data Set | Appendices 97 34112-01 Excision or ligation of complex arteriovenous fistula of limb 34115-00 Excision or ligation of simple arteriovenous fistula of neck 34115-01 Excision or ligation of complex arteriovenous fistula of neck 34118-00 Excision or ligation of simple arteriovenous fistula of abdomen 34118-01 Excision or ligation of a complex arteriovenous fistula of abdomen 34121-00 Repair of simple arteriovenous fistula of extremity with restoration of continuity 34121-01 Repair of complex arteriovenous fistula of extremity with restoration of continuity 34121-02 Interruption of feeding vessels of arteriovenous fistula of limb 34124-00 Repair of simple arteriovenous fistula of neck with restoration of continuity 34124-01 Repair of a complex arteriovenous fistula of neck with restoration of continuity 34124-02 Interruption of feeding vessels of arteriovenous fistula of neck 34127-00 Repair of simple arteriovenous fistula of abdomen with restoration of continuity 34127-01 Repair of complex arteriovenous fistula of abdomen with restoration of continuity 34127-02 Interruption of feeding vessels of arteriovenous fistula of abdomen 34130-00 Closure of surgically created arterio-venous fistula of limb 34133-00 Scalenotomy 34136-00 Partial ostectomy of first rib for decompression of thoracic outlet 34139-00 Total ostectomy of cervical rib for decompression of thoracic outlet 34142-00 Decompression of coeliac artery 34145-00 Decompression of popliteal artery 34148-00 Resection of lesion of carotid artery <= 4 cm in diameter 34151-00 Resection of lesion of carotid artery > 4 cm in diameter 34154-00 Resection of recurrent lesion of carotid artery 34157-00 Excision of bypass graft from neck 34160-00 Repair of aorto-enteric fistula with direct closure of aorta 34163-00 Repair of aorto-enteric fistula with insertion of aorta graft 34166-00 Repair of aorto-enteric fistula with oversewing of abdominal aorta and axillo-femoral bypass graft 34169-00 Excision of bypass graft from trunk 34172-00 Excision of axillo-femoral or femoro-femoral bypass graft 34175-00 Excision of bypass graft from limb 34500-00 Insertion of external arteriovenous shunt 34500-01 Replacement of external arteriovenous shunt 34506-00 Removal of external arteriovenous shunt 34509-00 Arteriovenous anastomosis of lower limb 34509-01 Arteriovenous anastomosis of upper limb 34512-00 Construction of arteriovenous fistula with graft of vein 34512-01 Construction of arteriovenous fistula with prosthesis 34515-00 Thrombectomy of arteriovenous fistula 34518-00 Repair of surgically created arteriovenous fistula 34518-01 Repair of prosthetic (graft) arteriovenous access device 34521-01 Intra-abdominal artery catheterisation/cannulation 34521-02 Intra-abdominal vein catheterisation/cannulation 34524-00 Catheterisation/cannulation of other artery 34528-02 Insertion of vascular access device 34530-06 Revision of vascular access device 98 | Patient Minimum Data Set 34533-00 Isolated limb perfusion 34800-00 Interruption of vena cava 34803-00 Vena cava bypass using vein 34803-01 Vena cava bypass using synthetic material 34806-00 Sapheno-iliac vein cross leg bypass 34806-01 Sapheno-femoral vein cross leg bypass 34809-00 Femoral vein bypass 34812-00 Other vein bypass using vein 34812-01 Other vein bypass using synthetic material 34818-00 Repair of venous valve 34821-00 Vein transplantation 34824-00 Application of external stent to superficial vein 34833-00 Application of external stent to deep vein 35000-00 Lumbar surgical sympathectomy 35003-00 Cervical surgical sympathectomy 35003-01 Thoracic surgical sympathectomy 35006-00 Cervical surgical sympathectomy, re-operation 35006-01 Thoracic surgical sympathectomy, re-operation 35009-00 Lumbar surgical sympathectomy, re-operation 35009-01 Sacral surgical sympathectomy, re-operation 35012-00 Sacral surgical sympathectomy 35202-00 Access for reoperation of arteries or veins of neck, abdomen or limb 35303-06 Percutaneous transluminal balloon angioplasty 35303-07 Open transluminal balloon angioplasty 35307-00 Percutaneous transluminal angioplasty of single carotid artery, single stent 35307-01 Percutaneous transluminal angioplasty of single carotid artery, multiple stents 35309-06 Percutaneous transluminal balloon angioplasty with stenting, single stent 35309-07 Percutaneous transluminal balloon angioplasty with stenting, multiple stents 35309-08 Open transluminal balloon angioplasty with stenting, single stent 35309-09 Open transluminal balloon angioplasty with stenting, multiple stents 35312-00 Percutaneous peripheral artery atherectomy 35312-01 Open peripheral artery atherectomy 35315-00 Percutaneous peripheral laser angioplasty 35315-01 Open peripheral laser angioplasty Appendices 35317-00 Percutaneous peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents, by continuous infusion 35319-00 Percutaneous peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents by pulse spray technique 35320-00 Open peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents 35321-02 Transcatheter embolisation of intracranial arteries, not elsewhere classified 35321-03 Transcatheter embolisation of blood vessels, face and neck 35321-04 Transcatheter embolisation of blood vessels, chest 35321-05 Transcatheter embolisation of blood vessels, abdomen 35321-06 Transcatheter embolisation of blood vessels, pelvis 35321-07 Transcatheter embolisation of blood vessels of limbs Patient Minimum Data Set | Appendices 35321-08 Transcatheter embolisation of intracranial veins, not elsewhere classified 35321-10 Transcatheter embolisation of other blood vessels 35324-00 Angioscopy 35330-00 Percutaneous insertion of inferior vena cava filter 35330-01 Open insertion of inferior vena cava filter 35331-00 Percutaneous removal of inferior vena cava filter 35331-01 Open removal of inferior vena cava filter 35360-00 Percutaneous removal of intravascular foreign body 35360-01 Open removal of intravascular foreign body 35400-00 Vertebroplasty, 1 vertebral body 35400-01 Vertebroplasty, >= 2 vertebral bodies 35412-00 Endovascular occlusion of cerebral aneurysm or arteriovenous malformation 35507-00 Destruction of vaginal wart 35507-01 Destruction of vulval wart 35509-00 Hymenectomy 35513-00 Treatment of Bartholin's gland cyst 35518-00 Aspiration of ovarian cyst 35520-00 Treatment of Bartholin's gland abscess 35523-00 Excision of urethral caruncle 35527-00 Cauterisation of urethral caruncle 35530-00 Subtotal amputation of clitoris 35530-01 Total amputation of clitoris 35533-00 Vulvoplasty 35536-00 Hemivulvectomy 35536-01 Vulvectomy, unilateral 35536-02 Vulvectomy, bilateral 35539-00 Laser destruction of lesion of vulva 35539-01 Laser destruction of lesion of vagina 35539-02 Laser destruction of lesion of cervix 35539-03 Biopsy of vagina 35539-04 Vaginoscopy 35548-00 Radical vulvectomy 35551-00 Radical excision of pelvic lymph nodes via laparoscopy for gynaecological malignancy 35551-01 Radical excision of pelvic lymph nodes for gynaecological malignancy 35557-00 Excision of lesion of vagina 35560-00 Partial vaginectomy 35560-01 Complete vaginectomy 35561-00 Radical vaginectomy 35565-00 Vaginal reconstruction 35566-00 Excision of vaginal septum 35568-00 Sacrospinous colpopexy 35569-00 Enlargement of vaginal orifice 35570-00 Repair of anterior vaginal compartment, vaginal approach 35571-00 Repair of posterior vaginal compartment, vaginal approach 35572-00 Colpotomy 99 100 | Patient Minimum Data Set 35572-01 Vaginotomy 35573-00 Repair of anterior and posterior vaginal compartment, vaginal approach 35577-00 Repair of pelvic floor prolapse 35595-00 Laparoscopic pelvic floor repair 35595-01 Abdominal pelvic floor repair 35596-00 Repair of rectovaginal fistula 35596-01 Repair of vesicovaginal fistula, vaginal approach 35596-02 Repair of ureterovaginal fistula 35596-03 Repair of other fistula of vagina 35597-00 Laparoscopic sacral colpopexy 35597-01 Sacral colpopexy 35599-00 Sling procedure for stress incontinence, female 35599-01 Revision of sling procedure for stress incontinence, female 35611-00 Cervical polypectomy 35612-00 Removal of stump of cervix, abdominal approach 35613-00 Removal of stump of cervix, vaginal approach 35615-00 Biopsy of vulva 35618-00 Cone biopsy of cervix 35618-01 Cone biopsy of cervix by laser 35618-02 Repair of cervix 35618-03 Other procedures on cervix 35618-04 Amputation of cervix 35622-00 Endoscopic endometrial ablation 35623-00 Myomectomy of uterus via hysteroscopy 35630-00 Diagnostic hysteroscopy 35633-00 Division of intrauterine adhesions 35633-01 Polypectomy of uterus via hysteroscopy 35633-02 Hysteroscopy with tubal catheterisation 35634-00 Division of uterine septum via hysteroscopy 35637-02 Laparoscopic diathermy of lesion of pelvic cavity 35637-04 Laparoscopic ventrosuspension 35637-06 Biopsy of ovary 35637-07 Laparoscopic rupture of ovarian cyst or abscess 35637-08 Laparoscopic ovarian drilling 35637-10 Laparoscopic excision of lesion of pelvic cavity 35638-00 Laparoscopic wedge resection of ovary 35638-01 Laparoscopic partial oophorectomy 35638-02 Laparoscopic oophorectomy, unilateral 35638-03 Laparoscopic oophorectomy, bilateral 35638-04 Laparoscopic ovarian cystectomy, unilateral 35638-05 Laparoscopic ovarian cystectomy, bilateral 35638-06 Laparoscopic salpingotomy 35638-07 Laparoscopic partial salpingectomy, unilateral 35638-08 Laparoscopic partial salpingectomy, bilateral 35638-09 Laparoscopic salpingectomy, unilateral 35638-10 Laparoscopic salpingectomy, bilateral Appendices Patient Minimum Data Set | Appendices 35638-11 Laparoscopic salpingo-oophorectomy, unilateral 35638-12 Laparoscopic salpingo-oophorectomy, bilateral 35638-14 Laparoscopic uterosacral nerve ablation [LUNA] 35640-00 Dilation & curettage of uterus [D&C] 35640-01 Curettage of uterus without dilation 35640-02 Dilation of cervix 35640-03 Suction curettage of uterus 35643-03 Dilation and evacuation of uterus [D&E] 35646-00 Radical diathermy of cervix 35647-00 Large loop excision of transformation zone [LLETZ] 35649-00 Hysterotomy 35649-01 Myomectomy of uterus via laparoscopy 35649-02 Division of uterine septum via hysterotomy 35649-03 Myomectomy of uterus 35653-00 Subtotal abdominal hysterectomy 35653-01 Total abdominal hysterectomy 35653-04 Total abdominal hysterectomy with removal of adnexa 35657-00 Vaginal hysterectomy 35658-00 Debulking of uterus preceding hysterectomy 35661-00 Abdominal hysterectomy with extensive retroperitoneal dissection 35664-00 Radical abdominal hysterectomy with radical excision of pelvic lymph nodes 35664-01 Radical vaginal hysterectomy with radical excision of pelvic lymph nodes 35667-00 Radical abdominal hysterectomy 35667-01 Radical vaginal hysterectomy 35670-00 Abdominal hysterectomy with radical excision of pelvic lymph nodes 35673-02 Vaginal hysterectomy with removal of adnexa 35674-00 Fetotoxic injection of ectopic pregnancy using ultrasound guidance 35674-01 Fetotoxic injection of ectopic pregnancy via laparoscopy 35677-00 Removal of peritoneal ectopic pregnancy 35677-01 Manual/hydrostatic expression of fallopian tube 35677-02 Fetotoxic injection of ectopic pregnancy 35677-03 Fetotoxic management for removal of ectopic pregnancy 35677-04 Salpingotomy with removal of tubal pregnancy 35677-05 Salpingectomy with removal of tubal pregnancy 35678-00 Laparoscopic salpingotomy with removal of tubal pregnancy 35678-01 Laparoscopic salpingectomy with removal of tubal pregnancy 35680-00 Laparoscopic reconstruction of uterus and supporting structures 35680-01 Reconstruction of uterus and supporting structures 35684-00 Other laparoscopic uterine suspension 35684-01 Uterine suspension 35688-00 Laparoscopic sterilisation 35688-01 Sterilisation via vaginal approach 35688-02 Sterilisation by open abdominal approach 35688-03 Laparoscopic electrodestruction of fallopian tubes 35688-04 Electrodestruction of fallopian tubes 101 102 | Patient Minimum Data Set 35694-00 Laparoscopic salpingoplasty 35694-01 Laparoscopic anastomosis of fallopian tube 35694-02 Laparoscopic salpingolysis 35694-03 Laparoscopic salpingostomy 35694-04 Salpingoplasty 35694-05 Anastomosis of fallopian tube 35694-06 Salpingolysis 35694-07 Salpingostomy 35697-00 Microsurgical salpingoplasty 35703-00 Test for tubal patency 35703-01 Therapeutic hydrotubation 35710-00 Falloposcopy 35713-01 Diathermy of lesion of pelvic cavity 35713-02 Rupture of ovarian cyst or abscess 35713-03 Ovarian drilling 35713-04 Ovarian cystectomy, unilateral 35713-05 Wedge resection of ovary 35713-06 Partial oophorectomy 35713-07 Oophorectomy, unilateral 35713-08 Partial salpingectomy, unilateral 35713-09 Salpingectomy, unilateral 35713-11 Salpingo-oophorectomy, unilateral 35713-12 Salpingotomy 35713-14 Excision of lesion of pelvic cavity 35717-00 Ovarian cystectomy, bilateral 35717-01 Oophorectomy, bilateral 35717-02 Partial salpingectomy, bilateral 35717-03 Salpingectomy, bilateral 35717-04 Salpingo-oophorectomy, bilateral 35720-00 Debulking of lesion of pelvic cavity 35723-00 Laparoscopic pelvic or abdominal lymph node sampling for staging of gynaecological malignancy 35723-01 Pelvic or abdominal lymph node sampling for staging of gynaecological malignancy 35723-02 Laparoscopic para-aortic lymph node sampling for staging of gynaecological malignancy 35723-03 Para-aortic lymph node sampling for staging of gynaecological malignancy 35726-01 Staging laparotomy 35729-00 Laparoscopic transposition of ovary 35729-01 Transposition of ovary 35750-00 Laparoscopically assisted vaginal hysterectomy 35753-02 Laparoscopically assisted vaginal hysterectomy with removal of adnexa 35756-00 Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy 35756-03 Appendices Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy with removal of adnexa 35759-00 Control of postoperative haemorrhage, following gynaecological surgery NEC 36500-00 Partial adrenalectomy 36500-01 Total adrenalectomy, unilateral Patient Minimum Data Set | Appendices 36500-02 Total adrenalectomy, bilateral 36503-00 Kidney transplantation 36503-01 Autotransplantation of kidney 36516-00 Laparoscopic complete nephrectomy, unilateral 36516-01 Complete nephrectomy, unilateral 36516-02 Laparoscopic complete nephrectomy, bilateral 36516-03 Complete nephrectomy, bilateral 36516-04 Laparoscopic complete nephrectomy for transplantation, living donor 36516-05 Complete nephrectomy for transplantation, living donor 36516-06 Complete nephrectomy for transplantation, cadaver 36519-00 Laparoscopic complete nephrectomy for removal of transplanted kidney 36519-01 Complete nephrectomy for removal of transplanted kidney 36519-02 Laparoscopy complete nephrectomy complicated by previous surgery on same kidney 36519-03 Complete nephrectomy complicated by previous surgery on same kidney 36522-00 Laparoscopic partial nephrectomy 36522-01 Partial nephrectomy 36525-00 Laparoscopic partial nephrectomy complicated by previous surgery on same kidney 36525-01 Partial nephrectomy complicated by previous surgery on same kidney 36528-00 Laparoscopic radical nephrectomy 36528-01 Radical nephrectomy 36529-00 Radical nephrectomy complicated by previous surgery on same kidney 36531-00 Laparoscopic nephroureterectomy 36531-01 Nephroureterectomy 36533-00 Nephroureterectomy complicated by previous surgery on same kidney 36537-00 Exploration of perinephric area 36537-01 Exploration of kidney 36540-00 Nephrolithotomy with removal of <= 2 calculi 36543-00 Nephrolithotomy with removal of >= 3 calculi 36546-00 Extracorporeal shockwave lithotripsy [ESWL] of urinary tract 36549-00 Ureterolithotomy 36549-01 Laparoscopic ureterolithotomy 36552-00 Nephrostomy 36552-01 Pyelostomy 36558-00 Laparoscopic excision of renal cyst 36558-01 Excision of renal cyst 36558-02 Other local excision of renal lesion or tissue 36564-00 Laparoscopic pyeloplasty 36564-01 Pyeloplasty 36570-00 Laparoscopic pyeloplasty complicated by previous surgery on renal pelvis of same kidney 36570-01 Pyeloplasty complicated by previous surgery on renal pelvis of same kidney 36573-00 Laparoscopic repair of divided ureter 36573-01 Repair of divided ureter 36579-00 Laparoscopic partial ureterectomy 36579-01 Partial ureterectomy 36579-02 Laparoscopic complete ureterectomy 103 104 | Patient Minimum Data Set Appendices 36579-03 Complete ureterectomy 36585-00 Laparoscopic transplantation of ureter into skin, unilateral 36585-01 Transplantation of ureter into skin, unilateral 36585-02 Laparoscopic transplantation of ureter into skin, bilateral 36585-03 Transplantation of ureter into skin, bilateral 36588-00 Laparoscopic reimplantation of ureter into bladder, unilateral 36588-01 Reimplantation of ureter into bladder, unilateral 36588-02 Laparoscopic reimplantation of ureter into bladder, bilateral 36588-03 Reimplantation of ureter into bladder, bilateral 36591-00 Laparoscopic reimplantation of ureter into bladder with bladder flap, unilateral 36591-01 Reimplantation of ureter into bladder with bladder flap, unilateral 36591-02 Laparoscopic reimplantation of ureter into bladder with bladder flap, bilateral 36591-03 Reimplantation of ureter into bladder with bladder flap, bilateral 36591-04 Reimplantation of ureter into bladder with psoas hitch, unilateral 36591-05 Reimplantation of ureter into bladder with psoas hitch, bilateral 36594-00 Laparoscopic transplantation of ureter into intestine, unilateral 36594-01 Transplantation of ureter into intestine, unilateral 36594-02 Laparoscopic transplantation of ureter into intestine, bilateral 36594-03 Transplantation of ureter into intestine, bilateral 36597-00 Laparoscopic transplantation of ureter into other ureter 36597-01 Transplantation of ureter into other ureter 36600-02 Formation of incontinent intestinal urinary reservoir 36604-00 Passage of ureteric stent via percutaneous nephrostomy tube using interventional techniques 36605-00 Insertion of ureteric stent with removal of calculus via nephrostomy tube 36606-00 Formation of continent intestinal urinary reservoir 36606-03 Formation of continent intestinal urinary reservoir with attachment of reservoir to urethra 36607-00 Insertion of ureteric stent with balloon dilation via nephrostomy tube 36608-00 Percutaneous replacement of ureteric stent 36609-00 Revision of intestinal urinary conduit 36609-01 Revision of intestinal urinary reservoir 36609-02 Laparoscopic revision of ureterostomy 36609-03 Revision of ureterostomy 36612-00 Laparoscopic exploration of ureter 36612-01 Exploration of ureter 36615-00 Laparoscopic ureterolysis 36615-01 Ureterolysis 36615-02 Laparoscopic ureterolysis with repositioning of ureter 36615-03 Ureterolysis with repositioning of ureter 36618-00 Laparoscopic reduction ureteroplasty 36618-01 Reduction ureteroplasty 36621-00 Closure of cutaneous ureterostomy 36624-00 Percutaneous nephrostomy 36627-00 Percutaneous nephroscopy 36627-01 Percutaneous nephroscopy with biopsy 36627-02 Percutaneous nephroscopy with extraction of renal calculus 36627-03 Percutaneous nephroscopy with diathermy of kidney Patient Minimum Data Set | Appendices 36633-00 Percutaneous nephroscopy with incision of renal pelvis 36633-01 Percutaneous nephroscopy with incision of renal calyx 36633-02 Percutaneous nephroscopy with incision of ureter 36639-00 Percutaneous nephroscopy with fragmentation and extraction of <= 2 or less calculi 36645-00 -Percutaneous nephroscopy with fragmentation or extraction of single calculus >= 3 cm in any dimension, or for >= 3 calculi 36649-00 Replacement of nephrostomy drainage tube 36650-00 Removal of pyelostomy or nephrostomy tube 36652-00 Retrograde pyeloscopy 36652-01 Retrograde pyeloscopy with manipulation of renal calculus 36654-00 Retrograde pyeloscopy with biopsy of kidney 36654-01 Retrograde pyeloscopy with diathermy to kidney 36654-02 Retrograde pyeloscopy with extraction of renal calculus 36656-00 Retrograde pyeloscopy with fragmentation of renal calculus 36656-01 Retrograde pyeloscopy with fragmentation and extraction of renal calculus 36803-00 Ureteroscopy 36803-01 Endoscopic dilation of ureter 36803-02 Endoscopic manipulation of ureteric calculus via ureteroscopy 36806-00 Endoscopic biopsy of ureter 36806-02 Endoscopic extraction of ureteric calculus via ureteroscopy 36809-01 Endoscopic destruction of ureteric lesion 36811-00 Endoscopic insertion of urethral prosthesis 36811-01 Endoscopic insertion of urethral stent 36812-00 Cystoscopy 36812-01 Cystoscopy through artificial stoma 36812-02 Endoscopic division of intraluminal bladder adhesions 36815-00 Endoscopic destruction of penile wart 36815-01 Endoscopic destruction of urethral warts 36818-00 Endoscopic ureteric catheterisation with fluoroscopic imaging of upper urinary tract, unilateral 36818-01 Endoscopic ureteric catheterisation with fluoroscopic imaging of upper urinary tract, bilateral 36821-00 Endoscopic brush biopsy of renal pelvis 36821-01 Endoscopic insertion of ureteric stent 36821-02 Endoscopic brush biopsy of ureter 36821-03 Endoscopic replacement of ureteric stent 36824-00 Endoscopic ureteric catheterisation, unilateral 36824-01 Endoscopic ureteric catheterisation, bilateral 36825-00 Endoscopic incision of pelviureteric junction or ureteric stricture 36827-00 Endoscopically controlled hydrodilation of bladder 36830-00 Endoscopic ureteric meatotomy 36833-00 Endoscopic removal of foreign body from bladder 36833-01 Endoscopic removal of ureteric stent 36836-00 Endoscopic biopsy of bladder 36840-02 Endoscopic resection of a single lesion of bladder <= 2 cm or tissue of bladder 36840-03 Endoscopic destruction of a single lesion of bladder <= 2 cm or tissue of bladder 36842-00 Endoscopic lavage of blood clots from bladder 36845-04 Endoscopic resection of a single lesion of bladder > 2 cm in diameter 105 106 | Patient Minimum Data Set 36845-05 Endoscopic resection of multiple lesions of bladder 36845-06 Endoscopic destruction of a single lesion of bladder > 2 cm in diameter 36845-07 Endoscopic destruction of multiple lesions of bladder 36848-00 Endoscopic resection of ureterocele 36854-00 Endoscopic incision of bladder neck 36854-01 Endoscopic incision of external urethral sphincter 36854-02 Endoscopic resection of bladder neck 36854-03 Endoscopic resection of external urethral sphincter 36857-00 Endoscopic manipulation or extraction of ureteric calculus without ureteroscopy 36860-00 Endoscopic examination of intestinal conduit 36860-01 Endoscopic examination of intestinal reservoir 36863-00 Litholapaxy of bladder 37000-00 Laparoscopic partial excision of bladder 37000-01 Partial excision of bladder 37004-00 Laparoscopic repair of ruptured bladder 37004-01 Other laparoscopic repair of bladder 37004-02 Other repair of bladder 37004-03 Repair of ruptured bladder 37008-00 Laparoscopic cystotomy [cystostomy] 37008-01 Cystotomy [cystostomy] 37008-02 Laparoscopic cystolithotomy 37008-03 Cystolithotomy 37008-04 Laparoscopic removal of foreign body from bladder 37008-05 Removal of foreign body of bladder 37008-06 Division of intraluminal bladder adhesions 37011-00 Percutaneous cystotomy [cystostomy] 37014-00 Total excision of bladder 37020-00 Laparoscopic excision of bladder diverticulum 37020-01 Excision of bladder diverticulum 37023-00 Laparoscopic closure of cutaneous vesical fistula 37023-01 Closure of cutaneous vesical fistula 37029-00 Laparoscopic closure of vesicovaginal fistula 37029-01 Closure of vesicovaginal fistula by abdominal approach 37038-00 Laparoscopic closure of vesicointestinal fistula 37038-01 Closure of vesicointestinal fistula 37043-00 Transvaginal needle suspension for stress incontinence 37044-00 Retropubic procedure for stress incontinence, male 37044-01 Retropubic procedure for stress incontinence, female 37044-02 Revision of retropubic procedure for stress incontinence, female 37044-03 Revision of retropubic procedure for stress incontinence, male 37045-00 Formation of continent valve 37047-00 Laparoscopic enlargement of bladder 37047-01 Enlargement of bladder 37050-00 Closure of bladder exstrophy 37053-00 Laparoscopic bladder transection and reanastomosis to trigone 37053-01 Bladder transection and reanastomosis to trigone Appendices Patient Minimum Data Set | Appendices 37200-03 Suprapubic prostatectomy 37200-04 Retropubic prostatectomy 37200-05 Other open prostatectomy 37201-00 Transurethral needle ablation of prostate [TUNA] 37203-00 Transurethral resection of prostate [TURP] 37203-02 Transurethral electrical vaporisation of prostate 37203-03 Cryoablation of prostate 37203-04 Microwave thermotherapy of prostate 37203-05 High intensity focused ultrasound [HIFUS] (transrectal) of prostate 37203-06 Other closed prostatectomy 37207-00 Endoscopic laser ablation of prostate 37207-01 Endoscopic laser excision of prostate 37209-00 Radical prostatectomy 37209-01 Laparoscopic radical prostatectomy 37210-00 Radical prostatectomy with bladder neck reconstruction 37210-01 Laparoscopic radical prostatectomy with bladder neck reconstruction 37211-00 Radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy 37211-01 Laparoscopic radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy 37212-00 Biopsy of prostate 37212-01 Drainage of abscess of prostate 37212-02 Incision of prostate 37215-00 Endoscopic biopsy of prostate 37219-00 Transrectal needle biopsy of prostate 37221-00 Endoscopic drainage of abscess of prostate 37223-00 Insertion of prostatic stent/coil 37224-00 Endoscopic destruction of lesion of prostate 37224-01 Endoscopic resection of lesion of prostate 37227-00 Implantation of brachytherapy applicator, prostate 37306-00 Repair of laceration or rupture of distal section of urethra 37309-00 Repair of laceration or rupture of prostatic or membranous segment of urethra 37315-00 Urethroscopy 37318-00 Endoscopic removal of foreign body from urethra 37318-01 Endoscopic diathermy of urethra 37318-02 Endoscopic fragmentation or extraction of urethral calculus 37318-03 Endoscopic fragmentation or extraction of urethral calculus using laser 37318-04 Endoscopic biopsy of urethra 37321-00 External urethral meatotomy 37324-00 External urethrotomy 37324-01 Internal urethrotomy 37324-02 External urethrostomy 37327-00 Optical urethrotomy 37330-00 Partial urethrectomy 37330-01 Complete urethrectomy 37333-00 Closure of urethrovaginal fistula 37336-00 Closure of urethrorectal fistula 107 108 | Patient Minimum Data Set 37339-00 Injection of paraurethral bulk for stress incontinence, female 37339-01 Injection of paraurethral bulk for stress incontinence, male 37340-00 Division of urethral sling following previous stress incontinence procedure 37342-00 Urethroplasty - single stage procedure 37345-00 Urethroplasty, staged procedure, first stage 37348-00 Urethroplasty, staged procedure, second stage 37354-00 Meatotomy and hemicircumcision for hypospadias 37369-00 Excision of prolapse of urethra 37372-00 Excision of urethral diverticulum 37375-00 Reconstruction of urethral sphincter 37381-00 Insertion of cuff of artificial urinary sphincter, perineal approach 37384-00 Insertion of cuff of artificial urinary sphincter, abdominal approach 37387-00 Insertion of artificial urinary sphincter 37390-00 Revision of artificial urinary sphincter 37390-01 Replacement of artificial urinary sphincter 37390-02 Removal of artificial urinary sphincter 37393-00 Decompression of priapism by glanular stab cavernosospongiosum shunt 37393-01 Decompression of priapism by penile aspiration 37396-00 Shunt procedure for priapism 37402-00 Partial amputation of penis 37405-00 Complete amputation of penis 37408-00 Repair of laceration of cavernous tissue of penis 37408-01 Repair of fracture involving cavernous tissue of penis 37411-00 Repair of avulsion of penis 37417-00 Correction of chordee of penis 37417-01 Correction of chordee of penis with graft 37418-00 Correction of chordee of penis with mobilisation of urethra 37418-01 Correction of chordee of penis with graft and mobilisation of urethra 37420-00 Ligation of vein to inhibit rapid penile drainage 37423-00 Lengthening of penis by translocation of corpora 37426-00 Insertion of artificial erection device, noninflatable 37426-01 Insertion of artificial erection device, inflatable 37429-00 Insertion of pump and pressure regulating reservoir of artificial erection device 37432-00 Partial revision of artificial erection device 37432-01 Complete revision of artificial erection device 37432-02 Removal of components of artificial erection device without replacement 37435-00 Fraenuloplasty of penis 37438-00 Partial excision of scrotum 37444-00 Laparoscopic ureterolithotomy, complicated by previous surgery of same ureter 37444-01 Ureterolithotomy complicated by previous surgery of same ureter 37601-00 Excision of spermatocele, unilateral 37601-01 Excision of spermatocele, bilateral 37601-02 Excision of epididymal cyst, unilateral 37601-03 Excision of epididymal cyst, bilateral 37604-00 Exploration of scrotal contents, unilateral Appendices Patient Minimum Data Set | Appendices 37604-01 Exploration of scrotal contents, bilateral 37604-02 Exploration of scrotal contents with biopsy, unilateral 37604-03 Exploration of scrotal contents with biopsy, bilateral 37604-04 Exploration of scrotal contents with fixation of testis, unilateral 37604-05 Exploration of scrotal contents with fixation of testis, bilateral 37604-06 Incision of testis 37604-07 Refixation of testis, unilateral 37604-08 Refixation of testis, bilateral 37606-00 Sperm aspiration from epididymis 37606-01 Sperm aspiration from testis 37607-00 Radical excision of retroperitoneal lymph nodes 37610-00 Radical excision of retroperitoneal lymph nodes, subsequent 37613-00 Epididymectomy, unilateral 37613-01 Epididymectomy, bilateral 37616-00 Microsurgical vasovasostomy, unilateral 37616-01 Microsurgical vasovasostomy, bilateral 37616-02 Microsurgical vasoepididymostomy, unilateral 37616-03 Microsurgical vasoepididymostomy, bilateral 37619-00 Vasovasostomy, unilateral 37619-01 Vasovasostomy, bilateral 37619-02 Vasoepididymostomy, unilateral 37619-03 Vaso-pididymostomy, bilateral 37623-00 Vasotomy, unilateral 37623-01 Vasotomy, bilateral 37623-02 Vasectomy, unilateral 37623-03 Vasectomy, bilateral 37800-00 Excision of patent urachus 37803-00 Orchidopexy for undescended testis, unilateral 37803-01 Orchidopexy for undescended testis, bilateral 37809-00 Revision orchidopexy for undescended testis, unilateral 37809-01 Revision orchidopexy for undescended testis, bilateral 37812-00 Exploration of groin for impalpable testis 37815-00 Hypospadias, examination with erection test 37818-00 Glanuloplasty for hypospadias 37821-00 Distal hypospadias, single stage repair 37824-00 Proximal hypospadias, single stage repair 37827-00 Hypospadias, staged repair, first stage 37830-00 Hypospadias, staged repair, second stage 37833-00 Hypospadias, repair of postoperative urethral fistula 37836-00 Epispadias, staged repair, first stage 37839-00 Epispadias, staged repair, second stage 37842-00 Epispadias, secondary repair 37842-01 Epispadias, secondary repair with ureteric reimplantation 37842-02 Secondary repair of exstrophy of bladder 37842-03 Secondary repair of exstrophy of bladder with ureteric reimplantation 109 110 | Patient Minimum Data Set Appendices 37845-00 Reduction clitoroplasty for ambiguous genitalia with urogenital sinus 37848-00 Reduction clitoroplasty and vaginoplasty for ambiguous genitalia with urogenital sinus 37851-00 Vaginoplasty for congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar condition 37854-00 Endoscopic destruction of urethral valve 38200-00 Right heart catheterisation 38203-00 Left heart catheterisation 38206-00 Right and left heart catheterisation 38209-00 Cardiac electrophysiological study, <= 3 catheters 38212-00 Cardiac electrophysiological study, >= 4 catheters 38213-00 Cardiac electrophysiological study for follow up testing of cardiac defibrillator 38215-00 Coronary angiography 38218-00 Coronary angiography with left heart catherisation 38218-01 Coronary angiography with right heart catherisation 38218-02 Coronary angiography with left and right heart catherisation 38256-00 Insertion of temporary transvenous electrode into atrium 38256-01 Insertion of temporary transvenous electrode into ventricle 38270-00 Percutaneous atrial septostomy 38270-01 Percutaneous balloon aortic valvuloplasty 38270-02 Percutaneous balloon mitral valvuloplasty 38270-03 Percutaneous balloon pulmonary valvuloplasty 38275-00 Biopsy of myocardium by cardiac catheterisation 38285-00 Insertion of subcutaneously implanted monitoring device 38285-01 Revision of subcutaneously implanted monitoring device 38286-00 Removal of subcutaneously implanted monitoring device 38287-01 Catheter ablation of arrhythmia circuit or focus, not elsewhere classified 38287-02 Catheter ablation of arrhythmia circuit or focus involving left atrial chamber 38287-03 Open ablation of arrhythmia circuit or focus, not elsewhere classified 38287-04 Open ablation of arrhythmia circuit or focus involving left atrial chamber 38290-01 Catheter ablation of arrhythmia circuit or focus involving both atrial chambers 38290-02 Open ablation of arrhythmia circuit or focus involving both atrial chambers 38300-00 Percutaneous transluminal balloon angioplasty of 1 coronary artery 38300-01 Open transluminal balloon angioplasty of 1 coronary artery 38303-00 Percutaneous transluminal balloon angioplasty of >= 2 coronary arteries 38303-01 Open transluminal balloon angioplasty of >= 2 coronary arteries 38306-00 Percutaneous insertion of 1 transluminal stent into single coronary artery 38306-01 Percutaneous insertion of >= 2 transluminal stents into single coronary artery 38306-02 Percutaneous insertion of >= 2 transluminal stents into multiple coronary arteries 38306-03 Open insertion of 1 transluminal stent into single coronary artery 38306-04 Open insertion of >= 2 transluminal stents into single coronary artery 38306-05 Open insertion of >= 2 transluminal stents into multiple coronary arteries 38309-00 Percutaneous transluminal coronary rotational atherectomy [PTCRA], 1 artery 38312-00 Percutaneous transluminal coronary rotational atherectomy [PTCRA], 1 artery with insertion of 1 stent 38312-01 Percutaneous transluminal coronary rotational atherectomy [PTCRA], 1 artery with insertion of >= 2 stents 38315-00 Percutaneous transluminal coronary rotational atherectomy [PTCRA], multiple arteries Patient Minimum Data Set | Appendices 38318-00 Percutaneous transluminal coronary rotational atherectomy [PTCRA], multiple arteries with insertion of 1 stent 38318-01 Percutaneous transluminal coronary rotational atherectomy [PTCRA], multiple arteries with insertion of >= 2 stents 38350-00 38350-01 38350-02 38350-03 38350-04 38353-00 111 Insertion of permanent transvenous electrode into other heart chamber(s) for cardiac pacemaker Replacement of permanent transvenous electrode of other heart chamber(s) for cardiac pacemaker Removal of permanent transvenous electrode of other heart chamber(s) for cardiac pacemaker Replacement of permanent transvenous electrode of other heart chamber(s) for cardiac defibrillator Removal of permanent transvenous electrode of other heart chamber(s) for cardiac defibrillator Insertion of cardiac pacemaker generator 38353-01 Replacement of cardiac pacemaker generator 38353-02 Removal of cardiac pacemaker generator 38358-00 Removal of permanent transvenous electrode of other heart chamber(s) for cardiac pacemaker using extraction device 38358-01 Removal of permanent transvenous electrode of left ventricle for cardiac pacemaker using extraction device 38358-02 Removal of permanent transvenous electrode of left ventricle for cardiac defibrillator using extraction device 38358-03 Removal of permanent transvenous electrode of other heart chamber(s) for cardiac defibrillator using extraction device 38359-00 Pericardiocentesis 38362-00 Percutaneous insertion of intra-aortic balloon pump 38368-00 Insertion of permanent transvenous electrode into left ventricle for cardiac pacemaker 38368-01 Replacement of permanent transvenous electrode of left ventricle for cardiac pacemaker 38368-02 Removal of permanent transvenous electrode of left ventricle for cardiac pacemaker 38368-03 Replacement of permanent transvenous electrode of left ventricle for cardiac defibrillator 38368-04 Removal of permanent transvenous electrode of left ventricle for cardiac defibrillator 38390-00 Insertion of patches for cardiac defibrillator 38390-01 Insertion of permanent transvenous electrode into left ventricle for cardiac defibrillator 38390-02 Insertion of permanent transvenous electrode into other heart chamber(s) for cardiac defibrillator 38390-03 Replacement of patches for cardiac defibrillator 38390-04 Removal of patches for cardiac defibrillator 38393-00 Insertion of cardiac defibrillator generator 38393-01 Replacement of cardiac defibrillator generator 38415-00 Incision of pleura 38418-00 Exploratory thoracotomy 38418-01 Biopsy of pleura 38418-02 Biopsy of lung 38418-03 Biopsy of myocardium 38418-04 Incision of lung 38421-00 Endoscopic pulmonary decortication 38421-01 Pulmonary decortication 38424-00 Pleurectomy 38424-01 Enucleation of pulmonary hydatid cyst 38424-02 Pleurodesis 112 | Patient Minimum Data Set 38427-00 Thoracoplasty, complete 38430-00 Thoracoplasty, staged, first stage 38430-01 Thoracoplasty, staged, second or subsequent stage 38436-00 Thoracoscopy 38436-01 Endoscopic division of pleural adhesions 38436-02 Thoracoscopic biopsy of pericardium 38438-00 Segmental resection of lung 38438-01 Lobectomy of lung 38438-02 Pneumonectomy 38438-03 Removal of donor lung for transplantation 38440-00 Wedge resection of lung 38440-01 Radical wedge resection of lung 38441-00 Radical lobectomy 38441-01 Radical pneumonectomy 38446-02 Removal of lesion of mediastinum via thoracotomy 38446-03 Removal of lesion of mediastinum via sternotomy 38446-04 Removal of thymus 38447-00 Pericardiectomy, subtotal or complete 38447-01 Thoracoscopic pericardiectomy, subtotal or complete 38448-00 Exploration of mediastinum via cervical route 38448-01 Mediastinoscopy 38448-02 Removal of thymus via cervical route 38450-00 Transthoracic drainage of pericardium 38450-01 Thoracoscopic drainage of pericardium 38450-02 Biopsy of pericardium, transthoracic approach 38450-03 Biopsy of pericardium, subxyphoid approach 38452-00 Subxyphoid drainage of pericardium 38453-00 Resection of endotracheal lesion with anastomosis 38453-02 Resection of endotracheal lesion with graft 38453-04 Resection of endotracheal stricture with anastomosis 38453-05 Resection of endotracheal stricture by laser, with anastomosis 38453-06 Resection of endotracheal stricture with graft 38453-07 Resection of endotracheal stricture by laser, with graft 38453-08 Repair of trachea, intrathoracic approach 38456-00 Other intrathoracic procedures on heart without cardiopulmonary bypass 38456-01 Open valvotomy of pulmonary valve 38456-02 Other procedures on lung and pleura, intrathoracic approach 38456-03 Other procedures on chest wall, mediastinum or diaphragm, intrathoracic approach 38456-04 Other procedures on bronchus, intrathoracic approach 38456-05 Excision of lesion of pericardium 38456-06 Thoracoscopic excision of lesion of pericardium 38456-10 Open valvotomy of aortic valve 38456-11 Open valvotomy of tricuspid valve 38456-12 Other intrathoracic procedures on septum without cardiopulmonary bypass 38456-13 Other intrathoracic procedures on atrium without cardiopulmonary bypass Appendices Patient Minimum Data Set | Appendices 113 38456-14 Other intrathoracic procedures on ventricle of heart without cardiopulmonary bypass 38456-15 Other intrathoracic procedures on aortic valve without cardiopulmonary bypass 38456-16 Other intrathoracic procedures on mitral valve without cardiopulmonary bypass 38456-17 Other intrathoracic procedures on tricuspid valve without cardiopulmonary bypass 38456-18 Other intrathoracic procedures on pulmonary valve without cardiopulmonary bypass 38456-19 Other intrathoracic procedures on arteries of heart without cardiopulmonary bypass 38456-20 Other intrathoracic procedures on oesophagus 38456-21 Adjustment of epicardial electrode for cardiac pacemaker 38456-22 Replacement of temporary epicardial electrode for cardiac pacemaker 38456-23 Replacement of permanent epicardial electrode for cardiac pacemaker via subxyphoid approach 38456-24 Replacement of permanent epicardial electrode for cardiac pacemaker via thoracotomy or sternotomy 38456-25 Removal of temporary epicardial electrode for cardiac pacemaker 38456-26 Removal of permanent epicardial electrode for cardiac pacemaker via subxyphoid approach 38456-27 Removal of permanent epicardial electrode for cardiac pacemaker via thoracotomy or sternotomy 38456-28 Adjustment of epicardial electrode for cardiac defibrillator 38456-29 Replacement of temporary epicardial electrode for cardiac defibrillator 38456-30 Replacement of permanent epicardial electrode for cardiac defibrillator via subxyphoid approach 38456-31 Replacement of permanent epicardial electrode for cardiac defibrillator via thoracotomy or sternotomy 38456-32 Removal of temporary epicardial electrode for cardiac defibrillator 38456-33 Removal of permanent epicardial electrode for cardiac defibrillator via subxyphoid approach 38456-34 Removal of permanent epicardial electrode for cardiac defibrillator via thoracotomy or sternotomy 38457-00 Repair of pectus carinatum 38457-01 Repair of pectus excavatum 38458-00 Repair of pectus excavatum with implantation of subcutaneous prosthesis 38460-00 Removal of sternal wire 38464-00 Debridement of sternotomy wound 38466-00 Reoperation on sternum involving reopening of mediastinum 38470-00 Insertion of permanent epicardial electrode for cardiac pacemaker via thoracotomy or sternotomy 38470-01 Insertion of permanent epicardial electrode for cardiac defibrillator via thoracotomy or sternotomy 38473-00 Insertion of permanent epicardial electrode for cardiac pacemaker via subxyphoid approach 38473-01 Insertion of permanent epicardial electrode for cardiac defibrillator via subxyphoid approach 38475-00 Mitral valve annuloplasty 38475-01 Tricuspid valve annuloplasty 38475-02 Aortic valve annuloplasty 38477-00 Mitral valve annuloplasty with ring insertion 38477-01 Tricuspid valve annuloplasty with ring insertion 38477-02 Aortic valve annuloplasty with ring insertion 38480-00 Repair of aortic valve, 1 leaflet 38480-01 Repair of mitral valve, 1 leaflet 38480-02 Repair of tricuspid valve, 1 leaflet 38481-00 Repair of aortic valve, >= 2 leaflets 38481-01 Repair of mitral valve, >= 2 leaflets 114 | Patient Minimum Data Set 38481-02 Repair of tricuspid valve, >= 2 leaflets 38483-00 Decalcification of aortic valve leaflet 38485-00 Reconstruction of mitral valve annulus 38485-01 Decalcification of mitral valve 38487-00 Open valvotomy of mitral valve 38488-00 Replacement of aortic valve with mechanical prosthesis 38488-01 Replacement of aortic valve with bioprosthesis 38488-02 Replacement of mitral valve with mechanical prosthesis 38488-03 Replacement of mitral valve with bioprosthesis 38488-04 Replacement of tricuspid valve with mechanical prosthesis 38488-05 Replacement of tricuspid valve with bioprosthesis 38488-06 Replacement of pulmonary valve with mechanical prosthesis 38488-07 Replacement of pulmonary valve with bioprosthesis 38489-00 Replacement of aortic valve with homograft 38489-01 Replacement of aortic valve with unstented heterograft 38489-02 Replacement of mitral valve with homograft 38489-03 Replacement of tricuspid valve with homograft 38489-04 Replacement of pulmonary valve with homograft 38489-05 Replacement of pulmonary valve with unstented heterograft 38490-00 Reconstruction and reimplantation of subvalvular structures 38493-00 Operative management of acute infective endocarditis during heart valve procedure 38497-00 Coronary artery bypass, using 1 saphenous vein graft 38497-01 Coronary artery bypass, using 2 saphenous vein grafts 38497-02 Coronary artery bypass, using 3 saphenous vein grafts 38497-03 Coronary artery bypass, using >= 4 saphenous vein grafts 38497-04 Coronary artery bypass, using 1 other venous graft 38497-05 Coronary artery bypass, using 2 other venous grafts 38497-06 Coronary artery bypass, using 3 other venous grafts 38497-07 Coronary artery bypass, using >= 4 other venous grafts 38500-00 Coronary artery bypass, using 1 LIMA graft 38500-01 Coronary artery bypass, using 1 RIMA graft 38500-02 Coronary artery bypass, using 1 radial artery graft 38500-03 Coronary artery bypass, using 1 epigastric artery graft 38500-04 Coronary artery bypass, using 1 other arterial graft 38500-05 Coronary artery bypass, using 1 composite graft 38503-00 Coronary artery bypass, using >= 2 LIMA grafts 38503-01 Coronary artery bypass, using >= 2 RIMA grafts 38503-02 Coronary artery bypass, using >= 2 radial artery grafts 38503-03 Coronary artery bypass, using >= 2 epigastric artery grafts 38503-04 Coronary artery bypass, using >= 2 other arterial grafts 38503-05 Coronary artery bypass, using >= 2 composite grafts 38505-00 Open coronary endarterectomy 38507-00 Left ventricular aneurysmectomy 38508-00 Left ventricular aneurysmectomy with patch graft 38509-00 Repair of ventricular septal rupture Appendices Patient Minimum Data Set | Appendices 115 38512-00 Division of accessory pathway involving 1 atrial chamber 38515-00 Division of accessory pathways involving both atrial chambers 38518-00 Ventricular muscle ablation 38550-00 Repair of ascending thoracic aorta 38550-01 Replacement of ascending thoracic aorta 3855-300 Repair of ascending thoracic aorta with aortic valve repair 3855-301 Repair of ascending thoracic aorta with aortic valve replacement 3855-302 Replacement of ascending thoracic aorta with aortic valve repair 3855-303 Replacement of ascending thoracic aorta with aortic valve replacement 38556-00 Repair of ascending thoracic aorta with aortic valve repair and implantation of coronary arteries 38556-01 Repair of ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries 38556-02 Replacement of ascending thoracic aorta with aortic valve repair and implantation of coronary arteries 38556-03 Replacement of ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries 38559-00 Repair of aortic arch and ascending thoracic aorta 38559-01 Replacement of aortic arch and ascending thoracic aorta 38562-00 Repair of aortic arch and ascending thoracic aorta with aortic valve repair 38562-01 Repair of aortic arch and ascending thoracic aorta with aortic valve replacement 38562-02 Replacement of aortic arch and ascending thoracic aorta with aortic valve repair 38562-03 Replacement of aortic arch and ascending thoracic aorta with aortic valve replacement 38565-00 Repair of aortic arch and ascending thoracic aorta with aortic valve repair and implantation of coronary arteries 38565-01 Repair of aortic arch and ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries 38565-02 Replacement of aortic arch and ascending thoracic aorta with aortic valve repair and implantation of coronary arteries 38565-03 Replacement of aortic arch and ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries 38568-00 Repair of descending thoracic aorta 38568-01 Replacement of descending thoracic aorta 38571-00 Repair of descending thoracic aorta with shunt 38571-01 Replacement of descending thoracic aorta with shunt 38572-00 Operative management of acute rupture or dissection of thoracic aorta 38577-00 Cerebral perfusion during hypothermic arrest 38588-00 Cardioplegia 38600-00 Cardiopulmonary bypass, central cannulation 38603-00 Cardiopulmonary bypass, peripheral cannulation 38609-00 Insertion of intra-aortic balloon pump by arteriotomy 38612-00 Removal of intra-aortic balloon pump 38613-00 Removal of intra-aortic balloon pump with closure of artery by patch graft 38615-00 Insertion of left ventricular assist device 38615-01 Insertion of right ventricular assist device 38618-00 Insertion of left and right ventricular assist device 38621-00 Removal of left ventricular assist device 38621-01 Removal of right ventricular assist device 116 | Patient Minimum Data Set 38624-00 Removal of left and right ventricular assist device 38627-00 Adjustment of cannula for ventricular assist device 38627-01 Adjustment of cannula for cardiopulmonary bypass 38627-02 Adjustment of cannula for extracorporeal membrane oxygenation 38637-00 Re-operation for reconstruction of coronary artery graft 38640-00 Re-operation for other cardiac procedure, not elsewhere classified 38647-00 Division of thoracic adhesions 38650-00 Cardiac myotomy 38650-01 Cardiac myectomy 38650-02 Open chest transmyocardial revascularisation 38650-03 Other transmyocardial revascularisation 38653-00 Other intrathoracic procedures on heart with cardiopulmonary bypass 38653-01 Other intrathoracic procedures on atrium with cardiopulmonary bypass 38653-02 Other intrathoracic procedures on ventricle of heart with cardiopulmonary bypass 38653-03 Other intrathoracic procedures on septum with cardiopulmonary bypass 38653-04 Other intrathoracic procedures on aortic valve with cardiopulmonary bypass 38653-05 Other intrathoracic procedures on mitral valve with cardiopulmonary bypass 38653-06 Other intrathoracic procedures on tricuspid valve with cardiopulmonary bypass 38653-07 Other intrathoracic procedures on pulmonary valve with cardiopulmonary bypass 38653-08 Other intrathoracic procedures on arteries of heart with cardiopulmonary bypass Appendices 38654-00 Insertion of permanent left ventricular electrode for cardiac pacemaker via thoracotomy or sternotomy 38654-01 Replacement of permanent left ventricular electrode for cardiac pacemaker via thoracotomy or sternotomy 38654-02 Removal of permanent left ventricular electrode for cardiac pacemaker via thoracotomy or sternotomy 38654-03 Insertion of permanent left ventricular electrode for cardiac defibrillator via thoracotomy or sternotomy 38654-04 Replacement of permanent left ventricular electrode for cardiac defibrillator via thoracotomy or sternotomy 38654-05 Removal of permanent left ventricular electrode for cardiac defibrillator via thoracotomy or sternotomy 38656-01 Reopening of thoracotomy or sternotomy site 38670-00 Excision of lesion of atrial wall or interatrial septum 38673-00 Excision of lesion of atrial wall or interatrial septum with reconstruction by patch graft 38673-01 Excision of lesion of atrial wall or interatrial septum with reconstruction by conduit 38677-00 Partial thickness excision of lesion of ventricular myocardium 38680-00 Full thickness excision of lesion of ventricular myocardium with repair or reconstruction 38700-00 Percutaneous closure of patent ductus arteriosus 38700-01 Closure of patent ductus arteriosus 38700-02 Percutaneous closure of cardiac collateral vessel 38700-03 Closure of cardiac collateral vessel 38706-00 Repair of aorta 38706-01 Repair of aorta with anastomosis 38712-00 Repair of aortic interruption 38715-00 Banding of main pulmonary artery 38715-01 Debanding of main pulmonary artery Patient Minimum Data Set | Appendices 38715-02 Other repair of main pulmonary artery 38721-01 Repair of vena cava by direct anastomosis 38727-00 Repair of intrathoracic vessels 38727-01 Repair of intrathoracic vessels with anastomosis 38733-00 Creation of systemic pulmonary shunt 38733-01 Creation of cavopulmonary shunt 38739-00 Atrial septectomy or septostomy 38742-00 Percutaneous closure of atrial septal defect 38742-02 Closure of atrial septal defect 38745-00 Intra-atrial transposition of venous return 38748-00 Ventricular septectomy 38748-01 Percutaneous transluminal myocardial septal ablation 38751-00 Percutaneous closure of ventricular septal defect 38751-02 Closure of ventricular septal defect 38754-00 Intraventricular baffle procedure 38754-01 Creation of intraventricular conduit 38757-00 Creation of extracardiac conduit between right ventricle and pulmonary artery 38757-01 Creation of extracardiac conduit between left ventricle and aorta 38757-02 Creation of extracardiac conduit between atrium and pulmonary artery 38760-00 Replacement of extracardiac conduit between right ventricle and pulmonary artery 38760-01 Replacement of extracardiac conduit between left ventricle and aorta 38760-02 Replacement of extracardiac conduit between atrium and pulmonary artery 38763-00 Left ventricular myectomy 38763-01 Right ventricular myectomy 38766-00 Left ventricular augmentation 38766-01 Right ventricular augmentation 38800-00 Diagnostic thoracentesis 38803-00 Therapeutic thoracentesis 39000-00 Lumbar puncture 39012-00 Burr holes 39013-00 Administration of agent into zygo-apophyseal (facet) joint 39013-01 Administration of agent into costotransverse joint 39013-02 Administration of anaesthetic agent around posterior primary rami of spinal nerve 39013-03 Administration of neurolytic agent into posterior primary rami of spinal nerve 39015-00 Insertion of external ventricular drain 39015-01 Insertion of ventricular reservoir 39015-02 Insertion of intracranial pressure [ICP] monitoring device, with monitoring 39100-00 Administration of neurolytic agent into primary branch of trigeminal nerve 39106-00 Division of intracranial trigeminal nerve 39109-00 Trigeminal gangliotomy by radiofrequency 39109-01 Trigeminal gangliotomy by balloon compression 39109-02 Trigeminal gangliotomy by injection 39112-00 Intracranial decompression of other cranial nerve 39118-00 Percutaneous neurotomy for facet joint denervation by radiofrequency 39118-01 Percutaneous neurotomy for facet joint denervation by cryoprobe 117 118 | Patient Minimum Data Set 39121-00 Functional spinal stereotactic procedure 39124-00 Cordotomy 39124-01 Myelotomy 39124-02 Dorsal root entry zone [DREZ] procedure 39125-00 Insertion or replacement of spinal catheter 39125-01 Revision of spinal catheter 39126-00 Revision of implantable spinal infusion device or pump 39127-00 Insertion of implantable spinal infusion device or pump 39130-00 Percutaneous insertion of epidural electrodes 39131-00 Adjustment of epidural electrodes 39131-01 Adjustment of peripheral nerve electrodes 39133-01 Removal of spinal catheter 39133-02 Removal of implantable spinal infusion device or pump 39134-01 Insertion of subcutaneously implanted neurostimulator 39135-00 Removal of subcutaneously implanted neurostimulator 39136-01 Removal of epidural electrodes 39136-02 Removal of peripheral nerve electrodes 39137-00 Replacement of epidural electrodes 39137-01 Replacement of peripheral nerve electrodes 39138-00 Insertion of peripheral nerve electrodes 39139-00 Insertion of epidural electrodes by laminectomy 39140-00 Epidural injection for lysis of adhesions 39300-00 Primary repair of nerve 39303-00 Secondary repair of nerve 39306-00 Primary repair of nerve trunk 39309-00 Secondary repair of nerve trunk 39312-00 Open neurolysis of interfascicular peripheral nerve trunk 39315-00 Nerve graft to nerve trunk 39318-00 Nerve graft 39321-00 Transposition of nerve 39323-00 Other percutaneous neurotomy by radiofrequency 39323-01 Other percutaneous neurotomy by cryoprobe 39324-00 Neurectomy of superficial peripheral nerve 39324-01 Open neurotomy of superficial peripheral nerve 39324-02 Removal of lesion from superficial peripheral nerve 39327-00 Neurectomy of deep peripheral nerve 39327-01 Open neurotomy of deep peripheral nerve 39327-02 Removal of lesion from deep peripheral nerve 39327-03 Division of other intracranial nerve 39327-04 Neurectomy of intracranial nerve 39330-00 Open neurolysis of peripheral nerve, not elsewhere classified 39330-01 Release of tarsal tunnel 39331-00 Endoscopic release of carpal tunnel 39331-01 Release of carpal tunnel 39333-00 Exploration of brachial plexus Appendices Patient Minimum Data Set | Appendices 39500-00 Intracranial section of vestibular nerve 39503-00 Anastomosis of faciohypoglossal nerve 39503-01 Anastomosis of facio-accessory nerve 39600-00 Drainage of intracranial haemorrhage 39603-00 Removal of intracranial haematoma via osteoplastic craniotomy 39603-01 Removal of intracranial haematoma with craniectomy 39606-00 Elevation of closed skull fracture 39606-01 Reduction of closed skull fracture 39609-00 Debridement of compound skull fracture 39609-01 Elevation of compound skull fracture 39609-02 Reduction of compound skull fracture 39612-00 Elevation of compound skull fracture with repair of dura and brain 39612-01 Reduction of compound skull fracture with repair of dura and brain 39615-00 Repair of dura of brain via craniotomy 39615-01 Repair of dura of brain via craniotomy with cranioplasty 39640-00 Removal of lesion involving anterior cranial fossa 39642-00 Removal of lesion involving anterior cranial fossa with clearance of paranasal sinus extension 39646-00 Removal of lesion involving anterior cranial fossa with radical clearance of paranasal sinus and orbital fossa extensions 39650-00 Removal of lesion involving middle cranial and infratemporal fossae 39653-00 Removal of lesion of petroclivus and clivus 39658-00 Excision of lesion of clivus 39660-02 Excision of lesion of cavernous sinus 39662-02 Excision of lesion of foramen magnum 39700-00 Excision of lesion of skull 39703-00 Biopsy of brain via burr holes 39703-01 Drainage of intracranial lesion or cyst 39703-02 Biopsy of cerebral meninges via burr holes 39703-03 Aspiration of brain cyst 39706-00 Biopsy of brain via osteoplastic craniotomy 39706-01 Decompression of intracranial tumour via osteoplastic craniotomy 39706-02 Biopsy of cerebral meninges via osteoplastic craniotomy 39709-00 Removal of lesion of cerebrum 39709-01 Removal of lesion of brain stem 39709-02 Removal of lesion of cerebellum 39712-00 Removal of lesion of cerebral meninges 39712-01 Removal of lesion of pineal body 39712-02 Removal of craniopharyngioma 39712-03 Removal of intraventricular lesion 39712-04 Removal of other intracranial lesion 39715-00 Partial excision of pituitary gland, transcranial approach 39715-01 Partial excision of pituitary gland, transsphenoidal approach 39715-02 Total excision of pituitary gland, transcranial approach 39715-03 Total excision of pituitary gland, transsphenoidal approach 39718-00 Removal of brain cyst 39721-00 Postoperative re-opening of craniotomy or craniectomy site 119 120 | Patient Minimum Data Set 39800-00 Clipping of cerebral aneurysm 39800-01 Reinforcement of cerebral aneurysm 39803-00 Excision of intracranial arteriovenous malformation 39806-00 Clipping of intracranial proximal artery 39812-00 Ligation of cervical vessel for intracranial aneurysm 39815-00 Obliteration of carotid cavernous fistula 39818-00 Extracranial to intracranial bypass with superficial temporal artery graft 39821-00 Extracranial to intracranial bypass with saphenous vein graft 39900-00 Drainage of intracranial infection 39903-00 Removal of intracranial abscess 39906-00 Craniectomy for infection of skull 40000-00 Ventriculocisternostomy 40003-00 Insertion of ventriculo-atrial shunt 40003-01 Insertion of ventriculopleural shunt 40003-02 Insertion of ventriculoperitoneal shunt 40003-03 Insertion of ventricular shunt to other extracranial site 40003-04 Insertion of cisternal shunt 40006-00 Insertion of spinal shunt 40009-00 Revision of ventricular shunt 40009-01 Revision of cisternal shunt 40009-02 Revision of spinal shunt 40009-03 Removal of ventricular shunt 40009-04 Removal of cisternal shunt 40009-05 Removal of spinal shunt 40012-00 Endoscopic third ventriculostomy 40012-01 Third ventriculostomy 40015-00 Subtemporal decompression 40100-00 Repair of spinal meningocele 40103-00 Repair of myelomeningocele 40106-00 Hind brain decompression 40106-01 Posterior cranial fossa decompression 40109-00 Repair of encephalocele 40112-00 Release of congenital tethered spinal cord 40115-00 Procedure for craniostenosis, 1 suture 40118-00 Procedure for craniostenosis, >= 2 sutures 40300-00 Discectomy, 1 level 40300-01 Discectomy, 2 or more levels 40303-00 Discectomy for recurrent disc lesion, 1 level 40303-01 Discectomy for recurrent disc lesion, 2 or more levels 40309-00 Removal of spinal extradural lesion 40312-00 Removal of spinal intradural lesion 40315-00 Procedure for lesion of craniocervical junction, transoral approach 40316-00 Odontoid screw fixation 40318-00 Excision of spinal arteriovenous malformation 40318-01 Removal of spinal intramedullary lesion Appendices Patient Minimum Data Set | Appendices 40330-00 Spinal rhizolysis 40331-00 Decompression of cervical spinal cord, 1 level 40332-00 Decompression of cervical spinal cord with anterior fusion, 1 level 40333-00 Cervical discectomy, 1 level 40333-01 Cervical discectomy, 2 or more levels 40334-00 Decompression of cervical spinal cord, 2 or more levels 40335-00 Decompression of cervical spinal cord with anterior fusion, 2 or more levels 40336-00 Administration of chemonucleolytic agent into disc 40339-00 Plugging of obex 40342-00 Insertion of cerebrospinal fluid shunt with laminectomy 40345-00 Decompression of thoracic spinal cord via costotransversectomy 40348-00 Decompression of thoracic spinal cord via thoracotomy 40351-00 Anterior decompression of thoracolumbar spinal cord 40600-00 Cranioplasty with insertion of skull plate 40600-01 Cranioplasty with bone graft 40600-02 Cranioplasty with skull flap 40600-03 Other cranioplasty 40700-00 Anterior section of corpus callosum 40703-00 Corticectomy of brain 40703-01 Topectomy 40703-02 Partial lobectomy of brain 40706-00 Hemispherectomy 40709-00 Insertion of intracranial electrode via burr holes 40709-01 Removal of intracranial electrode via burr holes 40709-02 Adjustment of intracranial electrodes via burr holes 40709-03 Replacement of intracranial electrodes via burr holes 40712-00 Insertion of intracranial electrode via craniotomy 40712-01 Removal of intracranial electrode via craniotomy 40712-02 Adjustment of intracranial electrodes via craniotomy 40712-03 Replacement of intracranial electrodes via craniotomy 40801-00 Functional intracranial stereotactic procedure 40803-00 Intracranial stereotactic localisation 40903-00 Neuroendoscopy 40903-01 Biopsy of brain via neuroendoscopy 41503-00 Removal of foreign body from auditory canal by incision 41506-00 Excision of aural polyp, external ear 41509-00 Removal of keratosis obturans from external auditory meatus 41512-00 Reconstruction of external auditory canal 41518-00 Removal of exostosis from external auditory meatus 41521-00 Correction of auditory canal stenosis 41521-01 Correction of auditory canal stenosis with skin graft 41527-00 Myringoplasty, transcanal approach 41530-00 Myringoplasty, postaural or endaural approach 41533-00 Atticotomy 41533-01 Myringoplasty with atticotomy 121 122 | Patient Minimum Data Set 41533-02 Other incision of middle ear 41536-00 Atticotomy with reconstruction of bony defect 41536-01 Atticotomy with reconstruction of bony defect and myringoplasty 41539-00 Ossicular chain reconstruction 41542-00 Myringoplasty with ossicular chain reconstruction 41545-00 Mastoidectomy 41548-00 Obliteration of mastoid cavity 41551-00 Mastoidectomy by intact canal wall technique with myringoplasty 41554-00 Appendices Mastoidectomy by intact canal wall technique with myringoplasty and ossicular chain reconstruction 41557-00 Modified radical mastoidectomy 41557-01 Radical mastoidectomy 41557-02 Implantation of electromagnetic hearing device 41557-03 Incision of mastoid 41560-00 Modified radical mastoidectomy with myringoplasty 41560-01 Radical mastoidectomy with myringoplasty 41563-00 Modified radical mastoidectomy with myringoplasty and ossicular chain reconstruction 41563-01 Radical mastoidectomy with myringoplasty and ossicular chain reconstruction 41564-00 Modified radical mastoidectomy with obliteration of mastoid cavity and eustachian tube and closure of external auditory canal 41564-01 Radical mastoidectomy with obliteration of mastoid cavity and eustachian tube and closure of external auditory canal 41566-00 Revision of intact canal wall technique mastoidectomy 41566-01 Revision of modified radical mastoidectomy 41566-02 Revision of radical mastoidectomy 41569-00 Intracranial decompression of facial nerve 41572-00 Labyrinthotomy 41575-00 Removal of lesion of cerebellopontine angle 41581-00 Removal of lesion involving infratemporal fossa 41584-00 Partial resection of temporal bone with mastoidectomy 41584-01 Partial resection of temporal bone with mastoidectomy and decompression of facial nerve 41587-00 Total resection of temporal bone 41590-00 Decompression of endolymphatic sac 41590-01 Decompression of endolymphatic sac with shunt 41593-00 Vestibular nerve section, translabyrinthine approach 41596-00 Vestibular nerve section, retrolabyrinthine approach 41596-01 Cochlear nerve section, retrolabyrinthine approach 41596-02 Vestibular and cochlear nerve section, retrolabyrinthine approach 41599-00 Exploration of internal auditory meatus with decompression of cranial nerve 41608-00 Stapedectomy 41608-01 Stapedotomy 41611-00 Mobilisation of ossicles 41614-00 Closure of round window fistula 41614-01 Closure of oval window fistula 41614-02 Repair of round window 41615-00 Repair of oval window Patient Minimum Data Set | Appendices 41617-00 Implantation of cochlear prosthetic device 41617-01 Removal of cochlear prosthetic device 41620-00 Removal of lesion of glomus, transtympanic approach 41623-00 Removal of lesion of glomus, transmastoid approach, with mastoidectomy 41626-00 Myringotomy, unilateral 41626-01 Myringotomy, bilateral 41629-00 Exploration of middle ear 41632-00 Myringotomy with insertion of tube, unilateral 41632-01 Myringotomy with insertion of tube, bilateral 41635-00 Excision of lesion of middle ear 41635-01 Excision of lesion of middle ear with myringoplasty 41638-00 Excision of lesion of middle ear with ossicular chain reconstruction 41638-01 Excision of lesion of middle ear with myringoplasty and ossicular chain reconstruction 41641-00 Cauterisation of perforated tympanic membrane 41644-00 Excision of rim of perforated tympanic membrane 41644-01 Other excision of middle ear 41653-01 Other diagnostic procedures on nose 41668-00 Removal of nasal polyp 41671-00 Submucous resection of nasal septum 41671-01 Closure of perforation of nasal septum 41671-02 Septoplasty 41671-03 Septoplasty with submucous resection of nasal septum 41672-00 Reconstruction of nasal septum 41674-00 Cauterisation or diathermy of nasal turbinates 41674-01 Cauterisation or diathermy of nasal septum 41674-02 Cauterisation or diathermy of pharynx 41677-00 Arrest of anterior nasal haemorrhage by packing and/or cauterisation 41680-00 Arrest of nasal haemorrhage by cryotherapy 41686-00 Surgical fracture of nasal turbinates, unilateral 41686-01 Surgical fracture of nasal turbinates, bilateral 41689-00 Partial turbinectomy, unilateral 41689-01 Partial turbinectomy, bilateral 41689-02 Total turbinectomy, unilateral 41689-03 Total turbinectomy, bilateral 41692-00 Submucous resection of turbinate, unilateral 41692-01 Submucous resection of turbinate, bilateral 41695-00 Turbinectomy by cryotherapy 41701-00 Aspiration and lavage of nasal sinus by puncture 41707-00 Interruption of maxillary artery 41710-00 Radical maxillary antrostomy, unilateral 41710-01 Radical maxillary antrostomy, bilateral 41713-00 Radical maxillary antrostomy with transantral ethmoidectomy 41713-01 Radical maxillary antrostomy with transantral vidian neurectomy 41716-00 Intranasal removal of foreign body from maxillary antrum 41716-01 Intranasal maxillary antrostomy, unilateral 123 124 | Patient Minimum Data Set 41716-02 Intranasal maxillary antrostomy, bilateral 41716-03 Intranasal removal of polyp from maxillary antrum 41716-04 Other intranasal procedures on maxillary antrum 41716-05 Biopsy of maxillary antrum 41716-06 Excision of lesion of maxillary antrum 41722-00 Closure of oro-antral fistula 41725-00 Interruption of ethmoidal artery 41728-00 Lateral rhinotomy with removal of intranasal lesion 41729-00 Excision of dermoid cyst of nose with intranasal extension 41731-00 Ethmoidectomy, frontonasal approach 41731-01 Ethmoidectomy with sphenoidectomy, frontonasal approach 41734-00 Radical ethmoidectomy with osteoplastic flap 41737-00 Other intranasal procedures on frontal sinus 41737-01 Other intranasal procedures on ethmoidal sinus 41737-02 Ethmoidectomy, unilateral 41737-03 Ethmoidectomy, bilateral 41737-04 Ethmoidotomy 41737-05 Intranasal removal of polyp from frontal sinus 41737-06 Intranasal removal of polyp from ethmoidal sinus 41737-07 Biopsy of frontal sinus 41737-08 Biopsy of ethmoidal sinus 41737-09 Frontal sinusectomy 41740-00 Catheterisation of frontal sinus 41743-00 Trephining frontal sinus 41746-00 Radical obliteration of frontal sinus 41749-00 External procedure on ethmoidal sinus 41752-00 Other intranasal procedures on sphenoidal sinus 41752-01 Sphenoidectomy 41752-02 Sphenoidotomy 41752-03 Intranasal removal of polyp from sphenoidal sinus 41752-04 Biopsy of sphenoidal sinus 41758-00 Division of pharyngeal adhesions 41761-00 Examination of nasal cavity and/or postnasal space with biopsy 41764-00 Nasendoscopy 41764-01 Sinoscopy 41764-02 Fibreoptic examination of pharynx 41764-03 Fibreoptic laryngoscopy 41764-04 Tracheoscopy through artificial stoma 41767-00 Removal of lesion of nasopharynx, transpalatal approach 41770-00 Removal of pharyngeal pouch 41770-01 Cricopharyngeal myotomy with removal of pharyngeal pouch 41773-00 Endoscopic resection of pharyngeal pouch 41776-00 Cricopharyngeal myotomy 41776-01 Cricopharyngeal myotomy with inversion of pharyngeal pouch 41779-00 Pharyngotomy Appendices Patient Minimum Data Set | Appendices 41779-01 Total excision of tongue 41782-00 Partial pharyngectomy 41785-00 Partial pharyngectomy with partial glossectomy 41785-01 Partial pharyngectomy with total glossectomy 41786-00 Uvulopalatopharyngoplasty 41786-01 Uvulopalatopharyngoplasty with tonsillectomy 41787-00 Uvulectomy with partial palatectomy 41787-01 Uvulectomy with partial palatectomy and tonsillectomy 41787-02 Revision uvulectomy 41789-00 Tonsillectomy without adenoidectomy 41789-01 Tonsillectomy with adenoidectomy 41797-00 Arrest of haemorrhage following tonsillectomy and adenoidectomy 41801-00 Adenoidectomy without tonsillectomy 41804-00 Removal of lingual tonsil 41804-01 Removal of lateral pharyngeal bands 41807-00 Incision and drainage of peritonsillar abscess 41810-00 Uvulotomy 41810-01 Uvulectomy 41813-00 Removal of vallecular cyst 41813-01 Removal of pharyngeal cyst 41816-00 Rigid oesophagoscopy 41819-00 Other endoscopic dilation of oesophagus 41822-00 Rigid oesophagoscopy with biopsy 41825-00 Rigid oesophagoscopy with removal of foreign body 41831-00 Endoscopic pneumatic dilation of oesophagus 41832-00 Endoscopic balloon dilation of oesophagus 41834-00 Total laryngectomy 41837-00 Hemilaryngectomy 41840-00 Supraglottic laryngectomy 41843-00 Laryngopharyngectomy 41843-01 Primary restoration of alimentary continuity following laryngopharyngectomy 41849-00 Laryngoscopy 41852-00 Laryngoscopy with removal of lesion 41855-00 Microlaryngoscopy 41861-00 Microlaryngoscopy with removal of lesion by laser 41864-00 Microlaryngoscopy with removal of lesion 41867-00 Microlaryngoscopy with arytenoidectomy 41867-01 Re-operation arytenoidectomy 41868-00 Division of laryngeal web using microlaryngoscopic techniques 41870-00 Administration of other substance into vocal cord 41873-00 Repair of laryngeal fracture 41876-00 Laryngofissure 41876-01 Laryngofissure with vocal cordectomy 41876-02 Laryngoplasty 41879-01 Suture of laceration of trachea 125 126 | Patient Minimum Data Set 41879-02 Closure of external fistula of trachea 41879-03 Closure of other fistula of trachea 41879-04 Repair of trachea, cervical approach 41879-06 Reconstruction of trachea and construction of artificial larynx 41880-00 Percutaneous tracheostomy 41881-00 Open tracheostomy, temporary 41881-01 Open tracheostomy, permanent 41881-02 Revision of tracheostomy 41884-00 Cricothyrostomy 41885-00 Tracheo-oesophageal fistulisation 41886-00 Removal of foreign body from trachea 41886-01 Removal of laryngeal stent 41886-02 Removal of tracheal stent 41889-00 Bronchoscopy 41889-01 Bronchoscopy through artificial stoma 41892-00 Bronchoscopy with biopsy 41892-01 Bronchoscopy with excision of lesion 41895-00 Bronchoscopy with removal of foreign body 41895-01 Removal of endobronchial stent 41898-00 Fibreoptic bronchoscopy 41898-01 Fibreoptic bronchoscopy with biopsy 41901-00 Endoscopic resection of lesion of bronchus by laser 41904-00 Bronchoscopy with dilation 41905-00 Insertion of tracheal stent 41905-01 Replacement of tracheal stent 41905-02 Insertion of laryngeal stent 41905-03 Replacement of laryngeal stent 41905-04 Insertion of endobronchial stent 41905-05 Replacement of endobronchial stent 41907-00 Insertion of nasal septal button 41910-00 Transposition of duct of major salivary gland 42506-00 Enucleation of eyeball without implant 42506-01 Enucleation of eyeball with sphere implant 42509-00 Enucleation of eyeball with integrated implant 42510-00 Enucleation of eyeball with hydroxy apatite (coralline) implant 42512-00 Evisceration of eyeball without implant 42515-00 Evisceration of eyeball with insertion of intrascleral ball or cartilaginous implant 42518-00 Insertion of cartilaginous orbital implant to anophthalmic orbit 42518-01 Insertion of artificial implant to anophthalmic orbit 42518-02 Placement of motility integrating peg into existing orbital implant 42518-04 Removal of implant from anophthalmic orbit 42521-00 Insertion of wired in conformer to anophthalmic socket 42521-01 Insertion of artificial orbital integrated implant to anophthalmic socket 42521-02 Repair of anophthalmic socket with dermofat graft 42524-00 Skin graft to anophthalmic orbit, secondary procedure Appendices Patient Minimum Data Set | Appendices 127 42527-00 Revision of anophthalmic socket 42530-00 Exploratory orbitotomy requiring removal and replacement of bone 42530-01 Exploratory orbitotomy with biopsy, requiring removal and replacement of bone 42530-02 Repair of wound of orbit 42533-00 Exploratory orbitotomy 42533-01 Exploratory orbitotomy with biopsy 42536-00 Exenteration of orbit 42536-01 Exenteration of orbit with skin graft 42536-02 Exenteration of orbit with temporalis muscle transplant 42536-03 Exenteration of orbit with skin graft and temporalis muscle transplant 42536-04 Exenteration of orbit with removal of adjacent structures 42536-05 Exenteration of orbit with therapeutic removal of orbital bone 42539-00 Exploratory orbitotomy with excision of lesion, requiring removal and replacement of bone 42539-01 Exploratory orbitotomy with removal of foreign body, requiring removal and replacement of bone 42542-00 Exploratory orbitotomy, anterior aspect, with excision of lesion 42542-01 Exploratory orbitotomy, anterior aspect, with removal of foreign body 42543-00 Exploratory orbitotomy, retrobulbar aspect, with excision of lesion 42543-01 Exploratory orbitotomy, retrobulbar aspect, with removal of foreign body 42545-00 Orbitotomy for decompression of orbit by fenestration of >= 2 walls 42545-01 Orbitotomy for decompression of orbit by removal of intraorbital (peribulbar) (retrobulbar) fat 42548-00 Incision of optic nerve meninges 42551-00 Repair of perforating wound of eyeball with suture of corneal laceration 42551-01 Repair of perforating wound of eyeball with suture of scleral laceration 42551-02 Repair of perforating wound of eyeball with suture of corneal and scleral lacerations 42554-00 Repair of perforating wound of eyeball involving uveal tissue 42557-00 Repair of perforating wound of eyeball involving lens or vitreous 42560-00 Magnetic removal of intraocular foreign body from anterior segment 42563-00 Nonmagnetic removal of intraocular foreign body from anterior segment 42566-00 Magnetic removal of intraocular foreign body from posterior segment 42569-00 Nonmagnetic removal of intraocular foreign body from posterior segment 42572-00 Drainage of orbital abscess 42572-01 Drainage of orbital cyst 42573-00 Excision of periorbital dermoid, anterior to orbital septum 42574-00 Excision of orbital dermoid, posterior to orbital septum 42575-00 Excision of cyst of tarsal plate 42581-00 Cauterisation of ectropion 42581-01 Cauterisation of entropion 42584-00 Tarsorrhaphy 42590-00 Lateral canthoplasty 42590-01 Medial canthoplasty 42593-00 Excision of lacrimal gland 42593-01 Incision of lacrimal gland 42596-00 Incision of lacrimal sac 42596-01 Excision of lacrimal sac 42596-03 Other incision of lacrimal passages 128 | Patient Minimum Data Set Appendices 42599-00 Closed procedure for establishment of patency lacrimal canalicular system, 1 eye 42599-01 Closed procedure for establishment of patency lacrimal canalicular system, both eyes 42602-00 Open procedure for establishment of patency lacrimal canalicular system, 1 eye 42602-01 Open procedure for establishment of patency lacrimal canalicular system, both eyes 42605-00 Repair of lacrimal canaliculus 42605-01 Excision of lacrimal passages 42608-00 Insertion of other nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage 42608-01 Insertion of glass (Pyrex) nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage 42622-00 Occlusion of lacrimal punctum by cautery 42623-00 Dacryocystorhinostomy [DCR] 42626-00 Re-operation of dacryocystorhinostomy, second or subsequent procedure 42629-00 Conjunctivodacryocystorhinostomy [CDCR] 42632-00 Repair of corneal laceration by conjunctival flap 42632-01 Incision of conjunctiva 42632-02 Repair of laceration of conjunctiva 42635-00 Repair of corneal perforation by sealing 42638-00 Conjunctival flap over cornea 42641-00 Mucous membrane graft to conjunctiva 42641-01 Autoconjunctival transplant 42647-00 Partial keratectomy 42653-00 Full thickness transplantation of cornea 42656-00 Re-operation of keratoplasty, third or subsequent procedure 42656-01 Reoperation keratoplasty, second procedure 42659-00 Superficial transplantation of cornea 42662-00 Full thickness transplantation of sclera 42665-00 Superficial transplantation of sclera 42672-00 Incision of cornea, nonpenetrating, for correction of surgically induced astigmatism 42672-01 Incision of cornea, nonpenetrating, with compression sutures for correction of surgically induced astigmatism 42680-00 Cryotherapy of conjunctiva 42680-01 Cryotherapy of cornea 42683-00 Excision of lesion or tissue of conjunctiva 42686-00 Excision of pterygium 42689-00 Excision of pinguecula 42692-00 Excision of lesion of limbus 42692-01 Biopsy of cornea 42695-00 Excision of lesion of limbus with keratectomy 42695-01 Excision of lesion of limbus with sclerectomy 42698-00 Intracapsular extraction of crystalline lens 42698-01 Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique 42698-02 Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract 42698-03 Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract 42698-04 Other extracapsular extraction of crystalline lens 42698-05 Other extraction of crystalline lens 42701-00 Insertion of foldable artificial lens Patient Minimum Data Set | Appendices 42701-01 Insertion of other artificial lens 42702-00 Intracapsular extraction of crystalline lens with insertion of foldable artificial lens 42702-01 Intracapsular extraction of crystalline lens with insertion of other artificial lens 129 42702-02 Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of foldable artificial lens 42702-03 Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of other artificial lens 42702-04 Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of foldable artificial lens 42702-05 Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of other artificial lens 42702-06 Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of foldable artificial lens 42702-07 Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of other artificial lens 42702-08 Other extracapsular extraction of crystalline lens with insertion of foldable artificial lens 42702-09 Other extracapsular extraction of crystalline lens with insertion of other artificial lens 42702-10 Other extraction of crystalline lens with insertion of foldable artificial lens 42702-11 Other extraction of crystalline lens with insertion of other artificial lens 42703-00 Insertion of artificial lens into posterior chamber and suture to iris and sclera 42704-00 Removal of artificial lens 42704-01 Repositioning of artificial lens 42707-00 Replacement of artificial lens 42710-00 Replacement of artificial lens by posterior chamber insertion and suture to iris and sclera 42713-00 Repositioning of artificial lens with suture of lens 42716-00 Removal of juvenile cataract 42719-00 Capsulectomy of lens 42719-01 Removal of vitreous, anterior approach 42719-02 Mechanical fragmentation of secondary membrane 42722-00 Capsulectomy of lens by posterior chamber sclerotomy 42722-01 Removal of vitreous with division of vitreal bands 42725-00 Removal of vitreous with division of vitreal bands and removal of preretinal membrane 42731-00 Capsulectomy of lens by posterior chamber sclerotomy with removal of vitreous 42731-01 Extraction of crystalline lens by posterior chamber sclerotomy with removal of vitreous 42734-00 Capsulotomy of lens 42737-00 Needling of posterior capsule of lens 42740-00 Diagnostic aspiration of aqueous humor 42740-01 Diagnostic aspiration of vitreous 42740-02 Administration of therapeutic agent into anterior chamber 42740-03 Administration of therapeutic agent into posterior chamber 42740-04 Therapeutic aspiration of aqueous humor 42740-05 Therapeutic aspiration of vitreous 42743-00 Irrigation of anterior chamber 42746-00 Management of postoperative hypotony/fistula using tamponade device 42746-01 Iridencleisis or iridotasis 42746-02 Trephination of sclera with iridectomy 42746-03 Thermocauterisation of sclera with iridectomy 130 | Patient Minimum Data Set Appendices 42746-04 Trabeculectomy 42746-05 Other filtering (fistulisation) procedures for glaucoma, not elsewhere classified 42749-00 Revision of scleral fistulisation procedure 42752-00 Insertion of aqueous shunt for glaucoma 42755-00 Removal of aqueous shunt for glaucoma 42758-00 Goniotomy 42761-00 Division of anterior synechiae 42761-01 Division of posterior synechiae 42761-02 Division of corneovitreal adhesions 42764-00 Iridotomy 42764-01 Biopsy of iris 42764-02 Sphincterotomy of iris 42764-03 Iridoplasty 42764-04 Iridectomy 42767-00 Excision of lesion of ciliary body 42770-00 Destruction of ciliary body 42773-00 Repair of retinal detachment by diathermy 42773-01 Repair of retinal detachment by cryotherapy 42776-00 Repair of retinal detachment with scleral buckling 42779-00 Revision of previous retinal detachment procedure 42801-00 Implantation of brachytherapy applicator, eye 42805-00 Insertion of tantalum markers to the sclera 42810-00 Phototherapeutic keratectomy [PTK] 42812-00 Removal of surgically implanted material from posterior segment of eye 42815-00 Removal of silicone oil 42818-00 Cryotherapy of retina with external probe 42818-01 Cryotherapy of ciliary body with external probe 42833-00 Strabismus procedure involving 1 or 2 muscles, 1 eye 42833-01 Strabismus procedure involving 1 or 2 muscles, both eyes 42833-02 Re-operation of strabismus procedure involving 1 or 2 muscles, 1 eye, second procedure 42833-03 Re-operation of strabismus procedure involving 1 or 2 muscles, both eyes, second procedure 42836-00 Re-operation strabismus procedure involving 1 or 2 muscles, 1 eye, third or subsequent procedure 42836-01 Re-operation of strabismus procedure involving 1 or 2 muscles, both eyes, third or subsequent procedure 42839-00 Strabismus procedure involving 3 or more muscles, 1 eye 42839-01 Strabismus procedure involving 3 or more muscles, both eyes 42839-02 Re-operation of strabismus procedure involving 3 or more muscles, 1 eye, second procedure 42839-03 Re-operation of strabismus procedure involving 3 or more muscles, both eyes, second procedure 42842-00 Re-operation of strabismus procedure involving 3 or more muscles, 1 eye, third or subsequent procedure 42842-01 Re-operation of strabismus procedure involving >= 3 muscles, both eyes, third or subsequent procedure 42845-00 42845-01 42848-00 Readjustment of adjustable sutures following previous surgery for correction of strabismus, 1 eye Readjustment of adjustable sutures following previous surgery for correction of strabismus, both eyes Muscle transplant for strabismus Patient Minimum Data Set | Appendices 42848-01 Re-operation of muscle transplant procedure for strabismus, second procedure 42851-00 Re-operation of muscle transplant procedure for strabismus, third or subsequent procedure 42854-00 Repair of ruptured extraocular muscle 42854-01 Repair of medial palpebral ligament 42857-00 Resuture of operative wound following previous intraocular procedure 42857-01 131 Resuture of operative wound following previous intraocular procedure with excision of prolapsed iris 42860-00 Graft to upper eyelid, with recession of lid retractors, 1 eye 42860-01 Graft to upper eyelid, with recession of lid retractors, both eyes 42860-02 Graft to lower eyelid, with recession of lid retractors, 1 eye 42860-03 Graft to lower eyelid, with recession of lid retractors, both eyes 42863-00 Recession of eyelid 42866-00 Repair of ectropion or entropion by tightening or shortening of inferior retractors 42866-01 Repair of ectropion or entropion by other repair of inferior retractors 42869-00 Insertion of implant into eyelid 42872-00 Elevation of eyebrow for paretic state 43021-00 Photodynamic therapy of retina, 1 eye 43022-00 Photodynamic therapy of retina, both eyes 43801-00 Correction of malrotation of intestine 43807-00 Duodenoduodenostomy 43810-00 Repair of small intestine with single anastomosis 43810-01 Repair of small intestine with multiple anastomoses 43816-02 Other repair of large intestine 43837-02 Repair of diaphragmatic hernia with use of body wall flap or insertion of prosthetic patch 43843-00 Repair of oesophageal atresia 43843-01 Repair of oesophageal atresia with repair of distal tracheo-oesophageal fistula 43843-02 Repair of oesophageal atresia with repair of proximal or multiple tracheo-oesophageal fistula 43852-00 Closure of tracheo-oesophageal fistula, via thoracotomy 43855-00 Delayed primary anastomosis of oesophageal atresia 43864-00 Primary repair of gastroschisis involving skin 43864-01 Primary repair of gastroschisis involving skin, muscle, and fascia 43867-00 Creation of prosthetic pouch for gastroschisis 43867-01 Second stage procedure for gastroschisis with removal of prosthesis and closure 43870-00 Repair of exomphalos, minor 43873-00 Repair of exomphalos, major 43873-01 Creation of prosthetic pouch for exomphalos 43873-02 Delayed primary closure of exomphalos following creation of prosthetic pouch 43876-00 Excision of sacrococcygeal teratoma, posterior approach 43879-00 Excision of sacrococcygeal teratoma, posterior and abdominal approach 43882-00 Primary repair of cloacal exstrophy [abdominal defect] 43882-01 Secondary repair of cloacal exstrophy 43900-00 Closure of tracheo-oesophageal fistula 43903-00 Replacement of oesophagus using intestine, paediatric 43906-00 Partial resection of oesophagus with anastomosis, paediatric 43906-01 Total resection of oesophagus with anastomosis, paediatric 43909-00 Aortopexy 132 | Patient Minimum Data Set 43912-00 Excision of bronchogenic cyst via thoracotomy 43912-01 Repair of intestinal duplication 43915-00 Plication of diaphragm 43930-00 Pyloromyotomy 43942-00 Excision of epithelial remnant at umbilicus 43945-00 Excision of patent vitello intestinal duct 43948-00 Excision of umbilical granuloma 43963-00 Anorectoplasty via perineal approach 43966-00 Anorectoplasty via laparotomy 43969-00 Total repair of persistent cloaca via perineal approach 43969-01 Total repair of persistent cloaca via laparotomy 43972-00 Resection of choledochal cyst with anastomosis of common bile duct 43975-00 Resection of choledochal cyst with anastomosis at or above junction of hepatic ducts 43978-00 Portoenterostomy 43987-00 Excision of intrathoracic neuroblastoma 43987-01 Excision of intra-abdominal neuroblastoma 43987-02 Excision of neuroblastoma, not elsewhere classified 43993-01 Definitive intestinal resection and pull-through anastomosis 44325-00 Midcarpal amputation 44325-01 Transmetacarpal amputation 44328-00 Amputation through forearm 44328-01 Amputation through arm 44328-02 Disarticulation through wrist 44331-00 Disarticulation at shoulder 44334-00 Interscapulothoracic amputation 44338-00 Amputation of toe 44358-00 Amputation of toe including metatarsal bone 44361-00 Disarticulation through ankle 44361-01 Amputation of ankle through malleoli of tibia and fibula 44364-00 Midtarsal amputation 44364-01 Transmetatarsal amputation 44367-00 Amputation above knee 44367-01 Disarticulation at knee 44367-02 Amputation below knee 44370-00 Amputation at hip 44373-00 Hindquarter amputation 44376-00 Reamputation of amputation stump 45003-01 Myocutaneous flap 45009-01 Muscle flap 45015-00 Delay of muscle flap 45015-01 Delay of myocutaneous flap 45018-00 Dermis graft 45018-01 Dermofat graft 45018-02 Fat graft 45018-03 Fascia graft Appendices Patient Minimum Data Set | Appendices 45018-04 Procurement of fat for graft via separate incision 45019-00 Full face chemical peel 45024-00 Abrasive therapy to >= 2 aesthetic areas of face 45027-00 Cauterisation of vascular anomaly 45027-01 Administration of agent into vascular anomaly 45030-00 Excision of vascular anomaly of skin and subcutaneous tissue or mucous surface, small 45033-00 Excision of vascular anomaly of skin and subcutaneous tissue or mucous surface, large 45033-01 Excision of vascular anomaly of parotid gland 45033-02 Excision of vascular anomaly of floor of mouth 45033-03 Excision of vascular anomaly of tongue 45033-04 Excision of vascular anomaly of facial muscle or nerve 45033-05 Excision of vascular anomaly of breast 45033-06 Excision of vascular anomaly of other site 45036-00 Excision of vascular anomaly of neck 45039-00 Excision of arteriovenous malformation of other site, <= 3 cm 45042-00 Excision of arteriovenous malformation of other site, more than 3 cm 45045-00 Excision of arteriovenous malformation of eyelid 45045-01 Excision of arteriovenous malformation of nose 45045-02 Excision of arteriovenous malformation of lip 45045-03 Excision of arteriovenous malformation of ear 45045-04 Excision of arteriovenous malformation of neck 45045-05 Excision of arteriovenous malformation of hand 45045-06 Excision of arteriovenous malformation of thumb 45045-07 Excision of arteriovenous malformation of finger 45045-08 Excision of arteriovenous malformation of genitals 45048-00 Excision of lymphoedematous tissue of arm 45048-01 Excision of lymphoedematous tissue of forearm and hand 45048-02 Excision of lymphoedematous tissue of thigh 45048-03 Excision of lymphoedematous tissue of leg and foot 45048-04 Excision of lymphoedematous tissue of other site 45051-00 Facial contour reconstruction with implant 45051-01 Other contour reconstruction with implant 45054-00 Escharotomy 45200-00 Local skin flap of other site 45206-00 Local skin flap of eyelid 45206-01 Local skin flap of nose 45206-02 Local skin flap of lip 45206-03 Local skin flap of ear 45206-04 Local skin flap of neck 45206-05 Local skin flap of hand 45206-06 Local skin flap of thumb 45206-07 Local skin flap of finger 45206-08 Local skin flap of genitals 45206-09 Local skin flap of other areas of face 45206-10 Local skin flap of foot 133 134 | Patient Minimum Data Set Appendices 45206-11 Local skin flap of toe 45221-01 Direct distant skin flap, first stage 45224-01 Direct distant skin flap, second stage 45227-00 Indirect distant skin flap, formation of tubed pedicle 45230-00 Delay of direct distant skin flap 45230-01 Delay of indirect distant skin flap 45233-00 Indirect distant skin flap, preparation, transfer and attachment to intermediate site 45233-01 Indirect distant skin flap, preparation, transfer and attachment to final site 45236-00 Indirect distant skin flap, spreading of tubed pedicle 45239-00 Revision of local skin flap 45239-01 Revision of direct distant skin flap 45239-02 Revision of indirect distant skin flap 45400-00 Split skin graft of small granulating area 45400-01 Split skin graft of small granulating burn site, less than 3% of body surface area grafted 45403-00 Split skin graft of extensive granulating area 45403-01 Split skin graft of extensive granulating burn site, >= 3% of body surface area grafted 45406-00 Split skin graft to burn of other sites involving less than 3% body surface area grafted 45409-00 Split skin graft to burn of other sites involving >= 3% and < 6% body surface area grafted 45412-00 Split skin graft to burn of other sites involving >= 6% and < 9% body surface area grafted 45415-00 Split skin graft to burn of other sites involving >= 9% and < 12% body surface area grafted 45418-00 Split skin graft to burn of other sites involving >= 12% and < 15% body surface area grafted 45439-00 Small split skin graft of other site 45442-00 Extensive split skin graft of any site 45445-00 Split skin graft as an inlay graft 45448-00 Small split skin graft of eyelid 45448-01 Small split skin graft of nose 45448-02 Small split skin graft of lip 45448-03 Small split skin graft of ear 45448-04 Small split skin graft of neck 45448-05 Small split skin graft of hand 45448-06 Small split skin graft of thumb 45448-07 Small split skin graft of finger 45448-08 Small split skin graft of genitals 45448-09 Small split skin graft of other areas of face 45448-10 Small split skin graft of foot 45448-11 Small split skin graft of toe 45451-00 Full thickness skin graft of eyelid 45451-01 Full thickness skin graft of nose 45451-02 Full thickness skin graft of lip 45451-03 Full thickness skin graft of ear 45451-04 Full thickness skin graft of neck 45451-05 Full thickness skin graft of hand 45451-06 Full thickness skin graft of thumb 45451-07 Full thickness skin graft of finger 45451-08 Full thickness skin graft of genitals Patient Minimum Data Set | Appendices 45451-09 Full thickness skin graft of other site 45451-10 Full thickness skin graft to burn of eyelid 45451-11 Full thickness skin graft to burn of nose 45451-12 Full thickness skin graft to burn of lip 45451-13 Full thickness skin graft to burn of ear 45451-14 Full thickness skin graft to burn of neck 45451-15 Full thickness skin graft to burn of hand 45451-16 Full thickness skin graft to burn of thumb 45451-17 Full thickness skin graft to burn of finger 45451-18 Full thickness skin graft to burn of genitals 45451-19 Full thickness skin graft to burn of other site 45451-20 Full thickness skin graft to burn of other areas of face 45451-21 Full thickness skin graft to burn of whole face 45451-22 Full thickness skin graft to burn of foot 45451-23 Full thickness skin graft to burn of toe 45451-24 Full thickness skin graft of other areas of face 45451-25 Full thickness skin graft of whole face 45451-26 Full thickness skin graft of foot 45451-27 Full thickness skin graft of toe 45460-00 Split skin graft to burn of other sites involving >= 15% and < 20% body surface area grafted 45464-00 Split skin graft to burn of other sites involving >= 20% and < 30% body surface area grafted 45468-00 Split skin graft to burn of other sites involving >= 30% and < 40% body surface area grafted 45471-00 Split skin graft to burn of other sites involving >= 40% and < 50% body surface area grafted 45474-00 Split skin graft to burn of other sites involving >= 50% and < 60% body surface area grafted 45477-00 Split skin graft to burn of other sites involving >= 60% and < 70% body surface area grafted 45480-00 Split skin graft to burn of other sites involving >= 70% and < 80% body surface area grafted 45483-00 Split skin graft to burn of other sites involving >= 80% body surface area grafted 45485-00 Split skin graft to burn of eyelid 45485-01 Split skin graft to burn of nose 45485-02 Split skin graft to burn of lip 45485-03 Split skin graft to burn of ear 45485-04 Split skin graft to burn of hand 45486-00 Split skin graft to burn of neck 45486-01 Split skin graft to burn of genitals 45486-02 Split skin graft to burn of other areas of face 45486-03 Split skin graft to burn of foot 45487-00 Split skin graft to burn of toe 45488-00 Split skin graft to burn of finger 45488-01 Split skin graft to burn of thumb 45494-00 Split skin graft to burn of whole face 45496-00 Open revision of free tissue flap 45497-00 Complete revision of free tissue flap by liposuction 45498-00 Revision of free tissue flap by liposuction, first stage 45499-00 Revision of free tissue flap by liposuction, second stage 45500-00 Microsurgical repair of artery of distal extremity or digit 135 136 | Patient Minimum Data Set 45500-01 Microsurgical repair of vein of distal extremity or digit 45500-02 Microsurgical repair of artery and vein of distal extremity or digit 45502-00 Microsurgical anastomosis of artery 45502-01 Microsurgical anastomosis of vein 45502-02 Microsurgical anastomosis of artery and vein 45503-00 Microsurgical graft of artery 45503-01 Microsurgical graft of vein 45503-02 Microsurgical graft of artery and vein 45506-00 Revision of scar of face <= 3 cm in length 45506-01 Revision of scar of neck <= 3 cm in length 45512-00 Revision of scar of face more than 3 cm in length 45512-01 Revision of scar of neck more than 3 cm in length 45515-00 Revision of scar of other site <= 7 cm in length 45515-01 Release of contracture of skin and subcutaneous tissue 45518-00 Revision of scar of other site more than 7 cm in length 45519-00 Revision of burn scar or burn contracture 45520-00 Reduction mammoplasty with nipple repositioning, unilateral 45520-01 Reduction mammoplasty with nipple repositioning, bilateral 45520-02 Reduction mammoplasty with reconstruction of nipple, unilateral 45520-03 Reduction mammoplasty with reconstruction of nipple, bilateral 45522-00 Reduction mammoplasty, unilateral 45522-01 Reduction mammoplasty, bilateral 45524-00 Augmentation mammoplasty, unilateral 45527-00 Augmentation mammoplasty following mastectomy, unilateral 45527-01 Augmentation mammoplasty following mastectomy, bilateral 45528-00 Augmentation mammoplasty, bilateral 45530-02 Reconstruction of breast using flap 45533-00 Reconstruction of breast using breast sharing technique, first stage 45536-00 Reconstruction of breast using breast sharing technique, second stage 45539-00 Reconstruction of breast with insertion of tissue expander 45542-00 Removal of breast tissue expander and insertion of permanent prosthesis 45545-00 Reconstruction of nipple 45545-01 Reconstruction of areola 45545-02 Reconstruction of nipple and areola 45548-00 Removal of breast prosthesis 45548-01 Removal of breast tissue expander 45548-02 Adjustment of breast tissue expander 45551-00 Removal of breast prosthesis with excision of fibrous capsule 45552-00 45554-00 Appendices Removal of breast prosthesis with excision of fibrous capsule and replacement of prosthesis Removal of breast prosthesis with excision of fibrous capsule and replacement of prosthesis and formation of new pocket 45555-00 Removal of silicone breast prosthesis and replacement with other than silicone prosthesis 45556-00 Mastopexy 45560-00 Hair transplant 45562-00 Noninnervated free flap 45562-01 Innervated free flap Patient Minimum Data Set | Appendices 45563-00 Island flap with vascular pedicle 45563-01 Island flap with neurovascular pedicle 45566-00 Insertion of tissue expander 45566-01 Injection into tissue expander 45566-03 Adjustment of tissue expander 45568-00 Removal of tissue expander 45570-00 Closure of abdomen with repair of musculoaponeurotic layer 45572-00 Intraoperative insertion of tissue expander 45575-00 Fascia graft for facial nerve paralysis 45578-00 Muscle transfer for facial nerve paralysis 45581-00 Excision of tissue for facial nerve paralysis 45581-01 Excision of tissue for facial nerve paralysis with suspension 45584-00 Liposuction 45587-00 Facelift, unilateral 45587-01 Browlift, unilateral 45588-00 Facelift, bilateral 45588-01 Browlift, bilateral 45590-00 Reconstruction of orbital cavity 45590-01 Reconstruction of orbital cavity with implant 45593-00 Reconstruction of orbital cavity with cartilage graft 45593-01 Reconstruction of orbital cavity with implant and cartilage graft 45593-02 Reconstruction of orbital cavity with bone graft 45593-03 Reconstruction of orbital cavity with implant and bone graft 45596-00 Total resection of 1 maxilla 45597-00 Total resection of both maxillae 45599-00 Total resection of both sides of mandible 45602-00 Subtotal resection of mandible 45602-01 Subtotal resection of maxilla 45605-00 Partial resection of mandible 45605-01 Partial resection of maxilla 45608-00 Reconstruction of mandibular condyle 45608-01 Partial reconstruction of mandible 45608-02 Subtotal reconstruction of mandible 45608-03 Total reconstruction of mandible 45608-04 Reconstruction of mandible by osseous distraction 45611-00 Mandibular condylectomy 45614-00 Reconstruction of eyelid 45614-01 Tarsal strip procedure 45617-00 Reduction of upper eyelid 45620-00 Reduction of lower eyelid 45623-00 Correction of ptosis of eyelid by frontalis muscle technique with suture 45623-01 Correction of ptosis of eyelid by frontalis muscle technique with fascial sling 45623-02 Correction of ptosis of eyelid by resection or advancement of levator muscle 45623-03 Correction of ptosis of eyelid by other levator muscle techniques 45623-04 Correction of ptosis of eyelid by tarsal technique 137 138 | Patient Minimum Data Set 45623-05 45624-00 Appendices Correction of ptosis of eyelid by other techniques Re-operation to correct previous ptosis repair of eyelid by frontalis muscle technique with suture 45624-01 Re-operation to correct previous ptosis repair of eyelid by frontalis muscle technique with fascial sling 45624-02 Re-operation to correct previous ptosis repair of eyelid by resection or advancement of levator muscle 45624-03 Re-operation to correct previous ptosis repair of eyelid by other levator muscle techniques 45624-04 Re-operation to correct previous ptosis repair of eyelid by tarsal technique 45624-05 Re-operation to correct previous ptosis repair of eyelid by other techniques 45625-00 Revision of levator sutures following previous correction of blepharoptosis 45626-00 Correction of ectropion or entropion by suture technique 45626-01 Correction of ectropion or entropion with wedge resection 45629-00 Graft for symblepharon 45632-00 Rhinoplasty involving correction of cartilage 45635-00 Rhinoplasty involving correction of bony vault 45638-00 Total rhinoplasty 45641-00 Rhinoplasty using nasal or septal cartilage graft 45641-01 Rhinoplasty using nasal bone graft 45641-02 Rhinoplasty using nasal bone and nasal/septal cartilage graft 45644-00 Rhinoplasty using cartilage graft from distant donor site 45644-01 Rhinoplasty using bone graft from distant donor site 45644-02 Rhinoplasty using bone and cartilage graft from distant donor site 45645-00 Closed repair of choanal atresia 45646-00 Open repair of choanal atresia 45647-00 Facial contour restoration using bone graft 45647-01 Facial contour restoration using cartilage graft 45647-02 Facial contour restoration using bone and cartilage graft 45650-00 Revision of rhinoplasty 45652-00 Ablation of rhinophyma using laser 45653-00 Shaving of rhinophyma 45656-00 Composite graft to nose 45656-01 Composite graft to ear 45656-02 Composite graft to eyelid 45656-03 Composite graft to other site 45659-00 Correction of bat ear 45659-01 Other correction of external ear deformity 45660-00 Reconstruction of external ear, first stage 45661-00 Reconstruction of external ear, second stage 45662-00 Reconstruction of external auditory canal for congenital atresia 45665-00 Full thickness wedge excision of lip 45665-01 Full thickness wedge excision of eyelid 45665-02 Full thickness wedge excision of ear 45668-00 Vermilionectomy 45669-00 Ablation of vermilion using laser 45671-00 Reconstruction of lip using flap, single or first stage 45671-01 Reconstruction of eyelid using flap, single or first stage Patient Minimum Data Set | Appendices 45674-00 Reconstruction of lip using flap, second stage 45674-01 Reconstruction of eyelid using flap, second stage 45675-00 Reduction of lip size 45675-01 Reduction of tongue size 45676-00 Other repair of mouth 45677-00 Primary repair of cleft lip, unilateral 45680-00 Primary repair of unilateral cleft lip and anterior palate 45683-00 Primary repair of cleft lip, bilateral 45686-00 Primary repair of bilateral cleft lip and anterior palate 45689-00 Lip adhesion procedure for cleft lip, unilateral 45689-01 Lip adhesion procedure for cleft lip, bilateral 45692-00 Partial revision of cleft lip 45695-00 Total revision of cleft lip 45698-00 Primary columella lengthening procedure for cleft lip 45701-00 Reconstruction of cleft lip using flap, single or first stage 45704-00 Reconstruction of cleft lip using flap, second stage 45707-00 Primary repair of cleft palate 45710-00 Secondary repair of cleft palate, closure of fistula using local flap 45713-00 Secondary repair of cleft palate, lengthening procedure 45714-00 Closure of oronasal fistula 45714-01 Closure of other nasal fistula 45716--00 Pharyngoplasty 45716-01 Pharyngeal flap 45720-00 Osteotomy of mandible, unilateral 45720-01 Osteotomy of maxilla, unilateral 45720-02 Ostectomy of mandible, unilateral 45720-03 Ostectomy of maxilla, unilateral 45723-00 Osteotomy of mandible with internal fixation, unilateral 45723-01 Osteotomy of maxilla with internal fixation, unilateral 45723-02 Ostectomy of mandible with internal fixation, unilateral 45723-03 Ostectomy of maxilla with internal fixation, unilateral 45726-00 Osteotomy of mandible, bilateral 45726-01 Osteotomy of maxilla, bilateral 45726-02 Ostectomy of mandible, bilateral 45726-03 Ostectomy of maxilla, bilateral 45729-00 Osteotomy of mandible with internal fixation, bilateral 45729-01 Osteotomy of maxilla with internal fixation, bilateral 45729-02 Ostectomy of mandible with internal fixation, bilateral 45729-03 Ostectomy of maxilla with internal fixation, bilateral 45731-00 Osteotomies or ostectomies of mandible, <= 3 procedures 45731-01 Osteotomies or ostectomies of maxilla, <= 3 procedures 45732-00 Osteotomies or ostectomies of mandible, <= 3 procedures, with internal fixation 45732-01 Osteotomies or ostectomies of maxilla, <= 3 procedures, with internal fixation 45735-00 Osteotomies or ostectomies of mandible and maxilla, 4 procedures 45738-00 Osteotomies or ostectomies of mandible and maxilla, 4 procedures, with internal fixation 139 140 | Patient Minimum Data Set Appendices 45741-00 Osteotomies or ostectomies of mandible and maxilla, 5 procedures 45744-00 Osteotomies or ostectomies of mandible and maxilla, 5 procedures, with internal fixation 45747-00 Osteotomies or ostectomies of mandible and maxilla, >= 6 procedures 45752-00 Osteotomies or ostectomies of mandible or maxilla, >= 6 procedures, with internal fixation 45753-00 Midfacial osteotomies 45754-00 Midfacial osteotomies with internal fixation 45755-00 Temporomandibular meniscectomy 45758-00 Arthroplasty of temporomandibular joint 45761-00 Reduction genioplasty 45761-01 Augmentation genioplasty 45767-00 Intracranial correction of hypertelorism 45767-01 Intracranial correction of hypertelorism with Le Fort III osteotomy 45770-00 Subcranial correction of hypertelorism 45773-00 Periorbital correction of Treacher Collins syndrome 45776-00 Intracranial correction of orbital dystopia 45779-00 Subcranial correction of orbital dystopia 45782-00 Frontal advancement, unilateral 45782-01 Frontal advancement with partial orbital advancement, unilateral 45782-02 Frontal advancement with total orbital advancement, unilateral 45785-00 Frontal advancement, bilateral 45785-01 Frontal advancement with partial orbital advancement, bilateral 45785-02 Frontal advancement with total orbital advancement, bilateral 45785-03 Total cranial vault reconstruction 45788-00 Reconstruction of glenoid fossa, zygomatic arch and temporal bone 45791-00 Construction of absent condyle and ascending ramus 45794-00 Osseointegration procedure, implantation of titanium fixture for attachment of bone anchored hearing aid [BAHA] 45794-01 Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic ear 45794-02 Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic orbit 45794-03 Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic nose, partial 45794-04 Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic nose, total 45794-05 Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic limb 45794-06 Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic digit 45794-07 Osseointegration procedure, implantation of titanium fixture for replacement of joint of digit 45797-00 Osseointegration procedure, fixation of transcutaneous abutment for attachment of bone anchored hearing aid [BAHA] 45797-01 Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic ear 45797-02 Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic orbit 45797-03 Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic nose, partial 45797-04 Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic nose, total Patient Minimum Data Set | Appendices 45797-05 Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic limb 45797-06 Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic digit 45823-00 Removal of arch bars from maxilla or mandible 45825-00 Excision of palatal exostosis 45825-01 Excision of maxilla or mandible exostosis 45827-00 Excision of mylohyoid ridge of mandible 45831-00 Excision of papillary hyperplasia of palate 45837-00 Submucosal vestibuloplasty 45837-01 Open vestibuloplasty 45841-00 Alveolar ridge augmentation by bone graft or allograft 45843-00 Alveolar ridge augmentation by insertion of tissue expander 45845-00 Intraoral osseointegrated dental implant, first stage 45849-00 Bone graft to maxillary sinus 45855-00 Arthroscopy of temporomandibular joint 45857-00 Arthroscopy of temporomandibular joint with removal of loose body 45857-01 Arthroscopic debridement of temporomandibular joint 45857-02 Arthroscopic division of adhesions of temporomandibular joint 45861-00 Exploration of temporomandibular joint 45863-00 Exploration of temporomandibular joint with condylectomy or condylotomy 45865-00 Arthrocentesis of temporomandibular joint 45867-00 Synovectomy of temporomandibular joint 45869-00 Exploration of the temporomandibular joint with meniscus or capsular surgery 45871-00 Exploration of the temporomandibular joint with meniscus, capsular and condylar surgery 45873-00 141 Exploration of the temporomandibular joint with meniscus, capsular and condylar surgery using tissue flaps, cartilage graft or allograft implants 45875-00 Stabilisation of temporomandibular joint 45877-00 Arthrodesis of temporomandibular joint 46300-00 Arthrodesis of interphalangeal joint of hand 46300-01 Arthrodesis of metacarpophalangeal joint 46303-00 Arthrodesis of carpometacarpal joint 46306-00 Interposition arthroplasty of interphalangeal joint of hand 46306-01 Interposition arthroplasty of metacarpophalangeal joint 46307-00 Volar plate arthroplasty of interphalangeal joint of hand 46307-01 Volar plate arthroplasty of metacarpophalangeal joint 46309-00 Arthroplasty of interphalangeal joint of hand, 1 joint 46309-01 Arthroplasty of metacarpophalangeal joint, 1 joint 46312-00 Arthroplasty of interphalangeal joint of hand, 2 joints 46312-01 Arthroplasty of metacarpophalangeal joint, 2 joints 46315-00 Arthroplasty of interphalangeal joint of hand, 3 joints 46315-01 Arthroplasty of metacarpophalangeal joint, 3 joints 46318-00 Arthroplasty of interphalangeal joint of hand, 4 joints 46318-01 Arthroplasty of metacarpophalangeal joint, 4 joints 46321-00 Arthroplasty of interphalangeal joint of hand, 5 or more joints 46321-01 Arthroplasty of metacarpophalangeal joint, 5 or more joints 142 | Patient Minimum Data Set Appendices 46324-00 Arthroplasty of carpal bone 46327-00 Arthrotomy of interphalangeal joint of hand 46327-01 Arthrotomy of metacarpophalangeal joint 46330-00 Repair of ligament or capsule of interphalangeal joint of hand 46330-01 Repair of ligament or capsule of metacarpophalangeal joint 46333-00 Repair of ligament or capsule of interphalangeal joint of hand with free tissue graft or implant 46333-01 Repair of ligament or capsule of metacarpophalangeal joint with free tissue graft or implant 46336-00 Synovectomy of interphalangeal joint of hand 46336-01 Synovectomy of metacarpal joint 46336-02 Capsulectomy of interphalangeal joint of hand 46336-03 Capsulectomy of metacarpophalangeal joint 46336-04 Debridement of interphalangeal joint of hand 46336-05 Debridement of metacarpophalangeal joint 46339-00 Synovectomy of flexor or extensor tendon of hand 46342-00 Synovectomy of distal radio-ulnar joint 46342-01 Synovectomy of carpometacarpal joint 46345-00 Reconstruction of distal radio-ulnar joint 46348-00 Synovectomy of flexor tendon, 1 digit 46351-00 Synovectomy of flexor tendons, 2 digits 46354-00 Synovectomy of flexor tendons, 3 digits 46357-00 Synovectomy of flexor tendons, 4 digits 46360-00 Synovectomy of flexor tendons, 5 or more digits 46363-00 Release of tendon sheath of hand 46366-00 Subcutaneous fasciotomy for Dupuytren's contracture 46369-00 Palmar fasciectomy for Dupuytren's contracture 46372-00 Palmar fasciectomy for Dupuytren's contracture involving 1 digit (ray) 46375-00 Palmar fasciectomy for Dupuytren's contracture involving 2 digits (rays) 46378-00 Palmar fasciectomy for Dupuytren's contracture involving >= 3 digits (rays) 46381-00 Release of interphalangeal joint capsule for Dupuytren's contracture 46384-00 Local skin flap repair for Dupuytren's contracture 46387-00 Revision of palmar fasciectomy for Dupuytren's contracture involving 1 digit (ray) 46390-00 Revision of palmar fasciectomy for Dupuytren's contracture involving 2 digits (rays) 46393-00 Revision of palmar fasciectomy for Dupuytren's contracture involving 3 or more digits (rays) 46396-00 Osteotomy of finger 46396-01 Osteotomy of metacarpal bone 46396-02 Ostectomy of finger 46396-03 Ostectomy of metacarpal bone 46399-00 Osteotomy of finger with internal fixation 46399-01 Osteotomy of metacarpal bone with internal fixation 46399-02 Ostectomy of finger with internal fixation 46402-00 Bone graft of metacarpal bone 46402-01 Bone graft of phalanx of hand 46405-00 Bone graft of metacarpal bone with internal fixation 46405-01 Bone graft of phalanx of hand with internal fixation 46408-00 Reconstruction of tendon of hand by tendon graft Patient Minimum Data Set | Appendices 46411-00 Reconstruction of flexor tendon pulley of hand by tendon graft 46414-00 Insertion of artificial tendon prosthesis of hand 46417-00 Transfer of tendon of hand 46420-00 Primary repair of extensor tendon of hand 46423-00 Secondary repair of extensor tendon of hand 46426-00 Primary repair of flexor tendon of hand, proximal to A1 pulley 46429-00 Secondary repair of flexor tendon of hand, proximal to A1 pulley 46432-00 Primary repair of flexor tendon of hand, distal to A1 pulley 46435-00 Secondary repair of flexor tendon of hand, distal to A1 pulley 46438-00 Closed fixation of mallet finger 46441-00 Open repair of mallet finger 46442-00 Open reduction of intra-articular fracture of mallet finger 46444-00 Reconstruction of boutonniere deformity 46447-00 Reconstruction of boutonniere deformity with release of joint contracture 46450-00 Tenolysis of extensor tendon of hand 46453-00 Tenolysis of flexor tendon of hand 46456-00 Percutaneous tenotomy of finger 46464-00 Amputation of supernumerary, complete digit of hand 46465-00 Amputation of finger 46480-00 Amputation of finger including metacarpal bone 46483-00 Revision of amputation stump of hand or finger 46486-00 Primary repair of nail or nail bed 46489-00 Secondary repair of nail or nail bed 46492-00 Correction of contracture of digit of hand 46494-00 Excision of ganglion of hand 46495-00 Excision of mucous cyst of digit of hand 46495-01 Excision of ganglion of distal digit of hand 46498-00 Excision of ganglion of flexor tendon sheath of hand 46500-00 Excision of ganglion of dorsal wrist 46501-00 Excision of ganglion of volar wrist 46502-00 Excision of recurrent ganglion of dorsal wrist 46503-00 Excision of recurrent ganglion of volar wrist 46504-00 Neurovascular island flap to hand for pulp innervation 46507-00 Transposition of digit (ray) of hand on vascular pedicle 46510-00 Reduction of macrodactyly 46522-00 Incision and drainage of flexor tendon sheath of finger 46525-00 Incision and drainage of paronychia of hand 47006-00 Open reduction of dislocation of clavicle 47012-00 Open reduction of dislocation of shoulder 47012-01 Open reduction of dislocation of shoulder with internal fixation 47021-00 Open reduction of dislocation of elbow 47021-01 Open reduction of dislocation of elbow with internal fixation 47027-00 Open reduction of dislocation of proximal radio-ulnar joint 47027-01 Open reduction of dislocation of proximal radio-ulnar joint with internal fixation 47027-02 Open reduction of dislocation of distal radio-ulnar joint 143 144 | Patient Minimum Data Set Appendices 47027-03 Open reduction of dislocation of distal radio-ulnar joint with internal fixation 47033-00 Open reduction of dislocation of carpus 47033-01 Open reduction of dislocation of carpometacarpal joint 47039-00 Open reduction of dislocation of interphalangeal joint of hand 47045-00 Open reduction of dislocation of metacarpophalangeal joint 47048-00 Closed reduction of dislocation of hip 47051-00 Open reduction of dislocation of hip 47054-00 Closed reduction of dislocation of knee 47060-00 Open reduction of dislocation of patella 47063-00 Closed reduction of dislocation of ankle 47063-01 Closed reduction of dislocation of ankle with internal fixation 47066-00 Open reduction of dislocation of ankle 47066-01 Open reduction of dislocation of ankle with internal fixation 47072-00 Open reduction of dislocation of toe 47072-01 Open reduction of dislocation of toe with internal fixation 47300-01 Closed reduction of fracture of distal phalanx of hand with internal fixation 47303-01 Closed reduction of intra-articular fracture of distal phalanx of hand with internal fixation 47306-00 Open reduction of fracture of distal phalanx of hand 47306-01 Open reduction of fracture of distal phalanx of hand with internal fixation 47309-00 Open reduction of intra-articular fracture of distal phalanx of hand 47309-01 Open reduction of intra-articular fracture of distal phalanx of hand with internal fixation 47312-01 Closed reduction of fracture of middle phalanx of hand with internal fixation 47315-01 Closed reduction of intra-articular fracture of middle phalanx of hand with internal fixation 47318-00 Open reduction of fracture of middle phalanx of hand 47318-01 Open reduction of fracture of middle phalanx of hand with internal fixation 47321-00 Open reduction of intra-articular fracture of middle phalanx of hand 47321-01 Open reduction of intra-articular fracture of middle phalanx of hand with internal fixation 47324-01 Closed reduction of fracture of proximal phalanx of hand with internal fixation 47327-01 Closed reduction of intra-articular fracture of proximal phalanx of hand with internal fixation 47330-00 Open reduction of fracture of proximal phalanx of hand 47330-01 Open reduction of fracture of proximal phalanx of hand with internal fixation 47333-00 Open reduction of intra-articular fracture of proximal phalanx of hand 47333-01 Open reduction of intra-articular fracture of proximal phalanx of hand with internal fixation 47336-01 Closed reduction of fracture of metacarpus with internal fixation 47339-01 Closed reduction of intra-articular fracture of metacarpus with internal fixation 47342-00 Open reduction of fracture of metacarpus 47342-01 Open reduction of fracture of metacarpus with internal fixation 47345-00 Open reduction of intra-articular fracture of metacarpus 47345-01 Open reduction of intra-articular fracture of metacarpus with internal fixation 47348-01 Closed reduction of fracture of carpus with internal fixation 47351-00 Open reduction of fracture of carpus 47351-01 Open reduction of fracture of carpus with internal fixation 47354-01 Closed reduction of fracture of carpal scaphoid with internal fixation 47357-00 Open reduction of fracture of carpal scaphoid 47357-01 Open reduction of fracture of carpal scaphoid with internal fixation Patient Minimum Data Set | Appendices 47363-02 Closed reduction of fracture of distal radius with internal fixation 47363-03 Closed reduction of fracture of distal ulna with internal fixation 47366-00 Open reduction of fracture of distal radius 47366-01 Open reduction of fracture of distal ulna 47366-02 Open reduction of fracture of distal radius with internal fixation 47366-03 Open reduction of fracture of distal ulna with internal fixation 47381-00 Closed reduction of fracture of shaft of radius 47381-01 Closed reduction of fracture of shaft of ulna 47381-02 Closed reduction of fracture of shaft of radius with internal fixation 47381-03 Closed reduction of fracture of shaft of ulna with internal fixation 47384-00 Open reduction of fracture of shaft of radius 47384-01 Open reduction of fracture of shaft of ulna 47384-02 Open reduction of fracture of shaft of radius with internal fixation 47384-03 Open reduction of fracture of shaft of ulna with internal fixation 47385-00 Closed reduction of fracture of shaft of radius with dislocation 47385-01 Closed reduction of fracture of shaft of ulna with dislocation 47385-02 Closed reduction of fracture of shaft of radius with dislocation and internal fixation 47385-03 Closed reduction of fracture of shaft of ulna with dislocation and internal fixation 47386-00 Open reduction of fracture of shaft of radius with dislocation 47386-01 Open reduction of fracture of shaft of radius with dislocation and internal fixation 47386-02 Open reduction of fracture of shaft of ulna with dislocation 47386-03 Open reduction of fracture of shaft of ulna with dislocation and internal fixation 47387-00 Immobilisation of fracture of shaft of radius and ulna 47390-00 Closed reduction of fracture of shaft of radius and ulna 47390-01 Closed reduction of fracture of shaft of radius and ulna with internal fixation 47393-00 Open reduction of fracture of shaft of radius and ulna 47393-01 Open reduction of fracture of shaft of radius and ulna with internal fixation 47396-01 Closed reduction of fracture of olecranon with internal fixation 47399-00 Open reduction of fracture of olecranon 47399-01 Open reduction of fracture of olecranon with internal fixation 47402-00 Open reduction of fracture of olecranon with partial ostectomy of olecranon fragment 47402-01 Open reduction of fracture of olecranon with partial ostectomy of olecranon fragment and internal fixation 47405-01 Closed reduction of fracture of radial head or neck with internal fixation 47408-00 Open reduction of fracture of radial head or neck 47408-01 Open reduction of fracture of radial head or neck with internal fixation 47426-00 Closed reduction of fracture of proximal humerus 47426-01 Closed reduction of fracture of proximal humerus with internal fixation 47429-00 Open reduction of fracture of proximal humerus 47429-01 Open reduction of fracture of proximal humerus with internal fixation 47432-00 Open reduction of intra-articular fracture of proximal humerus 47432-01 Open reduction of intra-articular fracture of proximal humerus with internal fixation 47447-00 Closed reduction of fracture of shaft of humerus 47450-00 Open reduction of fracture of shaft of humerus 47450-01 Open reduction of fracture of shaft of humerus with internal fixation 47451-00 Closed reduction of fracture of shaft of humerus with internal fixation 145 146 | Patient Minimum Data Set Appendices 47453-00 Immobilisation of fracture of distal humerus 47456-00 Closed reduction of fracture of distal humerus 47456-01 Closed reduction of fracture of distal humerus with internal fixation 47459-00 Open reduction of fracture of distal humerus 47459-01 Open reduction of fracture of distal humerus with internal fixation 47462-01 Closed reduction of fracture of clavicle with internal fixation 47465-00 Open reduction of fracture of clavicle 47465-01 Open reduction of fracture of clavicle with internal fixation 47467-00 Open reduction of fracture of sternum 47468-00 Open reduction of fracture of scapula 47468-01 Open reduction of fracture of scapula with internal fixation 47480-00 Traction of fracture of pelvis 47483-00 External fixation of fracture of pelvis 47486-00 Open reduction of fracture of pelvis with internal fixation of anterior segment 47489-00 Open reduction of fracture of pelvis with internal fixation of posterior segment 47489-01 Open reduction of pelvic fracture with internal fixation of anterior and posterior segments 47495-00 Traction of fracture of acetabulum 47498-00 Internal fixation of fracture of acetabulum 47501-00 Open reduction of fracture of acetabulum with internal fixation 47513-00 Internal fixation of disruption of sacro-iliac joint 47516-00 Traction of fracture of femur 47516-01 Closed reduction of fracture of femur 47519-00 Internal fixation of fracture of trochanteric or subcapital femur 47522-00 Hemiarthroplasty of femur 47525-00 Closed reduction of slipped capital femoral epiphysis 47525-01 Open reduction of slipped capital femoral epiphysis 47528-00 Open reduction of fracture of femur 47528-01 Open reduction of fracture of femur with internal fixation 47531-00 Closed reduction of fracture of femur with internal fixation 47534-00 Internal fixation of intra-articular fracture of femoral condyle 47537-00 Internal fixation of fracture of femoral condyle 47546-00 Closed reduction of fracture of medial or lateral tibial plateau 47546-01 Closed reduction of fracture of medial or lateral tibial plateau with internal fixation 47549-00 Open reduction of fracture of medial or lateral tibial plateau 47549-01 Open reduction of fracture of medial or lateral tibial plateau with internal fixation 47552-00 Immobilisation of fracture of medial and lateral tibial plateau 47555-00 Closed reduction of fracture of medial and lateral tibial plateau 47555-01 Closed reduction of fracture of medial and lateral tibial plateau with internal fixation 47558-00 Open reduction of fracture of medial and lateral tibial plateau 47558-01 Open reduction of fracture of medial and lateral tibial plateau with internal fixation 47561-00 Immobilisation by application of cast of fracture of shaft of tibia 47564-00 Closed reduction of fracture of shaft of tibia 47564-01 Closed reduction of fracture of fibula 47566-00 Closed reduction of fracture of shaft of tibia with internal fixation 47566-01 Open reduction of fracture of shaft of tibia with internal fixation 47566-02 Closed reduction of intra-articular fracture of shaft of tibia with internal fixation Patient Minimum Data Set | Appendices 47566-03 Open reduction of intra-articular fracture of shaft of tibia with internal fixation 47566-04 Closed reduction of fracture of fibula with internal fixation 47566-05 Open reduction of fracture of fibula with internal fixation 47567-00 Closed reduction of intra-articular fracture of shaft of tibia 47570-00 Open reduction of fracture of shaft of tibia 47570-01 Open reduction of fracture of fibula 47573-00 Open reduction of intra-articular fracture of shaft of tibia 47582-00 Patellectomy with reattachment of tendon 47585-00 Internal fixation of fracture of patella 47588-00 Internal fixation of intra-articular fracture of femoral condyle with repair or reconstruction of ligaments 47588-01 Internal fixation of intra-articular fracture of tibial articular surface of knee with repair or reconstruction of ligaments 47591-00 Internal fixation of intra-articular fracture of femoral condyle and tibial articular surface of knee with repair or reconstruction of ligaments 47597-00 Closed reduction of fracture of ankle 47600-00 Closed reduction of fracture of ankle with internal fixation of diastasis, fibula or malleolus 47600-01 Open reduction of fracture of ankle with internal fixation of diastasis, fibula or malleolus 47603-00 Closed reduction of fracture of ankle with internal fixation, 2 of diastasis, fibula or malleolus 47603-01 Open reduction of fracture of ankle with internal fixation, 2 of diastasis, fibula or malleolus 47609-00 Closed reduction of fracture of calcaneum 47609-01 Closed reduction of fracture of calcaneum with internal fixation 47609-02 Closed reduction of fracture of talus 47609-03 Closed reduction of fracture of talus with internal fixation 47609-04 Closed reduction of dislocation of talus 47609-05 Closed reduction of dislocation of talus with internal fixation 47609-06 Closed reduction of dislocation of calcaneum 47609-07 Closed reduction of dislocation of calcaneum with internal fixation 47612-00 Closed reduction of intra-articular fracture of calcaneum 47612-01 Closed reduction of intra-articular fracture of calcaneum with internal fixation 47612-02 Closed reduction of fracture of calcaneum with dislocation 47612-03 Closed reduction of fracture of calcaneum with dislocation and internal fixation 47612-04 Closed reduction of fracture of talus with dislocation 47612-05 Closed reduction of fracture of talus with dislocation and internal fixation 47612-06 Closed reduction of intra-articular fracture of talus 47612-07 Closed reduction of intra-articular fracture of talus with internal fixation 47615-00 Open reduction of fracture of calcaneum 47615-01 Open reduction of fracture of calcaneum with internal fixation 47615-02 Open reduction of fracture of talus 47615-03 Open reduction of fracture of talus with internal fixation 47615-04 Open reduction of dislocation of calcaneum 47615-05 Open reduction of dislocation of calcaneum with internal fixation 47615-06 Open reduction of dislocation of talus 47615-07 Open reduction of dislocation of talus with internal fixation 47618-00 Open reduction of intra-articular fracture of calcaneum 47618-01 Open reduction of intra-articular fracture of calcaneum with internal fixation 147 148 | Patient Minimum Data Set 47618-02 Open reduction of intra-articular fracture of talus 47618-03 Open reduction of intra-articular fracture of talus with internal fixation 47618-04 Open reduction of fracture of calcaneum with dislocation 47618-05 Open reduction of fracture of calcaneum with dislocation and internal fixation 47618-06 Open reduction of fracture of talus with dislocation 47618-07 Open reduction of fracture of talus with dislocation and internal fixation 47621-00 Closed reduction of fracture of tarsometatarsal joint 47621-01 Closed reduction of fracture of tarsometatarsal joint with internal fixation 47624-00 Open reduction of fracture of tarsometatarsal joint 47624-01 Open reduction of fracture of tarsometatarsal joint with internal fixation 47630-00 Open reduction of fracture of tarsus 47630-01 Open reduction of fracture of tarsus with internal fixation 47636-01 Closed reduction of fracture of metatarsus with internal fixation 47639-00 Open reduction of fracture of metatarsus 47639-01 Open reduction of fracture of metatarsus with internal fixation 47663-01 Closed reduction of fracture of phalanx of great toe with internal fixation 47666-00 Open reduction of fracture of phalanx of great toe 47666-01 Open reduction of fracture of phalanx of great toe with internal fixation 47672-01 Closed reduction of fracture of phalanx of toe, other than great toe, with internal fixation 47672-02 Open reduction of fracture of phalanx of toe, other than great toe 47672-03 Open reduction of fracture of phalanx of toe, other than great toe, with internal fixation 47684-00 Immobilisation of fracture/dislocation of spine 47687-00 Immobilisation of fracture/dislocation of spine with spinal cord involvement 47690-00 Closed reduction of fracture/dislocation of spine with immobilisation 47693-00 Closed reduction of fracture/dislocation of spine with spinal cord involvement, with immobilisation 47696-00 Closed reduction of fracture/dislocation of spine 47699-00 Open reduction of fracture/dislocation of spine 47699-01 Open reduction of fracture/dislocation of spine with simple internal fixation 47699-02 Open reduction of fracture/dislocation of spine with segmental internal fixation 47702-00 Appendices Open reduction of fracture/dislocation of spine with spinal cord involvement 47702-01 Open reduction of fracture/dislocation of spine with spinal cord involvement, with simple internal fixation 47702-02 Open reduction of fracture/dislocation of spine with spinal cord involvement, with segmental internal fixation 47705-00 Insertion of skull caliper 47711-00 Application of halo 47717-00 Application of halo and thoracic jacket 47720-00 Application of halo femoral traction 47726-00 Procurement of bone for graft via separate incision 47732-00 Procurement of vascularised pedicle of bone for graft 47738-00 Closed reduction of fracture of nasal bone 47741-00 Open reduction of fracture of nasal bone 47753-00 Closed reduction of fracture of maxilla with fixation 47756-00 Closed reduction of fracture of mandible with fixation 47762-00 Open reduction of fracture of zygomatic bone Patient Minimum Data Set | Appendices 47765-00 Open reduction of fracture of zygomatic bone with external fixation, 1 site 47765-01 Open reduction of fracture of zygomatic bone with internal fixation, 1 site 47768-00 Open reduction of fracture of zygomatic bone with external fixation, 2 sites 47768-01 Open reduction of fracture of zygomatic bone with internal fixation, 2 sites 47771-00 Open reduction of fracture of zygomatic bone with external fixation, 3 sites 47771-01 Open reduction of fracture of zygomatic bone with internal fixation, 3 sites 47774-00 Open reduction of fracture of maxilla 47777-00 Open reduction of fracture of mandible 47786-00 Open reduction of fracture of maxilla with internal fixation 47789-00 Open reduction of fracture of mandible with internal fixation 47900-00 Aspiration of bone cyst 47900-01 Administration of agent into bone cyst 47906-00 Debridement of toenail 47906-01 Removal of toenail 47915-00 Wedge resection of ingrown toenail 47918-00 Radical excision of ingrown toenail bed 47920-00 Insertion of bone growth stimulator 47921-00 Insertion of internal fixation device, not elsewhere classified 47927-00 Removal of pin, screw or wire, not elsewhere classified 47927-01 Removal of pin, screw or wire from femur 47930-00 Removal of plate, rod or nail, not elsewhere classified 47930-01 Removal of plate, rod or nail from femur 47933-00 Excision of exostosis of bone of hand 47933-01 Excision of exostosis of bone of foot 47933-02 Excision of exostosis of small bone, not elsewhere classified 47936-00 Excision of exostosis of large bone 47954-00 Repair of tendon, not elsewhere classified 47957-00 Lengthening of tendon, not elsewhere classified 47960--00 Subcutaneous tenotomy, not elsewhere classified 47963-00 Open tenotomy, not elsewhere classified 47963-01 Tenoplasty, not elsewhere classified 47963-02 Repair of tendon of hand, not elsewhere classified 47966-00 Transfer of tendon or ligament, not elsewhere classified 47966-01 Transfer of muscle, not elsewhere classified 47969-00 Tenosynovectomy, not elsewhere classified 47972-00 Open procedure on tendon sheath, not elsewhere classified 47975-00 Decompression fasciotomy of forearm for acute compartment syndrome 47975-01 Decompression fasciotomy of calf for acute compartment syndrome 47978-00 Decompression fasciotomy of forearm for chronic compartment syndrome 47978-01 Decompression fasciotomy of calf for chronic compartment syndrome 47981-00 Decompression fasciotomy of forearm 47981-01 Decompression fasciotomy of calf 47981-02 Decompression fasciotomy of hand 47982-00 Forage of neck and/or head of femur 48200-00 Bone graft to femur 149 150 | Patient Minimum Data Set 48203-00 Bone graft to femur with internal fixation 48206-00 Bone graft to tibia 48209-00 Bone graft to tibia with internal fixation 48212-00 Bone graft to humerus 48215-00 Bone graft to humerus with internal fixation 48218-00 Bone graft to radius and ulna 48221-00 Bone graft to radius and ulna with internal fixation 48224-00 Bone graft to radius or ulna 48227-00 Bone graft to radius or ulna with internal fixation 48230-00 Bone graft to scaphoid 48233-00 Bone graft to scaphoid with internal fixation 48236-00 Bone graft to scaphoid with internal fixation and osteotomy 48239-00 Bone graft, not elsewhere classified 48242-00 Bone graft with internal fixation, not elsewhere classified 48400-00 Osteotomy of accessory bone 48400-01 Ostectomy of accessory bone 48400-02 Osteotomy of metatarsal bone 48400-03 Osteotomy of toe 48400-04 Ostectomy of metatarsal bone 48400-05 Ostectomy of toe 48403-00 Osteotomy of metatarsal bone with internal fixation 48403-01 Osteotomy of toe with internal fixation 48403-02 Ostectomy of metatarsal bone with internal fixation 48403-03 Ostectomy of toe with internal fixation 48406-00 Osteotomy of fibula 48406-01 Ostectomy of fibula 48406-02 Osteotomy of radius 48406-03 Ostectomy of radius 48406-04 Osteotomy of ulna 48406-05 Ostectomy of ulna 48406-06 Osteotomy of clavicle 48406-07 Osteotomy of scapula 48406-08 Ostectomy of clavicle 48406-09 Ostectomy of scapula 48406-10 Osteotomy of rib 48406-11 Partial ostectomy of rib 48406-12 Total ostectomy of rib 48406-13 Osteotomy of carpal bone 48406-14 Ostectomy of carpal bone 48406-15 Osteotomy of tarsal bone 48406-16 Ostectomy of tarsal bone 48409-00 Osteotomy of fibula with internal fixation 48409-01 Ostectomy of fibula with internal fixation 48409-02 Osteotomy of radius with internal fixation 48409-03 Ostectomy of radius with internal fixation Appendices Patient Minimum Data Set | Appendices 48409-04 Osteotomy of ulna with internal fixation 48409-05 Ostectomy of ulna with internal fixation 48409-06 Osteotomy of clavicle with internal fixation 48409-07 Osteotomy of scapula with internal fixation 48409-08 Ostectomy of clavicle with internal fixation 48409-09 Ostectomy of scapula with internal fixation 48409-10 Osteotomy of rib with internal fixation 48409-11 Partial ostectomy of rib with internal fixation 48409-12 Total ostectomy of rib with internal fixation 48409-13 Osteotomy of carpal bone with internal fixation 48409-14 Ostectomy of carpal bone with internal fixation 48409-15 Osteotomy of tarsal bone with internal fixation 48409-16 Ostectomy of tarsal bone with internal fixation 48412-00 Osteotomy of humerus 48412-01 Ostectomy of humerus 48415-00 Osteotomy of humerus with internal fixation 48415-01 Ostectomy of humerus with internal fixation 48418-00 Osteotomy of tibia 48418-01 Ostectomy of tibia 48421-00 Osteotomy of tibia with internal fixation 48421-01 Ostectomy of tibia with internal fixation 48424-00 Osteotomy of pelvis 48424-01 Osteotomy of proximal femur 48424-02 Osteotomy of mid femur 48424-03 Ostectomy of pelvis 48424-04 Ostectomy of proximal femur 48424-05 Ostectomy of mid femur 48424-06 Osteotomy of distal femur 48424-07 Ostectomy of distal femur 48427-00 Osteotomy of pelvis with internal fixation 48427-01 Osteotomy of proximal femur with internal fixation 48427-02 Osteotomy of mid femur with internal fixation 48427-03 Ostectomy of pelvis with internal fixation 48427-04 Ostectomy of proximal femur with internal fixation 48427-05 Ostectomy of mid femur with internal fixation 48427-06 Osteotomy of distal femur with internal fixation 48427-07 Ostectomy of distal femur with internal fixation 48500-00 Epiphysiodesis of femur 48503-00 Epiphysiodesis of tibia and fibula 48506-00 Epiphysiodesis of femur and tibia and fibula 48509-00 Epiphysiodesis, not elsewhere classified 48512-00 Epiphysiolysis 48600-00 Manipulation of spine 48636-00 Percutaneous lumbar discectomy 48639-00 Excision of vertebra 151 152 | Patient Minimum Data Set 48639-01 Excision of vertebra with spinal cord involvement 48642-00 Posterior spinal fusion, 1 or 2 levels 48645-00 Posterior spinal fusion, 3 or more levels 48648-00 Posterolateral spinal fusion, 1 or 2 levels 48651-00 Posterolateral spinal fusion, 3 or more levels 48654-00 Posterior spinal fusion with laminectomy, 1 level 48654-01 Posterolateral spinal fusion with laminectomy, 1 level 48657-00 Posterior spinal fusion with laminectomy, 2 or more levels 48657-01 Posterolateral spinal fusion with laminectomy, 2 or more levels 48660-00 Anterior spinal fusion, 1 level 48669-00 Anterior spinal fusion, 2 or more levels 48678-00 Simple internal fixation of spine 48681-00 Nonsegmental internal fixation of spine 48684-00 Segmental internal fixation of spine, 1 or 2 levels 48687-00 Segmental internal fixation of spine, 3 or 4 levels 48690-00 Segmental internal fixation of spine, 5 or more levels 48691-00 Insertion of intervertebral disc prosthesis, 1 level 48691-01 Insertion of intervertebral disc prosthesis, >= 2 levels 48691-02 Revision of intervertebral disc prosthesis, 1 level 48691-03 Revision of intervertebral disc prosthesis, >= 2 levels 48900-00 Excision of coraco-acromial ligament 48900-01 Excision of calcium deposit from rotator cuff 48903-00 Decompression of subacromial space 48906-00 Repair of rotator cuff 48909-00 Repair of rotator cuff with decompression of subacromial space 48912-00 Arthrotomy of shoulder 48915-00 Hemiarthroplasty of shoulder 48918-00 Total arthroplasty of shoulder 48921-00 Revision of total arthroplasty of shoulder 48924-00 Revision of total arthroplasty of shoulder with bone graft to scapula or humerus 48927-00 Removal of shoulder prosthesis 48930-00 Stabilisation of shoulder 48936-00 Synovectomy of shoulder 48939-00 Arthrodesis of shoulder 48942-00 Arthrodesis of shoulder with removal of prosthesis 48945-00 Arthroscopy of shoulder 48945-01 Arthroscopic biopsy of shoulder 48948-00 Arthroscopic debridement of shoulder 48948-01 Arthroscopic removal of loose body of shoulder 48948-02 Arthroscopic chondroplasty of shoulder 48951-00 Arthroscopic decompression of subacromial space 48954-00 Arthroscopic synovectomy of shoulder 48957-00 Arthroscopic stabilisation of shoulder 48960-00 Arthroscopic reconstruction of shoulder 49100-00 Arthrotomy of elbow Appendices Patient Minimum Data Set | Appendices 49100-01 Removal of loose body of elbow 49100-02 Release of elbow contracture 49103-00 Stabilisation of elbow 49106-00 Arthrodesis of elbow 49109-00 Arthroscopic synovectomy of elbow 49109-01 Synovectomy of elbow 49112-00 Silastic replacement of radial head of elbow 49115-00 Total arthroplasty of elbow 49116-00 Revision arthroplasty of elbow 49117-00 Revision arthroplasty of elbow with bone graft 49118-00 Arthroscopy of elbow 49118-01 Arthroscopic biopsy of elbow 49121-00 Arthroscopic drilling of defect of elbow 49121-01 Arthroscopic removal of loose body of elbow 49121-02 Arthroscopic chondroplasty of elbow 49121-03 Arthroscopic osteoplasty of elbow 49121-04 Arthroscopic release of elbow contracture 49200-00 Arthrodesis of radiocarpal joint 49203-00 Arthrodesis of intercarpal joint 49206-00 Excision arthroplasty of wrist 49209-00 Total arthroplasty of wrist 49210-00 Revision arthroplasty of wrist 49211-00 Revision arthroplasty of wrist with bone graft 49212-00 Arthrotomy of wrist 49215-00 Reconstruction of wrist 49218-00 Arthroscopy of wrist 49218-01 Arthroscopic biopsy of wrist 49221-00 Arthroscopic drilling of defect of wrist 49221-01 Arthroscopic removal of loose body of wrist 49221-02 Arthroscopic release of adhesions of wrist 49224-00 Arthroscopic debridement of wrist 49224-01 Arthroscopic synovectomy of wrist 49224-02 Arthroscopic osteoplasty of wrist 49227-00 Arthroscopic pinning of osteochondral fragment of wrist 49300-00 Arthrodesis of sacro-iliac joint 49303-00 Arthrotomy of hip 49306-00 Arthrodesis of hip 49312-00 Excision arthroplasty of hip 49315-00 Partial arthroplasty of hip 49318-00 Total arthroplasty of hip, unilateral 49319-00 Total arthroplasty of hip, bilateral 49324-00 Revision of total arthroplasty of hip 49327-00 Revision of total arthroplasty of hip with bone graft to acetabulum 49330-00 Revision of total arthroplasty of hip with bone graft to femur 49333-00 Revision of total arthroplasty of hip with bone graft to acetabulum and femur 153 154 | Patient Minimum Data Set Appendices 49339-00 Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum 49342-00 Revision of total arthroplasty of hip with anatomic specific allograft to femur 49345-00 Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum and femur 49346-00 Revision of partial arthroplasty of hip 49360-00 Arthroscopy of hip 49363-00 Arthroscopic biopsy of hip 49366-00 Arthroscopic removal of loose body from hip 49500-00 Open biopsy of knee 49500-01 Arthrotomy of knee 49500-02 Removal of loose body of knee 49500-04 Release of capsule of knee 49503-00 Meniscectomy of knee 49503-01 Patellofemoral stabilisation 49503-02 Chondroplasty of knee 49503-03 Transfer of tendon or ligament of knee, not elsewhere classified 49503-04 Patellectomy 49503-05 Osteoplasty of knee 49509-00 Synovectomy of knee 49509-01 Arthrodesis of knee 49512-00 Arthrodesis of knee with removal of prosthesis 49515-00 Removal of knee prosthesis 49517-00 Hemiarthroplasty of knee 49518-00 Total arthroplasty of knee, unilateral 49519-00 Total arthroplasty of knee, bilateral 49521-00 Total arthroplasty of knee with bone graft to femur, unilateral 49521-01 Total arthroplasty to knee with bone graft to femur, bilateral 49521-02 Total arthroplasty to knee with bone graft to tibia, unilateral 49521-03 Total arthroplasty to knee with bone graft to tibia, bilateral 49524-00 Total arthroplasty of knee with bone graft to femur and tibia, unilateral 49524-01 Total arthroplasty of knee with bone graft to femur and tibia, bilateral 49527-00 Revision of total arthroplasty of knee 49530-00 Revision of total arthroplasty of knee with bone graft to femur 49530-01 Revision of total arthroplasty of knee with bone graft to tibia 49533-00 Revision of total arthroplasty of knee with bone graft to femur and tibia 49534-01 Total replacement arthroplasty of patellofemoral joint of knee 49539-00 Arthroscopic reconstruction of knee 49539-01 Reconstruction of knee 49542-00 Arthroscopic reconstruction of cruciate ligament of knee with repair of meniscus 49542-01 Reconstruction of cruciate ligament of knee with repair of meniscus 49545-00 Revision arthrodesis of knee 49548-00 Revision of patellofemoral stabilisation of knee 49551-00 Revision of reconstructive surgery of knee 49554-00 Revision of total arthroplasty of knee with anatomic specific allograft 49557-00 Arthroscopy of knee 49557-01 Arthroscopic biopsy of knee Patient Minimum Data Set | Appendices 49557-02 Arthroscopic excision of meniscal margin or plica of knee 49558-00 Arthroscopic debridement of knee 49558-01 Arthroscopic chondroplasty of knee 49558-02 Arthroscopic osteoplasty of knee 49559-00 Arthroscopic chondroplasty of knee with multiple drilling or implant 49560-00 Arthroscopic removal of loose body of knee 49560-01 Arthroscopic trimming of ligament of knee 49560-02 Arthroscopic lateral release of knee 49560-03 Arthroscopic meniscectomy of knee 49561-00 Arthroscopic lateral release of knee with debridement, osteoplasty or chondroplasty 49561-01 Arthroscopic meniscectomy of knee with debridement, osteoplasty or chondroplasty 49561-02 Arthroscopic removal of loose body of knee with debridement, osteoplasty or chondroplasty 49562-00 Arthroscopic lateral release of knee with chondroplasty and multiple drilling or implant 49562-01 Arthroscopic meniscectomy of knee with chondroplasty and multiple drilling or implant 49562-02 155 Arthroscopic removal of loose body of knee with chondroplasty and multiple drilling or implant 49563-00 Arthroscopic repair of meniscus of knee 49566-00 Arthroscopic synovectomy of knee 49569-00 Quadricepsplasty of knee 49700-00 Arthroscopy of ankle 49700-01 Arthroscopic biopsy of ankle 49703-01 Arthroscopic trimming of osteophyte of ankle 49703-02 Arthroscopic removal of loose body of ankle 49703-03 Arthroscopic repair of osteochondral fracture of ankle 49703-04 Arthroscopic synovectomy of ankle 49703-05 Arthroscopic chondroplasty of ankle 49706-00 Arthrotomy of ankle 49706-02 Removal of loose body of ankle 49706-03 Division of ankle contractures 49709-00 Stabilisation of ankle 49712-00 Arthrodesis of ankle 49715-00 Total arthroplasty of ankle 49716-00 Revision arthroplasty of ankle 49717-00 Revision arthroplasty of ankle with bone graft 49718-00 Other repair of tendon of ankle 49718-01 Repair of Achilles' tendon 49724-00 Secondary (delayed) repair of Achilles' tendon 49724-01 Reconstruction of Achilles' tendon 49727-00 Lengthening of Achilles' tendon 49728-00 Lengthening of gastrocnemius and/or soleus tendon 49800-00 Primary repair of flexor or extensor tendon of foot 49803-00 Secondary repair of flexor or extensor tendon of foot 49806-00 Subcutaneous tenotomy of foot 49809-00 Open tenotomy of foot 49809-01 Open tenotomy of foot with tenoplasty 49812-00 Transfer of tendon or ligament of foot 156 | Patient Minimum Data Set 49815-00 Triple arthrodesis of foot 49818-00 Excision of calcaneal spur 49821-00 Correction of hallux valgus or rigidus by arthroplasty, unilateral 49824-00 Correction of hallux valgus or rigidus by arthroplasty, bilateral 49827-00 Correction of hallux valgus by transfer of adductor hallicus tendon, unilateral 49830-00 Correction of hallux valgus by transfer of adductor hallicus tendon, bilateral 49833-00 Correction of hallux valgus by osteotomy of first metatarsal, unilateral 49836-00 Correction of hallux valgus by osteotomy of first metatarsal, bilateral Appendices 49837-00 Correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallucis tendon, unilateral 49838-00 Correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallucis tendon, bilateral 49839-00 Correction of hallux valgus or rigidus by arthroplasty with insertion of prosthesis, unilateral 49842-00 Correction of hallux valgus or rigidus by arthroplasty with insertion of prosthesis, bilateral 49845-00 Arthrodesis of first metatarsophalangeal joint 49848-00 Correction of hammer toe 49848-01 Correction of claw toe 49851-00 Correction of hammer toe with internal fixation 49851-01 Correction of claw toe with internal fixation 49854-00 Plantar fasciotomy 49854-01 Plantar fasciectomy 49857-00 Replacement of metatarsophalangeal joint 49860-00 Synovectomy of metatarsophalangeal joint 49866-00 Neurectomy of foot 50100-00 Arthroscopy joint, not elsewhere classified 50100-01 Arthroscopic biopsy of joint, not elsewhere classified 50102-00 Arthroscopic procedure of joint, not elsewhere classified 50103-00 Arthrotomy of joint, not elsewhere classified 50104-00 Synovectomy of joint, not elsewhere classified 50106-00 Joint stabilisation, not elsewhere classified 50109-00 Arthrodesis of joint, not elsewhere classified 50112-00 Division of joint contracture, not elsewhere classified 50115-00 Manipulation/mobilisation of joint, not elsewhere classified 50118-00 Arthrodesis of subtalar joint 50121-00 Transplantation of iliopsoas tendon to greater trochanter 50127-00 Arthroplasty of joint, not elsewhere classified 50130-00 Application of external fixation device not elsewhere classified 50200-00 Biopsy of bone, not elsewhere classified 50203-00 Marginal excision of lesion of bone 50206-00 Marginal excision of lesion of bone with cryotherapy to defect 50206-01 Marginal excision of lesion of bone with autograft to defect 50206-02 Marginal excision of lesion of bone with allograft to defect 50206-03 Marginal excision of lesion of bone with cementation to defect 50212-00 En bloc resection of lesion of soft tissue affecting the long bones of upper limb 50212-01 En bloc resection of lesion of soft tissue affecting the long bones of lower limb Patient Minimum Data Set | Appendices 50215-00 En bloc resection of lesion of soft tissue affecting long bones of upper limb, with intercalary reconstruction using prosthesis 50215-01 En bloc resection of lesion of soft tissue affecting long bones of upper limb, with intercalary reconstruction using allograft 50215-02 En bloc resection of lesion of soft tissue affecting long bones of upper limb, with intercalary reconstruction using autograft 50215-03 En bloc resection of lesion of soft tissue affecting the long bones of lower limb, with intercalary reconstruction using prosthesis 50215-04 En bloc resection of lesion of soft tissue affecting the long bones of lower limb, with intercalary reconstruction using allograft 50215-05 En bloc resection of lesion of soft tissue affecting the long bones of lower limb, with intercalary reconstruction using autograft 50218-00 En bloc resection of lesion of long bone upper limb with arthrodesis of adjacent joint 50218-01 En bloc resection of lesion of long bone of upper limb with replacement of adjacent joint 50218-02 En bloc resection of lesion of long bone of lower limb with arthrodesis of adjacent joint 50218-03 En bloc resection of lesion of long bone of lower limb with replacement of adjacent joint 50221-00 En bloc resection of lesion of soft tissue involving pelvis 50221-01 En bloc resection of lesion of soft tissue involving sacrum 50221-02 En bloc resection of lesion of soft tissue involving spine 50221-03 En bloc resection of lesion of soft tissue involving scapula 50224-00 En bloc resection of lesion of soft tissue involving sacrum with reconstruction using prosthesis 50224-01 En bloc resection of lesion of soft tissue involving sacrum with reconstruction using allograft 50224-02 En bloc resection of lesion of soft tissue involving sacrum with reconstruction using autograft 50224-03 En bloc resection of lesion of soft tissue involving spine with reconstruction using prosthesis 50224-04 En bloc resection of lesion of soft tissue involving spine with reconstruction using allograft 50224-05 En bloc resection of lesion of soft tissue involving spine with reconstruction using autograft 50224-06 En bloc resection of lesion of soft tissue involving scapula with reconstruction using prosthesis 50224-07 En bloc resection of lesion of soft tissue involving scapula with reconstruction using allograft 50224-08 En bloc resection of lesion of soft tissue involving scapula with reconstruction using autograft 50224-09 En bloc resection of lesion of soft tissue involving pelvis with reconstruction using prosthesis 50224-10 En bloc resection of lesion of soft tissue involving pelvis with reconstruction using allograft 50224-11 En bloc resection of lesion of soft tissue involving pelvis with reconstruction using autograft 50227-00 En bloc resection of lesion of bone with anatomic specific allograft 50227-01 En bloc resection of lesion of bone with anatomic specific autograft 50230-00 Resection of lesion of bone with anatomic specific allograft 50300-00 Transarticular fixation 50303-00 Limb lengthening 50306-00 Limb lengthening, bipolar 50309-00 Adjustment of ring fixator or similar device 50312-00 Synovectomy of ankle 50321-00 Release of talipes equinovarus, unilateral 50324-00 Revision of release of talipes equinovarus, unilateral 50324-01 Revision of release of talipes equinovarus, bilateral 50327-00 Release of talipes equinovarus, bilateral 50333-00 Excision of tarsal coalition 50336-00 Reconstruction of congenital vertical talus 50339-00 Transfer of anterior tibialis tendon to lateral column 157 158 | Patient Minimum Data Set 50342-00 Appendices Transfer of posterior tibialis tendon through interosseous membrane to anterior or posterior aspect of foot 50345-00 Release of hyperextension deformity of toe 50354-00 Resection and internal fixation of tibia for congenital pseudoarthrosis 50357-00 Transfer of rectus femoris hamstring tendon 50357-01 Transfer of medial hamstring tendon 50357-02 Transfer of lateral hamstring tendon 50360-00 Transfer of combined medial and lateral hamstring tendon 50363-00 Posterior release of knee contracture, unilateral 50366-00 Posterior release of knee contracture, bilateral 50369-00 Posterior release of knee contracture with release of joint capsule, unilateral 50372-00 Posterior release of knee contracture with release of joint capsule, bilateral 50375-00 Medial release of hip contracture, unilateral 50378-00 Medial release of hip contracture, bilateral 50381-00 Anterior release of hip contracture, unilateral 50384-00 Anterior release of hip contracture, bilateral 50387-00 Transfer of iliopsoas tendon to greater trochanter 50387-01 Transfer of abdominal musculature to greater trochanter 50387-02 Transfer of adductors to ischium 50393-00 Bone graft to pelvis 50394-00 Multiple peri-acetabular osteotomies 50396-00 Splitting of phalanx 50396-01 Amputation of phalanx of hand with ligament or joint reconstruction 50399-00 Centralisation of forearm for radial aplasia or dysplasia 50402-00 Release of sternocleidomastoid muscle 50405-00 Flexorplasty of elbow 50411-00 Resection of distal femur and proximal tibia with knee fusion 50414-00 Resection of distal femur and proximal tibia with knee fusion and rotationplasty 50417-00 Reconstruction of knee involving transfer of fibula or tibia and repair of quadriceps mechanism 50423-00 Transfer of fibula to tibia with internal fixation 50616-00 Revision of spinal procedure with adjustment of spinal fixation 50616-01 Revision of spinal procedure with removal of spinal fixation 50616-02 Revision of spinal procedure with bone graft 50620-00 Other revision of spinal procedure 50950-00 Radiofrequency ablation of liver 52035-00 Endoscopic laser therapy of upper aerodigestive tract 52096-00 Insertion of pin or wire into maxilla, mandible or zygoma 52102-00 Removal of pin, screw or wire from maxilla, mandible or zygoma 52120-00 Partial resection of mandible with condylectomy 52122-00 Partial reconstruction of maxilla 52122-01 Subtotal reconstruction of maxilla 52122-02 Total reconstruction of 1 maxilla 52122-03 Total reconstruction of both maxillae 52141-00 Interruption of mandibular artery 52141-01 Interruption of facial artery 52141-02 Interruption of lingual artery Patient Minimum Data Set | Appendices 52141-03 Interruption of facial vein 52141-04 Interruption of lingual vein 52141-05 Interruption of mandibular vein 52148-00 Microsurgical repair of parotid duct 52324-00 Reconstruction of mouth using direct tongue flap, single or first stage 52327-00 Reconstruction of mouth using direct tongue flap, second stage 52337-00 Repair of alveolar cleft 52824-00 Cryotherapy to peripheral branches of trigeminal nerve 53203-00 Open reduction of dislocation of temporomandibular joint 53424-00 Open reduction of complicated fracture of maxilla 53425-00 Open reduction of complicated fracture of mandible 53427-00 Open reduction of complicated fracture of maxilla with internal fixation 53429-00 Open reduction of complicated fracture of mandible with internal fixation 55118-00 2 dimensional real time transoesophageal ultrasound of heart 55600-00 Transrectal ultrasound of prostate, bladder base and urethra 58939-00 Defaecography 59903-00 Left ventriculography 59903-01 Right ventriculography 59903-02 Left and right ventriculography 59903-03 Aortography 59970-00 Angiography, not elsewhere classified 59970-01 Digital subtraction angiography, not elsewhere classified 59970-02 Cerebral angiography 59970-03 Peripheral arteriography 59970-04 Other arteriography 60000-00 Digital subtraction angiography of head and neck, <= 3 data acquisition runs 60000-01 60003-00 60003-01 60006-00 60006-01 60009-00 60009-01 159 Digital subtraction angiography of head and neck with arch aortography, <= 3 data acquisition runs Digital subtraction angiography of head and neck, 4 to 6 data acquisition runs Digital subtraction angiography of head and neck with arch aortography, 4 to 6 data acquisition runs Digital subtraction angiography of head and neck, 7 to 9 data acquisition runs Digital subtraction angiography of head and neck with arch aortography, 7 to 9 data acquisition runs Digital subtraction angiography of head and neck, >=10 data acquisition runs Digital subtraction angiography of head and neck with arch aortography, >= 10 data acquisition runs 60012-00 Digital subtraction angiography of thorax, <= 3 data acquisition runs 60015-00 Digital subtraction angiography of thorax, 4 to 6 data acquisition runs 60018-00 Digital subtraction angiography of thorax, 7 to 9 data acquisition runs 60021-00 Digital subtraction angiography of thorax, >= 10 data acquisition runs 60024-00 Digital subtraction angiography of abdomen, <= 3 data acquisition runs 60027-00 Digital subtraction angiography of abdomen, 4 to 6 data acquisition runs 60030-00 Digital subtraction angiography of abdomen, 7 to 9 data acquisition runs 60033-00 Digital subtraction angiography of abdomen, >= 10 data acquisition runs 60036-00 Digital subtraction angiography of upper limb, <= 3 data acquisition runs, unilateral 160 | Patient Minimum Data Set Appendices 60036-01 Digital subtraction angiography of upper limb, <= 3 or less data acquisition runs, bilateral 60039-00 Digital subtraction angiography of upper limb, 4 to 6 data acquisition runs, unilateral 60039-01 Digital subtraction angiography of upper limb, 4 to 6 data acquisition runs, bilateral 60042-00 Digital subtraction angiography of upper limb, 7 to 9 data acquisition runs, unilateral 60042-01 Digital subtraction angiography of upper limb, 7 to 9 data acquisition runs, bilateral 60045-00 Digital subtraction angiography of upper limb, >= 10 data acquisition runs, unilateral 60045-01 Digital subtraction angiography of upper limb, >= 10 data acquisition runs, bilateral 60048-00 Digital subtraction angiography of lower limb, <= 3 data acquisition runs, unilateral 60048-01 Digital subtraction angiography of lower limb, <= 3 data acquisition runs, bilateral 60051-00 Digital subtraction angiography of lower limb, 4 to 6 data acquisition runs, unilateral 60051-01 Digital subtraction angiography of lower limb, 4 to 6 data acquisition runs, bilateral 60054-00 Digital subtraction angiography of lower limb, 7 to 9 data acquisition runs, unilateral 60054-01 Digital subtraction angiography of lower limb, 7 to 9 data acquisition runs, bilateral 60057-00 Digital subtraction angiography of lower limb, >= 10 data acquisition runs, unilateral 60057-01 Digital subtraction angiography of lower limb, >= 10 data acquisition runs, bilateral 60060-00 Digital subtraction angiography of aorta and lower limb, <= 3 data acquisition runs, unilateral 60060-01 Digital subtraction angiography of aorta and lower limb, <= 3 data acquisition runs, bilateral 60063-00 Digital subtraction angiography of aorta and lower limb, 4 to 6 data acquisition runs, unilateral 60063-01 Digital subtraction angiography of aorta and lower limb, 4 to 6 data acquisition runs, bilateral 60066-00 Digital subtraction angiography of aorta and lower limb, 7 to 9 data acquisition runs, unilateral 60066-01 Digital subtraction angiography of aorta and lower limb, 7 to 9 data acquisition runs, bilateral 60069-00 Digital subtraction angiography of aorta and lower limb, >= 10 data acquisition runs, unilateral 60069-01 Digital subtraction angiography of aorta and lower limb, >= 10 data acquisition runs, bilateral 60072-00 Digital subtraction selective arteriography or venography, 1 vessel 60075-00 Digital subtraction selective arteriography or venography, 2 vessels 60078-00 Digital subtraction selective arteriography or venography, 3 vessels 90001-01 Removal of ventricular reservoir 90006-00 Extracranial to intracranial bypass with radial artery graft 90007-00 Other diagnostic procedures on skull, brain or cerebral meninges 90007-01 Other procedures on skull 90007-02 Other procedures on brain or cerebral meninges 90009-00 Postoperative re-opening of laminotomy or laminectomy site 90010-00 Biopsy of spinal cord or spinal meninges 90011-00 Other diagnostic procedures on spinal canal or spinal cord structures 90011-01 Other procedures on spinal canal or spinal cord structures 90011-02 Other repair on spinal canal or spinal cord structures 90011-05 Spinal stereotactic localisation 90011-06 Other excision procedures on spinal canal or spinal cord structures 90013-00 Biopsy of nerve 90014-00 Other surgical sympathectomy 90015-00 Other surgical sympathectomy, re-operation 90016-00 Other diagnostic procedures on nerves 90016-01 Other procedure on nerves 90018-00 Epidural injection of other or combined therapeutic substance(s) 90019-00 Caudal injection of other or combined therapeutic substance(s) Patient Minimum Data Set | Appendices 90020-00 Spinal injection of other or combined therapeutic substance(s) 90022-00 Administration of anaesthetic agent around other peripheral nerve 90023-00 Administration of anaesthetic agent around other cranial nerve 90024-00 Decompression of lumbar spinal canal, 1 level 90024-01 Decompression of lumbar spinal canal, >= 2 levels 90027-00 Intradiscal therapy 90028-00 Epidural injection of steroid 90028-01 Epidural infusion of steroid 90028-02 Caudal injection of steroid 90028-03 Caudal infusion of steroid 90028-04 Spinal injection of steroid 90028-05 Spinal infusion of steroid 90029-00 Administration of sympatholytic agent 90031-00 Incision and drainage of spinal canal or spinal cord structures 90032-00 Removal of lesion involving posterior cranial fossa 90040-00 Other procedures on parathyroid gland 90041-00 Other procedures on thyroid gland 90042-00 Other procedures on adrenal gland 90043-00 Other procedures on pineal gland 90044-00 Other procedures on pituitary gland 90045-00 Other procedures on thymus 90046-02 Thyroidectomy with removal of substernal thyroid 90047-01 Incision of thyroid 90047-02 Re-opening of wound of thyroid 90049-01 Endoscopic thymectomy 90060-00 Other repair of eyeball 90061-00 Other procedures on eyeball 90062-00 Radial keratotomy 90063-00 Photorefractive keratoplasty [PRK] 90064-00 Other keratoplasty 90064-01 Refractive keratoplasty 90064-02 Refractive keratoplasty by laser 90065-00 Limbal stem cell transplant 90066-00 Other repair of cornea 90067-00 Other procedures on cornea 90068-00 Destruction of lesion of sclera 90069-00 Biopsy of sclera 90070-00 Excision of lesion of sclera 90071-00 Revision of operative wound of anterior segment, not elsewhere classified 90072-00 Other procedures on sclera 90073-00 Division of anterior synechiae by laser 90073-01 Division of posterior synechiae by laser 90073-02 Division of corneovitreal adhesions by laser 90074-00 Excision of other lesion of anterior chamber 90075-00 Other procedures for glaucoma 161 162 | Patient Minimum Data Set 90076-00 Other procedures on iris 90076-01 Other procedures on ciliary body 90076-02 Other procedures on anterior chamber 90077-00 Other procedures on lens 90078-00 Other procedures on vitreous 90079-00 Other repair of retinal detachment 90080-00 Other procedures on retina or choroid 90080-01 Other procedures on posterior chamber 90080-02 Macular translocation 90081-00 Other procedures on extraocular muscle or tendon 90082-00 Other repair of orbit 90083-00 Other procedures on orbit 90085-00 Other repair of eyelid 90086-00 Other procedures on eyelid 90087-00 Removal of punctal plug 90088-00 Other procedures on lacrimal system 90089-00 Other procedures on conjunctiva 90090-00 Severing of blepharorrhaphy 90091-00 Canthotomy 90092-00 Repair of lacrimal punctum, not elsewhere classified 90093-00 Conjunctivoplasty 90094-00 Destruction of retinal lesion by diathermy 90095-00 Reconstruction of eyelid with hair follicle graft 90096-00 Posterior sclerotomy 90110-00 Other repair of external ear 90111-00 Other procedures on external ear, not elsewhere classified 90112-00 Other repair of eardrum or middle ear 90113-00 Other procedures on eustachian tube 90114-00 Other procedures on eardrum or middle ear 90115-00 Other procedures on ossicles of ear 90116-00 Other procedures on mastoid or temporal bone 90117-00 Other repair of inner ear 90118-00 Other procedures on inner ear 90120-00 Insertion of keratoprosthesis 90120-01 Removal of keratoprosthesis 90132-00 Other repair of nose 90133-00 Other procedures on nose 90134-00 Destruction of lesion of tongue 90135-00 Excision of lesion of tongue 90136-00 Other repair of tongue 90137-00 Other procedures on tongue 90138-00 Excision of lesion of salivary gland 90139-00 Other repair of salivary gland or duct 90140-00 Other procedures on salivary gland or duct 90141-00 Local excision or destruction of lesion of bony palate Appendices Patient Minimum Data Set | Appendices 90141-01 Excision of other lesion of mouth 90142-01 Other repair of palate 90142-02 Other repair of uvula 90143-00 Other procedures on mouth 90143-01 Other procedures on palate 90143-02 Other procedures on uvula 90144-00 Excision of lesion of tonsils or adenoids 90145-00 Other repair of tonsils and adenoids 90146-00 Other procedures on tonsils and adenoids 90147-00 Other procedures on pharynx 90149-00 Excision of other lesion of pharynx 90150-00 Thyroplasty 90160-00 Other procedures on larynx 90161-00 Excision of other lesion of larynx 90162-00 Other procedures on trachea 90163-00 Other endoscopic excision of bronchus 90164-00 Incision of larynx 90165-00 Other procedures on bronchus 90166-00 Division of pleural adhesions 90167-00 Excision of lesion of trachea 90169-00 Endoscopic wedge resection of lung 90170-00 Lung volume reduction surgery 90171-00 Endoscopic pleurodesis 90172-00 Sequential single lung transplantation, bilateral [BSSLT] 90172-01 Other transplantation of lung 90173-00 Other repair of lung or pleura 90174-00 Revision of cerebrospinal fluid [CSF] shunt at pleural site 90175-00 Other procedures on chest wall 90175-01 Other procedures on mediastinum 90175-02 Other procedures on diaphragm 90176-00 Repair of chest wall 90177-00 Repair of thoracoabdominal duplication 90178-00 Other repair of diaphragm 90179-02 Nasopharyngeal intubation 90179-05 Management of nasopharyngeal intubation 90179-06 Management of tracheostomy 90180-00 Insertion of pleuroperitoneal shunt 90181-00 Destruction procedures on lung 90200-00 Revision of cerebrospinal fluid [CSF] shunt at atrial site 90201-00 Coronary artery bypass, using 1 other graft, not elsewhere classified 90201-01 Coronary artery bypass, using 2 other grafts, not elsewhere classified 90201-02 Coronary artery bypass, using 3 other grafts, not elsewhere classified 90201-03 Coronary artery bypass, using >= 4 other grafts, not elsewhere classified 90202-02 Insertion of temporary epicardial electrode for cardiac defibrillator 90203-00 Adjustment of transvenous electrode for cardiac pacemaker 163 164 | Patient Minimum Data Set 90203-02 Adjustment of left ventricular electrode for cardiac pacemaker via thoracotomy, sternotomy or subxyphoid approach 90203-04 Removal of temporary transvenous electrode for cardiac pacemaker 90203-05 Adjustment of cardiac pacemaker generator 90203-06 Adjustment of cardiac defibrillator generator 90203-07 Removal of cardiac defibrillator generator 90203-08 Adjustment of transvenous electrode for cardiac defibrillator 90203-09 Appendices Adjustment of left ventricular electrode for cardiac defibrillator via thoracotomy, sternotomy or subxyphoid approach 90203-10 Replacement of temporary transvenous electrode for cardiac defibrillator 90203-11 Removal of temporary transvenous electrode for cardiac defibrillator 90204-00 Removal of donor heart for transplantation 90204-01 Removal of donor heart and lung for transplantation 90205-00 Heart transplantation 90205-01 Heart and lung transplantation 90206-00 Cardiomyoplasty 90209-00 Direct closure of subclavian artery 90209-01 Direct closure of innominate artery 90209-02 Direct closure of aorta 90209-03 Direct closure of other artery 90210-00 Repair of subclavian artery by direct anastomosis 90210-01 Repair of innominate artery by direct anastomosis 90210-02 Repair of aorta by direct anastomosis 90213-00 Repair of subclavian artery by interposition graft 90213-01 Repair of innominate artery by interposition graft 90213-02 Repair of aorta by interposition graft 90213-03 Repair of other artery by interposition graft 90215-00 Direct closure of subclavian vein 90215-01 Direct closure of innominate vein 90215-02 Direct closure of vena cava 90216-00 Repair of subclavian vein by direct anastomosis 90216-01 Repair of innominate vein by direct anastomosis 90217-00 Repair of innominate vein by interposition graft 90217-01 Repair of subclavian vein by interposition graft 90217-02 Repair of vena cava by interposition graft 90219-00 Revision or relocation of skin pocket for cardiac pacemaker or defibrillator 90222-00 Other procedures on arteries 90222-01 Other procedures on veins 90223-01 Other vascular procedures 90224-00 Repair of transposition of great vessels 90225-00 Extracorporeal membrane oxygenation [ECMO] 90229-00 Other endarterectomy 90230-00 Embolectomy or thrombectomy of other artery 90231-00 Replacement of bypass graft from trunk 90232-00 Direct closure of other vein 90233-00 Repair of other vein by interposition graft Patient Minimum Data Set | Appendices 90281-00 Incision of lymphatic structure 90282-00 Excision of lymph node of other site 90282-01 Regional excision of lymph nodes of other site 90282-02 Radical excision of lymph nodes of other site 90283-00 Other procedures on lymphatic structures 90284-00 Percutaneous removal of lymphocele 90284-01 Laparoscopic removal of lymphocele 90284-02 Removal of lymphocele 90294-00 Endoscopic excision of lesion of bile ducts or sphincter of Oddi 90294-01 Endoscopic excision of lesion of pancreas or pancreatic duct 90295-00 Endoscopic insertion of colonic prosthesis 90295-01 Endoscopic replacement of colonic prosthesis 90295-02 Endoscopic removal of colonic prosthesis 90295-03 Endoscopic insertion of rectal prosthesis 90295-04 Endoscopic replacement of rectal prosthesis 90295-05 Endoscopic removal of rectal prosthesis 90296-00 Endoscopic control of peptic ulcer or bleeding 90297-00 Endoscopic mucosal resection of oesophagus 90297-01 Endoscopic mucosal resection of stomach 90297-02 Endoscopic mucosal resection of large intestine 90298-00 Transjugular liver biopsy 90299-00 Other destruction of liver 90300-00 Repair of oesophageal duplication 90301-00 Other procedures on oesophagus 90303-00 Repair of gastric duplication 90304-00 Other repair of stomach 90305-00 Other procedures on stomach 90307-00 Other procedures on small intestine 90308-00 Endoscopic destruction of lesion of large intestine 90310-00 Other procedures on large intestine 90311-00 Other procedures on appendix 90312-01 Cryotherapy of tissue of rectum 90313-00 Other repair of rectum 90314-00 Other procedures on rectum 90315-00 Endoscopic excision of lesion or tissue of anus 90315-01 Excision of other lesion or tissue of anus 90316-00 Other procedures on anus 90317-00 Transplantation of liver 90318-00 Other repair of liver 90319-00 Other procedures on liver 90320-00 Other repair of gallbladder 90321-00 Other repair of biliary tract 90322-00 Other procedures on gallbladder 90323-00 Other procedures on biliary tract 90324-00 Transplantation of pancreas 165 166 | Patient Minimum Data Set 90325-00 Other repair of pancreas 90326-00 Other procedures on pancreas 90327-00 Excision of congenital intra-abdominal lesion 90328-00 Excision of lesion of peritoneal tissue 90328-01 Excision of lesion of peritoneal tissue with intestinal resection 90329-00 Other repair of abdomen 90329-01 Other repair of peritoneum 90329-02 Other repair of omentum 90329-03 Other repair of mesentery 90330-00 Revision of cerebrospinal fluid shunt at peritoneal site 90331-00 Other procedures on abdomen, peritoneum or omentum 90334-00 Transjugular intrahepatic portosystemic shunt [TIPS] 90335-00 Other diagnostic procedures on the digestive system 90335-01 Other procedures on the digestive system 90337-00 Other stenting of biliary tract 90338-00 Incision of rectum or anus 90340-00 Closure of fistula of small intestine 90340-01 Closure of fistula of large intestine 90341-00 Other excision of lesion of rectum 90342-00 Suture of laceration of rectum 90342-01 Suture of laceration of anus 90342-02 Suture of laceration of stomach 90342-03 Repair of laceration of gall bladder 90344-00 Administration of biological sealant to anorectal region 90344-01 Administration of other therapeutic agent to anorectal region 90345-00 Control of haemorrhage of rectum or anus 90346-00 Total hepatectomy 90349-00 Endoscopic removal of pancreatic calculus 90350-00 Other repair of kidney 90354-00 Other procedures on kidney 90355-00 Implantation of electronic ureteral stimulator 90355-01 Removal of electronic ureteral stimulator 90357-00 Other repair of ureter 90358-00 Other procedures on ureter 90359-00 Implantation of electronic bladder stimulator 90359-01 Removal of electronic bladder stimulator 90360-00 Other excision of lesion of bladder 90363-00 Other diagnostic procedures on bladder 90363-01 Other procedures on bladder 90364-00 Other repair of urethra 90365-00 Other procedures on urethra 90366-00 Other procedures on urinary system 90369-00 Exploration of perivesical tissue 90372-00 Percutaneous transjejunal cholangiography 90375-00 Insertion of intra-abdominal packing Appendices Patient Minimum Data Set | Appendices 90375-01 Replacement of intra-abdominal packing 90375-02 Removal of intra-abdominal packing 90376-00 Insertion of peritoneal access device 90376-01 Revision of peritoneal access device 90376-02 Removal of peritoneal access device 90391-00 Incision of seminal vesicle 90392-00 Control of postoperative haemorrhage of prostate 90393-00 Excision of seminal vesicle 90394-00 Transurethral balloon dilation of prostatic urethra 90395-00 Other procedures on prostate 90395-01 Other procedures on seminal vesicle 90396-00 Excision of lesion of tunica vaginalis 90397-01 Other repair of scrotum or tunica vaginalis 90398-00 Other diagnostic procedures on scrotum or tunica vaginalis 90398-01 Other procedures on scrotum or tunica vaginalis 90399-00 Reduction of torsion of testis or spermatic cord 90400-00 Other repair of testis 90401-00 Other diagnostic procedures on testis 90401-01 Other procedures on testis 90402-00 Incision of penis 90402-01 Division of penile adhesions 90403-00 Local excision of lesion of penis 90404-00 Other repair of penis 90405-00 Other penile procedures for sex transformation 90405-01 Other procedures on penis 90406-00 Other procedures on male genital organs 90407-00 Excision of other lesion of prostate 90430-00 Other laparoscopic repair of ovary 90430-01 Other repair of ovary 90431-00 Other procedures on ovary 90432-00 Biopsy of fallopian tube 90433-00 Other laparoscopic repair of fallopian tube 90433-01 Other repair of fallopian tube 90434-00 Other procedures on fallopian tube 90435-00 Other laparoscopic repair of uterus 90435-01 Other repair of uterus 90436-00 Other procedures on uterus 90437-00 Other destruction of lesion of vagina 90438-00 Other procedures on vagina 90439-00 Other destruction of lesion of vulva 90440-00 Excision of lesion of vulva 90441-00 Other procedures on vulva 90441-01 Other procedures on clitoris 90442-00 Other procedures on female genital organs 90443-00 Other excision of uterus 167 168 | Patient Minimum Data Set 90444-00 Repair of vaginoperineal fistula 90445-00 Reduction of clitoroplasty with relocation of urethral orifice 90446-00 Other incision of vulva or perineum 90447-00 Repair of fistula of vagina with biological sealant 90448-00 Subtotal laparoscopic abdominal hysterectomy 90448-01 Total laparoscopic abdominal hysterectomy 90448-02 Total laparoscopic abdominal hysterectomy with removal of adnexa 90449-00 Other repair of vagina 90450-00 Anterior pelvic exenteration 90450-01 Posterior pelvic exenteration 90450-02 Total pelvic exenteration 90452-00 Excision of other lesion of uterus 90460-00 Amnioscopy 90463-01 Endoscopic fetal reduction 90464-00 Correction of fetal defect 90465-00 Medical induction of labour, oxytocin 90465-01 Medical induction of labour, prostaglandin 90465-02 Other medical induction of labour 90465-03 Surgical induction of labour by artificial rupture of membranes [ARM] 90465-04 Other surgical induction of labour 90465-05 Medical and surgical induction of labour 90466-00 Medical augmentation after onset of labour 90466-01 Surgical augmentation of labour 90466-02 Medical and surgical augmentation of labour 90467-00 Spontaneous vertex delivery 90468-00 Low forceps delivery 90468-01 Mid-cavity forceps delivery 90468-02 High forceps delivery 90468-03 Forceps rotation of fetal head 90468-04 Forceps rotation of fetal head with delivery 90468-05 Failed forceps 90469-00 Vacuum extraction with delivery 90469-01 Failed vacuum extraction 90470-00 Spontaneous breech delivery 90470-01 Assisted breech delivery 90470-02 Assisted breech delivery with forceps to after-coming head 90470-03 Breech extraction 90470-04 Breech extraction with forceps to after-coming head 90471-02 Internal version 90471-03 Failed internal version 90471-04 Combined internal and external version 90471-05 Failed combined internal and external version 90471-06 Manual rotation of fetal head 90472-00 Episiotomy 90473-00 Replacement of prolapsed umbilical cord Appendices Patient Minimum Data Set | Appendices 169 90474-00 Incision of cervix to assist delivery 90475-00 Symphysiotomy to assist delivery 90476-00 Procedures on fetus to facilitate delivery 90477-00 Other procedures to assist delivery 90479-00 Suture of current obstetric laceration of vagina 90480-00 Suture of current obstetric laceration of bladder and/or urethra without perineal involvement 90480-01 Suture of current obstetric laceration of rectum and/or sphincter ani without perineal involvement 90482-00 Manual removal of placenta 90483-00 Postpartum manual exploration of uterine cavity 90484-00 Evacuation of perineal incisional haematoma 90484-01 Evacuation of nonincisional haematoma of perineum or vagina 90484-02 Evacuation of abdominal caesarian wound haematoma 90485-00 Other suture of current obstetric laceration or rupture without perineal involvement 90487-00 Other intrauterine diagnostic procedure on fetus 90488-00 Endoscopic ablation of vessels of placenta 90530-01 Open reduction of fracture of mandibular or maxillary alveolar ridge 90530-03 Open reduction of fracture of facial bone, not elsewhere classified 90533-00 Other repair of shoulder 90535-00 Disarticulation at elbow 90536-00 Other repair of elbow 90539-00 Implantation of prosthetic device of arm 90540-00 Tenolysis of flexor or extensor tendon of forearm or wrist 90541-00 Closed reduction of separated epiphysis of radius or ulna 90541-01 Open reduction of separated epiphysis of radius or ulna 90542-00 Other repair of wrist 90544-00 Division of adhesions of hand 90545-00 Incision of soft tissue of hand 90547-00 Repair of muscle or fascia of hand, not elsewhere classified 90548-00 Other plastic procedures on hand 90551-00 Implantation of prosthetic device of leg 90552-00 Other repair of hip 90555-00 Osteotomy of patella 90556-00 Tenolysis of Achilles' flexor or extensor tendon of foot 90557-00 Disarticulation through toe 90558-00 Open reduction of fracture of ankle 90559-00 Arthrodesis of toe 90561-00 Insertion or replacement of skeletal muscle stimulator 90566-00 Removal of skeletal muscle stimulator 90567-00 Fasciotomy for upper limb ischaemia 90567-01 Fasciotomy for lower limb ischaemia 90568-00 Incision of muscle, not elsewhere classified 90568-01 Incision of bursa, not elsewhere classified 90568-02 Incision of soft tissue, not elsewhere classified 90569-00 Osteotomy, not elsewhere classified 90570-00 Division of joint capsule, ligament or cartilage, not elsewhere classified 170 | Patient Minimum Data Set 90571-00 Division of adhesions of soft tissue, not elsewhere classified 90572-00 Ostectomy, not elsewhere classified 90573-00 Sequestrectomy of other and unspecified musculoskeletal site 90574-00 Excision of lesion of joint, not elsewhere classified 90574-01 Excision of joint, not elsewhere classified 90575-00 Excision of soft tissue, not elsewhere classified 90577-00 Procurement of muscle or fascia for graft 90578-00 Procurement of tendon for graft 90579-00 Fasciectomy, not elsewhere classified 90580-00 Debridement of open fracture site 90581-00 Reduction of separated epiphysis, not elsewhere classified 90582-00 Suture of ligament, not elsewhere classified 90582-01 Suture of tendon, not elsewhere classified 90582-02 Suture of muscle or fascia, not elsewhere classified 90583-00 Tendon graft, not elsewhere classified 90583-01 Muscle graft, not elsewhere classified 90584-00 Transposition of tendon, not elsewhere classified 90584-01 Reattachment of tendon, not elsewhere classified 90585-00 Reattachment of muscle, not elsewhere classified 90586-00 Other plastic procedures on muscle, not elsewhere classified 90588-00 Osteoclasis 90589-00 Repair of bone, not elsewhere classified 90589-01 Repair of ligament, not elsewhere classified 90590-00 Tendon pulley reconstruction, not elsewhere classified 90592-00 Separation of equal conjoined twins 90592-01 Separation of unequal conjoined twins 90593-00 Other diagnostic procedures on muscle, tendon, fascia or bursa, not elsewhere classified 90593-01 Other procedures on muscle, tendon, fascia or bursa, not elsewhere classified 90594-00 Other diagnostic procedures on bone or joint, not elsewhere classified 90595-00 Other procedures on musculoskeletal system, not elsewhere classified 90596-00 Rewiring of sternum 90597-00 Silastic replacement of distal ulna 90598-00 Other repair of knee 90599-00 Other repair of ankle 90600-00 Arthroscopic release of adhesions or contracture of shoulder 90600-01 Release of adhesions or contracture of shoulder 90602-00 Biopsy of intervertebral disc 90603-00 Sequestrectomy of maxilla 90603-01 Sequestrectomy of mandible 90603-02 Sequestrectomy of sternum 90603-03 Sequestrectomy of rib 90603-04 Sequestrectomy of vertebra 90603-05 Sequestrectomy of vertebra with spinal cord involvement 90603-06 Sequestrectomy of clavicle 90603-07 Sequestrectomy of scapula Appendices Patient Minimum Data Set | Appendices 90603-08 Sequestrectomy of humerus 90603-09 Sequestrectomy of radius 90603-10 Sequestrectomy of ulna 90603-11 Sequestrectomy of carpus 90603-12 Sequestrectomy of metacarpus 90603-13 Sequestrectomy of phalanx of hand 90603-14 Sequestrectomy of pelvic bones 90603-15 Sequestrectomy of femur 90603-16 Sequestrectomy of tibia 90603-17 Sequestrectomy of fibula 90603-18 Sequestrectomy of tarsus 90603-19 Sequestrectomy of metatarsus 90603-20 Sequestrectomy of phalanx of foot 90604-00 Correction of bony deformity 90605-00 Compression with distraction osteosynthesis 90605-01 Osteosynthesis, not elsewhere classified 90606-02 Removal of orbital implant 90607-00 Resurfacing of hip, unilateral 90607-01 Resurfacing of hip, bilateral 90609-00 Destruction of bone 90610-01 Open reduction of rib 90661-00 Other incision of skin and subcutaneous tissue 90662-00 Laser to tattoo 90665-00 Excisional debridement of skin and subcutaneous tissue 90669-00 Excision of skin for graft 90670-00 Allograft 90670-01 Allograft to burn 90671-00 Xenograft 90671-01 Xenograft to burn 90672-00 Synthetic skin graft 90672-01 Synthetic skin graft to burn 90673-00 Correction of syndactyly 90675-00 Other repair of skin and subcutaneous tissue 90677-00 Other phototherapy, skin 90678-00 Partial resection of other facial bone, not elsewhere classified 90678-01 Subtotal resection of other facial bone, not elsewhere classified 90678-02 Total resection of other facial bone, not elsewhere classified 90679-00 Osteotomy of zygoma, unilateral 90679-01 Osteotomy of zygoma, bilateral 90679-02 Ostectomy of zygoma, unilateral 90679-03 Ostectomy of zygoma, bilateral 90680-00 Osteotomy of zygoma with internal fixation, unilateral 90680-01 Osteotomy of zygoma with internal fixation, bilateral 90680-02 Ostectomy of zygoma with internal fixation, unilateral 90680-03 Ostectomy of zygoma with internal fixation, bilateral 171 172 | Patient Minimum Data Set 90681-00 Other repair of facial bone 90683-00 Reconstruction of zygoma 90684-00 Other reconstruction of facial bone 90720-00 Other procedures on breast 90764-00 Brachytherapy, intracavitary, low dose rate 90764-01 Brachytherapy, intracavitary, high dose rate 90769-00 Insertion of artificial bowel sphincter 90769-01 Revision of artificial bowel sphincter 90769-02 Removal of artificial bowel sphincter 90951-00 Fixation of large intestine 90952-00 Incision of abdominal wall 90954-00 Other reconstruction of oesophagus 90956-00 Extracorporeal shockwave lithotripsy [ESWL] of biliary tract 90957-00 Extracorporeal shockwave lithotripsy [ESWL] of gallbladder 90959-00 Excision of other lesion of large intestine 92011-00 Video and radiotelemetered electroencephalographic [EEG] monitoring 92035-00 Other intubation of respiratory tract 92035-01 Management of other intubation of respiratory tract 92041-00 Continuous negative pressure ventilation [CNPV] 92044-00 Other oxygen enrichment 92060-00 Administration of autologous blood 92061-00 Administration of coagulation factors 92062-00 Administration of other serum 92063-00 Administration of blood expander 92064-00 Administration of other blood product 92068-00 Endoscopic insertion of duodenal prosthesis 92068-01 Endoscopic replacement of duodenal prosthesis 92068-02 Endoscopic removal of duodenal prosthesis 92115-00 Removal of prostatic stent or coil 92118-00 Removal of ureterostomy tube or ureteral catheter 92120-00 Removal of urethral stent 92206-00 Exchange transfusion 92208-00 Anterior resection of rectum, level unspecified 92209-01 Management of noninvasive ventilatory support, > 24 and < 96 hours 92209-02 Management of noninvasive ventilatory support, >= 96 hours 92506-10 Neuraxial block during labour, ASA 10 92506-19 Neuraxial block during labour, ASA 19 92506-20 Neuraxial block during labour, ASA 20 92506-29 Neuraxial block during labour, ASA 29 92506-30 Neuraxial block during labour, ASA 30 92506-39 Neuraxial block during labour, ASA 39 92506-40 Neuraxial block during labour, ASA 40 92506-49 Neuraxial block during labour, ASA 49 92506-50 Neuraxial block during labour, ASA 50 92506-59 Neuraxial block during labour, ASA 59 Appendices Patient Minimum Data Set | Appendices 92506-69 Neuraxial block during labour, ASA 69 92506-90 Neuraxial block during labour, ASA 90 92506-99 Neuraxial block during labour, ASA 99 92507-10 Neuraxial block during labour and delivery procedure, ASA 10 92507-19 Neuraxial block during labour and delivery procedure, ASA 19 92507-20 Neuraxial block during labour and delivery procedure, ASA 20 92507-29 Neuraxial block during labour and delivery procedure, ASA 29 92507-30 Neuraxial block during labour and delivery procedure, ASA 30 92507-39 Neuraxial block during labour and delivery procedure, ASA 39 92507-40 Neuraxial block during labour and delivery procedure, ASA 40 92507-49 Neuraxial block during labour and delivery procedure, ASA 49 92507-50 Neuraxial block during labour and delivery procedure, ASA 50 92507-59 Neuraxial block during labour and delivery procedure, ASA 59 92507-69 Neuraxial block during labour and delivery procedure, ASA 69 92507-90 Neuraxial block during labour and delivery procedure, ASA 90 92507-99 Neuraxial block during labour and delivery procedure, ASA 99 92508-10 Neuraxial block, ASA 10 92508-19 Neuraxial block, ASA 19 92508-20 Neuraxial block, ASA 20 92508--29 Neuraxial block, ASA 29 92508-30 Neuraxial block, ASA 30 92508-39 Neuraxial block, ASA 39 92508-40 Neuraxial block, ASA 40 92508--49 Neuraxial block, ASA 49 92508-50 Neuraxial block, ASA 50 92508-59 Neuraxial block, ASA 59 92508-69 Neuraxial block, ASA 69 92508-90 Neuraxial block, ASA 90 92508-99 Neuraxial block, ASA 99 92509-10 Regional block, nerve of head or neck, ASA 10 92509-19 Regional block, nerve of head or neck, ASA 19 92509-20 Regional block, nerve of head or neck, ASA 20 92509-29 Regional block, nerve of head or neck, ASA 29 92509-30 Regional block, nerve of head or neck, ASA 30 92509-39 Regional block, nerve of head or neck, ASA 39 92509-40 Regional block, nerve of head or neck, ASA 40 92509-49 Regional block, nerve of head or neck, ASA 49 92509-50 Regional block, nerve of head or neck, ASA 50 92509-59 Regional block, nerve of head or neck, ASA 59 92509-69 Regional block, nerve of head or neck, ASA 69 92509-90 Regional block, nerve of head or neck, ASA 90 92509-99 Regional block, nerve of head or neck, ASA 99 92510-10 Regional block, nerve of trunk, ASA 10 92510-19 Regional block, nerve of trunk, ASA 19 92510-20 Regional block, nerve of trunk, ASA 20 173 174 | Patient Minimum Data Set 92510-29 Regional block, nerve of trunk, ASA 29 92510-30 Regional block, nerve of trunk, ASA 30 92510-39 Regional block, nerve of trunk, ASA 39 92510-40 Regional block, nerve of trunk, ASA 40 92510-49 Regional block, nerve of trunk, ASA 49 92510-50 Regional block, nerve of trunk, ASA 50 92510-59 Regional block, nerve of trunk, ASA 59 92510-69 Regional block, nerve of trunk, ASA 69 92510-90 Regional block, nerve of trunk, ASA 90 92510-99 Regional block, nerve of trunk, ASA 99 92511-10 Regional block, nerve of upper limb, ASA 10 92511-19 Regional block, nerve of upper limb, ASA 19 92511-20 Regional block, nerve of upper limb, ASA 20 92511-29 Regional block, nerve of upper limb, ASA 29 92511-30 Regional block, nerve of upper limb, ASA 30 92511-39 Regional block, nerve of upper limb, ASA 39 92511-40 Regional block, nerve of upper limb, ASA 40 92511-49 Regional block, nerve of upper limb, ASA 49 92511-50 Regional block, nerve of upper limb, ASA 50 92511-59 Regional block, nerve of upper limb, ASA 59 92511-69 Regional block, nerve of upper limb, ASA 69 92511-90 Regional block, nerve of upper limb, ASA 90 92511-99 Regional block, nerve of upper limb, ASA 99 92512-10 Regional block, nerve of lower limb, ASA 10 92512-19 Regional block, nerve of lower limb, ASA 19 92512-20 Regional block, nerve of lower limb, ASA 20 92512-29 Regional block, nerve of lower limb, ASA 29 92512-30 Regional block, nerve of lower limb, ASA 30 92512-39 Regional block, nerve of lower limb, ASA 39 92512-40 Regional block, nerve of lower limb, ASA 40 92512-49 Regional block, nerve of lower limb, ASA 49 92512-50 Regional block, nerve of lower limb, ASA 50 92512-59 Regional block, nerve of lower limb, ASA 59 92512-69 Regional block, nerve of lower limb, ASA 69 92512-90 Regional block, nerve of lower limb, ASA 90 92512-99 Regional block, nerve of lower limb, ASA 99 92514-10 General anaesthesia, ASA 10 92514-19 General anaesthesia, ASA 19 92514-20 General anaesthesia, ASA 20 92514--29 General anaesthesia, ASA 29 92514-30 General anaesthesia, ASA 30 92514-39 General anaesthesia, ASA 39 92514-40 General anaesthesia, ASA 40 92514-49 General anaesthesia, ASA 49 92514-50 General anaesthesia, ASA 50 Appendices Patient Minimum Data Set | Appendices 92514-59 General anaesthesia, ASA 59 92514-69 General anaesthesia, ASA 69 92514-90 General anaesthesia, ASA 90 92514-99 General anaesthesia, ASA 99 92515-10 Sedation, ASA 10 92515-19 Sedation, ASA 19 92515-20 Sedation, ASA 20 92515-29 Sedation, ASA 29 92515-30 Sedation, ASA 30 92515-39 Sedation, ASA 39 92515-40 Sedation, ASA 40 92515-49 Sedation, ASA 49 92515-50 Sedation, ASA 50 92515-59 Sedation, ASA 59 92515-69 Sedation, ASA 69 92515-90 Sedation, ASA 90 92515-99 Sedation, ASA 99 92519-10 Intravenous regional anaesthesia, ASA 10 92519-19 Intravenous regional anaesthesia, ASA 19 92519-20 Intravenous regional anaesthesia, ASA 20 92519-29 Intravenous regional anaesthesia, ASA 29 92519-30 Intravenous regional anaesthesia, ASA 30 92519-39 Intravenous regional anaesthesia, ASA 39 92519-40 Intravenous regional anaesthesia, ASA 40 92519-49 Intravenous regional anaesthesia, ASA 49 92519-50 Intravenous regional anaesthesia, ASA 50 92519-59 Intravenous regional anaesthesia, ASA 59 92519-69 Intravenous regional anaesthesia, ASA 69 92519-90 Intravenous regional anaesthesia, ASA 90 92519-99 Intravenous regional anaesthesia, ASA 99 93341-00 Electroconvulsive therapy [ECT], unspecified number of treatments 93341-01 Electroconvulsive therapy [ECT], 1 treatment 93341-02 Electroconvulsive therapy [ECT], 2 treatments 93341-03 Electroconvulsive therapy [ECT], 3 treatments 93341-04 Electroconvulsive therapy [ECT], 4 treatments 93341-05 Electroconvulsive therapy [ECT], 5 treatments 93341-06 Electroconvulsive therapy [ECT], 6 treatments 93341-07 Electroconvulsive therapy [ECT], 7 treatments 93341-08 Electroconvulsive therapy [ECT], 8 treatments 93341-09 Electroconvulsive therapy [ECT], 9 treatments 93341-10 Electroconvulsive therapy [ECT], 10 treatments 93341-11 Electroconvulsive therapy [ECT], 11 treatments 93341-12 Electroconvulsive therapy [ECT], 12 treatments 93341-13 Electroconvulsive therapy [ECT], 13 treatments 93341-14 Electroconvulsive therapy [ECT], 14 treatments 93341-15 Electroconvulsive therapy [ECT], 15 treatments 175 176 | Patient Minimum Data Set 93341-16 Electroconvulsive therapy [ECT], 16 treatments 93341-17 Electroconvulsive therapy [ECT], 17 treatments 93341-18 Electroconvulsive therapy [ECT], 18 treatments 93341-19 Electroconvulsive therapy [ECT], 19 treatments 93341-20 Electroconvulsive therapy [ECT], 20 treatments 93341-21 Electroconvulsive therapy [ECT], 21 treatments 93341-22 Electroconvulsive therapy [ECT], 22 treatments 93341-23 Electroconvulsive therapy [ECT], 23 treatments 93341-24 Electroconvulsive therapy [ECT], 24 treatments 93341-25 Electroconvulsive therapy [ECT], 25 treatments 93341-26 Electroconvulsive therapy [ECT], 26 treatments 93341-27 Electroconvulsive therapy [ECT], 27 treatments 93341-28 Electroconvulsive therapy [ECT], 28 treatments 93341-29 Electroconvulsive therapy [ECT], 29 treatments 93341-30 Electroconvulsive therapy [ECT], 30 treatments 93341-31 Electroconvulsive therapy [ECT], 31 treatments 93341-32 Electroconvulsive therapy [ECT], 32 treatments 93341-33 Electroconvulsive therapy [ECT], 33 treatments 93341-34 Electroconvulsive therapy [ECT], 34 treatments 93341-35 Electroconvulsive therapy [ECT], 35 treatments 93341-36 Electroconvulsive therapy [ECT], 36 treatments 93341-37 Electroconvulsive therapy [ECT], 37 treatments 93341-38 Electroconvulsive therapy [ECT], 38 treatments 93341-39 Electroconvulsive therapy [ECT], 39 treatments 93341-40 Electroconvulsive therapy [ECT], 40 treatments 93341-41 Electroconvulsive therapy [ECT], 41 treatments 93341-42 Electroconvulsive therapy [ECT], 42 treatments 93341-43 Electroconvulsive therapy [ECT], 43 treatments 93341-44 Electroconvulsive therapy [ECT], 44 treatments 93341-45 Electroconvulsive therapy [ECT], 45 treatments 93341-46 Electroconvulsive therapy [ECT], 46 treatments 93341-47 Electroconvulsive therapy [ECT], 47 treatments 93341-48 Electroconvulsive therapy [ECT], 48 treatments 93341-49 Electroconvulsive therapy [ECT], 49 treatments 93341-50 Electroconvulsive therapy [ECT], 50 treatments 93341-51 Electroconvulsive therapy [ECT], 51 treatments 93341-52 Electroconvulsive therapy [ECT], 52 treatments 93341-53 Electroconvulsive therapy [ECT], 53 treatments 93341-54 Electroconvulsive therapy [ECT], 54 treatments 93341-55 Electroconvulsive therapy [ECT], 55 treatments 93341-56 Electroconvulsive therapy [ECT], 56 treatments 93341-57 Electroconvulsive therapy [ECT], 57 treatments 93341-58 Electroconvulsive therapy [ECT], 58 treatments 93341-59 Electroconvulsive therapy [ECT], 59 treatments 93341-60 Electroconvulsive therapy [ECT], 60 treatments Appendices Patient Minimum Data Set | Appendices 93341-61 Electroconvulsive therapy [ECT], 61 treatments 93341-62 Electroconvulsive therapy [ECT], 62 treatments 93341-63 Electroconvulsive therapy [ECT], 63 treatments 93341-64 Electroconvulsive therapy [ECT], 64 treatments 93341-65 Electroconvulsive therapy [ECT], 65 treatments 93341-66 Electroconvulsive therapy [ECT], 66 treatments 93341-67 Electroconvulsive therapy [ECT], 67 treatments 93341-68 Electroconvulsive therapy [ECT], 68 treatments 93341-69 Electroconvulsive therapy [ECT], 69 treatments 93341-70 Electroconvulsive therapy [ECT], 70 treatments 93341-71 Electroconvulsive therapy [ECT], 71 treatments 93341-72 Electroconvulsive therapy [ECT], 72 treatments 93341-73 Electroconvulsive therapy [ECT], 73 treatments 93341-74 Electroconvulsive therapy [ECT], 74 treatments 93341-75 Electroconvulsive therapy [ECT], 75 treatments 93341-76 Electroconvulsive therapy [ECT], 76 treatments 93341-77 Electroconvulsive therapy [ECT], 77 treatments 93341-78 Electroconvulsive therapy [ECT], 78 treatments 93341-79 Electroconvulsive therapy [ECT], 79 treatments 93341-80 Electroconvulsive therapy [ECT], 80 treatments 93341-81 Electroconvulsive therapy [ECT], 81 treatments 93341-82 Electroconvulsive therapy [ECT], 82 treatments 93341-83 Electroconvulsive therapy [ECT], 83 treatments 93341-84 Electroconvulsive therapy [ECT], 84 treatments 93341-85 Electroconvulsive therapy [ECT], 85 treatments 93341-86 Electroconvulsive therapy [ECT], 86 treatments 93341-87 Electroconvulsive therapy [ECT], 87 treatments 93341-88 Electroconvulsive therapy [ECT], 88 treatments 93341-89 Electroconvulsive therapy [ECT], 89 treatments 93341-90 Electroconvulsive therapy [ECT], 90 treatments 93341-91 Electroconvulsive therapy [ECT], 91 treatments 93341-92 Electroconvulsive therapy [ECT], 92 treatments 93341-93 Electroconvulsive therapy [ECT], 93 treatments 93341-94 Electroconvulsive therapy [ECT], 94 treatments 93341-95 Electroconvulsive therapy [ECT], 95 treatments 93341-96 Electroconvulsive therapy [ECT], 96 treatments 93341-97 Electroconvulsive therapy [ECT], 97 treatments 93341-98 Electroconvulsive therapy [ECT], 98 treatments 93341-99 Electroconvulsive therapy [ECT], >= 99 treatments 96098-00 Parenteral nutritional support 96189-00 Omentectomy 96189-01 Laparoscopic omentectomy 96190-01 Replacement of nasopharyngeal device 96190-02 Removal of nasopharyngeal device 96191-00 Hyperbaric oxygen therapy, <= 90 minutes 177 178 | Patient Minimum Data Set 96196-02 Intra-arterial administration of pharmacological agent, anti-infective agent 96196-07 Intra-arterial administration of pharmacological agent, nutritional substance 96196-08 Intra-arterial administration of pharmacological agent, electrolyte 96198-00 Intrathecal administration of pharmacological agent, antineoplastic agent 96198-01 Intrathecal administration of pharmacological agent, thrombolytic agent 96198-02 Intrathecal administration of pharmacological agent, anti-infective agent 96198-03 Intrathecal administration of pharmacological agent, steroid 96198-04 Intrathecal administration of pharmacological agent, antidote 96198-06 Intrathecal administration of pharmacological agent, insulin 96198-07 Intrathecal administration of pharmacological agent, nutritional substance 96198-08 Intrathecal administration of pharmacological agent, electrolyte 96198-09 Intrathecal administration of pharmacological agent, other and unspecified pharmacological agent 96199-00 Intravenous administration of pharmacological agent, antineoplastic agent 96199-01 Intravenous administration of pharmacological agent, thrombolytic agent 96199-02 Intravenous administration of pharmacological agent, anti-infective agent 96199-03 Intravenous administration of pharmacological agent, steroid 96199-04 Intravenous administration of pharmacological agent, antidote 96199-06 Intravenous administration of pharmacological agent, insulin 96199-07 Intravenous administration of pharmacological agent, nutritional substance 96199-08 Intravenous administration of pharmacological agent, electrolyte 96199-09 Intravenous administration of pharmacological agent, other and unspecified pharmacological agent 96201-00 Intracavitary administration of pharmacological agent, antineoplastic agent 96201-01 Intracavitary administration of pharmacological agent, thrombolytic agent 96201-02 Intracavitary administration of pharmacological agent, anti-infective agent 96201-03 Intracavitary administration of pharmacological agent, steroid 96201-04 Intracavitary administration of pharmacological agent, antidote 96201-06 Intracavitary administration of pharmacological agent, insulin 96201-07 Intracavitary administration of pharmacological agent, nutritional substance 96201-08 Intracavitary administration of pharmacological agent, electrolyte 96201-09 Appendices Intracavitary administration of pharmacological agent, other and unspecified pharmacological agent 96202-02 Enteral administration of pharmacological agent, anti-infective agent 96202-07 Enteral administration of pharmacological agent, nutritional substance 96202-08 Enteral administration of pharmacological agent, electrolyte 96215-00 Incision and drainage of lesion in oral cavity 97232-00 Periodontal flap procedure <= 8 teeth 97232-01 Periodontal flap procedure > 8 teeth 97233-00 Alveolar osseous procedure <= 8 teeth 97233-01 Alveolar osseous procedure > 8 teeth 97234-00 Alveolar osseous graft, per tooth or implant 97244-00 Alveolar osseous graft, block 97235-00 Gingival graft, per tooth or implant 97238-00 Periodontal flap procedure for crown lengthening, per tooth 97331-00 Alveolectomy, per segment 97379-00 Marsupialisation of cyst in oral cavity Patient Minimum Data Set | Appendices 97387-00 Replantation and splinting of tooth 97388-00 Transplantation of tooth or tooth bud 97928-00 Intravenous cannulation and establishment of infusion for dental procedure 179 180 | Patient Minimum Data Set 5.2 Appendix B – Non-automatically Admitted Procedures List Note that some procedures may be admitted if performed under general anaesthesia (must also code General anaesthesia, codes 92514-00 to 92514-99 Block 1910). ACHI Code Long description 11000-00 Electroencephalography 11003-00 Electroencephalography of >= 3 hours duration 11006-00 Temporosphenoidal electroencephalography 11009-00 Electrocorticography 11012-00 Electromyography [EMG] 11012-01 Conduction studies on 1 nerve 11012-02 Conduction studies on 1 nerve with electromyography 11015-00 Conduction studies on 2 or 3 nerves 11015-01 Conduction studies on 2 or 3 nerves with electromyography 11018-00 Conduction studies on >= 4 nerves 11018-01 Conduction studies on >= 4 nerves with electromyography 11018-02 Conduction studies with electromyography of single fibres of nerves and muscles 11021-00 Electromyography with quantitative computerised analysis 11021-01 Repetitive neuromuscular conduction studies 11021-02 Repetitive neuromuscular conduction studies with quantitative computerised analysis electromyography 11024-00 Investigation of central nervous system evoked responses, 1 or 2 studies 11027-00 Investigation of central nervous system evoked responses, >= 3 studies 11200-00 Provocative test for glaucoma 11203-00 Tonography for glaucoma 11204-00 Electroretinography [ERG] 11205-00 Electro-oculography [EOG] 11210-00 Pattern electroretinography 11211-00 Dark adaptation study 11212-00 Examination of optic fundi 11215-00 Retinal photography of 1 eye 11218-00 Retinal photography of both eyes 11221-00 Full quantitative computerised perimetry, bilateral 11224-00 Full quantitative computerised perimetry, unilateral 11235-00 Examination of eye by impression cytology of cornea 11240-01 Partial coherence interferometry 11300-00 Brain stem evoked response audiometry 11303-00 Electrocochleography by extratympanic method 11304-00 Electrocochleography by transtympanic method 11306-00 Other audiometry 11309-00 Air conduction audiometry, standard technique 11309-01 Air conduction audiometry using visual reinforcement 11312-00 Air and bone conduction audiometry, standard technique 11312-02 Air and bone conduction audiometry using visual reinforcement 11315-01 Speech discrimination test 11315-02 Speech discrimination test with background noise 11321-00 Measurement of glycerol induced cochlear function changes Appendices Patient Minimum Data Set | Appendices 11324-00 Tympanometry using standard probe tone 11324-01 Tympanometry using high frequency probe tone 11332-00 Click evoked otoacoustic emissions evaluation 11332-01 Distortion product otoacoustic emissions evaluation 11332-02 Other otoacoustic emissions evaluation 11333-00 Caloric test of labyrinth 11336-00 Simultaneous bithermal caloric test of labyrinths 11339-00 Electronystagmography [ENG] 11500-00 Bronchospirometry 11503-00 11503-01 11503-02 11503-03 Measurement of respiratory muscle strength involving transdiaphragmatic or oesophageal pressures Measurement of respiratory muscle strength at multiple lung volumes Measurement of respiratory muscle endurance or fatigability Measurement of respiratory muscle strength before and after intravenous injection of placebo and anticholinesterase drugs 11503-04 Exercise testing to assess respiratory status 11503-05 Spirometry with exercise testing 11503-06 Measurement of phrenic nerve function 11503-07 Measurement of pulmonary distensibility 11503-08 Assessment of arterial carbon dioxide tension or cardiac output, rebreathing method 11503-09 Measurement of resistance of anterior nares or pharynx 11503-10 Measurement of gas exchange 11503-11 Measurement of carbon monoxide diffusing capacity 11503-12 Measurement of total lung volume 11503-13 Measurement of airway or pulmonary resistance 11503-14 Measurement of ventilatory and/or occlusion pressure responses to progressive hypercapnia and hypoxia 11503-15 Measurement of ventilation perfusion ratios using multiple inert gas elimination techniques 11503-16 Continuous monitoring of pulmonary function for >= 6 hours duration 11503-17 Inhalation provocation testing 11503-18 Tests of distribution of ventilation 11503-19 Simulated altitude test 11506-00 11512-00 181 Other measurement of respiratory function Continuous measurement of relationship between flow and volume during expiration or inspiration 11600-00 Cardiac intracavity blood pressure monitoring 11600-01 Pulmonary arterial pressure monitoring 11600-03 Systemic arterial pressure monitoring 11602-00 Examination and recording of wave forms of peripheral veins in 1 or more extremities at rest using CW Doppler or pulsed Doppler 11604-00 Examination and recording of wave forms of peripheral veins in 1 or more extremities using plethysmography 11605-00 Examination and recording of wave forms of peripheral veins in lower extremities during and following exercise, using infrared photoplethysmography 11610-00 Measurement of systolic arterial pressure indices bilaterally and assessment of arterial wave forms in lower extremities 11611-00 Measurement of systolic arterial pressure indices bilaterally and assessment of arterial wave forms in upper extremities 182 | Patient Minimum Data Set Appendices 11612-00 Measurement of systolic arterial pressure indices bilaterally at rest and following exercise in lower extremities 11614-00 Examination and recording of wave forms of intracranial arterial circulation using transcranial Doppler 11615-00 Measurement of digital temperature 11700-00 Other electrocardiography [ECG] 11708-00 Ambulatory continuous ECG recording 11709-00 Holter ambulatory continuous ECG recording 11710-00 Patient activated ambulatory ECG monitoring, recording for at least 20 seconds prior to and 15 seconds after each activation 11711-00 Patient activated ambulatory ECG monitoring, recording for at least 30 seconds after each activation 11712-00 Cardiovascular stress test 11713-00 Signal averaged ECG recording 11715-00 Blood dye - dilution indicator test 11718-00 Testing of other cardiac pacemaker 11721-03 Testing of atrioventricular [AV] sequential, rate responsive or antitachycardia cardiac pacemaker 11722-00 Patient activated implantable cardiac event monitoring 11724-00 Upright tilt table testing 11727-00 Testing of cardiac defibrillator 11800-00 Oesophageal motility test 11810-00 Measurement of gastro-oesophageal reflux involving 24 hour pH monitoring 11820-00 Panendoscopy via camera capsule 11830-00 Anal manometry 11830-01 Measurement of anorectal sensation 11830-02 Measurement of rectosphincteric reflex 11833-00 Measurement of pudendal and spinal nerve motor latency 11833-01 Electromyography of pelvic floor and anal sphincter muscles 11900-00 Urine flow study 11903-00 Cystometrography 11906-00 Urethral pressure profilometry [UPP] 11909-00 Urethral pressure profilometry [UPP] with urethral sphincter electromyography 11912-00 Cystometrography with measurement of rectal pressure 11915-00 Cystometrography with urethral sphincter electromyography 11917-00 Cystometrography with 1 or more measurements 11919-00 Cystometrography with contrast micturating cystourethrography 11921-00 Bladder washout test study 12000-00 Skin sensitivity testing using <= 20 allergens 12003-00 Skin sensitivity testing using >= 21or more allergens 12012-00 Epicutaneous patch testing using less than the total number of allergens in a standard patch test battery 12015-00 Epicutaneous patch testing using all the allergens in standard patch test battery 12018-00 Epicutaneous patch testing using <= 50 allergens 12021-00 Epicutaneous patch testing using >= 51 allergens 12203-00 Polysomnography 12306-00 Bone densitometry using dual energy x-ray absorptiometry 12309-00 Bone densitometry using quantitative computerised tomography Patient Minimum Data Set | Appendices 12500-00 Blood volume nuclear medicine estimation 12503-00 Erythrocyte radioactive uptake survival time test 12503-01 Iron kinetic test 12506-00 Gastrointestinal nuclear medicine blood loss estimation 12509-00 Gastrointestinal nuclear medicine protein loss test 12512-00 Radioactive B12 absorption test, 1 isotope 12515-00 Radioactive B12 absorption test, 2 isotopes 12518-00 Thyroid uptake study 12521-00 Perchlorate discharge study 12524-00 Renal function nuclear medicine test 12530-00 Nuclear medicine whole body count 12533-00 Carbon labelled urea breath test 13104-00 Education and training for home dialysis 13200-00 Assisted reproductive services, using drugs to induce superovulation 13203-00 Ovulation monitoring services, for superovulation treatment cycles and artificial insemination 13206-00 183 Assisted reproductive services, using unstimulated ovulation or ovulation stimulated by clomiphene citrate 13209-00 Planning and management for assisted reproductive technologies 13221-00 Preparation of semen for reproductive medicine procedures 13251-00 Intracytoplasmic sperm injection 13290-00 Collection of semen using a device 13300-00 Catheterisation/cannulation of other vein in neonate 13300-01 Scalp vein catheterisation/cannulation in neonate 13300-02 Umbilical vein catheterisation/cannulation in neonate 13303-00 Umbilical artery catheterisation/cannulation in neonate 13306-00 Exchange transfusion in infant 13312-00 Collection of blood for diagnostic purpose in neonate 13319-00 Central vein catheterisation in neonate 13400-00 Cardioversion 13500-00 Gastric hypothermia 13506-00 Gastro-oesophageal balloon tamponade 13709-00 Collection of blood for transfusion 13760-00 In vitro processing of bone marrow or peripheral blood for autologous stem cell transplantation 13815-00 Central vein catheterisation 13818-00 Insertion of right heart balloon catheter for monitoring 13839-00 Collection of blood for diagnostic purposes 13839-01 Petrosal sampling 13839-02 Adrenal vein sampling 13842-00 Intra-arterial cannulation for blood gas analysis 13851-00 Management of circulatory support device 13882-00 Management of continuous ventilatory support, <= 24 hours 13939-02 Maintenance (alone) of vascular access device 13942-02 Maintenance (alone) of drug delivery device 14050-00 Psoralens and ultraviolet A therapy of other site 14050-01 Ultraviolet B therapy of other site 14050-02 Narrow band ultraviolet B therapy of other site 184 | Patient Minimum Data Set Appendices 14053-00 Psoralens and ultraviolet A therapy of hand 14053-01 Psoralens and ultraviolet A therapy of foot 14053-02 Psoralens and ultraviolet A therapy of hand and foot 14053-03 Ultraviolet B therapy of hand 14053-04 Ultraviolet B therapy of foot 14053-05 Ultraviolet B therapy of hand and foot 14053-06 Narrow band ultraviolet B of hand 14053-07 Narrow band ultraviolet B of foot 14053-08 Narrow band ultraviolet B of hand and foot 14100-00 Laser photocoagulation of cutaneous vascular lesions, continuous laser, individual blood vessels 14106-00 Laser photocoagulation of cutaneous vascular lesions, pulsed laser, extensive area 14200-00 Gastric lavage 14203-00 Direct subdermal hormone implantation 14203-01 Direct living tissue implantation 14206-00 Hormone implantation by cannula 14206-01 Living tissue implantation by cannula 14212-00 Fluid reduction of intussusception 14212-01 Gas reduction of intussusception 14215-00 Revision of gastric band 15000-00 Radiation treatment, superficial, 1 field 15003-00 Radiation treatment, superficial, >= 2 fields 15012-00 Brachytherapy, eye 15100-00 Radiation treatment, orthovoltage, 1 field 15103-00 Radiation treatment, orthovoltage, >= 2 fields 15224-00 Radiation treatment, megavoltage, 1 field, single modality linear accelerator 15239-00 Radiation treatment, megavoltage, >= 2 fields, single modality linear accelerator 15254-00 Radiation treatment, megavoltage, 1 field, dual modality linear accelerator 15269-00 Radiation treatment, megavoltage, >= 2 fields, dual modality linear accelerator 15339-00 Removal of sealed radioactive source 15342-00 Construction and application of radioactive surface mould 15351-00 Construction and application of eye applicator 15500-00 Radiation field setting using simulator, simple 15503-00 Radiation field setting using simulator, intermediate 15506-00 Radiation field setting using simulator, complex 15506-01 Radiation field setting using dedicated CT scanner 15506-02 Radiation field setting for intensity modulated radiation therapy [IMRT] 15509-00 Radiation field setting using diagnostic x-ray unit 15518-00 Dosimetry by CT interfacing computer, simple 15521-00 Dosimetry by CT interfacing computer, intermediate 15524-00 Dosimetry by CT interfacing computer, complex 15524-01 Dosimetry by CT interfacing computer for intensity modulated radiation therapy [IMRT] 15527-00 Dosimetry by non-CT interfacing computer, simple 15530-00 Dosimetry by non-CT interfacing computer, intermediate 15533-00 Dosimetry by non-CT interfacing computer, complex 15536-00 Brachytherapy planning, simple Patient Minimum Data Set | Appendices 15536-01 Brachytherapy planning, intermediate 15536-02 Brachytherapy planning, complex 15550-00 Radiation field setting for three dimensional conformal radiation therapy [3DCRT] 15556-00 Dosimetry by CT interfacing computer for three dimensional conformal radiation therapy [3DCRT] 15556-01 Dosimetry by non-CT interfacing computer for three dimensional conformal radiation therapy [3DCRT] 16003-00 Administration of a therapeutic dose of Yttrium 90 16009-00 Administration of a therapeutic dose of Iodine 131 16012-00 Administration of a therapeutic dose of Phosphorous 32 16015-00 Administration of a therapeutic dose of Strontium 89 16018-00 Administration of a therapeutic dose of 153 SM-Lexidronan 16501-00 External version 16501-01 Failed external version 16514-01 External fetal monitoring 16600-00 Diagnostic amniocentesis 16606-00 Fetal blood sampling 18228-00 Interpleural block 18234-00 Administration of anaesthetic agent around primary branch of trigeminal nerve 18236-00 Administration of anaesthetic agent around peripheral branch of trigeminal nerve 18238-00 Administration of anaesthetic agent around facial nerve 18240-00 Retrobulbar or peribulbar administration of anaesthetic agent 18244-00 Administration of anaesthetic agent around vagus nerve 18246-00 Administration of anaesthetic agent around glossopharyngeal nerve 18248-00 Administration of anaesthetic agent around phrenic nerve 18250-00 Administration of anaesthetic agent around spinal accessory nerve 18252-00 Administration of anaesthetic agent around cervical plexus 18254-00 Administration of anaesthetic agent around brachial plexus 18256-00 Administration of anaesthetic agent around suprascapular nerve 18258-00 Administration of anaesthetic agent around single intercostal nerve 18260-00 Administration of anaesthetic agent around multiple intercostal nerves 18262-00 Administration of anaesthetic agent around iliohypogastric nerve 18262-01 Administration of anaesthetic agent around ilio-inguinal nerve 18262-02 Administration of anaesthetic agent around genitofemoral nerve 18264-00 Administration of anaesthetic agent around pudendal nerve 18266-00 Administration of anaesthetic agent around ulnar nerve 18266-01 Administration of anaesthetic agent around radial nerve 18266-02 Administration of anaesthetic agent around median nerve 18268-00 Administration of anaesthetic agent around obturator nerve 18270-00 Administration of anaesthetic agent around femoral nerve 18272-00 Administration of anaesthetic agent around saphenous nerve 18272-01 Administration of anaesthetic agent around posterior tibial nerve 18272-02 Administration of anaesthetic agent around popliteal nerve 18272-03 Administration of anaesthetic agent around sural nerve 18278-00 Administration of anaesthetic agent around sciatic nerve 18282-00 Administration of anaesthetic agent around carotid sinus nerve 185 186 | Patient Minimum Data Set 18288-00 Administration of anaesthetic agent around coeliac plexus 18288-01 Administration of anaesthetic agent around splanchnic nerve 18292-00 Administration of neurolytic agent into other peripheral nerve 18292-01 Administration of neurolytic agent into sphenopalatine ganglion 18292-02 Administration of neurolytic agent into other sympathetic nerve 18360-00 Administration of botulinum toxin into soft tissue, not elsewhere classified 18366-00 Administration of botulinum toxin for strabismus 18368-00 Administration of botulinum toxin into vocal cord 18370-00 Administration of botulinum toxin into eyelid 22055-00 Perfusion of organ 22060-00 Whole body perfusion 22065-00 Cold therapy 22075-00 Deep hypothermia with circulatory arrest 30010-00 Dressing of burn, < 10% of body surface area dressed 30014-00 Dressing of burn, >= 10% of body surface area dressed 30026-00 Repair of wound of skin and subcutaneous tissue of other site, superficial 30029-00 Repair of wound of skin and subcutaneous tissue of other site, involving soft tissue 30032-00 Repair of wound of skin and subcutaneous tissue of face or neck, superficial 30035-00 Repair of wound of skin and subcutaneous tissue of face or neck, involving soft tissue 30052-00 Repair of wound of external ear 30052-02 Repair of wound of lip 30052-03 Repair of wound of nose 30055-00 Dressing of wound 30061-00 Removal of foreign body from skin and subcutaneous tissue without incision 30061-01 Removal of foreign body from pharynx without incision 30061-02 Removal of superficial foreign body from cornea 30061-03 Removal of superficial foreign body from sclera 30061-04 Removal of superficial foreign body from conjunctiva 30062-00 Removal of subdermal hormone implant 30064-00 Removal of foreign body from skin and subcutaneous tissue with incision 30071-00 Biopsy of skin and subcutaneous tissue 30071-01 Rectal suction biopsy 30071-02 Biopsy of eyelid 30075-23 Biopsy of oral cavity 30075-26 Pharyngeal biopsy 30075-28 Biopsy of external ear 30075-31 Biopsy of urethra 30075-34 Biopsy of anus 30075-38 Biopsy of perineum 30090-00 Percutaneous needle biopsy of pleura 30097-00 Adrenocorticotropic hormone stimulation test 30186-00 Removal of plantar wart 30186-01 Removal of palmar wart 30192-00 Other destruction of lesion of skin 30195-00 Curettage of lesion of skin, single lesion Appendices Patient Minimum Data Set | | 187 Appendices 30195-01 Curettage of lesion of skin, multiple lesions 30195-02 Laser to lesion of skin, single lesion 30195-03 Laser to lesion of skin, multiple lesions 30195-04 Cryotherapy of lesion of skin, single lesion 30195-05 Cryotherapy of lesion of skin, multiple lesions 30195-06 Electrotherapy of lesion of skin, single lesion 30195-07 Electrotherapy of lesion of skin, multiple lesions 30205-00 Cryotherapy to lesion involving skin and cartilage, single lesion 30205-01 Cryotherapy to lesion involving skin and cartilage, multiple lesions 30207-00 Administration of agent into skin lesion 30213-00 Diathermy of telangiectases of head or neck 30213-01 Administration of agent to telangiectases of head or neck 30216-00 Aspiration of haematoma of skin and subcutaneous tissue 30216-01 Aspiration of abscess of skin and subcutaneous tissue 30216-02 Other aspiration of skin and subcutaneous tissue 30266-00 Incision of salivary gland or duct 30266-02 Removal of calculus from salivary gland or duct 30278-00 Lingual fraenectomy 30278-01 Lysis of adhesions of tongue 30278-02 Lingual fraenotomy 30439-00 Intraoperative cholangiography 30483-00 Insertion of percutaneous nonendoscopic gastrostomy button 30487-00 Intubation of small intestine 30628-00 Percutaneous aspiration of hydrocele 30653-00 Male circumcision 30663-00 Control of haemorrhage following male circumcision 30668-00 Endoscopic ultrasound 31533-00 Fine needle biopsy of breast 31536-00 Localisation of lesion of breast 31548-00 Core biopsy of breast 32114-00 Per anal release of rectal stricture 32132-00 Sclerotherapy for haemorrhoids 32132-01 Sclerotherapy for rectal mucosal prolapse 32135-00 Rubber band ligation of haemorrhoids 32135-01 Destruction of haemorrhoids 32135-02 Rubber band ligation of rectal mucosal prolapse 32135-03 Destruction of rectal mucosal prolapse 32142-00 Excision of anal skin tag 32142-01 Excision of anal polyp 32171-00 Anorectal examination 32212-00 Application of formalin to anorectal region 32500-00 Micro injections of venular flares 32500-01 Multiple injections of varicose veins 34530-01 Removal of arterial catheter 34530-04 Removal of venous catheter 34530-05 Removal of vascular access device 35500-00 Gynaecological examination 35503-00 Insertion of intrauterine device [IUD] 188 | Patient Minimum Data Set 35506-00 Replacement of intrauterine device [IUD] 35506-02 Removal of intrauterine device [IUD] 35554-00 Dilation of vagina 35608-00 Cautery of cervix 35608-01 Other destruction of lesion of cervix 35608-02 Biopsy of cervix 35614-00 Colposcopy 35620-00 Biopsy of endometrium 36561-00 Closed biopsy of kidney 36800-00 Bladder catheterisation 36800-01 Endoscopic replacement of indwelling urinary catheter 36800-02 Replacement of cystostomy tube 36800-03 Endoscopic removal of indwelling urinary catheter 36851-00 Endoscopic administration of agent into bladder wall 37041-00 Percutaneous [needle] aspiration of bladder 37218-00 Percutaneous [needle] biopsy of prostate 37218-01 Administration of agent into prostate 37300-00 Passage of urethral sounds 37303-00 Dilation of urethral stricture 37415-00 Administration of agent into penis 37605-00 Percutaneous aspiration of epididymis 37605-01 Percutaneous aspiration of testis 38806-00 Insertion of intercostal catheter for drainage 38812-00 Percutaneous needle biopsy of lung 39003-00 Cisternal puncture 39006-00 Ventricular puncture 39009-00 Tap for subdural haemorrhage 39115-00 Percutaneous neurotomy of primary posterior rami of spinal nerve 39131-02 Testing of implanted neurostimulator 40018-00 Insertion of lumbar cerebrospinal fluid drain 41500-00 Removal of foreign body from auditory canal without incision 41647-00 Ear toilet, unilateral 41647-01 Ear toilet, bilateral 41650-00 Inspection of tympanic membrane, unilateral 41650-01 Inspection of tympanic membrane, bilateral 41653-00 Examination of nasal cavity and/or postnasal space 41656-00 Arrest of posterior nasal haemorrhage by packing and/or cauterisation 41659-00 Removal of intranasal foreign body 41683-00 Division of nasal adhesions 41683-01 Division of nasal adhesions with insertion of stent 41704-00 Aspiration and lavage of nasal sinus through natural ostium 41719-00 Drainage of maxillary antrum through tooth socket 41755-00 Catheterisation of eustachian tube 41828-00 Nonendoscopic dilation of oesophagus 42503-00 Ophthalmological examination 42587-00 Correction of trichiasis by cryotherapy, 1 eye Appendices Patient Minimum Data Set | Appendices 42587-01 Correction of trichiasis by cryotherapy, both eyes 42587-02 Correction of trichiasis by laser, 1 eye 42587-03 Correction of trichiasis by laser, both eyes 42587-04 Correction of trichiasis by electrolysis, 1 eye 42587-05 Correction of trichiasis by electrolysis, both eyes 42614-00 Replacement of nasolacrimal tube, unilateral 42614-01 Probing of lacrimal passages, unilateral 42614-02 Removal of nasolacrimal tube, unilateral 42615-00 Replacement of nasolacrimal tube, bilateral 42615-01 Probing of lacrimal passages, bilateral 42615-02 Removal of nasolacrimal tube, bilateral 42617-00 Incision of lacrimal punctum 42620-00 Occlusion of lacrimal punctum by plug 42644-00 Incision of cornea 42644-01 Removal of embedded foreign body from cornea by magnet 42644-02 Removal of embedded foreign body from sclera 42644-03 Removal of embedded foreign body from conjunctiva 42644-04 Removal of embedded foreign body from cornea 42644-05 Incision of sclera 42650-00 Epithelial debridement of cornea 42667-00 Manipulation of running corneal suture 42668-00 Removal of corneal sutures 42676-00 Biopsy of conjunctiva 42677-00 Cauterisation of conjunctiva 42677-01 Thermocauterisation of cornea 42782-00 Trabeculoplasty by laser 42785-00 Iridotomy by laser 42785-01 Iridoplasty by laser 42788-00 Capsulotomy of lens by laser 42791-00 Intracameral laser lysis of vitreous humor 42791-01 Intracameral laser lysis of fibrin 42791-02 Corticolysis of lens material by laser 42794-00 Division of scleral sutures by laser following trabeculoplasty 42797-00 Coagulation of scleral blood vessels by laser 42797-01 Coagulation of corneal blood vessels by laser 42797-02 Destruction of cornea by laser 42802-00 Removal of brachytherapy applicator, eye 42806-00 Destruction of lesion of iris by laser 42807-00 Laser photomydriasis 42808-00 Laser photoiridosyneresis 42809-00 Destruction of retina by photocoagulation 42809-01 Repair of retinal detachment by photocoagulation 42811-00 Transpupillary thermotherapy 42821-00 Ocular transillumination 42824-00 Retrobulbar administration of alcohol or other drug 42824-01 Subconjunctival administration of agent 189 190 | Patient Minimum Data Set 45021-00 Abrasive therapy to 1 aesthetic area of face 45021-01 Abrasive therapy to other site 45025-00 CO2 laser resurfacing to neck 45025-01 CO2 laser resurfacing to 1 aesthetic area of face 45025-02 CO2 laser resurfacing to other site 45026-00 CO2 laser resurfacing to >= 2 aesthetic areas of face 45546-00 Intradermal colouration of skin for nipple or areola 45799-00 Aspiration biopsy of jaw cyst 45829-00 Excision of maxillary tuberosity 45847-00 Intraoral osseointegrated dental implant, second stage 46516-00 Debridement of fingernail 46516-01 Removal of fingernail 46519-00 Incision and drainage of middle palmar, thenar or hypothenar spaces of hand 46528-00 Wedge resection of ingrown fingernail 46531-00 Partial resection of ingrown fingernail 46534-00 Radical excision of fingernail bed 47000-00 Closed reduction of dislocation of temporomandibular joint 47003-00 Closed reduction of dislocation of clavicle 47009-00 Closed reduction of dislocation of shoulder 47009-01 Closed reduction of dislocation of shoulder with internal fixation 47018-00 Closed reduction of dislocation of elbow 47018-01 Closed reduction of dislocation of elbow with internal fixation 47024-00 Closed reduction of dislocation of proximal radio-ulnar joint 47024-01 Closed reduction of dislocation of proximal radio-ulnar joint with internal fixation 47024-02 Closed reduction of dislocation of distal radio-ulnar joint 47024-03 Closed reduction of dislocation of distal radio-ulnar joint with internal fixation 47030-00 Closed reduction of dislocation of carpus 47030-02 Closed reduction of dislocation of carpometacarpal joint 47036-00 Closed reduction of dislocation of interphalangeal joint of hand 47042-00 Closed reduction of dislocation of metacarpophalangeal joint 47057-00 Closed reduction of dislocation of patella 47069-00 Closed reduction of dislocation of toe 47069-01 Closed reduction of dislocation of toe with internal fixation 47300-00 Closed reduction of fracture of distal phalanx of hand 47303-00 Closed reduction of intra-articular fracture of distal phalanx of hand 47312-00 Closed reduction of fracture of middle phalanx of hand 47315-00 Closed reduction of intra-articular fracture of middle phalanx of hand 47324-00 Closed reduction of fracture of proximal phalanx of hand 47327-00 Closed reduction of intra-articular fracture of proximal phalanx of hand 47336-00 Closed reduction of fracture of metacarpus 47339-00 Closed reduction of intra-articular fracture of metacarpus 47348-00 Closed reduction of fracture of carpus 47354-00 Closed reduction of fracture of carpal scaphoid 47360-00 Immobilisation of fracture of distal radius 47360-01 Immobilisation of fracture of distal ulna 47363-00 Closed reduction of fracture of distal radius Appendices Patient Minimum Data Set | Appendices 47363-01 Closed reduction of fracture of distal ulna 47378-00 Immobilisation of fracture of shaft of radius 47378-01 Immobilisation of fracture of shaft of ulna 47396-00 Closed reduction of fracture of olecranon 47405-00 Closed reduction of fracture of radial head or neck 47423-00 Immobilisation of fracture of proximal humerus 47444-00 Immobilisation of fracture of shaft of humerus 47462-00 Closed reduction of fracture of clavicle 47466-00 Closed reduction of fracture of sternum 47471-00 Immobilisation of fracture of rib 47492-00 Immobilisation of fracture of acetabulum 47540-00 Application of hip spica 47540-01 Application of shoulder spica 47543-00 Immobilisation of fracture of medial or lateral tibial plateau 47576-00 Immobilisation of fracture of fibula 47579-00 Immobilisation of fracture of patella 47594-00 Immobilisation of fracture of ankle, not elsewhere classified 47606-00 Immobilisation of fracture of calcaneum 47606-01 Immobilisation of dislocation of calcaneum 47606-02 Immobilisation of fracture of talus 47606-03 Immobilisation of dislocation of talus 47627-00 Immobilisation of fracture of tarsus 47633-00 Immobilisation of fracture of metatarsus 47636-00 Closed reduction of fracture of metatarsus 47663-00 Closed reduction of fracture of phalanx of great toe 47672-00 Closed reduction of fracture of phalanx of toe, other than great toe 47708-00 Application of plaster jacket 47762-01 Closed reduction of fracture of zygomatic bone with fixation 47912-00 Incision of foot for paronychia 47916-00 Partial resection of ingrown toenail 47948-00 Removal of external fixation device 48691-04 Removal of intervertebral disc prosthesis, 1 level 48691-05 Removal of intervertebral disc prosthesis, >= 2 levels 49721-00 Immobilisation of Achilles' tendon 50124-00 Aspiration of joint or other synovial cavity, not elsewhere classified 50124-01 Administration of agent into joint or other synovial cavity, not elsewhere classified 50352-00 Immobilisation of hip dislocation 52034-00 Cryotherapy of lesion of oral mucosa 52420-00 External fixation of mandible by intermaxillary wiring following reconstruction 53400-00 Immobilisation of fracture of maxilla without splinting 53403-00 Immobilisation of fracture of mandible without splinting 53410-00 Immobilisation of fracture of zygoma 55028-00 Ultrasound of head 55030-00 Ultrasound of orbital contents 55032-00 Ultrasound of neck 55036-00 Ultrasound of abdomen 191 192 | Patient Minimum Data Set Appendices 55038-00 Ultrasound of urinary tract 55044-00 Ultrasound of male pelvis 55048-00 Ultrasound of scrotum 55070-00 Ultrasound of breast, unilateral 55076-00 Ultrasound of breast, bilateral 55084-00 Ultrasound of urinary bladder 55113-00 M-mode and 2 dimensional real time ultrasound of heart 55130-00 2 dimensional real time transoesophageal ultrasound of heart performed during cardiac surgery 55238-00 Duplex ultrasound of arteries or bypass grafts in lower limb, unilateral 55238-01 Duplex ultrasound of arteries or bypass grafts in lower limb, bilateral 55244-00 Duplex ultrasound of veins in lower limb, unilateral 55244-01 Duplex ultrasound of veins in lower limb, bilateral 55248-00 Duplex ultrasound of arteries or bypass grafts in upper limb, unilateral 55248-01 Duplex ultrasound of arteries or bypass grafts in upper limb, bilateral 55252-00 Duplex ultrasound of veins in upper limb, unilateral 55252-01 Duplex ultrasound of veins in upper limb, bilateral 55274-00 Duplex ultrasound of extracranial, carotid and vertebral vessels 55276-00 Duplex ultrasound of intra-abdominal, aorta and iliac arteries and/or inferior vena cava and iliac veins 55278-00 Duplex ultrasound of renal and/or visceral vessels 55280-00 Duplex ultrasound of intracranial vessels 55282-00 Duplex ultrasound of artery of penis 55284-00 Duplex ultrasound of cavernosal tissue of penis 55292-00 Duplex ultrasound of surgically created arteriovenous fistula or access graft of upper limb 55292-01 Duplex ultrasound of surgically created arteriovenous fistula or access graft of lower limb 55294-00 Duplex ultrasound of arteries for bypass conduit mapping 55294-01 Duplex ultrasound of veins for bypass conduit mapping 55294-02 Duplex ultrasound of arteries and veins for bypass conduit mapping 55700-00 Ultrasound for detection of fetal abnormality 55700-01 Ultrasound for fetal growth measurement 55700-02 Ultrasound of abdomen or pelvis for other pregnancy related conditions 55729-01 Duplex ultrasound of umbilical artery 55731-00 Ultrasound of female pelvis 55800-00 Ultrasound of hand or wrist 55804-00 Ultrasound of forearm or elbow 55808-00 Ultrasound of shoulder or upper arm 55812-00 Ultrasound of chest or abdominal wall 55816-00 Ultrasound of hip 55816-01 Ultrasound of groin 55824-00 Ultrasound of buttock 55824-01 Ultrasound of thigh 55828-00 Ultrasound of knee 55832-00 Ultrasound of lower leg 55836-00 Ultrasound of ankle or foot 55844-00 Ultrasound of skin and subcutaneous tissue 55852-00 Ultrasound of spine and spinal cord Patient Minimum Data Set | Appendices 56001-00 Computerised tomography of brain 56007-00 Computerised tomography of brain with intravenous contrast medium 56010-00 Computerised tomography of pituitary fossa 56010-01 Computerised tomography of pituitary fossa with intravenous contrast medium 56010-02 Computerised tomography of pituitary fossa and brain 56010-03 Computerised tomography of pituitary fossa and brain with intravenous contrast medium 56013-00 Computerised tomography of orbit 56013-01 Computerised tomography of orbit with intravenous contrast medium 56013-02 Computerised tomography of orbit and brain 56013-03 Computerised tomography of orbit and brain with intravenous contrast medium 56016-00 Computerised tomography of middle ear and temporal bone, unilateral 56016-01 56016-02 56016-03 56016-04 56016-05 56016-06 56016-07 193 Computerised tomography of middle ear and temporal bone with intravenous contrast medium, unilateral Computerised tomography of middle ear, temporal bone and brain, unilateral Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium, unilateral Computerised tomography of middle ear and temporal bone, bilateral Computerised tomography of middle ear and temporal bone with intravenous contrast medium, bilateral Computerised tomography of middle ear, temporal bone and brain, bilateral Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium, bilateral 56022-00 Computerised tomography of facial bone 56022-01 Computerised tomography of paranasal sinus 56022-02 Computerised tomography of facial bone and paranasal sinus 56028-00 Computerised tomography of facial bone with intravenous contrast medium 56028-01 Computerised tomography of paranasal sinus with intravenous contrast medium 56028-02 Computerised tomography of facial bone and paranasal sinus with intravenous contrast medium 56030-00 Computerised tomography of facial bone, paranasal sinus and brain 56036-00 Computerised tomography of facial bone, paranasal sinus and brain with intravenous contrast medium 56101-00 Computerised tomography of soft tissue of neck 56107-00 Computerised tomography of soft tissue of neck with intravenous contrast medium 56219-00 Computerised tomography of spine with intrathecal contrast medium 56220-00 Computerised tomography of spine, cervical region 56221-00 Computerised tomography of spine, thoracic region 56223-00 Computerised tomography of spine, lumbosacral region 56224-00 Computerised tomography of spine with intravenous contrast medium, cervical region 56225-00 Computerised tomography of spine with intravenous contrast medium, thoracic region 56226-00 Computerised tomography of spine with intravenous contrast medium, lumbosacral region 56233-00 Computerised tomography of spine, multiple regions 56234-00 Computerised tomography of spine with intravenous contrast medium, multiple regions 56301-00 Computerised tomography of chest 56301-01 Computerised tomography of chest and abdomen 56307-00 Computerised tomography of chest with intravenous contrast medium 56307-01 Computerised tomography of chest and abdomen with intravenous contrast medium 56401-00 Computerised tomography of abdomen 194 | Patient Minimum Data Set Appendices 56407-00 Computerised tomography of abdomen with intravenous contrast medium 56409-00 Computerised tomography of pelvis 56412-00 Computerised tomography of pelvis with intravenous contrast medium 56501-00 Computerised tomography of abdomen and pelvis 56507-00 Computerised tomography of abdomen and pelvis with intravenous contrast medium 56549-01 Computerised tomography of colon 56619-00 Computerised tomography of limb 56625-00 Computerised tomography of limb with intravenous contrast medium 56801-00 Computerised tomography of chest, abdomen and pelvis 56807-00 Computerised tomography of chest, abdomen and pelvis with intravenous contrast medium 57001-00 Computerised tomography of brain and chest 57001-01 Computerised tomography of brain, chest and abdomen 57007-00 Computerised tomography of brain and chest with intravenous contrast medium 57007-01 Computerised tomography of brain, chest and abdomen with intravenous contrast medium 57201-00 Pelvimetry by computerised tomography 57350-00 Spiral angiography by computerised tomography of head and/or neck, with intravenous contrast medium 57350-01 Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium 57350-02 Spiral angiography by computerised tomography of chest, with intravenous contrast medium 57350-03 Spiral angiography by computerised tomography of abdomen, with intravenous contrast medium 57350-04 Spiral angiography by computerised tomography of abdominal aorta and bilateral iliofemoral lower extremity, with intravenous contrast medium 57350-05 Spiral angiography by computerised tomography of spine, with intravenous contrast medium 57350-06 Spiral angiography by computerised tomography of pelvis, with intravenous contrast medium 57350-07 Spiral angiography by computerised tomography of lower extremity, with intravenous contrast medium 57350-08 Spiral angiography by computerised tomography of other site, with intravenous contrast medium 57506-00 Radiography of humerus 57506-01 Radiography of elbow 57506-02 Radiography of forearm 57506-03 Radiography of wrist 57506-04 Radiography of hand 57512-00 Radiography of elbow and humerus 57512-01 Radiography of elbow and forearm 57512-02 Radiography of hand, wrist and forearm 57512-03 Radiography of hand and wrist 57518-00 Radiography of femur 57518-01 Radiography of knee 57518-02 Radiography of leg 57518-03 Radiography of ankle 57518-04 Radiography of foot 57524-00 Radiography of femur and knee 57524-01 Radiography of knee and leg 57524-02 Radiography of leg and ankle 57524-03 Radiography of leg, ankle and foot 57524-04 Radiography of ankle and foot Patient Minimum Data Set | Appendices 57700-00 Radiography of shoulder or scapula 57706-00 Radiography of clavicle 57712-00 Radiography of hip joint 57715-00 Radiography of pelvis 57721-00 Radiography of internal fixation of fracture of femur 57901-00 Radiography of skull 57902-00 Cephalometry 57903-00 Radiography of paranasal sinus 57906-00 Radiography of mastoid bone 57909-00 Radiography of petrous temporal bone 57912-00 Radiography of other facial bone 57915-00 Radiography of mandible 57918-00 Radiography of salivary gland 57921-00 Radiography of nose 57924-00 Radiography of eye 57927-00 Radiography of temporomandibular joint 57930-00 Radiography of teeth 57933-00 Radiography of teeth, full mouth 57939-00 Palatopharyngeal study with fluoroscopic screening 57942-00 Palatopharyngeal study 57945-00 Radiography of larynx 57960-00 Orthopantomography 58100-00 Radiography of cervical spine 58103-00 Radiography of thoracic spine 58106-00 Radiography of lumbosacral spine 58108-00 Radiography of spine, 4 regions 58109-00 Radiography of sacrococcygeal spine 58112-00 Radiography of spine, 2 regions 58115-00 Radiography of spine, 3 regions 58300-00 Bone age radiographic study of wrist and knee 58306-00 Radiography of whole skeleton 58500-00 Radiography of chest 58506-00 Radiography of chest with fluoroscopic screening 58509-00 Radiography of thoracic inlet or trachea 58521-00 Radiography of sternum 58521-01 Radiography of ribs, unilateral 58524-00 Radiography of ribs, bilateral 58524-01 Radiography of sternum and ribs, unilateral 58527-00 Radiography of sternum and ribs, bilateral 58700-00 Radiography of urinary tract 58706-00 Intravenous pyelography 58715-00 Antegrade pyelography 58715-01 Retrograde pyelography 58718-00 Retrograde cystography 58718-01 Retrograde urethrography 58721-00 Retrograde micturating cystourethrography 195 196 | Patient Minimum Data Set 58900-00 58909-00 58909-01 58912-00 58912-01 Radiography of abdomen Opaque meal of pharynx, oesophagus, stomach or duodenum Opaque meal of pharynx, oesophagus, stomach or duodenum with screening radiography of chest Opaque meal of oesophagus, stomach and duodenum and follow through to colon Opaque meal of oesophagus, stomach and duodenum and follow through to colon with screening radiography of chest 58915-00 Opaque meal of small intestine 58916-00 Opaque enema of small intestine 58921-00 Other opaque enema 58924-00 Cholecystography 58927-00 Direct cholangiography, postoperative 58936-00 Drip infusion cholangiography 59300-00 Radiography of breast, bilateral 59300-01 Radiography of breast with thermography, bilateral 59303-00 Radiography of breast, unilateral 59303-01 Radiography of breast with thermography, unilateral 59306-00 Mammary ductography of breast, unilateral 59309-00 Mammary ductography of breast, bilateral 59503-00 Radiographic pelvimetry 59700-00 Discography 59703-00 Dacryocystography 59712-00 Hysterosalpingography 59715-00 Bronchography 59718-00 Phlebography 59724-00 Myelography 59733-00 Radiography of salivary gland with contrast 59736-00 Vaso-epididymography 59739-00 Sinography of chest wall 59739-01 Sinography of abdominal wall 59739-02 Sinography of retroperitoneum 59739-03 Other sinography 59751-00 Arthrography 59754-00 Lymphangiography 59760-00 Peritoneography 59763-00 Air insufflation during fluoroscopic imaging 60100-00 Tomography 60503-00 Fluoroscopy 61302-00 Stress myocardial perfusion study 61302-01 Rest myocardial perfusion study 61303-00 Appendices Stress myocardial perfusion study with single photon emission computerised tomography [SPECT] 61303-01 Rest myocardial perfusion study with single photon emission computerised tomography [SPECT] 61306-00 Combined stress and rest myocardial perfusion study 61307-00 61310-00 Combined stress and rest myocardial perfusion study with single photon emission computerised tomography [SPECT] Avid imaging study for myocardial infarct Patient Minimum Data Set | Appendices 61313-00 Gated cardiac blood pool study 61314-00 Gated cardiac blood pool study with first pass blood flow study 61314-01 Gated cardiac blood pool study with cardiac shunt study 61316-00 Gated cardiac blood pool study with intervention 61317-00 Gated cardiac blood pool study with intervention and first pass blood flow study 61317-01 Gated cardiac blood pool study with intervention and cardiac shunt study 61320-00 Cardiac shunt study 61320-01 Cardiac first pass blood flow study 61328-00 Lung perfusion study 61340-00 Lung ventilation study 61348-00 Lung perfusion and ventilation study 61352-00 Colloid liver and spleen study with planar imaging 61353-00 Colloid liver and spleen study with single photon emission computerised tomography [SPECT] 61356-00 Red blood cell liver study 61356-01 Red blood cell spleen study 61360-00 Hepatobiliary study 61361-00 Hepatobiliary study with formal quantification following baseline imaging 61364-00 Bowel haemorrhage study 61368-00 Meckel's diverticulum study 61369-00 Indium-labelled octreotide study 61372-00 Salivary study 61373-00 Gastro-oesophageal reflux study 61376-00 Oesophageal clearance study 61381-00 Gastric emptying study 61383-00 Combined solid and liquid gastric emptying study 61384-00 Radionuclide colonic transit study 61386-00 Renal study 61386-01 Renal cortical study 61387-00 Renal cortical study with single photon emission computerised tomography [SPECT] 61389-00 Renal study with preprocedural administration of diuretic or angiotensin converting enzyme [ACE] inhibitor 61390-00 Renal study followed by diuretic administration and second renal study 61393-00 Combined examination and renal study 61397-00 Nuclear medicine cystoureterography 61401-00 Testicular study 61402-00 Cerebral perfusion study with single photon emission computerised tomography [SPECT] 61405-00 Brain study with blood brain barrier agent 61409-00 Cerebrospinal fluid transport study 61413-00 Cerebrospinal fluid shunt patency study 61417-00 Dynamic blood flow study 61417-01 Regional blood volume quantitative study 61421-00 Whole body bone study 61425-00 Whole body bone study with single photon emission computerised tomography [SPECT] 61426-00 Whole body study using iodine 61429-00 Whole body study using gallium 197 198 | Patient Minimum Data Set 61430-00 61433-00 61434-00 Appendices Whole body study using gallium with single photon emission computerised tomography [SPECT], 1 body region Whole body study using cells labelled with technetium Whole body study using cells labelled with technetium and single photon emission computerised tomography [SPECT] 61437-00 Whole body study using thallium 61438-00 Whole body study using thallium with single photon emission computerised tomography [SPECT] 61441-00 Whole body bone marrow study 61442-00 Whole body study using gallium with single photon emission computerised tomography [SPECT], >= 2 body regions 61445-00 Localised bone marrow study 61446-00 Localised bone study 61446-01 Localised joint study 61449-00 Localised bone study with single photon emission computerised tomography [SPECT] 61449-01 Localised joint study with single photon emission computerised tomography [SPECT] 61450-00 Localised study using gallium 61453-00 Localised study using gallium with single photon emission computerised tomography [SPECT] 61454-00 Localised study using cells labelled with technetium 61457-00 Localised study using cells labelled with technetium and single photon emission computerised tomography [SPECT] 61458-00 Localised study using thallium 61461-00 Localised study using thallium with single photon emission computerised tomography [SPECT] 61465-00 Nuclear medicine venography 61469-00 Lymphoscintigraphy 61473-00 Thyroid study 61480-00 Parathyroid study 61484-00 Adrenal study 61485-00 Adrenal study with single photon emission computerised tomography [SPECT] 61495-00 Tear duct study 61499-00 Intra-arterial particle perfusion study 61499-01 Le Veen shunt study 61523-00 Whole body study with positron emission tomography [PET] 61559-00 Cerebral positron emission tomography [PET] 90000-00 Other cranial puncture 90001-00 Removal of external ventricular drain 90001-02 Removal of intracranial pressure [ICP] monitoring device 90002-00 Irrigation of cerebrospinal fluid shunt 90008-00 Removal of lumbar cerebrospinal fluid drain 90030-00 Subcutaneous postprocedural analgesic infusion 90047-00 Aspiration of thyroid 90084-00 Incision of eyelid 90119-00 Otoscopy 90130-00 Local destruction of intranasal lesion 90131-00 Local excision of other intranasal lesion 90202-00 Insertion of temporary epicardial electrode for cardiac pacemaker 90202-01 Placement of temporary transcutaneous electrode for cardiac pacemaker 90203-03 Replacement of temporary transvenous electrode for cardiac pacemaker Patient Minimum Data Set | Appendices 90220-00 Catheterisation/cannulation of other vein 90280-00 Other procedures on bone marrow 90302-00 Gastrostomy with passage of indwelling transanastomotic tube 90306-00 Laparoscopic insertion of feeding jejunostomy tube 90312-00 Electrocoagulation of tissue of rectum 90313-01 Manual reduction of rectal prolapse 90319-01 Percutaneous aspiration of liver 90339-00 Closure of gastrostomy 90347-00 Administration of therapeutic agent into liver 90347-01 Administration of air into peritoneal cavity 90347-02 Administration of therapeutic agent into peritoneal cavity 90348-00 Percutaneous aspiration of gallbladder 90351-00 Removal of temporary catheter for peritoneal dialysis 90353-00 Test for haemodialysis adequacy 90353-01 Test for peritoneal dialysis adequacy 90356-00 Percutaneous biopsy of ureter 90367-00 Replacement of ureterostomy tube 90371-00 Balloon dilation of urethral stricture using interventional imaging techniques 90397-00 Suture of laceration of scrotum or tunica vaginalis 90402-02 Dorsal or lateral slit of prepuce 90461-00 Intra-amniotic injection 90462-00 Insertion of prostaglandin suppository for induction of abortion 90463-00 Fetal reduction 90481-00 Suture of first or second degree tear of perineum 90530-00 Closed reduction of fracture of mandibular or maxillary alveolar ridge 90530-02 Closed reduction of fracture of facial bone, not elsewhere classified 90531-00 Traction, not elsewhere classified 90560-00 Administration of other agent into soft tissue, not elsewhere classified 90562-00 Patella resurfacing 90563-00 Aspiration of soft tissue, not elsewhere classified 90606-00 Removal of facial implant 90606-01 Removal of other soft tissue implant 90608-00 Procurement of cartilage 90608-01 Arthroscopic procurement of cartilage 90610-00 Closed reduction of rib 90659-00 Excision of flap monitoring tissue 90660-00 Administration of agent into skin and subcutaneous tissue 90663-00 Ligation of dermal appendage 90666-00 Removal of allograft 90666-01 Removal of allograft to burn 90667-00 Removal of xenograft 90667-01 Removal of xenograft to burn 90668-00 Removal of synthetic skin graft 90668-01 Removal of synthetic skin graft to burn 90674-00 Replantation of scalp 90676-00 Other procedures on skin and subcutaneous tissue 199 200 | Patient Minimum Data Set 90686-00 Nonexcisional debridement of burn 90686-01 Nonexcisional debridement of skin and subcutaneous tissue 90721-00 Manual examination of breast 90722-00 Suture of laceration of breast 90723-00 Injection into breast for augmentation, unilateral 90723-01 Injection into breast for augmentation, bilateral 90724-00 Breast stereotactic localisation 90725-00 Aspiration of breast 90762-00 Treatment planning of pharmacotherapy, primary course 90762-01 Treatment planning of pharmacotherapy, secondary course 90765-00 Construction and fitting of immobilisation device, simple 90765-01 Construction and fitting of immobilisation device, intermediate 90765-02 Construction and fitting of immobilisation device, complex 90765-03 Construction and fitting of customised blocks 90765-04 Construction and fitting of treatment accessories 90766-00 Brachytherapy using surface applicators, other sites 90770-00 Testing of implanted anal pacemaker 90900-00 Encephalography 90901-00 Magnetic resonance imaging of brain 90901-01 Magnetic resonance imaging of head 90901-02 Magnetic resonance imaging of neck 90901-03 Magnetic resonance imaging of spine 90901-04 Magnetic resonance imaging of chest 90901-05 Magnetic resonance imaging of abdomen 90901-06 Magnetic resonance imaging of pelvis 90901-07 Magnetic resonance imaging of extremity 90901-08 Magnetic resonance imaging of other site 90901-09 Functional magnetic resonance imaging of brain 90901-10 Magnetic resonance imaging of breast 90902-00 Magnetic resonance angiography of head or neck 90902-01 Magnetic resonance angiography of upper limb 90902-02 Magnetic resonance angiography of chest 90902-03 Magnetic resonance angiography of spine 90902-04 Magnetic resonance angiography of abdomen 90902-05 Magnetic resonance angiography of pelvis 90902-06 Magnetic resonance angiography of lower limb 90902-07 Magnetic resonance angiography of other site 90903-00 Radiography of soft tissue, not elsewhere classified 90904-00 Thermography, not elsewhere classified 90905-01 Myocardial positron emission tomography [PET] 90905-03 Localised study not elsewhere classified, with positron emission tomography [PET] 90906-00 Ileal conduitography 90907-00 Indirect cystography 90908-00 Ultrasound of other site 90909-00 Radiography of other region Appendices Patient Minimum Data Set | Appendices 90910-00 Nuclear medicine study of other region or organ 90911-00 Duplex ultrasound of vessels of other sites 90912-00 Computerised tomography of spine, unspecified region 90912-01 Computerised tomography of spine with intravenous contrast medium, unspecified region 90950-00 Insertion of gastric bubble [balloon] 90960-00 Administration of a therapeutic dose of other unsealed radioisotope 92001-00 Other physiological assessment 92002-00 Alcohol rehabilitation 92003-00 Alcohol detoxification 92004-00 Alcohol rehabilitation and detoxification 92005-00 Drug rehabilitation 92006-00 Drug detoxification 92007-00 Drug rehabilitation and detoxification 92008-00 Combined alcohol and drug rehabilitation 92009-00 Combined alcohol and drug detoxification 92010-00 Combined alcohol and drug rehabilitation and detoxification 92012-00 Other sleep disorder function tests 92013-00 Intracarotid amobarbital test 92015-00 Visual evoked potential [VEP] 92016-00 Tonometry 92018-00 Colour vision study 92025-00 Irrigation of eye 92026-00 Nasal function studies 92027-00 Packing of external auditory canal 92028-00 Dilation of frontonasal duct 92029-00 Irrigation of nasal passages 92030-00 Replacement of nasal packing 92031-00 Removal of nasal packing 92032-00 Removal of foreign body from larynx without incision 92036-00 Insertion of nasogastric tube 92037-00 Irrigation of nasogastric tube 92042-00 Nonmechanical methods of resuscitation 92043-00 Respiratory medication administered by nebuliser 92045-00 Other control of atmospheric pressure and composition 92046-00 Replacement of tracheostomy tube 92047-00 Removal of tracheostomy tube 92049-00 Removal of thoracotomy tube or pleural cavity drain 92050-00 Removal of mediastinal drain 92052-00 Cardiopulmonary resuscitation 92053-00 Closed chest cardiac massage 92054-00 Carotid sinus stimulation 92055-00 Other conversion of cardiac rhythm 92056-00 Monitoring of cardiac output or blood flow, not elsewhere classified 92057-00 Telemetry 92058-01 Maintenance (alone) of other catheter, implanted for administration of pharmacotherapy 92065-00 Rectal packing 201 202 | Patient Minimum Data Set 92066-00 Insertion of rectal tube 92067-00 Dilation of enterostomy stoma 92070-00 Manual reduction of enterostomy prolapse 92071-00 Manual reduction of hernia 92073-00 Irrigation of gastrostomy or enterostomy 92074-00 Irrigation of pancreatic tube 92075-00 Gastrointestinal tract instillation, except gastric gavage 92076-00 Removal of impacted faeces 92077-00 Other rectal irrigation 92078-00 Replacement of (naso-)gastric or oesophagostomy tube 92079-00 Replacement of tube or enterostomy device of small intestine 92080-00 Replacement of tube or enterostomy device of large intestine 92081-00 Removal of retroperitoneal drainage device 92082-00 Removal of peritoneal drainage device 92083-00 Removal of tube from small intestine 92084-00 Removal of tube from large intestine or appendix 92085-00 Removal of pancreatic tube or drain 92086-00 Removal of other device from gastrointestinal tract 92087-00 Removal of foreign body from mouth without incision 92088-00 Removal of foreign body from large intestine without incision 92089-00 Removal of foreign body from artificial stoma without incision 92090-00 Removal of foreign body from rectum or anus without incision 92091-00 Gastric analysis test 92094-00 Rectal massage 92096-00 Irrigation of cholecystostomy or other biliary tube 92097-00 Removal of T-tube, other bile duct tube or liver tube 92098-00 Removal of cholecystostomy tube 92099-00 Irrigation of nephrostomy or pyelostomy 92100-00 Irrigation of ureterostomy or ureteral catheter 92101-00 Irrigation of other indwelling urinary catheter 92102-00 Irrigation of cystostomy 92103-00 Vaginal douche 92104-00 Vaginal packing 92105-00 Insertion of vaginal mould 92106-00 Insertion of vaginal diaphragm 92107-00 Insertion of other vaginal pessary 92108-00 Replacement of vaginal diaphragm 92109-00 Replacement of other vaginal pessary 92110-00 Replacement of vaginal or vulvar packing or drain 92111-00 Removal of intrauterine pack 92112-00 Removal of vaginal or vulvar packing 92113-00 Removal of vaginal diaphragm 92114-00 Removal of other vaginal pessary 92116-00 Removal of other device from genital tract 92119-00 Removal of other urinary drainage device 92121-00 Removal of cystostomy tube Appendices Patient Minimum Data Set | Appendices 92122-00 Removal of other device from urinary system 92123-00 Removal of foreign body from uterus without incision 92124-00 Removal of foreign body from vagina without incision 92125-00 Removal of foreign body from vulva without incision 92126-00 Removal of foreign body from scrotum or penis without incision 92128-00 Urinary manometry study 92130-00 Papanicolaou smear study 92131-00 Prostatic massage 92132-00 Stretching of foreskin 92138-00 Removal of foreign body from head or neck without incision 92139-00 Noninvasive placement of bone growth stimulator 92140-00 Removal of packing from trunk, not elsewhere classified 92141-00 Removal of device from abdomen 92142-00 Removal of other device from trunk 92143-00 Vaccination against cholera 92144-00 Vaccination against typhoid and paratyphoid fever 92145-00 Vaccination against tuberculosis 92146-00 Administration of diphtheria toxoid 92147-00 Vaccination against pertussis 92148-00 Administration of tetanus toxoid 92149-00 Administration of diphtheria-tetanus-pertussis, combined 92150-00 Administration of poliomyelitis vaccine 92151-00 Vaccination against rabies 92152-00 Vaccination against yellow fever 92153-00 Vaccination against measles 92154-00 Vaccination against mumps 92155-00 Vaccination against rubella 92156-00 Administration of measles-mumps-rubella vaccine 92157-00 Vaccination against viral diseases, not elsewhere classified 92158-00 Prophylactic vaccination against the common cold 92159-00 Prophylactic vaccination against influenza 92160-00 Prophylactic vaccination against arthropod-borne viral encephalitis 92161-00 Prophylactic administration of vaccine against other diseases 92162-00 Administration of tetanus antitoxin 92163-00 Administration of botulism antitoxin 92164-00 Administration of other antitoxins 92165-00 Vaccination against pneumococcus 92166-00 Vaccination against meningococcus 92167-00 Vaccination against Haemophilus influenzae type B 92168-00 Vaccination against hepatitis B 92169-00 Vaccination against hepatitis A 92170-00 Vaccination against Q fever 92171-00 Other vaccination or inoculation 92172-00 Passive immunisation with normal immunoglobulin 92173-00 Passive immunisation with Rh(D) immunoglobulin 92174-00 Passive immunisation with varicella-zoster immunoglobulin 203 204 | Patient Minimum Data Set 92175-00 Passive immunisation with rabies immunoglobulin 92176-00 Passive immunisation with hepatitis B immunoglobulin 92177-00 Passive immunisation with cytomegalovirus immunoglobulin 92178-00 Heat therapy 92179-00 Immunisation for allergy 92180-00 Immunisation for autoimmune disease 92194-00 Autopsy 92195-00 Irrigation of catheter, not elsewhere classified 92199-00 Extracorporeal shockwave lithotripsy [ESWL] of sites not elsewhere classified 92200-00 Removal of sutures, not elsewhere classified 92201-00 Removal of foreign body without incision, not elsewhere classified 92202-00 Removal of therapeutic device, not elsewhere classified 92203-00 Extraction of milk from lactating breast 92204-00 Noninvasive diagnostic tests, measures or investigations, not elsewhere classified 92205-00 Noninvasive therapeutic intervention, not elsewhere classified 92209-00 Management of noninvasive ventilatory support, <= 24 hours 92500-00 Routine preoperative anaesthesia assessment 92500-01 Prolonged preoperative anaesthesia assessment 92500-02 Emergency preoperative anaesthesia assessment 92513-10 Infiltration of local anaesthetic, ASA 10 92513-19 Infiltration of local anaesthetic, ASA 19 92513-20 Infiltration of local anaesthetic, ASA 20 92513-29 Infiltration of local anaesthetic, ASA 29 92513-30 Infiltration of local anaesthetic, ASA 30 92513-39 Infiltration of local anaesthetic, ASA 39 92513-40 Infiltration of local anaesthetic, ASA 40 92513-49 Infiltration of local anaesthetic, ASA 49 92513-50 Infiltration of local anaesthetic, ASA 50 92513-59 Infiltration of local anaesthetic, ASA 59 92513-69 Infiltration of local anaesthetic, ASA 69 92513-90 Infiltration of local anaesthetic, ASA 90 92513-99 Infiltration of local anaesthetic, ASA 99 92516-00 Management of neuraxial block 92517-00 Management of regional block, nerve of head or neck 92517-01 Management of regional block, nerve of trunk 92517-02 Management of regional block, nerve of upper limb 92517-03 Management of regional block, nerve of lower limb 92518-00 Intravenous postprocedural infusion, patient controlled analgesia (PCA) 92518-01 Intravenous postprocedural analgesic infusion 93173-00 Acupuncture 95550-00 Allied health intervention, dietetics 95550-01 Allied health intervention, social work 95550-02 Allied health intervention, occupational therapy 95550-03 Allied health intervention, physiotherapy 95550-04 Allied health intervention, podiatry Appendices Patient Minimum Data Set | Appendices 95550-05 Allied health intervention, speech pathology 95550-06 Allied health intervention, audiology 95550-07 Allied health intervention, orthoptics 95550-08 Allied health intervention, prosthetics and orthotics 95550-09 Allied health intervention, pharmacy 95550-10 Allied health intervention, psychology 95550-11 Allied health intervention, other 95550-12 Allied health intervention, pastoral care 95550-14 Allied health intervention, diabetes education 96001-00 Psychological skills training 96008-00 Neurological assessment 96009-00 Hearing function assessment 96010-00 Swallowing function assessment 96011-00 Voice assessment 96012-00 Speech assessment 96013-00 Fluency assessment 96014-00 Language assessment 96018-00 Vascular assessment 96019-00 Biomechanical assessment 96020-00 Skin integrity assessment 96021-00 Self care/self maintenance assessment 96022-00 Health maintenance or recovery assessment 96023-00 Ageing assessment 96024-00 Assessment of need for assistive or adaptive device, aid or equipment 96025-00 Review of assistive or adaptive device, aid or equipment 96026-00 Nutritional/dietary assessment 96027-00 Prescribed/self-selected medication assessment 96028-00 Home management assessment 96029-00 Financial management assessment 96030-00 Situational/occupational/environmental assessment 96031-00 Parenting skills assessment 96032-00 Psychosocial assessment 96034-00 Alcohol and other drug assessment 96035-00 Genetic assessment 96037-00 Other assessment, consultation or evaluation 96038-00 Measurement of visual acuity 96039-00 Contrast sensitivity test 96040-00 Manual perimetry, unilateral 96041-00 Manual perimetry, bilateral 96042-00 Measurement of accommodation 96043-00 Measurement of refraction 96044-00 Measurement of ocular motility and binocular function 96045-00 Speech rollover test 96046-00 Staggered spondaic words [SSW] test 96047-00 Filtered speech test 205 206 | Patient Minimum Data Set 96048-00 Synthetic sentence identification [SSI] test 96049-00 Fusion test 96050-00 Cortical evoked response audiometry 96051-00 Steady state evoked potentials 96052-00 Acoustic reflex threshold 96053-00 Acoustic reflex decay 96054-00 Eustachian tube dysfunction test 96055-00 Short increment sensitivity index test [SISI] 96056-00 Alternating binaural loudness balance test [ABLB] 96057-00 Masking level difference test 96058-00 Tone decay test 96059-00 Other psychoacoustic tests 96063-00 Rotating chair evaluation of vestibular function 96064-00 Other vestibular function tests 96065-00 Tinnitus matching or masking 96066-00 Preventative counselling or education 96067-00 Nutritional/dietary counselling or education 96068-00 Counselling or education for hearing loss or aural disorder 96069-00 Counselling or education for visual loss or ocular disorder 96070-00 Counselling or education for voice, speech, fluency or language 96071-00 Counselling or education regarding assistive or adaptive device, aid or equipment 96072-00 Prescribed/self-selected medication counselling or education 96073-00 Substance addiction counselling or education 96074-00 Gambling or betting addiction counselling or education 96075-00 Self care/self maintenance counselling or education 96076-00 Counselling or education on health maintenance or recovery activities 96077-00 Home management counselling or education 96078-00 Financial management counselling or education 96079-00 Situational/occupational/environmental counselling or education 96080-00 Counselling or education on preparing for parenthood, parenting skills or family planning 96081-00 Relationship counselling 96082-00 Crisis situation/event counselling 96084-00 Physical abuse/violence/assault counselling 96085-00 Grief/bereavement counselling 96086-00 Other psychosocial counselling 96087-00 Pastoral counselling or education 96088-00 Genetic counselling or education 96089-00 Resource education 96090-00 Other counselling or education 96091-00 Manufacture of assistive or adaptive device, aid or equipment 96092-00 Appendices Application, fitting, adjustment or replacement of other assistive or adaptive device, aid or equipment 96093-00 Repair of assistive or adaptive device, aid or equipment 96094-00 Removal of assistive or adaptive device, aid or equipment 96095-00 Therapeutic diet support 96096-00 Oral nutritional support Patient Minimum Data Set | Appendices 96097-00 Enteral nutritional support 96100-00 Psychodynamic therapy 96101-00 Cognitive behaviour therapy [CBT] 96102-00 Systems therapy 96103-00 Clinical hypnosis 96104-00 Music therapy 96107-00 Service coordination 96108-00 Advocacy 96109-01 Pastoral ritual/worship 96110-00 Skills training in activities related to learning 96112-00 Skills training in activities related to sensory/sensorimotor/sensorineural function 96113-00 Skills training in activities related to memory, orientation, perception or attention 96114-00 Skills training in activities related to executive skills 96115-00 Exercise therapy, facial muscles/temporomandibular joint 96116-00 Exercise therapy, ocular muscles 96117-00 Exercise therapy, oesophageal muscles 96118-00 Exercise therapy, shoulder joint 96119-00 Exercise therapy, chest or abdominal muscles 96120-00 Exercise therapy, back or neck muscles 96121-00 Exercise therapy, arm muscles 96122-00 Exercise therapy, elbow joint 96123-00 Exercise therapy, hand muscles, wrist or finger joints 96124-00 Exercise therapy, hip joint 96125-00 Exercise therapy, pelvic floor muscles 96126-00 Exercise therapy, leg muscles 96127-00 Exercise therapy, knee joint 96128-00 Exercise therapy, foot muscles, ankle or toe joints 96129-00 Exercise therapy, total body 96130-00 Skills training in activities related to body position/mobility/movement 96131-00 Skills training in activities related to transfers 96132-00 Skills training for hearing 96133-00 Skills training for binocular vision 96134-00 Skills training for voice 96135-00 Skills training for speech 96136-00 Skills training for fluency 96137-00 Skills training for language 96138-00 Exercise therapy, respiratory system [breathing] 96139-00 Exercise therapy, cardiorespiratory/cardiovascular system 96140-00 Skills training in activities related to self care/self maintenance 96141-00 Skills training in activities related to health maintenance 96142-00 Skills training in use of assistive or adaptive device, aid or equipment 96143-00 Skills training in activities related to home management 96144-00 Skills training in activities related to financial management 96145-00 Skills training in parenting techniques 96146-00 Occupational/vocational skills training 207 208 | Patient Minimum Data Set 96147-00 Skills training in ergonomics 96148-00 Play/leisure/recreation therapy 96150-00 Skills training in water confidence techniques 96151-00 Other skills training 96152-00 Biofeedback 96153-00 Hydrotherapy 96154-00 Therapeutic ultrasound 96155-00 Stimulation therapy, not elsewhere classified 96156-00 Eye occlusion therapy 96157-00 Nonincisional drainage of respiratory tract 96158-00 Bladder retraining 96159-00 Range of movement/muscle testing with specialised equipment 96160-00 Phototherapy, joint 96161-00 Phototherapy, soft tissue 96162-00 Therapeutic massage or manipulation of connective/soft tissue, not elsewhere classified 96163-00 Assistance with activities related to self care/self maintenance 96164-00 Assistance with activities related to health maintenance 96165-00 Assistance with application of assistive or adaptive device, aid or equipment 96166-00 Assistance with activities related to body position/mobility/movement 96167-00 Assistance with activities related to transfers 96168-00 Assistance with activities related to home management 96169-00 Assistance with activities related to parenting 96171-00 Accompanying or transportation of client 96173-00 Electric auditory brain stem response audiometry 96175-00 Mental/behavioural assessment 96176-00 Behaviour therapy 96177-00 Interpersonal psychotherapy [IPT] 96178-00 Couples therapy 96179-00 Sex therapy 96180-00 Other psychotherapies or psychosocial therapies 96181-00 Art therapy 96182-00 Bibliotherapy 96183-00 Narrative therapy 96184-00 Developmental testing 96185-00 Supportive psychotherapy, not elsewhere classified 96186-00 Pastoral assessment 96187-00 Pastoral ministry 96188-00 Other photography of eye 96195-00 Administration of venom protein, other 96195-01 Administration of venom protein, rush protocol 96195-02 Administration of venom protein, ultrarush protocol 96196-00 Intra-arterial administration of pharmacological agent, antineoplastic agent 96196-01 Intra-arterial administration of pharmacological agent, thrombolytic agent 96196-03 Intra-arterial administration of pharmacological agent, steroid 96196-04 Intra-arterial administration of pharmacological agent, antidote Appendices Patient Minimum Data Set | Appendices 96196-06 96196-09 Intra-arterial administration of pharmacological agent, insulin Intra-arterial administration of pharmacological agent, other and unspecified pharmacological agent 96197-00 Intramuscular administration of pharmacological agent, antineoplastic agent 96197-01 Intramuscular administration of pharmacological agent, thrombolytic agent 96197-02 Intramuscular administration of pharmacological agent, anti-infective agent 96197-03 Intramuscular administration of pharmacological agent, steroid 96197-04 Intramuscular administration of pharmacological agent, antidote 96197-06 Intramuscular administration of pharmacological agent, insulin 96197-07 Intramuscular administration of pharmacological agent, nutritional substance 96197-08 Intramuscular administration of pharmacological agent, electrolyte 96197-09 Intramuscular administration of pharmacological agent, other and unspecified pharmacological agent 96200-00 Subcutaneous administration of pharmacological agent, antineoplastic agent 96200-01 Subcutaneous administration of pharmacological agent, thrombolytic agent 96200-02 Subcutaneous administration of pharmacological agent, anti-infective agent 96200-03 Subcutaneous administration of pharmacological agent, steroid 96200-04 Subcutaneous administration of pharmacological agent, antidote 96200-06 Subcutaneous administration of pharmacological agent, insulin 96200-07 Subcutaneous administration of pharmacological agent, nutritional substance 96200-08 Subcutaneous administration of pharmacological agent, electrolyte 96200-09 209 Subcutaneous administration of pharmacological agent, other and unspecified pharmacological agent 96202-00 Enteral administration of pharmacological agent, antineoplastic agent 96202-01 Enteral administration of pharmacological agent, thrombolytic agent 96202-03 Enteral administration of pharmacological agent, steroid 96202-04 Enteral administration of pharmacological agent, antidote 96202-06 Enteral administration of pharmacological agent, insulin 96202-09 Enteral administration of pharmacological agent, other and unspecified pharmacological agent 96203-00 Oral administration of pharmacological agent, antineoplastic agent 96203-01 Oral administration of pharmacological agent, thrombolytic agent 96203-02 Oral administration of pharmacological agent, anti-infective agent 96203-03 Oral administration of pharmacological agent, steroid 96203-04 Oral administration of pharmacological agent, antidote 96203-06 Oral administration of pharmacological agent, insulin 96203-07 Oral administration of pharmacological agent, nutritional substance 96203-08 Oral administration of pharmacological agent, electrolyte 96203-09 Oral administration of pharmacological agent, other and unspecified pharmacological agent 96205-00 Other administration of pharmacological agent, antineoplastic agent 96205-01 Other administration of pharmacological agent, thrombolytic agent 96205-02 Other administration of pharmacological agent, anti-infective agent 96205-03 Other administration of pharmacological agent, steroid 96205-04 Other administration of pharmacological agent, antidote 96205-06 Other administration of pharmacological agent, insulin 96205-07 Other administration of pharmacological agent, nutritional substance 96205-08 Other administration of pharmacological agent, electrolyte 210 | Patient Minimum Data Set Appendices 96205-09 Other administration of pharmacological agent, other and unspecified pharmacological agent 96206-00 Unspecified administration of pharmacological agent, antineoplastic agent 96206-01 Unspecified administration of pharmacological agent, thrombolytic agent 96206-02 Unspecified administration of pharmacological agent, anti-infective agent 96206-03 Unspecified administration of pharmacological agent, steroid 96206-04 Unspecified administration of pharmacological agent, antidote 96206-06 Unspecified administration of pharmacological agent, insulin 96206-07 Unspecified administration of pharmacological agent, nutritional substance 96206-08 Unspecified administration of pharmacological agent, electrolyte 96206-09 Unspecified administration of pharmacological agent, other and unspecified pharmacological agent 96209-00 Loading of drug delivery device, antineoplastic agent 96209-01 Loading of drug delivery device, thrombolytic agent 96209-02 Loading of drug delivery device, anti-infective agent 96209-03 Loading of drug delivery device, steroid 96209-04 Loading of drug delivery device, antidote 96209-06 Loading of drug delivery device, insulin 96209-07 Loading of drug delivery device, nutritional substance 96209-08 Loading of drug delivery device, electrolyte 96209-09 Loading of drug delivery device, other and unspecified pharmacological agent 96210-00 External application of living organism to skin 97011-00 Comprehensive oral examination 97012-00 Periodic oral examination 97013-00 Limited oral examination 97014-00 Dental consultation 97015-00 Dental consultation, extended 97018-00 Written report, dental 97019-00 Letter of referral, dental 97022-00 Intraoral periapical or bitewing radiography, per exposure 97025-00 Intraoral occlusal radiography, per exposure 97039-00 Tomography of skull, or part of skull 97041-00 Dental bacteriological examination 97042-00 Dental culture examination and identification 97043-00 Dental antibiotic sensitivity test 97044-00 Dental noninvasive specimen collection for pathology examination 97046-00 Periodontal disease screening test 97047-00 Caries activity screening test 97048-00 Caries susceptibility test 97052-00 Dental histopathological examination of tissue 97053-00 Dental cytological investigation 97055-00 Blood sample, for dental diagnosis 97056-00 Dental haematological examination 97061-00 Pulp testing 97071-00 Preparation of diagnostic model, per model 97072-00 Photographic records, intraoral 97073-00 Photographic records, extraoral Patient Minimum Data Set | Appendices 97081-00 Cephalometric analysis and interpretation 97082-00 Tooth-jaw size prediction analysis 97086-00 Electromyographic analysis 97111-00 Removal of plaque or stain of teeth 97113-00 Recontouring of pre-existing restoration(s) 97114-00 Removal of calculus from surfaces of teeth 97116-00 Enamel micro-abrasion, per tooth 97117-00 Bleaching, internal, per tooth 97118-00 Bleaching, external, per tooth 97119-00 Bleaching, home application, per arch 97121-01 Topical application of remineralisation agent, 1 treatment 97123-01 Application of concentrated remineralisation agent, per tooth 97131-00 Dental dietary advice 97141-00 Oral hygiene instruction 97151-00 Provision of mouthguard, indirect 97153-00 Bimaxillary mouthguard, indirect 97161-00 Fissure sealing, per tooth 97165-01 Desensitising procedure, dental 97171-00 Odontoplasty, per tooth 97213-00 Treatment of acute periodontal infection 97221-00 Clinical periodontal analysis and recording 97222-00 Root planing with subgingival curettage <= 8 teeth 97222-01 Root planing with subgingival curettage > 8 teeth 97225-00 Nonsurgical periodontal treatment, not elsewhere classified 97231-00 Gingivectomy <= 8 teeth 97231-01 Gingivectomy > 8 teeth 97236-00 Guided tissue regeneration, per tooth or implant 97237-00 Guided tissue regeneration, membrane removal 97241-00 Tooth root resection, per root 97245-00 Surgical periodontal procedure, not elsewhere classified, per tooth or implant 97311-01 Removal of 1 tooth or part(s) thereof 97311-02 Removal of 2 teeth or part(s) thereof 97311-03 Removal of 3 teeth or part(s) thereof 97311-04 Removal of 4 teeth or part(s) thereof 97311-05 Removal of 5 - 9 teeth or part(s) thereof 97311-06 Removal of 10 - 14 teeth or part(s) thereof 97311-07 Removal of >= 15 teeth or part(s) thereof 97311-08 Removal of unspecified number of teeth or part(s) thereof 97314-01 Sectional removal of 1 tooth 97314-02 Sectional removal of 2 teeth 97314-03 Sectional removal of 3 teeth 97314-04 Sectional removal of 4 teeth 97314-05 Sectional removal of 5 - 9 teeth 97314-06 Sectional removal of 10 - 14 teeth 97314-07 Sectional removal of >= 15 teeth 211 212 | Patient Minimum Data Set Appendices 97314-08 Sectional removal of unspecified number of teeth 97322-00 Surgical removal of 1 tooth not requiring removal of bone or tooth division 97322-01 Full dental clearance 97322-02 Surgical removal of 2 teeth not requiring removal of bone or tooth division 97322-03 Surgical removal of 3 teeth not requiring removal of bone or tooth division 97322-04 Surgical removal of 4 teeth not requiring removal of bone or tooth division 97322-05 Surgical removal of 5 - 9 teeth not requiring removal of bone or tooth division 97322-06 Surgical removal of 10 - 14 teeth not requiring removal of bone or tooth division 97322-07 Surgical removal of >= 15 teeth not requiring removal of bone or tooth division 97322-08 Surgical removal of unspecified number of teeth not requiring removal of bone or tooth division 97322-09 Full upper dental clearance 97322-10 Full lower dental clearance 97323-01 Surgical removal of 1 tooth requiring removal of bone 97323-02 Surgical removal of 2 teeth requiring removal of bone 97323-03 Surgical removal of 3 teeth requiring removal of bone 97323-04 Surgical removal of 4 teeth requiring removal of bone 97323-05 Surgical removal of 5 - 9 teeth requiring removal of bone 97323-06 Surgical removal of 10 - 14 teeth requiring removal of bone 97323-07 Surgical removal of >=15 teeth requiring removal of bone 97323-08 Surgical removal of unspecified number of teeth requiring removal of bone 97324-01 Surgical removal of 1 tooth requiring both removal of bone and tooth division 97324-02 Surgical removal of 2 teeth requiring both removal of bone and tooth division 97324-03 Surgical removal of 3 teeth requiring both removal of bone and tooth division 97324-04 Surgical removal of 4 teeth requiring both removal of bone and tooth division 97324-05 Surgical removal of 5 - 9 teeth requiring both removal of bone and tooth division 97324-06 Surgical removal of 10 - 14 teeth requiring both removal of bone and tooth division 97324-07 Surgical removal of >= 15 teeth requiring both removal of bone and tooth division 97324-08 Surgical removal of unspecified number of teeth requiring both removal of bone and tooth division 97338-00 Reduction of flabby ridge, per segment 97341-00 Removal of hyperplastic tissue 97343-00 Repositioning of oral muscle attachment 97377-00 Dental treatment involving removal or repair of soft tissue, not elsewhere classified 97381-00 Surgical exposure of unerupted tooth with stimulation and packing 97382-00 Surgical exposure of unerupted tooth with attachment of device for orthodontic traction 97384-00 Repositioning of displaced tooth, per tooth 97385-00 Surgical repositioning of unerupted tooth 97386-01 Splinting of displaced tooth, per tooth 97389-01 Surgery to isolate and preserve neurovascular tissue 97395-00 Suture of nerve trunk in conjunction with dental procedure 97399-00 Control of postoperative haemorrhage following dental procedure 97411-00 Direct pulp capping 97414-00 Pulpotomy 97415-00 Complete chemomechanical preparation of root canal, 1 canal 97416-00 Complete chemomechanical preparation of root canal, each additional canal 97417-00 Root canal obturation, 1 canal Patient Minimum Data Set | Appendices 97418-00 Root canal obturation, each additional canal 97419-00 Extirpation of pulp or debridement of root canal(s), emergency or palliative procedure 97421-00 Resorbable root canal filling, primary tooth 97431-00 Periapical curettage, per root 97432-00 Apicectomy, per root 97433-00 Exploratory periradicular surgery 97434-00 Apical seal of root canal, per canal 97436-00 Surgical sealing of tooth root perforation 97437-00 Surgical treatment and repair of external root resorption, per tooth 97438-00 Hemisection of multi rooted tooth 97445-00 Exploration or negotiation of calcified root canal, per canal 97451-00 Removal of root filling, per canal 97452-00 Removal of cemented root canal post or post crown 97453-00 Removal or bypass of fractured endodontic instrument 97455-00 Irrigation and dressing of root canal system, per tooth 97457-00 Obturation of resorption defect or perforation 97458-00 Interim therapeutic root filling 97511-01 Metallic restoration of tooth, 1 surface, direct 97512-01 Metallic restoration of tooth, 2 surfaces, direct 97513-01 Metallic restoration of tooth, 3 surfaces, direct 97514-02 Metallic restoration of tooth, 4 surfaces, direct 97515-02 Metallic restoration of tooth, 5 surfaces, direct 97521-01 Adhesive restoration of anterior tooth, 1 surface, direct 97522-01 Adhesive restoration of anterior tooth, 2 surfaces, direct 97523-01 Adhesive restoration of anterior tooth, 3 surfaces, direct 97524-00 Adhesive restoration of anterior tooth, 4 surfaces, direct 97525-00 Adhesive restoration of anterior tooth, 5 surfaces, direct 97531-00 Adhesive restoration of posterior tooth, 1 surface, direct 97532-00 Adhesive restoration of posterior tooth, 2 surfaces, direct 97533-00 Adhesive restoration of posterior tooth, 3 surfaces, direct 97534-00 Adhesive restoration of posterior tooth, 4 surfaces, direct 97535-00 Adhesive restoration of posterior tooth, 5 surfaces, direct 97541-01 Metallic restoration of tooth, 1 surface, indirect 97542-01 Metallic restoration of tooth, 2 surfaces, indirect 97543-01 Metallic restoration of tooth, 3 surfaces, indirect 97544-00 Metallic restoration of tooth, 4 surfaces, indirect 97545-00 Metallic restoration of tooth, 5 surfaces, indirect 97551-01 Tooth-coloured restoration, 1 surface, indirect 97552-01 Tooth-coloured restoration, 2 surfaces, indirect 97553-01 Tooth-coloured restoration, 3 surfaces, indirect 97554-01 Tooth-coloured restoration, 4 surfaces, indirect 97555-01 Tooth-coloured restoration, 5 surfaces, indirect 97572-01 Provisional restoration of tooth 97574-01 Cementation of metal band to tooth 97575-00 Insertion of dental pin, per pin 213 214 | Patient Minimum Data Set 97576-00 Stainless steel crown 97577-00 Cusp capping, per cusp 97578-00 Restoration of incisal corner of anterior tooth, per corner 97582-01 Bonding of veneer to surface of tooth, direct 97583-01 Attachment of veneer to surface of tooth, indirect 97595-00 Removal of inlay/onlay 97596-00 Recementing of inlay/onlay 97597-00 Post cast, preformed or wrought 97611-01 Full crown, acrylic resin, indirect 97613-00 Full crown, nonmetallic, indirect 97615-00 Full crown, veneered, indirect 97618-00 Full crown, metallic, indirect 97625-00 Core for crown including post, indirect 97627-00 Preliminary restoration for crown, direct 97629-00 Post and root cap, indirect 97631-00 Provisional crown 97632-00 Provisional bridge, per pontic 97642-00 Bridge pontic, direct, per pontic 97643-00 Bridge pontic, indirect, per pontic 97644-00 Semifixed attachment 97645-00 Precision or magnetic attachment, bridge 97649-00 Retainer for bonded fixture, indirect, per tooth 97651-00 Recementing crown or veneer 97652-00 Recementing bridge or splint, per abutment 97653-01 Rebonding of bridge or splint 97655-00 Removal of crown 97656-00 Removal of bridge or splint 97658-00 Repair of crown, bridge or splint, indirect 97659-00 Repair of crown, bridge or splint, direct 97663-00 Surgical removal of dental implant 97664-00 Fitting of bar for denture 97666-00 Prosthesis with metal frame attached to implants, per tooth 97669-00 Removal and reattachment of prosthesis fixed to implant, per implant 97671-00 Full crown attached to osseointegrated implant, nonmetallic, indirect 97672-00 Full crown attached to osseointegrated implant, veneered, indirect 97673-00 Full crown attached to osseointegrated implant, metallic, indirect 97679-00 Provision of surgical implant guide 97711-00 Provision of complete maxillary denture 97712-00 Provision of complete mandibular denture 97716-00 Provision of metal palate or plate 97719-00 Provision of complete mandibular and maxillary dentures 97721-00 Provision of partial maxillary denture, resin base 97722-00 Provision of partial mandibular denture, resin base 97727-00 Provision of partial maxillary denture, cast metal framework 97728-00 Provision of partial mandibular denture, cast metal framework Appendices Patient Minimum Data Set | Appendices 97731-00 Provision of retainer to partial denture 97732-00 Provision of occlusal rest to partial denture, per rest 97733-00 Provision of tooth to partial denture, per tooth 97734-00 Overlay, per tooth 97735-00 Precision or magnetic attachment, denture 97736-00 Immediate replacement of tooth, per tooth 97737-00 Resilient lining 97738-00 Provision of connecting bar of wrought metal 97739-00 Provision of metal backing for denture tooth, per backing 97741-00 Adjustment of denture 97743-00 Relining of complete denture, processed 97744-00 Relining of partial denture, processed 97745-00 Remodelling of complete denture 97746-00 Remodelling of partial denture 97751-00 Relining of complete denture, direct 97752-00 Relining of partial denture, direct 97753-00 Cleaning and polishing of pre-existing denture 97754-00 Modification of denture base 97761-00 Reattachment of pre-existing tooth or clasp to denture 97762-00 Replacement or addition of clasp to denture 97763-00 Repair of broken base of complete denture 97764-00 Repair of broken base of partial denture 97765-00 Replacement of tooth on denture, per tooth 97768-00 Adding tooth to partial denture to replace extracted or decoronated tooth, per tooth 97769-00 Repair or addition to metal casting 97771-00 Tissue conditioning preparatory to impressions, per application 97772-00 Provision of resin splint, indirect 97773-00 Provision of metal splint, indirect 97774-00 Provision of obturator 97775-00 Characterisation of denture base 97776-00 Impression for denture repair 97777-00 Denture identification 97778-00 Metallic inlay for denture tooth 97779-01 Provision of surgical guide for immediate denture 97811-00 Provision of passive removable appliance, maxillary arch 97812-01 Provision of passive removable appliance, mandibular arch 97821-00 Provision of active removable appliance, maxillary arch 97822-01 Provision of active removable appliance, mandibular arch 97823-00 Provision of functional orthopaedic appliance 97825-00 Provision of sequential plastic aligners, per arch 97829-00 Partial banding, per arch 97831-00 Full arch banding, per arch 97841-00 Insertion of fixed palatal or lingual arch appliance 97842-00 Partial banding for intermaxillary elastics 97843-00 Provision of maxillary expansion appliance 215 216 | Patient Minimum Data Set Appendices 97845-00 Provision of passive fixed appliance 97846-01 Provision of fixed minor tooth guidance 97851-00 Provision of extraoral appliance 97862-00 Bonding of attachment for application of orthodontic force 97871-00 Adjustment of fixed or removable orthodontic appliance 97875-00 Repair of removable appliance, resin base 97876-00 Repair of clasp, spring or tooth on removable appliance 97877-01 Addition of clasp, spring or tooth to removable appliance 97878-00 Relining of removable appliance, processed 97911-00 Palliative dental care 97915-00 After hours dental emergency service 97926-00 Construction of individually made mandibular or maxillary tray for self application of medicament 97927-00 Provision of medication/medicament for dental procedure 97961-00 Minor occlusal adjustment 97963-00 Clinical occlusal analysis including muscle and joint palpation 97964-00 Registration and mounting of model for occlusal analysis 97965-00 Provision of occlusal splint 97966-00 Adjustment of pre-existing occlusal splint 97967-00 Pantographic tracing 97968-00 Occlusal adjustment following occlusal analysis 97971-00 Adjunctive dental physical therapy for temporomandibular joint and associated structures 97972-00 Repair/addition of occlusal splint 97981-00 Splinting and stabilisation of tooth, direct 97982-00 Enamel stripping of tooth 97985-00 Provision of oral appliance for diagnosed snoring and obstructive sleep apnoea 97986-00 Postoperative dental care, not elsewhere classified Patient Minimum Data Set | Appendices 5.3 Appendix C – Sample Organisation Code Table Organisation Name Organisation Code * Hamad Medical Corporation H01 Al Ahli Hospital H02 American Hospital H03 Al Emadi Hospital H04 Doha Clinic Hospital H05 Primary Health Care Corporation R06 Standalone ENT clinic S01 Polyclinic A P01 * Set by SCH 217 218 | Patient Minimum Data Set Appendices 5.4 Appendix D – Sample Campus Code Table Organisation Name Hamad Medical Corporation Organisation Code 01 Campus Name Campus Code * Al Amal Hospital 01 Al Khor Hospital 02 Al Wakra Hospital 03 Cuban Hospital 04 Hamad General Hospital 05 Heart Hospital 06 Rumailah Hospital 07 Women’s Hospital 08 Al Ahli Hospital 02 - 00 American Hospital 03 - 00 Al Emadi Hospital 04 - 00 Doha Clinic Hospital 05 - 00 Primary Health Care Corporation 06 Umm Salal 01 Al Wakrah 02 Dr. X’s ENT clinic S01 - 00 Polyclinic A P01 - 00 * Set by Provider Patient Minimum Data Set | Appendices 219 5.5 Appendix E – Sample Clinic Code Table Organisation Name Hamad Medical Corporation Organisation Code 01 Campus Name Campus Code Al Amal Hospital 01 Clinic Name Clinic Code ENT 2 ENT0002 Emergency1 ERD0001 Cardiology 45 CARD024 Diabetes DIAB001 Emergency2 ERD0002 Nutrition NUTR001 ENT 2 ENT0011 Al Khor Hospital 02 - 00 Umm Salal 01 Antenatal PM ANTPM01 Al Wakrah 02 Diabetes DIABAM01 None ENT00123 Radiology 2 RAD0202 Haematology HAEM001 American Hospital 03 Primary Health Care Corporation 06 Standalone ENT clinic S01 - 00 Polyclinic A P01 - 00 220 | Patient Minimum Data Set Appendices 5.6 Appendix F – Emergency Department Diagnosis Short list (mapped to Major Diagnostic Blocks (MDBs) ICD-10-AM code Diagnosis descriptionURG MDB codeURG MDB description ICD-10-AM code Diagnosis description URG MDB URG MDB description code A04.7 Clostridium difficile 3C Digestive system illness A05.1 Botulism 3C Digestive system illness A05.9 Bacterial foodborne intox 3C Digestive system illness A09.9 GE - Gastroenteritis / Diarrhea 3C Digestive system illness A16.9 TB - Tuberculosis 3B Respiratory system illness A35 Tetanus 3N System infection/parasites A37.9 Pertussis / Whooping cough 3N System infection/parasites A38 Scarlet fever 3N System infection/parasites A39.0 Meningitis, meningococcal 3N System infection/parasites A39.2 Meningococcemia, acute 3N System infection/parasites A41.9 Septicemia 3N System infection/parasites A46 Erysipelas 3N System infection/parasites A48.0 Gas gangrene 3N System infection/parasites A48.1 Legionnaire's disease 3N System infection/parasites A48.3 TSS - Toxic shock syndrome 3N System infection/parasites A49.9 Bacteremia 3N System infection/parasites A54.9 Gonorrhea 3N System infection/parasites A63.0 Genital warts 3N System infection/parasites A64 Sexually transmitted infection 3N System infection/parasites A69.2 Lyme disease 3N System infection/parasites A86 Encephalitis, viral 3N System infection/parasites A87.9 Meningitis, viral 3N System infection/parasites B00.9 Herpes 3N System infection/parasites B01.9 Chickenpox / Varicella 3N System infection/parasites B02.9 Shingles / Zoster 3N System infection/parasites B05.9 Measles 3N System infection/parasites B06.9 Rubella / German measles 3N System infection/parasites B08.3 5th disease 3N System infection/parasites B09 Exanthema, viral 3N System infection/parasites Infections B19.9 Hepatitis, viral 3N System infection/parasites B24 HIV 3N System infection/parasites B26.9 Mumps / Parotitis 3N System infection/parasites B27.9 Mononucleosis, infectious 3N System infection/parasites B34.9 Viral infection 3N System infection/parasites B37.9 Candidiasis 3N System infection/parasites B49 Tinea / Fungal infection 3N System infection/parasites B54 Malaria 3N System infection/parasites B58.9 Toxoplasmosis 3N System infection/parasites B83.9 Pinworms / Helminthiasis 3N System infection/parasites Patient Minimum Data Set | Appendices 221 B85.2 Lice / Pediculosis 3N System infection/parasites B86 Scabies 3N System infection/parasites B89 Parasitic disease 3N System infection/parasites C18.9 Neoplasm of colon 3C Digestive system illness C25.9 Neoplasm of pancreas 3Q Hepatobiliary system illness C34.9 Neoplasm of lung 3B Respiratory system illness C44.9 Neoplasm of skin 3I Illness of skin, subcutaneous tissue, breast C50.9 Neoplasm of breast 3I Illness of skin, subcutaneous tissue, breast C57.9 Neoplasm gynecologic 3L Gynaecological illness C61 Neoplasm of prostate 3D Urological illness C62.9 Neoplasm of testicle 3D Urological illness C71.9 Neoplasm of brain unspecified 3E Neurological illness C76.0 Neoplasm of head, face & neck 3G Illness of the ear, nose and throat C76.2 Neoplasm of abdomen 3C Digestive system illness C76.3 Neoplasm of pelvis 3H Musculoskeletal/connective tissue illness C76.7 Neoplasm, other 3O Illness of other and unknown systems C90.0 Multiple myeloma 3J Blood/immune system illness C95.9 Leukemia 3J Blood/immune system illness C96.9 Neoplasm hematologic, other 3J Blood/immune system illness D36.9 Benign tumor unspecified site 3O Illness of other and unknown systems D48.9 Tumor of unknown behaviour 3O Illness of other and unknown systems Neoplasms Hematologic and immunologic diseases D57.0 Sickle-cell anemia crisis 3J Blood/immune system illness D64.9 Anemia 3J Blood/immune system illness D65 DIC - Dissem intravasc coag 3J Blood/immune system illness D68.9 Coagulation defect 3J Blood/immune system illness D69.3 ITP - Idiop thrombocytopen purpura 3J Blood/immune system illness D69.6 Thrombocytopenia 3J Blood/immune system illness D70 Agranulocytosis/ Neutropenia 3J Blood/immune system illness D75.9 Disease of heme organs 3J Blood/immune system illness D89.9 Immune mechanism disorder 3J Blood/immune system illness Endocrine, nutritional and metabolic diseases E03.9 Hypothyroidism 3A Circulatory system illness E05.9 Thyrotoxicosis 3A Circulatory system illness E06.9 Thyroiditis 3A Circulatory system illness E10.0 DM type 1 coma 3A Circulatory system illness E10.10 DM type 1 DKA 3A Circulatory system illness E10.64 DM type 1 hypoglycemia 3A Circulatory system illness E10.9 DM type 1 3A Circulatory system illness E11.0 DM type 2 coma 3A Circulatory system illness E11.64 DM type 2 hypoglycemia 3A Circulatory system illness E11.9 DM type 2 3A Circulatory system illness 222 | Patient Minimum Data Set Appendices E14.9 DM unspecified 3A Circulatory system illness E16.2 Hypoglycemia (non-DM) 3A Circulatory system illness E21.5 Parathyroid gland disorder 3A Circulatory system illness E22.2 SIADH 3A Circulatory system illness E23.2 Diabetes insipidus 3A Circulatory system illness E23.7 Pituitary gland disorder 3A Circulatory system illness E27.2 Addisonian crisis 3A Circulatory system illness E28.9 Ovarian dysfunction 3A Circulatory system illness E34.9 Endocrine disorder, other 3A Circulatory system illness E63.9 Nutritional deficiency 3C Digestive system illness E83.5 Dis of calcium metabolism 3C Digestive system illness E84.9 Cystic fibrosis 3B Respiratory system illness E86 Dehydration/ Volume depletion 3C Digestive system illness E87.0 Hypernatremia 3C Digestive system illness E87.1 Hyponatremia 3C Digestive system illness E87.5 Hyperkalemia 3C Digestive system illness E87.6 Hypokalemia 3C Digestive system illness E87.7 Fluid overload 3C Digestive system illness E87.8 Dis electrolyte / Fluid dis 3C Digestive system illness E88.9 Metabolic disorder 3C Digestive system illness Mental and behavioural disorders F03 Dementia 3E Neurological illness F05.9 Delirium 3E Neurological illness F07.2 Postconcussional syndrome 2B Injury, single site, major F10.0 Mental dis alcohol intoxicat 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F10.3 Mental dis alcohol withdrawal 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F11.9 Mental dis due to opioids 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F13.9 Mental dis due to hypnotics 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F14.9 Mental dis due to cocaine 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F15.9 Mental dis due stimulants oth 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F16.9 Mental dis due hallucinogens 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F18.9 Mental dis due to solvents 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F19.9 Mental dis due multip drug use 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders F20.9 Schizophrenia 4 Psychiatric illness F23.9 Psychotic disorder, acute 4 Psychiatric illness F31.9 Bipolar affective disorder 4 Psychiatric illness F32.9 Depression 4 Psychiatric illness F41.9 Anxiety disorder 4 Psychiatric illness F48.9 Neurotic disorder 4 Psychiatric illness Patient Minimum Data Set | Appendices F50.9 Eating disorder 4 Psychiatric illness F60.9 Personality disorder 4 Psychiatric illness F99 Mental disorder, other 4 Psychiatric illness Diseases of the nervous system G00.9 Meningitis, bacterial 3E Neurological illness G03.9 Meningitis, other 3E Neurological illness G04.9 Encephalomyelitis 3E Neurological illness G06.0 Intracranial abscess 3E Neurological illness G06.1 Intraspinal abscess 3E Neurological illness G06.2 Extradural / Subdural abscess 3E Neurological illness G20 Parkinson's disease 3E Neurological illness G21.0 Malignant neuroleptic syndrome 3E Neurological illness G24.9 Dystonia 3E Neurological illness G25.9 Extrapyramidal disorder 3E Neurological illness G35 MS - Multiple sclerosis 3E Neurological illness G37.9 Demyelinating disease CNS 3E Neurological illness G40.90 Epilepsy 3E Neurological illness G41.9 Status epilepticus 3E Neurological illness G43.9 Migraine 3E Neurological illness G44.8 HA - Headache syndrome 3E Neurological illness G45.4 TGA - Transient global amnesia 3E Neurological illness G45.9 TIA - Transient isch attack 3E Neurological illness G50.0 Trigeminal neuralgia 3E Neurological illness G51.0 Bell's palsy 3E Neurological illness G52.9 Cranial nerve disorder 3E Neurological illness G53.0 Postzoster neuralgia 3E Neurological illness G56.0 Carpal tunnel syndrome 3E Neurological illness G61.0 GBS - Guillain-Barré syndrome 3E Neurological illness G62.9 Polyneuropathy 3E Neurological illness G70.0 MG - Myasthenia gravis 3E Neurological illness G72.9 Myopathy 3E Neurological illness G83.4 Cauda equina syndrome 3E Neurological illness G83.9 Paralytic syndrome 3E Neurological illness G91.9 Hydrocephalus 3E Neurological illness G93.4 Encephalopathy 3E Neurological illness G95.9 Spinal cord disease 3E Neurological illness G96.0 Cerebrospinal fluid leak 2A Injury, multiple sites G96.9 CNS disorder, other 3E Neurological illness Diseases of the eye and adnexa H02.9 Stye / Chalazion / Blepharitis 3F Illness of the eyes H10.9 Conjunctivitis 3F Illness of the eyes H11.3 Conjunctival hemorrhage 3F Illness of the eyes H16.0 Corneal ulcer 3F Illness of the eyes H16.9 Keratitis, unspecified 3F Illness of the eyes H18.9 Corneal disease 3F Illness of the eyes H20.9 Iridocyclitis 3F Illness of the eyes 223 224 | Patient Minimum Data Set Appendices H21.0 Hyphema 3F Illness of the eyes H33.5 Retinal detachments 3F Illness of the eyes H35.9 Retinal disorder 3F Illness of the eyes H40.9 Glaucoma 3F Illness of the eyes H43.1 Vitreous hemorrhage 3F Illness of the eyes H43.9 Vitreous body disorder 3F Illness of the eyes H44.9 Globe disorder, other 3F Illness of the eyes H46 Optic neuritis 3F Illness of the eyes H53.2 Diplopia 3F Illness of the eyes H53.9 Visual disturbance 3F Illness of the eyes H57.1 Ocular pain 3F Illness of the eyes H57.9 Eye and adnexa disorder 3F Illness of the eyes H60.9 OE - Otitis externa 3G Illness of the ear, nose and throat H61.2 Wax in ear 3G Illness of the ear, nose and throat H66.9 OM - Otitis media 3G Illness of the ear, nose and throat H70.9 Mastoiditis 3G Illness of the ear, nose and throat H72.9 Perforation tympanic membrane 3G Illness of the ear, nose and throat H81.0 Ménière's disease 3G Illness of the ear, nose and throat H81.1 BPV - Benign paroxysmal vertigo 3G Illness of the ear, nose and throat H81.3 Vertigo, peripheral other 3G Illness of the ear, nose and throat H81.4 Vertigo of central origin 3G Illness of the ear, nose and throat H91.9 Hearing loss 3G Illness of the ear, nose and throat H92.0 Otalgia 3G Illness of the ear, nose and throat H93.1 Tinnitus 3G Illness of the ear, nose and throat H93.9 Ear disorder, other 3G Illness of the ear, nose and throat Diseases of the circulatory system I09.9 Rheumatic heart disease 3A Circulatory system illness I10 HT - Hypertension (benign) (malignant) 3A Circulatory system illness I20.0 UA - Unstable angina 3A Circulatory system illness I20.9 Angina pectoris 3A Circulatory system illness I21.9 AMI - Myocardial infarct, acute 3A Circulatory system illness I24.1 Dressler's syndrome 3A Circulatory system illness I26.9 PE - Pulmonary embolism 3A Circulatory system illness I27.0 PPH - Primary pulm hypertension 3A Circulatory system illness I30.9 Pericarditis, acute 3A Circulatory system illness I31.3 Pericardial effusion 3A Circulatory system illness I33.9 Endocarditis, acute 3A Circulatory system illness I40.9 Myocarditis, acute 3A Circulatory system illness I42.9 Cardiomyopathy 3A Circulatory system illness I44.1 AV block, 2nd 3A Circulatory system illness I44.2 AV block, complete 3A Circulatory system illness I46.9 Cardiac arrest 3A Circulatory system illness I47.1 PSVT - Supraventr tachycardia 3A Circulatory system illness I47.2 VT - Ventricular tachycardia 3A Circulatory system illness I48.9 A Fib - Atrial fibrillation & atrial flutter 3A Circulatory system illness Patient Minimum Data Set | Appendices I49.5 SSS - Sick sinus syndrome 3A Circulatory system illness I49.9 Cardiac arrhythmia 3A Circulatory system illness I50.0 CHF - Congestive heart failure 3A Circulatory system illness I60.9 SAH - Subarachnoid hemorrhage 3E Neurological illness I61.9 Intracerebral hemorrhage 3E Neurological illness I62.0 Subdural hemorrhage nontrauma 3E Neurological illness I64 CVA - Cerebrovascular accident 3E Neurological illness I67.4 Hypertensive encephalopathy 3E Neurological illness I67.9 Cerebrovascular disease 3E Neurological illness I71.0 Dissection of aorta 3A Circulatory system illness I71.9 Aortic aneurysm 3A Circulatory system illness I72.8 Aneurysm / Dissection, other artery 3A Circulatory system illness I73.9 Peripheral vascular disease 3A Circulatory system illness I74.9 Arterial embolism / Thrombosis 3A Circulatory system illness I77.9 Arteritis 3A Circulatory system illness I80.0 Superficial phlebitis legs 3A Circulatory system illness I80.9 DVT - Deep venous thrombosis 3A Circulatory system illness I83.9 Varicose veins of lower extrem 3A Circulatory system illness I85.0 Esophageal varices with bleed 3C Digestive system illness I88.9 Lymphadenitis 3J Blood/immune system illness I89.1 Lymphangitis 3J Blood/immune system illness I95.9 Hypotension 3A Circulatory system illness I99 CVS disorder 3A Circulatory system illness Diseases of the respiratory system J01.9 Sinusitis, acute 3B Respiratory system illness J02.9 Pharyngitis, acute 3B Respiratory system illness J03.9 Tonsillitis, acute 3B Respiratory system illness J04.0 Laryngitis, acute 3B Respiratory system illness J04.1 Tracheitis, acute 3B Respiratory system illness J04.2 Laryngotracheitis, acute 3B Respiratory system illness J05.0 Croup - A obstruct laryngitis 3B Respiratory system illness J05..1 Epiglottitis, acute 3B Respiratory system illness J06.9 URTI 3B Respiratory system illness J11.8 Influenza / Flu syndrome 3N System infection/parasites J18.9 Pneumonia 3B Respiratory system illness J20.9 Bronchitis, acute 3B Respiratory system illness J21.9 Bronchiolitis, acute 3B Respiratory system illness J32.9 Sinusitis, chronic 3B Respiratory system illness J36 Peritonsillar abscess 3G Illness of the ear, nose and throat J38.7 Laryngeal disorder 3G Illness of the ear, nose and throat J39.0 Retro / Parapharyngeal abscess 3G Illness of the ear, nose and throat J43.9 Emphysema 3B Respiratory system illness J44.0 COPD with respiratory infection 3B Respiratory system illness J44.1 COPD exacerbation 3B Respiratory system illness J45.9 Asthma 3B Respiratory system illness 225 226 | Patient Minimum Data Set Appendices J47 Bronchiectasis 3B Respiratory system illness J68.9 Toxic inhalation 3B Respiratory system illness J69.0 Aspiration pneumonia 3B Respiratory system illness J80 ARDS - Acute resp distr synd 3B Respiratory system illness J90 Pleural effusion 3B Respiratory system illness J93.9 Pneumothorax 3B Respiratory system illness J94.9 Pleural condition 3B Respiratory system illness J95.0 Tracheostomy malfunction 3G Illness of the ear, nose and throat J96.09 Respiratory failure, acute 3B Respiratory system illness J96.19 Respiratory failure, chronic 3B Respiratory system illness J98.5 Mediastinal disorder 3B Respiratory system illness J98.9 Respiratory disorder 3B Respiratory system illness Diseases of the digestive system K02.9 Dental caries 3G Illness of the ear, nose and throat K04.7 Dental / Periapical abscess 3G Illness of the ear, nose and throat K07.6 TMJ - Temporomandibr joint dis 3G Illness of the ear, nose and throat K08.88 Toothache 3G Illness of the ear, nose and throat K08.9 Teeth / Gums disorder 3G Illness of the ear, nose and throat K11.9 Salivary gland disorder 3G Illness of the ear, nose and throat K13.7 Oral mucosa disorder 3G Illness of the ear, nose and throat K14.9 Tongue disorder 3G Illness of the ear, nose and throat K20 Esophagitis 3C Digestive system illness K21.9 GERD - Gastroesoph reflux dis 3C Digestive system illness K22.2 Esophageal obstruction 3C Digestive system illness K22.3 Perforation of esophagus 3C Digestive system illness K22.9 Esophageal disease, other 3C Digestive system illness K27.9 Peptic ulcer 3C Digestive system illness K29.9 Gastroduodenitis 3C Digestive system illness K30 Dyspepsia 3C Digestive system illness K31.9 Stomach / Duodenum disorder 3C Digestive system illness K35.8 Appendicitis, acute 3C Digestive system illness K40.9 Hernia, inguinal 3C Digestive system illness K42.9 Hernia, umbilical 3C Digestive system illness K46.9 Hernia, abdominal other 3C Digestive system illness K50.9 Crohn's disease 3C Digestive system illness K51.9 Ulcerative colitis 3C Digestive system illness K52.9 Colitis, noninfective 3C Digestive system illness K55.9 Intestinal vascular disorder 3C Digestive system illness K56.1 Intussusception 3C Digestive system illness K56.6 SBO / LBO - Bowel obstruction 3C Digestive system illness K56.7 Ileus 3C Digestive system illness K57.8 Diverticulitis 3C Digestive system illness K57.9 Diverticulosis 3C Digestive system illness K59.0 Constipation 3C Digestive system illness K59.9 IBS - Functional intestin dis 3C Digestive system illness Patient Minimum Data Set | Appendices K60.0 Anal fissure, acute 3C Digestive system illness K60.3 Anal fistula 3C Digestive system illness K61.2 Anorectal abscess 3C Digestive system illness K61.3 Ischiorectal abscess 3C Digestive system illness K62.3 Rectal prolapse 3C Digestive system illness K62.9 Anal / Rectal disorder 3C Digestive system illness K63.1 Intestinal perforation 3C Digestive system illness K63.9 Intestinal disease, other 3C Digestive system illness K64.9 Hemorrhoids 3C Digestive system illness K65.0 Peritonitis, acute 3C Digestive system illness K70.9 Alcoholic liver disease 3Q Hepatobiliary system illness K72.9 Hepatic failure 3Q Hepatobiliary system illness K73.9 Hepatitis, chronic 3Q Hepatobiliary system illness K74.6 Cirrhosis (non-alcoholic) of liver 3Q Hepatobiliary system illness K76.6 Portal hypertension 3Q Hepatobiliary system illness K76.9 Liver disease 3Q Hepatobiliary system illness K80.50 Choledocholithiasis 3Q Hepatobiliary system illness K80.80 Biliary colic / Cholelithiasis 3Q Hepatobiliary system illness K81.0 Cholecystitis, acute 3Q Hepatobiliary system illness K83.0 Cholangitis 3Q Hepatobiliary system illness K83.9 Biliary tract disorder 3Q Hepatobiliary system illness K85.9 Pancreatitis, acute 3Q Hepatobiliary system illness K86.9 Pancreatic disorder 3Q Hepatobiliary system illness K90.9 Intestinal malabsorption 3C Digestive system illness K91.9 Postprocedural GI disorder 3C Digestive system illness K92.2 Gastrointestinal hemorrhage 3C Digestive system illness K92.9 Gastrointestinal disorder 3C Digestive system illness 227 Dermatologic diseases L00 SSSS - Staph scalded skin synd 3N System infection/parasites L01.0 Impetigo 3N System infection/parasites L02.9 Abscess / Furuncle / Carbuncle 3N System infection/parasites L03.0 Paronychia finger/ toe 3N System infection/parasites L03.9 Cellulitis 3N System infection/parasites L05.0 Pilonidal cyst with abscess 3N System infection/parasites L13.9 Bullous disorder 3J Blood/immune system illness L21.1 Seborrheic infantile dermatitis 3N System infection/parasites L22 Diaper rash 3I Illness of skin, subcutaneous tissue, breast L25.9 Dermatitis, contact 3I Illness of skin, subcutaneous tissue, breast L29.9 Pruritus 3I Illness of skin, subcutaneous tissue, breast L309 Dermatitis, unspecified 3I Illness of skin, subcutaneous tissue, breast L40..9 L42 Psoriasis Pityriasis rosea 3J 3J Blood/immune system illness Blood/immune system illness 228 | Patient Minimum Data Set L50.9 Urticaria Appendices 3I Illness of skin, subcutaneous tissue, breast L51.9 Erythema multiforme 3J Blood/immune system illness L52 Erythema nodosum 3J Blood/immune system illness L60.0 Ingrown nail 3I Illness of skin, subcutaneous tissue, breast L60.9 Nail disorder 3I Illness of skin, subcutaneous tissue, breast L73.9 Follicular disorder 3I Illness of skin, subcutaneous tissue, breast L84 Corns and callosities 3I Illness of skin, subcutaneous tissue, breast L89.9 Decubitus ulcer 3I Illness of skin, subcutaneous tissue, breast L98.9 Skin disorder 3I Illness of skin, subcutaneous tissue, breast Diseases of the MSK system and connective tissue M00.99 Arthritis, septic 3H Musculoskeletal/connective tissue illness M06.9 Arthritis, rheumatoid 3J Blood/immune system illness M08.9 Arthritis, juvenile 3J Blood/immune system illness M10.99 Gout 3C Digestive system illness M11.99 Arthropathy, crystal 3C Digestive system illness M13.99 Arthritis, unspecified 3H Musculoskeletal/connective tissue illness M22.9 Patellar disorder 3H Musculoskeletal/connective tissue illness M23.9 Internal derangement of knee 3H Musculoskeletal/connective tissue illness M25.09 Hemarthrosis 3J Blood/immune system illness M25.49 Joint effusion 3H Musculoskeletal/connective tissue illness M25.59 Joint pain 3H Musculoskeletal/connective tissue illness M25.99 Joint disorder 3H Musculoskeletal/connective tissue illness M30.0 PAN - Polyarteritis nodosa 3J Blood/immune system illness M30.3 Kawasaki - Mucocut lymph nd synd 3J Blood/immune system illness M32.9 SLE - Systemic lupus erythematosus 3J Blood/immune system illness M34.9 Scleroderma - Systemic sclerosis 3J Blood/immune system illness M35.3 Polymyalgia rheumatica 3J Blood/immune system illness M35.9 Connective tissue disease 3J Blood/immune system illness M43.6 Torticollis 3E Neurological illness M45 Ankylosing spondylitis 3E Neurological illness M46.49 Discitis 3E Neurological illness M47.99 Spondylosis 3E Neurological illness M48.09 Spinal stenosis 3E Neurological illness M48.99 Spondylopathy 3E Neurological illness M50.9 Cervical disc disorder 3E Neurological illness Patient Minimum Data Set | Appendices M54.2 Cervicalgia 3E Neurological illness M54.3 Sciatica 3E Neurological illness M54.5 Back pain 3E Neurological illness M62.69 Muscle strain 3H Musculoskeletal/connective tissue illness M62.99 Muscle disorder, other 3H Musculoskeletal/connective tissue illness M65.99 Synovitis and tenosynovitis 3H Musculoskeletal/connective tissue illness M66.59 Spontaneous rupture tendon 3H Musculoskeletal/connective tissue illness M70.2 Olecranon bursitis 3H Musculoskeletal/connective tissue illness M704 Prepatellar bursitis 3H Musculoskeletal/connective tissue illness M70..6 Trochanteric bursitis 3H Musculoskeletal/connective tissue illness M71.2 Baker's cyst 3H Musculoskeletal/connective tissue illness M71.99 Bursitis, unspecified 3H Musculoskeletal/connective tissue illness M72.2 Plantar fasciitis 3H Musculoskeletal/connective tissue illness M72.69 Necrotizing fasciitis 3N System infection/parasites M75.1 Rotator cuff syndrome 3H Musculoskeletal/connective tissue illness M75.2 Bicipital tendinitis 3H Musculoskeletal/connective tissue illness M75.4 Impingement synd shoulder 3H Musculoskeletal/connective tissue illness M75.5 Bursitis of shoulder 3H Musculoskeletal/connective tissue illness M75.9 Shoulder lesion 3H Musculoskeletal/connective tissue illness M76.5 Patellar tendonitis 3H Musculoskeletal/connective tissue illness M76.6 Achilles tendonitis 3H Musculoskeletal/connective tissue illness M77.9 Tendonitis, unspecified 3H Musculoskeletal/connective tissue illness M79.19 Myalgia 3H Musculoskeletal/connective tissue illness M79.29 Neuralgia / Neuritis 3H Musculoskeletal/connective tissue illness M79.69 PLU - Pain in limb unsp 3H Musculoskeletal/connective tissue illness M81.9 Osteoporosis 3H Musculoskeletal/connective tissue illness M84.29 Fx delayed union 3H Musculoskeletal/connective tissue illness 229 230 | Patient Minimum Data Set Appendices M86.99 Osteomyelitis 3H Musculoskeletal/connective tissue illness M88.9 Paget's disease of bone 3H Musculoskeletal/connective tissue illness M89.99 Bone disease, other 3H Musculoskeletal/connective tissue illness M94.99 Cartilage disease 3H Musculoskeletal/connective tissue illness Diseases of the genitourinary system N00.9 Nephritic syndrome, acute 3D Urological illness N04.9 Nephrotic syndrome 3D Urological illness N10 Pyelonephritis 3D Urological illness N13.9 Obstructive uropathy 3D Urological illness N17.9 ARF - Acute renal failure 3D Urological illness N18.9 CRF - Chronic renal failure 3D Urological illness N20.9 Urinary calculus 3D Urological illness N23 RC - Renal colic 3D Urological illness N28.9 Renal and ureteral disease 3D Urological illness N34.1 Nonspecific urethritis 3D Urological illness N39.0 UTI - Urinary tract infection 3D Urological illness N39.9 Urinary system disorder 3D Urological illness N41.0 Prostatitis, acute 3M Male reproductive system illness N43.3 Hydrocele 3M Male reproductive system illness N44 Testicular torsion 3M Male reproductive system illness N45.9 Orchitis / Epididymitis 3M Male reproductive system illness N47 Phimosis / Paraphimosis 3M Male reproductive system illness N48.3 Priapism 3M Male reproductive system illness N48.9 Penile disorder 3M Male reproductive system illness N50.9 Male genital organs disorder 3M Male reproductive system illness N63 Breast lump 3I Illness of skin, subcutaneous tissue, breast N64.9 Breast disorder 3I Illness of skin, subcutaneous tissue, breast N73.9 PID - Pelvic inflammatory dis 3L Gynaecological illness N75.1 Bartholin's abscess 3L Gynaecological illness N76.0 Vaginitis, acute 3L Gynaecological illness N80.9 Endometriosis 3L Gynaecological illness N81.9 Female genital prolapse 3L Gynaecological illness N83.2 Ovarian cysts 3L Gynaecological illness N83.5 Torsion ovary 3L Gynaecological illness N89.9 Noninflamm vaginal disorder 3L Gynaecological illness N92.6 Irregular menstruation 3L Gynaecological illness N93.9 VB - Vaginal bleeding 3L Gynaecological illness N94.6 Dysmenorrhea 3L Gynaecological illness O00.9 Ectopic pregnancy 3K Obstetric illness O02.1 Retained fetal products 3K Obstetric illness Pregnancy Patient Minimum Data Set | Appendices O03.4 Spontaneous abortion, incomplete 3K Obstetric illness O03.9 Spontaneous abortion, complete 3K Obstetric illness O08.9 Complic abortion / Ectopic / Molar 3K Obstetric illness O15.0 Eclampsia in pregnancy 3K Obstetric illness O20.0 Threatened abortion 3K Obstetric illness O21.9 Hyperemesis gravidarum 3K Obstetric illness O36.9 Maternal care for fetal probl 3K Obstetric illness O47.9 False labour 3K Obstetric illness O60.1 Preterm delivery 3K Obstetric illness O75.9 Complication of labour and delivery 3K Obstetric illness O99.8 Disease of peri-partum 3K Obstetric illness Conditions originating in the perinatal period P22.9 Respir distress of newborn 3P Newborn/neonate P36.9 Bacterial sepsis of newborn 3P Newborn/neonate P38 Omphalitis of newborn 3P Newborn/neonate P59.9 Neonatal jaundice 3P Newborn/neonate P60 DIC of fetus and newborn 3P Newborn/neonate P61.9 Perinatal hematologic dis 3P Newborn/neonate P76.9 Intestinal obstruct newborn 3P Newborn/neonate P77 Necrotizing enterocol newborn 3P Newborn/neonate P78.9 Perinatal GI disorder 3P Newborn/neonate P90 Convulsions of newborn 3P Newborn/neonate P92.9 Feeding problem of newborn 3P Newborn/neonate P95 Fetal death 3P Newborn/neonate P96.9 Perinatal disorders 3P Newborn/neonate Q40.0 Pyloric stenosis, congenital 3C Digestive system illness Q43.0 Meckel's diverticulum 3C Digestive system illness Q43.1 Hirschsprung's disease 3C Digestive system illness Q89.9 Congenital malformation 6 Other presentation Q99.9 Chromosomal abnormality 6 Other presentation Symptoms, signs and abnormal findings R00.0 Tachycardia 3A Circulatory system illness R00.1 Bradycardia 3A Circulatory system illness R00.2 Palpitations 3A Circulatory system illness R04.0 Epistaxis 3G Illness of the ear, nose and throat R04.2 Hemoptysis 3B Respiratory system illness R05 Cough 3B Respiratory system illness R06.0 SOB - Dyspnea 3B Respiratory system illness R06.1 Stridor 3B Respiratory system illness R06.4 Hyperventilation 3B Respiratory system illness R06.6 Hiccough 3B Respiratory system illness R07.4 CP - Chest pain 3A Circulatory system illness R09.2 Respiratory arrest 3B Respiratory system illness R10.0 Acute abdomen 3C Digestive system illness R10.2 Pelvic and perineal pain 3C Digestive system illness 231 232 | Patient Minimum Data Set Appendices R10.4 Abdominal pain 3C Digestive system illness R11 Nausea with vomiting 3C Digestive system illness R13 Dysphagia 3C Digestive system illness R17 Jaundice 3Q Hepatobiliary system illness R18 Ascites 3Q Hepatobiliary system illness R20.8 Paresthesias / Numbness 3E Neurological illness R21 Rash 3J Blood/immune system illness R22.9 Swelling, mass and lump 6 Other presentation R25.8 Abn involuntary movements 3E Neurological illness R26.8 Gait and mobility abnormality 3E Neurological illness R30.0 Dysuria 3D Urological illness R31 Hematuria 3D Urological illness R33 Retention of urine 3D Urological illness R36 Urethral discharge 3D Urological illness R39.8 Urinary system Sx 3D Urological illness R40.0 Altered LOC 3E Neurological illness R40.2 Coma, unspecified 3E Neurological illness R41.0 Disorientation 3E Neurological illness R42 Dizziness 3E Neurological illness R44.3 Hallucinations 3E Neurological illness R45.8 Emotional symptoms 4 Psychiatric illness R50.9 Fever 3N System infection/parasites R51 HA - Headache 3E Neurological illness R53 Weakness / Fatigue 6 Other presentation R55 Syncope / Vasovagal 3A Circulatory system illness R56.0 Febrile convulsions 3E Neurological illness R56.8 Seizures / Convulsions 3E Neurological illness R57.0 Cardiogenic shock 3A Circulatory system illness R57.1 Hypovolemic shock 3A Circulatory system illness R57.9 Shock 3A Circulatory system illness R58 Hemorrhage 3A Circulatory system illness R59.9 Lymphadenopathy 6 Other presentation R60.0 Localized edema 6 Other presentation R60.1 Generalized edema 6 Other presentation R63.0 Anorexia 6 Other presentation R64 Cachexia 6 Other presentation R69 Diagnosis N/A in list 6 Other presentation R79.9 Abn results blood chem 6 Other presentation R93.8 Abn results imaging 6 Other presentation R94.8 Abn results function studies 3A Circulatory system illness R95 SIDS - Sudden infant death synd 3A Circulatory system illness R99 Other causes mortality 2B Injury, single site, major Injury & poisoning T00.9 Sup inj multiple 2BA Injury, single site, minor T01.9 OW multip 2A Injury, multiple sites T02.90 Fx multip, closed 2A Injury, multiple sites Patient Minimum Data Set | Appendices T02.91 Fx multip, open 2A Injury, multiple sites T11.0 Sup inj upper limb 2BA Injury, single site, minor T11.1 OW upper limb 2B Injury, single site, major T13.0 Sup inj lower limb 2BA Injury, single site, minor T13.1 OW lower limb 2B Injury, single site, major T14.7 Crushing inj unsp 2B Injury, single site, major T15.0 FB in cornea 3F Illness of the eyes T15.9 FB on external eye 3F Illness of the eyes T16 FB in ear 3G Illness of the ear, nose and throat T17.1 FB in nostril 3G Illness of the ear, nose and throat T17.9 FB in respiratory tract 3B Respiratory system illness T18.1 FB in esophagus 3C Digestive system illness T18.5 FB in anus and rectum 3C Digestive system illness T18.9 FB in alimentary tract 3C Digestive system illness T19.0 FB in urethra 3D Urological illness T19.2 FB in vulva and vagina 3D Urological illness T29.0 Burns multip regions 2A Injury, multiple sites T30.1 Burn first degree 2A Injury, multiple sites T30.2 Burn second degree 2A Injury, multiple sites T30.3 Burn third degree 2A Injury, multiple sites T35.7 Frostbite 2A Injury, multiple sites T39.0 Poisoning salicylates 1B Poisoning, conscious T39.9 Poisoning acetaminophen 1B Poisoning, conscious T40.1 Poisoning heroin 1A Poisoning, comatose T40.5 Poisoning cocaine 1A Poisoning, comatose T40.6 Poisoning narcotics 1A Poisoning, comatose T40.9 Poisoning hallucinogens 1B Poisoning, conscious T42.4 Poisoning benzodiazepines 1A Poisoning, comatose T43.9 Poisoning psychotropes 1B Poisoning, conscious T46.9 Poisoning cardiotropes 1B Poisoning, conscious T50.9 Poisoning other substances 1B Poisoning, conscious T51.0 Toxic effect ethanol 1D Alcohol/drug abuse and alcohol/ drug induced mental disorders T51.1 Toxic effect methanol 1B Poisoning, conscious T51.8 Toxic effect other alcohols 1B Poisoning, conscious T52.9 Toxic effect solvent 1B Poisoning, conscious T54.9 Toxic effect corrosive subs 1B Poisoning, conscious T56.9 Toxic effect metal 1B Poisoning, conscious T58 Toxic effect CO 1B Poisoning, conscious T59.9 Toxic effect gases / vapours 1B Poisoning, conscious T60.9 Toxic effect pesticide 1B Poisoning, conscious T62.9 Toxic effect noxious food 1B Poisoning, conscious T63.9 Toxic effect venom animal 1B Poisoning, conscious T65.9 Toxic effect substance 1B Poisoning, conscious T66 Radiation effects 1B Poisoning, conscious T67.0 Heatstroke and sunstroke 6 Other presentation 233 234 | Patient Minimum Data Set Appendices T67.9 Effect heat and light 6 Other presentation T68 Hypothermia 6 Other presentation T70.3 Decompression sickness 3B Respiratory system illness T70.9 Barotrauma 3B Respiratory system illness T71 Asphyxiation 3B Respiratory system illness T74.9 Maltreatment syndrome 2B Injury, single site, major T75.0 Effects lightning 2B Injury, single site, major T75.1 Submersion injury (near drowning) 3B Respiratory system illness T75.4 Electrocution 2B Injury, single site, major T78.2 Anaphylactic shock 3J Blood/immune system illness T78.3 Angioneurotic edema 3J Blood/immune system illness T78.4 Allergy 3J Blood/immune system illness T79.0 Air embolism 3B Respiratory system illness T79.1 Fat embolism 3B Respiratory system illness T79.3 Post-trauma wound infection 6 Other presentation T79.4 Traumatic shock 3A Circulatory system illness T81.4 Post-op / Procedure infection 6 Other presentation T85.0 Complication ventricular shunt 6 Other presentation T85.9 Complic prosth / implant / graft 6 Other presentation T86.9 Graft rejection 6 Other presentation T88.7 Adverse effect of drug 3J Blood/immune system illness T88.9 Complic surg / med care 6 Other presentation Other contact with health services Z01.6 Radiological exam only 6 Other presentation Z01.7 Laboratory exam only 6 Other presentation Z02.7 Issue of medical certificate 6 Other presentation Z04.0 Blood-alcohol / drug test 6 Other presentation Z04.4 Examination after alleged rape 2B Injury, single site, major Z04.6 Legal psychiatric exam 6 Other presentation Z09.4 Cast check / Fracture follow up 6 Other presentation Z09.9 Follow-up exam unspec Tx 6 Other presentation Z20.9 Contact communicable disease 6 Other presentation Z29.9 Prophylactic measure 6 Other presentation Z30.9 Contraceptive management 6 Other presentation Z34.9 Pregnancy, normal 3K Obstetric illness Z37.5 Delivery term multip births 3P Newborn/neonate Z37.0 Delivery term single birth 3P Newborn/neonate Patient Minimum Data Set | Appendices 235 5.7 Appendix G– Emergency Department Major Diagnostic Blocks (MDBs) MDB code Major Diagnostic Block (MDB) description 1A Poisoning, comatose 1B Poisoning, conscious 1C Drug reaction 1D Alcohol/drug abuse and alcohol/drug induced mental disorders 2A Injury, multiple sites 2B Injury, single site, major 2Ba Injury, single site, minor 3A Circulatory system illness 3B Respiratory system illness 3C Digestive system illness 3D Urological illness 3E Neurological illness 3F Illness of the eyes 3G Illness of the ear, nose and throat 3H Musculoskeletal/connective tissue illness 3I Illness of skin, subcutaneous tissue, breast 3J Blood/immune system illness 3K Obstetric illness 3L Gynaecological illness 3M Male reproductive system illness 3N System infection/parasites 3O Illness of other and unknown systems 3P Newborn/neonate 3Q Hepatobiliary system illness 4 Psychiatric illness 5 Social problem 6 Other presentation 236 | Patient Minimum Data Set 5.8 Appendix H – Imaging codes ACHI (modified) (code)0 Australian Classification of Health Interventions (ACHI) (modified) description COMPUTERISED TOMOGRAPHY (CT)O 56001-00 CT of brain 56007-00 CT of brain with intravenous contrast medium 56010-00 CT of pituitary fossa 56013-00 CT of orbit 56016-00 CT of middle ear and temporal bone, unilateral 56022-00 CT of facial bone 56028-00 CT of facial bone with intravenous contrast medium 56030-00 CT of facial bone, paranasal sinus and brain 56036-00 CT of facial bone, paranasal sinus and brain with intravenous contrast medium 56301-01 CT of chest and abdomen 56307-01 CT of chest and abdomen with intravenous contrast medium 57001-00 CT of brain and chest 57007-00 CT of brain and chest with intravenous contrast medium 56101-00 CT of soft tissue of neck 56107-00 CT of soft tissue of neck with intravenous contrast medium 56219-00 CT of spine with intrathecal contrast medium 56220-00 CT of spine, cervical region 56221-00 CT of spine, thoracic region 56223-00 CT of spine, lumbosacral region 56224-00 CT of spine with intravenous contrast medium, cervical region 56225-00 CT of spine with intravenous contrast medium, thoracic region 56226-00 CT of spine with intravenous contrast medium, lumbosacral region 56233-00 CT of spine, multiple regions 56234-00 CT of spine with intravenous contrast medium, multiple regions 56807-00 CT of chest, abdomen and pelvis with intravenous contrast medium 56401-00 CT of abdomen 56407-00 CT of abdomen with intravenous contrast medium 56549-01 CT of colon 56501-00 CT of abdomen and pelvis 56507-00 CT of abdomen and pelvis with intravenous contrast medium 56409-00 CT of pelvis 56412-00 CT of pelvis with intravenous contrast medium 57201-00 Pelvimetry by CT 56619-00 CT of limb 56625-00 CT of limb with intravenous contrast medium 57350-08 Spiral angiography by CT of other site, with intravenous contrast medium ANGIOGRAPHYO 59903-03A Coronary arteriography 59970-03 Peripheral arteriography 59718-00 Phlebography Appendices Patient Minimum Data Set | Appendices 59754-00 Lymphangiography 59903-03 Aortography 237 DIGITAL SUBTRACTION ANGIOGRAPHY (DSA)0 60000-00 DSA of head and neck, 3 data acquisition runs 60003-00 DSA of head and neck, 4 to 6 data acquisition runs 60006-00 DSA of head and neck, 7 to 9 data acquisition runs 60009-00 DSA of head and neck,10 data acquisition runs 60012-00 DSA of thorax, 3 data acquisition runs 60015-00 DSA of thorax, 4 to 6 data acquisition runs 60018-00 DSA of thorax, 7 to 9 data acquisition runs 60021-00 DSA of thorax,10 data acquisition runs 60024-00 DSA of abdomen, 3 data acquisition runs 60027-00 DSA of abdomen, 4 to 6 data acquisition runs 60030-00 DSA of abdomen, 7 to 9 data acquisition runs 60033-00 DSA of abdomen,10 data acquisition runs 60036-00 DSA of upper limb, 3 data acquisition runs, unilateral 60039-00 DSA of upper limb, 4 to 6 data acquisition runs, unilateral 60042-00 DSA of upper limb, 7 to 9 data acquisition runs, unilateral 60045-00 DSA of upper limb,10 data acquisition runs, unilateral 60048-00 DSA of lower limb, 3 data acquisition runs, unilateral 60051-00 DSA of lower limb, 4 to 6 data acquisition runs, unilateral 60054-00 DSA of lower limb, 7 to 9 data acquisition runs, unilateral 60057-00 DSA of lower limb,10 data acquisition runs, unilateral 60060-00 DSA of aorta and lower limb, 3 data acquisition runs, unilateral 60063-00 DSA of aorta and lower limb, 4 to 6 data acquisition runs, unilateral 60066-00 DSA of aorta and lower limb, 7 to 9 data acquisition runs, unilateral 60069-00 DSA of aorta and lower limb,10 data acquisition runs, unilateral 60072-00 Digital subtraction selective arteriography or venography, 1 vessel 60075-00 Digital subtraction selective arteriography or venography, 2 vessels 60078-00 Digital subtraction selective arteriography or venography, 3 vessels MAGNETIC RESONANCE IMAGING (MRI)0 90901-00A MRI of brain - congenital malformation of the central nervous system or meninges 90901-00B MRI of brain - Inflammation of the central nervous system or meninges 90901-01V MRI of head - scan of musculoskeletal system for: derangment of one or both temporomandibular joints or their supporting structures 90901-01A MRI of head - scan of head and cervical spine for: tumour of the central nervous system or meninges 90901-01B MRI of head - scan of head and cervical spine for: demyelinating disease of the central nervous system 90901-01D MRI of head - scan of head and neck vessels for: stroke 90901-01E MRI of head - scan of head for a patient under 16 years for any of the following: unexplained seizure, unexplained headache where significant pathology is suspectedm orparanasal sinus pathology which has not responded to conservative therapy 90901-01F MRI of head - scan of head for: acoustic neuroma 90901-01G MRI of head - scan of head for: carotid or vertebral artery desection 90901-01H MRI of head - scan of head for: congenital malformation of the brain or meninges 90901-01I MRI of head - scan of head for: demyelinating disease of the brain 238 | Patient Minimum Data Set Appendices 90901-01J MRI of head - scan of head for: epilepsy 90901-01K MRI of head - scan of head for: head trauma 90901-01L MRI of head - scan of head for: inflammation of the brain or meninges 90901-01M MRI of head - scan of head for: intracranial aneurysm 90901-01N MRI of head - scan of head for: intracranial arteriovenous malformation 90901-01O MRI of head - scan of head for: pituitary tumour 90901-01P MRI of head - scan of head for: skull base or orbital tumour 90901-01Q MRI of head - scan of head for: Stereotactic scan of brain, with Fiducials in place, for the sole purpose to allow planning for stereotactic neurosurgery 90901-01R MRI of head - scan of head for: stroke 90901-01S MRI of head - scan of head for: toxic or metabolic or ischaemic encephalopathy 90901-01T MRI of head - scan of head for: tumour of the brain or meninges 90901-01U MRI of head - scan of head for: venous sinus thrombosis 90901-01Z MRI of head - scan of head for other condition NEC 90901-03AA MRI of spine - scan of cervcial spine and brachial plexus for: cervical radiculopathy 90901-03AB MRI of spine - scan of cervcial spine and brachial plexus for: previous surgery 90901-03AC MRI of spine - scan of cervcial spine and brachial plexus for: trauma 90901-03BA MRI of spine - scan of cervcial spine and brachial plexus for: tumour 90901-03BB MRI of spine - scan of one region or two contiguous regions of the spine for: cervical radiculopathy 90901-03BC MRI of spine - scan of one region or two contiguous regions of the spine for: congenital malformation of the spinal cord or the cauda equina or the meninges 90901-03BD MRI of spine - scan of one region or two contiguous regions of the spine for: previous spinal surgery 90901-03BE MRI of spine - scan of one region or two contiguous regions of the spine for: sciatica 90901-03BF MRI of spine - scan of one region or two contiguous regions of the spine for: spinal canal stenosis 90901-03BG MRI of spine - scan of one region or two contiguous regions of the spine for: syrinx (congenital or aquired) 90901-03BH MRI of spine - scan of one region or two contiguous regions of the spine for: trauma 90901-03BI MRI of spine - scan of one region or two contiguous regions of the spine for: tumour 90901-03BJ MRI of spine - scan of one region or two contiguous regions of the spine for: demyelinating 90901-03BK MRI of spine - scan of one region or two contiguous regions of the spine for: infection 90901-03BL MRI of spine - scan of one region or two contiguous regions of the spine for: Myelopathy 90901-03C MRI of spine - scan of spine for a patient under 16 years following radiographic examination for: significant trauma, unexplained neck or back pain with associated neurological signs, unexplained back pain where significant pathology is suspected 90901-03DB MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: cervical radiculopathy 90901-03DC MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: congenital malformation of the spinal cord or the cauda equina or the meninges 90901-03DD MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: demyelinating disease 90901-03DE MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: myelopathy Appendices Patient Minimum Data Set | 239 90901-03DF MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: previous spinal surgery 90901-03DG MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: sciatica 90901-03DH MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: spinal canal stenosis 90901-03DI MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: syrinx (congenital or aquired ) 90901-03DJ MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: trauma 90901-03DK MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: tumour 90901-03DL MRI of spine - scan of three contiguous regions or two non contiguous regions of the spine for: infection 90901-05 MRI of abdomen - scan of person under the age of 16 for: pelvic or abdominal mass 90901-06A MRI of pelvis - Scan of pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at figo stages 1b or greater 90901-06B MRI of pelvis - Scan of pelvis for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum) 90901-06C MRI of pelvis - Scan of pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater 90901-07A MRI of extremity - scan of elbow for a patient under 16 years following radiographic examination where a significant fracture or avulsion injury is suspected that will change management 90901-07B MRI of extremity - scan of knee for a patient under 16 years following radiographic examination for internal joint derangement 90901-07C MRI of extremity - scan of musculoskeletal system for: derangement of elbow or its supporting structures 90901-07D MRI of extremity - scan of musculoskeletal system for: derangment of ankle and/or foot or its supporting structures 90901-07F MRI of extremity - scan of musculoskeletal system for: derangment of knee or its supporting structures 90901-07G MRI of extremity - scan of musculoskeletal system for: derangment of wrist and/or hand or its supporting structures 90901-07L MRI of extremity - scan of person under the age of 16 for: the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome 90901-07M MRI of extremity - scan of wrist for a patient under 16 years following radiographic examination where scaphoid fracture is suspected 90901-08AA MRI of other site - scan of body for adrenal mass in a patient with malignancy which is otherwise resectable 90901-08AB MRI of other site - scan of cardiovascular system for: abnormality of thoracic aorta 90901-08AC MRI of other site - scan of cardiovascular system for: congenital disease of the heart or a great vessel 90901-08AD MRI of other site - scan of cardiovascular system for: obstruction of the superior vena cava, inferior vena cava or a major pelvic vein 90901-08AE MRI of other site - scan of cardiovascular system for: tumour of the heart or a great vessel 90901-08AF MRI of other site - scan of cardiovascular system for: vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium 90901-08B MRI of other site - scan of hip for a patient under 16 years following radiographic examination for: suspected septic arthritis, suspected slipped capital femoral epiphysis, or suspected Perthes disease 240 | Patient Minimum Data Set Appendices 90901-08CA MRI of other site - scan of musculoskeletal system for: derangement of hip or its supporting structures 90901-08CB MRI of other site - scan of musculoskeletal system for: derangment of shoulder or its supporting structures 90901-08CC MRI of other site - scan of musculoskeletal system for: Gaucher disease 90901-08CD MRI of other site - scan of musculoskeletal system for: infection arising in bone or musculoskeletal system, this excludes infection arising in breast, prostate or rectum 90901-08CE MRI of other site - scan of musculoskeletal system for: osteonecrosis 90901-08CF MRI of other site - scan of musculoskeletal system for: tumour arising in bone or musculoskeletal system, this excludes tumours arising in breast, prostate or rectum 90901-08D MRI of other site - scan of pancreas and biliary tree for: suspected biliary or pancreatic pathology 90901-08EA MRI of other site - scan of person under the age of 16 for: congenital uterine or anorectal abnormality 90901-08EB MRI of other site - scan of person under the age of 16 for: Gaucher disease 90901-08EC MRI of other site - scan of person under the age of 16 for: mediastinal mass 90901-08ED MRI of other site - scan of person under the age of 16 for: postinflammatory or post 90901-08EE MRI of other site - syrinx (congenital or aquired) 90901-10A MRI of breast - scan of both breasts for detection of cancer 90901-10B MRI of breast – scan of one or both breasts for the evaluation of implant integrity 90999-00A MRI of other region without contrast 90999-00B MRI of other region with contrast NUCLEAR MEDICINE IMAGING 61402-00 Cerebral perfusion study with single photon emission computerised tomography [SPECT] 61405-00 Brain study with blood brain barrier agent 61372-00 Salivary study 61495-00 Tear duct study 61313-00 Gated cardiac blood pool study 61314-00 Gated cardiac blood pool study with first pass blood flow study 61316-00 Gated cardiac blood pool study with intervention 61317-00 Gated cardiac blood pool study with intervention and first pass blood flow study 61302-00 Stress myocardial perfusion study 61306-00 Combined stress and rest myocardial perfusion study 61303-00 Stress myocardial perfusion study with single photon emission computerised tomography [SPECT] 61307-00 Combined stress and rest myocardial perfusion study with single photon emission computerised tomography [SPECT] 61310-00 Avid imaging study for myocardial infarct 61320-00 Cardiac shunt study 61417-00 Dynamic blood flow study 61465-00 Nuclear medicine venography 61469-00 Lymphoscintigraphy 61499-00 Intra-arterial particle perfusion study 61328-00 Lung perfusion study 61340-00 Lung ventilation study 61348-00 Lung perfusion and ventilation study Patient Minimum Data Set | Appendices 241 61364-00 Bowel haemorrhage study 61368-00 Meckel's diverticulum study 61373-00 Gastro-oesophageal reflux study 61376-00 Oesophageal clearance study 61381-00 Gastric emptying study 61383-00 Combined solid and liquid gastric emptying study 61384-00 Radionuclide colonic transit study 61386-00 Renal study 61387-00 Renal cortical study with single photon emission computerised tomography [SPECT] 61389-00 Renal study with preprocedural administration of diuretic or angiotensin converting enzyme [ACE] inhibitor 61390-00 Renal study followed by diuretic administration and second renal study 61393-00 Combined examination and renal study 61445-00 Localised bone marrow study 61446-00 Localised bone study 61449-00 Localised bone study with single photon emission computerised tomography [SPECT] 61421-00 Whole body bone study 61425-00 Whole body bone study with single photon emission computerised tomography [SPECT] 61441-00 Whole body bone marrow study 61426-00 Whole body study using iodine 61429-00 Whole body study using gallium 61430-00 Whole body study using gallium with single photon emission computerised tomography [SPECT], 1 body region 61433-00 Whole body study using cells labelled with technetium 61434-00 Whole body study using cells labelled with technetium and single photon emission computerised tomography [SPECT] 61437-00 Whole body study using thallium 61438-00 Whole body study using thallium with single photon emission computerised tomography [SPECT] 61442-00 Whole body study using gallium with single photon emission computerised tomography [SPECT], ³ 2 body regions 61450-00 Localised study using gallium 61453-00 Localised study using gallium with single photon emission computerised tomography [SPECT] 61454-00 Localised study using cells labelled with technetium 61457-00 Localised study using cells labelled with technetium and single photon emission computerised tomography [SPECT] 61458-00 Localised study using thallium 61461-00 Localised study using thallium with single photon emission computerised tomography [SPECT] 61352-00 61352-00 Colloid liver and spleen study with planar imaging 61353-00 Colloid liver and spleen study with single photon emission computerised tomography [SPECT] 61356-00 Red blood cell liver study 61360-00 Hepatobiliary study 61361-00 Hepatobiliary study with formal quantification following baseline imaging 61369-00 Indium-labelled octreotide study 242 | Patient Minimum Data Set Appendices 61397-00 Nuclear medicine cystoureterography 61401-00 Testicular study 61409-00 Cerebrospinal fluid transport study 61413-00 Cerebrospinal fluid shunt patency study 61473-00 Thyroid study 61480-00 Parathyroid study 61484-00 Adrenal study 61485-00 Adrenal study with single photon emission computerised tomography [SPECT] 90910-00 Nuclear medicine study of other region or organ 61523-00 Whole body study with positron emission tomography [PET] 61559-00 Cerebral positron emission tomography [PET] 90905-01 Myocardial positron emission tomography [PET] 90905-03 Localised study not elsewhere classified, with positron emission tomography [PET] MAMMOGRAPHY 59300-00 Radiography of breast, bilateral RADIOGRAPHY 12306-00 Bone densitometry using dual energy x-ray absorptiometry 57901-00 Radiography of skull 57902-00 Cephalometry 57903-00 Radiography of paranasal sinus 57906-00 Radiography of mastoid bone 57909-00 Radiography of petrous temporal bone 57912-00 Radiography of other facial bone 57915-00 Radiography of mandible 57918-00 Radiography of salivary gland 57921-00 Radiography of nose 57924-00 Radiography of eye 57927-00 Radiography of temporomandibular joint 57930-00 Radiography of teeth 57933-00 Radiography of teeth, full mouth 57939-00 Palatopharyngeal study with fluoroscopic screening 57942-00 Palatopharyngeal study 57945-00 Radiography of larynx 57960-00 Orthopantomography 59703-00 Dacryocystography 59733-00 Radiography of salivary gland with contrast 58100-00 Radiography of cervical spine 58103-00 Radiography of thoracic spine 58106-00 Radiography of lumbosacral spine 58109-00 Radiography of sacrococcygeal spine 59700-00 Discography 59724-00 Myelography 58108-00 Radiography of spine, 4 regions 58112-00 Radiography of spine, 2 regions 58115-00 Radiography of spine, 3 regions 57700-00 Radiography of shoulder or scapula Patient Minimum Data Set | Appendices 243 57706-00 Radiography of clavicle 57512-00A Radiography of Hand and wrist or hand, wrist and forearm or forearm and elbow or elbow and humerus 57512-00B Radiography of Hand, wrist, forearm, elbow or humerus 58521-00 Radiography of sternum 58524-00 Radiography of ribs, bilateral 58527-00 Radiography of sternum and ribs, bilateral 59300-00 Radiography of breast, bilateral 59303-00 Radiography of breast, unilateral 59306-00 Mammary ductography of breast, unilateral 59309-00 Mammary ductography of breast, bilateral 58500-00 Radiography of chest 58506-00 Radiography of chest with fluoroscopic screening 58509-00 Radiography of thoracic inlet or trachea 59715-00 Bronchography 58909-00 Opaque meal of pharynx, oesophagus, stomach or duodenum 58912-00 Opaque meal of pharynx, oesophagus, stomach and duodenum and follow through to colon 58915-00 Opaque meal of small intestine 58916-00 Opaque enema of small intestine 58921-00 Other opaque enema 58939-00 Defaecography 58924-00 Cholecystography 58927-00 Direct cholangiography, postoperative 58936-00 Drip infusion cholangiography 58900-00 Radiography of abdomen 59760-00 Peritoneography 58706-00 Intravenous pyelography 58715-01 Retrograde pyelography 58718-00 Retrograde cystography 58721-00 Retrograde micturating cystourethrography 58700-00 Radiography of urinary tract 57712-00 Radiography of hip joint 57715-00 Radiography of pelvis 57721-00 Radiography of internal fixation of fracture of femur 59503-00 Radiographic pelvimetry 59712-00 Hysterosalpingography 57524-04A Radiography of foot and ankle, or ankle and leg, or leg and knee, or knee and femur 57524-04B Foot and ankle, or ankle and leg, or leg and knee, or knee or femur 57524-04C Foot, ankle, leg, knee or femur 58300-00 Bone age radiographic study of wrist and knee 59751-00 Arthrography 58306-00 Radiography of whole skeleton 59739-00 Sinography of chest wall 90903-00 Radiography of soft tissue, not elsewhere classified 90999-00A Radiography of other region 244 | Patient Minimum Data Set 60100-00 Appendices Tomography ULTRASOUND SCAN 55028-00 Ultrasound of head 55030-00 Ultrasound of orbital contents 55032-00 Ultrasound of neck 55036-00 Ultrasound of abdomen 55038-00 Ultrasound of urinary tract 55044-00A Ultrasound of male pelvis 55044-00B Ultrasound of pelvis 55048-00 Ultrasound of scrotum 55070-00 Ultrasound of breast, unilateral 55076-00 Ultrasound of breast, bilateral 55084-00 Ultrasound of urinary bladder 55113-00 M-mode and 2 dimensional real time ultrasound of heart 55118-00 2 dimensional real time transoesophageal ultrasound of heart 55238-00 Duplex ultrasound of arteries or bypass grafts in lower limb, unilateral 55244-00 Duplex ultrasound of veins in lower limb, unilateral 55248-00 Duplex ultrasound of arteries or bypass grafts in upper limb, unilateral 55252-00 Duplex ultrasound of veins in upper limb, unilateral 55274-00 Duplex ultrasound of extracranial, carotid and vertebral vessels 55276-00 Duplex ultrasound of intra-abdominal, aorta and iliac arteries and/or inferior vena cava and iliac veins 55278-00 Duplex ultrasound of renal and/or visceral vessels 55280-00 Duplex ultrasound of intracranial vessels 55282-00 Duplex ultrasound of artery of penis 55284-00 Duplex ultrasound of cavernosal tissue of penis 55292-00 Duplex ultrasound of surgically created arteriovenous fistula or access graft of upper limb 55294-00 Duplex ultrasound of arteries for bypass conduit mapping 55600-00 Transrectal ultrasound of prostate, bladder base and urethra 55700-00 Ultrasound for detection of fetal abnormality 55729-01 Duplex ultrasound of umbilical artery 55731-00 Ultrasound of female pelvis 55800-00 Ultrasound of hand or wrist 55804-00 Ultrasound of forearm or elbow 55808-00 Ultrasound of shoulder or upper arm 55812-00 Ultrasound of chest or abdominal wall 55816-00 Ultrasound of hip 55824-00 Ultrasound of buttock 55828-00 Ultrasound of knee 55832-00 Ultrasound of lower leg 55836-00 Ultrasound of ankle or foot 55844-00 Ultrasound of skin and subcutaneous tissue 55852-00 Ultrasound of spine and spinal cord 55999-00A Ultrasound of other region Patient Minimum Data Set | Appendices 245 5.9 Appendix I: Dental codes Specialist/ GP with privilege General QOCS Dental Clinic Code:0 QOCS Dental clinic code name Description Primary Related ACHI ACHI procedure procedure code(s) codes (Note: * (Note: * Denotes Denotes modified modified ACHI code) ACHI code) Examinations Evaluation of all teeth, their supporting tissues and the oral tissues in order to record the condition of these structures. This evaluation includes recording an appropriate medical history and any other relevant information. Include any of the following if also undertaken: • Written report and/or any letter of referral • Pulp testing (non-invasive test used to determine the clinical status of the pulp. It involves the application of external stimulation to the pulp to determine its response. Other teeth are generally tested for comparison) R.011 S.011 Comprehensive oral examination • Preparation of diagnostic model • Intraoral & extraoral photographic records (photographs and/or printed digitised images showing structures inside the mouth associated with dental diagnosis or clinical procedure. These images should not be confused with digitised radiographic images) • Diagnostic model (involves the preparation of a model, from an impression. The model is used for examination and treatment planning procedures) • Dental bacteriological examination • Dental culture examination and identification • Dental antibiotic sensitivity test 97011-00 97018-00, 97061-00, 97071-00, 97072-00, 97073-00, 97019-00, 97041-00, 97042-00, 97043-00, 97044-00, 97047-00, 246 | Patient Minimum Data Set Appendices • Dental noninvasive specimen collection for pathology examination • Tooth-jaw size prediction analysis • Tomographic analysis 97048-00, 97052-00, 97053-00, 97055-00, 97056-00, 97082-00, 97086-00, 97131-00, 97141-00 • Electromyographic analysis • Saliva screening test • Bacteriological screening test • Dental histopathological examination of tissue • Dental cytological investigation • Blood sample, for dental diagnosis • Dental haematological examination • Dental dietary advice • Oral hygiene instruction. R.012 S.012 Periodic oral examination An evaluation performed on a patient of record to determine any changes in the patient’s dental and medical health status since a previous comprehensive 97012-00 or periodic examination. As for R.011/ S.011. Inclusions as for R.011/S.011. R.013 S.013 Oral examination limited A limited oral problem-focussed evaluation carried out immediately prior to required treatment. This evaluation includes recording an appropriate medical history and any other relevant information. As for 97013-00 R.011/ S.011. Inclusions as for R.011/S.011. NA S.014 Consultation (Specialist only) A consultation to seek advice or discuss treatment options regarding a specific dental or oral condition. This consultation includes recording an appropriate medical history and any other relevant information. As for 97014-00, 97221-00 R.011/ S.011. Inclusions as for R.011/S.011. NA S.015 An extended consultation to seek advice or discuss treatment options regarding a specific dental or oral complaint. This consultation includes Consultation - extended recording an appropriate medical (30 mins) (Specialist only) history and any other relevant information. Includes clinical periodontal analysis and recording Inclusions as for R.011/S.011. As for 97015-00 R.011/ S.011. Patient Minimum Data Set | Appendices NA S.018 Comprehensive clinical report (not elsewhere included) (Specialist only) A written report not addressed to a referring practitioner involved in the patient’s care. Cannot be requested directly by patient. This item should be used for specialist providing a second opinion under arrangements established for the Seha National Health Insurance Scheme 97018-00 Inclusions as for R.011/S.011. Radiological Examination and Interpretation S.022 Intraoral periapical or bitewing radiograph per exposure Taking and interpreting a radiograph made with the film inside the mouth. 97022-00 S.025 Taking and interpreting an occlusal, maxillary or mandibular intraoral radiograph. This radiograph shows Extraoral or Intraoral a more extensive view of teeth and radiograph - occlusal, maxillary or mandibular bone/ Taking maxillary or mandibular and interpreting a radiograph of per exposure the upper and/or lower jaw using a film placed outside the mouth: for example, oblique lateral radiograph. 97025-00, 57930-00 NA S.033 Non-cephalmetric radiography - Lateral, antero-posterior, postero-anterior or submento-vertex radiograph of the skull per exposure NA S.035 Radiograph of Taking and interpreting a 2D temperomandibular joint radiograph of the temporomandibular 2D - per exposure joint. 57927-00 NA S.040 Radiograph of Taking and interpreting a 3D temperomandibular joint radiograph of the temporomandibular 3D - per exposure joint. 57927-00 S.036 Cephalometric radiograph - lateral, antero-posterior, postero-anterior or submento-vertex - per exposure Taking and interpreting a radiograph of the head taken from the side, the front, the back or through the vertex of the skull, for the purpose of measurement and analysis. A cephalostat is used to standardise the conditions of imaging. 97081-00 Panoramic radiograph per exposure Taking and interpreting an extraoral radiograph presenting a panoramic view of part or all of the mandible and/or maxilla and/or adjacent structures. 57933-00 S.051 Biopsy of tissue Standalone provider A surgical procedure to obtain a section of tissue for pathological examination. Price does not include laboratory services. 30075-23 S.052 Biopsy of tissue Integrated provider A surgical procedure to obtain a section of tissue for pathological examination. Price includes laboratory services. 30075-23 R.022 R.025 NA R.037 S.037 Taking and interpreting an extraoral radiograph of the head taken from the side, the front, the back or through the 57901-00 vertex of the skull. No cephalostat is used. Other Diagnostic Services R.051 R.052 247 248 | Patient Minimum Data Set Appendices Preventative Services R.111 S.111 Removal of plaque and/ or stain, and/or calculus Removal of dental plaque and/or stain from the surfaces of all teeth. Removal of calculus from the surfaces of teeth. 97111-00, 97114-00 R.113 S.113 Recontouring preexisting restoration(s) The reshaping and polishing of preexisting restorations. 97113-00 S.121 Topical application of remineralising and/or cariostatic agents - one treatment Application of remineralisation and/ or cariostatic agents to the surfaces of the teeth. This may include activation of the agent. Not to be used as an intrinsic part of the restoration. 97121.01 S.123 A procedure to promote caries resistance in a specific situation, involving isolation and control of Concentrated the target area and prolonged remineralising and/ application of a concentrated fluoride 97123.01 or cariostatic agent, or remineralisation and/ or cariostatic application - single tooth agent. This includes necessary activation of the agent. Not to be used as an intrinsic part of the restoration. S.151 Provision of a mouthguard - indirect/ Provision of Bimaxillary mouthguard, indirect Construction of a mouthguard, using a model(s) prepared from an impression(s) of the teeth taken by or under the supervision of the clinician and subsequently inserted. Fissure sealing - per tooth Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. Any 97161-00 preparation prior to application of the sealant is included in this item number. This item describes all desensitising undertaken at a single visit and may include a procedure to diminish or 97165-01 abolish the painful sensitivity and discomfort which can occur in exposed dentine. R.121 R.123 R.151 R.161 S.161 97151-00/ 97153-00 R.165 S.165 Desensitising procedure - per tooth R.171 S.171 A stand-alone procedure to modify the Odontoplasty - per tooth contour of the crown of a tooth or the 97171-00 anatomy of the fissure of a tooth. Periodontics R.213 S.213 Treatment of acute periodontal infection per visit This item describes the treatment of acute periodontal infection(s). It may include establishing drainage and the removal of calculus from the affected tooth (teeth). Also includes any drainage of abscess by incision, lavage, prescription of antibiotics, removal of debris and deposits from gums and gingival crevice. 97213-00 Patient Minimum Data Set | Appendices NA R.231 S.222 S.231 Root planing and subgingival curettage per tooth The process of planing the root surface to remove rough or contaminated cementum or dentine and may include removal of calculus, curetting the soft tissues of the periodontal pocket and removing granulation tissue. 97222-00/ 97222-01 Gingivectomy per tooth, up to 8 teeth The surgical removal of the soft tissue wall of the periodontal pocket or the removal of swollen, excess gingival tissue. The procedure includes the removal of calculus and root planing of the tooth or implant. 97231-00: Report separate procedure code for each tooth treated 97399-00, 97395-00 9723101: Report separate procedure code for each tooth treated 97399-00, 97395-00 R.233 S.233 Gingivectomy per tooth - greater than 8 teeth The surgical removal of the soft tissue wall of the periodontal pocket or the removal of swollen, excess gingival tissue. The procedure includes the removal of calculus and root planing of the tooth or implant. NA S.236 Guided tissue regeneration - per tooth or implant A surgical technique in which a membrane is adapted over a bony defect, the tooth root or an implant. 97236-00 97399-00, 97395-00 NA S.237 Guided tissue regeneration membrane removal Surgical procedure to remove a previously positioned membrane. 97237-00 97399-00, 97395-00 NA S.241 Root resection - per root Removal or amputation of one or more roots of a multi-rooted tooth with or 97241-00 without a portion of the crown. 97399-00, 97395-00 S.245 Periodontal surgery involving one tooth or an implant Surgical intervention to aid the resolution of a localised periodontal inflammatory condition involving one tooth or an implant. The item is also used to describe pericision. 97245-00 97399-00, 97395-00 NA Oral Surgery - Extractions R.311 S.311 Removal of a tooth or parts thereof: 1st tooth extracted A procedure consisting of the removal of a tooth or part(s) thereof. 97311-01 to 97311-08 97399-00, 97395-00, 97927-00 R.314 S.314 Sectional removal of a tooth: 1st sectional removal The removal of a tooth or part(s) thereof in sections. Bone removal may be necessary. 97314-01 to 97314-08 97399-00, 97395-00, 97927-00 Oral Surgery - Surgical Extractions NA NA S.322 Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division: 1st tooth extracted. Removal of a tooth or tooth fragment where an incision and the raising of a mucoperiosteal flap is required, but where removal of bone or sectioning of the tooth is not necessary to remove the tooth. 97322-00, 97322-02 to 97322-08 97399-00, 97322-09, 97322-10, 97322-01, 97395-00, 97927-00 S.323 Surgical removal of a tooth or tooth fragment requiring removal of bone: 1st tooth extracted Removal of a tooth or tooth fragment where removal of bone is required after an incision and a mucoperiosteal flap raised. 97323-01 to 97323-08 97399-00, 97395-00, 97927-00 249 250 | Patient Minimum Data Set NA S.324 Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth division: 1st tooth extracted Appendices Removal of a tooth or tooth fragment where both removal of bone and sectioning of the tooth are required after an incision and a mucoperiosteal flap raised. The tooth will be removed in portions. 97324-01 to 97324-08 97399-00, 97395-00, 97927-00 Oral Surgery - Surgery for Prostheses S.337 Reduction of fibrous tuberosity A surgical procedure involving removal of fibrous tissue from the posterior 45829-00 maxillary alveolar ridge in order to modify the ridge contour. 97399-00 S.338 Reduction of flabby ridge - per segment A surgical procedure involving removal of unsupported soft tissue from a 97338-00 segment or quadrant of the maxillary or mandibular alveolar ridge. 97399-00 NA S.341 Removal of hyperplastic tissue The surgical removal of an area of hyperplastic tissue from the maxillary or mandibular alveolar ridge or adjacent mucosa. 97341-00 97399-00 NA S.343 Repositioning of muscle attachment The surgical repositioning of a muscle attachment to place it in a more favourable position. 97343-00 97399-00 NA S.344 Vestibuloplasty and/or skin or mucosal graft The surgical deepening of the buccal or labial vestibule in the mucosa. 45837-00/ 45837-01 97399-00 NA NA Oral Surgery - Other Surgical Procedures S.381 Surgical exposure of unerupted tooth Surgical exposure of an unerupted tooth to encourage its eruption. 97381-00 97399-00 S.382 Surgical exposure and attachment of device for orthodontic traction Surgical exposure of an unerupted tooth and attachment of a device so that orthodontic traction may be applied. 97382-00 97399-00 S.384 Repositioning of displaced tooth/teeth per tooth A procedure following trauma where the position of the displaced tooth/ teeth is corrected by manipulation. Stabilising procedures are itemised separately. 97384-00 97399-00 NA S.385 Surgical repositioning of unerupted tooth Surgical exposure and manipulation of an unerupted tooth to correct its position but not to detach the tooth from its supporting tissues. 97385-00 97399-00 R.386 S.386 Splinting of displaced tooth/teeth - per tooth A procedure following trauma where the position of the displaced tooth/ teeth may be stabilised by splinting. 97386-01 97399-00 97389-01 97399-00 30281-01 NA NA NA NA S.389 Surgery to isolate and preserve neurovascular tissue Additional surgery performed at the time of dento-alveolar surgery where damage to the neurovascular bundle may occur. The object of the additional surgery is to isolate and protect the neurovascular bundle from injury. R.391 S.391 Frenectomy Removal of a frenum. Patient Minimum Data Set | Appendices Endodontics - Pulp and Root Canal Treatments Direct pulp capping A procedure where an exposed pulp is directly covered with a protective dressing or cement. 97411-00 S.414 Pulpotomy Amputation within the pulp chamber of part of the vital pulp of a tooth. The pulp remaining in the canal(s) is then covered with a protective dressing or cement. 97414-00 S.415 Complete chemomechanical preparation of root canal, 1 canal Complete chemo-mechanical preparation including removal of pulp 97415-00 or necrotic debris from a canal/ canals, 1 canal. 97455-00 R.416 S.416 Complete chemomechanical preparation of root canal, each additional canal Complete chemo-mechanical preparation including removal of pulp 97416-00 or necrotic debris from each additional canal of a tooth with multiple canals. 97455-00 R.417 S.417 Root canal obturation, 1 canal The filling of a root canal, following chemo-mechanical preparation. 97417-00 97455-00 S.418 Root canal obturation, each additional canal The filling, following chemomechanical preparation, of each additional canal in a tooth with multiple canals. 97418-00 97455-00 R.419 S.419 Extirpation of pulp or debridement of root canal(s) - emergency or palliative The partial or thorough removal of pulp and/or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visits for scheduled endodontic treatment. 97419-00 R.421 S.421 Resorbable root canal filling, primary tooth Resorbable root canal filling, primary tooth 97421-00 Periapical curettage per root Surgical exposure of the apical section of the root of a pulpless or endodontically treated tooth, to remove associated pathological tissue. Excludes apicectomy. Where periapical curettage and apicectomy 97431-00 are undertaken together, item R.432/S.432 should be claimed. Where periapical curettage, apicectomy and apical seal are undertaken together, item R.434/S.434 should be claimed. Apicectomy (excluding apical seal) - per root Surgical exposure of the apical section of the root of a pulpless or endodontically treated tooth to remove the apical portion of the root 97432-00 including curettage of the region. Excludes apical seal. Where apical seal is undertaken item R.434/S.434 should be claimed. R.411 R.414 R.415 R.418 R.431 R.432 S.411 S.431 S.432 251 252 | Patient Minimum Data Set R.433 R.434 S.433 S.434 Appendices Exploratory periradicular surgery Surgery to investigate the integrity of the root and surrounding structures. 97433-00 Apical seal - per canal A surgical method of debriding and filling the apical end of the root canal of a tooth. The item includes apicectomy and periapical curettage. 97434-00 A surgical method of sealing a communication between the pulp canal/chamber and the periradicular tissues. 97436-00 R.436 S.436 Sealing of perforation R.437 S.437 Surgical treatment and Surgical treatment of external root repair of an external root resorption. resorption - per tooth R.438 S.438 Hemisection R.445 S.445 Chemical and physical procedures to Exporation for a calcified locate and/or negotiate an abnormally 97445-00 root canal - per canal calcified root canal where specific time is devoted to this procedure. R.451 S.451 Removal of root filling per canal Removal of the root filling from a previously obturated canal to enable endodontic retreatment. 97451-00 R.452 S.452 Removal of cemented root canal post or post crown Removal of a cemented root canal post or post crown. 97452-00 R.453 S.453 Removal or bypassing fractured endodontic instrument The removal or bypassing of an instrument lodged in the root canal. 97453-00 S.457 Obturation of resorption defect or perforation (non surgical) Conservative treatment of a root perforation or resorption defect to repair the defect from within the root canal. 97457-00 Interim therapeutic rootfilling - per tooth A procedure consisting of the insertion of a long-term provisional (temporary) root canal filling with therapeutic properties which facilitates 97458-00 healing/development of the root and periradicular tissues over an extended time. R.457 R.458 S.458 97437-00 Separation of a multi-rooted tooth into 97438-00 two parts. Restorative Services - Direct restorations R.511 S.511 Metallic restoration – one surface – direct Direct metallic restoration involving one surface of a tooth. 97511-01 R.512 S.512 Metallic restoration -two surfaces – direct Direct metallic restoration involving two surfaces of a tooth. 97512-01 R.513 S.513 Metallic restoration -three surfaces – direct Direct metallic restoration involving three surfaces of a tooth. R.514 S.514 Metallic restoration four surfaces – direct Direct metallic restoration involving four surfaces of a tooth. 97514-02 R.515 S.515 Metallic restoration - five Direct metallic restoration involving surfaces – direct five surfaces of a tooth. 97515-02 S.521 Adhesive restoration one surface - anterior tooth – direct R.521 Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an anterior tooth. 97513-01 97521-01 Patient Minimum Data Set | Appendices S.522 Adhesive restoration two surfaces - anterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an anterior tooth. 97522-01 S.523 Adhesive restoration three surfaces - anterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an anterior tooth. 97523-01 S.524 Adhesive restoration four surfaces - anterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an anterior tooth. 97524-00 S.525 Adhesive restoration five surfaces - anterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an anterior tooth. 97525-00 S.531 Adhesive restoration one surface - posterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of a posterior tooth. 97531-00 S.532 Adhesive restoration two surfaces - posterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of a posterior tooth. 97532-00 S.533 Direct restoration, using an adhesive Adhesive restoration technique and a tooth-coloured three surfaces - posterior material, involving three surfaces of a tooth – direct posterior tooth. S.534 Adhesive restoration four surfaces - posterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of a posterior tooth. 97534-00 R.535 S.535 Adhesive restoration five surfaces - posterior tooth – direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of a posterior tooth. 97535-00 R.541 S.541 Metallic restoration - one Indirect metallic restoration, involving surface – Indirect one surface of a tooth. 97541-01 R.542 S.542 Metallic restoration - two Indirect metallic restoration, involving surfaces – Indirect two surfaces of a tooth. 97542-01 R.543 S.543 Metallic restoration three surfaces – Indirect Indirect metallic restoration, involving three surfaces of a tooth 97543-01 R.544 S.544 Metallic restoration four surfaces – Indirect Indirect metallic restoration, involving four surfaces of a tooth. 97544-00 R.545 S.545 Metallic restoration - five Indirect metallic restoration, involving surfaces – Indirect five surfaces of a tooth. 97545-00 R.551 S.551 Tooth coloured restoration - one surface – Indirect Indirect tooth-coloured restoration, involving one surface of a tooth. 97551-01 R.552 S.552 Tooth coloured Indirect tooth-coloured restoration, restoration - two surfaces involving two surfaces of a tooth. – Indirect 97552-01 R.522 R.523 R.524 R.525 R.531 R.532 R.533 R.534 97533-00 253 254 | Patient Minimum Data Set Appendices R.553 S.553 Tooth coloured restoration - three surfaces – Indirect Indirect tooth-coloured restoration, involving three surfaces of a tooth. 97553-01 R.554 S.554 Tooth coloured restoration - four surfaces – Indirect Indirect non-metallic restoration, involving four surfaces of a tooth. 97554-01 R.555 S.555 Tooth coloured Indirect non-metallic restoration, restoration - five surfaces involving five surfaces of a tooth. – Indirect 97555-01 S.572 The provisional (intermediate) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth is removed. This item should only be used Provisional where the provisional (intermediate) (intermediate/temporary) restoration is not an intrinsic part restoration of treatment. It does not include provisional (temporary) sealing of the access cavity during endodontic treatment or during construction of indirect restorations. 97572-01 R.572 R.574 S.574 Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration. R.575 S.575 Pin retention - per pin Use of a pin to aid the retention and support of direct or indirect restorations in a tooth. 97575-00 R.576 S.576 Metallic crown - direct Placing a preformed metallic crown as a coronal restoration for a tooth. 97576-00 Cusp capping - per cusp This item is to be used in conjunction with items describing direct or indirect restorations of posterior teeth which are formed in such a manner as to restore the anatomical or functional height of a cusp. 97577-00 R.577 S.577 97574-01 R.578 S.578 Restoration of an incisal corner - per corner This item is to be used in conjunction with items describing direct or indirect restorations of anterior teeth which are 97578-00 formed in such a way as to restore the anatomical or functional shape of an incisal corner. R.579 S.579 Bonding of tooth fragment The direct bonding of a tooth fragment as an alternative to placing a restoration. No ACHI code available R.582 S.582 Veneer - direct Direct bonding of a veneer of adhesive tooth-coloured material to the surface of a tooth. 97582-01 R.583 S.583 Veneer - indirect The attachment of a tooth-coloured veneer to the surface of a tooth. The veneer is constructed indirectly. 97583-01 R.595 S.595 Removal of inlay/onlay The removal of a currently cemented definitive indirect restoration, which may be subsequently reinserted. 97595-00 Patient Minimum Data Set | Appendices R.596 S.596 Recementing of inlay/ onlay Recementing a previously cemented indirect restoration. 97596-00 R.597 S.597 Post - direct: 1st post in a tooth Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration. 97597-00 Prosthodontics - Crowns R.611 S.611 Full crown - acrylic resin - indirect An artificial crown constructed with an acrylic-based material, restoring a natural tooth. 97611-01 R.613 S.613 Full crown - non-metallic - indirect An artificial crown constructed of tooth-coloured material, restoring a natural tooth. 97613-00 R.615 S.615 Full crown - veneered indirect An artificial crown constructed with a metallic base veneered with a toothcoloured material, restoring a natural tooth. 97615-00 R.618 S.618 Full crown - metallic indirect An artificial crown constructed of cast metal, restoring a natural tooth. 97618-00 S.625 A post and core fabricated accurately to the dimension of the prepared Core for crown including root canal(s) and the desired coronal post - indirect anatomy to provide an anchor foundation for an artificial crown. 97625-00 R.625 R.627 R.629 S.627 S.629 Preliminary restoration for crown - direct A direct restoration of the remains of a tooth to provide a base for an intended indirect crown, placed at the same visit as the crown preparation. Pins and/or posts used should be itemised separately. 97627-00 Post and root cap indirect A post and capping fitted to the root of a tooth. The post provides an anchor in the root canal of the tooth and the capping may provide support for an overdenture. It may incorporate a precision or magnetic attachment which should be separately itemised. 97629-00 Prosthodontics - Provisional Crown and Bridge R.631 S.631 Provisional crown Prosthodontics - Bridges Provisional restoration of a tooth with a crown which is designed to last until the definitive crown can be constructed or the tooth is removed. This item should only be used where a provisional crown is not an intrinsic part of another service. It should not be used for a provisional restoration between appointments during crown construction. 97631-00 255 256 | Patient Minimum Data Set R.642 R.643 S.642 S.643 Appendices Bridge pontic - direct per pontic The direct attachment of a replacement tooth to the adjoining abutment tooth/teeth. The pontic and attachment may utilise reinforcing materials. The number of pontics should be indicated and the attaching restorations should be appropriately itemised. 00-97642 Bridge pontic - indirect per pontic The indirect provision of an artificial replacement tooth joined to a retainer(s) on an abutment tooth or osseointegrated implant. The number of pontics should be indicated and the retainer should be appropriately itemised. 00-97643 Prosthodontics - Procedures for Implant Prostheses R.661 S.661 Fitting of implant abutment – per abutment Fitting of the final implant abutment or the replacement of an existing abutment. No ACHI code available R.663 S.663 Removal of implant and/ or retention device The surgical removal of an implant and/or retention device. 00-97663 S.664 A rigid bar affixed to natural tooth or osseointegrated implant abutment Fitting of bar for denture to provide support and retention for a dental prosthesis. The retention – per abutment components within the prosthesis are itemised as R.735/S.735. R.664 00-97664 A fixed prosthesis carrying artificial teeth on a cast or milled metal frame, supported by the implants to which it is attached and not designed for self00-97666 removal. This is inclusive of the sealing of the access to the abutment screws. Abutments attached to implants itemised as R.661/S.661. R.666 S.666 Prosthesis with metal frame attached to implants – fixed or removable – per arch R.668 S.668 Fixture or abutment screw removal and replacement Removal and replacement of fixture or abutment screw. No ACHI code available R.669 S.669 Removal and reattachment of prosthesis fixed to implant(s) – per implant Removal for maintenance of a prosthesis that is fixed to an osseointegrated implant(s) and not designed for self-removal. Access to attaching screws, disassembly and subsequent replacement are required. 00-97669 R.671 S.671 Full crown attached to osseointegrated implant – non-metallic – indirect An artificial crown constructed of tooth-coloured material attached to an 00-97671 osseointegrated implant. Patient Minimum Data Set | Appendices An artificial crown constructed with a metallic base veneered with a toothcoloured material attached to an osseointegrated implant. 00-97672 R.672 S.672 Full crown attached to osseointegrated implant – veneered – indirect R.673 S.673 Full crown attached to osseointegrated implant – metallic – indirect An artificial crown constructed of cast metal attached to an osseointegrated implant. 00-97673* No ACHI code available R.678 S.678 Diagnostic template A diagnostic template incorporating radio-opaque markers as reference marks for preferred implant and restoration placement where the template is not used as a surgical guide. R.679 S.679 Surgical implant guide Provision of an appliance which indicates the ideal location and angulation for insertion of implants. 00-97679 00-45845 R.684 S.684 Insertion of first stage of two-stage endosseous implant – per implant Surgical insertion of an implant, made of biocompatible material, in the bone of the maxilla or mandible. The mucosa is closed over the implant for a period of some months until it is accepted by the surrounding bone (osseointegration). R.688 S.688 Insertion of one-stage endosseous implant – per implant Surgical insertion of an implant, made of biocompatible material, in the bone 00-45845 of the maxilla or mandible. R.689 S.689 Provisional implant Special purpose implant designed with the intention of it being removed at a later stage. No ACHI code available S.691 Second stage surgery of two-stage endosseous implant – per implant Surgical access to the previously osseointegrated implant to attach a transmucosal component, usually a healing abutment. 00-45847 R.691 Prosthodontics - Dentures and Denture Components R.711 S.711 Complete maxillary denture Provision of a removable dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla. 00-97711 R.712 S.712 Complete mandibular denture Provision of a removable dental prosthesis replacing the natural teeth and adjacent tissues in the mandible. 00-97712 R.716 S.716 Metal palate or plate A reinforcing cast metal section added 00-97716 to a resin denture base. S.719 Complete maxillary and mandibular dentures Provision of removable dental prostheses for the natural teeth and adjacent tissues in both the maxilla and mandible. R.719 00-97719 257 258 | Patient Minimum Data Set Appendices R.721 S.721 Partial maxillary denture - resin base - one tooth Provision of a resin base for a removable dental prosthesis for the maxilla where some natural teeth remain. Includes other components of the denture such as teeth, rests, retainers and immediate tooth replacements. R.780 S.780 Partial maxillary denture - resin base - two teeth As for R.721/S.721. 97721-00B* R.781 S.781 Partial maxillary denture - resin base - three teeth As for R.721/S.721. 97721-00C* R.782 S.782 Partial maxillary denture - resin base - four teeth As for R.721/S.721. 97721-00D* R.783 S.783 Partial maxillary denture - resin base - five to nine teeth inclusive As for R.721/S.721. 97721-00E* R.784 S.784 Partial maxillary denture - resin base - ten to twelve teeth inclusive As for R.721/S.721. 97721-00F* 97722-00A* 97721-00A* R.722 S.722 Partial mandibular denture - resin base one tooth Provision of a resin base for a removable dental prosthesis for the mandible where some natural teeth remain. Includes other components of the denture such as teeth, rests, retainers and immediate tooth replacements. R.785 S.785 Partial mandibular denture - resin base two teeth As for R.722/S.722. 97722-00B* R.786 S.786 Partial mandibular denture - resin base three teeth As for R.722/S.722. 97722-00C* R.787 S.787 Partial mandibular denture - resin base four teeth As for R.722/S.722. 97722-00D* R.788 S.788 Partial mandibular denture - resin base - five to nine teeth inclusive As for R.722/S.722. 97722-00E* R.789 S.789 Partial mandibular denture - resin base - ten As for R.722/S.722. to twelve teeth inclusive 97722-00F* R.727 S.727 Partial maxillary denture - cast metal framework one tooth Provision of the framework for a removable dental prosthesis made with a cast metal on which to replace teeth from the maxilla where some natural teeth remain. Teeth and any metal backing are included. R.790 S.790 Partial maxillary denture - cast metal framework two teeth As for R.727/S.727. 97727-00B* 97739-00, 97733-00 R.791 S.791 Partial maxillary denture - cast metal framework three teeth As for R.727/S.727. 97727-00C* 97739-00, 97733-00 97727-00A* 97739-00, 97733-00 Patient Minimum Data Set | Appendices R.792 R.793 R.794 S.792 Partial maxillary denture - cast metal framework four teeth As for R.727/S.727. 97727-00D* 97739-00, 97733-00 S.793 Partial maxillary denture - cast metal framework - five to nine teeth inclusive As for R.727/S.727. 97727-00E* 97739-00, 97733-00 S.794 Partial maxillary denture - cast metal framework - ten to twelve teeth inclusive As for R.727/S.727. 97727-00F* 97739-00, 97733-00 97728-00A* 97739-00, 97733-00 R.728 S.728 Partial mandibular denture - cast metal framework - one tooth Provision of the framework for a removable dental prosthesis made with a cast metal, on which to replace teeth from the mandible where some natural teeth remain. Teeth and any metal backing are included. R.795 S.795 Partial mandibular denture - cast metal framework - two teeth As for R.728/S.728. 97728-00B* 97739-00, 97733-00 R.796 S.796 Partial mandibular denture - cast metal framework - three teeth As for R.728/S.728. 97728-00C* 97739-00, 97733-00 R.797 S.797 Partial mandibular denture - cast metal framework - four teeth As for R.728/S.728. 97728-00D* 97739-00, 97733-00 S.798 Partial mandibular denture - cast metal framework - five to nine teeth inclusive As for R.728/S.728. 97728-00E* 97739-00, 97733-00 S.799 Partial mandibular denture - cast metal framework - ten to twelve teeth inclusive As for R.728/S.728. 97728-00F* 97739-00, 97733-00 S.731 Retainer - per tooth A retainer or attachment fitted to a tooth to aid retention of a partial denture. The number of retainers should be indicated. 97731-00 S.735 Precision or magnetic denture attachment A preformed device within a prosthesis which connects to a precision or 97735-00 magnetic component on a tooth or implant. 97737-00 97738-00 R.798 R.799 R.731 R.735 R.737 S.737 Resilient lining Provision of a resilient tissue-bearing surface for a removable prosthesis. This item may be used with the provision of new, or maintenance of pre-existing, prostheses. Complementary services should be appropriately itemised. R.738 S.738 Wrought bar A wrought bar joining sections of a partial prosthesis. Prosthodontics - Denture Maintenance 259 260 | Patient Minimum Data Set R.741 R.743 R.745 R.746 R.751 R.752 R.753 Appendices Adjustment of a denture Adjustment of a denture to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of a new denture or the maintenance or repair of an existing denture. 97741-00 Relining - complete denture - processed Replacement of the tissue fitting surface of a complete denture to improve its accuracy and fit. The procedure requires multiple appointments. 97743-00 Remodelling - complete denture Replacement of the resin base of a complete denture, with or without rearrangement of the teeth, to improve its accuracy and fit. The procedure requires multiple appointments. 97745-00 S.746 Remodelling - partial denture Replacement of the resin base of a partial denture, with or without rearrangement of the teeth, to improve its accuracy and fit. The procedure requires multiple appointments. 97746-00 S.751 Relining - complete denture - direct Addition to the tissue fitting surface of a complete denture to improve its accuracy and fit, using a self or light cured material. 97751-00 S.752 Addition to the tissue fitting surface Relining - partial denture of a partial denture to improve its - direct accuracy and fit, using a self or light cured material. 97752-00 S.753 Cleaning and polishing of pre-existing denture The cleaning and polishing of a preexisting denture not associated with any other item of maintenance or repair of the denture. 97753-00 97761-00 S.741 S.743 S.745 Prosthodontics - Denture Maintenance R.761 S.761 Repair, insertion and adjustment of a Reattaching pre-existing denture involving reattachment of a tooth or clasp to denture pre-existing clasp. R.762 S.762 Replacing clasp on denture Repair, insertion and adjustment of a denture involving replacement or addition of a new clasp or clasps. 97762-00 R.763 S.763 Repairing broken base of a complete denture Repair, insertion and adjustment of a broken resin complete denture base. 97763-00 R.764 S.764 Repairing broken base of a partial denture Repair, insertion and adjustment of a broken resin partial denture base. 97764-00 S.765 Replacing first tooth on denture Repair, insertion and adjustment of a denture involving replacement with or addition of a new tooth or teeth to a previously existing denture. 97765-00 R.765 Patient Minimum Data Set | Appendices R.766 R.768 R.769 S.766 Any repair or tooth replacement in addition to other repairs, alterations or other modifications for same denture on same day Repair, insertion and adjustment of a denture involving reattachment of a pre-existing denture tooth or teeth. S.768 Adding tooth to partial denture to replace and extracted or decoronated tooth - per tooth Modification, insertion and adjustment of a partial denture involving an addition to accommodate the loss of a natural tooth or its coronal 97768-00 section. If the tooth is an immediate replacement, item R.766/S.766 is applicable. S.769 Repair or addition to metal casting Repair of or addition to the cast metal frame of a denture. This is a complex 97769-00 procedure requiring the dismantling of the denture. 97736-00 Prosthodontics - Other Prosthodontic Services R.771 R.772 R.773 S.771 S.772 S.773 Tissue conditioning treatment prior to impressions The provisional (temporary) lining of the tissue fitting surface of a denture with a conditioning material, to improve the health of the denturesupporting mucosa. Splint - resin - indirect A resin appliance attached to the teeth for stabilising mobile or displaced teeth. A resin splint may 97772-00 also be used to stabilise a fractured jaw. This item includes the subsequent removal of the splint. Splint - metal - indirect A cast metal appliance bonded to the teeth to stabilise mobile or displaced teeth. Metal splints may also be used to stabilise a fractured jaw. This item includes the subsequent removal of the splint. 97773-00 97774-00 97771-00 R.774 S.774 Obturator A prosthesis attached to a denture or osseointegrated implant(s) which is used to close an opening in the palate or to replace other lost tissues. R.776 S.776 Impression where required for denture repair/modification Stippling, staining, festooning or shaping rugae on the appropriate surface(s) of a denture. 97776-00 An appliance whose primary action involves orthopaedic change of jaw shape or relationship utilising and modifying the effect of the environmental tissues. Many are bi-maxillary appliances involving upper and lower arches. Bi-maxillary appliances are regarded as single appliances. 97823-00 Orthodontics - Removable Appliances R.823 S.823 Functional orthopaedic appliance Orthodontics - Fixed Appliances 261 262 | Patient Minimum Data Set R.829 R.831 R.841 R.842 R.843 R.845 R.846 Appendices Partial banding - per arch Application of bands and/or brackets to six teeth or fewer in the maxillary or mandibular arch, which can be 97829-00 attached to a resilient arch wire. The appliance is designed to correct either tooth position or arch form. Full arch banding - per arch Application of bands and brackets for attachment of resilient arch wires to most of the teeth of the maxillary or mandibular arch to correct the position of teeth or to correct the arch form. 97831-00 This procedure includes the removal of the appliance and the provision and supervision of the initially provided fixed or removable retention appliance. Insertion of fixed palatal or lingual arch appliance Insertion of an appliance, fixed to the palatal or lingual aspect of the dentition by bands, frequently applied 97841-00 in the molar region. It is aimed at either changing or maintaining the arch form and can also be designed to uncross or straighten individual teeth. S.842 Partial banding for intermaxillary elastics Application of bands and brackets to two or more teeth in maxillary and mandibular arches. Resilient arch wires may be attached to the brackets 97842-00 and also inter-maxillary elastics between the two arches. The resulting appliances are designed to correct the position of teeth or arch form. S.843 Provision of maxillary expansion appliance Insertion of an appliance fixed to the maxillary dentition by partial banding which exerts a force to expand or widen the maxillary arch and/or teeth. S.845 A passive appliance fixed to one or more teeth, designed to prevent movement of the teeth relative to Provision of passive fixed each other or to the segment of the appliance arch. The appliance can be used to maintain a space from the loss of a tooth. 97845-00 S.846 Provision of fixed minor tooth guidance A procedure using an appliance attached directly to teeth which provides movement or guidance to correct the position of a tooth. 97846-01 An item to describe interim care to relieve pain, infection, bleeding or other problems not associated with other treatment. 97911-00 S.829 S.831 S.841 97843-00 General Services - Emergencies R.911 S.911 Palliative care General Services - Occlusal Therapy Patient Minimum Data Set | Appendices R.963 R.964 R.965 R.968 S.963 Clinical occlusal analysis including muscle and joint palpation This item consists of the recording of three separate assessments: (a) Occlusal assessment: An assessment of tooth contacts in various jaw positions, parafunctional activity, vertical dimensions, tongue posture and speech; (b) Muscle assessment: Assessment by intraoral and extraoral palpation of jaw muscles; cervical 97963-00 muscle palpation; measurement of jaw and cervical mobility; (c) Joint assessment: Includes palpation and auscultation of the temporomandibular joints, together with assessment of joint play. This item may be used in conjunction with other services. S.964 Registration and mounting of casts for occlusal analysis This item describes the clinical procedures for accurate mounting of models of the maxillary and mandibular teeth on an adjustable articulator. Occlusal splint An appliance made to fit over the functional surfaces of either the upper or lower teeth to relieve abnormal pressures on the temporomandibular joint, its supporting structures and 97965-00 associated muscles. This item also describes an appliance made to locate the dentition and the jaws in predetermined positions when orthognathic jaw surgery is performed. Occlusal adjustment following occlusal analysis - per visit The adjustment of the occlusion involving either natural or artificial teeth following occlusal analysis. The use of this item implies that procedures described as items R.963/S.963 and/or R.964/S.964 have been performed as a preparation for the occlusal adjustment. 97968-00 The joining of adjacent teeth to provide mutual support (where not covered by item R.386/S.386). This item includes the subsequent removal of the splinting material. 97981-00 S.965 S.968 97964-00 General Services - Occlusal Therapy R.981 S.981 Splinting and stabilisation - direct -per tooth 97961-00 263 264 | Patient Minimum Data Set 5.10 Appendix J: Medications List Codes Code Description 123-P1 123 PEDIATRC Syrp combinatio 60 ml 3-V-(1 3 V (3 ML) Inj 0 3 amp 3TC--1 3TC Soln 10MG/ML 240 ml 3TC--2 3TC Tabs 150 mg 60 tabs 3VTAB1 3V Tabs combinatio 20 tabs 4---A1 4 - ALL Tabs 80MG 20 tabs A-VIT1 A -VITON Caps 50000IU 20 caps ABIAD1 ABIADIN Syrp combinatio 90 ml ABILI1 ABILIFY Tabs 10 MG 30 tabs ABILI2 ABILIFY Tabs 15 MG 30 tabs ABILI3 ABILIFY Tabs 20 MG 30 tabs ABILI4 ABILIFY Tabs 30 MG 30 tabs ACABE1 ACABEL Tabs 8mg 20 tabs ACCLO1 ACC LONG EfTb 600mg 10 tabs ACC--1 ACC Sach 200mg 20 gran ACCOL2 ACCOLATE Tabs 20 MG 56 tabs ACCUZ1 ACCUZIDE Tabs 20/12.5mg 30 tabs ACETA1 ACETABLETS Tabs 25MG 20 tabs ACETA2 ACETABLETS Tabs 50 MG 20 tabs ACETY1 ACETYLCISTEIN Gran 200 MG 10 sach ACHRO2 ACHROMYCIN EyOn 0 3.5 gm ACIC-4 ACIC Crm 5% 2 gm ACIC-3 ACIC Crm 5% 5 gm ACIC21 ACIC Tabs 200 MG 25 tabs ACIC-1 ACIC Tabs 400 MG 35 tabs ACIC-2 ACIC Tabs 400 MG 70 tabs ACIC81 ACIC Tabs 800 MG 35 tabs ACICA1 ACICARE Tabs 150MG 20 tabs ACICA3 ACICARE Tabs 300MG 20 tabs ACICA2 ACICARE Tabs 75MG 20 tabs ACICL1 ACICLOVIR MABO EFG Tabs 800 MG 35 tabs ACICL2 ACICLOVIR MABO EFG. Tabs 200 MG 25 tabs ACICO1 ACICONE - S ChwT 720/25mg 20 chwT ACIDR1 ACIDRINE Tabs combinatio 40 tabs ACILO3 ACILOC Caps 20MG 14 caps ACILO1 ACILOC Caps 40 MG 14 caps ACILO2 ACILOC Caps 40 MG 7 caps ACIVI1 ACIVIR Crm 5% 10 gm ACLAS1 ACLASTA Inj 5MG/100ML 100 ml ACNEF1 ACNE FREE Crm 0.05% 30 gm ACNID2 ACNIDAZIL Crm 0 30 gm ACPCP1 ACPC PHOSPHATE Enma 10.00% 128 ml ACRET3 ACRETIN Crm 0.025% 30 gm Appendices Patient Minimum Data Set | Appendices ACRET1 ACRETIN Crm 0.05% 30 gm ACTAL1 ACTAL Tabs 0 48 tabs ACTAP1 ACTAPULGITE Pwdr 3g 30 sach ACTAP2 ACTAPULGITE Sach 5.7G 30 sach ACTIF3 ACTIFED DM LINCTUS Syrp combinatio 100 ml ACTIF8 ACTIFED EXPECTORANT Syrp 0 200 ml ACTIF4 ACTIFED EXPECTORANT Syrp combinatio 100 ml ACTIF7 ACTIFED Syrp 0 200 ml ACTIF1 ACTIFED Syrp combinatio 100 ml ACTIF2 ACTIFED Tabs 60 /2.5MG 24 tabs ACTIL1 ACTILYSE (50ml) Injp 50mg 2 vial ACTIN1 ACTINAC Tsol 0 5 gm ACTIV1 ACTIVELLE Tabs 1+0.5MG 28 tabs ACTON1 ACTONEL Tabs 35MG 4 tabs ACTON2 ACTONEL Tabs 5MG 28 tabs ACTON4 ACTONORM Pwdr combinatio 85 gm ACTON3 ACTONORM Susp combinatio 200 ml ACTON6 ACTONORM Tabs 0 50 tabs ACTOS1 ACTOS Tabs 15MG 30 tabs ACTOS2 ACTOS Tabs 30MG 30 tabs ACTOV6 ACTOVEGIN Gel 20% 20 gm ACTOV12 ACTOVEGIN Inf 20% 250 ml ACTOV2 ACTOVEGIN Inj 200MG/5ML 5 amp ACTOV1 ACTOVEGIN Inj 400MG/10ML 5 amp ACTOV5 ACTOVEGIN Inj 80MG/2ML 5 amp ACTOV4 ACTOVEGIN Tabs 200MG 30 tabs ACUPA1 ACUPAN Tabs 30MG 20 tabs ACYCL1 ACYCLOVIR Inj 1 GM 1 vial ACYCL2 ACYCLOVIR Inj 500 MG 1 vial ADALA1 ADALAT Caps 10MG 30 caps ADALA2 ADALAT L.A Tabs 30MG 30 tabs ADALA5 ADALAT L.A Tabs 60 MG 30 tabs ADALA6 ADALAT RETARD Tabs 20MG 30 tabs ADANT1 ADANTOL FORTE Tabs 0 20 tabs ADELP2 ADELPHANE ESIDREX Tabs 0.1/10/10M 30 tabs ADELP1 ADELPHANE Tabs 0.1/10MG 50 tabs ADIPR2 ADIPRIN E.C. Tabs 100MG 100 tabs ADIPR1 ADIPRIN Tabs 100 MG 30 tabs ADOL-9 ADOL Capl 500mg 24 capl ADOLD1 ADOL DROPS SB 100mg/ml 15 ml ADOLE1 ADOL EXTRA Caps 500+65MG 24 caps ADOLP1 ADOL PM Capl 325/25mg 24 capl ADOL-1 ADOL Supp 125MG 10 supp ADOL-2 ADOL Supp 250MG 10 supp ADOL-3 ADOL Supp 500MG 10 supp 265 266 | Patient Minimum Data Set ADOL-4 ADOL Susp 120mg/5ml 100 ml ADOL-5 ADOL Susp 250mg/5ml 100 ml ADOL-6 ADOL Syrp 120mg/5ml 60 ml ADOL-10 ADOL Tabs 0 1000 tabs ADOL-7 ADOL Tabs 500MG 100 tabs ADOL-8 ADOL Tabs 500MG 20 tabs ADREN1 ADRENALINE Inj 1 ML 10 amp ADREN2 ADRENALINE Inj 1MG/ML 10 amp ADRIB3 ADRIBLASTINE Inj 10MG 1 vial ADRIB4 ADRIBLASTINE Inj 50MG 1 vial ADULT4 ADULT MELTUS CHESTY COUGH Syrp 0 100 ml ADVAN1 ADVANTAN Crm 1mg/g 15 gm ADVAN3 ADVANTAN FATTY Oint 1mg/g 20 gm ADVAN2 ADVANTAN Oint 1mg/g 15 gm ADVIL2 ADVIL COLD AND SINUS Capl 200/30mg 10 capl ADVIL1 ADVIL COLD AND SINUS Capl 200/30mg 20 capl ADVIL3 ADVIL LIQUIGEL Caps 200 MG 16 caps ADVIL4 ADVIL LIQUIGEL Caps 200 MG 32 caps ADVIL8 ADVIL Syrp 100mg/5ml 100 ml ADVIL5 ADVIL Tabs 200MG 24 tabs ADVIL9 ADVIL Tabs 200MG 50 tabs ADVIL6 ADVIL Tabs 400MG 40 tabs AERIU3 AERIUS Soln 2.5MG/5ML 150 ml AERIU1 AERIUS Tabs 5MG 20 tabs AERIU2 AERIUS Tabs 5MG 30 tabs AEROC1 AEROCROM Inhl 0 200 puff AEROD1 AERODIOL NsSy 150MCG 4.2 ml AEROL1 AEROLIN Inhl 100MCG 400 dose AERRA1 AERRANE Inhl 99.9%/ml 100 ml AFRIN1 AFRIN EyDr 0.025% 15 ml AFRIN4 AFRIN N Spry 0.05% 20 ml AFRIN3 AFRIN NsDr 0.025% 20 ml AFRIN2 AFRIN NsDr 0.05% 30 ml AGGRA1 AGGRASTAT(50ml) Inf 0.25mg/ml 50 ml AGGRE2 AGGRENOX Caps 200/25MG 60 caps AGIOL3 AGIOLAX Gran 0 100 gm AGIOL1 AGIOLAX Gran combinatio 100 gm AGIOL2 AGIOLAX Gran combinatio 250 gm AGREA2 AGREAL Caps 100MG 20 caps AIROL1 AIROL Crm 0.05% 20 gm AIROL2 AIROL Lotn 0.05% 50 ml AIROM1 AIROMIR Inhl 120µg/dose 200 dose AIRON1 AIRONYL Syrp 1.5mg/5ml 120 ml AIRON2 AIRONYL Tabs 2.5mg 20 tabs AKIND3 AKINDEX ADULT Syrp 0 200 ml Appendices Patient Minimum Data Set | Appendices AKIND4 AKINDEX CHILD Syrp 0 125 ml AKNE-1 AKNE -MYCIN Lotn 1GM 25 gm AKNER1 AKNEROXIDE Gel 5% 50 gm AKTIF1 AKTIFERRIN F. SUS Caps combinatio 30 caps ALBEN1 ALBENDA Soln 100MG/5ML 20 ml ALBEN2 ALBENDA Tabs 200 MG 2 tabs ALBOT2 ALBOTHYL Gel 1.8% 50 gm ALBOT1 ALBOTHYL TSol 360mg/g 25 ml ALBOT3 ALBOTHYL VAG. Ovul 90mg 6 ovul ALBUC3 ALBUCID EyDr 10% 10 ml ALBUC2 ALBUCID EyDr 20% 10 ml ALBUM1 ALBUMIN KABI Inj 20% 50 ml ALCON4 ALCONEFRIN (30ml) NsDr 0 12 udv ALCON5 ALCONEFRIN(30ml) NsDr 0 25 udv ALCON6 ALCONEFRIN(30ml) NsDr 0 50 udv ALDAC1 ALDACTIDE Tabs 25/25mg 40 tabs ALDAC4 ALDACTONE Tabs 100mg 10 tabs ALDAC3 ALDACTONE Tabs 100MG 10 tabs ALDAC2 ALDACTONE Tabs 25MG 20 tabs ALDOM1 ALDOMET Tabs 250MG 30 tabs ALERG1 ALERGOFTAL EyDr 0.5/0.25% 10 ml ALERT6 ALERTAN FORTE Tabs 0 10 tabs ALERT5 ALERTAN Susp 0 120 ml ALERT4 ALERTAN Tabs 0 20 tabs ALFAC1 ALFACORT Crm 1% 15 gm ALFAC2 ALFACORT Oint 1% 15 gm ALGES1 ALGESAL SUR. ACTIVE Crm combinatio 40 gm ALGIB1 ALGIBAUME Crm 10% 25 gm ALGIP1 ALGIPAN BALM Crm 0 40 gm ALIMT1 ALIMTA Inj 500MG 1 vial ALINA1 ALINAL SB 0 15 ml ALIST2 ALISTIM Tabs 20MG 28 tabs ALKAU1 ALKA UR Efgr combinatio 40 gm ALKAG1 ALKAGEL Susp 0 170 ml ALKER2 ALKERAN Tabs 2mg 25 tabs ALKER1 ALKERAN Tabs 5MG 25 tabs ALLER8 ALLERFIN Inj 10MG/ML 5 amp ALLER2 ALLERFIN Syrp 2.5MG/5ML 120 ml ALLER3 ALLERFIN Tabs 4MG 30 tabs ALLER9 ALLERGANA D Tabs 0 10 tabs ALLER5 ALLERGETIN 2/30MG/5ML Syrp 0 100 ml ALLER7 ALLERGODIL NsSy 0.127mg/do 10 ml ALLOS1 ALLOSPASMIN Tabs 0 20 tabs ALLUS1 ALLUSIL Tabs 0 20 tabs ALOMI1 ALOMIDE EyDr 1MG/ML 5 ml 267 268 | Patient Minimum Data Set ALOXA2 ALOXAL Susp 0 200 ml ALPAX1 ALPAX (2ml) Inj 4MG 6 amp ALPHA5 ALPHA-KADOL Oint 0 35 gm ALPHO3 ALPHOSYL HC Crm combinatio 45 gm ALPHO2 ALPHOSYL Lotn 20/50MG/ML 250 ml ALTAC4 ALTACITE ChwT 500MG 30 tabs ALTAC5 ALTACITE PLUS Susp combinatio 100 ml ALTAC6 ALTACITE PLUS Tabs 500/125mg 100 tabs ALTAC1 ALTACITE Susp 500mg/5ml 250 ml ALTIV1 ALTIVA Tabs 120MG 10 tabs ALTIV2 ALTIVA Tabs 180MG 10 tabs ALUDR2 ALUDROX 610MG/200ML Susp 0 200 ml ALUPE2 ALUPENT MET. AEROSOL Inhl 0.65mg/dos 200 dose ALUPE3 ALUPENT INJ. IV. IM. Inj 0.5mg/ml 6 amp ALUPE1 ALUPENT Tabs 10MG 20 tabs ALVEO1 ALVEOFACT (1.2ml) Susp 50mg/1.2ml 1 vial AMARY6 AMARYL M Tabs 1/250mg 30 tabs AMARY3 AMARYL M Tabs 2/500mg 30 tabs AMARY1 AMARYL Tabs 1MG 30 tabs AMARY2 AMARYL Tabs 2MG 30 tabs AMARY4 AMARYL Tabs 3MG 30 tabs AMARY5 AMARYL Tabs 4MG 30 tabs AMBOL1 AMBOLAR Syrp 15mg/5ml 100 ml AMBRE2 AMBREDIN Tabs 0 20 tabs AMIKI1 AMIKIN Inj 100 MG/2ML 1 vial AMIKI2 AMIKIN Inj 500MG/2ML 1 vial AMINO6 AMINOR Tabs 5mg 20 tabs AMIRO1 AMIRONE Tabs 200 MG 30 tabs AMITR1 AMITRIPTYLINE Tabs 10 MG 500 tabs AMITR3 AMITRIPTYLINE Tabs 25 MG 500 tabs AMLOD1 AMLODAR Caps 10 MG 28 caps AMLOD2 AMLODAR Caps 5 MG 28 caps AMOCL8 AMOCLAN BID Susp 400MG/5 ML 70 ml AMOCL10 AMOCLAN FORT Tabs 625MG 15 tabs AMOCL9 AMOCLAN I.V Inj 600 MG 1 vial AMOCL1 AMOCLAN Inj 1.2 GM 1 vial AMOCL3 AMOCLAN Susp 156 MG 100 ml AMOCL2 AMOCLAN Susp 228 MG/5ML 70 ml AMOCL5 AMOCLAN Susp 312MG/5ML 100 ml AMOCL4 AMOCLAN Susp 400MG/5 ML 35 ml AMOCL6 AMOCLAN Tabs 1 GM 14 tabs AMOCL7 AMOCLAN Tabs 375 MG 20 tabs AMOEB1 AMOEBYL Tabs 500MG 20 tabs AMOL61 AMOL 6 PLUS Syrp 250mg/5ml 100 ml AMOLD1 AMOL DROPS SB 100mg/ml 15 ml Appendices Patient Minimum Data Set | Appendices AMOLE1 AMOL EXTRA Tabs 500/65mg 20 tabs AMOL-1 AMOL Syrp 120mg/5ml 100 ml AMOL-2 AMOL Syrp 120mg/5ml 60 ml AMOL-3 AMOL Tabs 500MG 20 tabs AMOPH1 AMOPHAGE Tabs 500mg 10 tabs AMOPR1 AMOPRESS Caps 5 MG 28 caps AMOXI1 AMOXIL Caps 250mg 100 caps AMOXI2 AMOXIL Caps 250mg 20 caps AMOXI3 AMOXIL Caps 500 mg 100 caps AMOXI4 AMOXIL Caps 500 mg 20 caps AMOXI10 AMOXIL DROPS OSol 50mg/ml 10 ml AMOXI24 AMOXIL Inj 250 mg 10 vial AMOXI7 AMOXIL Susp 125mg/5ml 100 ml AMOXI9 AMOXIL Susp 250mg/5ml 100 ml AMOXY1 AMOXY - DIOLAN Tabs 1000 MG 10 tabs AMOXY2 AMOXY - DIOLAN Tabs 1000 MG 20 tabs AMOXY3 AMOXY - DIOLAN Tabs 750 MG 10 tabs AMOXY4 AMOXY - DIOLAN Tabs 750 MG 20 tabs AMOXY7 AMOXYCILLIN Caps 250 MG 21 caps AMOXY8 AMOXYCILLIN Caps 500 MG 21 caps AMOXY10 AMOXYCILLIN Susp 125MG/5ML 100 ml AMOXY9 AMOXYCILLIN Susp 250 MG 100 ml AMOXY11 AMOXYDAR Caps 250 MG 20 caps AMOXY13 AMOXYDAR FORT Caps 500 MG 20 caps AMOXY14 AMOXYDAR FORT Susp 250MG/5ML 100 ml AMOXY12 AMOXYDAR Susp 125MG/5 ML 100 ml AMOXY6 AMOXY-DIOLAN Susp 250MG/5ML 100 ml AMPIC1 AMPICILIN Caps 250 MG 12 caps AMPIC2 AMPICILIN Caps 500 MG 12 caps AMPIC19 AMPICILLIN Caps 250mg 12 caps AMPIC20 AMPICILLIN caps 500mg 12 caps AMPIC4 AMPICLOX Caps 500 MG 20 caps AMPIC8 AMPICLOX Osol 90mg 8 ml AMPIC10 AMPICLOX Susp 0 100 ml AMRIZ1 AMRIZOLE Inf 5mg/ml 100 ml AMRIZ2 AMRIZOLE Susp 200mg/5ml 120 ml AMRIZ4 AMRIZOLE Tabs 250MG 20 tabs AMRIZ3 AMRIZOLE Tabs 500mg 20 tabs AMVAS3 AMVASC Caps 10mg 30 caps AMVAS1 AMVASC Caps 2.5 MG 30 caps AMVAS2 AMVASC Caps 5 MG 30 caps AMYDR1 AMYDRAMINE EXP. SUGER FREE Syrp 0 120 ml AMYDR2 AMYDRAMINE PAED. Syrp 0 120 ml ANACI2 ANACIN Tabs 300MG 50 tabs ANAFR3 ANAFRANIL SR. Tabs 75MG 20 tabs ANAFR2 ANAFRANIL Tabs 25MG 30 tabs 269 270 | Patient Minimum Data Set ANALG2 ANALGISOL AEROSOL spry 7.52% 150 gm ANALL1 ANALLERGE Syrp 2MG/5ML 100 ml ANALL2 ANALLERGE Tabs 4 MG 20 tabs ANALU1 ANALUX PHENYLEPHRINE EyDr 0.125% 10 ml ANCOP1 ANCOPIR Tabs combinatio 20 tabs ANDRI1 ANDRIOL Caps 40MG 30 caps ANDRO1 ANDROCUR Tabs 10MG 15 tabs ANDRO5 ANDROCUR Tabs 50MG 20 tabs ANDRO2 ANDROCUR Tabs 50MG 50 tabs ANDRO4 ANDROGEL Gel 50mg 30 sach ANDUR1 ANDURSIL Syrp 0 100 ml ANDUR2 ANDURSIL Tabs 0 20 tabs ANEST1 ANESTANE Inhl 100% 250 ml ANEXA2 ANEXATE I.V. Inj 0.5MG/5ML 5 amp ANEXA1 ANEXATE Inj 1MG/10ML 5 amp ANGEL1 ANGELIQ 1 MG/ 2 MG Tabs 0 28 tabs ANGIN1 ANGINESIN Soln 500MG/5 ML 100 ml ANGIO1 ANGIOTEC Tabs 10MG 30 tabs ANGIO2 ANGIOTEC Tabs 20MG 20 tabs ANGIO3 ANGIOTEC Tabs 5MG 30 tabs ANGIS1 ANGISED Tabs 0.5MG 100 tabs ANTI-1 ANTACID MIXTURE Soln combinatio 200 ml ANTAC1 ANTACIDIN ChwT 0 20 chwT ANTAG1 ANTAGONIN Tabs 150MG 20 tabs ANTAG3 ANTAGONIN Tabs 75MG 20 tabs ANTHE1 ANTHELMIN Susp 100MG/5ML 30 ml ANTHI1 ANTHISAN Crm 2%w/w 25 gm ANTHR1 ANTHRANOL Oint 0.4% 50 gm ANTIN1 ANTINAL Caps 200MG 12 caps ANTIN2 ANTINEURINA Inj combinatio 10 amp ANTIT1 ANTITUSSIVE D.M COUPH SYRUP Syrp 0 240 ml ANTIV2 ANTIVER Susp 0 30 ml ANUGE1 ANUGESIC -HC Supp combinatio 12 supp ANUSO1 ANUSOL Oint combinatio 25 gm ANUSO4 ANUSOL-HC Oint combinatio 15 gm ANXET1 ANXETIN Caps 0 20 caps APICO1 APICORT 0.12% EyDr 1.2MG/ML 10 ml APICO2 APICORT FORT 1% EyDr 10 MG/ML 10 ml APIDR4 APIDRA (3ML) Inj 100IU/Ml 5 cart APIDR3 APIDRA Inj 100IU/Ml 1 vial APIDR2 APIDRA OPTISET Inj 100IU/ML 5 pfs APIDR1 APIDRA SOLOSTAR Inj 100IU/Ml 5 pfs APIFR1 APIFRIN EyDr 0.12% 10 ml APIGE1 APIGEN FORT EyDr 3 MG/ML 10 ml APIGE2 APIGEN FORT EyDr 6 MG/ML 10 ml Appendices Patient Minimum Data Set | Appendices APIGR1 APIGRANE Caps 100MG 2 caps APIMO2 APIMOL EyDr 0.50% 5 ml APIMO1 APIMOL EyDr 2.5mg/ml 5 ml APISU2 APISULFA EyDr 100mg/ml 10 ml APISU3 APISULFA EyDr 200mg/ml 10 ml APISU1 APISULFA EyDr 300MG/ML 10 ml APRES2 APRESOLIN Tabs 25 MG 250 tabs APRES3 APRESOLINE Inj 20 MG 5 amp APROV3 APROVEL Tabs 150MG 28 tabs APROV1 APROVEL Tabs 300MG 28 tabs APROV2 APROVEL Tabs 75 MG 28 tabs AQUAP1 AQUAPHORIL Tabs 20MG 20 tabs ARAMI2 ARAMINE(10ML) Inj 0 1 vial ARANE1 ARANESP 10(0.4ML) Inj 25µg/ml 4 pfs ARANE5 ARANESP 100(0.5ML) Inj 200µG/ml 4 pfs ARANE3 ARANESP 15(0.375ML) Inj 40µG/ML 4 pfs ARANE4 ARANESP 150(0.3ML) Inj 500µG/ML 4 pfs ARANE12 ARANESP 20(0.5ML) Inj 40µG/ML 4 pfs ARANE2 ARANESP 30(0.3ML) Inj 100µG/ml 4 pfs ARANE9 ARANESP 300(0.6ML) Inj 500µG/ML 1 pfs ARANE7 ARANESP 40(0.4ML) Inj 100µG/ML 4 pfs ARANE8 ARANESP 50(0.5ML) Inj 100µG/ML 4 pfs ARANE6 ARANESP 500(1ML) Inj 500µG/ML 1 pfs ARANE10 ARANESP 60(0.3ML) Inj 200µG/ML 4 pfs ARANE11 ARANESP 80(0.4ML) Inj 200µG/ML 4 pfs ARAVA1 ARAVA Tabs 10 MG 30 tabs ARAVA2 ARAVA Tabs 100 MG 3 tabs ARAVA3 ARAVA Tabs 20 MG 30 tabs ARCAL2 ARCALION Tabs 200MG 20 tabs ARCAS3 ARCASIN MIO Tabs 1.5mio iu 10 tabs ARCAS4 ARCASIN MIO Tabs 1.5mio iu 20 tabs ARCAS1 ARCASIN MIO Tabs 1mio iu 10 tabs ARCAS2 ARCASIN MIO Tabs 1mio iu 20 tabs ARCOX3 ARCOXIA Tabs 120MG 7 tabs ARCOX4 ARCOXIA Tabs 60MG 14 tabs ARCOX6 ARCOXIA Tabs 60MG 28 tabs ARCOX5 ARCOXIA Tabs 60MG 7 tabs ARCOX1 ARCOXIA Tabs 90MG 14 tabs ARCOX2 ARCOXIA Tabs 90MG 28 tabs ARCOX7 ARCOXIA Tabs 90MG 7 tabs AREDI3 AREDIA Inf 15mg/5ml 4 amp AREDI1 AREDIA Infp 15mg/5ml 4 vial AREDI2 AREDIA Infp 30mg/10ml 2 vial ARGID1 ARGIDERM P Crm 10/50mg/g 40 gm ARICE1 ARICEPT Tabs 5MG 28 tabs 271 272 | Patient Minimum Data Set ARIMI1 ARIMIDEX Tabs 1 MG 28 tabs ARIXT1 ARIXTRA Inj 10MG/0.8M 10 syrg ARIXT2 ARIXTRA Inj 2.5 MG/0.5 10 syrg ARIXT3 ARIXTRA Inj 5MG/0.4ML 10 syrg ARIXT4 ARIXTRA Inj 7.5MG/0.6M 10 syrg AROMA1 AROMASIN Tabs 25MG 30 tabs AROVI1 AROVIT ChwT 50000IU 30 chwT ARPHA6 ARPHA Caps 0 12 caps ARPHA7 ARPHA Inhl 0 1 ea ARPHA5 ARPHA REVULENS Crm 0 40 gm ARPHO1 ARPHOS B12 -10 ML Inj 0 20 amp ARPIC2 ARPICOLIN Soln 2.5MG/5ML 200 ml ARPIC1 ARPICOLIN Soln 5MG/5 ML 200 ml ARPIM1 ARPIMYCIN Soln 125MG/5ML 100 ml ARPIM2 ARPIMYCIN Soln 250MG/5 ML 100 ml ARPIM3 ARPIMYCIN Susp 500MG/5ML 100 ml ARTAM1 ARTAMIN Caps 150MG 50 caps ARTEL1 ARTELAC STERILE EyDr 0.32% 10 ml ARTEP2 ARTEPARON (1 ML) Inj 50MG 5 amp ARTEX1 ARTEX Tabs 5MG 30 tabs ARTHR1 ARTHROTEC 50MG/200MCG Tabs 0 20 tabs ARTHR2 ARTHROTEC Tabs 75/200mg 20 tabs ARTIZ1 ARTIZ Tabs 10 MG 10 tabs ASACO1 ASACOL Tabs 400mg 100 tabs ASCAF1 ASCAFOL Tabs 0 30 tabs ASCRI1 ASCRIPTIN Tabs 325mg 100 tabs ASERB1 ASERBINE Crm combinatio 50 gm ASERA1 ASERBINE Tsol combinatio 500 ml ASMAC2 ASMACID Tabs combinatio 30 tabs ASMAF2 ASMAFORT 1 MG./5 ML Syrp 1mg/5ml 100 ml ASMAF1 ASMAFORT Tabs 1mg 20 tabs ASMAN1 ASMANEX TWISTHALER Inhp 200µg 30 dose ASMAN2 ASMANEX TWISTHALER Inhp 200µg 60 dose ASMAN3 ASMANEX TWISTHALER Inhp 400µg 30 dose ASMAN4 ASMANEX TWISTHALER Inhp 400µg 60 dose ASMOL2 ASMOLIN Tabs 0 20 tabs ASPEG1 ASPEGIC Inj 0.5G 6 vial ASPEG2 ASPEGIC Pwdr 500MG 20 sach ASPIN2 ASPINOL Tabs 0 20 tabs ASPIR10 ASPIRIN C EfTb 0 10 eftb ASPIR5 ASPIRIN PROTECT Tabs 100 MG 20 tabs ASPIR3 ASPIRIN SOLUBLE Tabs 500 MG 20 tabs ASPIR1 ASPIRIN Tabs 100 MG 30 tabs ASPIR2 ASPIRIN Tabs 300 MG 30 tabs ASPON1 ASPO NASR Tabs 300mg 200 tabs Appendices Patient Minimum Data Set | Appendices ASTAT1 ASTATIN Tabs 10 MG 30 tabs ASTAT2 ASTATIN Tabs 20 MG 30 tabs ASTAT3 ASTATIN Tabs 40 MG 30 tabs ASTHA1 ASTHALIN Syrp 2mg/5ml 100 ml ASTIZ1 ASTIZOL Tabs 10 MG 10 tabs ATACA5 ATACAND PLUS Tabs 16/12.5 MG 28 tabs ATACA1 ATACAND Tabs 16 MG 28 tabs ATACA7 ATACAND Tabs 16MG 100 tabs ATACA2 ATACAND Tabs 32MG 28 tabs ATACA3 ATACAND Tabs 4 MG 28 tabs ATACA8 ATACAND Tabs 4MG 100 tabs ATACA4 ATACAND Tabs 8 MG 28 tabs ATACA6 ATACAND Tabs 8MG 100 tabs ATACU2 ATACURE 25MG/2.5ML Inj 0 5 amp ATACU1 ATACURE Inj 50MG/5 ML 5 amp ATARA4 ATARAX Soln 10MG/5ML 200 ml ATARA2 ATARAX Tabs 10MG 25 tabs ATARA1 ATARAX Tabs 25mg 25 tabs ATEHE1 ATEHEXAL Tabs 100 MG 30 tabs ATEHE2 ATEHEXAL Tabs 25MG 30 tabs ATEHE3 ATEHEXAL Tabs 50MG 30 tabs ATELO2 ATELOL Tabs 100MG 20 tabs ATIVA1 ATIVAN Tabs 1 MG 20 tabs ATIVA2 ATIVAN tabs 2mg 20 tabs ATORI1 ATORIMIN BP Tabs 50 MG 28 tabs ATORM1 ATORMIN BP Tabs 100 MG 28 tabs ATRAC1 ATRACURIUM BESYLATE(10ml) Inj 10mg/ml 1 vial ATRAC2 ATRACURIUM(5ml) Inj 10mg/ml 1 vial ATRIC2 ATRICAN Caps 250MG 80 caps ATROP1 ATROPIN DISPERSA EyOn 1% 4 gm ATROP3 ATROPINE EyDr 1% 10 ml ATROP7 ATROPINE SULPHATE (1ml) Inj 600mcg/ml 10 amp ATROV11 ATROVENT 500MCG/2ML Inhl 500MCG/2ML 10 vial ATROV13 ATROVENT 500MCG/2ML Inhl 500MCG/2ML 20 vial ATROV12 ATROVENT 500MCG/2ML Inhl 500MCG/2ML 30 vial ATROV14 ATROVENT 500MCG/2ML Inhl 500MCG/2ML 60 vial ATROV10 ATROVENT AEROSOL Inhl 20/50µg/pf 15 ml ATROV6 ATROVENT INHALER SOLUTION Soln 0.25mg/ml 20 ml ATROV5 ATROVENT Inhl 250µg/2ml 20 udv ATROV1 ATROVENT Inhl 500µg/2mL 10 udv ATROV2 ATROVENT Inhl 500µg/2mL 20 udv ATROV9 ATROVENT NASAL SOL Soln 0.03% 15 ml ATROV8 ATROVENT NsSy 0.03% 15 ml ATTEN1 ATTENUVAX MEASLE Inj combinatio 1 vial AUGME18 AUGMENTIN DUO Susp 200 MG 70 ml 273 274 | Patient Minimum Data Set AUGME4 AUGMENTIN EfTb 375mg 20 eftb AUGME19 AUGMENTIN ES Susp 642.9MG/5m 100 ml AUGME1 AUGMENTIN InjP 1.2G/20ML 10 vial AUGME5 AUGMENTIN InjP 600MG/10ML 10 vial AUGME16 AUGMENTIN Osol 62.5MG/ML 20 ml AUGME20 AUGMENTIN SR(1000/62.5MG) Tabs 0 28 tabs AUGME9 AUGMENTIN Susp 156mg/5ml 100 ml AUGME6 AUGMENTIN Susp 312MG/5ML 100 ml AUGME8 AUGMENTIN Susp 457MG/5ML 70 ml AUGME10 AUGMENTIN Tabs 1 GM 14 tabs AUGME15 AUGMENTIN Tabs 375MG 20 tabs AUGME17 AUGMENTIN Tabs 625 MG 20 tabs AUGMO1 AUGMOKS Tabs 375 MG 20 tabs AUGMO2 AUGMOKS Tabs 625 MG 20 tabs AUNAT1 AUNATIV Inj 250 I.U/ M 5 ml AURAL1 AURALGAN EaDr 54/14MG 14 ml AURIM1 AURIMEL Syrp 0 100 ml AUROR2 AURORIX L Tabs 300mg 30 tabs AUROR3 AURORIX L Tabs 300mg 60 tabs AUROR1 AURORIX Tabs 150MG 30 tabs AVALO2 AVALOX I.V(250ml) Inj 400MG 5 vial AVALO1 AVALOX Tabs 400MG 5 tabs AVALO3 AVALOX Tabs 400mg 7 tabs AVAMY1 AVAMYS NsSy 27.5MCG 120 dose AVAND3 AVANDAMET Tabs 1MG/500MG 28 tabs AVAND4 AVANDAMET Tabs 2MG/500MG 14 tabs AVAND5 AVANDAMET Tabs 2MG/500MG 28 tabs AVAND1 AVANDAMET Tabs 2MG/500MG 56 tabs AVAND6 AVANDAMET Tabs 4/500MG 14 tabs AVAND2 AVANDAMET Tabs 4/500MG 28 tabs AVAND7 AVANDAMET Tabs 4/500MG 56 tabs AVAND11 AVANDARYL Tabs 4MG/1MG 28 tabs AVAND13 AVANDARYL Tabs 4MG/2MG 28 tabs AVAND10 AVANDARYL Tabs 4MG/4MG 28 tabs AVAND14 AVANDIA Tabs 2MG 14 tabs AVAND15 AVANDIA Tabs 2MG 28 tabs AVAND16 AVANDIA Tabs 2MG 56 tabs AVAND17 AVANDIA Tabs 4MG 14 tabs AVAND20 AVANDIA Tabs 4MG 28 tabs AVAND18 AVANDIA Tabs 4MG 56 tabs AVAND21 AVANDIA Tabs 4MG 7 tabs AVAND19 AVANDIA Tabs 8MG 14 tabs AVAND22 AVANDIA Tabs 8MG 28 tabs AVAND23 AVANDIA Tabs 8MG 7 tabs AVAST1 AVASTIN Inj 100MG/4ML 12 vial Appendices Patient Minimum Data Set | Appendices AVAST2 AVASTIN Inj 400MG/16ML 12 vial AVILI1 AVIL INJ(2ml)(SANOFI AVENTIS-EGYPT) Inj 45.5mg/2ml 5 amp AVILR2 AVIL RETARD(SANOFI AVENTIS-EGYPT) Tabs 75mg 10 tabs AVILR1 AVIL RETARD(SANOFI AVENTIS-GERMANY) Tabs 75MG 10 tabs AVIL(1 AVIL(2ml)(SANOFI AVENTIS-GERMANY) Inj 45.5mg/2ml 5 amp AVIL-2 AVIL(SANOFI AVENTIS-EGYPT) Syrp 15mg/5ml 100 ml AVIL-4 AVIL(SANOFI AVENTIS-GERMANY) Syrp 15MG/5ML 100 ml AVIRA1 AVIRAL Tabs 200 MG 20 tabs AVIRA2 AVIRAL Tabs 400 MG 20 tabs AVIRA3 AVIRAL Tabs 800 MG 20 tabs AVODA1 AVODART Caps 0.5MG 30 tabs AVOMI1 AVOMINE Tabs 25mg 10 tabs AVOMI2 AVOMINE Tabs 25MG 28 tabs AVONE2 AVONEX Inj 30µg/0.5ml 4 syrg AVONE1 AVONEX Inj 30µg/1ml 4 vial AXID-1 AXID Caps 150mg 28 caps AXID-2 AXID Caps 150mg 56 caps AXID-3 AXID Caps 300mg 14 caps AXID-4 AXID Caps 300mg 28 caps AXIDI1 AXID I.V Inj 100 MG/4ML 5 amp AZACT1 AZACTAM Inj 1 GM 1 vial AZACT2 AZACTAM Inj 500 MG 1 vial AZALI1 AZALID Caps 250 MG 6 caps AZARG1 AZARGA EyDr 0 5 ml AZI-O1 AZI-ONCE Caps 250mg 6 caps AZI-O2 AZI-ONCE Susp 200MG/5 ML 15 ml AZI-O3 AZI-ONCE Susp 200MG/5 ML 22.5 ml AZI-O4 AZI-ONCE Susp 200MG/5 ML 30 ml AZMAC1 AZMACORT Inhl 200µg/puff 240 dose AZOMY1 AZOMYCIN Caps 250 MG 6 caps AZOMY2 AZOMYCIN Susp 200MG/5ML 15 ml AZOMY3 AZOMYNE Caps 250 MG 6 caps AZOMY4 AZOMYNE Susp 200MG/5ml 15 ml AZOMY5 AZOMYNE Susp 200MG/5ML 22.5 ml AZONI2 AZONIT Crm 1% 20 gm AZONI3 AZONIT D Crm 10/1mg/g 20 gm AZONI1 AZONIT VgCr 1% 40 gm AZOPT1 AZOPT EyDr 10 MG 5 ml B---A1 B - ALERT Tabs 0 25 tabs B.COM1 B. COMPLEX Tabs combinatio 100 tabs BABYD1 BABY DRINKS Pwdr combinatio 12 sach BABY-2 BABY FLU Syrp 0 120 ml BABYR1 BABY REST DROP SB 40mg/0.6ml 15 ml BABYL5 BABYLYTE Soln 0 240 ml BABYL1 BABYLYTE Syrp combinatio 1000 ml 275 276 | Patient Minimum Data Set BABYL2 BABYLYTE Syrp combinatio 240 ml BABYL3 BABYLYTE Syrp combinatio 500 ml BACIC1 BACICOLINE EyDr 0 5 ml BACIM1 BACIMYCIN Oint 0 12 gm BACTA2 BACTALL 500 Tabs 500 MG 10 tabs BACTA1 BACTALL Tabs 250 MG 10 tabs BACTA4 BACTAZON Oint 0.2% 250 gm BACTA3 BACTAZON Oint 0.20% 30 gm BACTI1 BACTIFLOX Tabs 250 MG 10 tabs BACTI3 BACTIFLOX Tabs 500 MG 10 tabs BACTI2 BACTIFLOX Tabs 750 MG 10 tabs BACTR2 BACTRIM (BANANA FLAV) Susp 240mg/5ml 100 ml BACTR1 BACTRIM FORTE Tabs 800/160mg 10 tabs BACTR3 BACTRIM Tabs 200/40mg 20 tabs BACTR4 BACTROBAN Crm 2% 15 gm BACTR5 BACTROBAN Oint 2% 15 gm BALAD2 BALAD Crm 0 15 gm BALAD1 BALAD Oint 0 15 gm BALAN3 BALANCED SALT Soln 0 15 ml BALAN4 BALANCED SALT Soln 0 500 ml BALKA7 BALKACYCLIN Caps 0 20 caps BALKA8 BALKAMYCIN Soln 0 10 ml BALKA9 BALKAPROFEN Caps 600mg 16 tabs BALKA5 BALKAPROFEN Susp 100mg/5ml 100 ml BALKA2 BALKAPROFEN Tabs 400MG 20 tabs BALKA6 BALKAPROFEN Tabs 600mg 16 tabs BALKA10 BALKATRIN Susp 0 60 ml BALKA4 BALKATRIN Susp 240mg/5ml 60 ml BALKA11 BALKATRIN Tabs 0 20 tabs BALKA3 BALKATRIN Tabs 400/80mg 20 tabs BALKI1 BALKIS NsDr 0.05% 10 ml BALKI2 BALKIS NsSy 0.10% 10 ml BALMI2 BALMINIL DM Syrp 15mg/5ml 100 ml BALMI3 BALMINIL EXPECTORANT Syrp 100mg/5ml 100 ml BANEO1 BANEOCIN Oint 0 20 gm BANEO2 BANEOCIN Pwdr 0 10 gm BANOX1 BANOXYL 5 Crm 0 40 gm BANOX2 BANOXYL 5 Lotn 0 30 ml BARAC1 BARACLUDE Tabs 0.5MG 30 tabs BARAC2 BARACLUDE Tabs 1MG 30 tabs BARNE3 BARNETIL Inj 200MG/2ML 6 amp BARNE4 BARNETIL Tabs 400MG 10 tabs BATRA1 BATRAFEN Crm 10mg/g 20 gm BATRA2 BATRAFEN Oint 10mg/g 10 gm BAUMA1 BAUMALGIN Oint 2/10% 40 gm Appendices Patient Minimum Data Set | Appendices BEBEG1 BEBEGEL CANULATED TUBE(4G) Crm combinatio 6 ea BECLO1 BECLOFORTE Inhl 250µg/dose 200 dose BECLO2 BECLOMET(10 ml) NsSy 50 MCG 200 dose BECLO3 BECLOMET(10ml) NsSy 100 MCG 200 dose BECLO4 BECLOMET(12.5ml) Inhl 250 MCG 200 dose BECOM1 BECOMPLEX FORTE Tabs combinatio 28 tabs BECOM2 BECOMPLEX Tabs 0 100 tabs BECON1 BECONASE NsSy 50MCG/dose 200 dose BECOT1 BECOTIDE Inhl 50MCG/dose 200 dose BECOZ7 BECOZYM - C Tabs 0 30 tabs BECOZ5 BECOZYM FORTE Tabs COMB 20 tabs BECOZ1 BECOZYM Inj combinatio 5 amp BECOZ6 BECOZYM Syrp combinatio 100 ml BECOZ3 BECOZYM Tabs combinatio 20 tabs BELLA1 BELLACID Tabs 0.01/0.02g 30 tabs BENAF2 BENAFED SYRUP Soln combinatio 125 ml BENDA1 BENDAZOLE Syrp 100 MG 60 ml BENDA2 BENDAZOLE Tabs 100 MG 6 tabs BENEM2 BENEMID Tabs 500 MG 100 Tabs BENER1 BENERVA Tabs 300mg 20 tabs BENEX1 BENEXOL B12 Tabs combinatio 10 tabs BENIK4 BENIKTOL Pwdr COMBINATIO 5 GM BENIK3 BENIKTOL SPRY COMBINATIO 200 GM BENOQ1 BENOQUIN Crm 20% 34 gm BENYL4 BENYLIN PAED. SYRUP Soln combinatio 125 ml BENYL3 BENYLIN Soln combinatio 125 ml BENZI1 BENZISOL Spry combinatio 150 gm BENZO1 BENZOCHLORYL SOL. Soln 0 125 ml BENZY1 BENZYL BEZOATE Lotn 25 % W/V 100 ml BEPAN1 BEPANTHEN Lotn 25MG 200 ml BEPAN2 BEPANTHEN Oint 5% 30 gm BEPAN3 BEPANTHEN PLUS Crm 50/5mg/g 30 gm BEPAN4 BEPANTHENE Crm 5% 30 gm BEPAN5 BEPANTHENE TSol 5% 50 ml BEROC1 BEROCCA CALCIUM Tabs combinatio 30 tabs BEROD2 BERODUAL Inhl 0 20 ml BEROD1 BERODUAL Inhl 20/50µg/pu 200 dose BEROT5 BEROTEC 100 Inhl 0 10 ml BEROT4 BEROTEC aerosol (10ML) Inhl 100mcg/puf 200 puff BEROT1 BEROTEC Inhl 1mg/ml 20 ml BEROT2 BEROTEC Syrp 2.5mg/5ml 100 ml BESER1 BESEROL Tabs 500/100MG 16 tabs BETA-1 BETA - MICOTER Crm 1/0.05% 30 gm BETA-2 BETA - OPHTIOLE EyDr 0.30% 5 ml BETAO1 BETA OPHTIOLOE EyDr 0.60% 5 ml 277 278 | Patient Minimum Data Set BETAD1 BETADERM Crm 0.1/100g 20 gm BETAD2 BETADERM Oint 0.1/100g 20 gm BETAF1 BETAFERON (15ML) Inj 0.25 MG 15 vial BETAG3 BETAGEN Tabs 16mg 30 tabs BETAG4 BETAGEN Tabs 8MG 50 tabs BETAM3 BETAMED - N Crm 1/5mg/g 30 gm BETAM1 BETAMED Crm 1mg/g 15 gm BETAM5 BETAMET Oint 0.10% 10 gm BETA-3 BETA-OPHTIOLE EyDr 0.60% 5 ml BETAS2 BETASERC Tabs 16mg 60 tabs BETAS1 BETASERC Tabs 8 MG 100 tabs BETAS3 BETASONE Crm 1mg/g 15 gm BETAS4 BETASONE Oint 1mg/g 15 gm BETAS5 BETASONE Tabs 0.5mg 20 tabs BETAT1 BETATEN Tabs 100 MG 28 tabs BETAT2 BETATEN Tabs 25 MG 28 tabs BETAT3 BETATEN Tabs 50 MG 28 tabs BETAV3 BETAVAL - N Crm 1/5mg/g 15 gm BETAV2 BETAVAL Crm 1mg/g 15 gm BETAV5 BETAVAL Crm 1MG/G 30 gm BETAV7 BETAVAL -N Crm 1/5MG/G 30 gm BETAV4 BETAVAL- N Oint 1/5mg/g 15 gm BETAV8 BETAVAL- N Oint 1/5MG/G 30 gm BETAV1 BETAVAL Oint 1mg/g 15 gm BETAV6 BETAVAL Oint 1MG/G 30 gm BETIX1 BETIXIM Caps 200 MG 8 caps BETIX2 BETIXIM Caps 400 MG 5 caps BETIX3 BETIXIM Susp 100mg/5ml 30 ml BETIX4 BETIXIM Susp 100mg/5ml 60 ml BETNE4 BETNESOL Tabs 0.5 MG 30 tabs BETNO9 BETNOVATE C Crm 1/30mg/g 30 gm BETNO8 BETNOVATE C Oint 1/30mg/g 30 gm BETNO4 BETNOVATE Crm 1mg/g 30 gm BETNO5 BETNOVATE Lotn 1MG/ML 20 ml BETNO7 BETNOVATE N Crm 1/5MG/G 30 gm BETNO10 BETNOVATE N Oint 1/5MG/G 30 gm BETNO6 BETNOVATE Oint 1mg/g 30 gm BETNO3 BETNOVATE SCALP APPLICATION Tsol 1MG/ML 30 ml BETNO11 BETNOVATE SCALP Lotn 0 100 ml BETOL2 BETOLVEX Inj 1 MG/1ML 1 amp BETOL1 BETOLVEX Tabs 1MG 30 tabs BETON13 BETONATE N Crm 0 30 gm BETON14 BETONATE N Oint 0 30 gm BETOP1 BETOPTIC EyDr 0.5% 5 ml BEVAC1 BEVACOL Tabs 135MG 48 tabs Appendices Patient Minimum Data Set | Appendices BEVAS3 BEVASON - N Oint 1/5mg/g 20 gm BEVAS1 BEVASON Crm 0.1% 20 gm BEVAS2 BEVASON Oint 0.1% 20 gm BEVID1 BEVIDOXINE FORT Tabs combinatio 30 tabs BEZAL2 BEZALIP RETARD Tabs 400 MG 30 tabs BEZAL1 BEZALIP Tabs 200 MG 50 tabs BI_--1 BI - PRETERAX Tabs 0 30 tabs BI-TI1 BI - TILDIEM Tabs 120MG 28 tabs BI-TI2 BI - TILDIEM Tabs 90MG 28 tabs BIPRO1 BI PROFENID Tabs 150MG 20 tabs BICLO1 BICLOPAN Tabs 25MG 100 tabs BICLO2 BICLOPAN Tabs 50MG 100 tabs BIDAF1 BIDAFEN Tabs 200MG 24 tabs BIDAM1 BIDAMOL Tabs 500MG 24 tabs BIDAM2 BIDAMOX Caps 250 MG 20 caps BIDAM3 BIDAMOX Caps 500 MG 20 caps BILHA2 BILHARZID Tabs 600MG 4 tabs BILIS1 BILISCOPIN 5G INJ INFUSION Inf 105MG/ML 100 ml BILIT1 BILITHOL Caps combinatio 24 caps BIODR1 BIODROXIL Caps 500MG 12 caps BIODR4 BIODROXIL Susp 250MG/5ML 60 ml BIODR5 BIODROXIL Susp 500MG/5ML 60 ml BIODR2 BIODROXIL Syrp 125MG/5ML 60 ml BIODR3 BIODROXIL Tabs 1000MG 12 tabs BIOGE1 BIOGEN CUSI Inj 40MG 2 ml BIOGE2 BIOGEN CUSI Inj 80MG 2 ml BIOMO1 BIOMOX Caps 250 MG 12 caps BIOMO2 BIOMOX Caps 500 MG 12 caps BIOMO3 BIOMOX Susp 250 MG 80 ml BI-PR1 BI-PRETERAX Tabs 5/1.25MG 30 tabs BISCO2 BISCOR Tabs 10 MG 30 tabs BISCO1 BISCOR Tabs 5 MG 30 tabs BISOD1 BISODOL Pwdr COMBINATIO 100 gm BISOD2 BISODOL Tabs 522/68mg 100 tabs BISOD3 BISODOL Tabs 522/68mg 30 tabs BISOL1 BISOLVON Osol 2mg/ml 40 ml BISOL6 BISOLVON Syrp 4MG/5 ML 100 ml BISOL2 BISOLVON Syrp 8MG/5 ML 100 ml BISOL3 BISOLVON Tabs 8 MG 20 tabs BISOL7 BISOLVON-2ML Inj 0 5 amp BLEOC1 BLEOCIN Inj 15 MG 1 vial BLOPR1 BLOPRESS Tabs 16 MG 28 tabs BLOPR2 BLOPRESS Tabs 16/12.5MG 28 tabs BLOPR3 BLOPRESS Tabs 8 MG 28 tabs BLOPR4 BLOPRESS Tabs 8/12.5 28 tabs 279 280 | Patient Minimum Data Set BONDR1 BONDRONAT Inj 6MG/6ML 1 vial BANDR1 BONDRONAT Tabs 50mg 28 tabs BONDR2 BONDRONATE Inj 2MG/2ML 1 vial BONEF3 BONEFOS Caps 400MG 100 caps BONEF2 BONEFOS Inj 300MG 5 amp BONID4 BONIDON DEPO Caps 75mg 20 caps BONID1 BONIDON Gel 1% 15 gm BONID5 BONIDON Supp 100MG 5 supp BONID3 BONIDON Tabs 25 MG 30 tabs BONVI1 BONVIVA Inj 3MG/3ML 1 syrg BONVI2 BONVIVA Tabs 150MG 1 tabs BOSPY1 BOSPYRIN Tabs 100 MG 20 tabs BOSTR1 BOSTROMBIN Gel combinatio 40 gm BOSTR2 BOSTROMBIN Oint combinatio 40 gm BOTOX1 BOTOX Inj 100ui 1 vial BRADO1 BRADORAL Loz 0.5MG 20 loz BRADO2 BRADOSOL Loz 0.5mg 24 loz BRAVE1 BRAVELLE Inj 75 IU 10 vial BREVI1 BREVINOR Tabs 0.5/0.035m 21 tabs BRICA7 BRICANYL (2ml) Inhl 2.5mg/ml 20 udv BRICA2 BRICANYL Inhl 0.5mg/dose 200 dose BRICA3 BRICANYL Inj 0.5mg/ml 10 amp BRICA4 BRICANYL Syrp 0.3mg/ml 100 ml BRICA5 BRICANYL Tabs 2.5MG 100 tabs BRICA6 BRICANYL Tabs 5MG 100 tabs BRIMO1 BRIMO EyDr 0.2% 15 ml BRINE1 BRINERDIN Tabs 0.5/5/0.1m 30 tabs BRONC2 BRONCHO - VAXOM ADULT Caps 7mg 10 caps BRONC3 BRONCHO - VAXOM ADULT Caps 7mg 30 caps BRONC4 BRONCHO - VAXOM ENF Caps 3.5 MG 10 caps BRONC5 BRONCHO - VAXOM ENF Caps 3.5 MG 30 caps BRONC6 BRONCHOBOS Caps 375 MG 30 caps BRONC7 BRONCHOBOS Syrp 125MG/5ML 200 ml BRONC8 BRONCHOBOS Syrp 250MG/5ML 200 ml BRONC10 BRONCHOLAR FORTE Syrp combinatio 100 ml BRONC9 BRONCHOLAR Syrp combinatio 100 ml BRONC11 BRONCHOLASE Syrp combinatio 120 ml BRONC12 BRONCHOPHAN Syrp combinatio 125 ml BRONC17 BRONCHOSPASMIN Tabs 0 20 tabs BRONE1 BRONEX SB 20/20mg 15 ml BROSO2 BROSOLIN Supp 0 5 supp BRUFE7 BRUFEN GRANULES Gran 600 MG 20 sach BRUFE8 BRUFEN RETARD Tabs 800 MG 20 tabs BRUFE6 BRUFEN Soln 100MG/5 ML 100 ml BRUFE2 BRUFEN TAB Tabs 400 MG 25 tabs Appendices Patient Minimum Data Set | Appendices BRUFE3 BRUFEN Tabs 200MG 25 tabs BRUFE10 BRUFEN Tabs 200mg 500 tabs BRUFE1 BRUFEN Tabs 400 MG 250 tabs BRUFE11 BRUFEN Tabs 400MG 25 tabs BRUFE9 BRUFEN Tabs 400mg 30 tabs BRUFE5 BRUFEN Tabs 600 MG 30 tabs BSS(B1 BSS ( BALANCED SALT SOLUTION) Soln combinatio 15 ml BUCCA1 BUCCALINE BERNA(1000/1000/1000/1500million/25mg) Tabs combinatio 7 tabs BUFFE1 BUFFERIN Tabs 325mg 130 tabs BUSCO4 BUSCOPAN ADULT Supp 10MG 6 supp BUSCO5 BUSCOPAN CHILD Supp 7.5mg 6 supp BUSCO6 BUSCOPAN INJ. Inj 20mg/ml 6 amp BUSCO2 BUSCOPAN PLUS Supp 10mg 5 supp BUSCO7 BUSCOPAN PLUS Tabs 500/10mg 20 tabs BUSCO8 BUSCOPAN Syrp 0 100 ml BUSCO3 BUSCOPAN Tabs 10MG 20 tabs BUSPA2 BUSPAR Tabs 10 MG 30 tabs BUSPA1 BUSPAR Tabs 30 MG 60 tabs BUSPA3 BUSPAR Tabs 5 MG 30 tabs BUTAC1 BUTACID Tabs 10mg 20 tabs BUTAL4 BUTALIN 0.5% Inhl 5mg/ml 20 ml BUTAL6 BUTALIN NEBULIZER Inhl 0.50% 20 ml BUTAL2 BUTALIN Syrp 2mg/5ml 120 ml BUTAL5 BUTALIN Tabs 2MG 20 tabs BUTAL3 BUTALIN Tabs 4MG 20 tabs BYETT1 BYETTA Inj 10mcg/dose 1 pfs BYETT2 BYETTA Inj 5mcg/dose 1 pfs C-VIT1 C - VITON Tabs 500mg 240 tabs CADUE6 CADUET Tabs 10 / 20MG 30 tabs CADUE1 CADUET Tabs 10 / 40MG 30 tabs CADUE2 CADUET Tabs 10/ 10MG 30 tabs CADUE3 CADUET Tabs 5 / 10MG 30 tabs CADUE4 CADUET Tabs 5 / 20MG 30 tabs CADUE5 CADUET Tabs 5 / 40MG 30 tabs CAELY1 CAELYX(10ML) Inj 2MG/ML 1 vial CAFAM1 CAFAMOL Tabs 0 20 tabs CAFER1 CAFERGOT Tabs 1/100mg 20 tabs CALAM1 CALAMYL D Lotn 0 120 ml CALAZ1 CALAZOL Crm COMB 20 gm CALCI1 CALCIMAX Osol combinatio 150 ml CALCI3 CALCITEC NsSy 200IU 1.5 ml CALCI14 CALCIUM EFF INSTANT Pwdr 0 10 sach CALCI6 CALCIUM FARCO ChwT combinatio 20 chwT CALCI10 CALCIUM SANDOZ GMbH + VIT. C Inj combinatio 5 amp CALCI12 CALCIUM SANDOZ GMbH (10ml) Inj 10% 5 amp 281 282 | Patient Minimum Data Set CALPO3 CALPOL 6 PLUS Susp 250MG/5ML 100 ml CALPO1 CALPOL Susp 120MG/5ML 100 ml CALRI3 CALRITT XL Tabs 500MG 7 tabs CALRI2 CALRITT Susp 125MG/5ML 60 ml CALRI1 CALRITT Susp 250MG/5ML 70 ml CALSY1 CALSYR Syrp combinatio 100 ml CALTR3 CALTRATE Tabs 0 60 tabs CALTR2 CALTRATE WITH VIT. D Tabs 600/200IU 60 tabs CAMOD2 CAMODERM Oint 0 24 gm CAMPT1 CAMPTO Inj 100mg/5ml 1 vial CAMPT2 CAMPTO Inj 40mg/2ml 1 vial CANAR1 CANAR Tabs 100 MG 28 tabs CANAR2 CANAR Tabs 50 MG 28 tabs CANDE1 CANDEUR Caps 150MG 1 caps CANDI1 CANDICORT Crm 2/1% 15 gm CANDI2 CANDIVAST Caps 150MG 1 caps CANDI3 CANDIVAST Caps 50MG 7 caps CANDI4 CANDIZOL Crm 2%w/w 15 gm CANDI5 CANDIZOL Ogel 20MG 40 gm CANDI9 CANDIZOLE VgCr 2% 45 gm CANES2 CANESTEN Crm 1% 20 gm CANES3 CANESTEN Ovul 100mg 6 ovul CANES4 CANESTEN Ovul 500MG 1 ovul CANES5 CANESTEN Pwdr 1% 30 gm CANES6 CANESTEN Soln 1% 20 ml CANES1 CANESTEN Spry 1% 30 ml CANTO1 CANTOR Tabs 50MG 30 tabs CAPOC2 CAPOCARD Tabs 25 MG 20 tabs CAPOC1 CAPOCARD Tabs 50 MG 20 tabs CAPOJ1 CAPOJED -11 Tabs 50/12MG 20 tabs CAPOT1 CAPOTEN Tabs 100 MG 20 tabs CAPOT2 CAPOTEN Tabs 25 MG 28 tabs CAPOT3 CAPOTEN Tabs 50 MG 28 tabs CAPOZ1 CAPOZIDE Tabs 50/25MG 14 tabs CARBO1 CARBOPHOS Tabs 400mg 40 tabs CARDE1 CARDENOL Tabs 100 MG 28 tabs CARDE2 CARDENOL Tabs 50 MG 28 tabs CARDI1 CARDIAGUTT Tabs 40MG 50 tabs CARDI2 CARDIAGUTT Tabs 80MG 50 tabs CARDI5 CARDIL Tabs 120MG 100 tabs CARDI6 CARDIL Tabs 60MG 100 tabs CARDI9 CARDIOSAFE Tabs 10 MG 30 tabs CARDI10 CARDIOSAFE Tabs 5 MG 30 tabs CARDU1 CARDURA Tabs 1MG 20 tabs CARDU2 CARDURA Tabs 2MG 20 tabs Appendices Patient Minimum Data Set | Appendices CARDU3 CARDURA Tabs 4MG 20 tabs CAREL1 CARELOX ChwT 200/200MG 50 chwT CAREL2 CARELOX PLUS ChwT 0 50 chwT CASOD1 CASODEX Tabs 150 MG 28 tabs CASOD2 CASODEX Tabs 50 MG 28 tabs CASPO1 CASPOFUNGIN MSD(10ml) Inj 50mg 10 ml CASPO2 CASPOFUNGIN MSD(10ml) Inj 70mg 10 ml CATAF3 CATAFLAM Soln 1.5% 15 ml CATAF1 CATAFLAM Tabs 25MG 20 tabs CATAF2 CATAFLAM Tabs 50MG 20 tabs CATAP1 CATAPRES Tabs 150mcg 30 tabs CAVED2 CAVED - S Tabs 0 60 tabs CAVER1 CAVERJECT Inj 20 MCG 1 vial CAVER2 CAVERJECT(+1 vial solvent) Inj 10µg 1 vial CECLO1 CECLOCARE Susp 250MG/5ML 75 ml CECLO3 CECLOR Caps 250 MG 15 caps CECLO8 CECLOR Caps 500MG 15 caps CECLO5 CECLOR MR Tabs 375 MG 10 tabs CECLO6 CECLOR MR Tabs 500 MG 10 tabs CECLO7 CECLOR MR Tabs 750 MG 10 tabs CECLO2 CECLOR Susp 125MG/5ML 75 ml CECLO4 CECLOR Susp 250MG/5ML 75 ml CEDAX1 CEDAX POS Susp 180MG/5ML 30 ml CEDAX2 CEDAX POS Susp 180MG/5ML 60 ml CEDAX3 CEDAX POS Susp 90MG/5ML 30 ml CEDAX4 CEDAX POS Susp 90MG/5ML 60 ml CEDAX6 CEDAX Caps 400 MG 10 caps CEDAX5 CEDAX Caps 400 MG 5 caps CEDOC5 CEDOCARD RETARD Tabs 20MG 60 tabs CEDOC1 CEDOCARD Tabs 10MG 100 tabs CEDOC2 CEDOCARD Tabs 20MG 100 tabs CEDOC3 CEDOCARD Tabs 5MG 60 tabs CEDRO1 CEDROX Caps 1000 MG 12 caps CEDRO3 CEDROX Caps 500 MG 12 caps CEDRO2 CEDROX Susp 250mg/5ml 60 ml CEDRO4 CEDROX Susp 500MG/5 ML 60 ml CEFAB1 CEFABAC Caps 250 MG 14 caps CEFAB2 CEFABAC Caps 500 MG 14 caps CEFAC1 CEFACLOR Caps 250 MG 12 caps CEFAC3 CEFACLOR Caps 500 MG 12 caps CEFAD1 CEFADRIL Caps 500 MG 12 caps CEFAM2 CEFAMEZIN IM Inj 500 MG 1 vial CEFAM1 CEFAMEZIN Inj 1 GM 1 vial CEFAM6 CEFAMEZIN IV Inj 1 GM 1 vial CEFAM5 CEFAMEZIN IV Inj 500 MG 1 vial 283 284 | Patient Minimum Data Set CEFAX1 CEFAXINE Caps 250 MG 20 caps CEFAX2 CEFAXINE Caps 500 MG 20 caps CEFIX4 CEFIX Caps 200 MG 8 caps CEFIX3 CEFIX Caps 400 MG 5 caps CEFIX1 CEFIX Susp 100mg/5ml 30 ml CEFIX2 CEFIX Susp 100mg/5ml 60 ml CEFIZ4 CEFIZOX I.M Injp 1G 1 vial CEFIZ3 CEFIZOX IM Inj 500mg 1 vial CEFIZ1 CEFIZOX IV Inj 1G 1 vial CEFIZ2 CEFIZOX IV Inj 500mg 1 vial CEFOD4 CEFODOX Susp 100 MG/5ML 50 ml CEFOD1 CEFODOX Susp 50mg/5ml 50 ml CEFOD2 CEFODOX Tabs 100 MG 10 tabs CEFOD3 CEFODOX Tabs 200 MG 10 tabs CEFOR1 CEFORAN Inj 1 GM 1 vial CEFOR2 CEFORAN Inj 500 MG 1 vial CEFRA1 CEFRAMED Caps 250 MG 20 caps CEFRA2 CEFRAMED Caps 500 MG 20 caps CEFRA3 CEFRAX Caps 200 MG 10 caps CEFRA4 CEFRAX Caps 400MG 5 caps CEFRO1 CEFROM Inj 0.5g 1 vial CEFRO3 CEFROM Inj 1g 1 vial CEFRO2 CEFROM Inj 2g 1 vial CEFTA1 CEFTAX Inj 1 GM 1 vial CEFTA2 CEFTAX Inj 500 MG 1 vial CEFTR1 CEFTRIAXONE -TABUK IM Inj 1 GM 1 vial CEFTR2 CEFTRIAXONE-TABUK IM Inj 0.5MG 1 vial CEFTR3 CEFTRIAXONE-TABUK IV Inj 0.5MG 1 vial CEFTR4 CEFTRIAXONE-TABUK IV Inj 1 GM 1 vial CEFUM2 CEFUMAX Inj 250 MG 1 vial CEFUM1 CEFUMAX Inj 750 MG 1 vial CEFUT2 CEFUTIL Tabs 250 MG 10 tabs CEFUT1 CEFUTIL Tabs 500mg 10 tabs CEFUZ4 CEFUZIME Susp 125MG/5ML 50 ml CEFUZ1 CEFUZIME Tabs 125 MG 10 tabs CEFUZ2 CEFUZIME Tabs 250 MG 10 tabs CEFUZ3 CEFUZIME Tabs 500 MG 10 tabs CEFZI2 CEFZIL Susp 250MG/5ML 50 ml CEFZI3 CEFZIL Tabs 250 MG 10 tabs CEFZI4 CEFZIL Tabs 500MG 10 tabs CELEB1 CELEBREX Caps 100 MG 20 caps CELEB2 CELEBREX Caps 200mg 10 caps CELEB4 CELEBREX Caps 200mg 30 caps CELEM1 CELEMIN 10 PLUS Inj 10% 500 ml CELEM2 CELEMIN 5-S(20ML) Inj 5 - S 5% W 500 ml Appendices Patient Minimum Data Set | Appendices CELEP1 CELEPID Inj 10% W/V 500 ml CELES2 CELESTODERM VEG Crm 0.1% 15 gm CELES3 CELESTODERM VEG Oint 0.1% 15 gm CELES5 CELESTONE Tabs 0.5 MG 30 tabs CELLC1 CELLCEPT Caps 250MG 100 caps CELLC2 CELLCEPT Tabs 500MG 50 tabs CENTR1 CENTRACAL Lotn combinatio 200 ml CENTR7 CENTRUM MATERNA Tabs combinatio 100 tabs CENTR6 CENTRUM MATERNA Tabs combinatio 30 tabs CEPHA1 CEPHADAR Caps 250 MG 20 caps CEPHA3 CEPHADAR FORT Caps 500 MG 20 caps CEPHA4 CEPHADAR FORT Susp 250MG/5ML 100 ml CEPHA2 CEPHADAR Susp 125MG/5ML 100 ml CEPHA8 CEPHALEX Caps 500 MG 20 caps CEPHA5 CEPHALEX Susp 250MG/5 ML 100 ml CEPOR5 CEPOREX Susp 125mg/5ml 100 ml CEPOR2 CEPOREX Susp 250 MG/5ML 100 ml CERAZ1 CERAZETTE Tabs 75GM 28 tabs CERAZ2 CERAZETTE Tabs 75GM 84 tabs CEREP1 CEREPAR Tabs 75 MG 25 tabs CEROX1 CEROXIM Tabs 250 MG 10 tabs CEROX2 CEROXIM Tabs 500 MG 10 tabs CERTI6 CERTICAN DISPERSIBLE Tabs 0.1MG 60 tabs CERTI5 CERTICAN DISPERSIBLE Tabs 0.25MG 60 tabs CERTI1 CERTICAN Tabs 0.25MG 60 tabs CERTI2 CERTICAN Tabs 0.5 MG 60 tabs CERTI3 CERTICAN Tabs 0.75MG 60 tabs CERTI4 CERTICAN Tabs 1MG 60 tabs CERUT1 CERUTIN RX Tabs 60mg 30 tabs CETAP1 CETAPRED EyOn combinatio 3.5 gm CETAV1 CETAVLEX Crm 0.5% 50 gm CETRA1 CETRALON Syrp 5MG/5ML 75 ml CETRA2 CETRALON Tabs 10 MG 10 tabs CETRO2 CETRO B.P Tabs 10 MG 10 tabs CETRO1 CETRO Soln 5MG/5 ML 100 ml CHAMP3 CHAMPIX Tabs 0.5MG 56 tabs CHAMP4 CHAMPIX Tabs 0.5MG+1MG 25 tabs CHAMP1 CHAMPIX Tabs 1 MG 28 tabs CHAMP2 CHAMPIX Tabs 1 MG 56 tabs CHEMO1 CHEMOTRIM 200/40MG/5ML Susp 0 100 ml CHEMO3 CHEMOTRIM FORTE Tabs 800/160MG 10 tabs CHEMO2 CHEMOTRIM Tabs 400/80MG 10 tabs CHIBR3 CHIBROXINE EyDr 0.3% 5 ml CHILD2 CHILDREN NON-ASPIRIN ChwT 80 MG 30 tabs CHILD3 CHILDREN PANADOL Soln 120MG/5ML 100 ml 285 286 | Patient Minimum Data Set CHILD4 CHILDREN'S ADVIL Syrp 100mg/5ml 100 ml CHILD5 CHILDREN'S COUGH Syrp 100MG 100 ml CHILD7 CHILDREN'S NITE TIME COLD MEDICINE Syrp 0 120 ml CHILD8 CHILDREN'S NON - ASPIRIN ELIXIR Syrp 0 120 ml CHIRO1 CHIROCAINE(10ML ) Inj 2.5MG/ML 10 amp CHIRO2 CHIROCAINE(10ML ) Inj 5.0MG/ML 10 amp CHIRO3 CHIROCAINE(10ML ) Inj 7.5MG/ML 10 amp CHLOR3 CHLOROHISTOL Syrp 2mg/5ml 100 ml CHLOR17 CHLOROHISTOL Tabs 4MG 1000 tabs CHLOR4 CHLOROHISTOL Tabs 4mg 20 tabs CHLOR15 CHLOROPTIC - S.O.P OINT. Oint 3.5 3.5 oint CHLOR16 CHLOROPTIC -P S.O.P EYE OINT. EyOn 3.5 3.5 oint CHLOR10 CHLOROQUINE Syrp 50MG/ML 100 ml CHLOR11 CHLORPHENIRAMINE Syrp 2MG/5ML 100 ml CHLOR18 CHLORQUINE Syrp 0 60 ml CHOLE6 CHOLEDYL SYRUP Soln 0 200 ml CHOLE5 CHOLEDYL Tabs 200mg 100 tabs CHORI1 CHORIOMON Inj 5000iu 3 vial CIBAC6 CIBACEN Tabs 10MG 14 tabs CIBAC5 CIBACEN Tabs 20MG 14 tabs CIBAC4 CIBACEN Tabs 5MG 14 tabs CIDWA1 CID WATER Syrp combinatio 120 ml CIFLO1 CIFLOX Tabs 250 MG 10 tabs CIFLO2 CIFLOX Tabs 500 MG 10 tabs CIFRA1 CIFRAN Tabs 250 MG 10 tabs CIFRA2 CIFRAN Tabs 500mg 10 tabs CILES1 CILEST Tabs 35/250µg 21 tabs CILES2 CILEST Tabs 35/250µg 63 tabs CILOD1 CILODEX EaDr 3/1MG/ML 5 ml CILOP1 CILOPRINE C.A EaDr combinatio 12 ml CILOX2 CILOXAN EYE & EAR EyDr 0.3% 5 ml CILOX1 CILOXAN EyOn 0.3% 3.5 gm CIMBE1 CIMBENE Tabs 200 MG 50 tabs CIMBE2 CIMBENE Tabs 400 MG 20 tabs CIMBE3 CIMBENE Tabs 800 MG 10 tabs CIMED1 CIMEDINE Tabs 200mg 50 tabs CIMED2 CIMEDINE Tabs 400mg 24 tabs CIMET3 CIMETAG Tabs 200 MG 50 tabs CIMET1 CIMETAG Tabs 400 MG 20 tabs CIMET2 CIMETAG Tabs 800 MG 10 tabs CIMET4 CIMETIDINE Soln 200MG/5 ML 300 ml CIPRA3 CIPRALEX OSol 20 MG/ML 15 ml CIPRA1 CIPRALEX Tabs 10MG 28 tabs CIPRA2 CIPRALEX Tabs 20MG 28 tabs CIPRO7 CIPROBAY HC EaDr 0.2/0.1% 10 ml Appendices Patient Minimum Data Set | Appendices CIPRO2 CIPROBAY Tabs 250 MG 10 tabs CIPRO3 CIPROBAY Tabs 500 MG 10 tabs CIPRO4 CIPROBAY Tabs 750 MG 10 tabs CIPRO5 CIPROBAY(50 ml) Inj 2MG/ML 5 vial CIPRO11 CIPROCIN EyDr 0.3% 5 ml CIPRO8 CIPROCIN Tabs 250 MG 10 tabs CIPRO9 CIPROCIN Tabs 500 MG 10 tabs CIPRO12 CIPRODAR Tabs 250 MG 10 tabs CIPRO13 CIPRODAR Tabs 500 MG 10 tabs CIPRO14 CIPROFAR Tabs 250 MG 10 tabs CIPRO46 CIPROFAR Tabs 500MG 10 tabs CIPRO47 CIPROFAR Tabs 750MG 10 tabs CIPRO15 CIPROFLACINE Tabs 250 MG 10 tabs CIPRO16 CIPROFLACINE Tabs 500 MG 10 tabs CIPRO18 CIPROFLOX Tabs 250 MG 10 tabs CIPRO19 CIPROFLOX Tabs 500 MG 10 tabs CIPRO20 CIPROFLOX Tabs 750 MG 10 tabs CIPRO48 CIPROGEN Tabs 250MG 10 tabs CIPRO50 CIPROGEN Tabs 500MG 10 tabs CIPRO49 CIPROGEN Tabs 750MG 10 tabs CIPRO22 CIPROHEXAL Tabs 250 MG 10 tabs CIPRO23 CIPROHEXAL Tabs 500 MG 10 tabs CIPRO45 CIPROLET Tabs 250MG 10 tabs CIPRO44 CIPROLET Tabs 500MG 10 tabs CIPRO24 CIPROLON Inj 200 MG 100 ml CIPRO25 CIPROLON Tabs 250 MG 10 tabs CIPRO26 CIPROLON Tabs 500 MG 10 tabs CIPRO27 CIPROLON Tabs 750 MG 10 tabs CIPRO51 CIPROMAX EyDr 0 8 ml CIPRO52 CIPROMAX EyOn 0.30% 4 gm CIPRO32 CIPROMAX Tabs 250 MG 10 tabs CIPRO30 CIPROMAX Tabs 500 MG 10 tabs CIPRO33 CIPROMAX Tabs 750 MG 10 tabs CIPRO34 CIPROMID Tabs 250 MG 10 tabs CIPRO35 CIPROMID Tabs 500 MG 10 tabs CIPRO36 CIPROPHARM Tabs 250mg 10 tabs CIPRO37 CIPROPHARM Tabs 500 MG 10 tabs CIPRO39 CIPROQUIN Tabs 250MG 10 tabs CIPRO38 CIPROQUIN Tabs 500MG 10 tabs CIPRO1 CIPRO-SOL Inj 200 MG 100 ml CIPRO40 CIPROX Inj 0.2% 100 ml CIPRO41 CIPROXEN Tabs 250 MG 10 tabs CIPRO42 CIPROXEN Tabs 500 MG 10 tabs CIPRO43 CIPROXEN Tabs 750 MG 10 tabs CIRRU1 CIRRUS PROLONGED RELEASE Tabs 5 MG 14 tabs 287 288 | Patient Minimum Data Set CISPL5 CISPLATINUM inj 10MG/20ML 1 vial CISPL4 CISPLATINUM inj 50MG/100M 1 vial CITAL1 CITALOGEN Tabs 10 MG 30 tabs CITAL2 CITALOGEN Tabs 20 MG 30 tabs CITAL3 CITALOGEN Tabs 40 MG 30 tabs CITAL4 CITALOPARM HEXAL Tabs 20MG 20 tabs CITAL5 CITALOPARM HEXAL Tabs 40MG 20 tabs CITAL7 CITALOPRAM HEXAL Tabs 20MG 20 tabs CITAL6 CITALOPRAM HEXAL Tabs 40MG 20 tabs CITAN1 CITANEST OCTAPRESSIN (30MG+ 0.54mcg/ 1.8ML) Inj 0 100 cart CITRO2 CITRO SOD.EFFER Efgr combinatio 120 gm CITRO3 CITROCID MAGNESIUM Efgr combinatio 12 sach CIVAR1 CIVAR Crm 5% 10 gm CLAFO2 CLAFORAN (4 ml)I.M Inj 1 GM 1 vial CLAFO3 CLAFORAN (4ml)I.V Inj 1 GM 1 vial CLAFO1 CLAFORAN Inj 0.5GM 1 vial CLAFO4 CLAFOTAX IM Inj 1GM 1 vial CLAFO5 CLAFOTAX Inj 500MG 1 vial CLAFO6 CLAFOTAX IV Inj 1GM 1 vial CLAMY1 CLAMYCIN Tabs 250 MG 14 tabs CLAMY2 CLAMYCIN Tabs 500MG 14 tabs CLARA1 CLARA Syrp 5 MG/ 5ML 100 ml CLARA3 CLARA Tabs 10MG 10 tabs CLARA6 CLARAZOLE Crm 2% 30 gm CLARA7 CLARAZOLE Shmp 2% 100 ml CLARI1 CLARIDAR Susp 125 MG/5ML 60 ml CLARI2 CLARIDAR Tabs 250 MG 14 tabs CLARI3 CLARIDAR Tabs 500MG 14 tabs CLARI4 CLARIMAC Tabs 250mg 14 tabs CLARI5 CLARIMAC Tabs 500mg 14 tabs CLARI6 CLARINASE(REPE) Tabs 5 MG 14 tabs CLARI11 CLARITINE D- 24 HOUR Tabs 10/240MG 7 tabs CLARI7 CLARITINE Syrp 1MG/ML 100 ml CLARI8 CLARITINE Tabs 10 MG 10 tabs CLARI9 CLARITINE Tabs 10 MG 30 tabs CLARI12 CLARITT Susp 125MG/5ML 60 ml CLARI15 CLARITT Susp 250MG/5ML 70 ml CLARI13 CLARITT Tabs 250 MG 14 tabs CLARI14 CLARITT Tabs 500MG 14 tabs CLARI16 CLARITT XL Tabs 500 MG 7 tabs CLARI19 CLARIXIN Tabs 250mg 14 tabs CLARI20 CLARIXIN Tabs 500mg 14 tabs CLAUD3 CLAUDEMOR Oint 0 25 gm CLAUD4 CLAUDEMOR Supp 0 10 supp CLAVO3 CLAVODAR Susp 228mg/5ml 70 ml Appendices Patient Minimum Data Set | Appendices CLAVO4 CLAVODAR Susp 457mg/5ml 70 ml CLAVO5 CLAVODAR Tabs 1 GM 14 tabs CLAVO2 CLAVODAR Tabs 625MG 20 tabs CLEXA1 CLEXANE Inj 100MG 2 syrg CLEXA2 CLEXANE Inj 20MG 2 syrg CLEXA3 CLEXANE Inj 40MG 2 syrg CLEXA4 CLEXANE Inj 60MG 2 syrg CLEXA5 CLEXANE Inj 80MG 2 syrg CLICO1 CLICORT Oint 0 10 gm CLIME1 CLIMEN Tabs 0 21 tabs CLIND1 CLINDACIN T Lotn 1 % 50 ml CLIND2 CLINDOX Caps 150MG 16 caps CLINI1 CLINIMYCIN Caps 150 MG 16 caps CLINI2 CLINIMYCIN T Gel 10MG/G 45 gm CLINI3 CLINIMYCIN T Lotn 1 % 50 ml CLINO2 CLINORIL Tabs 200MG 30 Tabs CLOBE1 CLOBESON Crm 0.05%w/w 15 gm CLODE2 CLODERM Crm 0 25 gm CLODE1 CLODERM Oint 0 25 gm CLOFA1 CLOFAST Gel 1 % 20 gm CLOFE8 CLOFEN CREAMAGEL Crm 1 % 20 gm CLOFE10 CLOFEN Crm 0 50 gm CLOFE1 CLOFEN Inj 75/3ml 5 amp CLOFE2 CLOFEN Supp 100MG 10 supp CLOFE3 CLOFEN Supp 12.5MG 10 supp CLOFE4 CLOFEN Supp 25MG 10 supp CLOFE5 CLOFEN Supp 50MG 10 supp CLOFE9 CLOFEN Supp 50MG 5 supp CLOFE6 CLOFEN Tabs 25MG 20 tabs CLOFE7 CLOFEN Tabs 50MG 20 tabs CLOMI1 CLOMID Tabs 50MG 10 tabs CLOMO1 CLOMOVAL Tabs 50MG 10 tabs CLOPI1 CLOPIXOL Tabs 10mg 100 tabs CLORA1 CLORACEF Caps 250 MG 16 caps CLORA6 CLORACEF FORT Caps 500 MG 16 caps CLORA4 CLORACEF Susp 125mg/5ml 75 ml CLORA3 CLORACEF Susp 250MG/5ML 75 ml CLORA7 CLORACEF Susp 375MG/5ML 75 ml CLORA8 CLORACEF Susp 375MG/5ML 75 ml CLOTR1 CLOTREX EaDr 1% 20 ml CLOVI1 CLOVIR Crm 5% 10 gm CO---1 CO - DIOVAN Tabs 160/12.5MG 28 tabs CO-AM1 CO-AMOXI -MEPHA PHARMA Tabs 1GM 12 tabs CO-AM4 CO-AMOXI-MEPHA PHARMA 156.25MG/5ML Susp 0 100 ml CO-AM2 CO-AMOXI-MEPHA PHARMA 312.5MG/5ML Susp 0 100 ml 289 290 | Patient Minimum Data Set CO-AM3 CO-AMOXI-MEPHA PHARMA Susp 457MG/5ML 70 ml COAPR1 COAPROVEL Tabs 150MG/12.5 28 tabs COAPR2 COAPROVEL Tabs 300MG/12.5 28 tabs COAPR3 COAPROVEL Tabs 300MG/25 M 28 tabs COBAD4 COBADEX Crm 0.50% 20 gm COBAD3 COBADEX Crm 1% 20 gm COBAL1 COBAL Tabs 500MCG 105 tabs CODAM1 CODAMOL Tabs 500+10MG 24 tabs CODAP1 CODAPHED Syrp combinatio 120 ml CODIL1 CODILAR Syrp combinatio 120 ml CO-DI1 CO-DIOVAN Tabs 160/12.5mg 14 tabs CO-DI2 CO-DIOVAN Tabs 160/25 MG 28 tabs CO-DI3 CO-DIOVAN Tabs 320/12.5 M 28 tabs CO-DI4 CO-DIOVAN Tabs 320/25 MG 28 tabs CO-DI5 CO-DIOVAN Tabs 80/12.5 MG 28 tabs CO-DI6 CO-DIOVAN Tabs 80/12.5 MG 98 tabs COFEX1 COFEX Syrp combinatio 150 ml COFLI2 COFLIN Syrp 0 120 ml COFLI3 COFLIN Tabs 0 20 tabs COGEN1 COGENTIN Tabs 2MG 25 Tabs COLCH1 COLCHICINE Tabs 500MG 100 tabs COLD-2 COLD CAPSULES Caps 0 10 caps COLDA1 COLDACT Syrp combinatio 100 ml COLDR1 COLDREX Tabs combinatio 24 tabs COLES1 COLESTID Gran 5g 50 sach COLFE4 COLFED D.M Syrp COMB 120 ml COLFE3 COLFED EXPECTORANT Syrp combinatio 120 ml COLFE1 COLFED Syrp combinatio 120 ml COLIF1 COLIFURAN Tabs 100MG 20 tabs COLIM8 COLIMEX Syrp 0 60 ml COLIM7 COLIMYCIN Tabs 0 10 tabs COLIM5 COLIMYCINE (3ml) Inj 500000IU 1 vial COLIM2 COLIMYCINE Syrp 0 80 ml COLIO1 COLIOPANCAP Caps 5mg 100 caps COLIR2 COLIRCUSI CHLORAMPHEN EyDr 0.5% 10 ml COLIR3 COLIRCUSI DEXAMETHASONE EyDr 0.1% 10 ml COLIR5 COLIRCUSI GENTADEXA EYE/EAR EyDr 0 10 ml COLIR7 COLIRCUSI SULPHACETAMIDE EyDr 20% 10 ml COLIU1 COLIURINAL Gran 0 80 gm COLOS1 COLOSPASMIN Tabs 100mg 20 tabs COLTR1 COLTRAMYL Inj 4MG 6 amp COLTR2 COLTRAMYL Tabs 4mg 12 tabs COMBI5 COMBIVENT 10 ML Inhl 0 200 dose COMBI1 COMBIVENT Inhl 0 10 vial COMBI2 COMBIVENT Inhl 0 20 vial Appendices Patient Minimum Data Set | Appendices COMBI3 COMBIVENT Inhl 0 60 vial COMBI6 COMBIVIR Tabs 150/300mg 60 tabs COMBI8 COMBIZYM COMPOSITIUM Tabs 0 20 tabs COMBI7 COMBIZYM Tabs combinatio 30 tabs COMPO1 COMPOUND SOD. LACTATE Inf combinatio 500 ml COMTA1 COMTAN Tabs 200MG 30 tabs CONCE1 CONCERTA PROLONGED RELEASE Tabs 18MG 30 tabs CONCE2 CONCERTA PROLONGED RELEASE Tabs 36MG 30 tabs CONCO3 CONCOR COR Tabs 2.5 MG 30 tabs CONCO1 CONCOR Tabs 10 MG 30 tabs CONCO2 CONCOR Tabs 5 MG 30 tabs CONFO1 CONFORTID Caps 25 MG 24 caps CONFO4 CONFORTID Inj 50MG/10ML 10 vial CONFO6 CONFORTID Inj 50MG/10ML 3 vial CONFO5 CONFORTID Supp 100MG 10 supp CONTA1 CONTA - FLU Tabs 0 20 tabs CONTA3 CONTAC 12H Caps 0 8 caps CONTI1 CONTIFLO Tabs 0.4MG 10 tabs COPEG1 COPEGUS Tabs 200MG 42 tabs CORAC2 CORACTEN Caps 20MG 100 caps CORAC1 CORACTEN Caps 20MG 30 caps CORDA2 CORDARONE (3ml) Inj 150MG/3ML 6 amp CORDA1 CORDARONE Tabs 200MG 30 tabs CO-RE2 CO-RENITEC Tabs 20/12.5mg 10 tabs CO-RE1 CO-RENITEC Tabs 20/12.5mg 30 tabs CORGA3 CORGARD Tabs 80MG 30 tabs CORIC2 CORICIDIN D Tabs 0 24 tabs CORNE1 CORNEREGEL STERILE TUBE EyOn 5% 5 gm CORTI25 CORTICREME Crm 0.10% 20 gm CORTI24 CORTICREME Crm 1% 20 gm CORTI1 CORTIDERM Crm 1% 10 gm CORTI9 CORTIMA Crm 0.05% 25 gm CORTI8 CORTIMAX Oint 0.05% 25 gm CORTI21 CORTIMYCIN EaDr 0 5 ml CORTI19 CORTIMYCIN EyDr 0 5 ml CORTI20 CORTIMYCIN EyOn 0 2.5 gm CORTI23 CORTIMYCIN GREASY Crm 0 30 gm CORTI22 CORTIMYCIN NsDr 0 5 ml CORTO1 CORTOFTAL EyDr 0.1% 5 ml CORZI1 CORZIDE Tabs 40+5 MG 20 tabs CORZI2 CORZIDE Tabs 80/5mg 16 tabs COSAL1 COSALGESIC Tabs 32.5/325mg 100 tabs COSOP1 COSOPT EyDr 2/0.5% 5 ml COTRI5 COTRIL Tabs 500mg 20 Tabs COTRI4 COTRIM - DIOLAN FORT Tabs 800/160mg 10 tabs 291 292 | Patient Minimum Data Set COTRI3 COTRIM - DIOLAN FORT Tabs 800/160mg 20 tabs COTRI2 COTRIM - DIOLAN Syrp 240mg/5ml 100 ml CO-TR1 CO-TRITACE Tabs 10/12.5MG 28 tabs CO-TR2 CO-TRITACE Tabs 10/25MG 28 tabs CO-TR3 CO-TRITACE Tabs 5 /12.5MG 28 tabs COUNT1 COUNTER PAIN BALM Crm 10.2/5.44% 40 gm COVER1 COVERAM Tabs 10+10MG 30 tabs COVER2 COVERAM Tabs 10+5MG 30 tabs COVER3 COVERAM Tabs 5+10MG 30 tabs COVER4 COVERAM Tabs 5+5MG 30 tabs COVER5 COVERSYL ARGININE Tabs 10MG 30 tabs COVER8 COVERSYL ARGININE Tabs 5MG 30 tabs COVER12 COVERSYL Tabs 4MG 30 tabs COVER10 COVERSYL Tabs 8MG 30 tabs COXIC2 COXICAM Tabs 15MG 10 tabs COXIC1 COXICAM Tabs 7.5MG 30 tabs COZAA1 COZAAR Tabs 100 MG 30 tabs COZAA2 COZAAR Tabs 50 MG 28 tabs CREAM1 CREAM E 45 Crm 0 50 gm CREST1 CRESTOR Tabs 10MG 28 tabs CREST2 CRESTOR Tabs 20MG 28 tabs CREST3 CRESTOR Tabs 40MG 28 tabs CREST4 CRESTOR Tabs 5MG 28 tabs CRIXA2 CRIXAN OD Tabs 500 MG 10 tabs CRIXA1 CRIXAN Syrp 125MG/5 ML 100 ml CRIXI1 CRIXIVAN Caps 200mg 360 caps CRIXI2 CRIXIVAN Caps 333 MG 135 caps CRIXI3 CRIXIVAN Caps 400mg 180 caps CROMA2 CROMA EyDr 40/0.5mg/m 10 ml CROMO1 CROMONAL NsDr 2% 10 ml CUBIC1 CUBICIN Inj 500MG 1 vial CURAC1 CURACNE Caps 10MG 30 caps CURAC3 CURACNE Caps 20MG 30 caps CURAM1 CURAM InjP 1.2g 10 vial CURAM2 CURAM Susp 156MG/5ML 100 ml CURAM3 CURAM Susp 312MG/5ML 100 ml CURAM4 CURAM Susp 457MG/5ML 70 ml CURAM5 CURAM Tabs 1GM 14 tabs CURAM6 CURAM Tabs 625MG 20 tabs CURES1 CURESTAT Caps 250MG 20 caps CURIS1 CURISAFE Caps 500MG 8 caps CUSIC1 CUSICROM EyDr 2% 10 ml CUSIC3 CUSICROM EyDr 4% 10 ml CUSIC2 CUSICROM NsSy 2% 30 ml CUSIC4 CUSICROM NsSy 4% 15 ml Appendices Patient Minimum Data Set | Appendices CUSIM1 CUSIMOLOL EyDr 0.25% 5 ml CUSIM2 CUSIMOLOL EyDr 0.5% 5 ml CUSIV1 CUSIVIRAL EyOn 3% 4.5 gm CUTIS6 CUTISAN HYDROCORTISONE Oint 0 15 gm CUTIS5 CUTISAN Oint 0 30 gm CUTIV2 CUTIVATE Crm 0.005%W/v 15 gm CUTIV1 CUTIVATE Crm 0.005%W/v 30 gm CUTIV3 CUTIVATE Oint 0.005%W/v 15 gm CUTIV4 CUTIVATE Oint 0.005%W/v 30 gm CYCLO1 CYCLOGEST Ovul 200MG 15 ovul CYCLO2 CYCLOGEST Ovul 400MG 15 ovul CYCLO3 CYCLOVIRAL Tabs 200 MG 20 tabs CYKLO1 CYKLOKAPRON Inj 100MG/ML 10 amp CYKLO2 CYKLOKAPRON Tabs 500MG 20 tabs CYMBA1 CYMBALTA Caps 30MG 28 caps CYMBA2 CYMBALTA Caps 60MG 28 caps CYMEV1 CYMEVENE Caps 250MG 84 caps CYMEV2 CYMEVENE Inj 500MG/10ML 1 vial CYNOV1 CYNOVIT Inj 1MG/ML 5 amp CYNT-1 CYNT Tabs 0.2MG 30 tabs CYNT-2 CYNT Tabs 0.3MG 30 tabs CYNT-3 CYNT Tabs 0.4MG 30 tabs CYTOS1 CYTOSAR INJ. IV. S.C. Inj 100mg/5ml 1 vial CYTOT1 CYTOTEC Tabs 200MCG 28 tabs DACRO1 DACROLUX ARTIFICIALTEARS EyDr 0.3% 10 ml DAD_B1 DAD BABY GRIPE MIXTURE Syrp 0 100 ml DAFAL4 DAFALGAN Supp 600mg 10 supp DAFLO2 DAFLON Tabs 500MG 30 tabs DAGAN1 DAGAN Tabs 20MG 60 tabs DAGRA1 DAGRAVIT A. FORT Tabs 50000IU 50 tabs DAGRA4 DAGRAVIT B. COMPLEX Tabs combinatio 50 tabs DAGRA7 DAGRAVIT TOTAL B OSol COMBINATIO 30 ml DAIVO6 DAIVOBET Oint 0 30 gm DAIVO10 DAIVOBET(50µg/0.5mg/g) Oint 0 15 gm DAIVO7 DAIVONEX Crm 50µg/g 30 gm DAIVO8 DAIVONEX Oint 50µg/g 30 gm DAIVO1 DAIVONEX SCALP SOLUTION TSol 50µg/ml 30 ml DAIVO2 DAIVONEX SCALP SOLUTION TSol 50µg/ml 60 ml DAKTA1 DAKTACORT Crm 10/20MG/G 15 gm DAKTA2 DAKTARIN Crm 20MG/G 30 gm DAKTA4 DAKTARIN Lotn 20MG/ML 30 ml DAKTA5 DAKTARIN Ogel 20MG/G 40 gm DAKTA3 DAKTARIN Pwdr 20mg/g 20 gm DALAC14 DALACIN - C Tabs 150mg 100 tabs DALAC2 DALACIN - T TOPICAL SOLUTION TSol 1 % 60 ml 293 294 | Patient Minimum Data Set DALAC1 DALACIN T SOLUTION TSol 1 % 30 ml DALAC7 DALACIN .T Lotn 10mg 30 ml DALAC6 DALACIN C (2ml) Inj 300MG/2 ML 1 amp DALAC8 DALACIN C Caps 150 MG 16 caps DALAC9 DALACIN C Caps 300 MG 16 caps DALAC12 DALACIN C. PALMITATE Susp 75MG/5ML 80 ml DALAC4 DALACIN Ovul 100 MG 3 ovul DALAC5 DALACIN VgCr 2% 40 gm DANOL1 DANOL Caps 100MG 100 caps DANOL2 DANOL Caps 200MG 100 caps DANTR1 DANTRIUM Caps 25MG 100 caps DANZE1 DANZEN Tabs 5 MG 20 tabs DAONI3 DAONIL (SANOFI AVENTIS-EG) Tabs 5mg 100 tabs DAONI2 DAONIL Tabs 5MG 20 tabs DAONI1 DAONIL(SANOFI AVENTIS-GERMANY) Tabs 5MG 100 tabs DARAP1 DARAPRIM Tabs 25MG 30 tabs DAROX2 DAROXIME Tabs 250mg 10 tabs DAROX1 DAROXIME Tabs 500mg 10 tabs DAVEN1 DAVENOL LINCTUS Syrp combinatio 150 ml DE-NO1 DE - NOL Tabs 120MG 120 tabs DE-NO2 DE - NOL Tabs 120MG 40 tabs DEBAC1 DEBACRON Tabs 80mg 30 tabs DECAD3 DECADRON Elix 0.5mg/5ml 100 ml DECAD2 DECADRON Inj 4mg/ml 1 vial DECAD5 DECADRON OCUMETER EyDr 1mg/ml 5 ml DECAD7 DECADRON SHOCK - PAK(5ML) Inj 0 1 amp DECAD4 DECADRON Tabs 0.5MG 30 tabs DECAD6 DECADRON+NEOMYCIN EyDr combinatio 5 ml DECA-1 DECA-DURABOLIN Inj 50mg/ml 1 amp DECAL1 DECAL B12 Syrp combinatio 120 ml DECLO1 DECLOBAN Oint 0.05% 30 gm DECLO2 DECLOPHEN Inj 75MG 3 amp DECOD2 DECODERM - TRIVALENT Crm combinatio 10 gm DECOD1 DECODERM Crm 0.1% 10 gm DECON1 DECONGESTYL NOS Supp 0.10/0.15g 10 supp DECOZ1 DECOZOLINE ADULT NsDr 0.1% 10 ml DECOZ2 DECOZOLINE INFANT NsDr 0.05% 10 ml DECUT2 DECUTAN Tabs 10MG 50 tabs DECUT1 DECUTAN Tabs 20MG 50 tabs DEEPH3 DEEP HEAT EMULSION Lotn combinatio 100 gm DEFLA2 DEFLAT ChwT 120MG 24 chwT DEFLA3 DEFLAT SB 40MG/ML 30 ml DEFLA1 DEFLAT SB 40MG/ML 50 ml DEKAZ3 DEKAZOL Crm 0 30 gm DEKAZ4 DEKAZOL ORAL Gel 0 40 gm Appendices Patient Minimum Data Set | Appendices DELFE1 DELFEN CONTRACEPTIVE FOAM Lotn 12.5% 17 gm DELTA3 DELTARHINOL NsSy 0 15 ml DELTA2 DELTASONE Syrp 0.05mg/ml 120 ml DENOR2 DENORAL Tabs 0 20 tabs DENTI3 DENTINOX TEETHING Gel 0.33/0.1% 10 gm DEPAK5 DEPAKINE CHRONO Tabs 500MG 30 tabs DEPAK1 DEPAKINE Osol 200MG/ML 40 ml DEPAK4 DEPAKINE Syrp 57.64MG/ML 150 ml DEPAK2 DEPAKINE Tabs 200MG 40 tabs DEPAK3 DEPAKINE Tabs 500MG 40 tabs DEPO-9 DEPO - PROVERA(1ML) Inj 150MG/ML 1 vial DEPO-1 DEPO-MEDROL Inj 40MG/ML 1 vial DEPO-2 DEPO-MEDROL Inj 80MG/2ML 1 vial DEPO-6 DEPO-PROVERA (1ml) Inj 150mg/ml 1 vial DEPO-4 DEPO-PROVERA 1000, 150/ ML INJ Inj 150mg/ml 1 vial DEQUA1 DEQUADIN Loz 0.25mg 20 loz DERMA1 DERMA T Lotn 1% 30 ml DERMA3 DERMAL Crm 0.05% 25 gm DERMA7 DERMATIN Crm 1% 12 gm DERMA8 DERMATIN Tsol 1% 20 ml DERMA10 DERMATOP Crm 0.1% 10 gm DERMA9 DERMATOP Oint 0.1% 10 gm DERME5 DERMESONE Crm 1MG/G 15 gm DERME9 DERMESONE Crm 1MG/G 15 gm DERME6 DERMESONE N Crm 1/5MG/G 15 gm DERME10 DERMESONE N Crm 1/5MG/G 15 gm DERME4 DERMESONE N Oint 1/5MG/G 15 gm DERME3 DERMESONE Oint 1MG/G 15 gm DERMI1 DERMIZOL Gel 2% 30 gm DERMO1 DERMOCORT Crm combinatio 20 gm DERMO2 DERMOFIX Crm 20mg/g 20 gm DERMO3 DERMOLAR Crm 0.025% 15 gm DERMO12 DERMOTAR Oint 0 20 gm DERMO7 DERMOVATE Crm 0.05% 25 gm DERMO9 DERMOVATE N.N Crm combinatio 25 gm DERMO10 DERMOVATE N.N Oint combinatio 25 gm DERMO8 DERMOVATE Oint 0.05% 25 gm DERMO11 DERMOVATE SCALP APPLICATION Soln 0 25 ml DESFE2 DESFERAL Inj 2g 1 vial DESFE1 DESFERAL Inj 500mg 10 vial DESUR1 DESURIC Tabs 100MG 60 tabs DETRU1 DETRUSITOL Tabs 1MG 28 tabs DETRU2 DETRUSITOL Tabs 2MG 28 tabs DEVAR1 DEVAROL - S 2 ML. Inj 5mg 3 amp DEXAL8 DEXALOCAL - J Crm 0 20 gm 295 296 | Patient Minimum Data Set Appendices DEXAL9 DEXALOCAL - J Oint 0 20 gm DEXAL1 DEXALOCAL Crm 0.1% 20 gm DEXAL3 DEXALOCAL F Crm 1/5MG/G 20 gm DEXAL4 DEXALOCAL F Oint 1/5MG/G 20 gm DEXAL2 DEXALOCAL Oint 0.1% 20 gm DEXAL7 DEXALOCAL SCALP Tsol 1% 30 ml DEXAM1 DEXAMETHASONE Inj 4mg/ml 100 amp DEXA-1 DEXA-RHINA SPRAY-N NsSy 120/20µg 10 ml DEXAR2 DEXARON PLUS E/E DROPS EyDr combinatio 5 ml DEXAR1 DEXARON PLUS EyOn combinatio 5 gm DEXAS1 DEXASALYL FATTY Oint 0.1/3mg/g 20 gm DEXAS2 DEXASALYL SCALP 1.2/20mg/Ml Tsol 0 30 ml DEXAS3 DEXASONE Tabs 0 10 tabs DEXAT1 DEXATROL EyDr combinatio 5 ml DEXAZ1 DEXAZONE Tabs 0.5GM 10 tabs DEXOL1 DEXOL Soln 2MG/5ML 150 ml DEXON1 DEXONIUM EyDr 0 10 ml DEXTR106 DEXTROKUF Syrp 15mg/5ml 100 ml DEXTR108 DEXTROSE (Bag)(KUWAIT SA PHARMA) Inj 5% 500 ml DEXTR10 DEXTROSE (IV Bag) (Qatar Pharma) Inj 5% 250 ml DEXTR194 DEXTROSE +SODIUM CHLORIDE (BOTTLE) Inf 5%- 0.9% 1000 ml DEXTR193 DEXTROSE +SODIUM CHLORIDE (BOTTLE) Inf 5%- 0.9% 250 ml DEXTR195 DEXTROSE +SODIUM CHLORIDE (BOTTLE) Inf 5%- 0.9% 500 ml DEXTR57 DEXTROSE 10%+SODIUM CHLORIDE 0.9% INJECTION USP(Bag) Inj 10%+0.9% 500 ml DEXTR66 DEXTROSE 25% W/V, I.V. INFUSION SOLUTION B.P. Inf 25% 500 ml DEXTR12 DEXTROSE 5% (IV Bag) Inj 5% 500 ml DEXTR42 DEXTROSE USP (Bag) (Qatar Pharma) Inj 10% 1000 ml DEXTR44 DEXTROSE USP (Bag) (Qatar Pharma) Inj 10% 250 ml DEXTR46 DEXTROSE USP (Bag) (Qatar Pharma) Inj 10% 500 ml DEXTR152 DEXTROSE USP (Bag) (Qatar Pharma) Inj 10% 500 ml DEXTR107 DEXTROSE USP (Bag) (Qatar Pharma) Inj 25% 500 ml DEXTR84 DEXTROSE+SODIUM CHLORIDE (Bags) (Qatar Pharma) Inj 5%+0.45% 500 ml DEXTR133 DEXTROSE+SODIUM CHLORIDE (Bottle) (Qatar Pharma) Inj 5%+0.225% 500 ml DEXTR134 DEXTROSE+SODIUM CHLORIDE (Bottle) (Qatar Pharma) Inj 5%+0.45% 500 ml DEXTR137 DEXTROSE+SODIUM CHLORIDE (Bottle) (Qatar Pharma) Inj 5%+0.9% 500 ml DI-VI1 DI - VITON A & E ChwT 0 30 chwT DIABE1 DIABEN Tabs 5MG 20 tabs DIALO3 DIALON TABLETS Tabs 500MG 48 tabs DIALO1 DIALON Tabs 1000MG. 30 tabs DIALO2 DIALON Tabs 850MG 30 tabs DIAME1 DIAMERIL Tabs 1MG 30 tabs DIAME2 DIAMERIL Tabs 2mg 30 tabs DIAME3 DIAMERIL Tabs 3MG 30 tabs DIAME4 DIAMERIL Tabs 4MG 30 tabs DIAMI1 DIAMICRON MR Tabs 30MG 30 tabs Patient Minimum Data Set | Appendices DIAMI2 DIAMICRON MR Tabs 60MG 30 tabs DIANE44 DIANE 35 Tabs 2/0.035mg 21 tabs DIANE46 DIANEAL PD1 GLUCOSE Inj 2.27% 5000 ml DIANE45 DIANEAL PD1 GLUCOSE Inj 3.56% 5000 ml DIANE47 DIANEAL PD4 GLUCOSE Inj 1.36% 5000 ml DIANE48 DIANEAL PD4 GLUCOSE Inj 2.27% 5000 ml DIANE3 DIANEAL PD1 GLUCOSE 1.36 % Inj combinatio 2000 ml DIANE7 DIANEAL PD1 GLUCOSE 1.36 % Inj combinatio 5000 ml DIANE10 DIANEAL PD1 GLUCOSE 2.27 % Inj combinatio 2000 ml DIANE17 DIANEAL PD1 GLUCOSE 3.86 % Inj combinatio 2000 ml DIANE24 DIANEAL PD4 GLUCOSE 1.36 % Inj combinatio 2000 ml DIANE31 DIANEAL PD4 GLUCOSE 2.27 % Inj combinatio 2000 ml DIANE38 DIANEAL PD4 GLUCOSE 3.86 % Inj combinatio 2000 ml DIANE43 DIANEAL PD4 GLUCOSE 3.86 % Inj combinatio 5000 ml DIAPE1 DIAPEN Caps 2mg 6 caps DIAPH1 DIAPHAGE Tabs 500MG 50 tabs DIAPR1 DIAPRIDE Tabs 1MG 30 tabs DIAPR2 DIAPRIDE Tabs 2MG 30 tabs DIAPR3 DIAPRIDE Tabs 3MG 30 tabs DIAPR4 DIAPRIDE Tabs 4MG 30 tabs DIASP1 DIASPASMYL Tabs 25mg 30 tabs DIATA2 DIATAB Tabs 0 30 tabs DIAXI1 DIAXINE 2.5/0.025MG Tabs 0 30 tabs DIAZE5 DIAZEPAM (JULPHAR) Tabs 2mg 20 tabs DIAZE6 DIAZEPAM (JULPHAR) Tabs 5mg 20 tabs DIAZE7 DIAZEPAM Tabs 10MG 500 tabs DIAZE2 DIAZEPAM Tabs 10MG 500 tabs DIAZE3 DIAZEPAM Tabs 2mg 1000 tabs DICET1 DICETEL Tabs 100MG 20 tabs DICLO5 DICLO DISPERSABLE Tabs 50MG 20 tabs DICLO2 DICLO Gel 1% 50 gm DICLO1 DICLO Gel 5% 50 gm DICLO3 DICLO Tabs 150MG 10 tabs DICLO21 DICLO Tabs 50MG 20 tabs DICLO4 DICLO Tabs 75MG 20 tabs DICLO22 DICLOFAST Tabs 50MG 20 tabs DICLO9 DICLOFEN CREMOGEL Crm 1% 50 gm DICLO7 DICLOFEN Supp 25MG 10 supp DICLO8 DICLOFEN Tabs 50MG 20 tabs DICLO14 DICLOGESIC CAP. R. Caps 100MG 12 caps DICLO10 DICLOGESIC Gel 1% 30 gm DICLO15 DICLOGESIC RETARD Tabs 100MG 10 tabs DICLO11 DICLOGESIC Supp 100MG 5 supp DICLO12 DICLOGESIC Supp 12.5MG 10 supp DICLO13 DICLOGESIC Tabs 50MG 20 tabs 297 298 | Patient Minimum Data Set DICLO16 DICLOMAX EMULGEL Gel 1% 50 gm DICLO17 DICLON Gel 1% 45 gm DICLO19 DICLOSAL EMULGEL Gel 1% 25 gm DICYN6 DICYNONE (2ml) Inj 250mg/2ml 4 amp DICYN3 DICYNONE INJ. - Inj 250mg/2ml 100 amp DICYN4 DICYNONE INJ. - Inj 250mg/2ml 20 amp DICYN5 DICYNONE INJ.- Inj 250MG.- 2 4 amp DICYN7 DICYNONE Tabs 250mg 100 tabs DICYN10 DICYNONE Tabs 250mg 20 tabs DICYN1 DICYNONE Tabs 500 MG 20 tabs DICYN2 DICYNONE Tabs 500 MG 60 tabs DIFFL1 DIFFLAM Crm 3%w/w 50 gm DIFFL2 DIFFLAM Spry 0.15%w/w 30 ml DIFLO1 DIFLONID Tabs 250MG 30 tabs DIFLO2 DIFLONID Tabs 500MG 30 tabs DIFLU1 DIFLUCAN Caps 150MG 1 caps DIFLU2 DIFLUCAN Caps 50MG 7 caps DIFRA1 DIFRAREL Tabs 100/5mg 20 tabs DIFRA2 DIFRAREL-E Tabs 50/50mg 24 tabs DIGAM1 DIGAMEX Tabs 125MCG 28 tabs DIGAM2 DIGAMEX Tabs 250MCG 28 tabs DIGAM3 DIGAMEX Tabs 62.5MCG 28 tabs DIGEP2 DIGEPAX EfTb 0 15 eftb DIGES1 DIGESTIN Syrp combinatio 120 ml DIHYD1 DIHYDRAL Tabs 0.2MG 75 tabs DIJEX2 DIJEX Tabs combinatio 30 tabs DILAN1 DILANYL Syrp 1.5mg/5ml 100 ml DILAT1 DILATREND Tabs 25 MG 30 tabs DILAT2 DILATREND Tabs 6.25 MG 30 tabs DILZE9 DILZEM Inj 10mg 5 vial DILZE6 DILZEM Inj 25mg/5ml 5 vial DILZE5 DILZEM RETARD Tabs 90MG 100 tabs DILZE8 DILZEM Tabs 60mg 100 tabs DILZE4 DILZEM Tabs 60mg 50 tabs DILZE7 DILZEM Tabs 90mg 100 tabs DIMEL2 DIMELOR Tabs 500MG 20 tabs DIMET1 DIMET Tabs 500MG 50 tabs DIMET2 DIMET Tabs 850MG 50 tabs DIMET3 DIMETANE Syrp 2mg/5ml 120 ml DIMET4 DIMETAPP 15/1mg/5ml Syrp 4 MG 120 ml DIMET5 DIMETAPP EXTEN Tabs 0 12 tabs DIMET6 DIMETRIOSE Caps 2.5MG 8 caps DIOVA3 DIOVAN Caps 80MG 28 caps DIOVA5 DIOVAN Tabs 160MG 28 tabs DIOVA1 DIOVAN Tabs 320 MG 14 tabs Appendices Patient Minimum Data Set | Appendices DIOVA2 DIOVAN Tabs 320 MG 28 tabs DIOVA4 DIOVAN Tabs 40 MG 28 tabs DIOVE1 DIOVEN Tabs 150MG 30 tabs DIOVE2 DIOVEN Tabs 500MG 20 tabs DIPHE1 DIPHELIN [FOR ADULT] Syrp combinatio 100 ml DIPHE2 DIPHELIN [PAEDIATRIC ] Syrp combinatio 100 ml DIPRI4 DIPRIVAN 1% (50ml) Inj 0 1 vial DIPRI1 DIPRIVAN 1% (50ml) Inj 10 MG/ML 1 vial DIPRI2 DIPRIVAN 2%(50ml) Inj 20 MG 1 vial DIPRI3 DIPRIVAN INJ.(20ml) Inj 1% 5 amp DIPRO10 DIPROFOS Inj 5/2mg/ml 1 amp DIPRO5 DIPROLENE Crm 0.5mg/g 15 gm DIPRO6 DIPROLENE Crm 0.5mg/g 30 gm DIPRO7 DIPROLENE Oint 0.5mg/g 15 gm DIPRO8 DIPROLENE Oint 0.5mg/g 30 gm DIPRO12 DIPROSALIC Lotn 0.05/2% 30 ml DIPRO13 DIPROSALIC Oint 0.05/3% 30 gm DIPRO14 DIPROSONE Crm 0.05% 30 gm DIPRO19 DIPROSONE Lotn 0.05% 30 ml DIPRO17 DIPROSONE Oint 0.05% 30 gm DISFL2 DISFLATYL ChwT 40MG 30 chwT DISFL1 DISFLATYL Osol 40MG/ML 30 ml DISFL3 DISFLATYL Tabs 0 100 tabs DISOP2 DISOPHROL Syrp 0 100 ml DISOP1 DISOPHROL Tabs 6/120mg 8 tabs DISPR6 DISPRIL tabs 300mg 24 tabs DISPR4 DISPRIN Tabs 81MG 100 tabs DISPR5 DISPROL JUNIOR Tabs 120MG 24 tabs DISSI2 DISSILAX Tabs 0 20 tabs DISTA2 DISTALGESIC Tabs 0 100 tabs DIUSE1 DIUSEMIDE Tabs 40MG 30 tabs DIVID1 DIVIDO Caps 75MG 20 caps DIZIN1 DIZINIL Tabs 50MG 20 tabs DOABE2 DOABETIC Tabs 5 MG 30 tabs DOBUT1 DOBUTAMINE Inj 250MG/20ML 20 ml DOGMA12 DOGMATIL Caps 50MG 30 caps DOGMA10 DOGMATIL Syrp 5MG/ML 200 ml DOGMA5 DOGMATIL tabs 200MG 12 tabs DOGMA11 DOGMATIL(2ML) Inj 100MG/2ML 6 amp DOLGI1 DOLGIT Crm 5% 20 gm DOLGI2 DOLGIT Crm 5% 50 gm DOLGI3 DOLGIT Tabs 200MG 20 tabs DOLGI4 DOLGIT Tabs 400MG 20 tabs DOLGI5 DOLGIT Tabs 600mg 20 tabs DOLOB1 DOLOBENE Gel combinatio 50 gm 299 300 | Patient Minimum Data Set DOLOB2 DOLOBID Tabs 250MG 20 tabs DOLOB3 DOLOBID Tabs 500MG 10 tabs DOLOB4 DOLOBID Tabs 500MG 20 tabs DOLOC1 DOLOCET EXTRA Tabs 500+65MG 100 tabs DOLOM6 DOLOMOL Osol 100MG/ML 15 ml DOLOM7 DOLOMOL Syrp 0 100 ml DOLOM4 DOLOMOL Tabs 500MG 30 tabs DOLOR1 DOLORAZ Caps 400MG 20 caps DOLOR2 DOLORAZ Soln 100MG/5ml 100 ml DOMPE3 DOMPERIDE Susp 0 15 ml DOMPE2 DOMPERIDE Tabs 10mg 30 tabs DOMPE1 DOMPERIDON Tabs 10MG 20 tabs DOMPR2 DOMPRIDE Tabs 0 30 tabs DOMPY1 DOMPY Susp 1mg/ml 200 ml DOMPY2 DOMPY Tabs 10mg 30 tabs DONNA1 DONNAGEL Susp combinatio 200 ml DOPAG1 DOPAGON Tabs 2.5mg 20 tabs DOPER1 DOPERGIN Tabs 0.2MG 30 tabs DORMI4 DORMICUM Inj 5MG/ML 10 amp DORMI3 DORMICUM INJ. Inj 5mg/ml 5 amp DORMI1 DORMICUM Tabs 15MG 10 tabs DOSTI1 DOSTINEX Tabs 0.5 MG 2 tabs DOSTI2 DOSTINEX Tabs 0.5 MG 8 tabs DOTUR1 DOTUR Caps 100MG 10 caps DOXER4 DOXERGAN Syrp 0 150 ml DOXER3 DOXERGAN Tabs 10MG 40 tabs DOXIP6 DOXIPROCT Oint 0 30 gm DOXIP5 DOXIPROCT PLUS Oint combinatio 20 gm DOXIP7 DOXIPROCT Supp 0 10 supp DOXIP3 DOXIPROCT Supp 250/40mg 8 supp DOXIU1 DOXIUM Caps 500 MG 30 caps DOXIU2 DOXIUM Caps 500 MG 60 caps DOXIU3 DOXIUM Tabs 250 MG 100 tabs DOXIU4 DOXIUM Tabs 250 MG 20 tabs DOXIU5 DOXIUM Tabs 250 MG 60 tabs DOXIV1 DOXIVENIL Gel 2/2% 40 gm DOXY-2 DOXY Caps 200MG 7 caps DOXYC3 DOXYCLINE Caps 100MG 6 caps DOXYD1 DOXYDAR Caps 100MG 8 caps DOXYC2 DOXYKOMB Caps 100MG 7 caps DOZIC1 DOZIC Osol 1mg/ml 100 ml DOZIC2 DOZIC Osol 2mg/ml 100 ml DRAMA1 DRAMAMIN Tabs 50MG 72 tabs DRAMY1 DRAMYLIN PAEDIATIRIC Syrp 7mg/5ml 120 ml DRIPT1 DRIPTANE Tabs 5mg 60 tabs Appendices Patient Minimum Data Set | Appendices DRIST1 DRISTAN NsSy 0.5mg/ml 15 ml DRIST2 DRISTAN Tabs combinatio 24 tabs DROXI1 DROXIL Caps 500 MG 12 caps DROXI2 DROXIL Syrp 250MG/5 ML 60 ml DROXI3 DROXIL Tabs 1 GM 10 tabs DUACT1 DUACTIN Caps 5MG 30 caps DUCLA1 DUCLAZIDE Tabs 80MG 28 tabs DUFOR1 DUFORMIN Tabs 500MG 28 tabs DUFOR2 DUFORMIN Tabs 850MG 56 tabs DULCO2 DULCOLAX ADULT Supp 10 MG 6 supp DULCO3 DULCOLAX CHILD Supp 5 MG 6 supp DULCO1 DULCOLAX Tabs 5 MG 30 tabs DULSA2 DULSANA + CODEINE Syrp combinatio 100 ml DULSA3 DULSANA CHILDREN Syrp combinatio 100 ml DULSA1 DULSANA MILD Syrp combinatio 100 ml DUMOC1 DUMOCYCLINE Caps 250MG 16 caps DUMOF1 DUMOFER Tabs 200MG 28 tabs DUMOP1 DUMOPAMIL Tabs 40MG 84 tabs DUMOP2 DUMOPAMIL Tabs 80MG 84 tabs DUMOR1 DUMORAN Tabs 150MG 60 tabs DUMOR2 DUMORAN Tabs 300MG 30 tabs DUMOX2 DUMOXIN Tabs 100MG 10 tabs DUMOZ4 DUMOZOL Crm 1% 25 gm DUMOZ1 DUMOZOL Susp 25MG/ML 100 ml DUMOZ3 DUMOZOL Tabs 250MG 24 tabs DUMOZ2 DUMOZOL Tabs 500MG 28 tabs DUOTR1 DUO TRAVE EyDr 40µg/5mg/m 2.5 ml DUOFI2 DUOFILM COLLODION Tsol Combinatio 15 ml DUOLI1 DUOLIP Caps 250MG 50 caps DUOLI2 DUOLIP Tabs 500MG 30 tabs DUOTR2 DUOTRAV EyDr 0 2.5 ml DUPHA6 DUPHALAC LIQUID Osol 0 1000 ml DUPHA4 DUPHALAC LIQUID Osol 0 200 ml DUPHA7 DUPHALAC LIQUID Osol 0 300 ml DUPHA5 DUPHALAC LIQUID Osol 0 500 ml DUPHA1 DUPHALAC Syrp 10 MG/15ML 300 ml DUPHA3 DUPHASTON Tabs 10MG 20 tabs DUPRO1 DUPROMEX Tabs 10mg 28 tabs DUPRO2 DUPROMEX Tabs 40mg 28 tabs DURAC3 DURACAN Caps 150MG 1 caps DURAC2 DURACEF Susp 125MG/5ML 60 ml DURAC1 DURACEF Susp 250MG/5ML 60 ml DURAD1 DURADOX Caps 100MG 10 caps DURIC1 DURICEF Caps 1 GM 12 caps DURIC6 DURICEF Caps 500 MG 12 caps 301 302 | Patient Minimum Data Set DURIC2 DURICEF Susp 125MG/5 ML 60 ml DURIC3 DURICEF Susp 250MG/5 ML 60 ml DURIC4 DURICEF Susp 500MG/5 ML 100 ml DURIC5 DURICEF Tabs 1 GM 10 tabs DUROG2 DUROGESIC Ptch 100MCG/H 5 ptch DUROG1 DUROGESIC Ptch 12MCG/H 5 ptch DUROG3 DUROGESIC Ptch 25MCG/H 5 ptch DUROG4 DUROGESIC Ptch 50MCG/H 5 ptch DUROG5 DUROGESIC Ptch 75 MCG/H 5 ptch DUSPA1 DUSPAMEN Tabs 135 MG 30 tabs DUSPA2 DUSPATALIN Caps 200MG 30 caps DUSPA4 DUSPATALIN Tabs 135MG 50 tabs DUVIM5 DUVIMEX Tabs 200MG 25 tabs DUVIM4 DUVIMEX Tabs 400MG 56 tabs DUVIM6 DUVIMEX Tabs 800MG 35 tabs DUXIL3 DUXIL Tabs 30 MG/10 M 30 tabs DYAZI1 DYAZIDE Tabs 37.5/25mg 20 tabs DYNAB1 DYNABAC Tabs 250MG 10 tabs DYNAS3 DYNASTAT Inj 20MG/ML 10 vial DYNAS1 DYNASTAT Inj 40MG/2ML 10 vial DYNAS2 DYNASTAT Inj 40MG/2ML 5 vial DYSPA2 DYSPAMET ChwT 200 MG 18 tabs DYSPA1 DYSPAMET Susp 200MG/5ML 100 ml E---M2 E - MOXCLAV Susp 156MG 100 ml E---M1 E - MOXCLAV Susp 312MG 100 ml E-VIT1 E -VITON Caps 100MG 20 caps E.MOX3 E. MOXCLAV Tabs 375 MG 10 tabs E.MOX4 E. MOXCLAV Tabs 625 MG 10 tabs EARCA1 EARCALM EaDr 1%+ 5% 5 ml EBIXA6 EBIXA Soln 10 MG/G 50 ml EBIXA1 EBIXA Tabs 10 MG 112 tabs EBIXA2 EBIXA Tabs 10 MG 28 tabs EBIXA3 EBIXA Tabs 10 MG 56 tabs ECHOV1 ECHOVIST-200 Inj 3g 1 vial ECOCA2 ECOCAIN 20/0.01MG/ML Inj 0 50 cart ECOCA3 ECOCAIN 20/0.02MG/ML Inj 0 50 cart ECOCA4 ECOCAIN Inj 20/0.0125m 50 cart ECOCA1 ECOCAIN Inj 20MG/ML 50 cart ECONO2 ECONOPRED PLUS EyDr 1% 5 ml ECORE1 ECOREX Ovul 150MG 3 ovul EDRON1 EDRONAX Tabs 4MG 20 tabs EDRON2 EDRONAX Tabs 4MG 60 tabs EFEMO1 EFEMOLINE EyDr 0 5 ml EFEXO1 EFEXOR Tabs 37.5MG 28 tabs EFEXO2 EFEXOR Tabs 50MG 28 tabs Appendices Patient Minimum Data Set | Appendices EFEXO3 EFEXOR Tabs 75MG 28 tabs EFEXO4 EFEXOR XR Caps 150MG 14 caps EFEXO6 EFEXOR XR Caps 37.5MG 7 caps EFEXO5 EFEXOR XR Caps 75MG 14 caps EFFER6 EFFERALGAN EfTb 330/200mg 20 eftb EFFER1 EFFERALGAN EfTb 500mg 16 eftb EFFER5 EFFERALGAN PEDIATRIC Syrp 3g/100ml 90 ml EFFER2 EFFERALGAN Supp 150MG 10 supp EFFER3 EFFERALGAN Supp 300MG 10 supp EFFER4 EFFERALGAN Supp 80MG 10 supp EFFER13 EFFEROX Tabs 100MCG 50 tabs EFFER12 EFFEROX Tabs 150MCG 50 tabs EFFER11 EFFEROX Tabs 50MCG 50 tabs EFFER10 EFFERVESENT COLD MEDICINE Tabs 0 20 efTb EFUDI1 EFUDIX Crm 5% 20 gm ELDOP1 ELDOPAQUE Crm 2% 15 gm ELDOP3 ELDOPAQUE Crm 2% 30 gm ELDOP2 ELDOPAQUE FORTE Crm 4% 15 gm ELDOP4 ELDOPAQUE FORTE Crm 4% 30 gm ELDOQ4 ELDOQUIN FORTE Crm 4% 30 gm ELDOQ1 ELDOQUIN Crm 2% 15 gm ELDOQ3 ELDOQUIN Crm 2% 30 gm ELDOQ2 ELDOQUIN FORTE Crm 4% 15 gm ELEBL1 ELEBLOC EyDr 1%(10 MG) 5 ml ELEBL2 ELEBLOC EyDr 2%(20 MG) 5 ml ELEVI1 ELEVIT PRONATAL Tabs COMBINATIO 30 tabs ELICA2 ELICA - M Crm 0.1% + 2%W 30 gm ELICA1 ELICA Crm 0.10% 30 gm ELICA3 ELICA Oint 0.1%w/w 30 gm ELICA4 ELICASAL Oint 0.1+ 5% 30 gm ELIDE1 ELIDEL 1% Crm 10MG 15 gm ELMET1 ELMETACIN Spry 8mg/ml 50 ml ELNA-1 ELNA Crm 0.10% 30 gm ELOCO4 ELOCOM Crm 0.10% 15 gm ELOCO3 ELOCOM Crm 0.10% 30 gm ELOCO2 ELOCOM Lotn 0.10% 30 ml ELOCO1 ELOCOM Oint 0.10% 15 gm ELOCO10 ELOCOM Oint 0.10% 30 gm ELOXA5 ELOXATIN 50 MG CONC (10ML)(SANOFI AVENTIS-FR) Inj 0 1 vial ELOXA6 ELOXATIN 100 MG CONC(20ML)(SANOFI AVENTIS-FR) Inj 0 1 vial ELOXA2 ELOXATIN(GLAXO-FR) Inj 100mg 1 vial ELOXA3 ELOXATIN(GLAXO-FR) Inj 50mg 1 vial ELOXA1 ELOXATIN(SANOFI AVENTIS-FR) Inj 200mg/40ml 1 vial ELTRO1 ELTROXIN Tabs 100MCG 100 tabs ELTRO2 ELTROXIN Tabs 50MCG 100 tabs 303 304 | Patient Minimum Data Set ELYZO9 ELYZOL DENTAL Gel 25% 2 cart ELYZO11 ELYZOL Inf 5MG/ML 100 ml ELYZO10 ELYZOL INFUSION Inf 5mg/ml 200 ml ELYZO12 ELYZOL Supp 1G 10 supp ELZYM1 ELZYM Caps 120/100mg 20 caps EMERA1 EMERAL Tabs 30/20/50MG 20 tabs EMICI1 EMICIPRO Tabs 250mg 10 tabs EMICI2 EMICIPRO Tabs 500MG 10 tabs EMICI3 EMICIPRO Tabs 750MG 10 tabs EMICR1 EMICRON Tabs 80MG 60 tabs EMIDO5 EMIDOL COLD Syrp 0 100 ml EMIDO1 EMIDOL Susp 120MG/5ML 100 ml EMIDO2 EMIDOL Susp 250MG/5ML 100 ml EMIDO3 EMIDOL Syrp 120mg/5ml 100 ml EMIDO4 EMIDOL Tabs 500MG 24 tabs EMIFE1 EMIFEN Susp 100MG/5ML 100 ml EMIFE2 EMIFEN Tabs 600MG 20 tabs EMIFE3 EMIFENAC DISPERSABLE Tabs 50MG 20 tabs EMILO1 EMILOK Caps 20MG 14 caps EMILO2 EMILORA Syrp 5MG/5ML 100 ml EMILO3 EMILORA Tabs 10MG 20 tabs EMIMY1 EMIMYCIN Tabs 250 MG 14 tabs EMIMY2 EMIMYCIN Tabs 500MG 20 tabs EMINA1 EMINASE Inj 30 UNIT 1 vial EMIPH1 EMIPHAGE Tabs 850MG 30 tabs EMIXA1 EMIXAL ChwT combinatio 50 chwT EMLA-1 EMLA Crm 25/25mg 30 gm EMLA(1 EMLA(5GM) Crm 25/25mg 5 ea EMPER1 EMPERAL Tabs 10MG 30 tabs ENALA1 ENALAPRIL Tabs 20MG 10 tabs ENAM-1 ENAM Tabs 10MG 20 tabs ENAPR2 ENAPRIL Tabs 10MG 30 tabs ENAPR3 ENAPRIL Tabs 20MG 30 tabs ENAPR1 ENAPRIL Tabs 5MG 30 tabs ENBRE1 ENBREL Inj 25MG 4 pfs ENBRE2 ENBREL Inj 50MG 4 pfs ENBRE3 ENBREL POWDER & SOLVENT FOR SOLUTION FOR INJ. Inj 25MG 4 vial ENCEP2 ENCEPHABOL Syrp 80.5MG/5ML 200 ml ENCEP1 ENCEPHABOL Tabs 100MG 20 tabs ENDOX2 ENDOXAN ASTA Inj 200MG 10 vial ENDOX3 ENDOXAN ASTA Inj 500MG 1 vial ENDOX4 ENDOXAN ASTA Tabs 50MG 50 tabs ENELF5 ENELFA Supp 125MG 10 supp ENELF2 ENELFA Supp 250MG 10 supp ENELF1 ENELFA Supp 500MG 10 supp Appendices Patient Minimum Data Set | Appendices ENELF3 ENELFA Syrp 100MG/5ML 100 ml ENELF4 ENELFA Tabs 500MG 20 tabs ENEMA1 ENEMAX Enma 0 120 ml ENHAN9 ENHANCIN BD Susp 457MG/5ML 75 ml ENHAN2 ENHANCIN Caps 625 MG 20 caps ENHAN4 ENHANCIN Susp 156.25 MG 100 ml ENHAN3 ENHANCIN Susp 312mg/5ml 100 ml ENHAN5 ENHANCIN Tabs 1 GM 12 tabs ENHAN7 ENHANCIN Tabs 375MG 10 tabs ENHAN1 ENHANCIN Tabs 375MG 20 tabs ENHAN8 ENHANCIN Tabs 625MG 10 tabs ENIIM2 ENIIMYCIN Tabs 250MG 14 tabs ENIIM1 ENIIMYCIN Tabs 500MG 20 tabs ENTAM1 ENTAMIZOLE Tabs 250/200MG 30 tabs ENTER1 ENTEROFURYL Caps 100MG 30 caps ENTER2 ENTEROFURYL Caps 200mg 16 caps ENTER3 ENTEROFURYL Susp 200mg/5ml 90 ml ENTER6 ENTEROGERMINA Susp 0 20 ea EPANU1 EPANUTIN Caps 50MG 500 caps EPANU2 EPANUTIN Susp 30MG/5ML 125 ml EPHYN1 EPHYNAL Caps 300 MG 30 caps EPHYN2 EPHYNAL ChwT 100MG 20 tabs EPICE1 EPICEPHINE(3ml) Inj 500 MG 1 vial EPICE2 EPICEPHINE(5ml) Inj 1 GM 1 vial EPICO1 EPICO EFF- SALT Gran COMBINATIO 12 sach EPICO4 EPICOGEL Susp 0 125 ml EPICO2 EPICOPHYLLINE Syrp 2.5G/100ML 125 ml EPICO3 EPICOTIL Inj 20MG 3 vial EPIFE1 EPIFENAC EyDr 1MG/ML 5 ml EPIFE5 EPIFENAC(3ML) Inj 0 3 amp EPILA1 EPILAT Caps 10MG 30 caps EPILA2 EPILAT RETARD Tabs 20MG 20 tabs EPIMA1 EPIMAG EFF. GRANUL Gran 42.49/100g 10 sach EPIMA2 EPIMAG Gran 0 10 sach EPIRA1 EPIRAX Tabs 5/2.5MG 30 tabs EPIRA2 EPIRAZOL Caps 20MG 14 caps EPIVA1 EPIVAL Tabs 200MG 50 tabs EPIVA2 EPIVAL Tabs 500MG 50 tabs EPREX12 EPREX 10 000IU/ML Inj 0 6 pfs EPREX21 EPREX 1000IU/0.5ML Inj 0 6 pfs EPREX1 EPREX 1000IU/0.5ML Inj 0 6 vial EPREX13 EPREX 2000IU/0.5ML Inj 0 6 pfs EPREX11 EPREX 3000IU/0.3ML Inj 0 6 pfs EPREX10 EPREX 40 000IU/0.4ML(1ML) Inj 0 1 vial EPREX20 EPREX 4000IU/0.4ML Inj 0 6 pfs 305 306 | Patient Minimum Data Set EPREX6 EPREX 6000IU/0.6ML Inj 0 6 pfs EPREX8 EPREX 8000IU/0.8ML Inj 0 6 pfs EPREX2 EPREX Inj 2000IU/ML 6 vial EPREX3 EPREX Inj 40000IU/ML 1 pfs EPREX16 EPREX Inj 4000IU/ML 6 vial EPREX5 EPREX Inj 5000IU/0.5 6 pfs EPTOL2 EPTOL BP Tabs 200 MG. 30 tabs EPTOL1 EPTOL Susp 100MG/5 ML 100 ml ERACI1 ERACID Tabs 500MG 14 tabs ERADA2 ERADACIL Caps 150MG 2 caps ERBIT1 ERBITUX (50ML) Inj 2MG/ML 1 vial ERCEF1 ERCEFURYL Caps 200MG 28 caps ERCEF3 ERCEFURYL Susp 0 90 ml EROMY1 EROMYCIN Tabs 250MG 20 tabs ERY-D1 ERY - DIOLAN Susp 200MG/5ML 100 ml ERY-D2 ERY - DIOLAN Tabs 500MG 10 tabs ERY-D3 ERY - DIOLAN Tabs 500MG 20 tabs ERYDE1 ERYDERM Lotn 20mg/ml 60 ml ERYPE1 ERYPED POWDER Soln 400MG/5ML 100 ml ERYPE2 ERYPED POWDER Soln 400MG/5ML 200 ml ERYTH13 ERYTHROCIN (ABBOTT) Tabs 500MG 100 tabs ERYTH5 ERYTHROCIN F.T Caps 500mg 16 caps ERYTH2 ERYTHROCIN F.T Tabs 250 MG 12 tabs ERYTH1 ERYTHROCIN F.T(ABBOTT) Tabs 250 MG 100 tabs ERYTH16 ERYTHROCIN F.T(AMDIPHARM) Tabs 250 MG 100 tabs ERYTH18 ERYTHROCIN I.V(AMDIPHARM) Inj 1G 1 vial ERYTH15 ERYTHROCIN NEOMYCIN Oint 0 15 gm ERYTH7 ERYTHROCIN P.C.E. Tabs 333mg 20 tabs ERYTH14 ERYTHROCIN Tabs 500mg 100 tabs ERYTH3 ERYTHROCIN(ABBOTT) Inj 1G 1 vial ERYTH4 ERYTHROCIN(ABBOTT) Soln 200mg/5ml 60 ml ERYTH19 ERYTHROCIN(AMDIPHARM) Inj 500MG 100 tabs ERYTH17 ERYTHROCIN(AMDIPHARM) Soln 200mg/5ml 60 ml ERYTH9 ERYTHRODAR Susp 200MG/5ML 100 ml ERYTH10 ERYTHRODAR Tabs 250MG 20 tabs ERYTH12 ERYTHROMYCIN Gran 250mg 12 sach ERYTH11 ERYTHROMYCIN Tabs 500MG 12 tabs ESCOR3 ESCOR Caps 16MG 20 caps ESCOR4 ESCOR Caps 8MG 20 caps ESIDR3 ESIDREX 25 MG Tabs 25MG 20 tabs ESIDR1 ESIDREX Tabs 25mg 100 tabs ESSAV2 ESSAVEN C Caps 90/20mg 30 caps ESTRA2 ESTRACOMBI TTS Ptch 0 4 ptch ETAPH2 ETAPHYLLINE PHENOBARBITOL Syrp 0 120 ml ETAPH3 ETAPHYLLINE PHENOBARBITOL Syrp 0 180 ml Appendices Patient Minimum Data Set | Appendices ETHYL1 ETHYL CHLORIDE Spry 0 100 ml ETHYO1 ETHYOL (10 ml) Inj 500mg 1 vial ETHYO2 ETHYOL (10ml) Inj 500mg 3 vial EUDYN1 EUDYNA Crm 0.05% 20 gm EUGYN1 EUGYNON Tabs 250/30µg 21 tabs EUMOV4 EUMOVATE Crm 0.05% 25 gm EUMOV3 EUMOVATE Oint 0.05% 25 gm EUPHY1 EUPHYLLIN RETARD Tabs 250mg 20 tabs EURAX1 EURAX Crm 10% 20 gm EURAX2 EURAX Lotn 10% 50 ml EUTHY1 EUTHYROX Tabs 100MCG 100 tabs EUTHY4 EUTHYROX Tabs 150MCG 100 tabs EUTHY2 EUTHYROX Tabs 25MCG 100 tabs EUTHY3 EUTHYROX Tabs 50MCG 100 tabs EVIST1 EVISTA Tabs 60 MG 14 tabs EVIST2 EVISTA Tabs 60 MG 28 tabs EVRAT1 EVRA TRANSDERMAL Ptch 6mg/600µg 3 patc EXCED4 EXCEDRIN EXTRA STRENGTH 250/250/65mg Capl 0 24 capl EXCED5 EXCEDRIN EXTRA STRENGTH 250/250/65mg Capl 0 50 capl EXCED2 EXCEDRIN TENSION HEADACHE Capl 500/65mg 24 capl EXCED3 EXCEDRIN. MIGRAINE Tabs 0 24 tabs EXEDE1 EXEDEXE Syrp 15mg/5ml 100 ml EXELO1 EXELON PATCH 5 Ptch 9MG 30 ptch EXELO4 EXELON Caps 1.5MG 60 caps EXELO3 EXELON Caps 1MG 60 caps EXELO5 EXELON Caps 3MG 60 caps EXELO6 EXELON Caps 4.5MG 60 caps EXELO7 EXELON Caps 6mg 60 caps EXELO8 EXELON PATCH 10 Ptch 18MG 30 ptch EXFOR3 EXFORGE Tabs 10/160MG 28 tabs EXFOR4 EXFORGE Tabs 5/160mg 28 tabs EXIFI1 EXIFINE 250 MG. Tabs 250MG 28 tabs EXJAD2 EXJADE DIS.TABS EfTb 125MG 28 efTb EXJAD3 EXJADE DIS.TABS EfTb 250MG 28 efTb EXJAD1 EXJADE DIS.TABS EfTb 500MG 28 efTb EXODE2 EXODERIL Crm 10MG/G 30 gm EXOMA1 EXOMAX Inf 2mg/ml 100 ml EXOMY2 EXOMYCOL Gel 0 30 gm EXTEN1 EXTENCILLINE (2 ml) Inj 600000iu 1 vial EXTEN3 EXTENCILLINE(4ml) Inj 1 200000iu 1 vial EXYLI2 EXYLIN PEDIATRIC Syrp 7mg/5ml 100 ml EXYLI1 EXYLIN Syrp 0 100 ml EZETR1 EZETROL Tabs 10MG 28 tabs EZILA1 EZILAX Syrp 10g/15ml 300 ml EZIPE2 EZIPECT Syrp 4mg/5ml 100 ml 307 308 | Patient Minimum Data Set EZIPE1 EZIPECT Tabs 8 MG 20 tabs FACTI1 FACTIVE Tabs 320 MG 5 tabs FACTI2 FACTIVE Tabs 320 MG 7 tabs FAMOC1 FAMOCID Tabs 10MG 10 tabs FAMOC2 FAMOCID Tabs 20MG 30 tabs FAMOC3 FAMOCID Tabs 40MG 30 tabs FAMOD3 FAMODAR ABR. Tabs 10mg 10 tabs FAMOD1 FAMODAR Tabs 20MG 30 tabs FAMOD2 FAMODAR Tabs 40MG 10 tabs FAMOD4 FAMODINE Tabs 20MG 30 tabs FAMOD5 FAMODINE Tabs 40MG 10 tabs FAMOT7 FAMOTAK Tabs 20mg 20 tabs FAMOT1 FAMOTAK Tabs 40MG 10 tabs FAMOT3 FAMOTEC Tabs 20MG 30 tabs FAMOT4 FAMOTEC Tabs 40MG 10 tabs FAMOT5 FAMOTIDINE MABO Tabs 20MG 28 tabs FAMOT6 FAMOTIDINE MABO Tabs 40MG 14 tabs FAMVI1 FAMVIR Tabs 125MG 10 tabs FAMVI2 FAMVIR Tabs 250MG 21 tabs FANSI1 FANSIDAR Tabs 500/25mg 500 tabs FARCO1 FARCOCIN Crm 0.1% 20 gm FARCO2 FARCOCIN Oint 0.1% 20 gm FARCO3 FARCODOXIN Caps 100MG 10 caps FARCO5 FARCOLIN Syrp 0 120 ml FARCO17 FARCOLIN Tabs 2MG 20 tabs FARCO6 FARCONCIL Caps 250 MG 12 caps FARCO7 FARCONCIL Caps 500 MG 12 caps FARCO8 FARCONCIL Susp 125mg/5ml 60 ml FARCO9 FARCONCIL Susp 250mg/5ml 60 ml FARCO18 FARCOPHYLLIN ADULT Supp 0 5 supp FARCO19 FARCOPHYLLIN INFANT Supp 0 5 supp FARCO13 FARCOPRIL Tabs 25 MG 20 tabs FARCO20 FARCOPRIL Tabs 50MG 20 tabs FARCO15 FARCOSEF Inj 250MG 1 vial FARCO21 FARCOSEF Inj 500MG 1 vial FARCO22 FARCOTILIUM Caps 10MG 24 caps FARCO23 FARCOTILIUM Susp 5MG/5ML 120 ml FARCO16 FARCOVIT B12 Caps 0 24 caps FARES1 FARESTON Tabs 60 MG 100 tabs FARES2 FARESTON Tabs 60 MG 30 tabs FARLU4 FARLUTAL Inj 1G 1 vial FARLU3 FARLUTAL Inj 500MG 1 vial FARMO1 FARMORUBICIN InjP 10MG 1 vial FARMO2 FARMORUBICIN InjP 50MG 1 vial FASIG1 FASIGYN Tabs 500MG 4 tabs Appendices Patient Minimum Data Set | Appendices FASTF1 FAST FLAM Tabs 50MG 20 tabs FASTU1 FASTUM GEL 2.5 % Gel 2.5% 100 gm FASTU2 FASTUM GEL 2.5 % Gel 2.5% 50 gm FASTU3 FASTUM GEL Gel 2.5% 50 gm FAVER1 FAVERIN Tabs 100mg 30 tabs FAVER2 FAVERIN Tabs 50mg 60 tabs FAWAR1 FAWAR FRUIT Gran combinatio 6 sach FAWAR2 FAWAR LEMON Gran combinatio 6 sach FEBS-1 FEBS Tabs combinatio 20 tabs FEDIQ1 FEDIQUIN Crm 4% 30 gm FEFOL1 FEFOL SPANSULE Caps 150MG/500µ 30 caps FEFOL2 FEFOL Z SPANSULE Caps combinatio 30 caps FELDE4 FELDEN GEL. 0.5% Gel 0.5% 50 gm FELDE6 FELDENE Caps 10MG 20 caps FELDE7 FELDENE Caps 20MG 10 caps FELDE8 FELDENE EfTb 20mg 10 eftb FELDE1 FELDENE Inj 20MG/ML 3 amp FELDO1 FELDORAL Caps 20MG 10 caps FEMAR1 FEMARA Tabs 2.5 MG 30 tabs FEMOS5 FEMOSTON 2/10 Tabs 2/10MG 28 tabs FEMOS1 FEMOSTON Tabs 1/10MG 28 tabs FEMOS2 FEMOSTON Tabs 1/10MG 84 tabs FEMOS3 FEMOSTON Tabs 1/5MG 28 tabs FEMOS4 FEMOSTON Tabs 1/5MG 84 tabs FEMUL1 FEMULEN Tabs 0.5mg 28 tabs FENAD1 FENADEX Tabs 120MG 10 tabs FENAD2 FENADEX Tabs 180MG 15 tabs FENAD3 FENADEX Tabs 60MG 30 tabs FENAD6 FENADINE Caps 0 16 caps FENAD7 FENADINE Susp 0 100 ml FENAM1 FENAMIC Caps 250MG 24 caps FENAM2 FENAMIC Soln 50MG/5 ML 125 ml FENBI1 FENBID SPANSULE Caps 300MG 30 caps FENDO1 FENDOL Caps 250MG 20 caps FENDO3 FENDOL D.S Tabs 500MG 20 tabs FENIC2 FENICOL EyOn 0 3.5 gm FENIS11 FENISTIL RETARD Tabs 0 20 tabs FENIS9 FENISTIL (4ml) Inj 1mg/ml 2 amp FENIS2 FENISTIL -24 Caps 4mg 10 caps FENIS3 FENISTIL -24 Caps 4mg 30 caps FENIS4 FENISTIL DROPS Osol 1mg/ml 10 ml FENIS5 FENISTIL DROPS Osol 1mg/ml 20 ml FENIS6 FENISTIL Gel 0.1% 30 gm FENIS7 FENISTIL Syrp 0.1mg/ml 100 ml FENIS1 FENISTIL Tabs 1mg 20 tabs 309 310 | Patient Minimum Data Set FEOSP3 FEOSPAN - Z SPANSULE Caps 0 30 caps FEOSP1 FEOSPAN SPANSULE Caps 150MG 30 caps FERGL1 FERGLUCONE Tabs 0 100 tabs FERIN2 FERIN - SOL DROPS Soln 0 30 ml FEROG1 FEROGLOBIN B12 Syrp 0 200 ml FEROG2 FEROGLOBIN B12 CAP. Caps 0 30 caps FEROM3 FEROMIN DROPS Osol 125MG/ML 30 ml FEROM2 FEROMIN Tabs 190MG 30 tabs FEROS1 FEROSAC Inj 20mg/ml 5 amp FEROS4 FEROSE F ChwT 100/0.35mg 30 chwT FEROS3 FEROSE ChwT 100mg 30 chwT FEROS2 FEROSE Syrp 10mg/ml 100 ml FERRO1 FERRO-FOL SPANSULE Caps 0 30 caps FERRO2 FERROGRAD - FOLIC Tabs combinatio 30 tabs FERRO3 FERROGRAD C Tabs combinatio 30 tabs FERRO5 FERROUS SULPHATE Tabs 200MG 1000 tabs FERRO6 FERROVITA Caps 0 24 caps FERRO7 FERROVITA Caps 0 60 caps FERSO1 FERSOL Osol 24MG/ML 15 ml FERTA1 FERTAB Tabs 50MG 10 tabs FERTI2 FERTILINE Tabs 0 10 tabs FESOV2 FESOVIT Z SPANSULE Caps COMB 30 caps FESTA1 FESTAL Tabs 0 20 tabs FEVAD8 FEVADOL EXTRA Tabs 500+65MG 20 tabs FEVAD6 FEVADOL PLUS Tabs 500/8/30mg 20 tabs FEVAD5 FEVADOL Supp 100MG 10 supp FEVAD2 FEVADOL Supp 200MG 10 supp FEVAD3 FEVADOL Supp 350MG 10 supp FEVAD4 FEVADOL Syrp 120mg/5ml 100 ml FEVAD1 FEVADOL Syrp 160MG/5ML 145 ml FEVAD9 FEVADOL Tabs 0 1000 tabs FEVAD10 FEVADOL Tabs 500MG 20 Tabs FEVER1 FEVEROL Syrp 120MG/5ML 100 ml FEXOD1 FEXODINE Tabs 120MG 14 tabs FEXOD2 FEXODINE Tabs 180MG 14 tabs FIBER1 FIBERCON Tabs 500MG 30 tabs FIBER2 FIBERCON Tabs 500MG 90 tabs FINAL4 FINALLERG Osol 10mg/ml 30 ml FINAL3 FINALLERG Syrp 1mg/ml 100 ml FINAL6 FINALLERG Tabs 10 MG 10 tabs FITZE2 FITZECALM Susp 100MG/5ML 100 ml FITZE1 FITZECALM Tabs 200 MG. 50 tabs FIXIT1 FIXIT Caps 150MG 14 caps FIXIT2 FIXIT Caps 300MG 14 caps FIXIT3 FIXIT Caps 75MG 14 caps Appendices Patient Minimum Data Set | Appendices FLAGE1 FLAGENTYL Tabs 500MG 4 tabs FLAGI2 FLAGICURE FORTE Tabs 500MG 20 tabs FLAGI1 FLAGICURE Pess 500mg 10 pess FLAGY5 FLAGYL Inf 500mg/100m 100 ml FLAGY3 FLAGYL Susp 200MG/5ML 100 ml FLAGY4 FLAGYL Tabs 200MG 21 tabs FLAGY2 FLAGYL Tabs 400 MG 14 tabs FLAMA1 FLAMAZINE Crm 1% 50 gm FLANT4 FLANTADIN Tabs 30MG 10 tabs FLANT3 FLANTADIN Tabs 6MG 10 tabs FLANT2 FLANTIDIN Tabs 30mg 10 tabs FLANT1 FLANTIDIN Tabs 6mg 10 tabs FLATI2 FLATIDYL ChwT 40mg 30 chwT FLATI1 FLATIDYL Osol 40mg/ml 10 ml FLAVA3 FLAVACO NsSy combinatio 15 ml FLAVA2 FLAVACO OTIC EaDr combinatio 10 ml FLAVE4 FLAVEDRIN MILD NsDr combinatio 15 ml FLAVE3 FLAVEDRIN NsDr combinatio 25 ml FLAZO1 FLAZOL Tabs 500MG 20 tabs FLEMO5 FLEMOXIN - E EfTb 500mg 20 eftb FLEMO2 FLEMOXIN Osol 100mg/ml 20 ml FLEMO3 FLEMOXIN Susp 125MG/5 ML 100 ml FLEMO7 FLEMOXIN-E EfTb 250mg 20 eftb FLEXI5 FLEXIBAN tabs 0 30 tabs FLEXI2 FLEXIMEX Tabs 200MG 84 tabs FLEXI3 FLEXIMEX Tabs 400MG 84 tabs FLEXI4 FLEXIMEX Tabs 600 MG 84 tabs FLIXO1 FLIXONASE N- NsSy 50µg/puff 120 puff FLIXO21 FLIXOTIDE INHALAR Inhl 250µg/dose 120 dose FLIXO9 FLIXOTIDE NEBULES Inhl 2mg/2ml 10 ea FLIXO10 FLIXOTIDE DISKUS Inhl 100µg/dose 60 dose FLIXO11 FLIXOTIDE DISKUS Inhl 250µg/dose 60 dose FLIXO13 FLIXOTIDE DISKUS Inhl 50µg/dose 60 dose FLIXO12 FLIXOTIDE DISKUS Inhl 500µg/dose 60 dose FLIXO14 FLIXOTIDE EVOHALER Inhl 125µg/dose 120 dose FLIXO15 FLIXOTIDE EVOHALER Inhl 125µg/dose 60 dose FLIXO16 FLIXOTIDE EVOHALER Inhl 250µg/dose 120 dose FLIXO17 FLIXOTIDE EVOHALER Inhl 250µg/dose 60 dose FLIXO18 FLIXOTIDE EVOHALER Inhl 50µg/dose 120 dose FLIXO3 FLIXOTIDE Inhl 0.5mg/2ml 10 ea FLIXO4 FLIXOTIDE Inhl 125µg/dose 120 dose FLIXO5 FLIXOTIDE Inhl 125µg/dose 60 dose FLIXO7 FLIXOTIDE Inhl 25µg/dose 120 dose FLIXO8 FLIXOTIDE Inhl 25µg/dose 60 dose FLIXO6 FLIXOTIDE Inhl 250µg/dose 60 dose 311 312 | Patient Minimum Data Set FLIXO2 FLIXOTIDE Inhl 50µg/dose 120 dose FLIXO20 FLIXOTIDE Inhl 50µg/dose 60 dose FLORO4 FLOROXIN Tabs 250 MG 10 tabs FLORO3 FLOROXIN Tabs 500 MG 10 tabs FLOXA1 FLOXACIN Tabs 250 MG 10 tabs FLOXA2 FLOXACIN Tabs 500 MG 10 tabs FLOXA7 FLOXAPEN Caps 250mg 20 caps FLOXA3 FLOXAPEN Caps 250MG 20 caps FLOXA5 FLOXAPEN INJ Inj 250MG 10 vial FLOZA1 FLOZAK Caps 20MG 30 caps FLU-C1 FLU- CARE SYRUP Syrp 0 100 ml FLUAN3 FLUANXOL DEPOT(1ML) Inj 0 10 amp FLUAN2 FLUANXOL Tabs 0.25MG 100 tabs FLUAN1 FLUANXOL Tabs 1MG 100 tabs FLUAR1 FLUARIX VACCINE Inj 0.5ML 1 pfs FLUCA1 FLUCA EyDr 20/1MG/ML 5 ml FLUCA2 FLUCAMOX Caps 125/125mg 12 caps FLUCA3 FLUCAMOX Caps 250/250mg 8 caps FLUCA4 FLUCAND Caps 150mg 1 caps FLUCA5 FLUCAND Caps 50MG 7 caps FLUCA6 FLUCAND Inf 2mg/ml 100 ml FLUCO5 FLUCLOXACILLIN Caps 250MG 28 caps FLUCL1 FLUCLOXACILLIN Caps 500mg 28 caps FLUCL2 FLUCLOXACILLIN Syrp 125MG/5ML 100 ml FLUCO1 FLUCORAL Caps 150MG 2 caps FLUCO2 FLUCORIC Caps 150MG 1 caps FLUCO3 FLUCORIC Caps 50MG 7 caps FLUDR6 FLUDREX SINUS (400 MG+3MG+32MG) Tabs 0 24 tabs FLUDR1 FLUDREX Syrp 0 120 ml FLUDR4 FLUDREX Tabs 0 24 tabs FLUKI2 FLUKIT 120/15/2mg/5ml Syrp 0 60 ml FLUKI1 FLUKIT 250/200/5/5mg Tabs 0 20 tabs FLUME2 FLUMED DM Syrp 0 100 ml FLUME1 FLUMED Syrp 2/30mg/5ml 100 ml FLUME3 FLUMETOL EyOn 0.10% 5 gm FLUMO1 FLUMOX Caps 250MG 12 caps FLUMO2 FLUMOX Caps 500MG 8 caps FLUMO3 FLUMOX Susp 250MG/5ML 60 ml FLUNA1 FLUNAZOL Caps 150MG 1 caps FLUNU2 FLUNURINE Caps 20MG 20 caps FLUOR4 FLUORESCEIN SODIUM EyDr 0 15 ml FLUOR1 FLUORESCIT I.V Inj 10% 12 vial FLUOR3 FLUORIN Tabs 0 120 tabs FLUOR2 FLUORO - URACIL Inj 250MG/5ML 5 vial FLUTA1 FLUTAB SINUS Tabs 500/30mg 20 tabs Appendices Patient Minimum Data Set | Appendices FLUTI1 FLUTIN Caps 20MG 30 caps FLUZY1 FLUZYN Caps 20mg 14 caps FML--1 FML EyDr 1mg/ml 5 ml FOLIC5 FOLIC ACID B.P Tabs 5MG 500 tabs FOLIC1 FOLIC ACID Tabs 1MG 20 tabs FOLIC3 FOLIC ACID Tabs 5MG 20 tabs FOLIC4 FOLIC ACID Tabs 5MG 50 tabs FOLIC11 FOLICARE Soln 0.4MG/5ML 150 ml FOLIC8 FOLICRON Caps 435mg 30 caps FOLIC9 FOLICUM Tabs 5MG 20 tabs FOLIT1 FOLITAB Tabs 1mg 20 tabs FOLIT2 FOLITAB Tabs 5mg 20 tabs FOLON1 FOLONE Inj 50MG 5 amp FORAD4 FORADIL AEROSOL Inhl 0 50 puff FORAD2 FORADIL AEROSOL Inhl 12mcg/puff 100 puff FORAD1 FORADIL Caps 12mcg/caps 30 caps FORAD5 FORADIL MDI Inhl 0.02% 60 dose FORMI1 FORMIT Tabs 500MG 50 tabs FORMI2 FORMIT Tabs 850MG 60 tabs FORTE1 FORTEO Inj 20µg/dose 1 pfs FORTO1 FORTOVASE Caps 200 MG 180 caps FORTU1 FORTUM Inj 1 GM 1 vial FORTU2 FORTUM Inj 2 GM 1 vial FORTU7 FORTUM Inj 250mg 5 vial FORTU4 FORTUM Inj 500MG 1 vial FORTU5 FORTUM MONOVIAL Inj 1gm 1 vial FORTU6 FORTUM MONOVIAL Inj 2gm 1 vial FORTZ1 FORTZAAR Tabs 100/25mg 30 tabs FOSAM1 FOSAMAX Tabs 10 MG 28 tabs FOSAM2 FOSAMAX(ONCE A WEEK ) Tabs 70 MG 4 tabs FOSAV2 FOSAVANCE Tabs 70MG 4 tabs FOSAV1 FOSAVANCE Tabs 70MG/5600I 4 tabs FOSTI1 FOSTIMON Inj 150iu 1 vial FOSTI2 FOSTIMON Inj 75IU 1 vial FOTIL1 FOTIL EyDr 20/5mg/ml 5 ml FOTIL2 FOTIL FORTE EyDr 0 5 ml FRAGM1 FRAGMIN Inj 2500IU 10 syrg FRAGM2 FRAGMIN Inj 5000IU 10 syrg FRAKI1 FRAKIDEX EyDr 0 7.5 ml FRAKI2 FRAKIDEX EyOn 0 5 gm FRANO1 FRANOL Tabs 120/15MG 100 tabs FRAXI1 FRAXIPARINE INJ. 0.2ml Inj 1900IU 10 syrg FRAXI2 FRAXIPARINE INJ. 0.4ml Inj 3800IU 10 syrg FRAXI3 FRAXIPARINE INJ. 0.6ml Inj 5700IU 2 syrg FRAXI4 FRAXIPARINE INJ.0.3ml Inj 2850IU 10 syrg 313 314 | Patient Minimum Data Set FRAXI5 FRAXIPARINE INJ.0.8ml Inj 7600IU 10 syrg FRAXI6 FRAXIPARINE INJ.0.8ml Inj 7600IU 2 syrg FRAXI10 FRAXIPARINE(1ml) Inj 9500IU 10 syrg FRAXI7 FRAXIPARINE(1ml) Inj 9500IU 2 syrg FRAXO1 FRAXODI 0.6 ML Inj 19000IU/ML 2 pfs FRAXO2 FRAXODI 0.6ML Inj 19000IU/ML 10 pfs FRAXO3 FRAXODI 0.8 ML Inj 19000IU/ML 10 pfs FRAXO4 FRAXODI 0.8ML Inj 19000IU/ML 2 pfs FRAXO5 FRAXODI 1 ML Inj 19000IU/ML 2 pfs FRAXO6 FRAXODI 1ML Inj 19000IU/ML 10 pfs FRISI1 FRISIUM Tabs 10 MG 20 tabs FROBE4 FROBEN SR. Caps 200MG 10 caps FROBE5 FROBEN SR. Caps 200MG 30 caps FROBE1 FROBEN Supp 100MG 12 supp FROBE2 FROBEN Tabs 100MG 100 tabs FROBE6 FROBEN Tabs 100mg 30 tabs FROBE3 FROBEN Tabs 50MG 100 tabs FROBE7 FROBEN Tabs 50mg 30 tabs FRUSO1 FRUSOL Syrp 40MG/5ML 150 ml FUCIC1 FUCICORT Crm 20/1MG/G 15 gm FUCIC2 FUCICORT Crm 20/1MG/G 30 gm FUCID2 FUCIDIN - H CREAM Crm 20/10MG/G 30 gm FUCID1 FUCIDIN - H Crm 20/10MG/G 15 gm FUCID4 FUCIDIN CREAM Crm 2% 30 gm FUCID3 FUCIDIN Crm 2% 15 gm FUCID14 FUCIDIN Gel 2% 15 gm FUCID16 FUCIDIN Lotn 0 25 ml FUCID9 FUCIDIN Lotn 2% 25 ml FUCID6 FUCIDIN Oint 2% 15 gm FUCID7 FUCIDIN OINT. Oint 2% 30 gm FUCID17 FUCIDIN Susp 0 90 ml FUCID12 FUCIDIN Susp 50MG/ML 90 ml FUCID18 FUCIDIN Tabs 250MG 12 tabs FUCIT1 FUCITHALMIC EyDr 10mg/g 5 gm FUDIO1 FUDION Crm 2 % w/w 15 gm FULCI3 FULCIN ORAL Susp 0 100 ml FULCI7 FULCIN ORAL Susp 125MG/5ML 100 ml FULCI4 FULCIN Tabs 125MG 25 tabs FULCI5 FULCIN Tabs 500MG 100 tabs FULVI1 FULVIN Tabs 500MG 20 tabs FUMER1 FUMERON PLUS Caps 0 30 caps FUNGI8 FUNGILIN Tabs 0 20 tabs FUNGI4 FUNGIMID Caps 150MG 1 caps FUNGI3 FUNGIMID Caps 50MG 7 caps FUNGI5 FUNGIPAN Crm 2% 15 gm Appendices Patient Minimum Data Set | Appendices FUNGI6 FUNGIPAN Shmp 2% 100 ml FUNGI7 FUNGIZONE Inj 50mg 1 vial FUNGO1 FUNGOTOX Crm 10mg/g 20 gm FUNGO2 FUNGOTOX Crm 10mg/g 50 gm FUNZO1 FUNZOL Caps 150MG 1 caps FUNZO2 FUNZOL Caps 50MG 7 caps FURAC4 FURACIN Crm 0 28 gm FURAC6 FURACIN SOLUBLE DRESSING Crm 0 28 gm FURAC5 FURACIN Susp 0 60 ml FURAM1 FURAMBE FORT Tabs 250/200mg 20 tabs FURAM2 FURAMEBE Tabs 500mg 20 tabs FURAM3 FURAMIDE Tabs 500MG 15 tabs FURAZ1 FURAZOL Tabs 250/200MG 20 tabs FUROX4 FUROXONE Syrp 0 60 ml FUROX3 FUROXONE Tabs 100MG 20 tabs FUSIB3 FUSIBACT B Crm 2%+0.1% 15 gm FUSIB1 FUSIBACT Crm 2% 15 gm FUSIB2 FUSIBACT Oint 2% 15 gm FUSID1 FUSIDERM Crm 2% 15 gm FUSID2 FUSIDERM Oint 20MG 15 gm FUSIV1 FUSIVER Oint 2% 15 gm FUSIX1 FUSIX Tabs 40MG 20 tabs FUTAS1 FUTASOLE Crm 2% 15 gm FUTAS2 FUTASOLE Oint 2% 15 gm FUTAS3 FUTASONE Crm 20/1mg/g 15 gm GABAN2 GABANET Caps 400MG 48 caps GABAT1 GABATREX Caps 300MG 50 caps GABAT2 GABATREX Caps 400MG 50 caps GABBR1 GABBRORAL Syrp 2.5% 60 ml GABBR2 GABBRORAL Tabs 250MG 12 tabs GALVU1 GALVUS MET Tabs 50MG+1000M 30 tabs GALVU2 GALVUS MET Tabs 50MG+1000M 60 tabs GALVU3 GALVUS MET Tabs 50MG+850MG 30 tabs GALVU4 GALVUS MET Tabs 50MG+850MG 60 tabs GALVU5 GALVUS Tabs 50MG 28 tabs GAMAV1 GAMAVATE Crm 0.05% 25 gm GAMAV2 GAMAVATE Oint 0.05% 25 gm GAMIM1 GAMIMUNE N. Inj 5% 10 ml GAMIM2 GAMIMUNE N. Inj 5% 100 ml GAMIM3 GAMIMUNE N. Inj 5% 50 ml GARAM10 GARAMYCIN Crm 0.1% 15 gm GARAM2 GARAMYCIN EyOn 0.3% 3 gm GARAM3 GARAMYCIN Oint 0.1% 15 gm GARAM11 GARAMYCIN PED(2ml) Inj 20mg/2ml 1 vial GARAM4 GARAMYCIN(2ml) Inj 80mg/2ml 1 vial 315 316 | Patient Minimum Data Set GARAM1 GARAMYCIN(SCHERING-BELGIUM) EyDr 0.3% 5 ml GARAM12 GARAMYCIN(SCHERRING-CANADA) EyDr 0.30% 5 ml GASEC4 GASEC Caps 20MG 14 caps GASEC1 GASEC Caps 20MG 28 caps GASEC2 GASEC Caps 40MG 14 caps GASTR1 GASTREX ChwT 42mg 30 chwT GASTR11 GASTROGEL Chwt COMBINATIO 100 tabs GASTR12 GASTROGEL Susp 0 500 ml GASTR10 GASTROGEL Susp 150 150 ml GASTR3 GASTROMOTIL Susp 5MG/5ML 200 ml GASTR6 GASTRONERTON DROPS Osol 4.65MG/ML 20 ml GASTR4 GASTRONERTON Soln 11.6MG/10M 100 ml GASTR5 GASTRONERTON Tabs 8.92MG 20 tabs GASTR7 GASTROPRIDE Syrp 5MG/5 ML 100 ml GASTR8 GASTROPRIDE Tabs 10 MG 20 tabs GASTR15 GASTROPULGITE Sach 5G 30 sach GASTR13 GASTROZEPIN Tabs 25MG 20 tabs GASTR14 GASTROZOLE Caps 20MG 14 caps GAVIS4 GAVISCON ChwT COMBINATIO 60 chwT GAVIS8 GAVISCON EXTRA STRENGHT(500/267/80MG) Chwt 0 24 chwT GAVIS2 GAVISCON LIQUID ANISEED Soln COMBINATIO 500 ml GAVIS1 GAVISCON LIQUID Soln COMBINATIO 200 ml GAVIS9 GAVISCON PEPPERMINT Chwt 0 16 chwT GAZIX2 GAZIX CHwT 125MG 30 chwT GAZIX1 GAZIX Osol 40MG/ML 30 ml GEDIM1 GEDIMADEL Tabs 1MG 10 tabs GEDIM2 GEDIMADEL Tabs 2MG 10 tabs GEDIM3 GEDIMADEL Tabs 3MG 10 tabs GELCO2 GELCOTAR Gel 1.25/0.5% 50 gm GENGR1 GENGRAF Caps 100MG 30 caps GENGR2 GENGRAF Caps 25MG 30 caps GENOT1 GENOTROPIN Inj 16 I.U 2 cart GENOT2 GENOTROPIN(+SOLVENT VIAL) Inj 36I.U 2 cart GENOT3 GENOTROPIN(+SOLVENT VIAL) Inj 4 I.U 1 ml GENTA1 GENTACIN EyDr 03% 8 ml GENTA2 GENTACIN EyOn 03% 5 gm GENTA3 GENTADAR EyDr 3MG/ML 10 ml GENTA4 GENTAL Oint 0.1%S 15 gm GENTA18 GENTAMICIN EEDr 0.3% 10 ml GENTA11 GENTAMICIN INJ Inj 80MG/2ML 50 amp GENTA15 GENTAMYTREX EyDr 0.3% 5 ml GEOPE2 GEOPEN Inj 0 15 vial GLAPH2 GLAPHENINE Tabs 0.2G 20 Tabs GLAZE1 GLAZE Tabs 80MG 20 tabs GLIBI1 GLIBIL Tabs 5MG 100 tabs Appendices Patient Minimum Data Set | Appendices GLIBO1 GLIBOM Tabs 5MG 20 tabs GLIM-1 GLIM Tabs 1MG 30 tabs GLIM-2 GLIM Tabs 2MG 30 tabs GLIM-3 GLIM Tabs 3MG 30 tabs GLIM-4 GLIM Tabs 4MG 30 tabs GLIMP1 GLIMPID Tabs 1MG 30 tabs GLIMP2 GLIMPID Tabs 2MG 30 tabs GLIMP3 GLIMPID Tabs 3MG 30 tabs GLIVE1 GLIVEC Caps 100 MG 120 caps GLIVE3 GLIVEC Tabs 100 MG 60 tabs GLIVE4 GLIVEC Tabs 400 MG 30 tabs GLIZI1 GLIZIDE Tabs 80MG 30 tabs GLOBO1 GLOBOCEF Syrp 250 MG 100 ml GLOBO2 GLOBOCEF Tabs 250 MG 14 tabs GLOBO3 GLOBOCEF Tabs 500 MG 14 tabs GLOCL2 GLOCLAV Susp 156 MG/5ML 100 tabs GLOCL1 GLOCLAV Susp 312MG/5ML 100 ml GLOCL5 GLOCLAV Tabs 1000MG 14 tabs GLOCL3 GLOCLAV Tabs 375MG 20 tabs GLOCL4 GLOCLAV Tabs 625MG 20 tabs GLODI1 GLODITEN 1MG./5 ML Syrp 1MG/5 ML 100 ml GLODI3 GLODITEN Tabs 1MG 30 tabs GLODI2 GLODITIN Tabs 1MG 30 tabs GLOMO2 GLOMOX Caps 250MG 20 caps GLOMO3 GLOMOX Caps 500MG 20 caps GLOMO10 GLOMOX DISPERSIBLE Eftb 125MG 20 eftb GLOMO6 GLOMOX DISPERSIBLE Tabs 250MG 20 tabs GLOMO13 GLOMOX Susp 125MG/5ML 100 ml GLOMO4 GLOMOX Susp 250MG/5ML 100 ml GLOMO1 GLOMOX Tabs 1000 MG 14 tabs GLORM1 GLORMIN Tabs 100MG 28 tabs GLORM2 GLORMIN Tabs 25MG 28 tabs GLORM3 GLORMIN Tabs 50MG 28 tabs GLOTA1 GLOTAC 150 Tabs 150MG 20 tabs GLOTA2 GLOTAC 300 Tabs 300MG 10 tabs GLOTR3 GLOTRIZINE ORODISPERSIBLE Eftb 10MG 20 eftb GLOTR1 GLOTRIZINE Syrp 5MG/5ML 100 ml GLOTR2 GLOTRIZINE Tabs 10MG 20 tabs GLUCA2 GLUCAGON NOVO Inj 1MG 1 vial GLUCA3 GLUCAL Tabs 0 120 tabs GLUCA4 GLUCARE Tabs 500MG 50 tabs GLUCO19 GLUCOBAY Tabs 100 MG 30 tabs GLUCO20 GLUCOBAY Tabs 50 MG 30 tabs GLUCO55 GLUCOLYNAMINE Inj 0 6 amp GLUCO29 GLUCOPHAGE XR Tabs 750MG 30 tabs 317 318 | Patient Minimum Data Set GLUCO21 GLUCOPHAGE Tabs 1000MG 30 tabs GLUCO22 GLUCOPHAGE Tabs 500MG 100 tabs GLUCO23 GLUCOPHAGE Tabs 500MG 50 tabs GLUCO24 GLUCOPHAGE Tabs 500MG 500 tabs GLUCO25 GLUCOPHAGE Tabs 850MG 100 tabs GLUCO26 GLUCOPHAGE Tabs 850MG 30 tabs GLUCO27 GLUCOPHAGE Tabs 850MG 300 tabs GLUCO28 GLUCOPHAGE Tabs 850MG 60 tabs GLUCO31 GLUCOPHAGE XR Tabs 500MG 30 tabs GLUCO56 GLUCOSE 5 % I.V Inj 0 100 ml GLUCO57 GLUCOSE 5 % I.V Inj 0 1000 ml GLUCO58 GLUCOSE 5 % I.V Inj 0 250 ml GLUCO60 GLUCOSE 5 % I.V Inj 0 50 ml GLUCO59 GLUCOSE 5 % I.V Inj 0 500 ml GLUCO49 GLUCOVANCE Tabs 500+2.5MG 30 tabs GLUCO43 GLUCOVANCE Tabs 500+5MG 30 tabs GLUST1 GLUSTIN Tabs 15MG 30 tabs GLUST2 GLUSTIN Tabs 30MG 30 tabs GLYCE14 GLYCERIN ADULTS Supp 0 5 supp GLYCE15 GLYCERIN INFANTILE Supp 0 5 supp GLYCE2 GLYCERIN ADULT Supp 2.14ML 12 supp GLYCE16 GLYCERIN ADULT(ARAB CENTER PHARMA) Supp 0 18 supp GLYCE3 GLYCERIN ADULT(PHARMACIA) Supp 0 18 supp GLYCE5 GLYCERIN CHILD(PHARMACIA) Supp 0 18 supp GLYCE7 GLYCERIN INFANT Supp 0.535ML 12 supp GLYCE8 GLYCERIN INFANT(ARAB CENTER PHARMA) Supp 1.36MG 18 supp GLYCI8 GLYCILAX ADULT Supp 1MG 10 supp GLYCI7 GLYCILAX ADULT Supp 1MG 12 supp GLYCI9 GLYCILAX CHILD Supp 0.75 GM 10 supp GLYCI10 GLYCILAX CHILD Supp 0.75 GM 12 supp GLYCI3 GLYCINE 0.015 IRRIGATION Soln 0.015 2000 ml GLYME1 GLYMET Tabs 500MG 50 tabs GLYME2 GLYMET Tabs 850MG 30 tabs GLYNA1 GLYNASE Tabs 5MG 30 tabs GLYOC1 GLYOCAL Tabs 100MG 30 tabs GLYQU1 GLYQUIN XM Crm 0 28 gm GLYVE1 GLYVENOL Caps 400MG 20 caps GONAL1 GONAL F Inj 150I.U 1 amp GONAL2 GONAL F Inj 75IU/ML 1 amp GONAL4 GONAL F Inj 75IU/ML 1 vial GONAL7 GONAL F(300IU/0.5ML) Inj 0 1 cart GONAL8 GONAL F(450IU/0.75ML) Inj 0 1 cart GONAL9 GONAL F(900IU/1.5ML) Inj 0 1 cart GONAP1 GONAPEPTYL CR Inj 1MG 7 pfs GONAP2 GONAPEPTYL CR Inj 3.75MG 1 pfs Appendices Patient Minimum Data Set | Appendices GRACI1 GRACIAL Tabs 0 22 tabs GRACI2 GRACIAL Tabs 0 66 tabs GRANU1 GRANUDOXY Caps 100MG 5 caps GREGO1 GREGODERM Oint 0 15 gm GRIPP1 GRIPPO Supp 120MG 6 supp GRIPP2 GRIPPO Supp 200MG 6 supp GRISO1 GRISOVIN Tabs 125MG 100 tabs GRODO1 GRODOXIN Caps 100MG 10 caps GROFE5 GROFENAC Inj 75MG/3ML 100 amp GROFE4 GROFENAC RETARD Tabs 100MG 10 tabs GROFE2 GROFENAC Tabs 50MG 20 tabs GROMA1 GROMAZOL Crm 10mg/g 20 gm GROMA2 GROMAZOL Spry 10mg/ml 50 ml GROPR2 GROPRIM FORT. Tabs 800+160mg 10 tabs GROPR1 GROPRIM Tabs 400+80mg 20 tabs GUAFE1 GUAFEDRIN Syrp 30/50mg 100 ml GUANO2 GUANOR COUGH Syrp 0 125 ml GUAPH1 GUAPHAN Syrp 100mg 100 ml GUARI2 GUARINA Gran 5G 60 sach GUPIS1 GUPISONE Tabs 5 MG 20 tabs GUTRO1 GUTRON DROPS Osol 10MG/ML 20 ml GYNER1 GYNERA Tabs 0 21 tabs GYNO-1 GYNO - CLOTRIMOX Pess 100mg 18 pess GYNO-2 GYNO - MECONAZOL Ovul 200MG 7 ovul GYNO-3 GYNO - MECONAZOL Ovul 400MG 3 ovul GYNO-21 GYNO - MIKOZAL Crm 0 78 gm GYNO-22 GYNO - MIKOZAL Ovul 200MG 7 ovul GYNO-20 GYNO - MIKOZAL Ovul 400MG 3 ovul GYNO-7 GYNO - PEVARYL 50 V Ovul 50mg 15 ovul GYNO-6 GYNO - PEVARYL VgCr 1% 78 gm GYNOT1 GYNO TRAVOGEN Ovul 0 2 ovul GYNO-8 GYNO-CANDIZOL Ovul 200MG 7 ovul GYNO-9 GYNO-CANDIZOL Ovul 400MG 3 ovul GYNO-10 GYNO-DAKTARIN Ovul 200MG 7 ovul GYNO-11 GYNO-DAKTARIN Ovul 400MG 3 ovul GYNO-12 GYNO-DAKTARIN VgCr 100MG/5G 78 gm GYNOF1 GYNOFLOR E. VEG Ovul 100M/0.03M 6 ovul GYNO-13 GYNO-MECONAZOL VgCr 2% 78 gm GYNO-14 GYNO-PEVARYL DEPOT Ovul 150MG 2 ovul GYNO-15 GYNO-PEVARYL Ovul 150MG 3 ovul GYNOZ1 GYNOZOL Ovul 200MG 6 ovul GYNOZ3 GYNOZOL Ovul 400MG 3 ovul GYNOZ2 GYNOZOL VgCr 2% 40 gm HAEME1 HAEMETON Caps 0 28 caps HAEMO44 HAEMOPROCT CREAM Crm 0 30 gm 319 320 | Patient Minimum Data Set HAEMO43 HAEMOPROCT Supp 0 10 supp HAEMO31 HAEMOSOL Caps combinatio 30 caps HAEMO32 HAEMOTON Caps combinatio 28 caps HATSO1 HATSO CHILDREN COLD Syrp combinatio 100 ml HATSO2 HATSO CHILDREN COUGH Syrp combinatio 100 ml HATSO3 HATSO INFANT COLD Syrp combinatio 100 ml HATSO4 HATSO INFANT COUGH Syrp combinatio 100 ml HAVIR1 HAVIRIX V ADULT.VACCINE Injs 1440U/ML 1 vial HAVRI1 HAVRIX VACCINE Injs 720U/ML 1 vial HAVRI2 HAVRIX 720 JUNIOR MONO DOSE Injs 720U/0.5ML 1 pfs HAVRI4 HAVRIX PAED.DOSE VACCINE(0.5ML) Inj 0 1 vial HAVRI3 HAVRIX PEDIATRIC VACCINE Injs 360U/0.5ML 1 vial HB-VA1 HB- VAX DNA ( HEPATITS) Injs 10Mcg/ml 1 vial HEALO1 HEALON GV(0.55ML) OvdI 1.40% 1 pfs HEALO2 HEALON GV(0.85ML) OvdI 1.40% 1 pfs HEALO3 HEALON(0.55ML) OvdI 1% 1 pfs HEALO4 HEALON(0.85ML) OvdI 1% 1 pfs HEALT1 HEALTH CRAFTS B. COMPLEX Tabs 0 90 tabs HEALT2 HEALTH CRAFTS B6 Tabs 0 90 tabs HELMI1 HELMINTOX Susp 50MG/ML 15 ml HELMI2 HELMINTOX Tabs 125 MG 6 tabs HELMI3 HELMINTOX Tabs 250 MG 3 tabs HEMIN1 HEMINEVRIN Caps 300MG 100 caps HEPAR7 HEPARIN LEO(5ML) Injs 5000IU/ML 50 vial HEPSE2 HEPSERA Tabs 10MG 30 tabs HEPSE1 HEPSERA Tabs 10MG 30 tabs HEPTA1 HEPTA MYL Tabs 150MG 20 tabs HEPTA3 HEPTAMYL (5ml) Inj 50MG/ML 5 amp HEPTA2 HEPTAMYL Osol 30.50% 20 ml HERCE1 HERCEPTIN Inf 150MG 1 vial HERCE2 HERCEPTIN Inf 440MG 1 vial HERIS1 HERISAN Oint 15% 30 gm HERIT1 HERIT Gel 0 30 gm HESTA1 HESTAR 200 PENTA STARCH Inf 6% 500 ml HIBER1 HIBERIX VACCINE Inj 10mcg/0.5M 1 vial HIBIO1 HIBIOTIC Susp 125MG/31.2 60 ml HIBIO2 HIBIOTIC Susp 250MG/62.5 60 ml HIBIO3 HIBIOTIC Tabs 500mg/125m 10 tabs HICON1 HICONCIL Caps 250 MG 12 caps HICON2 HICONCIL Caps 250 MG 500 caps HICON3 HICONCIL Caps 500 MG 12 caps HICON4 HICONCIL Caps 500 MG 500 caps HICON7 HICONCIL PED Susp 100MG/ML 10 ml HICON5 HICONCIL Susp 125MG/5ML 60 ml HICON6 HICONCIL Susp 250MG/5ML 60 ml Appendices Patient Minimum Data Set | Appendices HIJUV2 HIJUVEN Caps 100MG 60 caps HIRUD3 HIRUDOID Crm 0.30% 40 gm HIRUD4 HIRUDOID Gel 0.30% 40 gm HISTA1 HISTAC Tabs 150MG 20 tabs HISTA2 HISTAC Tabs 300MG 10 tabs HISTA5 HISTAFED Syrp 30MG/1.25M 100 ml HISTA7 HISTALIX EXPECTORANT Syrp 14+135+1.1 150 ml HISTA8 HISTALIX PEDIATRIC(7+67.5+0.5MG/5ML) Syrp 0 150 ml HISTA10 HISTALOC Syrp 5MG/5ML 100 ml HISTA9 HISTALOC Tabs 10MG 20 tabs HISTA11 HISTAMINAL Susp 0.10% 60 ml HISTA12 HISTAMINAL Tabs 10mg 10 tabs HISTA13 HISTAN Syrp 2mg/5ml 100 ml HISTA14 HISTAN Tabs 4 MG 20 tabs HISTA15 HISTASIN Tabs 10 MG 10 tabs HISTA16 HISTAZINE-1 Tabs 10mg 10 tabs HISTO1 HISTOFEN Syrp 1MG/5ML 100 ml HISTO3 HISTOP Syrp 2mg/5ml 100 ml HISTO2 HISTOP Tabs 4 MG 20 tabs HIVID2 HIVID Tabs 0.375MG 100 tabs HIVID1 HIVID Tabs 0.75MG 100 tabs HOLOP2 HOLOPON Tabs 1MG 20 tabs HOLOX1 HOLOXAN Injp 1G 1 vial HOLOX2 HOLOXAN Injp 2G 1 vial HOLOX4 HOLOXAN Injp 500MG 1 vial HUMAL2 HUMALOG (3 ML) Inj 100iu/ml 5 cart HUMAL3 HUMALOG KWIK MIX 25(3ML) Injs 100IU/ml 5 pfs HUMAL4 HUMALOG MIX 25 Injs 100iu/ml 5 cart HUMAL5 HUMALOG MIX 25(10ML) Injs 100IU/ml 1 vial HUMAL6 HUMALOG MIX 50 Injs 100iu/ml 5 cart HUMAL7 HUMALOG MIX 50 KWIKPEN (3ml) Injs 100iu/ml 5 pfs HUMAL8 HUMALOLG KWIK (3ML) Injs 100iu/ml 5 pfs HUMIR1 HUMIRA Injs 40MG/0.8ML 2 pfs HUMOX1 HUMOXAL NsDr 0.4MG/2.5M 15 ml HYCAM1 HYCAMTIN IV Injp 4MG 5 vial HYCOM1 HYCOM Tabs 10MG 20 tabs HYDER1 HYDERGIN Tabs 1.5MG 30 tabs HYDRO1 HYDROCORTISONE Crm 1% w.w 15 gm HYDRO2 HYDROCORTISYL Crm 1% 15 gm HYDRO3 HYDROCORTISYL Oint 1% 15 gm HYDRO5 HYDROSONE Tabs 20MG 100 tabs HYFRE1 HYFRESH EyDr 0.20% 10 ml HYGRO1 HYGROTON Tabs 100MG 20 tabs HYGRO2 HYGROTON Tabs 50MG 20 tabs HYLO-1 HYLO-CARE EyDr 0.1%/2% 10 ml 321 322 | Patient Minimum Data Set HYLO-2 HYLO-COMOD EyDr 0.10% 10 ml HYMOX1 HYMOX Caps 250 MG 20 caps HYMOX2 HYMOX Caps 500 MG 20 caps HYMOX4 HYMOX FORT Susp 250MG/5 ML 100 ml HYMOX3 HYMOX Susp 125mg/5ml 100 ml HYOPA1 HYOPAN Syrp 5MG/5ML 100 ml HYPER4 HYPER -TET Injs 250IU 1 vial HYPER3 HYPER -TET Injs 250IU 10 vial HYPER2 HYPERAB(10ML) Inj 150IU/ML 1 vial HYPER1 HYPERAB(2ML) Inj 150IU/ML 1 vial HYPER5 HYPERHEP(1ML) Inj 220iu/ml 1 vial HYPER6 HYPERHEP(5ML) Inj 220iu/ml 1 vial HYPER7 HYPERIUM Tabs 1Mg 30 tabs HYPOD1 HYPODIPINE Caps 5 MG 28 caps HYPOP4 HYPOPRESS 25 mg Tabs 25MG 10 tabs HYPOS1 HYPOSEC Caps 20MG 14 caps HYPOT1 HYPOTEARS Gel 1% 10 gm HYPOT2 HYPOTEARS PLUS EyDr 5% 10 ml HYPOT3 HYPOTEARS PLUS SDU (0.4ml) EyDr 5% 20 ea HYPOT4 HYPOTEN Tabs 100 MG 14 tabs HYPOT5 HYPOTEN Tabs 50 MG 28 tabs HYPRH1 HYPRHO-D Inj 300MCG 5 vial HYZAA1 HYZAAR Tabs 50/12.5MG 30 tabs IPROF1 I PROFEN Tabs 400MG 30 tabs IPROF2 I PROFEN Tabs 400MG 50 tabs IBERT2 IBERT FOLIC TABLETS Tabs 0 30 tabs IBERT1 IBERT Tabs 0 30 tabs IBIDR1 IBIDROXIL Caps 250 MG 8 caps IBIDR4 IBIDROXIL Caps 500MG 8 caps IBIDR2 IBIDROXIL Susp 125MG/5ML 60 ml IBIDR3 IBIDROXIL Susp 250MG/5ML 60 ml IBIDR7 IBIDROXYL Caps 250MG 8 caps IBIDR8 IBIDROXYL Caps 500MG 8 caps IBIDR6 IBIDROXYL Susp 125MG/5ML 60 ml IBIDR5 IBIDROXYL Susp 250MG/5ML 60 ml IBU--1 IBU Tabs 200 MG 20 tabs IBU--2 IBU Tabs 200 MG 50 tabs IBU--3 IBU Tabs 400 MG 20 tabs IBU--4 IBU Tabs 400 MG 50 tabs IBU--5 IBU Tabs 600 MG 20 tabs IBU--6 IBU Tabs 600 MG 50 tabs IBUGE1 IBUGESIC Susp 100MG/5ML 100 ml IBUGE2 IBUGESIC Tabs 200MG 20 tabs IBUGE3 IBUGESIC Tabs 200MG 30 tabs IBUGE4 IBUGESIC Tabs 400MG 24 tabs Appendices Patient Minimum Data Set | Appendices IBUGE5 IBUGESIC Tabs 400MG 30 tabs IBUPR1 IBUPROFEN Tabs 200 MG 500 tabs IBUPR2 IBUPROFEN Tabs 400 MG 250 tabs IBUPR3 IBUPROFEN Tabs 600 MG 100 tabs IBUTO1 IBUTOP Gel 5% 20 gm IBUTO2 IBUTOP Gel 5% 50 gm IDARA1 IDARAC Tabs 200MG 20 tabs IECAT1 IECATEC Tabs 20MG 28 tabs IECAT2 IECATEC Tabs 5MG 60 tabs ILIAD1 ILIADIN - MERCK NsDr 0.05% 10 ml ILIAD2 ILIADIN -MERCK NsDr 0.025% 10 ml IMIGR6 IMIGRAN NsSy 10MG 2 ea IMIGR3 IMIGRAN NsSy 20MG 2 ea IMIGR7 IMIGRAN Tabs 100MG 2 tabs IMIGR8 IMIGRAN Tabs 100MG 6 tabs IMIGR4 IMIGRAN Tabs 50MG 2 tabs IMIGR5 IMIGRAN Tabs 50MG 6 tabs IMIGR1 IMIGRAN(REFILL) Inj 6mg/0.5ml 2 pfs IMIGR2 IMIGRAN(STARTER) Inj 6MG/0.5ML 2+1 pfs IMIPR1 IMIPREX Tabs 10 MG 100 tabs IMIPR2 IMIPREX Tabs 25 MG 100 tabs IMODI1 IMODIUM Caps 2MG 6 caps IMPOR2 IMPORTAL (CUBES) Pwdr 5MG 20 sach IMPOR1 IMPORTAL Pwdr 10MG 20 sach IMURA2 IMURAN Tabs 25 MG 100 tabs IMURA1 IMURAN Tabs 50MG 100 tabs INCRE1 INCREMIN Osol combinatio 15 ml INDAN1 INDANORM Tabs 2.5 MG 20 tabs INDER7 INDERAL L.A Caps 80 MG 14 caps INDER5 INDERAL Tabs 10 MG 50 tabs INDER3 INDERAL Tabs 40 MG 50 tabs INDIC2 INDICARDIN Tabs 10MG 50 tabs INDIC1 INDICARDIN Tabs 40MG 50 tabs INDOC5 INDOCID - R caps 75MG 30 caps INDOC4 INDOCID PDA Injp 1MG 6 vial INDOC2 INDOCID Supp 100 MG 10 supp INDOG1 INDOGESIC Caps 25MG 30 caps INDOG2 INDOGESIC RETARD Caps 75 MG 24 caps INDOM1 INDOMETHACIN Caps 25 MG 24 caps INDOM2 INDOMETHACIN Caps 25 MG 30 caps INDOM3 INDOMETHACIN Caps 25 MG 500 caps INDOM4 INDOMETHACIN Caps 50 MG 100 caps INDOM5 INDOMETHACIN Caps 50 MG 24 caps INDOM7 INDOMIN Supp 100 MG 6 supp INEGY1 INEGY Tabs 10+20MG 28 tabs 323 324 | Patient Minimum Data Set INEGY2 INEGY Tabs 10+40MG 28 tabs INEGY3 INEGY Tabs 10+80MG 28 tabs INFAN1 INFANREX VACCINE Injs combinatio 1 pfs INFAN2 INFANRIX HEXA VACCINE Injs combinatio 1 pfs INFLA1 INFLABAN Gel 1% 30 gm INFLA2 INFLABAN Inj 75MG 5 amp INFLA6 INFLABAN SR Tabs 100MG 10 tabs INFLA7 INFLABAN SR Tabs 150MG 10 tabs INFLA8 INFLABAN SR Tabs 75MG 20 tabs INFLA3 INFLABAN Supp 100MG 5 supp INFLA4 INFLABAN Supp 50MG 10 supp INFLA5 INFLABAN Tabs 50MG 20 tabs INFLU1 INFLUVAC FOR INJ.2010/2011 Injs 15MCG/0.5M 1 pfs INHIB3 INHIBACE PLUS Tabs 5MG/12.5MG 28 tabs INHIB2 INHIBACE Tabs 2.5MG 28 tabs INHIB1 INHIBACE Tabs 5 MG 28 tabs INNOH5 INNOHEP 10000IU/0.5ML Injo 0 2 pfs INNOH7 INNOHEP 18000/0.9ML Injo 0 2 pfs INNOH3 INNOHEP 3500IU/0.35 ML Injo 0 10 pfs INNOH4 INNOHEP 4500IU/0.45 ML Injo 0 10 pfs INNOH1 INNOHEP Injo 10000IU/ML 10 vial INNOH2 INNOHEP Injo 20000IU/ML 10 vial INNOH6 INNOHEP14000IU/ 0.7ML Injo 0 2 pfs INOCO1 INOCOR(20ML) Inj 5mg/ml 1 amp INOPR1 INOPRIL Tabs 10 MG 28 tabs INOPR2 INOPRIL Tabs 20 MG 28 tabs INOPR3 INOPRIL Tabs 5 MG 28 tabs INSAD2 INSADOL DRINKABLE Osol 2.50% 30 ml INSAD1 INSADOL Tabs 35MG 40 tabs INSID1 INSIDON Tabs 50MG 30 tabs INSPR1 INSPRA Tabs 25MG 28 tabs INSPR2 INSPRA Tabs 50MG 28 tabs INSUL2 INSULIN ACTRAPID (10ml) Injs 100iu/ml 1 vial INSUL3 INSULIN ACTRAPID BEEF Injs 100iu/ml 1 vial INSUL5 INSULIN ACTRAPID HM(1.5ml) Injs 100iu/ml 5 pfs INSUL7 INSULIN INSULATARD HM Injs 100iu/ml 1 vial INSUL6 INSULIN INSULATARD HM(3ML) Injs 100iu/ml 5 pfs INSUL18 INSULIN INSULATARD(1.5ML) Inj 100IU/ML 5 pfs INSUL9 INSULIN LENTARD BEEF INJ Injs 100iu/ml 1 vial INSUL19 INSULIN MIXTARD HM 100 I.U(10ml) Inj 0 1 vial INSUL11 INSULIN MONOTARD HM Injs 100iu/ml 1 vial INSUL12 INSULIN MONOTARD MC Inj 30%+70% 10 ml INSUL13 INSULIN RAPITARD MC INJ. Injs 40IU/ML 1 vial INSUL8 INSULIN ULTRALENT MC Injs 100iu/ml 1 vial INSUL20 INSULIN ULTRATARD BEEF MC Inj 100IU/ML 1 vial Appendices Patient Minimum Data Set | Appendices INSUL17 INSULIN ULTRATARD HM Injs 100iu/ml 1 vial INTAL2 INTAL NEBULIZER Inhs 20mg/2ml 48 amp INTAL4 INTAL Inhl 0 112 dose INTAL1 INTAL Inhl 5mg 112 dose INTAL3 INTAL SPIN Inhp 20MG 30 caps INTAR1 INTARD Tabs 0 20 tabs INTEG1 INTEGRILIN(100ML) Inf 0.75MG/ML 1 vial INTEG2 INTEGRILIN(10ML) Injs 2MG/ML 1 vial INTET2 INTETRIX P Gran 3.28% 125 gm INTET1 INTETRIX Caps 200/50/50M 20 caps INTRO1 INTRON A Injo 10MIU/ML 1 vial INTRO3 INTRON A Injo 25MIU/2.5M 1 vial INTRO4 INTRON A Injo 30MIU 1 pfs INTRO6 INTRON A Injo 3MIU/0.5ML 1 vial INTRO8 INTRON A Injo 5MIU/0.5ML 1 vial INTRO10 INTRON A Injo 60MIU 1 pfs INTRO2 INTRON A Injp 10MIU 1 vial INTRO7 INTRON A Injp 3MIU 1 vial INTRO9 INTRON A Injp 5MIU 1 vial INTRO13 INTRON A MULTI-DOSE PEN Injo 18MIU/3ML 1 pfs INTRO12 INTRON A MULTI-DOSE(3ML) Injo 18MIU/3ML 1 vial INTRO11 INTRON A. MULTI DOSE PEN Injo 18MIU 1 pfs INUSL1 INUSLIN ACTRAPID HM Inj 100IU/ML 5 pfs INVAN1 INVANZ Injp 1GM 20 vial INVEG1 INVEGA EXTENDED RELEASE Tabs 3MG 28 tabs INVEG2 INVEGA EXTENDED RELEASE Tabs 6MG 28 tabs INVEG3 INVEGA EXTENDED RELEASE Tabs 9MG 28 tabs INVIR1 INVIRASE Caps 200 MG 270 caps INVOR1 INVORIL Tabs 10MG 100 tabs INVOR2 INVORIL Tabs 5MG 100 tabs IONTO1 IONTOFERON Tabs combinatio 50 tabs I-PRO3 I-PROFEN Susp 100mg/5ml 100 ml I-PRO1 I-PROFEN Tabs 200MG 20 tabs IRESS1 IRESSA Tabs 250MG 30 tabs IRFEN3 IRFEN SR Tabs 800MG 16 tabs IRFEN1 IRFEN Tabs 200MG 20 tabs IRFEN2 IRFEN Tabs 400MG 20 tabs IRRIT1 IRRITREN Tabs 200MG 20 tabs ISILI1 ISILIN Syrp combinatio 120 ml ISMO-1 ISMO Tabs 20MG 20 tabs ISO-M1 ISO- MACK R Caps 20MG 20 caps ISOCA2 ISOCARD RET Caps 40MG 48 caps ISOCA3 ISOCARD RETARD Caps 20MG 50 caps ISOMA1 ISOMACK Spry 1.25MG 20 ml ISOPT3 ISOPTIN RETARD Tabs 120MG 20 tabs 325 326 | Patient Minimum Data Set ISOPT4 ISOPTIN SR Tabs 240MG 20 tabs ISOPT1 ISOPTIN Tabs 40MG 50 tabs ISOPT2 ISOPTIN Tabs 80MG 20 tabs ISOPT6 ISOPTO CARPINE (1%) EyDr 1% 15 ml ISOPT7 ISOPTO CARPINE (2%) EyDr 2% 15 ml ISOPT8 ISOPTO CARPINE (3%) EyDr 3% 15 ml ISOPT9 ISOPTO CARPINE (4%) EyDr 4% 15 ml ISOPT10 ISOPTO CETAMIDE EyDr 15% 15 ml ISOPT11 ISOPTO CETAPRED EyDr 0.25%/10% 5 ml ISOPT14 ISOPTO FENICOL EyDr 0.50% 15 ml ISOPT12 ISOPTO FRIN EyDr 0.12% 15 ml ISORD2 ISORDIL (sublingual) Tabs 5MG 100 tabs ISORD1 ISORDIL Tabs 10MG 100 tabs ISOTR1 ISOTREX Gel 0.05% 30 gm ISOVI1 ISOVIST Injs 240MG 1 vial ISOVI2 ISOVIST Injs 300MG 1 vial ITRAZ1 ITRAZOLE Caps 100 MG 15 caps ITRAZ2 ITRAZOLE Caps 100 MG 4 caps ITRIN2 ITRIN Tabs 1MG 30 tabs ITRIN1 ITRIN Tabs 2MG 30 tabs ITRIN3 ITRIN Tabs 5MG 14 tabs IXEL-1 IXEL Caps 25MG 56 caps IXEL-2 IXEL Caps 50MG 56 caps JACUT6 JACUTIN Gel 0 50 gm JAMYL1 JAMYLENE Tabs 50MG 40 tabs JANUM2 JANUMET Tabs 50/1000 MG 56 tabs JANUM1 JANUMET Tabs 50/500 MG 56 tabs JANUV1 JANUVIA Tabs 100 MG 28 tabs JANUV3 JANUVIA Tabs 25 MG 28 tabs JANUV2 JANUVIA Tabs 50MG 28 tabs JEDCO1 JEDCOFLACIN Tabs 200MG 10 tabs JOFLA2 JOFLAM Tabs 50 MG 20 tabs JOSAC2 JOSACINE Susp 125MG/5ML 60 ml JOSAC3 JOSACINE Susp 250MG/5ML 60 ml JOSAC1 JOSACINE Tabs 500MG 20 tabs JULME1 JULMENTIN Inj 0.6 GM 1 vial JULME2 JULMENTIN Inj 1.2 GM 1 vial JULME8 JULMENTIN Susp 156MG/5ML 100 ml JULME3 JULMENTIN Susp 312MG/5ML 100 ml JULME4 JULMENTIN Susp 457MG/5ML 70 ml JULME5 JULMENTIN Tabs 1000 MG 15 tabs JULME6 JULMENTIN Tabs 375 MG 20 tabs JULME7 JULMENTIN Tabs 625 MG 20 tabs JULPH14 JULPHACEF Caps 250MG 20 caps JULPH13 JULPHACEF Caps 500MG 20 caps Appendices Patient Minimum Data Set | Appendices JULPH11 JULPHACEF Susp 125MG/5ML 100 ml JULPH10 JULPHACEF Susp 125MG/5ML 60 ml JULPH12 JULPHACEF Susp 250MG/5ML 100 ml JULPH15 JULPHACEF Susp 250MG/5ML 60 ml JULPH1 JULPHAMOX Caps 250 MG 20 caps JULPH16 JULPHAMOX Caps 250MG 1000 caps JULPH2 JULPHAMOX Caps 500 MG 20 caps JULPH17 JULPHAMOX Caps 500MG 1000 caps JULPH3 JULPHAMOX OSol 100MG/ML 20 ml JULPH4 JULPHAMOX Susp 125MG/5ML 100 ml JULPH5 JULPHAMOX Susp 250MG/5ML 100 ml JULPH6 JULPHAPEN Caps 250MG 20 caps JULPH7 JULPHAPEN Caps 500MG 20 caps JULPH8 JULPHAPEN Susp 125MG/5ML 100 ml JULPH9 JULPHAPEN Susp 250MG/5ML 100 ml JUNIO1 JUNIOR MELTUS DRY COUGH WITH CONGESTION Syrp 3.5+10MG/5 100 ml JUNIO3 JUNIOR MELTUS EXPECTORANT SUGAR FREE Syrp 50+2.5MG/5 100 ml JUNIO2 JUNIOR MELTUS EXPECTORANT Syrp 50+2.5MG/5 100 ml KABIK2 KABIKINASE Inj 100.000IU 5 ml KABIK1 KABIKINASE Inj 250.000IU 5 ml KABIK3 KABIKINASE Inj 600.000IU 5 ml KABIK4 KABIKINASE Inj 750.000IU 5 ml KAFOS1 KAFOSED Syrp 15MG/5ML 100 ml KALET3 KALETRA OSol 80+20MG/ML 160 ml KALET4 KALETRA SOFT GELATIN Caps 133.3MG/33 180 caps KALET2 KALETRA Tabs 100MG/25MG 60 tabs KALET1 KALETRA Tabs 200MG/50MG 120 tabs KAONO1 KAONORM 1GM+62.5MG/5ML Susp 0 150 ml KAOPE3 KAOPECTATE MAXIMUM STRENGTH TABS 750MG 20 tabs KAOPE2 KAOPECTATE Susp 262MG/15ML 180 ml KAPEC1 KAPECT Susp 19.3+0.43G 120 ml KAPTI1 KAPTIN Susp 2.7+0.06G/ 200 ml KARVO1 KARVOL InhS combinatio 10 caps KCIRE1 KCI RETARD Tabs 600MG 40 tabs KDIRO2 KDIRON DROPS OSol 25MG/ML 30 ml KDIRO1 KDIRON Syrp 200MG/5ML 100 ml KEFLE4 KEFLEX Caps 250 MG 20 caps KEFLE3 KEFLEX Caps 500mg 20 caps KEFLE5 KEFLEX Susp 125mg/5ml 100 ml KEFLE2 KEFLEX Susp 250MG/5ML 100 ml KEMAD2 KEMADRIN (2ml) Injs 10MG/2ML 5 amp KEMAD1 KEMADRIN Tabs 5MG 100 tabs KEMIC3 KEMICETINE EaDr 1% 10 ml KEMIC2 KEMICETINE EyOn 1% 5 gm KEMIC4 KEMICETINE SUCCINATE (+1amp) Inj 0 1 vial 327 328 | Patient Minimum Data Set KEMIC1 KEMICITINE SUCCINATE Injp 1GM 1 vial KENAC1 KENACIN Crm combinatio 15 gm KENAC2 KENACIN Oint combinatio 15 gm KENAC17 KENACOMB Crm COMBINATIO 30 gm KENAC13 KENACOMB Oint COMBINATIO 15 gm KENAC15 KENACOMB Oint COMBINATIO 30 gm KENAC7 KENACORT -A Crm 0.10% 15 gm KENAC8 KENACORT -A InjS 10MG/ML 5 amp KENAC9 KENACORT -A InjS 40MG/ML 1 vial KENAC11 KENACORT A Lotn combinatio 7.5 ml KENAC10 KENACORT A Oint 0.10% 15 gm KENAC6 KENACORT(EGYPT) Tabs 4MG 10 tabs KENAC5 KENACORT(U.K) Tabs 4MG 10 tabs KENAL2 KENALOG IN ORABASE Crm 0 10 gm KENAL1 KENALOG IN ORABASE OGel 1% 5 gm KENAZ3 KENAZOLE 2% Crm 2% 15 gm KENAZ1 KENAZOLE Shmp 2% 100 ml KENAZ2 KENAZOLE Tabs 200MG 10 tabs KEPPR1 KEPPRA Syrp 100MG/ML 300 ml KEPPR2 KEPPRA Tabs 1000MG 100 tabs KEPPR3 KEPPRA Tabs 250MG 100 tabs KEPPR4 KEPPRA Tabs 500MG 100 tabs KEPPR5 KEPPRA(5ml) Inf 100MG/ML 10 vial KERLO1 KERLONE Tabs 20MG 28 tabs KETAL1 KETALAR Injs 50MG/ML 1 vial KETAL2 KETALAR(5ML) Injs 10MG/ML 1 vial KETEK1 KETEK Tabs 400MG 10 tabs KETOD1 KETODERM Crm 2% 20 gm KETOF2 KETOFAN SR Caps 200MG 14 caps KETOF1 KETOFAN Tabs 25MG 10 tabs KETOF5 KETOFAN Tabs 25MG 20 tabs KETOF3 KETOFEN Syrp 1MG/5ML 100 ml KETOF4 KETOFEN Tabs 1 MG 30 tabs KETON1 KETONAZ Tabs 200MG 10 tabs KETOT1 KETOTIPHARCO Syrp 1MG/5ML 120 ml KETOT2 KETOTIPHARCO Tabs 1mg 20 tabs KETAZ1 KETOZOLE Tabs 200MG 10 tabs KIDIK1 KIDIKOLD Susp 0 100 ml KILKO1 KILKOF COUGH MIXTURE OSol combinatio 100 ml KLACI7 KLACID InjP 500MG 1 vial KLACI8 KLACID Susp 125MG/5 ML 100 ml KLACI5 KLACID Susp 125MG/5 ML 60 ml KLACI1 KLACID Susp 250MG/5 ML 100 ml KLACI2 KLACID Susp 250MG/5ML 100 ml KLACI3 KLACID Tabs 250 MG 14 tabs Appendices Patient Minimum Data Set | Appendices KLACI4 KLACID Tabs 500MG 20 tabs KLACI6 KLACID XL Tabs 500MG 7 tabs KLARI1 KLARIBAC Tabs 250 MG 14 tabs KLARI2 KLARIBAC Tabs 500MG 14 tabs KLARI3 KLARIHIST Syrp 5MG/5ML 100 ml KLARI4 KLARIHIST Tabs 10MG 10 tabs KLAVO1 KLAVOX Susp 228MG/5ML 70 ml KLAVO2 KLAVOX Susp 457MG/5ML 70 ml KLAVO3 KLAVOX Tabs 1 GM 14 tabs KLAVO4 KLAVOX Tabs 375 MG 20 tabs KLAVO5 KLAVOX Tabs 625 MG 20 tabs KLEAN1 KLEAN PREPARATION Pwdr combinatio 4 sach KLARI5 KLERIMED Tabs 250MG 14 tabs KLARI6 KLERIMED Tabs 500MG 14 tabs KOFAN1 KOFAN INSTANT Tabs 200+200+50 20 tabs KOFFE1 KOFFEX ADULT Syrp 120+12.5+5 125 ml KOFFE2 KOFFEX CHILD Syrp 3+100+50MG 125 ml KONAK2 KONAKION MM Inj 2MG/0.2 ML 5 amp KONAK1 KONAKION MM Injp 10MG/ML 1 vial KONYN1 KONYNE HT Injp 1000IU 1 vial KONYN2 KONYNE HT Injp 500IU 1 vial KYTRI3 KYTRIL PEDIATRIC Soln 1 MG/5ML 30 ml KYTRI4 KYTRIL I.V(1ML) Injs 1MG/ML 5 amp KYTRI2 KYTRIL Tabs 1MG 10 tabs KYTRI1 KYTRIL(3ML) Injs 1MG/ML 5 amp LACIN1 LACINE Tabs 50 MG 30 tabs LACTA19 LACTATED RINGER'S I.V. Solution Inj 0 1000 ml LACTA6 LACTATED RINGER'S (0.598+0.030 + 0.020 +0.310+5.5 GM)(KUWAIT SAUDI ARABIA PHARMA) Inf combinatio 500 ml LACTA9 LACTATED RINGER'S INJECTION USP(BOTTLE) (QATAR PHARMA) Inj 0 500 ml LACTA15 LACTATED RINGER'S INJECTION(BOTTLE)(QATAR PHARMA) Inj 0 500 ml LACTU1 LACTULOSE Syrp 65% 300 ml LAMIC1 LAMICTAL Tabs 100MG 30 tabs LAMIC3 LAMICTAL Tabs 25MG 30 tabs LAMIC5 LAMICTAL Tabs 50MG 30 tabs LAMIC4 LAMICTAL( LIQUI-TABS) Tabs 5MG 30 tabs LAMIC6 LAMICTAL(LIQUI-TABS) Tabs 200MG 30 tabs LAMIC7 LAMICTAL(LIQUI-TABS) Tabs 50MG 30 tabs LAMIC11 LAMICTAL(LIQUI-TABS) U.K Tabs 100MG 30 tabs LAMIC10 LAMICTAL(LIQUI-TABS) U.K Tabs 25MG 30 tabs LAMIF1 LAMIFEN Crm 1% 15 gm LAMIF2 LAMIFEN Tabs 250MG 14 tabs LAMIF3 LAMIFEN Tabs 250MG 7 tabs LAMIS12 LAMISIL Crm 1% 15 gm LAMIS3 LAMISIL Gel 1% 15 gm LAMIS9 LAMISIL Gel 1% 30 gm 329 330 | Patient Minimum Data Set LAMIS10 LAMISIL ONCE TSol 1% 4 gm LAMIS1 LAMISIL Spry 1% 15 ml LAMIS2 LAMISIL Spry 1% 30 ml LAMIS5 LAMISIL Tabs 125MG 14 tabs LAMIS6 LAMISIL Tabs 250MG 14 tabs LAMIS4 LAMISIL TSol 1% 30 ml LANAC1 LANACINE Caps 150MG 16 caps LANET1 LANETAL Pwdr combinatio 120 gm LANFA1 LANFAST Caps 30 MG 15 caps LANOH2 LANOHEX SKIN CLEANSER Lotn 1.70% 115 ml LANOX3 LANOXIN P G Tabs 0.0625MG 90 tabs LANOX1 LANOXIN Syrp 0.05MG/ML 60 ml LANOX2 LANOXIN Tabs 0.25MG 25 tabs LANOX4 LANOXIN(2ml) InjO 0.5MG/2ML 5 amp LANSA1 LANSAZOL Caps 15 MG 14 caps LANSA2 LANSAZOL Caps 30 MG 14 caps LANSO1 LANSOMID Caps 15 MG 10 caps LANSO2 LANSOMID Caps 30 MG 14 caps LANTU1 LANTUS InjO 100IU/Ml 1 vial LANTU4 LANTUS InjO 100IU/Ml 5 cart LANTU2 LANTUS OPTISET Inj 100IU/Ml 5 pfs LANTU3 LANTUS SOLOSTAR InjO 100IU/Ml 5 pfs LANZA1 LANZAP Caps 30 MG 20 caps LANZO5 LANZOPRAL Caps 15MG 15 caps LANZO3 LANZOPRAL Caps 15MG 15 caps LANZO4 LANZOPRAL Caps 30mg 14 caps LANZO1 LANZOR Caps 15 MG 30 caps LANZO2 LANZOR Caps 30 MG 14 caps LAPRI1 LAPRIL Tabs 10MG 20 tabs LAPRI2 LAPRIL Tabs 20MG 20 tabs LAPRI3 LAPRIL Tabs 5MG 20 tabs LARGA4 LARGACTIL(2ML) InjO 25MG/ML 10 amp LASIX5 LASIX (SANOFI AVENTIS-GERMANY) InjO 20MG/2ML 5 amp LASIX6 LASIX RETARD Caps 30MG 10 caps LASIX3 LASIX Tabs 40MG 24 tabs LASIX1 LASIX(SANOFI AVENTIS-EGYPT) InjO 20MG/2ML 5 amp LASMA2 LASMA Tabs 300MG 100 tabs LAXAL1 LAXAL Tabs 12 MG 20 tabs LAXEL1 LAXEL EFF. SALT Gran 0 12 sach LAXIN1 LAXIN Tabs 10MG 20 tabs LAXOB2 LAXOBERAL OSol 7.5MG/ML 15 ml LAXOC2 LAXOCODYL CHILDRENS Supp 5MG 10 supp LAXOC1 LAXOCODYL Supp 10MG 10 supp LAXOD1 LAXODAD LACTULOSE Syrp 10GM/15ML 200 ml LAXOL1 LAXOLYNE ADULT Supp 1800MG 10 supp Appendices Patient Minimum Data Set | Appendices LAXOL2 LAXOLYNE CHILDRENS Supp 900MG 10 supp LECIT1 LECITAL Tabs 20MG 30 tabs LECIT2 LECITAL Tabs 40MG 30 tabs LECRO1 LECROLYN EyDr 20MG/ML 10 ml LECRO2 LECROLYN EyDr 4% 5 ml LEGAL1 LEGALON Tabs 70 MG 40 tabs LEMSI2 LEMSIP FLU 12 HR Caps 300MG/45MG 8 caps LEMSI4 LEMSIP MAX FLUE Pwdr 0 10 sach LEMSI1 LEMSIP Caps 300+45MG 10 caps LEMSI3 LEMSIP COLD AND FLU LEMON Pwdr 650MG/10MG 5 sach LENDO1 LENDOMAX Tabs 70MG 4 tabs LEOST1 LEOSTESIN Gel 2% 20 gm LEOST2 LEOSTESIN Oint 5% 25 gm LEPON3 LEPONEX Tabs 100MG 50 tabs LEPON1 LEPONEX Tabs 25MG 50 tabs LERCA2 LERCADIP Tabs 10MG 30 tabs LESCO1 LESCOL Caps 20MG 28 caps LESCO2 LESCOL Caps 40MG 28 caps LESCO3 LESCOL XL Tabs 80MG 28 tabs LEUCO2 LEUCODININE B Oint 10% 30 gm LEUCO3 LEUCOMAX Inj 0.15MG 1 vial LEUCO4 LEUCOMAX Inj 0.3MG 1 vial LEUCO5 LEUCOMAX Inj 0.4 MG 1 vial LEU.K1 LEUKERAN Tabs 2MG 25 tabs LEU.K2 LEUKERAN Tabs 5MG 25 tabs LEVEM1 LEVEMIR FLEXPEN InjS 100iu/ml 5 pfs LEVEM2 LEVEMIR PENFILL InjS 100iu/ml 5 cart LEVOC1 LEVOCOL NASR Caps 250MG 12 caps LEXIN13 LEXIN DROPS Osol 100MG/ML 15 ml LEXIN7 LEXIN Caps 500MG 20 caps LEXIN3 LEXIN DROPS OSol 100 MG/1ML 10 ml LEXIN4 LEXIN Susp 125 MG/5ml 100 ml LEXIN5 LEXIN Susp 250 MG/5ml 100 ml LEXOT1 LEXOTANIL Tabs 1.5 MG 30 tabs LEXOT2 LEXOTANIL Tabs 3 MG 30 tabs LEXOT3 LEXOTANIL Tabs 6 MG 30 tabs LEXPE2 LEXPEC + IRON 2.5+80MG/5ML Syrp 0 150 ml LI-LI1 LI - LIQUID Syrp 1018mg/5ml 100 ml LIBRA1 LIBRAX Tabs 5MG/2.5MG 30 tabs LIBRI1 LIBRIUM Caps 10MG 25 caps LIBRI2 LIBRIUM Caps 5MG 30 caps LIDOC1 LIDOCAIN Gel 20 MG 20 gm LIDOC8 LIDOCAIN POND(2ML)(ORION) Inj 50 MG/ML 25 amp LIDOC2 LIDOCAIN Soln 40 MG/ML 100 ml LIDOC11 LIDOCAIN(50ml) Inj 5MG/ML 5 vial 331 332 | Patient Minimum Data Set LIDOC9 LIDOCAIN(50ml)(ORION) Inj 10 MG/ML 5 vial LIDOC10 LIDOCAIN(50ml)(ORION) Inj 20 MG/ML 5 vial LIDOC13 LIDOCAIN/ADRENALIN(50ML)(ORION) Inj 10MG/ML 5 vial LIDOC14 LIDOCAIN/ADRENALIN(50ML)(ORION) Inj 20MG/ML 5 vial LIDOC12 LIDOCAIN+ADRENALIN(50ml)(ORION) Inj 5MG/ ML 5 amp LIDOC30 LIDOCAINE W/ V MULTIPLE DOSE Inj 2% 10 ml LIDOC32 LIDOCAINE W/ V MULTIPLE DOSE Inj 2% 20 ml LIDOC28 LIDOCAINE W/ V MULTIPLE DOSE Inj 2% 20 ml LIDOC31 LIDOCAINE W/ V MULTIPLE DOSE Inj 2% 5 ml LIDOC29 LIDOCAINE W/ V MULTIPLE DOSE Inj 2% 50 ml LIDOC19 LIDOCAINE Oint 5% 30 gm LIDOC16 LIDOCAINE(CARDINAL HEALTH) Inj 1% 1 vial LIDOC15 LIDOCAINE(CARDINAL HEALTH) Inj 1% 1 vial LIDOC18 LIDOCAINE(CARDINAL HEALTH) Inj 2% 1 vial LIDOC17 LIDOCAINE(CARDINAL HEALTH) Inj 2% 1 vial LIDOC21 LIDOCAINE/EPINEPHRINE Inj 1% 20 ml LIDOC22 LIDOCAINE/EPINEPHRINE Inj 1% 30 ml LIDOC23 LIDOCAINE/EPINEPHRINE Inj 1% 50 ml LIDOC24 LIDOCAINE/EPINEPHRINE Inj 2% 20 ml LIDOC25 LIDOCAINE/EPINEPHRINE Inj 2% 30 ml LIDOC26 LIDOCAINE/EPINEPHRINE Inj 2% 50 ml LIDOC27 LIDOCATON(1.8ML) Inj 2% 50 cart LIFEA1 LIFEAMPIL Caps 500 MG 20 caps LIGNO6 LIGNOCAINE Crm 5% 20 gm LIGNO5 LIGNOSOL Spry 5.05GM/0.0 50 gm LIMBI1 LIMBITROL Caps 12.5mg/5mg 30 caps LINCO1 LINCODAR Caps 500 MG 16 caps LINOP1 LINOPRIL Tabs 10 MG 28 tabs LINOP2 LINOPRIL Tabs 20 MG 28 tabs LINOP3 LINOPRIL Tabs 5 MG 28 tabs LINZ-1 LINZ Caps 20MG 30 caps LIORE1 LIORESAL Tabs 10 MG 50 tabs LIPAN5 LIPANTHYL Caps 100MG 48 caps LIPAN3 LIPANTHYL Caps 200MG 30 caps LIPAN1 LIPANTHYL Caps 300MG 30 caps LIPAN4 LIPANTHYL Tabs 145 MG 30 tabs LIPAN2 LIPANTHYL Tabs 160MG 30 tabs LIPIT1 LIPITOR Tabs 10MG 30 tabs LIPIT2 LIPITOR Tabs 20MG 30 tabs LIPIT3 LIPITOR Tabs 40MG 30 tabs LIPIT5 LIPITROL Tabs 200 MG 50 tabs LIPOM1 LIPOMAX Tabs 10 MG 30 tabs LIPOM3 LIPOMAX Tabs 20MG 30 tabs LIPOM2 LIPOMAX Tabs 40 MG 30 tabs LIPOS2 LIPOSTAT Tabs 10 MG 28 tabs Appendices Patient Minimum Data Set | Appendices LIPOS6 LIPOSTAT Tabs 10MG 30 tabs LIPOS4 LIPOSTAT Tabs 20 MG 28 tabs LIPOS7 LIPOSTAT Tabs 20MG 30 tabs LIPOS3 LIPOSTAT Tabs 40 MG 28 tabs LIPOS5 LIPOSTAT Tabs 40MG 30 tabs LIQUI1 LIQUIFILM TEARS EyDr 1.40% 15 ml LISIN1 LISINO Tabs 10 MG 30 tabs LISIN2 LISINO Tabs 20 MG 30 tabs LISIN3 LISINO Tabs 5 MG 30 tabs LIVIA1 LIVIAL Tabs 2.5 MG 28 tabs LIVOS1 LIVOSTIN EyDr 0.5MG/ML 4 ml LIVOS2 LIVOSTIN NsSy 0.5MG/ML 10 ml LOCAB1 LOCABIOTAL NASAL AND ORAL Spry 5MG/ML 20 ml LOCAC1 LOCACORTEN Crm 0.02% 15 gm LOCAC2 LOCACORTEN Oint 0.02% 15 gm LOCAC3 LOCACORTEN TAR Oint 0.02%/1%/1 60 gm LOCAC4 LOCACORTEN VIOFORM Oint 0.2+30MG/G 15 gm LOCAC5 LOCACROTEN VIOFORM Crm 0.2+30MG/G 15 gm LOCAG1 LOCAGEL Gel 1.16% 50 gm LOCAS1 LOCASALEN Oint 0.2+30MG/G 15 gm LOCER2 LOCERYL Crm 0.25% 20 gm LOCER1 LOCERYL NAIL LACQUER TSol 5% 5 ml LOCOI4 LOCOID CRELO Emln 0.10% 30 gm LOCOI1 LOCOID Crm 0.10% 30 gm LOCOI3 LOCOID Oint 0.10% 30 gm LOCOI2 LOCOID TSol 0.10% 30 ml LODIN2 LODINE Caps 300MG 30 caps LODIN3 LODINE Caps 300MG 60 caps LODOZ1 LODOZ Tabs 10 MG/6.25 30 tabs LODOZ2 LODOZ Tabs 2.5MG/6.25 30 tabs LODOZ3 LODOZ Tabs 5MG/6.25 M 30 tabs LOFRA1 LOFRAL Tabs 10MG 30 tabs LOFRA2 LOFRAL Tabs 5MG 30 tabs LOFTY1 LOFTYL Injo 10MG/ML 10 amp LOFTY2 LOFTYL Tabs 150MG 30 tabs LOGIM1 LOGIMAX Tabs 50/5MG 100 tabs LOGIM2 LOGIMAX Tabs 50/5MG 30 tabs LOGYN1 LOGYNON Tabs 0 21 tabs LOHIS3 LOHIST Syrp 5MG/5ML 100 ml LOHIS1 LOHIST Tabs 10 MG 20 tabs LOHIS2 LOHIST Tabs 10 MG 10 tabs LOMAX1 LOMAX Tabs 400MG 10 tabs LOMAX2 LOMAX Tabs 400MG 5 tabs LOMEX1 LOMEXIN Crm 2GM/100GM 30 gm LOMEX2 LOMEXIN Ovul 200MG 3 ovul 333 334 | Patient Minimum Data Set LOMEX4 LOMEXIN Ovul 600MG 1 ovul LOMEX8 LOMEXIN SCALP FLUID Lotn 2% 100 ml LOMEX5 LOMEXIN Spry 2% 30 ml LOMEX9 LOMEXIN Tabs 400MG 10 tabs LOMEX7 LOMEXIN VgCr 2 GM/100 G 78 gm LOMEX3 LOMEXIN-T Ovul 1000MG 1 ovul LOMIR1 LOMIR Inj 0 5 amp LOMIR3 LOMIR SRO Caps 5MG 30 caps LOMIR2 LOMIR Tabs 2.5MG 28 tabs LOMOT1 LOMOTIL OSol 0.025+2.5M 60 ml LOMOT2 LOMOTIL Tabs 0.025/2.5M 20 tabs LONGA1 LONG ACTING Soln 0 14.78 ml LONGA4 LONGACEF I.M InjP 1GM 1 vial LONGA3 LONGACEF I.M InjP 500MG 1 vial LONGA5 LONGACEF I.V InjP 1GM 1 vial LONGA2 LONGACEF I.V InjP 500MG 1 vial LONGI1 LONGICEF Caps 500MG 8 caps LONGI2 LONGICEF Susp 250 MG 60 ml LOPER1 LOPERAZIN Caps 2MG 6 caps LOPID1 LOPID Tabs 600 MG 100 tabs LOPID2 LOPID Tabs 600 MG 30 tabs LOPRA1 LOPRAM Tabs 20 MG 28 tabs LOPRE3 LOPRESOR RETARD Tabs 200MG 14 tabs LOPRE1 LOPRESOR Tabs 100MG 40 tabs LOPRE2 LOPRESOR Tabs 50MG 40 tabs LOPRI3 LOPRIL Tabs 5 MG 30 tabs LORAB1 LORABID Caps 200MG 10 caps LORAB2 LORABID Caps 400MG 10 caps LORAB5 LORABID Susp 100MG/5ML 100 ml LORAB6 LORABID Susp 100MG/5ML 50 ml LORAB3 LORABID Susp 200MG/5ML 100 ml LORAB4 LORABID Susp 200MG/5ML 50 ml LORAC2 LORACARE Syrp 5 MG/ 5ML 100 ml LORAD3 LORADAD Syrp 5MG/5ML 100 ml LORAD4 LORADAD Tabs 10MG 10 tabs LORAD5 LORADAY Syrp 5MG/5ML 100 ml LORAD2 LORADAY Tabs 10MG 30 tabs LORAM1 LORAMAX Syrp 5MG/5ML 100 ml LORAM2 LORAMAX Tabs 10MG 10 tabs LORAT1 LORATIN Syrp 5MG/5ML 100 ml LORAX1 LORAXINE Tabs 10 MG 10 tabs LORAZ1 LORAZEPAM Tabs 1 MG 100 tabs LORAZ2 LORAZEPAM Tabs 2.5 MG 100 tabs LOREE1 LOREEN Tabs 10MG 10 tabs LORIC1 LORIC Tabs 100 MG 100 tabs Appendices Patient Minimum Data Set | Appendices LORIC2 LORIC Tabs 300 MG 28 tabs LORIN4 LORINASE 5/60MG/5ML Syrp 0 100 ml LORIN6 LORINE Syrp 5MG/5ML 100 ml LORIN1 LORINE Tabs 10MG 10 tabs LORIN2 LORINE Tabs 10MG 20 tabs LORIN7 LORINID MITE Tabs 2.5MG/25MG 30 tabs LOSAN2 LOSANET -H Tabs 50/12.5MG 30 tabs LOSAN1 LOSANET Tabs 50 MG 30 tabs LOSEC2 LOSEC Caps 10MG 28 caps LOSEC3 LOSEC Caps 10MG 56 caps LOSEC4 LOSEC Caps 20MG 14 caps LOSEC5 LOSEC Caps 20MG 28 caps LOSEC6 LOSEC Caps 40MG 14 caps LOSEC8 LOSEC Inj 40MG 5 vial LOSEC10 LOSEC MUPS Tabs 10MG 14 tabs LOSEC11 LOSEC MUPS Tabs 20MG 14 tabs LOSEC9 LOSEC MUPS Tabs 40MG 28 tabs LOTEN2 LOTENSE Caps 5MG 30 caps LOTEN4 LOTENSIN Tabs 25MG 20 tabs LOTRI1 LOTRIDERM Crm 10+0.5MG/G 15 gm LOTRI2 LOTRIDERM Crm 10+0.5MG/G 30 gm LOTUS1 LOTUSSIN Syrp 0 100 ml LOVIR1 LOVIR Tabs 400 MG 50 tabs LOVIR2 LOVIR Tabs 800 MG 50 tabs LOVRA1 LOVRAK Crm 5% 10 gm LOVRA2 LOVRAK Oint 5% 10 gm LOVRA3 LOVRAK Susp 200MG/5ML 120 ml LOVRA4 LOVRAK Tabs 800 MG 20 tabs LOW-L1 LOW - LIP Tabs 600MG 30 tabs LOWRA1 LOWRAC Caps 5 MG 28 caps LOWVA1 LOWVASC Caps 5 MG 14 caps LOWVA2 LOWVASC Caps 5 MG 28 caps LOXTR1 LOXTRA EyDr combinatio 5 ml LUCEN1 LUCENTIS(0.23ml) InjO 10MG/ML 1 vial LUDIO1 LUDIOMIL Tabs 25 MG 30 tabs LUDIO2 LUDIOMIL Tabs 50 MG 30 tabs LUDIO3 LUDIOMIL Tabs 75 MG 20 tabs LUPRO2 LUPRON DEPOT Inj 11.25 MG 1 dose LUPRO3 LUPRON DEPOT Inj 22.5 MG 1 dose LUPRO4 LUPRON DEPOT Inj 3.75 MG. 1 dose LUPRO5 LUPRON DEPOT Inj 7.5 MG. 1 dose LURSE2 LURSELLE Tabs 500 MG 30 tabs LURSE1 LURSELLE Tabs 500MG 30 tabs LUSTR1 LUSTRAL Tabs 50MG 28 tabs LUTON1 LUTONE InjO 25MG/ML 3 amp 335 336 | Patient Minimum Data Set LYRIC3 LYRICA Caps 150MG 56 caps LYRIC4 LYRICA Caps 25mg 14 caps LYRIC1 LYRICA Caps 300 MG 56 caps LYRIC5 LYRICA Caps 50MG 21 caps LYRIC2 LYRICA Caps 75 MG 14 caps LYSOB1 LYSOBACT Loz 20MG/10MG 30 loz LYSPA2 LYSPAFEN DROPS Soln 0.5/5ML 15 ml LYSPA1 LYSPAFEN Tabs 0 15 tabs MAALO6 MAALOX NO.2 400/400mg Tabs 0 50 tabs MAALO8 MAALOX NO.2 Tabs 400/400MG 100 tabs MAALO7 MAALOX PLUS 225/200/25mg/5ml Susp 0 180 ml MAALO5 MAALOX 225/200mg/5ml Susp 0 355 ml MAALO4 MAALOX Gran - 20 sach MAALO1 MAALOX PLUS 200/200/25mg ChwT 0 100 chwT MAALO2 MAALOX PLUS 200/200/25mg ChwT 0 40 chwT MAALO3 MAALOX PLUS 200/200/25mg ChwT 0 50 chwT MAALO10 MAALOX PLUS Susp 0 355 ml MAALO9 MAALOX Susp 0 180 ml MABTH1 MABTHERA Inj 100MG/10ML 2 vial MABTH2 MABTHERA Inj 500MG/50ML 1 vial MACRO2 MACRODANTIN Caps 50MG 30 caps MADEC4 MADECASSOL + NEOMYCIN Oint combinatio 10 gm MADEC2 MADECASSOL Pwdr 2% 2 gm MADEC3 MADECASSOL Tabs 10MG 25 tabs MADOP1 MADOPAR Caps 100MG+25MG 30 caps MADOP2 MADOPAR Caps 200MG+50MG 30 caps MAFEP1 MAFEPAIN Tabs 500MG 20 tabs MAGAL1 MAGALOX Susp 2250+425MG 200 ml MAGAL2 MAGALOX Tabs 333+158MG 40 tabs MAGNA1 MAGNACEF Susp 100MG/5ML 30 ml MAGNA2 MAGNACEF Susp 100MG/5ML 60 ml MAGNE2 MAGNE B6 Tabs 48mg/5mg 50 tabs MALAR1 MALAREX Syrp 120MG/5ML 60 ml MALAR2 MALAREX Tabs 250MG 10 tabs MALAR3 MALARONE Tabs 250/100MG 12 tabs MARCA2 MARCAINE - ADRENALINE (20ml) Inj 0.25%/1:40 5 vial MARCA1 MARCAINE - ADRENALINE (20ml) Inj 0.5%/1:200 5 vial MARCA3 MARCAINE(20 ml) Inj 0.25% 5 vial MARCA4 MARCAINE(20ml) Inj 0.50% 5 vial MARCO2 MARCOFEN (GLAXO) Supp 500MG 5 supp MARCO7 MARCOFEN SR Caps 400MG 10 caps MARCO4 MARCOFEN Susp 100MG/5ML 120 ml MARCO5 MARCOFEN Tabs 400MG 10 tabs MARCO6 MARCOFEN(AMRIYA) Supp 500MG 5 supp MARVE1 MARVELON Tabs 150UG/30UG 21 tabs Appendices Patient Minimum Data Set | Appendices MARVE2 MARVELON Tabs 150UG/30UG 63 stri MATER1 MATERNA Tabs combinatio 100 tabs MATER2 MATERNA Tabs combinatio 30 tabs MAXAL10 MAXALT Sl 10mg 3 sl MAXAL5 MAXALT Sl 10mg 6 sl MAXAL4 MAXALT Tabs 10MG 2 tabs MAXAL1 MAXALT Tabs 10MG 3 tabs MAXAL2 MAXALT Tabs 10MG 6 tabs MAXAL6 MAXALT Tabs 5MG 2 tabs MAXAL7 MAXALT Tabs 5MG 3 tabs MAXAL3 MAXALT Tabs 5MG 6 tabs MAXAL11 MAXALT WAFER Tabs 10MG 3 tabs MAXAL12 MAXALT WAFER Tabs 10MG 6 tabs MAXID1 MAXIDEX EyDr 0.1% 5 ml MAXIL2 MAXIL Inj 1500 MG 1 vial MAXIL1 MAXIL Inj 750 MG 1 vial MAXIM1 MAXIMUM STRENGTH BISMUTH Syrp 3.5% 240 ml MAXIP1 MAXIPIME Inj 0.5 GM 1 vial MAXIP2 MAXIPIME Inj 1 GM 1 vial MAXIP4 MAXIPIME Inj 2 GM 1 vial MAXIT1 MAXITROL EyDr combinatio 5 ml MAXIT2 MAXITROL EyOn combinatio 3.5 gm MAXOL4 MAXOLON DROPS OSol 1MG/ML 15 ml MAXOL3 MAXOLON Soln 5MG/5 ML 100 ml MAXOL5 MAXOLON Tabs 10MG 21 tabs MAZIT1 MAZIT Caps 250 MG 6 caps MEBET1 MEBETALIN Tabs 135 MG 50 tabs MEBZO1 MEBZOL Susp 100MG/5ML 30 ml MEBZO2 MEBZOL Tabs 100 MG 6 tabs MECLO1 MECLODINE Tabs 10MG 20 tabs MECON2 MECONAZOL AEROSOL Spry 2% 150 gm MECON1 MECONAZOL OGel 2% 40 gm MEDAC3 MEDACEF Susp 125mg/5ml 100 ml MEDAC4 MEDACEF Susp 250MG/5ML 100 ml MEDAC1 MEDACID ChwT 200+200mg 30 chwt MEDAC2 MEDACID ChwT 200+200mg 50 chwt MEDAC6 MEDACID PLUS ChwT 300+200+25 30 tabs MEDAC7 MEDACID PLUS Susp combinatio 200 ml MEDAC5 MEDACID Susp 225+200MG/ 200 ml MEDAC8 MEDACIN TSol 1% 30 ml MEDAC10 MEDACLAV Tabs 375 MG 20 tabs MEDAC11 MEDACLAV Tabs 625 MG 20 tabs MEDAF1 MEDAFEN Susp 100MG/5ML 100 ml MEDAM2 MEDAMOL [PEADIATRIC] Syrp 120mg/5ml 100 ml MEDAM3 MEDAMOL Capl 500MG 30 capl 337 338 | Patient Minimum Data Set MEDAM1 MEDAMOL Capl 500MG 50 capl MEDI-1 MEDI - CHOLIN FORTE Tabs 0 50 tabs MEDIJ2 MEDIJEL 0.66%/0.05% Gel 0 12.5 gm MEDOS1 MEDOSTATINE Tabs 20MG 30 tabs MEDRA1 MEDRAMINE R Tabs COMBINATIO 20 tabs MEDRO1 MEDROL Tabs 16MG 50 tabs MEDRO2 MEDROL Tabs 32MG 20 tabs MEDRO3 MEDROL Tabs 4MG 10 tabs MEDRO5 MEDROL Tabs 4MG 30 tabs MEDRO4 MEDROXOL Syrp 15MG/5ML 100 ml MEFEN2 MEFENAM Caps 500mg 10 caps MEFOX1 MEFOXIN 1 G INJ. Inj 1G 1 vial MEFOX2 MEFOXIN 2 G INJ. Inj 2G 1 vial MEFTA1 MEFTAN Susp 50MG/5ML 100 ml MEGAC1 MEGACE Tabs 160MG 30 tabs MEGAM1 MEGAMOX Susp 156MG/5ML 100 ml MEGAM2 MEGAMOX Susp 312MG/5ML 100 ml MEGAM3 MEGAMOX Tabs 375 MG 20 tabs MEGAM4 MEGAMOX Tabs 625 MG 20 tabs MEGIO3 MEGION Inj 2 GM 10 vial MEGIO4 MEGION InjP 0.25GM 1 vial MEGIO1 MEGION InjP 0.5GM 1 vial MEGIO2 MEGION InjP 1GM 1 vial MEIAC1 MEIACT Tabs 200 MG 20 tabs MELAD3 MELADININE PAINT TSol 7.5+2.5MG/ 15 ml MELOX4 MELOX Tabs 15MG 10 tabs MELOX5 MELOX Tabs 15MG 10 tabs MELOX6 MELOX Tabs 7.5MG 10 tabs MELOX3 MELOX Tabs 7.5MG 10 tabs MELOX1 MELOXYDAR Tabs 15MG 10 tabs MELOX2 MELOXYDAR Tabs 7.5MG 10 tabs MELRO2 MELROSUM + CODEINE Syrp COMB 100 ml MELTU1 MELTUS ADULT CHESTY COUGH CONGESTION Syrp 0 100 ml MELTU2 MELTUS ADULT DRY COUGH WITH CONGESTION Syrp 0 100 ml MELTU3 MELTUS BABY COUGH LINCTUS Syrp 0 100 ml MELTU4 MELTUS HONEY & LEMON EXPECT Syrp 0 100 ml MENCE1 MENCEVAX ACWY VACCINE InjP 50UG/0.5ML 1 vial MENOG1 MENOGON INJ InjP 75iu 5 amp MENTE1 MENTEX Syrp combinatio 125 ml MENTH1 MENTHODEX COUGH MIXTURE OSol combinatio 100 ml MENTH2 MENTHODEX HOT LEMON Sach 0 5 sach MEPHA5 MEPHAMESON-4(1ML) InjO 3MG 100 amp MEPHA4 MEPHAMYCIN Susp 200MG/5ML 60 ml MEPHA11 MEPHAMYCIN Tabs 250MG 20 tabs MEPHA1 MEPHANOL Tabs 100MG 50 tabs Appendices Patient Minimum Data Set | Appendices MEPHA3 MEPHAQUIN Tabs 250MG 6 tabs MERES2 MERESA Caps 50MG 20 caps MERES1 MERESA Tabs 200MG 20 tabs MERFE2 MERFEN Loz 0 36 loz MERIO1 MERIONAL InjP 150IU 1 vial MERIO2 MERIONAL InjP 75IU 1 vial MERON1 MERONEM I.V Inj 1GM 10 vial MERON2 MERONEM I.V Inj 500MG 10 vial MERUV1 MERUVAX InjP 1000TCID50 1 vial MESPO4 MESPORIN I.M InjP 250MG 1 vial MESPO5 MESPORIN I.M InjP 500MG 1 vial MESPO2 MESPORIN I.V InjP 250MG 1 vial MESPO3 MESPORIN I.V InjP 500MG 1 vial MESPO1 MESPORIN InjP 1GM 1 vial MESTI2 MESTINON Tabs 10MG 50 tabs MESTI1 MESTINON Tabs 60MG 20 tabs MESUL1 MESULID (NIMESULIDE) Gran 100MG 30 sach MESUL2 MESULID (NIMESULIDE) Tabs 100MG 30 tabs METAL1 METALYSE 10,000 InjP 50MG 1 vial METAL2 METALYSE 8,000 InjP 40MG 1 vial METAM1 METAMUCIAL Pwdr 3.4GM/DOSE 100 gm METAM3 METAMUCIL INSTANT MIX Gran 0 10 sach METAM2 METAMUCIL Pwdr 3.4GM 10 sach METAP2 METAPHAGE Tabs 500MG 50 tabs METAZ1 METAZ Crm 0.10% 30 gm METFO1 METFOR Tabs 500MG 50 tabs METFO2 METFOR Tabs 850MG 60 tabs METHE2 METHERGIN InjO 0.2MG/ML 5 amp METHE1 METHERGIN Tabs 0.125MG 30 tabs METHY3 METHYCOBAL InjO 500MCG/ML 10 amp METHY1 METHYCOBAL Tabs 500MCG 100 tabs METHY2 METHYCOBAL Tabs 500MCG 30 tabs METOC1 METOCLOMEX Tabs 10MG 28 tabs METOS1 METOSIL Tabs 10MG 20 tabs METRO1 METRODIN HP Inj 150IU 1 amp METRO2 METRODIN HP Inj 75IU 1 amp METRO12 METRODIN Inj 0 1 amp METRO4 METRONIDAZOL(PHARMACEUTICAL SOLUTIONS SAUDI) Inf 0.50% 100 ml METRO3 METRONIDAZOL(QATAR PHARMA) Inf 0.50% 100 ml METRO6 METROZOL (MEMPHIS EGYPT) Tabs 250MG 20 tabs METRO8 METROZOLE Susp 125mg/5ml 100 ml METRO7 METROZOLE Susp 125mg/5ml 120 ml METRO10 METROZOLE Tabs 500MG 20 tabs METRO9 METROZOLE(JORDANIAN PHARMA) Tabs 250MG 20 tabs METRO13 METROZOLE(MEMPHIS) Tabs 250MG 20 tabs 339 340 | Patient Minimum Data Set MEVA-1 MEVA Tabs 135 MG 30 tabs MEVAC3 MEVACOR 20 MG Tabs 0 60 tabs MEVAC1 MEVACOR Tabs 20 MG 28 tabs MEVAC2 MEVACOR Tabs 20 MG 56 tabs MEXIT1 MEXITIL Caps 200MG 100 caps MEXIT2 MEXITIL L. A Caps 360MG 50 caps MIACA1 MIACALCIC MRC Inj 100iu/ml 5 amp MIACA2 MIACALCIC MRC Inj 50iu/ml 5 amp MIACA3 MIACALCIC NsSy 100IU/DOSE 1 ea MIACA5 MIACALCIC NsSy 200IU/DOSE 14 dose MIACA4 MIACALCIC NsSy 50IU/DOSE 1 ea MIACI1 MIACIN Inj 100MG/2ML 6 amp MIACI2 MIACIN Inj 500MG/2ML 6 amp MICAR4 MICARDIS PLUS Tabs 40/12.5MG 28 tabs MICAR3 MICARDIS PLUS Tabs 80/12.5MG 28 tabs MICAR5 MICARDIS PLUS Tabs 80/25MG 28 tabs MICAR1 MICARDIS Tabs 40MG 28 tabs MICAR2 MICARDIS Tabs 80MG 28 tabs MICON2 MICONOL Crm 3GM 15 gm MICOT1 MICOTER Crm 10MG 30 gm MICOT2 MICOTER Tsol 0 30 ml MICOV1 MICOVER - H Crm 2%+1% 15 gm MICRO1 MICROGYNON Tabs 0 21 tabs MICRO2 MICROLAX Enma 5ML 6 enma MICRO3 MICRONASE Tabs 5 MG 100 tabs MICRO4 MICRONASE Tabs 5 MG 30 tabs MICRO5 MICROSERC Tabs 8 MG 30 tabs MICRO6 MICROZIDE Tabs 80MG 20 tabs MICTR3 MICTROL Tabs 12.5MG 100 tabs MIDAF1 MIDAFLEX Caps 250 MG 20 caps MIDAF2 MIDAFLEX Caps 500 MG 20 caps MIDAF3 MIDAFLEX Susp 125 MG/5ml 100 ml MIDAF4 MIDAFLEX Susp 250 MG/5ml 100 ml MIDRO1 MIDRONE EXTRA Tabs 500+60MG 30 tabs MIDRO4 MIDROXIL Susp 500 MG 60 ml MIDRO2 MIDROXIL Susp USP 250 MG 60 ml MIDRO3 MIDROXIL Tabs USP 500 MG 12 caps MIGRA1 MIGRANERTON Caps 500/5MG 20 caps MIGRI1 MIGRIL Tabs 0 10 tabs MIKAC1 MIKACIN Inj 100 MG/2ML 5 amp MIKAC2 MIKACIN Inj 500 MG/2ML 5 amp MILKO1 MILK OF MAGNESIA Soln 450MG/5ML 355 ml MIMPA1 MIMPARA Tabs 30MG 28 tabs MIMPA2 MIMPARA Tabs 60MG 28 tabs MIMPA3 MIMPARA Tabs 90MG 28 tabs Appendices Patient Minimum Data Set | Appendices MINES1 MINESSE 15MCG/60MCG Tabs 0 28 tabs MINI-1 MINI - GLYNASE Tabs 2.5MG 30 tabs MINID1 MINIDIAB Tabs 5MG 30 tabs MINIM2 MINIM AMETHOCAINE(0.5 ML) EyDr 0.50% 20 udv MINIM1 MINIMS ATROPINE(0.5ml) EyDr 1% 20 udv MINIM14 MINIMS PHENYLEPHRINE(0.5ml) EyDr 10% 20 udv MINIM15 MINIMS PILOCARPINE (0.5ml) EyDr 2% 20 udv MINIP1 MINIPRESS Tabs 1 MG 30 tabs MINIP2 MINIPRESS Tabs 2 MG 30 tabs MINIP3 MINIPRESS Tabs 5MG 30 tabs MINIR8 MINIRIN MELT Tabs 120µg 30 tabs MINIR9 MINIRIN MELT Tabs 60MCG 30 tabs MINIR4 MINIRIN Tabs 0.1MG 30 tabs MINIR5 MINIRIN Tabs 0.2MG 30 tabs MINIS1 MINISEC Caps 20 MG 14 caps MINIS2 MINISEC Caps 20 MG 28 caps MINIS3 MINISEC Caps 20 MG 7 caps MINOC1 MINOCIN Caps 100MG 20 caps MINOC2 MINOCIN Caps 100MG 9 caps MINOC3 MINOCIN Caps 50MG 100 caps MINOC6 MINOCIN Caps 50MG 30 caps MINOC5 MINOCIN Caps 50MG 30 caps MINOP4 MINOPHYLLINE (2ML) Inj 0 10 amp MINOP3 MINOPHYLLINE Soln 0 200 ml MINOP2 MINOPHYLLINE Syrp 0 200 ml MINUL1 MINULET Tabs 75+30MCG 21 tabs MIRAN1 MIRANAX Tabs 550MG 10 tabs MIRAN2 MIRANAX Tabs 550MG 20 tabs MIRAX2 MIRAXID FORTE Tabs 450MG 12 tabs MIRCE1 MIRCERA Inj 100mcg/0.3 1 pfs MIRCE2 MIRCERA Inj 120mcg/0.3 1 pfs MIRCE3 MIRCERA Inj 150mcg/0.3 1 pfs MIRCE4 MIRCERA Inj 200mcg/0.3 1 pfs MICER1 MIRCERA Inj 30 mcg/0.3 1 pfs MIRCE5 MIRCERA Inj 360 mcg/0. 1 pfs MIRCE6 MIRCERA Inj 50mcg/0.3M 1 pfs MIRCE7 MIRCERA Inj 75mcg/0.3M 1 pfs MITOS1 MITOSYL Oint 0 65 gm MIVAC1 MIVACRON (10ML) Inj 2 MG/ML 1 amp MIVAC2 MIVACRON (5ML) Inj 2MG/ ML 1 amp MMR111 MMR11 VACCINE Inj 0 1 vial MOBIC9 MOBIC Inj 15MG/1.5 M 10 amp MOBIC10 MOBIC Inj 15MG/1.5 M 5 amp MOBIC8 MOBIC Supp 7.5MG 6 supp MOBIC1 MOBIC Tabs 15 MG 10 tabs 341 342 | Patient Minimum Data Set MOBIC2 MOBIC Tabs 15 MG 30 tabs MOBIC3 MOBIC Tabs 7.5 MG 10 tabs MOBIC4 MOBIC Tabs 7.5 MG 30 tabs MOBIL1 MOBILISIN Crm 2.64%/3% 40 gm MODAL1 MODALIM Tabs 100MG 28 tabs MODEC3 MODECATE CON Inj 100MG/ML 5 amp MODEC2 MODECATE Inj 25MG/1 ML 1 amp MODER2 MODERN FORMULA DECONGEST. Caps 0 48 caps MODIT1 MODITEN Tabs 1MG 20 tabs MODIT2 MODITEN Tabs 1MG 25 tabs MODIT3 MODITEN Tabs 2.5MG 100 tabs MODIT4 MODITEN Tabs 5MG 100 tabs MODUR2 MODURETIC Tabs 5MG/50MG 30 tabs MOGAD1 MOGADON Tabs 5MG 10 tabs MOLCE1 MOLCER Eadr 5% 15 ml MONO-1 MONO - TILDIEM SR Caps 200MG 28 caps MONO-2 MONO - TILDIEM SR Caps 300MG 28 caps MOSEG1 MOSEGOR Syrp 0.5MG/10ML 100 ml MOSEG2 MOSEGOR Tabs 0.5MG 30 tabs MOTIL2 MOTILAT Susp 1MG 100 ml MOTIL1 MOTILAT Tabs 10MG 30 tabs MOTIL5 MOTILIUM ADULT Supp 60MG 6 supp MOTIL6 MOTILIUM BABIES Supp 10MG 6 supp MOTIL7 MOTILIUM INFA Supp 30MG 6 supp MOTIL3 MOTILIUM Susp 1MG 200 ml MOTIL4 MOTILIUM Tabs 10MG 30 tabs MOTIO2 MOTION SICKNESS Tabs 0 12 caps MOTIV4 MOTIVAL Tabs 0 30 tabs MOTIV3 MOTIVAL Tabs 0 30 tabs MOVEN1 MOVEN Caps 15MG 30 caps MOVEN2 MOVEN Caps 7.5MG 30 caps MOVIC1 MOVICOL Pwdr 6.563GM 20 sach MOXAL2 MOXAL ChwT 0 30 tabs MOXAL9 MOXAL PLUS(200MG+200MG+25MG) ChwT 0 30 chwT MOXAL1 MOXAL Susp 0 200 ml MOXIC1 MOXICLAV(156.25MG/5ML) Susp 0 100 ml MUCAI1 MUCAINE Susp 0 200 ml MUCIC3 MUCICLAR ADULT Syrp 5% 125 ml MUCIC2 MUCICLAR CHILDREN Syrp 2% 125 ml MUCIC1 MUCICLAR Caps 375MG 30 caps MUCIN1 MUCINEX Tabs 600MG 20 tabs MUCIN5 MUCINUM Tabs 0 30 tabs MUCOF1 MUCOFREE Syrp 4MG/5ML 100 ml MUCOG1 MUCOGEL Susp 0 300 ml MUCOL1 MUCOLAN Syrp 5MG/5ML 100 ml Appendices Patient Minimum Data Set | Appendices MUCOL2 MUCOLAN Tabs 4 MG 30 tabs MUCOL4 MUCOLYTE Syrp 4MG/5ML 100 ml MUCOL3 MUCOLYTE Tabs 8MG 20 tabs MUCOP1 MUCOPRONT Caps 375 MG 20 caps MUCOP2 MUCOPRONT Syrp 5 GM 200 ml MUCOR1 MUCORAM Syrp 15 ML/5ML 100 ml MUCOS3 MUCOSOL Caps 375 MG 20 caps MUCOS8 MUCOSOLVAN L A Caps 75 MG 10 caps MUCOS11 MUCOSOLVAN Syrp 15MG/5ML 100 ml MUCOS1 MUCOSOLVAN Syrp 30 MG/5ML 100 ml MUCOS2 MUCOSOLVAN Syrp 30 MG/5ML 50 ml MUCOS6 MUCOSOLVAN Tabs 30 MG 20 tabs MUCOS7 MUCOSOLVAN Tabs 60 MG 20 tabs MUCOS9 MUCOSOLVAN(2 ml) Inj 7.5 MG/ML 10 amp MUCOT8 MUCOTAB Tabs 0 50 tabs MUCOT2 MUCOTEC Caps 150MG 20 caps MUCOT3 MUCOTEC Caps 300MG 10 caps MUCOT5 MUCOTEC Pwdr 225MG 10 sach MUCOT4 MUCOTEC Susp 35MG/ML 60 ml MULTI1 MULTI FUNGIN Oint 0 15 gm MULTI6 MULTICIN Z Oint 0 30 gm MULTI7 MULTICIN Z Pwdr 0 15 gm MUMPS1 MUMPSVAX Inj 0 1 dose MUSCA1 MUSCADOL Tabs 35+450MG 20 tabs MUSCE1 MUSCEROL 2 Tabs 450/35Mg 20 tabs MUSCE2 MUSCEROL EXTRA 450/35/15Mg Tabs 0 20 tabs MUSE-1 MUSE Supp 1000 MCG 6 supp MUSE-2 MUSE Supp 125 MCG 6 supp MUSE-3 MUSE Supp 250 MCG 6 supp MUSE-4 MUSE Supp 500 MCG 6 supp MYCIL2 MYCIL FOOT Pwdr 1/0.25% 55 gm MYCIT3 MYCITRACIN Oint 0 15 gm MYCO-4 MYCO - POLYCID TINCTURE Soln 0 20 ml MYCO-3 MYCO - POLYCID Crm 0 20 gm MYCOB1 MYCOBUTIN Caps 150MG 30 caps MYCOH1 MYCOHEAL OGel 20MG 40 gm MYCOH5 MYCOHEAL Ovul 200MG 7 ovul MYCOH3 MYCOHEAL Ovul 400MG 3 ovul MYCOH4 MYCOHEAL SKIN Crm 2% 30 gm MYCOH2 MYCOHEAL VgCr 20MG 50 gm MYCOS1 MYCOSPOR Crm 10MG/G 15 gm MYCOS4 MYCOSPOR Soln 10MG/ML 15 ml MYCOS9 MYCOSTATIN 100,000IU/ML Susp 0 60 ml MYCOS19 MYCOSTATIN BABY Oint 0 30 gm MYCOS11 MYCOSTATIN Loz 100,000 IU 28 loz 343 344 | Patient Minimum Data Set MYCOS15 MYCOSTATIN Oint 100,000 U/ 30 GM MYCOS20 MYCOSTATIN ORAL READY MIX Susp 0 30 ml MYCOS7 MYCOSTATIN Ovul 100,000IU 15 ovul MYCOS18 MYCOSTATIN Tabs 0 12 tabs MYCO-2 MYCO-SYNALAR 50/0.1/10mg/g Tsol 0 10 ml MYCO-1 MYCO-SYNALAR Crm 0 15 gm MYCOT1 MYCOTA Crm 20%+5% 25 gm MYCOT3 MYCOTA Pwdr 20%+2% 70 gm MYDRI1 MYDRIACYL EyDr 0.50% 15 ml MYDRI2 MYDRIACYL EyDr 1% 15 ml MYDRI4 MYDRIATICUM EyDr 0.50% 10 ml MYFOR1 MYFORTIC Tabs 180MG 120 tabs MYFOR2 MYFORTIC Tabs 360MG 120 tabs MYOCR2 MYOCRISIN Inj 10MG/0.5ML 10 amp MYOCR1 MYOCRISIN Inj 20MG/0.5ML 10 amp MYOCR3 MYOCRISIN Inj 50MG/0.5ML 10 amp MYOFL4 MYOFLEX FORTE Tabs 0 20 tabs MYOFL3 MYOFLEX Tabs 0 20 tabs MYOGA1 MYOGARD Caps 10MG 30 caps MYOGE1 MYOGESIC Tabs 450+35MG 20 tabs MYOLG1 MYOLGIN Caps 0 20 caps MYONA1 MYONAL Tabs 50 MG 100 tabs MYONA2 MYONAL Tabs 50 MG 30 tabs NACLO1 NACLOF EyDr 1MG/ML 5 ml NADIN1 NADINE Tabs 150MG 20 tabs NADIN2 NADINE Tabs 75MG 10 tabs NALID1 NALIDIXIC ACID Tabs 500MG 20 tabs NAPAL2 NAPALONE Tabs 500mg 20 tabs NAPHC3 NAPHCON EyDr 0.01% 15 ml NAPHC2 NAPHCON FORT EyDr 0.10% 15 ml NAPHC1 NAPHCON-A EyDr 0.12 15 ml NAPRO1 NAPROFEN Tabs 500MG 10 tabs NARAM2 NARAMIG Tabs 2.5MG 2 tabs NARAM1 NARAMIG Tabs 2.5MG 4 tabs NARAP1 NARAPRIL Tabs 10MG 28 tabs NARAP2 NARAPRIL Tabs 20MG 28 tabs NARAP3 NARAPRIL Tabs 5MG 28 tabs NAROP2 NAROPIN (10ML) Inf 2MG/ ML 5 vial NAROP1 NAROPIN (10ML) Inf 7.5MG/ML 5 vial NAROP3 NAROPIN (20ML) Inf 2MG/ ML 5 vial NAROP7 NAROPIN(100ML) Inf 2MG/ML 5 vial NAROP4 NAROPIN(10ML) Inf 10MG/ML 5 vial NAROP8 NAROPIN(200ML) Inf 2MG/ML 5 vial NAROP5 NAROPIN(20ML) Inf 10MG/ML 5 vial NAROP6 NAROPIN(20ML) Inf 7.5MG/ML 5 vial Appendices Patient Minimum Data Set | Appendices NASIV1 NASIVIN NsSy 0.025% 10 ml NASIV2 NASIVIN NsSy 0.05% 10 ml NASON1 NASONEX AQUEOUS NsSy 50mcg 120 dose NASOT1 NASOTAL COMPOUND Soln 2%+0.025% 15 ml NATRE2 NATRECOR Inj 1.5MG 1 vial NATRE3 NATRECOR Inj 1.5MG 1 vial NATRE1 NATRECOR Inj 1.5MG 1 vial NATRI1 NATRILIX - SR Tabs 1.5 MG 30 tabs NATUL1 NATULAN Caps 50 MG 50 caps NAVEL1 NAVELBINE Inj 10mg/ml 10 vial NAVEL2 NAVELBINE Inj 50mg/5ml 10 vial NAVID1 NAVIDINE Tabs 150MG 20 tabs NAVID2 NAVIDOXINE Tabs 50MG+25MG 10 tabs NAVID4 NAVIDREX - K Tabs 0 100 tabs NAVOB1 NAVOBAN Caps 5MG 5 caps NAVOB2 NAVOBAN Inj 5MG/5ML 1 amp NAXOG1 NAXOGIN Tabs 250MG 12 tabs NAZAC1 NAZACORT AQ NsSy 55µG 120 dose NAZOL1 NAZOLINE NsDr 0 10 ml NEBAC5 NEBACETIN AEROSOL Pwdr 0 200 gm NEBAC2 NEBACETIN Oint 0 5 gm NEBAC3 NEBACETIN Pwdr 0 10 gm NEBCI1 NEBCIN Inj 20MG/2ML 1 vial NEBCI2 NEBCIN Inj 80MG/2ML 1 vial NEBID1 NEBIDO(4ML) Inj 250MG/ML 1 amp NEGAC1 NEGACEF Inj 0.5 GM 1 vial NEGAC2 NEGACEF Inj 1 GM 1 vial NEGAZ1 NEGAZOLE Tabs 250MG 20 tabs NEGAZ2 NEGAZOLE Tabs 500MG 20 tabs NEGRA1 NEGRAM Syrp 250MG/5ML 120 ml NEGRA2 NEGRAM Tabs 500MG 600 tabs NEO_-1 NEO - HAEMORHAN Oint 0 12 gm NEO_-2 NEO - HAEMORHAN Supp 0 6 supp NEO-L1 NEO - LIDOCATION(1.8ML) Inj 2% 50 cart NEO-M1 NEO - MELADININE Tabs 10MG 50 tabs NEO-M2 NEO - MERCAZOL Tabs 5 MG 100 tabs NEO--1 NEO - RINACTIVE NsSy 0 10 ml NEO-S3 NEO - SYNEPHRINE 12 H ADULT NsDr 0 15 ml NEO-S2 NEO - SYNEPHRINE 12 H NsSy 0 15 ml NEO-S4 NEO - SYNEPHRINE NsSy 0.5% 15 ml NE-LI1 NEO- LIDOCATION FORT(1.8ML) Inj 3% 50 cart NEOBA1 NEOBACIN SKIN Oint 5MG+250IU 15 gm NEOCA2 NEOCAINE Crm 0 15 gm NEOCI1 NEOCIPRO Tabs 500 MG 10 tabs NEOCI2 NEOCIPRO Tabs 500 MG 100 tabs 345 346 | Patient Minimum Data Set NEOCL2 NEOCLAV Tabs 625 MG 20 tabs NEOCO2 NEOCOLD Syrp 0 100 ml NEO-C1 NEO-CORTEF EyDr 1.5% 5 ml NEODA1 NEODAY Syrp 5 MG/ 5ML 100 ml NEODA2 NEODAY Tabs 10 MG 10 tabs NEODA4 NEODAY Tabs 10MG 100 tabs NEODE1 NEODEX EyDr 0.1%+0.5% 10 ml NEODE2 NEODEX EyOn 0 3.5 gm NEOFE2 NEOFERON Caps 400MCG 30 caps NEOFL1 NEOFLAM Tabs 50MG 20 tabs NEOGY1 NEOGYL Tabs 500MG 20 tabs NEO-M3 NEO-MEDROL ACNE LOTION Lotn 0 25 ml NEOME1 NEOMERCAZOLE Tabs 5 MG 100 tabs NEOME3 NEOMERCAZOLE Tabs 5MG 100 tabs NEOME2 NEOMET Tabs 500MG 30 tabs NEOMI1 NEOMIGRAN NsSy 4 MG/ML 1 ea NEOMO4 NEOMOL PLUS Syrp 250MG/5ML 100 ml NEOMO3 NEOMOL Syrp 120MG/5ML 100 ml NEOMO1 NEOMOX Caps 500 MG 100 caps NEOMO2 NEOMOX Caps 500 MG 20 caps NEOMO5 NEOMOX Susp 125MG/5ML 100 ml NEOMO6 NEOMOX Susp 250MG/5ML 100 ml NEO-S6 NEO-SAMPOON Tabs 0 20 tabs NEOSP1 NEOSPORIN EyDr 0 10 ml NEO-S7 NEO-SYNEPHRINE 12 HOUR NsSy 0 15 ml NEOTE1 NEOTERB Soln 1.5MG/5ML 100 ml NEOTI1 NEOTIGASON Caps 10 MG 30 caps NEOTI2 NEOTIGASON Caps 25 MG 30 caps NEOVE1 NEOVENTIL Soln 2MG/5ML 120 ml NEOXI1 NEOXICAM Tabs 15MG 10 tabs NEOXI2 NEOXICAM Tabs 15MG 30 tabs NEOXI3 NEOXICAM Tabs 7.5MG 10 tabs NEOXI4 NEOXICAM Tabs 7.5MG 30 tabs NERIS5 NERISONE C Crm 0.1%+1% 30 gm NERIS1 NERISONE FATTY Oint 0.1% 30 gm NERIS3 NERISONE Crm 0.1% 30 gm NERIS2 NERISONE FORTE FATTY Oint 0.1% 10 gm NERIS4 NERISONE Oint 0.1% 30 gm NERVA1 NERVAMINE Tabs 500MCG 30 tabs NETRO5 NETROMYCIN 50MG/2 ml Inj 50MG 1 vial NETRO4 NETROMYCIN 1.5 ml Inj 150MG 1 vial NEULA1 NEULASTIM Inj 6MG/6ML 1 pfs NEUPO2 NEUPOGEN (1.6ml) Inj 48MU/1.6 M 5 vial NEUPO3 NEUPOGEN LOW VOLUME (0.5 ML) Inj 48 MU/0.5M 1 syrg NEUPO4 NEUPOGEN LOW VOLUME (0.5 ML) Inj 30 MU/ 0.5 1 syrg Appendices Patient Minimum Data Set | Appendices NEUPO5 NEUPOGEN(1ml) Inj 30 MU/ML 1 syrg NEUPO6 NEUPOGEN(1ml) Inj 30 MU/ML 5 vial NEURO4 NEUROBION (3ml) Inj combinatio 3 amp NEURO3 NEUROBION Tabs combinatio 20 tabs NEURO5 NEUROFEN COLD & FLU Tabs 200MG 12 tabs NEURO6 NEUROFEN COLD & FLU Tabs 200MG 24 tabs NEURO7 NEUROFEN for CHILDREN Soln 100MG 100 ml NEURO8 NEUROFENAC Caps 0 50 caps NEURO9 NEURONTIN Caps 100MG 20 caps NEURO10 NEURONTIN Caps 300MG 50 caps NEURO11 NEURONTIN Caps 400MG 50 caps NEURO12 NEURONTIN Tabs 600MG 50 tabs NEURO13 NEURONTIN Tabs 800MG 50 tabs NEURO20 NEURORUBINA Inj 0 100 amp NEURO16 NEURORUBINE FORT Tabs combinatio 20 tabs NEURO15 NEURORUBINE Inj combinatio 5 amp NEURO15 NEURORUBINE Inj combinatio 5 amp NEURO17 NEUROTRAT FORT Inj combinatio 3 amp NEURO18 NEUROTRAT FORT Tabs combinatio 20 tabs NEURO2 NEUROVIT Tabs combinatio 20 tabs NEURO19 NEUROVITAN S.C Tabs 0 30 tabs NEVAN1 NEVANAC EyDr 0.10% 5 ml NEVIN1 NEVIN Syrp 40MG/200MG 60 ml NEVIN2 NEVIN Tabs 80/400mg 15 tabs NEXIU6 NEXIUM Gran 10mg 28 sach NEXIU7 NEXIUM POWDER Inj 40MG 10 vial NEXIU1 NEXIUM Tabs 20 MG 14 tabs NEXIU3 NEXIUM Tabs 20 MG 7 tabs NEXIU4 NEXIUM Tabs 40 MG 14 tabs NEXIU5 NEXIUM Tabs 40 MG 7 tabs NIBIO2 NIBIOL Tabs 100MG 50 tabs NICOT1 NICOTINELL TTS 10 Ptch 17.5MG 28 ptch NICOT2 NICOTINELL TTS 10 Ptch 17.5MG 7 ptch NICOT3 NICOTINELL TTS 20 Ptch 35MG 28 ptch NICOT4 NICOTINELL TTS 20 Ptch 35MG 7 ptch NICOT5 NICOTINELL TTS 30 Ptch 52.5mg 28 ptch NICOT6 NICOTINELL TTS 30 Ptch 52.5mg 7 ptch NIDAZ3 NIDAZOLE Susp 200mg/5ml 100 ml NIDAZ2 NIDAZOLE Tabs 250MG 30 tabs NIFEP1 NIFEPIN Caps 10MG 24 caps NIFLU5 NIFLUGEL PERCUTANEOUS Gel 0 60 gm NIFLU1 NIFLURIL Caps 250MG 30 caps NIFLU2 NIFLURIL Crm 3% 60 gm NIFLU6 NIFLURIL GINGIVAL Gel 0 30 gm NIMBE1 NIMBEX (30 ml) Inj 5mg/ml 1 vial 347 348 | Patient Minimum Data Set NIMBE10 NIMBEX(10ml) Inj 2MG/ML 5 amp NIMBE3 NIMBEX(2.5ml) Inj 20mg/10ml 5 amp NIQUI1 NIQUITIN MINT Loz 2mg 24 loz NIQUI4 NIQUITIN MINT Loz 4mg 24 loz NITRO1 NITRO MACK-R Caps 2.5MG 20 caps NITRO2 NITRODERM T.T.S. 15 Ptch 15mg/24h 10 ptch NITRO4 NITRODERM TTS 5 Ptch 5mg/24h 10 ptch NITRO5 NITRODERM TTS 10 Ptch 10mg/24h 10 ptch NITRO3 NITRODERM TTS 5 Ptch 5mg/24h 30 ptch NIZOR3 NIZORAL Crm 2% 30 gm NIZOR1 NIZORAL Shmp 2% 100 ml NIZOR2 NIZORAL Tabs 200 MG 10 tabs NO_--1 NO - SPA Tabs 0 20 tabs NO_--2 NO - SPA(2ML) Inj 0 5 amp NOCAL1 NOCAL LIQUID Tsol 0 10 ml NOCTI1 NOCTISSIN NsDr 10mcg/dose 5 ml NOLVA2 NOLVADEX - D Tabs 20MG 30 tabs NOLVA1 NOLVADEX Tabs 10MG 30 tabs NOMAL1 NOMAL Caps 50MG 10 caps NOMIG1 NOMIGREN Tabs 0 10 tabs NOOTR1 NOOTROPIL Caps 400GM 60 caps NOOTR2 NOOTROPIL Osol 200mg/ml 200 ml NOOTR4 NOOTROPIL Tabs 800MG 30 tabs NOPAC3 NOPACOR 10 MG Tabs 10MG 30 tabs NOPAC4 NOPACOR 40 MG Tabs 40MG 30 tabs NOPAI4 NOPAIN D.S Tabs 500MG 10 tabs NOPAI3 NOPAIN Supp 500mg 6 supp NOPAI1 NOPAIN Susp 125mg/5ml 100 ml NOPAI2 NOPAIN Tabs 250mg 20 tabs NOPIL3 NOPIL FORTE Tabs 800/160mg 10 tabs NOPIL2 NOPIL Syrp 200/40mg/5 100 ml NOPIL1 NOPIL Tabs 400/80mg 20 tabs NORAC2 NORACIN Tabs 400mg 14 tabs NORAC1 NORACINE Tabs 400MG 10 tabs NORAX1 NORAX Tabs 400MG 14 tabs NORDE1 NORDETTE Tabs 15/30µG 21 tabs TRINO3 NORDIOL Tabs combinatio 21 tabs NORDI3 NORDITROPIN Inj 12IU 1 vial NORDI2 NORDITROPIN Inj 4IU 1 vial NORDI5 NORDITROPIN NORDILET Inj 10MG/1.5ML 1 pfs NORDI6 NORDITROPIN NORDILET Inj 15MG/1.5ML 1 pfs NORDI4 NORDITROPIN NORDILET Inj 5MG/1.5ML 1 pfs NORDI7 NORDITROPIN SIMPLEX Inj 10MG/1.5ML 1 cart NORDI8 NORDITROPIN SIMPLEX Inj 15MG/1.5ML 1 cart NORDI9 NORDITROPIN SIMPLEX Inj 5MG/1.5ML 1 cart Appendices Patient Minimum Data Set | Appendices NORFL3 NORFLEX INJ. 2ML Inj 100mg 100 amp NORFL1 NORFLEX Inj 100MG 3 amp NORFL2 NORFLEX Tabs 100MG 100 tabs NORGA1 NORGALAX Enma 10GM 6 enma NORGE2 NORGESIC Tabs 0 500 tabs NORGE1 NORGESIC Tabs 450/35mg 30 tabs NORID1 NORIDAY Tabs 0.35mg 28 tabs NORID1 NORIDAY Tabs 0.35mg 28 tabs NORIM1 NORIMIN Tabs 1mg/0.035m 21 tabs NORIN1 NORINYL Tabs 1/0.05mg 21 tabs NORMA5 NORMACOL Gran 62% 30 sach NORMA6 NORMACOL PLUS Gran 62/8% 200 gm NORMA13 NORMAL SALINE I.V Inf 0 100 ml NORMA2 NORMAL SALINE I.V INFUSION (vial) Inj 0.9% 50 ml NORMA3 NORMAL SALINE I.V INFUSION(amp) Inj 0.9% 10 ml NORMA4 NORMAL SALINE I.V INFUSION(amp) Inj 0.9% 5 ml NORMO2 NORMOGASTRYL EfTb 0 40 eftb NOROX1 NOROXIN Tabs 400 MG 14 tabs NORPR1 NORPROLAC Tabs 25/50mcg 6 tabs NORVA1 NORVASC Caps 5MG 30 caps NORZO1 NORZOL Susp 200MG/5 ML 100 ml NOSCA1 NOSCAM NsDr 0.05/0.5% 10 ml NO-SP1 NO-SPA Inj 40MG/2ML 5 amp NO-SP2 NO-SPA Tabs 40MG 20 tabs NOSPA1 NOSPASM Tabs 10mg 30 tabs NOURI1 NOURIC Tabs 100 MG 50 tabs NOURI2 NOURIC Tabs 300 MG 20 tabs NOVAG1 NOVAGESIC -FLU Caps 0 20 caps NOVEC1 NOVECIN Tabs 200mg 10 tabs NOVEC2 NOVECIN Tabs 400MG 10 tabs NOVIR1 NOVIRAL Crm 5% 15 gm NOVIR2 NOVIRAL Tabs 400 MG 30 tabs NOVIR3 NOVIRAX Crm 5% 15 gm NOVO-37 NOVO - CAPTORIL Tabs 100MG 100 tabs NOVO-39 NOVO - CAPTORIL Tabs 12.5MG 100 tabs NOVO-40 NOVO - CAPTORIL Tabs 25MG 100 tabs NOVO-38 NOVO - CAPTORIL Tabs 50MG 100 tabs NOVOA2 NOVO ATENOL Tabs 100 MG 30 tabs NOVOA3 NOVO ATENOL Tabs 50 MG 30 tabs NOVOD6 NOVO DILTAZEM Tabs 30MG 100 tabs NOVOD7 NOVO DILTAZEM Tabs 60MG 100 tabs NOVOR1 NOVO RANIDINE Tabs 150MG 60 tabs NOVOR2 NOVO RANIDINE Tabs 300MG 30 tabs NOVOF14 NOVOFILINE Tabs 0 40 tabs NOVOM4 NOVOMIX 30 FLEXPEN (5x3 ML) Inj 100IU/ML 5 pfs 349 350 | Patient Minimum Data Set NOVOM3 NOVOMIX 30 Inj 100IU/ML 5 cart NOVON1 NOVONORM Tabs 0.5 MG 30 tabs NOVON2 NOVONORM Tabs 0.5 MG 90 tabs NOVON3 NOVONORM Tabs 1 MG 30 tabs NOVON4 NOVONORM Tabs 1 MG 90 tabs NOVON5 NOVONORM Tabs 2 MG 30 tabs NOVON6 NOVONORM Tabs 2 MG 90 tabs NOVOR4 NOVORAPID FLEXPEN (5 x 3 ML) Inj 100IU/ML 5 pfs NOVOR3 NOVORAPID Inj 100IU/ML 5 cart NOVOS1 NOVOSEVEN InP 1.2MG 1 vial NOVOS2 NOVOSEVEN InP 2.4MG 1 vial NOVOS3 NOVOSEVEN InP 4.8MG 1 vial NOVOT7 NOVOTER GENTAMYCIN Crm 0 15 gm NOVOT6 NOVOTER GENTAMYCIN Crm 0 30 gm NOVOT5 NOVOTER Crm 0 30 gm NOVOT1 NOVOTER GENTAMYCIN Crm 0 15 gm NOXAF1 NOXAFIL Susp 40MG/ML 105 ml NU-SE3 NU - SEALS Tabs 75 MG 56 tabs NU-SE5 NU - SEALS Tabs 75 MG 56 tabs NUELI2 NUELIN SA Tabs 175MG 100 tabs NUMED3 NUMED ASPRIN Tabs 325 MG 100 tabs NUMED1 NUMED NsSy 0.05% 15 ml NUMED6 NUMED PINK BISMUTH Susp 262mg/15ml 236 ml NUMED7 NUMED PRENATAL Tabs combinatio 100 tabs NUMED10 NUMED VITAMIN A & D Tabs 0 100 tabs NUPER1 NUPERCAINAL Oint 1% 20 gm NUROF1 NUROFEN Caps 200MG 16 caps NUTRI1 NUTRIZYM Caps 0 20 caps NYOLO1 NYOLOL EyDr 1MG/G 5 gm NYSTA1 NYSTALOCAL Crm 0 20 gm NYSTA4 NYSTAMONT(100 000IU/ML) Susp 0 30 ml NYSTA3 NYSTAZOLE 500MG/100000IU Pess 0 10 pess OCLYC2 OCLYCIN 100 MG Tabs 100MG 8 tabs OCTOV1 OCTOVENT Tabs 4MG 20 tabs OCTOZ1 OCTOZAC Caps 20MG 10 caps OCTOZ2 OCTOZINC Caps 110MG 20 caps OCUBR1 OCUBRAX EyDr 1/3MG/ML 5 ml OCUGE1 OCUGESIC EyDr 0.10% 5 ml OCULA1 OCULAC EyDr 0.3+0.5% 10 ml OCUME1 OCUMETHYL EyDr 0 10 ml OCUMO1 OCUMOL EyDr 0.25% 5 ml OCUMO2 OCUMOL EyDr 0.50% 5 ml OCURE1 OCURED EyDr 0 10 ml OCUSU2 OCUSOL EyDr 1G/10ML 10 ml OCUSU1 OCUSOL EyDr 2G/10ML 10 ml Appendices Patient Minimum Data Set | Appendices OCUSU3 OCUSOL EyDr 3G/10ML 10 ml OESCL1 OESCLIM Ptch 25MCG/24H 8 ptch OESCL2 OESCLIM Ptch 50 MCG/24H 8 ptch OFLIC1 OFLICIN EyDr 0.3% 5 ml OFLIC2 OFLICINE Tabs 200MG 10 tabs OFLOX1 OFLOXACIN Tabs 200MG 10 tabs OFRAM1 OFRAMOX Inj 1G 1 vial OFTAL1 OFTALAR EyDr 1mg/ml 5 ml OFTAL12 OFTALMOLOSA OXYTETRACYCLINE Oint 0 3 gm OFTAL2 OFTALMOSA CUSI GENAMICIN EyOn 0.3% 5 gm OFTAL13 OFTALMOTRIM EyDr 0 5 ml OFTAL3 OFTALMOTRIM EyOn 0 4 gm OFTAN4 OFTAN TIMOLOL EyDr 0.25% 5 ml OFTAN3 OFTAN TIMOLOL EyDr 0.50% 5 ml OLBET1 OLBETAM Caps 250 MG 30 caps OLFEN8 OLFEN DISPERSABLE EfTb 46.5MG 20 efTb OLFEN1 OLFEN Gel 1% 20 gm OLFEN2 OLFEN Gel 1% 50 gm OLFEN4 OLFEN Inj 75mg 5 amp OLFEN11 OLFEN Inj 75MG 50 amp OLFEN12 OLFEN Ptch 0 5 ptch OLFEN9 OLFEN RECTO CAPS Supp 100MG 5 supp OLFEN7 OLFEN -RETARD Tabs 75MG 30 tabs OLFEN10 OLFEN SR DEPO.CAPS Caps 100MG 20 caps OLFEN3 OLFEN Supp 50mg 10 supp OLFEN5 OLFEN Tabs 25MG 30 tabs OLFEN6 OLFEN Tabs 50MG 20 tabs OLMET3 OLMETEC PLUS Tabs 20/12.5 MG 28 tabs OLMET4 OLMETEC PLUS Tabs 40/12.5 MG 28 tabs OLMET5 OLMETEC PLUS Tabs 40/25 MG 28 tabs OLMET1 OLMETEC Tabs 20MG 28 tabs OLMET2 OLMETEC Tabs 40MG 28 tabs OLOPA1 OLOPAT EyDr 0.10% 5 ml OLYNT1 OLYNTH NsDr 0.10% 10 ml OLYNT4 OLYNTH NsSy 0.05% 10 ml OLYNT2 OLYNTH NsSy 0.10% 10 ml OLYNT9 OLYNTH Spry 0.10% 10 ml OMACE1 OMACE Tabs 10 MG 28 tabs OMACE2 OMACE Tabs 20 MG 28 tabs OMACE3 OMACE Tabs 5 MG 28 tabs OMACE6 OMACEPH Caps 250 MG 20 caps OMACE4 OMACEPH Caps 500 MG 20 caps OMACE5 OMACEPH Susp 125MG/5 ML 100 ml OMACI1 OMACID Susp 0 100 ml OMACI2 OMACID Tabs 200/200mg 20 tabs 351 352 | Patient Minimum Data Set OMACI3 OMACILLIN Caps 250 MG 20 caps OMACI4 OMACILLIN Caps 500 MG 20 caps OMACI6 OMACILLIN DROPS Osol 100MG/ML 20 ml OMACI5 OMACILLIN Susp 125MG/5ML 100 ml OMACI7 OMACIP Tabs 250 MG 10 tabs OMACI8 OMACIP Tabs 500 MG 10 tabs OMACO1 OMACOR Caps 1000MG 28 caps OMAFE1 OMAFEN Tabs 400 MG 20 tabs OMATH1 OMATHROCIN Osol 0 30 ml OMATH2 OMATHROCIN Susp 200MG/5ML 100 ml OMATH3 OMATHROCIN Tabs 250MG 20 tabs OMCET4 OMCET DROPS EyDr 10 MG / 1 15 ml OMCET5 OMCET Soln 10 MG/ML 15 ml OMCET1 OMCET Syrp 5 MG / 5 M 100 ml OMCET6 OMCET Syrp 5 MG/5ML 100 ml OMCET2 OMCET Tabs 10 MG 10 tabs OMCET3 OMCET Tabs 10 MG 28 tabs OMEDA1 OMEDAR Tabs 20MG 14 tabs OMEGA1 OMEGA H3 Caps combinatio 30 caps OMEPA1 OMEPAK Caps 20MG 14 caps OMEPR3 OMEPRAL Caps 20MG 14 caps OMEPR1 OMEPREX Caps 20 MG 14 caps OMEPR2 OMEPREX Caps 20 MG 28 caps OMERA1 OMERAL Caps 20MG 14 caps OMERA2 OMERAZ Caps 20MG 14 caps OMEZY1 OMEZYN Caps 20MG 15 caps OMFOR1 OMFORMIN Tabs 500MG 20 tabs OMISE1 OMISEC Caps 20MG 14 caps OMIZ-1 OMIZ Caps 10MG 14 caps OMIZ-2 OMIZ Caps 20MG 14 caps OMNIC7 OMNIC (SAJA) Caps 0.4MG 30 caps OMNIC6 OMNIC OCAS (SAJA) Tabs 0.4MG 30 tabs OMNIC5 OMNICEF Caps 300 MG 10 caps OMNIC2 OMNICEF Susp 125 MG/5ML 40 ml OMNIC1 OMNICEF Susp 125MG/5ML 80 ml OMNIP3 OMNIPEN Caps 500 MG 12 caps OMOLE1 OMOL EXTRA Tabs 500/65MG 20 tabs OMOL-1 OMOL Osol 100MG/ML 15 ml OMOL-3 OMOL Syrp 120mg/5ml 100 ml OMOL-2 OMOL Tabs 500MG 20 tabs OMVIL2 OMVIL Syrp 2MG/5 ML 100 ml OMVIL1 OMVIL Tabs 4mg 20 tabs ONBRE1 ONBREZ BREEZHALER Inhl 150 MCG 30 caps ONCOV1 ONCOVIN 1 vial Inj 1mg 10 ml ONDOG1 ONDOGYNE Tabs 400MG 20 tabs Appendices Patient Minimum Data Set | Appendices ONE_-1 ONE - ALPHA Caps 0.25MCG 100 caps ONE-A1 ONE - ALPHA Caps 0.5MCG 30 caps ONEAL2 ONE ALPHA Caps 0.25 MCG 100 caps ONEAL4 ONE ALPHA Caps 1MCG 100 caps ONEAL5 ONE ALPHA Osol 2MCG/ ML 20 ml OPHTA1 OPHTAMESONE EyDr 0.1% 10 ml OPHTA5 OPHTAMID 10% EYE DROPS EyDr 10% 10 ml OPHTA6 OPHTAMID 20% EYE DROPS EyDr 20% 10 ml OPHTA4 OPHTAPRED EyDr 0.5% 10 ml OPHTA7 OPHTAZOLINE EyDr 0 10 ml OPIZO2 OPIZOLE B Crm 10+0.05MG 20 gm OPIZO1 OPIZOLE Crm USP 1% 15 gm OPRAZ2 OPRAZOL Tabs 20MG 14 tabs OPRAZ1 OPRAZOLE Tabs 20MG 10 tabs OPTAS1 OPTASONE EyOn 0.1% 5 gm OPTIC2 OPTICIN EyDr 0.3% 5 ml OPTIC4 OPTICROM EyDr 2% 10 ml OPTIC3 OPTICROM EyOn 4% 5 gm OPTID1 OPTIDEX - T EyDr 0.3/0.1% 5 ml OPTIF6 OPTIFEN S.R Tabs 100MG 10 tabs OPTIF5 OPTIFEN Tabs 50MG 20 tabs OPTIF3 OPTIFLOX EyDr 0.30% 5 ml OPTIF4 OPTIFRESH EyDr 6mg 10 ml OPTIG2 OPTIGENT EyDr 0.3% 5 ml OPTIL1 OPTILONE EyDr 1mg/ml 5 ml OPTIM1 OPTIMAL Crm 0.05% 30 gm OPTIM2 OPTIMAL Gel 0.025% 30 gm OPTIM3 OPTIMOL EyDr 0.50% 5 ml OPTIP1 OPTIPRED 1% EyDr 1% 5 ml OPTOC1 OPTOCETINE EyDr 0.5% 10 ml OPTRE1 OPTREX EyDr 0.13ml/ml 10 ml OPTRE2 OPTREX Lotn 0.13ml/ml 110 ml OPTRE3 OPTREX MEDICATED EyDr 125/0.1mg/ 10 ml ORACI1 ORACILLINE Susp 0 120 ml ORACI2 ORACILLINE Tabs 1MIU 12 tabs ORADI2 ORADINE ALCOHOL AND SUGAR FREE Syrp 5mg/ml 100 ml ORALD1 ORALDENE Soln 0.1% 200 ml ORALI1 ORALITE Pwdr combinatio 10 sach ORATR1 ORATROL 50 MG Tabs 50MG 100 tabs ORBEN2 ORBENIN Caps 250MG 20 caps ORELO1 ORELOX ORAL Susp 40mg/5ml 100 ml ORELO2 ORELOX ORAL Susp 40mg/5ml 50 ml ORELO3 ORELOX Tabs 100 MG 10 tabs ORGAL1 ORGALUTRAN Inj 0.25mg/0.5 1 pfs ORGAL2 ORGALUTRAN Inj 0.25mg/0.5 5 pfs 353 354 | Patient Minimum Data Set ORGAM2 ORGAMETRIL Tabs 5 MG 21 tabs ORGAM1 ORGAMETRIL Tabs 5 MG 30 tabs ORINA1 ORINAL Gran 5G 10 sach OROFA5 OROFAR GELSOLETS Caps 0 24 caps OROFA4 OROFAR Loz 1/1mg 24 loz OROFA1 OROFAR Soln 0 200 ml OROFA2 OROFAR Spry 2/1.5mg/ml 30 ml ORS(O1 ORS(30GM) Pwdr 0 25 sach ORS-R2 ORS-REDUCED OSMOLARIY Pwdr combinatio 50 sach ORS-R1 ORS-REDUCED OSMOLARIY Pwdr combinatio 50 sach ORTHO3 ORTHOCAM Caps 10MG 20 caps ORTHO4 ORTHOCAM Caps 20MG 10 caps ORTHO5 ORTHOCAM EfTb 10MG 20 efTb ORTHO6 ORTHOCAM EfTb 20MG 10 efTb ORTHO1 ORTHO-GYNOL CONTRACEPTIVE JELLY Gel 1% 81 gm ORTHO2 ORTHO-NOVIN Tabs 0 63 tabs ORUVA1 ORUVAIL 2ML Inj 100MG 10 vial ORUVA3 ORUVAIL C/R Caps 200MG 28 caps OSETR3 OSETRON Soln 8mg 100 ml OSETR1 OSETRON Tabs 4MG 15 tabs OSMAT1 OSMAT FORTE Tabs 0 10 tabs OSPAM14 OSPAMOX Caps 250MG 1000 caps OSPAM4 OSPAMOX Osol 100MG/ML 30 ml OSPAM11 OSPAMOX Susp 250MG/5ml 100 ml OSPAM8 OSPAMOX Susp 375MG/5ML 100 ml OSPAM5 OSPAMOX Susp 500MG5ML 100 ml OSPAM9 OSPAMOX Tabs 1000MG 16 tabs OSPAM15 OSPAMOX Tabs 500MG 1000 tabs OSPEN6 OSPEN 200 Susp 159MG/5ML 100 ml OSPEN5 OSPEN 400 GRANULES Susp 159MG/5ML 60 ml OSPEN8 OSPEN Tabs 1000MG 30 tabs OSPEN1 OSPEN Tabs 250MG 1000 tabs OSPEN7 OSPEN Tabs 500MG 30 tabs OSPEX8 OSPEXIN Caps 250MG 1000 caps OSPEX7 OSPEXIN Caps 500 MG 1000 caps OSPEX4 OSPEXIN Susp 250MG/5ML 100 ml OSPEX3 OSPEXIN Susp 250MG/5ML 60 ml OSPEX6 OSPEXIN Tabs 1000 MG 12 tabs OSPEX5 OSPEXIN Tabs 500MG 12 tabs OSTEO1 OSTEO-ALPHA Caps 1mg 30 caps OSTEO3 OSTEOCARE Syrp combinatio 200 ml OSTEO4 OSTEOCARE Tabs combinatio 30 tabs OSTEO2 OSTEO-MEPHA PHARMA Tabs 70 MG 4 tabs OSTEV1 OSTEVE Tabs 35 MG 4 tabs OSTEV2 OSTEVE Tabs 70 MG 4 tabs Appendices Patient Minimum Data Set | Appendices OTOCO1 OTOCOL EaDr 0.5% 10 ml OTOSP1 OTOSPORIN EaDr 0 5 ml OTRIV8 OTRIVIN METERED DOSE SPRAY Spry 0.10% 10 ml OTRIV9 OTRIVIN 0.05% METERED DOSE SP. Spry 0.05% 10 ml OTRIV4 OTRIVIN ADULT NsDr 0.1% 10 ml OTRIV3 OTRIVIN ADULT NsSy 0.1% 10 ml OTRIV5 OTRIVIN CHILD NsDr 0.05% 10 ml OTRIV7 OTRIVIN CHILD NsSy 0.05% 10 ml OTRIV6 OTRIVIN MENTHOL NsSy 0.10% 10 ml OVIS-5 OVIS Soln 0 15 ml OVIS-4 OVIS Spry 0 40 ml OVRAL1 OVRAL Tabs 500/50mcg 21 tabs OVULE1 OVULEN 50 Tabs 1/0.05mg 21 tabs OVYSM1 OVYSMEN Tabs 35/500µg 63 tabs OXIMA1 OXIMAL Tabs 15MG 10 tabs OXIMA2 OXIMAL Tabs 7.5MG 10 tabs OXIST1 OXIS TURBUHALER Inhl 4.5µg/dose 60 dose OXIST2 OXIS TURBUHALER Inhl 9µg/dose 60 dose OXSOR4 OXSORALEN Caps 0 100 caps OXSOR3 OXSORALEN Caps 0 30 caps OXSOR1 OXSORALEN lotn 1% 29.57 ml OXSOR2 OXSORALEN ULTRA Caps 10MG 50 caps OXYBR2 OXYBRAL S.R Caps 30MG 20 caps OXYPH2 OXYPHYL RETARD Tabs 400MG 20 tabs OXYTE1 OXYTETRACYCLINE Oint 3% 15 gm PABAL1 PABAL Inj 100MCG 5 amp PALDE2 PALDESIC Susp 120MG/5ML 100 ml PALDE1 PALDESIC Susp 120MG/5ML 60 ml PAMOL2 PAMOL CHILD Supp 250mg 5 supp PAMOL3 PAMOL INFANT Supp 125MG 5 supp PANAD5 PANADOL ADVANCE Tabs 500MG 24 tabs PANAD6 PANADOL ADVANCE Tabs 500MG 48 tabs PANAD7 PANADOL ADVANCE Tabs 500MG 72 tabs PANAD8 PANADOL ADVANCE Tabs 500MG 96 tabs PANAD14 PANADOL ACTIFAST Tabs 500MG 20 tabs PANAD27 PANADOL ALL IN ONE Tabs 0 24 tabs PANAD47 PANADOL BABY AND INFANT Syrp 0 100 ml PANAD17 PANADOL COLD & FLU Capl 0 24 capl PANAD48 PANADOL COLD AND FLU DAY AND NIGHT(CAPLETS/TABLETS) Capl 0 24 capl PANAD20 PANADOL COLD AND FLU HOT LEMON AND HONEY Pwdr 0 10 sach PANAD18 PANADOL COLD-DAY Tabs 500/2/30MG 24 tabs PANAD21 PANADOL ELIXIR Syrp 240MG/5ML 60 ml PANAD9 PANADOL EXTRA Capl 500/65MG 24 capl PANAD10 PANADOL EXTRA Capl 500/65MG 48 capl PANAD22 PANADOL JOINT Tabs 665MG 18 tabs 355 356 | Patient Minimum Data Set PANAD45 PANADOL JUNIOR caps 0 30 caps PANAD24 PANADOL NIGHT Capl 500/25MG 24 capl PANAD44 PANADOL Osol 0 15 ml PANAD25 PANADOL SINUS Capl 500/30MG 24 capl PANAD26 PANADOL SOLUBLE EfTb 500MG 24 efTb PANAD11 PANADOL Supp 125MG 10 supp PANAD12 PANADOL Supp 250MG 10 supp PANAD13 PANADOL Supp 500MG 10 supp PANAD1 PANADOL Tabs 500MG 24 tabs PANAD2 PANADOL Tabs 500MG 48 tabs PANAD4 PANADOL Tabs 500MG 96 tabs PANAD46 PANADREX Susp 250MG/5ML 100 ml PANAD32 PANADREX Syrp 125mg/5ml 100 ml PANAD31 PANADREX Tabs 500mg 24 tabs PANAD28 PANADREX Tabs 500mg 48 tabs PANAD33 PANADREX Tabs 500mg 96 tabs PANDE1 PANDERM Crm 0 15 gm PANDE2 PANDERM Oint 0 15 gm PANGE4 PANGEN COMPRESS 5X7X0.6 Dres 0 10 dres PANGE1 PANGEN Pwdr 0.4GM 10 sach PANGE3 PANGESIC Soln 50MG/5 ML 120 ml PANOX5 PANOXYL Gel 10% 40 gm PANOX7 PANOXYL Gel 5% 40 gm PANTH5 PANTHENOL Inj 500MG 3 amp PANTO4 PANTOVER Tabs 40MG 14 tabs PANTO6 PANTOZOLE Tabs 40MG 15 tabs PANTO12 PANTOZOLE Tabs 40MG 30 tabs PARAC2 PARACETAMOL Tabs 500MG 200 tabs PARAM3 PARAMOL INFANT Supp 125MG 5 supp PARAM1 PARAMOL Syrp 120MG/5ML 125 ml PARAM2 PARAMOL Tabs 500MG 20 tabs PARAN2 PARANORM Syrp 0 75 ml PARAP1 PARAPLATIN(15ml) Inj 150MG/15ML 1 vial PARAP2 PARAPLATIN(5ml) Inj 50MG/5 ML 1 vial PARIE2 PARIET Tabs 10 MG 14 tabs PARIE3 PARIET Tabs 10 MG 28 tabs PARIE1 PARIET Tabs 20 MG 14 tabs PARIE4 PARIET Tabs 20MG 28 tabs PARLO2 PARLODEL Caps 5MG 20 caps PARLO3 PARLODEL L.A Inj 50 MG/2ML 2 ml PARLO1 PARLODEL Tabs 2.5 MG 30 tabs PARNA1 PARNATE Tabs 10MG 50 tabs PAROX1 PAROXATE Tabs 20MG 20 tabs PAROX2 PAROXATE Tabs 40MG 20 tabs PASPA1 PASPAT(0.2ml) Inj COMBINATIO 5 vial Appendices Patient Minimum Data Set | Appendices PATAD1 PATADAY EyDr 0.2% 2.5 ml PATAN1 PATANOL EyDr 0.1% 5 ml PAXEL1 PAXELADINE Caps 40MG 15 caps PAXEL2 PAXELADINE Syrp 10MG/5ML 125 ml PAXID3 PAXIDAL Tabs 0 12 tabs PAXID2 PAXIDAL Tabs 0 30 tabs PECTA1 PECTAL Syrp 100MG/5ML 120 ml PECTO9 PECTOLYN D Tabs 0 20 tabs PECTO5 PECTOLYN DECONGESTANT Syrp 0 150 ml PECTO6 PECTOLYN EXPECTORANT Soln 0 150 ml PECTO7 PECTOLYN PEDIATRIC Soln 0 150 ml PECTO3 PECTOLYN Syrp 0.42G+1.98 150 ml PECTO1 PECTORAL Syrp 0 100 ml PECTO2 PECTORAL Syrp 0 150 ml PEDIA2 PEDIALYTE Soln 0 240 ml PEDIA5 PEDIAZOLE POWDER Gran 0 200 ml PEDIA4 PEDIAZOLE POWDER Soln 0 100 ml PEDVA1 PEDVAX HIB (0.5ml) Inj 0 1 vial PEFLA1 PEFLACINE Inj 400MG/5ML 5 amp PEFLA2 PEFLACINE Tabs 400MG 2 tabs PEGAS1 PEGASYS 135 MCG/0.5ML Inj 0 1 pfs PEGAS3 PEGASYS 180 MCG/0.5ML Inj 0 1 pfs PEGAS2 PEGASYS Inj 135MCG 1 vial PEGAS4 PEGASYS Inj 180MCG 1 vial PEG-I3 PEG-INTRON (5ml) Inj 100MCG 1 vial PEG-I4 PEG-INTRON (5ml) Inj 50MCG 1 vial PEG-I5 PEG-INTRON (5ml) Inj 80MCG 1 vial PEG-I1 PEG-INTRON Inj 120MCG 1 vial PEG-I2 PEG-INTRON Inj 150MCG 1 vial PEG-I9 PEG-INTRON PEN Inj 100MCG 1 pfs PEG-I10 PEG-INTRON PEN Inj 120MCG 1 pfs PEG-I6 PEG-INTRON PEN Inj 150MCG 1 pfs PEG-I7 PEG-INTRON PEN Inj 50MCG 1 pfs PEG-I8 PEG-INTRON PEN Inj 80MCG 1 pfs PELLI1 PELLIT Gel 0 30 gm PENAD1 PENADUR L.A Inj 1200000 10 vial PENAD2 PENADUR L.A Inj 2400000 10 vial PENAD4 PENADUR L.A Inj 600000 10 vial PENAM1 PENAMOX Caps 250 MG 20 caps PENAM2 PENAMOX Caps 500 MG 20 caps PENAM4 PENAMOX Osol 100MG/ML 10 ml PENAM6 PENAMOX Susp 125MG/5ML 100 ml PENAM5 PENAMOX Susp 250MG/5ML 100 ml PENAM7 PENAMOX Tabs 1000 MG 12 tabs PENET1 PENETRADOL Oint 0 50 gm 357 358 | Patient Minimum Data Set PENIC2 PENICILLIN Syrp 250MG/ML 100 ml PENIC1 PENICILLIN V Syrp 125MG/ML 100 ml PENIC3 PENICILLINE PROCAINE 400000 Inj 0 1 vial PENTA1 PENTACARD Tabs 20MG 100 tabs PENTA4 PENTASA SR. Tabs 500MG 100 tabs PENTA6 PENTASA Enma 1GM 7 ea PENTA3 PENTASA Gran 1GM 50 sach PENTA7 PENTASA1 GM Supp 1 GM 28 supp PENTH2 PENTHROX 245 InhS 0 10 udv PENTH1 PENTHROX Inhl 0 10 ea PENTO1 PENTOSTAM Inj 100MG/ML 100 ml PENTO2 PENTOXINE SR Tabs 400MG 20 tabs PENTR1 PENTREXYL Caps 250 MG 12 caps PENTR9 PENTREXYL Caps 250MG 500 caps PENTR2 PENTREXYL Caps 500 MG 12 caps PENTR10 PENTREXYL Caps 500MG 500 caps PENTR3 PENTREXYL Inj 1 GM 1 vial PENTR4 PENTREXYL Inj 250 MG 1 vial PENTR5 PENTREXYL Inj 500MG 1 vial PENTR6 PENTREXYL Soln 100 MG/ML 10 ml PENTR7 PENTREXYL Susp 250MG/5ML 60 ml PENTR8 PENTREXYL Syrp 125 MG/5ML 60 ml PEPCI1 PEPCIDIN Inj 20MG 5 vial PEPCI3 PEPCIDIN Tabs 20MG 30 tabs PEPCI5 PEPCIDIN Tabs 20MG 50 tabs PEPCI4 PEPCIDIN Tabs 40MG 10 tabs PEPCI2 PEPCIDIN Tabs 40MG 30 tabs PEPTA5 PEPTAC Tabs 300MG 10 tabs PEPTA1 PEPTAZOL Caps 30 MG 14 caps PEPTA3 PEPTAZOLE Caps 15 MG 14 caps PERDE1 PERDERM Oint 0.05% 30 gm PERFA1 PERFALGAN Inj 1GM 12 vial PERGO1 PERGONAL Inj 1000IU 1 amp PERGO2 PERGONAL Inj 500IU 1 amp PERIA1 PERIACTIN Tabs 4MG 20 tabs PERID1 PERIDON Tabs 10MG 30 tabs PERIT28 PERITONEAL DIALYSIS + DEXTROSE + CA(2.3%-1.75MMOL/L) Inj 0 1000 ml PERIT26 PERITONEAL DIALYSIS + DEXTROSE + CA(2.3%-1.75MMOL/L) Inj 0 2000 ml PERIT27 PERITONEAL DIALYSIS + DEXTROSE + CA(2.3%-1.75MMOL/L) Inj 0 250 ml PERIT25 PERITONEAL DIALYSIS + DEXTROSE + CA(2.3%-1.75MMOL/L) Inj 0 500 ml PERIT24 PERITONEAL DIALYSIS + DEXTROSE Inj 1.50% 1000 ml PERIT20 PERITONEAL DIALYSIS + DEXTROSE Inj 1.50% 2000 ml PERIT22 PERITONEAL DIALYSIS + DEXTROSE Inj 1.50% 250 ml PERIT21 PERITONEAL DIALYSIS + DEXTROSE Inj 1.50% 500 ml PERIT18 PERITONEAL DIALYSIS + DEXTROSE Inj 2.30% 1000 ml Appendices Patient Minimum Data Set | Appendices PERIT14 PERITONEAL DIALYSIS + DEXTROSE Inj 2.30% 2000 ml PERIT19 PERITONEAL DIALYSIS + DEXTROSE Inj 2.30% 250 ml PERIT15 PERITONEAL DIALYSIS + DEXTROSE Inj 2.30% 500 ml PERIT17 PERITONEAL DIALYSIS + DEXTROSE Inj 4.25% 1000 ml PERIT23 PERITONEAL DIALYSIS + DEXTROSE Inj 4.25% 2000 ml PERIT13 PERITONEAL DIALYSIS + DEXTROSE Inj 4.25% 250 ml PERIT16 PERITONEAL DIALYSIS + DEXTROSE Inj 4.25% 500 ml PERSA4 PERSANTIN S.C Tabs 25MG 30 tabs PERSA3 PERSANTIN S.C Tabs 75MG 15 tabs PETRA1 PETRALAR Crm 0.025% 15 gm PETRA2 PETRALAR FORTE Crm 0.25% 15 gm PETRA3 PETRALAR N Crm 0 15 gm PEVAR3 PEVARYL POWDER FOR SPRAY Pwdr 1% 200 gm PEVAR1 PEVARYL Crm 1% 30 gm PEVAR4 PEVARYL FOAM SOLUTION Soln 1% 3 sach PEVAR5 PEVARYL HEALING PASTE Past 1% 30 gm PEVAR6 PEVARYL LIPOGEL Gel 1% 15 gm PEVAR8 PEVARYL SOLUTION Spry 0 150 gm PEVAR7 PEVARYL Tsol 1% 30 ml PEVIS1 PEVISONE Crm 1/0.1% 15 gm PHARM8 PHARMEXIN Caps 250 MG 20 caps PHARM9 PHARMEXIN Caps 500 MG 20 caps PHARM10 PHARMEXIN Susp 125MG/5 ML 60 ml PHARM12 PHARMEXIN Susp 250MG/ ML 100 ml PHARM11 PHARMEXIN Tabs 1GM 12 tabs PHENE2 PHENERGAN Inj 25 MG/1ML 10 vial PHENE3 PHENERGAN Syrp 1MG/1ML 100 ml PHENE4 PHENERGAN Tabs 10MG 56 tabs PHENE1 PHENERGAN Tabs 25MG 56 tabs PHENI1 PHENICOL EyDr 0.50% 10 ml PHENI3 PHENIRAM BP Tabs 4 MG 20 tabs PHENI2 PHENIRAM Syrp 2MG/5 ML 100 ml PHENS1 PHENSEDYL LINCTUS Syrp 0 100 ml PHILL1 PHILLIPS MILK OF MAGNESIA Osol 415MG/5ML 120 ml PHILL2 PHILLIPS MILK OF MAGNESIA Osol 415MG/5ML 360 ml PHOLP1 PHOLPRINE LINCTUS Syrp COMBINATIO 125 ml PHOSP4 PHOSPHLUGEL Gel 0 10 sach PHOSP3 PHOSPHOPLEX C Syrp COMBINATIO 120 ml PHYSI1 PHYSIOTENS Tabs 0.2MG 28 tabs PHYSI2 PHYSIOTENS Tabs 0.2MG 98 tabs PHYSI4 PHYSIOTENS Tabs 0.4MG 28 tabs PHYSI5 PHYSIOTENS Tabs 0.4MG 98 tabs PHYTO1 PHYTOMENADIONE Inj 10MG/ML 6 amp PICO-1 PICO - SALAX Pwdr 0 2 sach PILKA1 PILKA DROPS Soln 0 10 ml 359 360 | Patient Minimum Data Set PILKA2 PILKA DROPS Soln 0 20 ml PILOT1 PILOTINA-2 (2%) EyDr 2% 10 ml PIMAF3 PIMAFUCORT Crm 0 30 gm PIMAF4 PIMAFUCORT Oint 0 30 gm PINKB1 PINK BISMUTH ChwT 262MG 30 tabs PIPER2 PIPERACILLIN- TAZOBACTAM SANDOZ 4.5G Inj 4/0.5GM 1 vial PIPOR5 PIPORTIL L.A Inj 100MG/ML 1 amp PIPOR2 PIPORTIL (1ml) Inj 25MG/1ML 3 amp PIPOR3 PIPORTIL (4ml) Inj 100MG/4ML 1 amp PIPOR1 PIPORTIL Tabs 10MG 20 tabs PIPRA1 PIPRAM Caps 200MG 20 caps PIPRI1 PIPRIL I.V.I.M Inj 2GM 1 vial PIPRI2 PIPRIL I.V.I.M Inj 4GM 1 vial PIRAC1 PIRACIL Inj 2GM 1 vial PLAGR1 PLAGRIL Tabs 75MG 20 tabs PLAQU1 PLAQUENIL Tabs 200MG 60 tabs PLASB1 PLASBUMIN - 5 (250ML) Inj 5% 1 vial PLASB3 PLASBUMIN - 5 (500ML) Inj 5% 1 vial PLASB2 PLASBUMIN - 5 (50ML) Inj 5% 1 vial PLASI1 PLASIL Osol 1MG/ML 120 ml PLASI4 PLASIL PAED DROPS Osol 4MG/ML 20 ml PLASI2 PLASIL Tabs 10MG 24 tabs PLASM3 PLASMANATE (250ML) Inf 5% 1 vial PLASM4 PLASMANATE (500ML) Inf 5% 1 vial PLASM2 PLASMANATE (50ML) Inf 5% 1 vial PLATI2 PLATINEX R.T.U (100ml) Inf 50MG/100ML 100 ml PLATI3 PLATINEX R.T.U(20ml) Inf 10MG/20ML 20 ml PLATI4 PLATINEX R.T.U(50ml) Inf 25MG/50ML 50 ml PLAVI1 PLAVIX Tabs 300MG 30 tabs PLAVI2 PLAVIX Tabs 75MG 28 tabs PLEND3 PLENDIL Tabs 10MG 100 tabs PLEND1 PLENDIL Tabs 10MG 30 tabs PLEND4 PLENDIL Tabs 5MG 100 tabs PLEND2 PLENDIL Tabs 5MG 30 tabs PLITI3 PLITICAN Inj 50MG/2ML 6 amp PLITI1 PLITICAN Soln 12MG/ML 30 ml PLITI2 PLITICAN Tabs 50 MG 12 tabs POLAR3 POLARAMINE EXPECTORANT Syrp 0 120 ml POLAR1 POLARAMINE Syrp 2MG/5ML 120 ml POLAR2 POLARAMINE Tabs 6MG 20 tabs POLAR4 POLARONIL Tabs 0 30 tabs POLYC3 POLYCROL FORT Susp COMBINATIO 300 ml POLYC1 POLYCROL Susp COMBINATIO 300 ml POLYG1 POLYGYNAX Pess COMBINATIO 12 pess POLYG2 POLYGYNAX Pess COMBINATIO 6 pess Appendices Patient Minimum Data Set | Appendices POLYS5 POLYSILANE INFANT Gran 0 50 gm POLYS3 POLYSILANE Emln 15% 170 gm POLYS4 POLYSILANE Gran 2.25GM 30 sach POMMA1 POMMAGE MIDY Crm 0 40 gm POMOL3 POMOL DROPS Soln 100MG 15 ml POMOL1 POMOL Syrp 120MG/5ML 100 ml POMOL2 POMOL Tabs 500MG 96 tabs PONDO2 PONDOCILLIN Susp 125MG/5ML 60 ml PONST1 PONSTAN Caps 250MG 20 caps PONST5 PONSTAN FORTE Tabs 500MG 20 tabs PONST2 PONSTAN FORTE Tabs 500MG 50 tabs PONST3 PONSTAN PAED Susp 50MG/5ML 125 ml PONST4 PONSTAN Tabs 250MG 50 tabs POTEN1 POTENCORT Crm 50MG/100GM 15 gm POTEN2 POTENCORT Oint 5MG/100GM 15 gm POXID1 POXIDIUM S.C Tabs 5/2.5MG 30 tabs PRADA1 PRADAXA Caps 110MG 30 caps PRADA2 PRADAXA Caps 110MG 60 caps PRADA3 PRADAXA Caps 75MG 30 caps PRADA4 PRADAXA Caps 75MG 60 caps PRAGM2 PRAGMATAR oint 0 25 gm PRAME1 PRAMET F.A Tabs COMBINATIO 100 Tabs PRAVA1 PRAVATOR Tabs 40 MG 10 tabs PRAXI1 PRAXILENE Caps 100 MG 100 caps PRAXI2 PRAXILENE Caps 100 MG 500 caps PRAZI2 PRAZIN Tabs 0.25 MG 30 tabs PRAZI4 PRAZIN Tabs 0.5 MG 30 tabs PRAZI3 PRAZIN Tabs 1 MG 30 tabs PRECE1 PRECEDEX Inj 100MCG/ML 1 vial PREDF1 PRED FORT EyDr 1% 5 ml PREFA1 PREFAGYL EfTb COMBINATIO 20 efTb PREGN1 PREGNACARE Caps COMBINATIO 30 caps PREGN2 PREGNATAL Tabs COMBINATIO 30 tabs PREGN3 PREGNYL(1ml) Inj 1500 I.U 3 amp PREGN4 PREGNYL(1ml) Inj 5000 I.U 3 amp PRELL1 PRELLORAN Crm 1 / 4% 30 gm PREMA1 PREMARIN Tabs 0.625MG 100 tabs PREMA2 PREMARIN Tabs 1.25MG 20 tabs PREMA3 PREMARIN VgCr 0.625MG/GM 42.5 gm PREME1 PREMELLE 2.5/0.625MG Tabs 0 28 tabs PREME4 PREMELLE CYCLE 10 Tabs 10/0.625MG 28 tabs PREME3 PREMELLE CYCLE Tabs 5/0.625MG 28 tabs PREME2 PREMELLE Tabs 5/0.625MG 28 tabs PREMO3 PREMOSAN DROPS Soln 4MG/1ML 15 ml PREMO7 PREMOSAN Supp 10MG 10 supp 361 362 | Patient Minimum Data Set PREMO5 PREMOSAN Supp 20MG 10 supp PREMO6 PREMOSAN Supp 5 MG 10 supp PREMO1 PREMOSAN Syrp 5MG/5ML 120 ml PREMO2 PREMOSAN Tabs 10MG 20 tabs PREMP3 PREMPAK - C 0.625/0.15MG(WYETH IRELAND) Tabs 0 40 tabs PREMP4 PREMPAK - C 1.25/0.15MG(WYETH IRELAND) Tabs 0 40 tabs PREMP5 PREMPAK-C 0.625/0.15MG (WYETH-UK) Tabs 0 40 tabs PREPA1 PREPARATION H Oint 1/3GM/100G 25 gm PREPA2 PREPARATION H Supp 23/69MG 12 supp PREPE2 PREPERATION-H Oint 0 25 gm PREPE1 PREPERATION-H Supp 0 12 supp PRESU6 PRESUMEX Tabs 100MG 28 tabs PRESU4 PRESUMEX Tabs 25MG 28 tabs PRESU5 PRESUMEX Tabs 50MG 28 tabs PRETE3 PRETERAX ARGININE 2.5 MG / 0.625 MG Tabs 0 30 tabs PRETE2 PRETERAX ARGININE 2.5/0.625MG Tabs 0 30 tabs PRETE4 PRETERAX Tabs 0 30 tabs PRETE1 PRETERAX Tabs 0 30 tabs PREVE2 PREVENAR 13 Inj 0 1 pfs PREVE1 PREVENAR Inj 0 1 pfs PREZI1 PREZISTA Tabs 300MG 120 tabs PRIMA2 PRIMALAN Syrp 1.25MG/5ML 60 ml PRIMA1 PRIMALAN Syrp 5MG/5ML 60 ml PRIMA3 PRIMALAN Tabs 10MG 14 tabs PRIMA4 PRIMALAN Tabs 5MG 14 tabs PRIMO3 PRIMOCEF Inj 0.5 GM 1 vial PRIMO4 PRIMOCEF Inj 1 GM 1 vial PRIMO9 PRIMOLUT N Tabs 5MG 30 tabs PRIMP9 PRIMPERAN Inj 0 6 amp PRIMP2 PRIMPERAN Osol 5MG/5ML 200 ml PRIMP4 PRIMPERAN Supp 10MG 10 supp PRIMP5 PRIMPERAN Supp 20MG 10 supp PRIMP6 PRIMPERAN Tabs 10MG 20 tabs PRIMP8 PRIMPEROXANE ChwT 5/250MG 18 chwt PRIOR1 PRIORIX-TETRA Inj COMBINATIO 1 vial PRISO1 PRISOLINE Drop 5/5MG/10ML 15 ml PRIST1 PRISTIQ Tabs 50MG 30 tabs PRIZM2 PRIZMA Inj 4/0.5GM 1 vial PRO--2 PRO - DAFALGAN Inj 1G 5 pfs PRO--1 PRO - DAFALGAN Inj 2G 8 pfs PRO-D1 PRO -DAFALGAN Inj 1GM 5 vial PRO-B2 PRO-BANTHINE Tabs 15 MG 40 tabs PROCO5 PROCOMVAX - 4843(0.5ML) Inj 0 10 ml PROCO2 PROCOMVAX-4843(0.5ml) Inj 0 10 vial PROCO3 PROCORALAN Tabs 5MG 56 tabs Appendices Patient Minimum Data Set | Appendices PROCO4 PROCORALAN Tabs 7.5MG 56 tabs PROCT1 PROCTO - HEAL Oint 0.1/20MG/G 15 gm PROCT2 PROCTO - HEAL Supp 0 10 supp PROCT3 PROCTO-GLYVENOL Crm 5/2GM/100G 30 gm PROCT4 PROCTO-GLYVENOL Supp 400/40MG 10 supp PROCT8 PROCTOLAR CENTER Oint 0.01/2% 30 gm PROCT9 PROCTOLAR CENTER Supp 0.1/2/5% 10 supp PROCT10 PROCTOSEDYL Oint 5/5MG/GM 15 gm PROCT11 PROCTOSEDYL Supp 5/5MG 12 supp PROCT5 PROCTO-SYNALAR Oint 0.1/20MG/G 15 gm PROCT6 PROCTO-SYNALAR Supp 0.11/40MG 10 supp PROF.4 PROF. Susp 0 100 ml PROF.1 PROF. Tabs 400mg 20 tabs PROF.2 PROF. Tabs 400MG 30 tabs PROF.3 PROF. Tabs 600MG 30 tabs PROFA2 PROFASI (1ml) Inj 1000 I.U 3 amp PROFA1 PROFASI Inj 1500 I.U 3 amp PROFA3 PROFASI(1ml) Inj 2000 I.U 3 amp PROFA4 PROFASI(1ml) Inj 500 I.U 3 amp PROFA5 PROFASI(1ml) Inj 5000 I.U 3 amp PROFE7 PROFENID 5ML Inj 100MG/2ML 6 amp PROFE4 PROFENID Gel 2.50% 60 gm PROFE9 PROFENID Inj 100MG 50 vial PROFE5 PROFENID Tabs 100MG 30 tabs PROFE6 PROFENID Tabs 200MG 14 tabs PROFE8 PROFER Gran 40MG 20 sach PROFI1 PROFILAR Syrp 1 MG/5 ML 120 ml PROFI2 PROFILAR Tabs 1 MG 30 tabs PROFI3 PROFINAL Susp 100MG/5ML 110 ml PROFI8 PROFINAL Tabs 200MG 1000 tabs PROFI4 PROFINAL Tabs 200MG 20 tabs PROFI10 PROFINAL Tabs 400MG 1000 tabs PROFI9 PROFINAL Tabs 400MG 24 tabs PROFI6 PROFINAL Tabs 600 MG 40 tabs PROFI7 PROFINAL XP Capl 400/65MG 20 capl PROGE1 PROGESIC Tabs 200MG 24 tabs PROGR1 PROGRAF Caps 1MG 100 caps PROGR2 PROGRAF Caps 5MG 100 caps PROGY1 PROGYLUTON Tabs 0 21 tabs PROHA1 PROHAIR Tabs 1MG 30 tabs PROKI1 PROKININ Susp 5MG/5ML 180 ml PROKI2 PROKININ Tabs 10MG 30 tabs PROLU1 PROLUTON DEPOT Inj 250MG/1ML 1 amp PROLU2 PROLUTON DEPOT Inj 500/2ML 1 amp PROMA1 PROMANTINE Syrp 1.2MG/ML 125 ml 363 364 | Patient Minimum Data Set PROME3 PROMETIN Syrp 0 125 ml PROME2 PROMETIN Syrp 5MG/5ML 100 ml PRONE1 PRONESTYL Inf 500 MG/ML 1 vial PRONE4 PRONESTYL Inj 100 MG/ML 1 vial PRONE3 PRONESTYL Tabs 250MG 25 tabs PROPE1 PROPECIA Tabs 1 MG 28 tabs PROPI1 PROPIOCINE Tabs 500MG 10 tabs PROSC1 PROSCAR Tabs 5MG 28 tabs PROSP3 PROSPAN INFANT DROPS Soln 43.75MG/ML 20 ml PROSP1 PROSPAN Supp 0.8GM 10 supp PROST2 PROSTACARE Tabs 5 MG 30 tabs PROST11 PROSTIGMINE (5ML) Inj 12.5MG/5ML 1 vial PROST10 PROSTIGMINE Inj 0.5MG/ML 5 amp PROST4 PROSTIN E2 Inj 1MG/ML 1 amp PROST5 PROSTIN V.R.O Inf 0.5 MG/ML 5 amp PROST6 PROSTINE E2 Tabs 0.5MG 10 tabs PROST8 PROSTINE VR Inj 0.5MG/ ML 5 amp PROTE1 PROTEC Inj 1GM 1 vial PROTE2 PROTEC Inj 2 GM 1 vial PROTE4 PROTELOS Gran 2GM 28 sach PROTH2 PROTHIADIN Caps 25MG 25 caps PROTH1 PROTHIADIN Tabs 75MG 100 tabs PROTH3 PROTHIADIN Tabs 75mg 20 tabs PROTO1 PROTOGYN Tabs 500 MG 12 tabs PROTO2 PROTOGYN Tabs 500 MG 4 tabs PROTO3 PROTON Tabs 20 MG 14 tabs PROTO5 PROTON Tabs 40MG 14 tabs PROTO6 PROTOPIC EyOn 0.03% 30 gm PROTO7 PROTOPIC EyOn 0.10% 30 gm PROVE1 PROVERA Tabs 100MG 100 tabs PROVE2 PROVERA Tabs 5MG 24 tabs PROVI6 PROVIDINE Emln 5GM 90 gm PROVI9 PROVIRON Tabs 25MG 20 tabs PROVI2 PROVIVE 1 0.2 ML Inj 1%20 ML 50 ml PROVI3 PROVIVE 1%(50ML) Inj 1% 1 vial PROVI1 PROVIVE 1(20ML) Inj 1% 1 vial PROXE5 PROXEN Supp 250MG 6 supp PROXE6 PROXEN Supp 500MG 6 supp PROXE2 PROXEN Tabs 250MG 20 tabs PROXE4 PROXEN Tabs 500MG 20 tabs PROXE8 PROXETINE Caps 20MG 14 caps PROXI2 PROXIDOL DS Tabs 550MG 10 tabs PROXI1 PROXIDOL Tabs 275MG 20 tabs PROXI3 PROXIMOL Gran 8/6/1GM 60 gm PROXI4 PROXIMOL Tabs 0.4MG 20 tabs Appendices Patient Minimum Data Set | Appendices PROZA1 PROZAC Caps 20MG 30 caps PROZA3 PROZAC DISP Tabs 20MG 14 tabs PROZA2 PROZAC Osol 20MG/5ML 70 ml PROZA6 PROZAC Tabs 20MG 28 tabs PROZA5 PROZAC Tabs 20MG 7 tabs PROZA4 PROZAC WEEKLY Caps 90MG 4 caps PULME4 PULMEX BABY Oint COMBINATIO 20 gm PULME2 PULMEX Inhl COMBINATIO 15 caps PULME3 PULMEX Oint COMBINATIO 40 gm PULMI8 PULMICORT TURBUHALER Inhl 100MCG 200 puff PULMI14 PULMICORT Inhl 100MCG 200 dose PULMI13 PULMICORT Inhl 200MCG 100 dose PULMI10 PULMICORT Inhl 200MCG 100 dose PULMI12 PULMICORT Inhl 200MCG 200 dose PULMI11 PULMICORT Inhl 50MCG 200 dose PULMI1 PULMICORT NEBULIZER ADULT(2ml) Inhl 100MCG 120 puff PULMI2 PULMICORT NEBULIZER CHILD(2ml) Inhl 0.25MG/2ML 20 amp PULMI5 PULMICORT RESPULES Inhl 0.5MG/2ML 20 amp PULMI9 PULMICORT TURBUHALER Inhl 200MCG 200 puff PULMI4 PULMICTAN CHILD Spry 1 MG 5 ml PULMI3 PULMICTAN Spry 4 MG 10 ml PULMO2 PULMOFLUIDE Syrp COMBINATIO 180 ml PULMO4 PULMOTROPIC Syrp 4MG/5ML 100 ml PULVO1 PULVO 47 Spry 5% 4 gm PUREG1 PUREGON 1ml Inj 100 IU 1 amp PUREG6 PUREGON 1ml Inj 50 IU 3 amp PUREG12 PUREGON 300I.U/ 0.36 ML Inj 0 1 cart PUREG14 PUREGON 600 I.U/0.72ML Inj 0 1 cart PUREG13 PUREGON Inj 50IU/0.5ML 1 vial PUREG7 PUREGON(0.5ml) Inj 100IU/0.5M 1 vial PURI-1 PURI - NETHOL Tabs 50MG 25 tabs PURIN1 PURINOL Tabs 100 MG 100 tabs PURIN2 PURINOL Tabs 300 MG 30 tabs PURSE1 PURSENNID Tabs 12 MG 20 tabs PYLOR1 PYLORID Tabs 400 MG 28 tabs PYOPE3 PYOPEN Inj 1GM 10 vial PYRAL1 PYRALVEX ORAL(K.S.A) Soln 5/1% 10 ml PYRAL2 PYRALVEX SOLUTION(U.K) Soln 5/10MG/ML 10 ml PYREM2 PYREMOL(AMIRYA) Supp 300MG 5 supp PYREM1 PYREMOL(G.S.K) Supp 300MG 5 supp PYRID1 PYRIDOXIN Tabs 25 MG 20 tabs PYRID2 PYRIDOXIN Tabs 40 MG 20 tabs PYRID6 PYRIDOXINE Tabs 25MG 20 tabs PYRID7 PYRIDOXINE Tabs 40MG 20 tabs QUIBR1 QUIBRON Syrp 0 120 ml 365 366 | Patient Minimum Data Set QUIBR2 QUIBRON T/SR Tabs 300MG 100 tabs QUINA1 QUINAX EyDr 0.15MG/ML 15 ml QUINO1 QUINOCORT Crm 0.5/1% 30 gm QUINO4 QUINODERM 5 Crm 5/0.5% 50 gm QUINO5 QUINODERM 5 Gel 5/0.5% 30 ml QUINO2 QUINODERM Crm 0 25 gm QUINO15 QUINODERM HYDROC Crm 1% 30 gm QUINO13 QUINODERM LOTIO-GEL Gel 5% 30 ml QUINO12 QUINODERM LOTIO-GEL Gel 5% 30 ml QUINO8 QUINODIS Inf 400MG/100M 1 vial QUINO14 QUINODIS Tabs 200MG 3 tabs QUINO6 QUINODIS Tabs 200MG 7 tabs QUINO7 QUINODIS Tabs 400MG 7 tabs QUINO9 QUINOPED Crm 5/0.5% 25 gm QUINO11 QUINOX Tabs 250 MG 10 tabs QUINO10 QUINOX Tabs 500MG 10 tabs QVARA1 QVAR AEROSOL Inhl 100 MCG 200 dose QVARA2 QVAR AEROSOL Inhl 50 MCG 200 dose RAFRE1 RAFREE Tabs 15MG 20 tabs RAFRE2 RAFREE Tabs 7.5MG 20 tabs RAFTO3 RAFTON Soln 0 500 ml RAMIT1 RAMITIN Syrp 5MG/5ML 100 ml RAMIT2 RAMITIN Tabs 10MG 10 tabs RAMLA1 RAMLAC Syrp 67GM/100ML 300 ml RAMOC2 RAMOCLAV Tabs 500/125MG 15 tabs RANAC2 RANACID Tabs 75MG 12 tabs RANI-4 RANI - NERTON Tabs 0 10 tabs RANI-5 RANI - NERTON Tabs 0 50 tabs RANI-1 RANI - NERTON Tabs 150 MG 100 tabs RANI-2 RANI - NERTON Tabs 150 MG 20 tabs RANIB1 RANIBOS(2ml) Inj 56MG/2ML 5 amp RANID1 RANID Tabs 150 MG 20 tabs RANID2 RANID Tabs 150 MG 60 tabs RANID3 RANID Tabs 300 MG 10 tabs RANID4 RANID Tabs 300 MG 30 tabs RANID5 RANIDINE Tabs 150MG 20 tabs RANIM1 RANIMAX AC Tabs 75 MG 10 tabs RANIT3 RANITAK Tabs 150MG 20 tabs RANIT4 RANITIDINE MABO Tabs 150MG 28 tabs RANIT5 RANITIDINE Tabs 150MG 20 tabs RANTA1 RANTAC Tabs 150MG 20 tabs RANTA5 RANTAG Tabs 150MG 20 tabs RANTA4 RANTAG Tabs 300MG 10 tabs RANTA2 RANTAG Tabs 75 MG 14 tabs RANTA3 RANTAG(2ml) Inj 50MG 5 amp Appendices Patient Minimum Data Set | Appendices RAPAM3 RAPAMUNE Soln 1MG/1ML 60 ml RAPAM1 RAPAMUNE Tabs 1MG 30 tabs RAPAM4 RAPAMUNE Tabs 2MG 100 tabs RAPAM2 RAPAMUNE Tabs 2MG 30 tabs RAPID1 RAPIDUS Tabs 50MG 20 tabs RAPIL2 RAPILYSIN RETEPLASE(ACTAVIS) Inj 10U 2 vial RAPIL1 RAPILYSIN(ROCHE) Inj 10 U 2 vial RASIL1 RASILEZ Tabs 150 MG 28 tabs RASIL2 RASILEZ Tabs 300 MG 28 tabs RAXAR5 RAXAR Tabs 400MG 10 tabs RAXAR3 RAXAR Tabs 400MG 7 tabs RAXAR6 RAXAR Tabs 600MG 10 tabs RAXAR4 RAXAR Tabs 600MG 7 tabs RAXID1 RAXIDONE Tabs 2MG 20 tabs RAXID2 RAXIDONE Tabs 4MG 20 tabs RAYON1 RAYON Tabs 10 MG 10 tabs RAZIM1 RAZIMOL ADULTS Tabs 500MG 30 tabs REBET1 REBETOL Caps 200 MG 70 caps REBET2 REBETOL Caps 200 MG 84 caps REBET5 REBETOL COMBINATION 3ml(VIAL) Caps 200MG 84 caps REBET6 REBETOL COMBINATION1.2 ml(PEN) Caps 200MG 70 caps REBET7 REBETOL COMBINATION1.2 ml(PEN) Caps 200MG 84 caps REBET8 REBETOL COMBINATION3 ml(VIAL) Caps 200MG 70 caps REBIF2 REBIF 22 MCG ( 6 MIU ) inj 22MCG/0.5M 12 pfs REBIF1 REBIF 22 MCG ( 6 MIU ) Inj 22MCG/0.5M 3 pfs RECOR5 RECORMON (0.3ML) Inj 10000I.U 6 pfs RECOR6 RECORMON (0.3ML) Inj 1000I.U 6 pfs RECOR7 RECORMON (0.3ML) Inj 2000I.U 6 pfs RECOR8 RECORMON (0.3ML) Inj 4000I.U 6 pfs RECOR9 RECORMON (0.3ML) Inj 5000I.U 6 pfs RECOR10 RECORMON (0.6 ML) Inj 20000I.U 6 pfs RECOR11 RECORMON (0.6 ML) Inj 30000I.U 4 pfs RECOR14 RECORMON 50,000 I.U. MULTIDOSE Inj 0 1 vial RECOR13 RECORMON Inj 6000IU 6 pfs RECTO4 RECTOPANBILINE RECTAL( 97.5/5g/dose) Gel 0 6 dose RECTO3 RECTOPLEXIL CHILD Supp COMBINATIO 10 supp REHID1 REHIDRAT Pwdr COMBINATIO 20 sach REHYD2 REHYDRAN-N Pwdr COMBINATIO 10 sach RELAM1 RELAMEX Tabs 10 MG 84 tabs RELAN1 RELANOX Osol COMBINATIO 180 ml RELEN1 RELENZA DISKHALER InhP 5MG 20 dose RELIF1 RELIFEX Tabs 500MG 20 tabs RELPA3 RELPAX Tabs 20 MG 3 tabs RELPA4 RELPAX Tabs 20 MG 6 tabs RELPA2 RELPAX Tabs 40 MG 3 tabs 367 368 | Patient Minimum Data Set RELPA1 RELPAX Tabs 40 MG 6 tabs REMER1 REMERON Tabs 15MG 30 tabs REMER2 REMERON Tabs 30MG 30 tabs REMER3 REMERON Tabs 45MG 30 tabs REMIC1 REMICADE InjP 100MG 1 vial REMIN9 REMIN - S Inj 1000MG 6 vial REMIN10 REMIN - S Inj 500MG 6 vial REMIN7 REMIN Tabs 100MG 30 tabs REMIN8 REMIN Tabs 300MG 30 tabs REMIN4 REMINYL [PROLONGED RELEASE] Caps 16MG 28 caps REMIN5 REMINYL [PROLONGED RELEASE] Caps 24MG 28 caps REMIN6 REMINYL [PROLONGED RELEASE] Caps 8MG 28 caps REMIN2 REMINYL Soln 4 MG/ML 100 ml REMIN3 REMINYL Tabs 4MG 14 tabs REMIN1 REMINYL Tabs 8MG 56 tabs REMOF1 REMOFEN Susp 100MG/5ML 120 ml REMOF2 REMOFEN Tabs 200MG 30 tabs REMOF3 REMOFEN Tabs 400 MG 30 tabs RENGA1 RENGASIL Caps 400MG 20 caps RENIT4 RENITEC I.V Inj 1 MG/ ML 10 vial RENIT1 RENITEC Tabs 10MG 28 tabs RENIT2 RENITEC Tabs 20MG 28 tabs RENIT3 RENITEC Tabs 5MG 28 tabs RENNI1 RENNIE Tabs 680/80MG 24 tabs RENNI3 RENNIE Tabs 680/80MG 96 tabs REPAR1 REPARIL Gel 1% 40 gm REPAR3 REPARIL Inj 5MG 5 amp REPAR5 REPARIL N Gel 1/5GM/100G 100 gm REPAR6 REPARIL N Gel 1/5GM/100G 40 gm REPAR2 REPARIL Tabs 20 MG 40 tabs REPAR4 REPARIL Tabs 40 MG 50 tabs REQUI3 REQUIP Tabs 0.25MG 210 tabs REQUI1 REQUIP Tabs 1MG 21 tabs REQUI4 REQUIP Tabs 2MG 21 tabs REQUI2 REQUIP Tabs 5MG 21 tabs RESOL1 RESOLVE PLUS 1.0 Crm 2%+1% 30 gm RESPA1 RESPAL Tabs 2MG 20 tabs RESPA2 RESPAL Tabs 4MG 20 tabs RESTA1 RESTAMINE Syrp 5MG/5ML 60 ml RESTA2 RESTAMINE Tabs 10 MG 10 tabs RESTO2 RESTOPINAL PEDIATRIC DROPS Osol 0.1/2MG 25 ml RESTR1 RESTROPIN tabs 0 30 tabs RESTR2 RESTROPINAL PAED.DROPS Osol 0 25 ml RESYL1 RESYL Syrp 2% 100 ml RETAR1 RETARPEN (5ml) Inj 1.2MIU 1 vial Appendices Patient Minimum Data Set | Appendices RETIN1 RETIN - A Gel 0.025% 30 gm RETIN3 RETIN A Crm 0.025% 30 gm RETIN4 RETIN A Crm 0.05% 30 gm RETRO1 RETROVIR Syrp 10 MG/ML 200 ml RETRO2 RETROVIR Tabs 300MG 60 tabs REVAC1 REVACOD Tabs 0 20 tabs REVAN2 REVANIN - P CHILDREN Supp 250/20MG 5 supp REVAN3 REVANIN - P INFANT Supp 125/10MG 5 supp REVAN4 REVANIN Tabs 0 1000 tabs REVAN1 REVANIN Tabs 500MG 20 tabs REYAT2 REYATAZ Caps 150 MG 60 caps REYAT1 REYATAZ Caps 200 MG 60 caps RHESO1 RHESONATIV (ANTI-D) Inj 250MCG 1 vial RHEUM1 RHEUMAFEN Inj 75MG/3ML 2 amp RHEUM2 RHEUMAFEN SR Caps 100MG 10 caps RHEUM7 RHEUMAMEDIN Oint 0 50 gm RHEUM4 RHEUMARENE Gel 1% 20 gm RHEUM5 RHEUMARENE Tabs 25MG 20 tabs RHEUM6 RHEUMARENE Tabs 50MG 20 tabs RHINA1 RHINAAXIA N NsSy 6% 26 ml RHINA2 RHINALIUM N NsDr 0 20 ml RHINA5 RHINATHIOL ADULT Syrp 5% 125 ml RHINA4 RHINATHIOL Caps 375MG 30 caps RHINA6 RHINATHIOL CHILDREN Syrp 2% 125 ml RHINA7 RHINATHIOL PROMETHAZINE Syrp 50MG/100ML 125 ml RHINE3 RHINERGAL Tabs 0 10 tabs RHINE4 RHINEX NsDr 0.05% 10 ml RHINE2 RHINEX NsDr 0.10% 10 ml RHINO1 RHINO - TUSSAL Caps COMBINATIO 10 caps RHINO13 RHINOCAP Caps 0 10 caps RHINO5 RHINOCORT AQUA NsSy 32 MCG 10 ml RHINO14 RHINOCORT AQUA NsSy 50MCG 200 puff RHINO6 RHINOCORT AQUA NsSy 64 MCG 10 ml RHINO4 RHINOCORT NsSy 50mcg/dose 200 dose RHINO11 RHINOSTOP Tabs COMBINATIO 20 tabs RHONA1 RHONAL Tabs 500MG 20 tabs RIABA1 RIABAL Inj 7.5MG/ML 6 amp RIABA2 RIABAL Tabs 30MG 20 tabs RIABR2 RIABROXOL Syrp 15MG/5ML 100 ml RIABR1 RIABROXOL Syrp 15MG/5ML 60 ml RIACE1 RIACETAMID EyDr 20% 15 ml RIACH4 RIACHOL EaDr 0 10 ml RIACH1 RIACHOL EyDr 0.5% 10 ml RIACH2 RIACHOL EyOn 10MG/GM 5 gm RIACO3 RIACORT Crm 1% 15 gm 369 370 | Patient Minimum Data Set RIAGE1 RIAGESIC Tabs 500MG 20 tabs RIALA1 RIALAC Osol 3.3MG/5ML 300 ml RIALO1 RIALOCAINE Gel 2% 20 gm RIALO2 RIALOL EyDr 0.50% 5 ml RIALO3 RIALOX Susp 0 180 ml RIALO4 RIALOX Tabs 225/200MG 30 tabs RIAMI1 RIAMIDE Syrp 5MG/5ML 60 ml RIANE1 RIANEST DROPS Osol 100.000 IU 30 ml RIANE2 RIANEST Oint 100,000IU 15 gm RIAPH1 RIAPHAN Syrp 15MG/5ML 100 ml RIASP2 RIASPASM Syrp 5MG/5ML 100 ml RIASP1 RIASPASM Tabs 10MG 20 tabs RIATR2 RIATROPINE EyDr 0.50% 5 ml RIATR1 RIATROPINE EyDr 1% 5 ml RIATR3 RIATROPINE EyOn 1% 5 gm RIAVA1 RIAVATE Oint 0.1% 15 gm RIAXI1 RIAXINE Syrp 4 MG/5 ML 100 ml RIAZE1 RIAZEM Tabs 60MG 30 tabs RIAZO1 RIAZOLE Susp 125MG/5ML 100 ml RIAZO2 RIAZOLE Tabs 250MG 20 tabs RIAZO3 RIAZOLE Tabs 500MG 20 tabs RIAZO4 RIAZOLIN EyDr 0.10% 15 ml RIFAC2 RIFACIN Caps 150MG 8 caps RIFAC1 RIFACIN Caps 300 MG 8 caps RIFAC3 RIFACIN Caps 300MG 8 caps RIFAD2 RIFADIN Caps 150MG 8 caps RIFAD1 RIFADIN Caps 300 MG 6 caps RIFAD3 RIFADIN Caps 300MG 100 caps RIFAD4 RIFADIN Caps 300MG 8 caps RIFAD5 RIFADIN Susp 2% 60 ml RIFAM1 RIFAMPICIN Caps 150MG 8 caps RIFAM2 RIFAMYCIN CHIBRET EyDr 10000IU/ML 10 ml RIFAM3 RIFAMYCIN CHIBRET EyOn 10000IU/G 5 gm RIFIN1 RIFINAH Tabs 150MG 100 tabs RIFIN2 RIFINAH Tabs 300MG 100 tabs RIMAC1 RIMACTANE Caps 150MG 8 caps RIMAC2 RIMACTANE Caps 300MG 8 caps RIMAC3 RIMACTANE Syrp 2% 50 ml RIMAC4 RIMACTAZID Tabs 300/150MG 20 tabs RIMAN1 RIMANAL Gel 2/1% 40 gm RINGE12 RINGER`S SOLUTION Inj 0 500 ml RINOF1 RINOFED Tabs 0 30 tabs RINOS1 RINOSIN NsDr 0 10 ml RIOPA1 RIOPAN Susp 0 350 ml RISEK1 RISEK Caps 10MG 14 caps Appendices Patient Minimum Data Set | Appendices RISEK2 RISEK Caps 20MG 14 caps RISEK5 RISEK Caps 20MG 7 caps RISEK3 RISEK Caps 40MG 14 caps RISEK4 RISEK Inj 40MG 1 vial RISPE11 RISPERDAL CONSTA Inj 25MG 1 vial RISPE12 RISPERDAL CONSTA Inj 37.5MG 1 vial RISPE10 RISPERDAL CONSTA Inj 50MG 1 vial RISPE9 RISPERDAL Osol 1MG/1ML 100 ml RISPE2 RISPERDAL Tabs 1 MG 60 tabs RISPE3 RISPERDAL Tabs 2 MG 20 tabs RISPE5 RISPERDAL Tabs 3 MG 20 tabs RIVOT3 RIVOTRIL Tabs 0.5MG 50 tabs RIVOT1 RIVOTRIL Tabs 2 MG 100 tabs RIVOT2 RIVOTRIL Tabs 2 MG 30 tabs ROACC2 ROACCUTANE Caps 10MG 30 caps ROACC1 ROACCUTANE Caps 20MG 30 caps ROBAX2 ROBAXIN Tabs 500MG 30 tabs ROBAX1 ROBAXISAL Tabs 400/500MG 30 tabs ROBIT1 ROBITUSSIN - CF Osol 100MG/5ML 119 ml ROCAL1 ROCALTROL Caps 0.25 MCG 30 caps ROCAL2 ROCALTROL Caps 0.5 MCG 30 caps ROCEP2 ROCEPHIN (2 ml) Inj 2 GM 1 vial ROCEP1 ROCEPHIN(10ML) Inj 1 GM 1 vial ROCEP3 ROCEPHIN(2ML) Inj 250 MG 1 vial ROCEP4 ROCEPHIN(2ml) Inj 500 MG 1 vial ROCEP5 ROCEPHIN(3.5 ml) Inj 1 GM 1 vial ROCEP6 ROCEPHIN(5ml) Inj 250 MG 1 vial ROCEP7 ROCEPHIN(5ml) Inj 500 MG 1 vial RODAV2 RODAVAN CHILD Supp COMBINATIO 5 supp RODAV1 RODAVAN Tabs COMBINATIO 20 tabs RODOG1 RODOGYL Tabs 0 20 tabs ROFEN7 ROFENAC D Tabs 50MG 20 tabs ROFEN1 ROFENAC Gel 1% 30 gm ROFEN10 ROFENAC Gel 10MG 50 gm ROFEN2 ROFENAC Inj 75MG/3ML 5 amp ROFEN8 ROFENAC SR Tabs 100MG 10 tabs ROFEN3 ROFENAC Supp 100MG 5 supp ROFEN4 ROFENAC Supp 12.5MG 10 supp ROFEN5 ROFENAC Supp 50MG 10 supp ROFEN9 ROFENAC Tabs 50MG 20 tabs ROFER8 ROFERON A (1 ML) Inj 18 MIU 1 vial ROFER9 ROFERON A (1ml) Inj 4.5MIU 1 vial ROFER10 ROFERON A 1 ML Inj 3MIU 1 vial ROFER2 ROFERON A Inj 3 MIU 1 pfs ROFER6 ROFERON A Inj 4.5MIU 1 pfs 371 372 | Patient Minimum Data Set ROFER7 ROFERON A Inj 6 MIU 1 vial ROFER3 ROFERON A Inj 6MIU 1 pfs ROFER4 ROFERON A Inj 9MIU 1 pfs ROFER5 ROFERON A Inj 9MIU 1 vial ROFER11 ROFERON A(0.3ML) PREFILLED SYRINGE Inj 18 MIU 1 cart ROLAN1 ROLAN(2ML) Inj 50MG 5 amp ROLET1 ROLETRA Tabs 10 MG 100 tabs ROLET2 ROLETRA Tabs 10MG 10 tabs ROMAC1 ROMAC Tabs 100MG 10 tabs ROMAC2 ROMAC Tabs 150MG 10 tabs ROMAC3 ROMAC Tabs 300MG 10 tabs R-OME1 R-OMEZ Caps 20MG 20 caps ROMIL1 ROMILAR Syrp 0 100 ml ROMIN1 ROMIN Syrp 15MG/5ML 120 ml RONAL1 RONALIN Tabs 2.5MG 30 tabs RONDE1 RONDEC Osol COMBINATIO 30 ml RONDE2 RONDEC Syrp COMBINATIO 120 ml RONDE4 RONDEC Tabs 0 20 tabs RONIA1 RONIAN Caps 10MG 100 caps RONIC1 RONICOL RETARD Tabs 150MG 20 tabs ROTAR1 ROTARIX (ORAL)PREFILLED APPLICATOR 1.5 ML Susp 10^6 CCID5 1 dose ROTAR3 ROTARIX VACCINE Susp 10^6 CCID5 1 pfs ROTHA1 ROTHACIN Caps 25 MG 30 caps ROTHA2 ROTHACIN Caps 25MG 1000 caps ROVAM4 ROVAMYCIN 0.75 Gran 0 10 sach ROVAM5 ROVAMYCIN 1.5 Gran 0 10 sach ROVAM3 ROVAMYCINE Gran 0.375 M.I. 10 sach ROVAM2 ROVAMYCINE Tabs 3 M.I.U 10 tabs ROVAM1 ROVAMYCINE Tabs 500MG 16 tabs ROVIG1 ROVIGON CHEW ChwT COMBINATIO 30 tabs ROWAP1 ROWAPRAXIN Tabs 10MG 20 tabs ROWAP2 ROWAPRAXIN Tabs 10MG 50 tabs ROXAM1 ROXAMED Tabs 150MG 10 tabs ROXCE5 ROXCEF I.V Inj 250 MG 1 vial ROXCE4 ROXCEF I.V Inj 500 MG 1 vial ROXCE3 ROXCEF(I.M) Inj 1 GM 1 vial ROXCE2 ROXCEF(I.M) Inj 500 MG 1 vial ROXCE1 ROXCEF(I.V) Inj 1 GM 1 vial ROXCE6 ROXCEF.IM Inj 250MG 1 vial ROXIL1 ROXIL Caps 500 MG 20 caps ROXIL2 ROXIL Susp 250MG/5ML 100 ml ROXON1 ROXONIN Tabs 60MG 20 tabs ROZAX1 ROZAX Caps 20MG 7 caps RUBIC1 RUBICALM Crm 0 30 gm RULID1 RULID Tabs 150MG 10 tabs Appendices Patient Minimum Data Set | Appendices RUMAF1 RUMAFEN Gel 1% 30 gm RUMAF2 RUMAFEN Gel 1% 50 gm RUMAF3 RUMAFEN Tabs 25MG 30 tabs RUMAF4 RUMAFEN Tabs 50MG 20 tabs RUTAC1 RUTA C Tabs 60/160MG 20 tabs RUXID2 RUXID Tabs 150MG 10 tabs RUXID1 RUXID Tabs 300MG 7 tabs RYNAC1 RYNACROM - M NsSy 2% 13 ml RYNAC2 RYNACROM - M NsSy 2% 26 ml RYNAC5 RYNACROM COMP NsSy 2/0.025% 13 ml RYNAC6 RYNACROM COMP NsSy 2/0.025% 26 ml RYNAC7 RYNACROM NsDr 2% 15 ml RYNAC8 RYNACROM NsSy 2% 17.5 ml RYNAC3 RYNACROM NsSy 4% 15 ml RYNAC4 RYNACROM NsSy 4% 22 ml RYTHI1 RYTHINATE Susp 200MG/5ML 100 ml RYTHM2 RYTHMODAN Caps 100MG 100 caps RYTHM3 RYTHMODAN Inj 50MG/5ML 5 amp SABRI2 SABRIL Gran 500MG 60 sach SABRI1 SABRIL Tabs 500MG 100 tabs SAIZE2 SAIZEN Inj 4IU 1 vial SALBU5 SALBULIN INHALER Inhl 0 200 pfs SALBU6 SALBULIN INHALER Inhl 0 400 pfs SALET1 SALETHAN Crm 12% 30 gm SALIC3 SALICORT Oint 0 30 gm SALIN1 SALINAL ChwT 42MG 30 tabs SALIO1 SALIOCT Osol 0 10 ml SALIP1 SALIPAX Caps 20MG 10 caps SALIP2 SALIPAX Caps 50mg 10 caps SALON1 SALONPAS Gel 15/7% 40 gm SALZO1 SALZONE Syrp 125MG/5ml 75 ml SALZO2 SALZONE Tabs 500MG 50 tabs SAMIX3 SAMIXON Inj 1 GM 1 vial SAMIX2 SAMIXON Inj 500 MG 1 vial SANDI8 SANDIMMUM NEORAL Caps 50 MG 50 caps SANDI9 SANDIMMUM NEORAL(oral) Osol 100MG/ML 50 ml SANDI10 SANDIMMUN NEORAL Caps 25 MG 50 caps SANDI1 SANDIMMUN Caps 100 MG 50 caps SANDI2 SANDIMMUN Caps 25 MG 50 caps SANDI3 SANDIMMUN Caps 50 MG 50 caps SANDI12 SANDIMMUN NEORAL Caps 10 MG 60 caps SANDI11 SANDIMMUN NEORAL Caps 100MG 50 caps SANDI4 SANDIMMUN Osol 100 MG/ML 50 ml SANDO2 SANDOGLOBULIN Inj 1GM 50 ml SANDO3 SANDOGLOBULIN Inj 3GM 100 ml 373 374 | Patient Minimum Data Set SANDO1 SANDOGLOBULIN Inj 6GM 200 ml SANDO14 SANDOSTATIN MULTIDOSE(5ML) Inj 0 1 amp SANDO5 SANDOSTATIN Inj 0.1 MG/ML 5 amp SANDO7 SANDOSTATIN Inj 0.5MG/ML 5 amp SAPOF2 SAPOFEN Gel 5 % w/w 50 gm SAPOF6 SAPOFEN JUNIOR Susp 100MG/5ML 145 ml SAPOF7 SAPOFEN PLUS Tabs 200/30MG 20 tabs SAPOF3 SAPOFEN Tabs 200MG 1000 tabs SAPOF4 SAPOFEN Tabs 400 MG 20 tabs SAPOF5 SAPOFEN Tabs 600 MG 30 tabs SARF-1 SARF Tabs 250 MG 10 tabs SARF-2 SARF Tabs 500 MG 10 tabs SARF-3 SARF Tabs 750 MG 10 tabs SARID2 SARIDON N FORTE Tabs 400 MG 10 tabs SARID1 SARIDON Tabs 250/150/50 10 tabs SARID3 SARIDON Tabs 250/150/50 250 tabs SCHER1 SCHERIPROCT Supp 1.3/1mg 6 supp SCOPI4 SCOPINAL Inj 20 MG/1ml 5 amp SCOPI5 SCOPINAL Syrp 0 100 ml SCOPI2 SCOPINAL Tabs 10mg 20 tabs SCOPO1 SCOPODERM TTS 1.5 Ptch 1.5 MG 2 ptch SEACA1 SEACAL Tabs 500mg 60 tabs SEBIV2 SEBIVO Tabs 600MG 28 tabs SECTR2 SECTRAL Tabs 400 MG 28 tabs SEDAG2 SEDAGESIC Tabs 0 20 tabs SEDAL1 SEDALAC Syrp 3.35GM/5ML 120 ml SEDAR1 SEDARTRYL BALM Crm combinatio 60 gm SEDER1 SEDERGINE UPSA LAB EfTb 200/300MG 20 tabs SEDIP1 SEDIPROCT Supp 0 6 supp SEDOF3 SEDOFAN D.M Syrp 0 100 ml SEDOF1 SEDOFAN Syrp 0 100 ml SEDOF2 SEDOFAN Tabs 60/2.5mg 30 tabs SEDOM1 SEDOMID Caps 2 MGL 10 caps SELEK1 SELEKTINE Tabs 15MG 30 tabs SELEK2 SELEKTINE Tabs 7.5MG 30 tabs SELGO1 SELGON DROPS Soln 40MG/ML 15 ml SELGO2 SELGON Tabs 20MG 20 tabs SELVI2 SELVIGON INFANT Supp 10MG 10 supp SEMPR1 SEMPREX Caps 8MG 24 caps SENDO1 SENDOCINE 9V Supp 100MG 12 supp SENNA1 SENNALAX Tabs 12MG 20 tabs SENAK1 SENOKOT Tabs 8.6MG 50 tabs SEPTO1 SEPTOPAL MINI CHAIN(GENTAMYCIN EQUIVALENT) Impl 4.5MG 10 impl SEPTR5 SEPTRIN D.S Tabs 800/160MG 10 tabs SEPTR9 SEPTRIN D.S Tabs 800/160MG 100 tabs Appendices Patient Minimum Data Set | Appendices SEPTR7 SEPTRIN INFUSION Inf 0 10 amp SEPTR1 SEPTRIN PAED. Susp 0 100 ml SEPTR2 SEPTRIN PAED. Susp 0 50 ml SEPTR3 SEPTRIN Tabs 400/80MG 100 tabs SEPTR4 SEPTRIN Tabs 400/80MG 20 tabs SERDO6 SERDOLECT Tabs 12 MG 100 tabs SERDO1 SERDOLECT Tabs 12 MG 28 tabs SERDO2 SERDOLECT Tabs 16 MG 100 tabs SERDO7 SERDOLECT Tabs 16 MG 28 tabs SERDO3 SERDOLECT Tabs 20 MG 100 tabs SERDO4 SERDOLECT Tabs 20 MG 28 tabs SERDO8 SERDOLECT Tabs 4 MG 100 tabs SERDO5 SERDOLECT Tabs 4 MG 30 tabs SEREN3 SERENACE Caps 5MG 20 caps SEREN7 SERENACE Inj 5MG/1ML 6 amp SEREN4 SERENACE Tabs 1.5MG 50 tabs SEREN2 SERENACE Tabs 10 MG 50 tabs SEREN6 SERENACE Tabs 5mg 50 tabs SERET3 SERETIDE DISKUS Inhl 50/100 MCG 60 dose SERET4 SERETIDE DISKUS Inhl 50/250 MCG 60 dose SERET5 SERETIDE DISKUS Inhl 50/500 MCG 60 dose SERET1 SERETIDE EVOHALER Inhl 25/125MCG 120 dose SERET2 SERETIDE EVOHALER Inhl 25/250MCG 120 dose SERET6 SERETIDE EVOHALER Inhl 25/50mcg 120 dose SEREV3 SEREVENT DISKUS Inhl 50MCG 60 dose SEREV1 SEREVENT Inhl 25MCG 120 dose SEREV2 SEREVENT Inhl 25MCG 60 dose SERMI1 SERMION Tabs 30MG 30 tabs SERMI2 SERMION Tabs 5mg 30 tabs SEROC1 SEROCRYPTIN Tabs 2.5mg 30 tabs SEROD1 SERODASE Tabs 5 MG 20 tabs SEROD2 SERODASE Tabs 5 MG 30 tabs SEROP1 SEROPHENE Tabs 50MG 30 tabs SEROQ7 SEROQUEL STARTER Tabs 25 /100MG 10 tabs SEROQ1 SEROQUEL Tabs 100 MG 60 tabs SEROQ3 SEROQUEL Tabs 200MG 60 tabs SEROQ5 SEROQUEL Tabs 25 MG 60 tabs SEROQ6 SEROQUEL Tabs 300 MG 60 tabs SEROQ10 SEROQUEL XR Tabs 200MG 60 tabs SEROQ8 SEROQUEL XR Tabs 300 MG 60 tabs SEROQ11 SEROQUEL XR Tabs 400 MG 60 tabs SEROQ9 SEROQUEL XR Tabs 50 MG 60 tabs SEROX3 SEROXAT CR Tabs 12.5MG 30 tabs SEROX4 SEROXAT CR Tabs 25MG 30 tabs SEROX2 SEROXAT Tabs 20MG 30 tabs 375 376 | Patient Minimum Data Set SERZO1 SERZONE Tabs 100MG 60 tabs SERZO2 SERZONE Tabs 150MG 60 tabs SERZO3 SERZONE Tabs 200MG 60 tabs SERZO4 SERZONE Tabs 250MG 60 tabs SERZO5 SERZONE Tabs 50MG 60 tabs SETRR2 SETRRAL Tabs 100MG 10 tabs SETRR1 SETRRAL Tabs 50MG 10 tabs SEVEN10 SEVEN SEAS COD LIVER OIL Syrp COMBINATIO 170 ml SEVOF1 SEVOFLURANE Inhl 0 250 ml SIBEL1 SIBELIUM Caps 5MG 20 caps SICOR1 SICORTEN Crm 0.05% 10 gm SICOR2 SICORTEN Oint 0.05% 10 gm SICOR3 SICORTEN PLUS Crm 0 10 gm SIFRO1 SIFROL Tabs 0.125MG 30 tabs SIFRO2 SIFROL Tabs 0.25MG 30 tabs SIFRO6 SIFROL Tabs 0.75MG 30 tabs SIFRO4 SIFROL Tabs 1MG 30 tabs SIGMA3 SIGMASPORIN MICROORAL Caps 100MG 50 caps SIGMA1 SIGMASPORIN MICROORAL Caps 25MG 50 caps SIGMA4 SIGMASPORIN MICROORAL Caps 50MG 50 caps SIGMA2 SIGMASPORIN MICROORAL Soln 100MG/1ML 50 ml SILOM9 SILOMAT COMP Syrp 0 125 ml SILOM6 SILOMAT SB 0 15 ml SILOM8 SILOMAT Syrp 0 125 ml SILOM7 SILOMAT Tabs 0 20 tabs SILVE1 SILVERIN Crm 1% 200 gm SILVE2 SILVERIN Crm 1% 30 gm SIMDA1 SIMDAX Inj 2.5MG/ML 1 vial SIMEC2 SIMECO Tabs 0 60 tabs SIMVA2 SIMVA Tabs 10MG 30 tabs SIMVA1 SIMVA Tabs 20MG 30 tabs SIMVA3 SIMVA Tabs 40MG 30 tabs SIMVA17 SIMVAGEN Tabs 10MG 30 tabs SIMVA18 SIMVAGEN Tabs 20MG 30 tabs SIMVA16 SIMVAGEN Tabs 40MG 30 tabs SIMVA12 SIMVAHEXAL Tabs 10MG 30 tabs SIMVA13 SIMVAHEXAL Tabs 20MG 30 tabs SIMVA14 SIMVAHEXAL Tabs 40MG 30 tabs SIMVA4 SIMVAST Tabs 10MG 28 tabs SIMVA5 SIMVAST Tabs 20MG 28 tabs SIMVA15 SIMVAST Tabs 40MG 30 tabs SIMVA7 SIMVATEN Tabs 10MG 30 tabs SIMVA8 SIMVATEN Tabs 20MG 30 tabs SIMVA9 SIMVATEN Tabs 40MG 30 tabs SIMVA10 SIMVATIN Tabs 10MG 30 tabs Appendices Patient Minimum Data Set | Appendices SIMVA11 SIMVATIN Tabs 20 MG 30 tabs SIMVE1 SIMVER Tabs 10MG 30 tabs SIMVE3 SIMVER Tabs 20MG 30 tabs SIMVE2 SIMVER Tabs 40MG 30 tabs SIMVO1 SIMVOR Tabs 10MG 10 tabs SIMVO2 SIMVOR Tabs 20mg 10 tabs SINEC1 SINECOD Osol 0.50% 20 ml SINEC2 SINECOD Syrp 0.15% 200 ml SINEM3 SINEMET CR Tabs 25/100 MG 100 tabs SINEM4 SINEMET CR Tabs 50/200 MG 100 tabs SINEM2 SINEMET CT Tabs 25/250MG 20 tabs SINEM5 SINEMET Tabs 125MG 100 ml SINE-1 SINE-UP Syrp 0 120 ml SINGU1 SINGULAIR ChwT 5MG 28 tabs SINGU3 SINGULAIR PAEDIATRIC Gran 4mg 28 sach SINGU2 SINGULAIR Tabs 10MG 28 tabs SINGU4 SINGULAR PAEDIATRIC ChwT 4MG 28 tabs SINOF1 SINOFREE Tabs 0 20 tabs SINUT1 SINUTAB Tabs 500/30mg 30 tabs SIPRO1 SIPROX Tabs 500 MG 10 tabs SIRDA5 SIRDALUD (TURKEY) Tabs 2MG 30 tabs SIRDA4 SIRDALUD (TURKEY) Tabs 4MG 30 tabs SIRDA2 SIRDALUD Tabs 2MG 30 tabs SIRDA3 SIRDALUD Tabs 4MG 30 tabs SIVAC1 SIVACOR Tabs 10 MG 10 tabs SIVAC2 SIVACOR Tabs 10 MG 30 tabs SIVAC3 SIVACOR Tabs 20 MG 10 tabs SIVAC4 SIVACOR Tabs 20 MG 30 tabs SKINO1 SKINOREN Crm 20% 30 gm SLOW-1 SLOW - TRASICOR Tabs 160MG 20 tabs SLOW-3 SLOW - TRASITENSIN DIVITAB Tabs 0 14 tabs SLOWF1 SLOW FE FOLIC Tabs 160/0.4mg 150 tabs SLOWF2 SLOW FE Tabs 160mg 150 tabs SLOWK1 SLOW K Tabs 600MG 100 tabs SMOOD1 SMOODERM Crm 0.5mg/gm 30 gm SODIU69 SODIUM BICARBONATE Pwdr 0 840 gm SODIU70 SODIUM CHLORID Irri 0.90% 1000 ml SODIU17 SODIUM CHLORIDE 0.9%(Bag) Inj 0.9% 500 ml SODIU71 SODIUM CHLORIDE Irri 0.90% 1000 ml SOFRA1 SOFRA - TULLE Dres 1% 10 stri SOFRA9 SOFRADEX EAR/EYE OINT. EyOn 0 5 gm SOFRA3 SOFRADEX EyDr 0 8 ml SOFRA4 SOFRAMYCIN EyDr 5MG/ML 10 ml SOFRA5 SOFRAMYCIN EyOn 5MG/GM 5 gm SOFRA10 SOFRAMYCIN Inj 500MG 6 vial 377 378 | Patient Minimum Data Set SOFRA11 SOFRAMYCIN Oint 0 15 gm SOFRA7 SOFRAMYCIN SKIN Crm 1% 15 gm SOLCO3 SOLCO - TRICHOVAC Inj 7•10^9 3 vial SOLCO9 SOLCOSERYL EyOn 20% 5 gm SOLCO5 SOLCOSERYL Gel 10% 20 gm SOLCO7 SOLCOSERYL Oint 5% 20 gm SOLCO8 SOLCOSERYL Past 1% 5 gm SOLCO11 SOLCOSERYL(2 ML) Inj 0 6 amp SOLCO10 SOLCO-TRICHOVAC(0.5 ML) Inj 0 1 amp SOLIA2 SOLIAN Tabs 200MG 30 tabs SOLIA4 SOLIAN Tabs 50 MG 30 tabs SOLU-3 SOLU-MEDROL Inj 1000MG 1 vial SOLU-2 SOLU-MEDROL Inj 125MG/2ML 1 vial SOLU-4 SOLU-MEDROL Inj 40MG/ML 1 vial SOLU-5 SOLU-MEDROL Inj 500MG 1 vial SOLVE2 SOLVEX 4 Syrp 5MG/5ML 100 ml SOLVE1 SOLVEX Caps 375mg 20 caps SOMAD1 SOMADRIL COMP. Tabs 350mg 25 tabs SOMAT1 SOMATONORM Inj 4IU 1 vial SOMAT3 SOMATOSTATIN Inj 250MCG 1 amp SOMAT2 SOMATOSTATIN Inj 3 MG 1 amp SONAT2 SONATA Caps 10MG 14 caps SONAT1 SONATA Caps 5MG 14 caps SOOLA1 SOOLAN Syrp 0 100 ml SORBI3 SORBIPERAN Syrp 0 200 ml SORTI2 SORTIVA FORTE Tabs 100 MG 30 tabs SORTI3 SORTIVA- H Tabs 100/25 MG. 30 tabs SORTI1 SORTIVA Tabs 50 MG 30 tabs SORTI4 SORTIVA-H Tabs 50/12.5MG 30 tabs SOTRE1 SOTRET Caps 10MG 30 caps SOTRE2 SOTRET Caps 20MG 30 caps SPASM12 SPASMAVERINE (2 ML) Inj 0 6 amp SPASM2 SPASMAVERINE Tabs 40MG 30 tabs SPASM4 SPASMIN Supp 0 5 supp SPASM13 SPASMO DIGESTIN Tabs 0 30 tabs SPASM11 SPASMO DIGESTIN Tabs 0 30 tabs SPASM5 SPASMO-CANULASE Tabs COMBINATIO 20 tabs SPASM7 SPASMOCIN Inj 20MG 6 amp SPASM8 SPASMOCIN Tabs 10 MG 20 tabs SPASM9 SPASMONAL Caps 60MG 20 caps SPASM10 SPASMOTALIN Tabs 100MG 20 tabs SPASM6 SPASMO-URGNIN Tabs 25/30/2MG 40 tabs SPECI2 SPECILLINE G Inj 1000.000IU 1 vial SPECI1 SPECILLINE G Inj 500.000 IU 1 vial SPERS1 SPERSACET C EyDr 5/100mg/ml 10 ml Appendices Patient Minimum Data Set | Appendices SPERS3 SPERSADEX COMP EyDr 5/1MG/ML 5 ml SPERS4 SPERSADEX EyDr 0.1% 5 ml SPERS5 SPERSALLERG EyDr 0.5mg/ml 10 ml SPERS6 SPERSANICOL EyDr 5mg/1ml 10 ml SPERS7 SPERSANICOL EyOn 1% 4 gm SPIRI1 SPIRIVA InhP 18 mcg 30 caps SPIRI2 SPIRIVA InhP 2.5 MCG 30 dose SPORA1 SPORANOX Caps 100MG 15 caps SPORA2 SPORANOX Caps 100MG 4 caps SPORI1 SPORIDEX Caps 250 MG 20 caps SPORI2 SPORIDEX Caps 500 MG 20 caps SPRYC1 SPRYCEL Tabs 20MG 60 tabs SPRYC2 SPRYCEL Tabs 50MG 60 tabs SPRYC3 SPRYCEL Tabs 70MG 60 tabs STABL1 STABLON Tabs 12.5 MG 30 tabs STALE7 STALEVO Tabs 100MG 100 tabs STALE1 STALEVO Tabs 150MG 100 tabs STALE3 STALEVO Tabs 50MG 100 tabs STAND1 STANDACILLIN(10ML) Inj 1 GM 1 vial STAND3 STANDACILLIN(5ML) Inj 0.5 MG 1 vial STARI1 STARIL Tabs 10MG 28 tabs STARI2 STARIL Tabs 20 MG 14 tabs STARL1 STARLIX Tabs 120 MG 24 tabs STARL2 STARLIX Tabs 120 MG 84 tabs STARL5 STARLIX Tabs 60MG 84 tabs STATR1 STATROL EyDr 0 5 ml STELA7 STELAZINE Caps 10 MG 10 caps STELA3 STELAZINE Caps 2MG 30 caps STELA4 STELAZINE Syrp 1MG/5MLl 200 ml STELA5 STELAZINE Tabs 1MG 50 tabs STELA6 STELAZINE Tabs 5MG 50 tabs STELL1 STELLAMIDE Tabs 1 MG&5MG 30 tabs STELL2 STELLASIL Tabs 1MG 30 tabs STELL3 STELLASIL Tabs 5MG 30 tabs STEME3 STEMETIL 1 ML Inj 0 10 amp STEME2 STEMETIL Syrp 0 100 ml STEME1 STEMETIL Tabs 5MG 250 tabs STESO12 STESOLID Enma 10MG 4 enma STESO13 STESOLID Enma 5MG 4 enma STESO11 STESOLID MIXTURE Syru 0.4MG 100 ml STIEM1 STIEMYCIN Tsol 0 25 ml STILN1 STILNOX Tabs 10MG 20 tabs STOCR4 STOCRIN (EFAVIRENZ) Tabs 600MG 30 tabs STOCR1 STOCRIN Caps 100MG 30 caps STOCR2 STOCRIN Caps 200MG 90 caps 379 380 | Patient Minimum Data Set STOCR3 STOCRIN Caps 50MG 30 caps STRAT1 STRATTERA Caps 10 MG 28 caps STRAT2 STRATTERA Caps 18 MG 28 caps STRAT3 STRATTERA Caps 25 MG 28 caps STRAT4 STRATTERA Caps 40 MG 28 caps STRAT5 STRATTERA Caps 60 MG 28 caps STREP6 STREPTOMYCIN Inj 1G 1 vial STROC1 STROCAIN Tabs 5MG 100 tabs STUGE1 STUGERON Caps 75 MG 20 caps STUGE2 STUGERON Tabs 25 MG 50 tabs SUBUT1 SUBUTEX SUBLINGUAL Sl 2 MG 7 tabs SUBUT2 SUBUTEX SUBLINGUAL Sl 8 MG 7 tabs SUCCI3 SUCCINYL ASTA I.V(2 ML) Inj 5% 5 vial SUCCR1 SUCCRALFATE Tabs 1g 30 Tabs SUCRA1 SUCRANASE Tabs 250 MG 30 tabs SUCRA2 SUCRAZIDE Tabs 5MG 30 tabs SUDAF4 SUDAFED EXPECT Syrp 130mg/5ml 100 ml SUDAF1 SUDAFED Syrp 30MG/5ML 100 ml SUDAF3 SUDAFED Tabs 0 12 tabs SUDAF5 SUDAFED Tabs 60MG 12 tabs SUDAF2 SUDAFED Tabs 60MG 24 tabs SUFIL2 SUFIL Susp 2% 30 ml SULPH5 SULPHACALYRE EyDr 10% 10 ml SULPH7 SULPHACALYRE EyDr 20% 10 ml SULPH6 SULPHACALYRE EyDr 30% 10 ml SULPH4 SULPHARGIN Crm 1% 20 gm SULTR2 SULTRIN TRIPLE SULFA Crm 0 78 gm SUPPL1 SUPPLIN Tabs 500MG 20 tabs SUPPL2 SUPPLIN Tabs 500MG 20 tabs SUPRA10 SUPRAPROCT S Supp 1/1 MG 10 supp SUPRA3 SUPRAPROCT-S Oint 1/5MG/GM 15 gm SUPRA12 SUPRAVIRAN Crm 5% 2 gm SUPRA13 SUPRAVIRAN Inf 250 MG 10 vial SUPRA14 SUPRAVIRAN Tabs 200 MG 25 tabs SUPRA15 SUPRAVIRAN Tabs 400 MG 35 tabs SUPRA16 SUPRAVIRAN Tabs 800 MG 35 tabs SUPRA20 SUPRAX Caps 200G 6 caps SUPRA19 SUPRAX Caps 400 MG 6 caps SUPRA4 SUPRAX Susp 100MG/5ML 30 ml SUPRA5 SUPRAX Susp 100MG/5ML 60 ml SUPRA21 SUPRAZOLE Tabs 200MG 20 tabs SUPRI1 SUPRISTOL Tabs 400/80MG 12 tabs SUREC1 SURECURE Gel 0.10% 30 gm SUREP3 SUREPTIL DROPS SB 0 100 ml SUREP2 SUREPTIL Tabs 20/200mg 50 tabs Appendices Patient Minimum Data Set | Appendices SURGA2 SURGAM Tabs 200 MG 20 tabs SURGA3 SURGAM Tabs 300 MG 20 tabs SURMO1 SURMONTIL Caps 25MG 50 caps SURMO2 SURMONTIL Tabs 25MG 50 tabs SURVA2 SURVANTA (8ML) Susp 200MG/8ML 1 vial SURVA1 SURVANTA(4ML) Susp 100MG/4ML 1 vial SURVE2 SURVECTOR Tabs 100MG 20 tabs SUSTA1 SUSTAC 2.6 PHARMAX Tabs 2.6MG 250 tabs SUSTA2 SUSTAC 6.4 PHARMAX Tabs 6.4MG 250 tabs SUSTA3 SUSTANON Inj 250MG 1 amp SUTEN1 SUTENT Caps 12.5MG 30 caps SUTEN2 SUTENT Caps 25MG 30 caps SUTEN3 SUTENT Caps 50MG 30 caps SUTRI2 SUTRIM Susp 240mg/5ml 100 ml SUTRI1 SUTRIM Tabs 80/400MG 20 tabs SYMBI3 SYMBICORT FORTE Inhl 320/9MCG 60 dose SYMBI2 SYMBICORT TURBUHALER Inhl 160/4.5MCG 12 dose SYMBI1 SYMBICORT TURBUHALER Inhl 160/4.5MCG 60 dose SYMBI4 SYMBICORT TURBUHALER Inhl 80/4.5MCG 60 dose SYNAG2 SYNAGIS 50 MG. (PALIVIZUMAB) Inj 50MG/0.5ml 1 vial SYNAG1 SYNAGIS Inj 100MG/1 ml 1 vial SYNAL8 SYNALAR - N Crm 0 30 gm SYNAL7 SYNALAR Crm 0 30 gm SYNAL1 SYNALAR Crm 0.025% 15 gm SYNAL6 SYNALAR Gel 0.025% 10 gm SYNAL5 SYNALAR N Crm .025/0.5% 15 gm SYNAL4 SYNALAR N Oint .025/0.5% 15 gm SYNAL2 SYNALAR Oint 0.025% 15 gm SYNAL3 SYNALAR Tsol 0.01% 20 ml SYNFL1 SYNFLORIX VACCINE InjS COMBINATIO 1 pfs SYNTA1 SYNTARIS NsSy 0.025% 24 ml SYNTH3 SYNTHROID Tabs 100 MCG 100 tabs SYNTH4 SYNTHROID Tabs 112MCG 100 tabs SYNTH5 SYNTHROID Tabs 125MCG 100 tabs SYNTH6 SYNTHROID Tabs 137MCG 100 tabs SYNTH7 SYNTHROID Tabs 150MCG 100 tabs SYNTH8 SYNTHROID Tabs 175MCG 100 tabs SYNTH9 SYNTHROID Tabs 200MCG 100 tabs SYNTH10 SYNTHROID Tabs 25MCG 100 tabs SYNTH11 SYNTHROID Tabs 300MCG 100 tabs SYNTH12 SYNTHROID Tabs 50MCG 100 tabs SYNTH13 SYNTHROID Tabs 75MCG 100 tabs SYNTH14 SYNTHROID Tabs 88MCG 100 tabs SYNTO1 SYNTOCINON (1ml) Inj 5 IU/ML 5 amp SYPRO1 SYPROL Osol 5MG/5 ML 150 ml 381 382 | Patient Minimum Data Set SYSTR2 SYSTRAL C Tabs 20MG/50MG 20 tabs SYSTR1 SYSTRAL Crm 15MG/1GM 20 gm TABIC1 TABICLOR Caps 250 MG 15 caps TABIC2 TABICLOR Caps 500 MG 15 caps TABIC6 TABICLOR MR Tabs 750 MG 10 tabs TABIC3 TABICLOR Susp 125 /5 ML 75 ml TABIC5 TABICLOR Susp 250MG/5 ML 75 ml TABIC4 TABICLOR Susp 375 MG/5ML 75 ml TABIF3 TABIFLEX COOL Gel 1% 50 gm TABIF4 TABIFLEX Supp 100MG 5 supp TABIF2 TABIFLEX Tabs 25MG 30 tabs TABIF1 TABIFLEX Tabs 50MG 20 tabs TABOC1 TABOCINE Caps 100MG 10 caps TABUN1 TABUNEX Spry 0.05% 120 dose TAGAM4 TAGAMET Syrp 200MG/5 ML 200 ml TAGAM1 TAGAMET Tabs 200 MG 50 tabs TAGAM2 TAGAMET Tabs 400 MG 20 tabs TAGAM3 TAGAMET Tabs 800 MG 10 tabs TAGAM6 TAGAMET Tabs 800MG 30 tabs TAGAM5 TAGAMET(2ml) Inj 200MG/2ML 10 amp TAKEP3 TAKEPRON Caps 15 MG 14 caps TAKEP1 TAKEPRON Caps 30 MG 14 caps TALIN1 TALIN Syrp 1.5MG/5ML 100 ml TAMIF1 TAMIFLU Caps 30MG 10 caps TAMIF3 TAMIFLU(ROCHE) Caps 75MG 10 caps TAMIF4 TAMIFLU(ROCHE) Soln 60MG/5ML 100 ml TAMOP1 TAMOPHAR Tabs 10MG 30 tabs TANAT1 TANATRIL Tabs 10 MG 14 tabs TANAT2 TANATRIL Tabs 5 MG 14 tabs TANTU2 TANTUM FORTE Crm 5GM/100GM 20 gm TANTU1 TANTUM Gel 5GM/100GM 20 gm TANTU3 TANTUM ROSA Pwdr 10GM 5 sach TARCE1 TARCEVA Tabs 100MG 30 tabs TARCE2 TARCEVA Tabs 150MG 30 tabs TARDY1 TARDYFERON Tabs 80 MG 30 tabs TARGO1 TARGOCID Inj 200MG 1 vial TARIV2 TARIVID(SANOFI AVENTIS-EG) Tabs 200MG 10 tabs TARIV1 TARIVID(SANOFI AVENTIS-FR) Tabs 200MG 10 tabs TARKA1 TARKA Caps 180/2MG 28 caps TASIG2 TASIGNA Caps 200MG 112 caps TASIG3 TASIGNA Caps 200MG 28 caps TASMA1 TASMAR Tabs 100MG 100 tabs TASMA2 TASMAR Tabs 100MG 30 tabs TASMA3 TASMAR Tabs 200MG 100 tabs TASMA4 TASMAR Tabs 200MG 30 tabs Appendices Patient Minimum Data Set | Appendices TAVAN3 TAVANIC 500MG/100ML Inj 0 100 ml TAVAN4 TAVANIC Tabs 250 MG 5 tabs TAVAN1 TAVANIC Tabs 500 MG 5 tabs TAVAN2 TAVANIC Tabs 500 MG 7 tabs TAVEG1 TAVEGYL Syrp 1 MG/10ML 100 ml TAVEG2 TAVEGYL Tabs 1 MG 20 tabs TAVEG3 TAVEGYL(1ml) Inj 1 MG/ML 5 amp TAXOT4 TAXOTERE Inj 20MG/0.5ML 1 vial TAXOT2 TAXOTERE Inj 80MG/2ML 1 vial TAZOC3 TAZOCIN I.V Inj 4.5G 1 vial TAZOC1 TAZOCIN I.V. (2.25gm) Injp 2GM/0.25GM 1 vial TAZOC2 TAZOCIN I.V. (4.5gm) Injp 4GM/0.5GM 1 vial TEARS1 TEARS NATURAL EyDr 0 15 ml TEFAN1 TEFANYL Syrp 1MG/5 ML 100 ml TEFAN2 TEFANYL Tabs 1 MG 30 tabs TEGRE11 TEGRETOL CR Tabs 200 MG 50 tabs TEGRE10 TEGRETOL CR Tabs 400 MG 30 tabs TEGRE1 TEGRETOL Supp 125 MG 5 supp TEGRE2 TEGRETOL Supp 250 MG 5 supp TEGRE3 TEGRETOL Syrp 2% 100 ml TEGRE5 TEGRETOL Tabs 200 MG 50 tabs TEKAM1 TEKAM(20ML) Inj 10MG/ML 1 vial TELDA5 TELDANE Susp 0 120 ml TELDA4 TELDANE Tabs 120MG 10 tabs TELDA6 TELDANE Tabs 60MG 20 tabs TELFA1 TELFAST Tabs 120MG 15 tabs TELFA2 TELFAST Tabs 180MG 15 tabs TEMGE2 TEMGESIC SUBLINGUAL Tabs 200MCG 50 tabs TEMOD1 TEMODAL Caps 100MG 20 tabs TEMOD4 TEMODAL Caps 100MG 5 caps TEMOD2 TEMODAL Caps 140MG 5 caps TEMOD11 TEMODAL Caps 180MG 5 caps TEMOD5 TEMODAL Caps 20MG 20 caps TEMOD6 TEMODAL Caps 20MG 5 caps TEMOD3 TEMODAL Caps 250MG 20 caps TEMOD7 TEMODAL Caps 250MG 5 caps TEMOD9 TEMODAL Caps 5MG 20 caps TEMOD8 TEMODAL Caps 5MG 5 caps TEMPR1 TEMPRA DROPS INFANT Soln 8 MG/ML 15 ml TEMPR2 TEMPRA DROPS CHILD Soln 100MG/ML 30 ml TEMPR3 TEMPRA Syrp 120MG/5ML 120 ml TEMPR4 TEMPRA Syrp 80MG/5ML 120 ml TENOC1 TENOCAM Caps 20MG 10 caps TENOL1 TENOL Tabs 100 MG 20 tabs TENOL2 TENOL Tabs 50 MG 20 tabs 383 384 | Patient Minimum Data Set TENOR3 TENORETIC Tabs 100MG/25MG 28 tabs TENOR1 TENORMIN Tabs 100 MG 28 tabs TENOR2 TENORMIN Tabs 100 MG 405 tabs TENOR8 TENORMIN Tabs 100MG 500 tabs TENOR5 TENORMIN Tabs 25 MG 28 tabs TENOR10 TENORMIN Tabs 50MG 1000 tabs TENOR7 TENORMIN Tabs 50MG 28 tabs TENSO1 TENSOTIN Tabs 100 MG 30 tabs TENSO2 TENSOTIN Tabs 50 MG 30 tabs TERAC1 TERACIN EyOn 1% 5 gm TERFI1 TERFINA Crm 1% 15 gm TERRA4 TERRA CORTRIL EyOn 30/10MG/GM 3.5 gm TERAC3 TERRACORTRIL Susp COMBINATIO 5 ml TERRA5 TERRAMYCIN Oint 0 15 gm TESTO2 TESTOVIORONE DEPOT Inj 100MG 1 amp TESTO1 TESTOVIORONE DEPOT Inj 250MG 1 amp TETRA2 TETRACYCLINE Caps 250MG 16 caps TETRA3 TETRACYCLINE Oint 3% 20 gm TETRA4 TETRADAR Caps 500MG 16 caps TEVET3 TEVETEN PLUS Tabs 600/12.5MG 28 tabs TEVET1 TEVETEN Tabs 600MG 28 tabs TEVET2 TEVETEN Tabs 600MG 56 tabs THEO-2 THEO - SR Caps 300MG 10 caps THEOS2 THEO SR Caps 100MG 20 caps THEOS3 THEO SR Caps 200MG 20 caps THEOP2 THEOPED SR Tabs 300MG 30 tabs THEOP1 THEOPED Syrp 60MG/5 ML 100 ml THEOP4 THEOPHAR S.R Caps 100MG 30 caps THEOP5 THEOPHAR S.R Caps 200MG 20 caps THEOP6 THEOPHAR S.R Caps 300MG 10 caps THEOP3 THEOPHAR Syrp 60MG/5ML 100 ml THERA2 THERAFLU THIN STRIPS LONG ACTING (CHERRY FLAVOR) Stri 11MG 12 stri THERA4 THERAGRAN H Tabs COMBINATIO 30 tabs THERA3 THERAGRAN Syrp COMBINATIO 90 ml THIAM3 THIAMETRENE Caps 50MG 20 caps THIAM4 THIAMPHENICOL caps 250MG 12 caps THIOP4 THIOPHENICOL (5ml) Injp 750MG 1 vial THIOP3 THIOPHENICOL Tabs 250MG 16 tabs THROM3 THROMBOPHOB Gel 0 20 gm THROM2 THROMBOPHOB Oint 0 15 gm TIAPR1 TIAPRIDAL Injo 100MG/2ML 12 amp TIAPR2 TIAPRIDAL Tabs 100 MG 20 tabs TIBER2 TIBERAL COMBI (WITH 1 VAGINAL TABLET) Caps 500MG 2 caps TIBER3 TIBERAL Tabs 500MG 10 tabs TIBER1 TIBERAL Tabs 500MG 3 tabs Appendices Patient Minimum Data Set | Appendices TICLI1 TICLID Tabs 250MG 20 tabs TIDIL2 TIDILOR Syrp 5MG/5ML 100 ml TIDIL1 TIDILOR Tabs 10 MG 10 tabs TIENA2 TIENAM I.M Inj 500MG 1 vial TIENA1 TIENAM Injp 500/500MG 1 vial TIGAS1 TIGASON Caps 10MG 50 caps TIGAS2 TIGASON Caps 25MG 30 caps TILAD2 TILADE Inhl 2MG/puff 112 dose TILAD1 TILADE Inhl 2MG/puff 56 dose TILCO4 TILCOTIL (MEDAPHARM) Tabs 20MG 10 tabs TILCO1 TILCOTIL Inj 20 MG/2ML 1 vial TILCO2 TILCOTIL Inj 20 MG/2ML 5 vial TILCO3 TILCOTIL Supp 20MG 10 supp TILDI1 TILDIEM Tabs 60MG 30 tabs TIMOL1 TIMOLOL EyDr 0.25% 5 ml TIMOL2 TIMOLOL EyDr 0.50% 5 ml TIMOP2 TIMOPTOL EyDr 0.25% 5 mL TIMOP1 TIMOPTOL EyDr 0.50% 5 mL TIMPI1 TIMPILO EyDr 0.5% +4% 5 ml TIMPI2 TIMPILO EyDr 0.5%+ 2% 5 ml TINAD1 TINADERM Soln 1% 10 ml TIROT1 TIROTAX Inj 2000 MG 1 vial TIROT3 TIROTAX Injp 1 GM 1 vial TIROT2 TIROTAX Injp 500 MG 1 vial TIXYL1 TIXYLIX Syrp 0 100 ml TOBCI2 TOBCINE Inj 80MG/2ML 3 amp TOBRA2 TOBRADEX EyDr 0.3%/0.1% 5 ml TOBRA3 TOBRADEX EyOn 0.3%/0.1% 3.5 gm TOBRE5 TOBREX 2X EyDr 0 5 ml TOBRE2 TOBREX EyDr 3MG/ML 5 ml TOBRI1 TOBRIN EyDr 0.30% 5 ml TOCLA1 TOCLASE Syrp 1.5MG/ML 200 ml TOFRA1 TOFRANIL Tabs 10 MG 60 tabs TOFRA2 TOFRANIL Tabs 25 MG 50 tabs TOGAM1 TOGAMYCIN Injp 2GM 1 vial TOLEC2 TOLECTIN Caps 400MG 10 caps TOLEC3 TOLECTIN Caps 400MG 20 caps TOLEC4 TOLECTIN Gel 5% 50 gm TOLEC1 TOLECTIN Tabs 200MG 20 tabs TOLIN1 TOLINASE Tabs 250MG 20 tabs TOLMI1 TOLMICEN Crm 1% 30 gm TOLMI2 TOLMICEN Lotn 1% 30 ml TOPAM1 TOPAMAX Caps 15MG 28 caps TOPAM2 TOPAMAX SPRINKLE Caps 25 MG 60 caps TOPAM3 TOPAMAX SPRINKLE Caps 50MG 60 caps 385 386 | Patient Minimum Data Set TOPAM5 TOPAMAX Tabs 100MG 60 tabs TOPAM6 TOPAMAX Tabs 200MG 60 tabs TOPAM7 TOPAMAX Tabs 25MG 60 tabs TOPAM4 TOPAMAX Tabs 300MG 60 tabs TOPAM10 TOPAMAX Tabs 400MG 60 tabs TOPAM12 TOPAMAX Tabs 400MG 60 tabs TOPAM9 TOPAMAX Tabs 50MG 60 tabs TOPIC1 TOPICORTE Crm 0.25% 15 gm TOPIC3 TOPICORTE Oint 0 15 gm TOPID1 TOPIDIC Crm 2% 15 gm TOPIF1 TOPIFRAM Crm 0 15 gm TOPIL1 TOPILAR Crm 0.03% 15 gm TOPIL2 TOPILAR Crm 0.03% 30 gm TOPIZ1 TOPIZONE Crm 2% 15 gm TOPLE1 TOPLEXIL Caps 0 24 caps TOPLE2 TOPLEXIL Syrp 0 150 ml TOPRA1 TOPRAZOL Tabs 40 MG 15 tabs TOPRA2 TOPRAZOL Tabs 40 MG 30 tabs TOPSY1 TOPSYM - POLYVALENT Crm 0 15 gm TOPSY3 TOPSYM POLYVALENT Oint 0 15 gm TOPSY2 TOPSYM PREPARATION Oint 0 15 gm TORAD2 TORADOL Inj 30MG/ML 10 amp TORIS2 TORISEL Inj 25MG/ML 1 vial TORNA2 TORNALATE Inhl 0 15 ml TORVA1 TORVACOL Tabs 10 MG 30 tabs TORVA2 TORVACOL Tabs 20 MG 30 tabs TORVA3 TORVACOL Tabs 40 MG 30 tabs TOTIN1 TOTINAL Syrp 1MG/ML 100 ml TOTIN2 TOTINAL Tabs 1 MG 30 tabs TOVAS2 TOVAST Tabs 10MG 30 tabs TOVAS3 TOVAST Tabs 20MG 30 tabs TOVAS1 TOVAST Tabs 40MG 30 tabs TRACH3 TRACHISAN GARGLE Soln COMBINATIO 200 ml TRACT2 TRACTOCILE(0.9ML) Injo 7.5MG/ML 1 vial TRACT1 TRACTOCILE(5ML) Inf 7.5MG/ML 1 vial TRAMA3 TRAMADOL Caps 50MG 12 caps TRAMA4 TRAMADON Caps 50MG 10 caps TRAMA5 TRAMADON Inj 50MG/ML 5 amp TRAMA6 TRAMADON Supp 100MG 5 supp TRAMA7 TRAMAL Caps 50MG 10 caps TRAMA9 TRAMAL Inj 100MG/2ML 5 amp TRAMA10 TRAMAL Inj 50MG/ML 5 amp TRAMA12 TRAMAL RAPID Tabs 50MG 30 tabs TRAMA1 TRAMAL RETARD Tabs 100 MG 10 tabs TRAMA2 TRAMAL RETARD Tabs 100 MG 30 tabs Appendices Patient Minimum Data Set | Appendices TRAMA11 TRAMAL Supp 100MG 5 supp TRAND1 TRANDATE Tabs 100MG 25 tabs TRAND2 TRANDATE Tabs 200MG 25 tabs TRANE1 TRANEXENE Caps 10MG 30 caps TRANE2 TRANEXENE Caps 5MG 30 caps TRANS1 TRANSPULMIN Syrp 0 100 ml TRANX1 TRANXENE Caps 10MG 30 caps TRANX2 TRANXENE Caps 5MG 30 caps TRASI4 TRASICOR RETARD Tabs 80MG 40 tabs TRAVA1 TRAVATAN EyDr 0.04% 2.5 ml TRAVO1 TRAVOCORT Crm 1%/0.1% 20 gm TRAVO3 TRAVOGEN Crm 1% 20 gm TRAVO2 TRAVOGEN Spry 1% 20 ml TRENT3 TRENTADIL ADULT Supp 0.75 GM 6 supp TRENT1 TRENTADIL Supp 0.25 GM 10 supp TRENT2 TRENTADIL Tabs 0.3 GM 20 tabs TRENT4 TRENTADIL(5 ml) Inj 0.3 GM 5 amp TRENT7 TRENTAL (S.R) Tabs 400MG 20 tabs TRENT5 TRENTAL Tabs 400MG 20 tabs TRI-B1 TRI - B Inj COMBINATIO 6 amp TRI-B2 TRI - B Tabs 125MCG/5MG 20 tabs TRIAC1 TRIACTIN Tabs 4MG 20 tabs TRIAF2 TRIAFORMO Crm 0 20 gm TRIAM13 TRIAMINIC CHEST CONGESTION(50/2.5MG/5ML) Syru 0 118 ml TRIAM10 TRIAMINIC COLD (5/2.5MG/5ML) Syrp 0 118 ml TRIAM18 TRIAMINIC COLD Syrp 0 118 ml TRIAM15 TRIAMINIC COUGH Syrp 0 118 ml TRIAM12 TRIAMINIC DROPS Syrp 160MG/5ML 10 ml TRIAM17 TRIAMINIC Tabs 0 12 tabs TRIAX10 TRIAXONE IM Inj 0.25GM 1 vial TRIAX4 TRIAXONE I.V Inj 0.25GM 1 vial TRIAX6 TRIAXONE I.V Inj 0.5 GM 1 vial TRIAX2 TRIAXONE IM Inj 0.5 GM 1 vial TRIAX3 TRIAXONE Inj 1 GM 1 vial TRIFE3 TRIFED EXPECTORANT Syrp 0 100 ml TRIFE1 TRIFED Syrp 0 100 ml TRIFE2 TRIFED Tabs 0 20 tabs TRIGL1 TRIGLOBE Susp 0 100 ml TRILE7 TRILEPTAL Susp 60MG/ML 100 ml TRILE1 TRILEPTAL Susp 60MG/ML 250 ml TRILE2 TRILEPTAL Tabs 150MG 50 tabs TRILE4 TRILEPTAL Tabs 300MG 50 tabs TRILE6 TRILEPTAL Tabs 600MG 50 tabs TRIME1 TRIMEDIL Tabs 500MG 20 tabs TRIMO2 TRIMOL D.S Tabs 160/800MG 10 tabs 387 388 | Patient Minimum Data Set TRIMO1 TRIMOL Tabs 80/400MG 20 tabs TRINO1 TRINORDIOL (COATED TAB) Tabs COMBINATIO 21 tabs TRINO2 TRINOVUM Tabs COMBINATIO 21 tabs TRIOL1 TRIOLANDREN Inj 250MG/ML 1 amp TRIPO2 TRIPOFED DM Syrp 0 100 ml TRIPO3 TRIPOFED EXPECTORANT Syrp 0 100 ml TRIPO1 TRIPOFED Syrp 0 100 ml TRISO3 TRISORALEN Tabs 0 100 tabs TRISO2 TRISORALEN Tabs 0 28 tabs TRITA1 TRITACE Tabs 10MG 28 tabs TRITA2 TRITACE Tabs 2.5MG 28 tabs TRITA3 TRITACE Tabs 5MG 28 tabs TRITA4 TRITANRIX - HB VACCINE I.M Injs COMBINATIO 0.5 ml TRIVA1 TRIVASTAL R Tabs 50MG 30 tabs TRIZI1 TRIZIVIR Tabs 0 60 tabs TRUSO1 TRUSOPT EyDr 2% 5 ml TRYPT1 TRYPTIZOL Tabs 10 MG 100 tabs TRYPT2 TRYPTIZOL Tabs 25MG 30 tabs TRYPT3 TRYPTIZOL Tabs 75 MG 100 tabs TUSCA4 TUSCAPIN Syrp 0 60 ml TUSSI2 TUSSIFIN Syrp 0 120 ml TUSSI1 TUSSIFIN WITH CODEINE Syrp 0 120 ml TUSSI3 TUSSILAR COMPOUND Syrp 0 125 ml TUSSI6 TUSSIPECT Syrp 0 125 ml TUSSI7 TUSSITOP Syrp COMBINATIO 120 ml TUSSI8 TUSSIVAN Syrp 0 125 ml TWINR1 TWINRIX ADULT VACCINE (IML) Inj 0 1 pfs TWINR2 TWINRIX JUNIOR PAEDIATRIC(0.5ML) Inj 0 1 pfs TYGAC1 TYGACIL Inj 50MG 10 vial TYKER1 TYKERB Tabs 250MG 70 tabs TYLEN4 TYLENOL DROPS Osol 0 15 ml TYLEN5 TYLENOL FORTE Tabs 500 MG 20 tabs TYLEN6 TYLENOL Supp 100 MG 10 supp TYLEN2 TYLENOL Supp 200MG 10 supp TYLEN3 TYLENOL Supp 350MG 10 supp TYMER1 TYMER EyDr 0.3% 5 ml TYMER3 TYMER Tabs 400MG 5 tabs TYOTO1 TYOTOCIN EaDr 0.05/1.25% 15 ml TYSAB1 TYSABRI Inj 300MG 1 vial U-CEF1 U-CEF Tabs 250 MG 10 tabs U-CEF2 U-CEF Tabs 500 MG 10 tabs ULCER1 ULCERAL Caps 20MG 28 caps ULCIC1 ULCICURE Tabs 1GM 30 tabs ULGES3 ULGESCUM Tabs 25MG 20 tabs ULGES4 ULGESCUM Tabs 50MG 20 tabs Appendices Patient Minimum Data Set | Appendices ULSTO1 ULSTOP Caps 20MG 14 caps ULTIV2 ULTIVA Inj 1MG 5 vial ULTIV3 ULTIVA Inj 2MG 5 vial ULTIV1 ULTIVA Inj 5MG 5 vial ULTRA20 ULTRACILLIN Caps 250MG 20 caps ULTRA3 ULTRACILLIN Caps 500 MG 20 caps ULTRA23 ULTRACILLIN Soln 125MG/5M 100 ml ULTRA22 ULTRACILLIN Susp 125MG 60 ml ULTRA21 ULTRACILLIN Susp 250MG 60 ml ULTRA27 ULTRACILLIN Susp 250MG/5ML 100 ml ULTRA4 ULTRAGRISEOFULVIN Susp 2.50% 100 ml ULTRA5 ULTRAGRISEOFULVIN Tabs 125MG 20 tabs ULTRA6 ULTRALAN Crm 0.50% 10 gm ULTRA9 ULTRAMELADININE PAINT Soln 0 15 ml ULTRA12 ULTRAPROCT Oint 0 10 gm ULTRA11 ULTRAPROCT Supp 0 6 supp ULTRA24 ULTRASPORIN Caps 250MG 20 caps ULTRA26 ULTRASPORIN Susp 125MG 60 ml ULTRA25 ULTRASPORIN Susp 250MG 60 ml ULTRA13 ULTRAVIST Inj 240MG/ML 1 vial ULTRA15 ULTRAVIST Inj 300 MG/ML 1 vial ULTRA14 ULTRAVIST Inj 370MG/ML 1 vial ULTRA19 ULTRAZOL Caps 30MG 14 caps UNI--2 UNI - DUR Tabs 30mg 30 tabs UNI--3 UNI - DUR Tabs 400mg 100 tabs UNI--4 UNI - DUR Tabs 600mg 100 tabs UNI--1 UNI - DUR Tabs 600mg 30 tabs UNIDO1 UNIDOX Caps 100MG 10 caps UNIDO2 UNIDOX Tabs 100MG 10 tabs UNIFE3 UNIFED EXPECTORANT Syrp 0 120 ml UNIFE1 UNIFED Syrp 0 120 ml UNIGE1 UNIGEST Tabs 0 12 tabs UNILE1 UNILEXIN Caps 250 MG 20 caps UNILE2 UNILEXIN Caps 500 MG 20 caps UNIRO2 UNIROID HAEM Oint 0 15 gm UNIRO1 UNIROID HAEM Supp 0 10 supp URALY1 URALYT-U Gran 0 280 gm URIBE1 URIBEN Susp 0 200 ml URICO1 URICOL EFF Gran 0 12 sach URISA1 URISAN Caps 400MG 20 caps URISE1 URISEPT Tabs 100MG 20 tabs URISP2 URISPAS Tabs 200MG 30 tabs UROVA1 URO VAXOM Caps 6 MG 30 caps UROMI1 UROMITEXAN I.V (4ML) Inj 400MG 15 amp UROSO1 UROSOLIVINE(5GM) Efgr 0 12 sach 389 390 | Patient Minimum Data Set UROSO2 UROSOLVINE EfGr 5G 12 sach UROTR1 UROTRATE Tabs 750MG 14 tabs UVAMI1 UVAMIN RETARD Caps 100MG 20 caps VAGMY1 VA GMYCIN Pess 100/50MG 15 pess VAGMY3 VAGMYCIN (EGYPT) Pess combinatio 15 pess VAGMY2 VAGMYCIN (GREECE) Pess combinatio 15 pess VAGOM1 VAGOMYCIN Pess COMBINATIO 10 pess VALCY1 VALCYTE Tabs 450MG 60 tabs VALDO3 VALDOLAX Tabs 0 10 tabs VALDO2 VALDOXAN Tabs 25 MG 28 tabs VALIU5 VALIUM Inj 10MG/2ML 10 amp VALIU2 VALIUM Tabs 2 MG 30 tabs VALIU3 VALIUM Tabs 5 MG 25 tabs VALIU4 VALIUM(2ml) Inj 10 MG 5 amp VALOP1 VALOPIN Syrp 200MG/5ML 100 ml VALTR1 VALTREX Tabs 500MG 10 tabs VALTR2 VALTREX Tabs 500MG 42 tabs VANCO1 VANCOLON Injp 0.5GM 1 vial VANCO2 VANCOLON Injp 1GM 1 vial VANCO5 VANCOMYCIN Injp 1GM 1 vial VANCO6 VANCOMYCIN Injp 500MG 1 vial VAQTA1 VAQTA Inj 25 U/0.5ML 1 pfs VAQTA2 VAQTA Inj 50U/1ML 1 pfs VAREM2 VAREMOID Tabs 0 40 tabs VARIL1 VARILRIX VACCINE Inj 10^3.3PFU 1 vial VASCO1 VASCODIPINE Tabs 10 MG 30 tabs VASCO3 VASCODIPINE Tabs 2.5MG 30 tabs VASCO2 VASCODIPINE Tabs 5MG 30 tabs VASCO4 VASCOR Caps 5MG 14 caps VASOD1 VASODISTAL Tabs 200MG 30 tabs VASOG1 VASOGEN Crm 0 50 gm VASOP1 VASOPRIL Tabs 10MG 30 tabs VASOP3 VASOPRIL Tabs 20MG 30 tabs VASOP2 VASOPRIL Tabs 5MG 30 tabs VASTA1 VASTA Tabs 10MG 30 tabs VASTA2 VASTA Tabs 20MG 30 tabs VASTA4 VASTAREL MR Tabs 35MG 60 tabs VASTA3 VASTAREL Osol 20MG/ML 60 ml VAVO-1 VAVO Shmp 2% 100 ml VECTA1 VECTAVIR Crm 1% 2 gm VECUR1 VECURONIUM BROMIDE(10ML) inj 10MG 1 vial VECUR2 VECURONIUM BROMIDE(20mL) inj 20MG 1 vial VEINO1 VEINOBIASE EfTb Combinatio 30 tabs VELBE1 VELBE Inj 10MG 1 vial VELCA1 VELCADE Injp 3.5 MG 1 vial Appendices Patient Minimum Data Set | Appendices VELOS1 VELOSEF Caps 250 MG 12 caps VELOS2 VELOSEF Caps 500 MG 12 caps VELOS5 VELOSEF Injp 1GM 1 vial VELOS7 VELOSEF Injp 500 MG 1 vial VELOS8 VELOSEF Susp 125MG/5 ML 60 ml VELOS10 VELOSEF Susp 250MG/5ML 60 ML VENOR1 VENORUTON Caps 300mg 20 caps VENOR4 VENORUTON FORTE Tabs 500MG 30 tabs VENOR2 VENORUTON Gel 2% 40 gm VENTO4 VENTOL SPANDETS Tabs 0 20 tabs VENTO3 VENTOL Syrp 2MG/5ML 120 ml VENTO15 VENTOL Tabs 2MG 20 tabs VENTO13 VENTOLIN EVOHALER Inhl 100MCG 200 dose VENTO14 VENTOLIN DISKUS Inhl 200MCG 60 dose VENTO5 VENTOLIN Inhl 100MCG 200 dose VENTO8 VENTOLIN NEBULES Inhl 2.5MG/2.5M 40 amp VENTO10 VENTOLIN Soln 5MG/ML 20 ml VENTO11 VENTOLIN Syrp 2MG/5ML 150 ml VENTO6 VENTOLIN Tabs 2MG 100 tabs VENTO1 VENTOLIN Tabs 4 MG 100 tabs VENTO2 VENTOLIN Tabs 4MG 20 tabs VEPES1 VEPESID Caps 100MG 10 caps VEPES2 VEPESID Caps 50MG 20 caps VEPES3 VEPESID Injp 100MG 1 vial VERMI1 VERMIN Susp 20 MG/ ML 30 ml VERMI2 VERMIN Tabs 100 MG 6 tabs VERMO1 VERMOX Susp 20 MG/ml 30 ml VERMO2 VERMOX Tabs 100 MG 6 tabs VERMO3 VERMOX Tabs 500 MG 1 tabs VERRU1 VERRUMAL Tsol 100/5MG/GM 13 ml VESAN1 VESANOID Caps 10MG 100 caps VESIC1 VESICARE Tabs 10MG 30 tabs VESIC2 VESICARE Tabs 5MG 30 tabs VEXOL1 VEXOL EyDr 1% 5 ml VFEND3 VFEND I.V Inj 200MG 1 vial VFEND1 VFEND Tabs 200MG 30 tabs VFEND2 VFEND Tabs 50MG 30 tabs VIBRA4 VIBRA Caps 100MG 10 tabs VIBRA5 VIBRAMYCIN Tabs 100MG 10 tabs VIBRO1 VIBROCIL METERED DOSE NsSy 0 15 ml VIBRA3 VIBROCIL NASAL Gel 0 12 gm VIBRO2 VIBROCIL NsDr 0 15 ml VIBRO3 VIBROCIL NsSy 0 10 ml VICTO1 VICTOZA Inj 6 MG/ML 2 pfs VI-DA5 VI-DAYLIN M Syrp COMBINATIO 90 ml 391 392 | Patient Minimum Data Set VI-DA4 VI-DAYLIN Osol COMBINATIO 15 ml VIDIS1 VIDISIC Gel 0.20% 10 gm VIFOL1 VIFOLIN Tabs 5MG 100 tabs VIGAM1 VIGAMOX EyDr 0.50% 5 ml VIGRA1 VIGRANON B Syrp COMBINATIO 150 ml VIODE1 VIODERM Crm 3% 20 gm VIODE2 VIODERM HYDROCORT Crm 3%/1% 5 gm VIRAC1 VIRACURE Caps 200MG 12 caps VIRAM1 VIRAMUNE Susp 50 MG/5ML 240 ml VIRAM2 VIRAMUNE Tabs 200MG 60 tabs VIRPE1 VIRPES Tabs 200 MG 30 tabs VIRPE2 VIRPES Tabs 400 MG 30 tabs VISAC1 VISACROM EyDr 2% 8 ml VISAC2 VISACROM EyDr 4% 8 ml VISCO1 VISCODRIL EXPECTORANT Syrp 0 100 ml VISCO2 VISCOR Tabs 20MG 30 tabs VISIN1 VISINE EyDr 0.05% 15 ml VITAD1 VITADAD Syrp COMBINATIO 150 ml VITAM7 VITAMIN A + D Osol 0 15 ml VITAM6 VITAMIN A Caps 25000IU 24 caps VITAM24 VITAMIN B COMPLEX Tabs 0 20 tabs VITAM9 VITAMIN B COMPOUND Tabs COMBINATIO 1000 tabs VITAM13 VITAMIN C Syrp 100mg/5ml 100 ml VITAM15 VITAMIN E Caps 100MG 24 caps VITAX1 VITAXICAM Caps 20MG 10 caps VITEA1 VITEAX CHEWABLE ChwT 0 30 tabs VITIV1 VITIVERA Crm 90GM/100 g 120 gm VIVIM1 VIVIMED Tabs COMBINATIO 20 tabs VIVIO3 VIVIOPTAL Caps 0 90 caps VOLDI4 VOLDIC Gel 1% 30 gm VOLDI2 VOLDIC K Tabs 50MG 20 tabs VOLDI3 VOLDIC SR Tabs 100MG 10 tabs VOLDI1 VOLDIC Tabs 50MG 20 tabs VOLMA1 VOLMAX Tabs 4MG 14 tabs VOLMA3 VOLMAX Tabs 4MG 56 tabs VOLMA2 VOLMAX Tabs 8MG 14 tabs VOLTA16 VOLTAREN - DISPERSABLE Tabs 50MG 20 tabs VOLTA22 VOLTAREN EMUGEL 1% Gel 1% 20 gm VOLTA1 VOLTAREN - RETARD Tabs 75 MG 20 tabs VOLTA2 VOLTAREN - SR Tabs 75 MG 10 tabs VOLTA3 VOLTAREN - SR Tabs 75 MG 30 tabs VOLTA17 VOLTAREN DOLO F/C Tabs 12.5MG 10 tabs VOLTA20 VOLTAREN EMULGEL DISPENSER Gel 11.6mg/ml 75 ml VOLTA18 VOLTAREN EMULGEL Gel 1% 20 gm VOLTA5 VOLTAREN EMULGEL Gel 1% 50 gm Appendices Patient Minimum Data Set | Appendices VOLTA24 VOLTAREN EyDr 0 5 ml VOLTA9 VOLTAREN Inj 75MG/3ML 5 amp VOLTA6 VOLTAREN RETARD Tabs 100 MG 10 tabs VOLTA7 VOLTAREN RETARD Tabs 100 MG 30 tabs VOLTA23 VOLTAREN RETARD Tabs 75MG 20 tabs VOLTA19 VOLTAREN SDU EyDr 0.1% 20 dose VOLTA10 VOLTAREN Supp 100MG 5 supp VOLTA11 VOLTAREN Supp 12.5MG 10 supp VOLTA12 VOLTAREN Supp 25MG 10 supp VOLTA13 VOLTAREN Supp 50MG 10 supp VOLTA21 VOLTAREN Tabs 12.5MG 30 tabs VOLTA14 VOLTAREN Tabs 25MG 30 tabs VOLTA15 VOLTAREN Tabs 50MG 20 tabs VOLTF1 VOLTFAST ORAL SOLUTION Osol 50 MG 3 sach VOLTF3 VOLTFAST SOLUTION Osol 50 MG 30 sach VOLTF2 VOLTFAST SOLUTION Osol 50 MG 9 sach VOLTI3 VOLTIC IM Inj 75MG/3ML 5 amp VOLTI1 VOLTIC Tabs 25MG 30 tabs VOLTI2 VOLTIC Tabs 50MG 20 tabs VOLUV1 VOLUVEN I.V. INFUSION Inf 6% 500 ml VOMIN1 VOMINORE Tabs 25/50mg 20 tabs VOTRE1 VOTREX Inj 75MG/3ML 100 amp VOTRE2 VOTREX Inj 75MG/3ML 5 amp VOTRE6 VOTREX RETARD Caps 100MG 10 caps VOTRE3 VOTREX Supp 100MG 6 supp VOTRE4 VOTREX Tabs 25MG 30 tabs VOTRE5 VOTREX Tabs 50MG 20 tabs WARI-1 WARI - DICLOWAL Inj 75MG/3ML 5 amp WARI-3 WARI - DICLOWAL RETARD Tabs 100MG 10 tabs WARI-2 WARI - DICLOWAL Tabs 50MG 20 tabs WARI-4 WARI-DICLOWAL Inj 75MG/3ML 100 amp WARIM1 WARIMAZOL Crm 1% 20 gm WARIM2 WARIMAZOL Pess 200mg 6 pess WARIM3 WARIMAZOL VgCr 1% 35 gm WARIV1 WARIVIRON Tabs 200 MG 25 tabs WARIV2 WARIVIRON Tabs 400 MG 35 tabs WARMA1 WARMAZOL ChwT 100MG 6 chwT WARMA2 WARMAZOL Susp 2% 30 ml WARTE1 WARTEC Crm 0.15% 5 gm WATER1 WATER FOR INJECTION(Bag) Inj 0 100 ml WATER2 WATER FOR INJECTION(Bag) Inj 0 2000 ml WATER3 WATER FOR INJECTION(Bag) Inj 0 500 ml WATER4 WATER FOR INJECTIONS BP(Bag) Inj 0 100 ml WATER5 WATER FOR INJECTIONS BP(Bag) Inj 0 1000 ml WATER6 WATER FOR INJECTIONS BP(Bag) Inj 0 2000 ml 393 394 | Patient Minimum Data Set WATER7 WATER FOR INJECTIONS BP(Bag) Inj 0 250 ml WATER8 WATER FOR INJECTIONS BP(Bag) Inj 0 50 ml WATER13 WATER FOR INJ(2ml) Inj 0 50 amp WATER15 WATER FOR INJ. B.P(25ml) Inj 0 50 amp WATER16 WATER FOR INJ. B.P(5ml) Inj 0 120 amp WATER14 WATER FOR INJ. Inj 0 500 ml WATER17 WATER FOR INJ. U.S.P(5ml) Inj 0 120 amp WAXOL2 WAXOL EaDr 0.5% 10 ml WAXOL1 WAXSOL EaDr 0.5% 10 ml WELLB1 WELLBUTRIN XL Tabs 150 MG 30 tabs WELLB2 WELLBUTRIN XL Tabs 300 MG 30 tabs WINEX1 WINEX Caps 200 MG 8 caps WINEX2 WINEX Caps 400 MG 6 caps WINEX3 WINEX Susp 100MG/5ml 60 ml WORMA2 WORMAZOLE Susp 2% 30 ml XALAC1 XALACOM EyDr 50+5MG/ML 2.5 ml XALAT1 XALATAN EyDr 0.005% 2.5 ml XANAX1 XANAX Tabs 0.25 MG 10 tabs XANAX4 XANAX Tabs 0.25mg 100 tabs XANAX6 XANAX Tabs 0.25mg 30 tabs XANAX2 XANAX Tabs 0.5 MG 10 tabs XANAX5 XANAX Tabs 0.5mg 100 tabs XANAX7 XANAX Tabs 0.5mg 30 tabs XANAX3 XANAX Tabs 1 MG 30 tabs XAREL1 XARELTO Tabs 10MG 10 tabs XATRA2 XATRAL SR Tabs 5MG 56 tabs XATRA1 XATRAL Tabs 2.5MG 30 tabs XATRA3 XATRAL XL Tabs 10MG 30 tabs XELOD1 XELODA Tabs 150 MG 60 tabs XELOD2 XELODA Tabs 500 MG 120 tabs XIGRI3 XIGRIS Inj 20MG 1 vial XIGRI4 XIGRIS Inj 5MG 1 vial XOLA.2 XOLA EyDr 2% 5 ml XOLAI1 XOLAIR Inj 150MG 1 vial XOLAM1 XOLAMOL EyDr 20/5MG/ML 5 ml XORIM1 XORIM Injp 1500 MG 1 vial XORIM2 XORIM Injp 250MG 5 vial XORIM3 XORIM Injp 750MG 5 vial XORIM5 XORIMAX Susp 125 MG/5ML 70 ml XORIM4 XORIMAX Tabs 500 MG 10 tabs XYLOC7 XYLOCAINE + ADR 50 ML Inj 1% 5 Vial XYLOC8 XYLOCAINE + ADR 50 ML Inj 2% 5 Vial XYLOC1 XYLOCAINE Gel 2% 30 gm XYLOC4 XYLOCAINE Oint 5% 35 gm XYLOC9 XYLOCAINE SPRAY 10% Spry 10% 50 ml Appendices Patient Minimum Data Set | Appendices XYLOC5 XYLOCAINE Spry 10% 80 ml XYLOC3 XYLOCAINE(50ML) Inj 1% 5 Vial XYLOC6 XYLOCAINE(50ML) Inj 2% 5 Vial XYLO-1 XYLO-COMOD NsSy 0.10% 15 ml XYLO-2 XYLO-MEPHA PHARMA NsSy 0.05% 10 ml XYLO-3 XYLO-MEPHA PHARMA NsSy 0.10% 10 ml XYLOM1 XYLOMET ADULT NsDr 0.10% 15 ml XYLOM2 XYLOMET PEAD NsDr 0.05% 15 ml XYLOP1 XYLOPROCT Oint 0 20 gm XYLOP2 XYLOPROCT Supp 0 10 supp XYZAL1 XYZAL Tabs 5 MG 10 tabs XYZAL2 XYZAL Tabs 5 MG 30 tabs YASMI1 YASMIN Tabs 3/0.3MG 21 tabs YAZ--1 YAZ Tabs 3+0.2MG 28 tabs ZADIT1 ZADITEN EyDr 0.25MG/ml 5 ml ZADIT4 ZADITEN SDU EyDr 0.025% 20 dose ZADIT2 ZADITEN Syrp 1MG/5ML 100 ml ZADIT3 ZADITEN Tabs 1MG 30 tabs ZADOR1 ZADORIN Caps 100MG 8 caps ZAGAM1 ZAGAM Tabs 200mg 6 tabs ZAIN-1 ZAIN Tabs 10 MG 10 tabs ZAMUR2 ZAMUR Tabs 250MG 10 tabs ZAMUR1 ZAMUR Tabs 500 MG 10 tabs ZANTA7 ZANTAC EfTb 150MG 10 tabs ZANTA9 ZANTAC EfTb 300MG 10 tabs ZANTA5 ZANTAC EfTb 300MG 30 tabs ZANTA6 ZANTAC Syrp 150MG/10ML 200 ml ZANTA10 ZANTAC Tabs 150MG 20 tabs ZANTA8 ZANTAC Tabs 150MG 60 tabs ZANTA3 ZANTAC Tabs 300 MG 10 tabs ZANTA1 ZANTAC Tabs 300MG 10 tabs ZANTA2 ZANTAC Tabs 300MG 30 tabs ZANTA11 ZANTAC Tabs 75MG 12 tabs ZANTA12 ZANTAC Tabs 75MG 6 tabs ZANTA13 ZANTAC(2ml) Inj 25MG/ML 5 amp ZAVED1 ZAVEDOS InjP 10 MG 1 vial ZAVED2 ZAVEDOS InjP 5 MG 1 vial ZEFFI2 ZEFFIX OSol 5MG/ ML 240 ml ZEFFI1 ZEFFIX Tabs 100 MG 28 tabs ZELDO1 ZELDOX Caps 20MG 30 caps ZELDO2 ZELDOX Caps 40MG 30 caps ZELDO3 ZELDOX Caps 60MG 30 caps ZELDO4 ZELDOX Caps 80MG 30 caps ZELDO5 ZELDOX Inj 20 MG/ML 1 vial ZELMA1 ZELMAC Tabs 6MG 30 tabs 395 396 | Patient Minimum Data Set ZEMPL1 ZEMPLAR Caps 1MCG 30 caps ZEMPL4 ZEMPLAR Caps 2MCG 30 caps ZEMPL7 ZEMPLAR Caps 2MCG 30 caps ZEMPL5 ZEMPLAR Caps 4MCG 30 caps ZEMPL6 ZEMPLAR Caps 4MCG 30 caps ZEMPL2 ZEMPLAR(1ml) Inj 5MCG/ML 1 vial ZEMPL3 ZEMPLAR(2ml) Inj 5MCG/ML 1 vial ZENAP2 ZENAPAX Inj 25 MG/5ML 3 vial ZENAP1 ZENAPAX Inj 25MG/5ML 1 vial ZENTE1 ZENTEL Susp 100MG/5M 20 ml ZENTE2 ZENTEL Tabs 200MG 2 tabs ZENTE3 ZENTEL Tabs 400 MG 1 tabs ZERAN1 ZERAN Tabs 10 MG 10 tabs ZERIT2 ZERIT Caps 15 MG 60 caps ZERIT1 ZERIT Caps 20MG 60 caps ZERIT3 ZERIT Caps 30MG 60 caps ZERIT4 ZERIT Caps 40MG 60 caps ZERTA3 ZERTAZINE Syrp 5MG/5ML 100 ml ZERTA2 ZERTAZINE Tabs 10MG 10 tabs ZERTA1 ZERTAZINE Tabs 10MG 20 tabs ZESTO1 ZESTORETIC Tabs 20/25MG 28 tabs ZESTR1 ZESTRIL Tabs 10 MG 28 tabs ZESTR2 ZESTRIL Tabs 20 MG 28 tabs ZESTR3 ZESTRIL Tabs 5 MG 28 tabs ZETA-2 ZETA Crm 2% 15 gm ZETA-1 ZETA Oint 2% 15 gm ZETA-3 ZETA-CORT Crm 2/0.1% 15 gm ZETRO1 ZETRON Caps 250 MG 6 caps ZETRO2 ZETRON Susp 200MG/5 ML 15 ml ZETRO3 ZETRON Susp 40MG/ML 22.5 ml ZIAGE1 ZIAGEN Osol 20MG/ML 240 ml ZIAGE2 ZIAGEN Tabs 300MG 60 tabs ZIDIM1 ZIDIME InjP 1GM 1 vial ZIDIM2 ZIDIME InjP 2GM 1 vial ZIMAX1 ZIMAX Caps 250 MG 4 caps ZIMAX2 ZIMAX Susp 200MG./5 M 15 ml ZIMAX3 ZIMAX Susp 300MG/7.5 22.5 ml ZINAC1 ZINACEF Inj 1.5 GM 1 vial ZINAC3 ZINACEF Inj 1.5GM 1 vial ZINAC2 ZINACEF Inj 250MG 5 vial ZINAC4 ZINACEF Inj 750MG 1 vial ZINCF1 ZINCFRIN EyDr 0 15 ml ZINER1 ZINERYT Lotn 12MG/ML 30 ml ZINNA3 ZINNAT Gran 125 MG 10 sach ZINNA9 ZINNAT Gran 250 MG 10 sach Appendices Patient Minimum Data Set | Appendices ZINNA2 ZINNAT Susp 125 MG/5ML 100 ml ZINNA1 ZINNAT Susp 125MG/5ML 50 ml ZINNA4 ZINNAT Susp 250 MG/5ML 100 ml ZINNA5 ZINNAT Susp 250MG/5ML 50 ml ZINNA6 ZINNAT Tabs 125 MG 10 tabs ZINNA11 ZINNAT Tabs 125 MG 50 tabs ZINNA7 ZINNAT Tabs 250 MG 10 tabs ZINNA10 ZINNAT Tabs 250 MG 50 tabs ZINNA8 ZINNAT Tabs 500 MG 10 tabs ZINNA12 ZINNAT Tabs 500MG 5 tabs ZINOX3 ZINOXIMOR Tabs 125MG 14 tabs ZINOX2 ZINOXIMOR Tabs 250 MG 14 tabs ZINOX1 ZINOXIMOR Tabs 500 MG 14 tabs ZIOXI1 ZIOXIMOR Tabs 500MG 14 tabs ZITHR9 ZITHROMA I.V Inj 500mg 1 vial ZITHR3 ZITHROMAX Inj 500 MG 1 vial ZITHR4 ZITHROMAX SD Pwdr 2 GM/60ml 60 ml ZITHR10 ZITHROMAX Susp 1200MG 30 ml ZITHR2 ZITHROMAX Susp 200MG/5 ML 15 ml ZITHR6 ZITHROMAX Susp 200MG/5 ML 22.5 ml ZITHR8 ZITHROMAX Susp 200MG/5 ML 30 ml ZITHR12 ZITHROMAX Susp 600MG 15 ml ZITHR11 ZITHROMAX Susp 900MG 22.5 ml ZITHR13 ZITHROMAX(PFIZER-GERMANY) Caps 250MG 4 caps ZITHR14 ZITHROMAX(PFIZER-GERMANY) Caps 250MG 6 caps ZITHR1 ZITHROMAX(PFIZER-UK) Caps 250 MG 4 caps ZITHR5 ZITHROMAX(PFIZER-UK) Caps 250 MG 6 caps ZOCIN1 ZOCIN Caps 250 MG 6 caps ZOCIN2 ZOCIN Susp 200MG/5 ML 15 ml ZOCIN3 ZOCIN Susp 40MG/ML 22.5 ml ZOCOR1 ZOCOR Tabs 10MG 10 tabs ZOCOR5 ZOCOR Tabs 10MG 30 tabs ZOCOR6 ZOCOR Tabs 10MG 30 tabs ZOCOR2 ZOCOR Tabs 20MG 30 tabs ZOCOR4 ZOCOR Tabs 40MG 30 tabs ZOCOR3 ZOCOR Tabs 40MG 30 tabs ZOFRA6 ZOFRAN MELT Tabs 4MG 10 tabs ZOFRA7 ZOFRAN MELT Tabs 8MG 10 tabs ZOFRA3 ZOFRAN Osol 4MG/5ML 50 ml ZOFRA4 ZOFRAN Tabs 4MG 100 tabs ZOFRA1 ZOFRAN Tabs 8 MG 15 tabs ZOFRA2 ZOFRAN Tabs 8 MG 30 tabs ZOFRA5 ZOFRAN Tabs 8MG 100 tabs ZOFRA8 ZOFRAN(2ml) Inj 2MG/ML 5 amp ZOFRA9 ZOFRAN(4ml) Inj 2MG/ML 5 amp 397 398 | Patient Minimum Data Set ZOLAD1 ZOLADEX DEPOT Inj 3.6MG 1 syrg ZOLAD2 ZOLADEX LA DEPOT Inj 10.8MG 1 syrg ZOLLI2 ZOLLIPAK Caps 30MG 10 caps ZOLOF1 ZOLOFT Tabs 50 MG 15 tabs ZOLOF2 ZOLOFT Tabs 50 MG 30 tabs ZOMAX1 ZOMAX Caps 250 MG 6 caps ZOMAX2 ZOMAX Susp 200MG/5 ML 15 ml ZOMAX3 ZOMAX Susp 200MG/5 ML 22.5 ml ZOMET1 ZOMETA Inj 4 MG/5ML 1 vial ZOMIG2 ZOMIG Tabs 2.5 MG 3 tabs ZOMIG3 ZOMIG Tabs 2.5 MG 6 tabs ZOVIR1 ZOVIRAX Crm 5% 10 gm ZOVIR2 ZOVIRAX Crm 5% 2 gm ZOVIR12 ZOVIRAX D.S Susp 400 MG/5ML 200 ml ZOVIR3 ZOVIRAX D.S Susp 400MG/5ML 100 ml ZOVIR6 ZOVIRAX EyOn 3% 4.5 gm ZOVIR11 ZOVIRAX PUMP Crm 5% 2 gm ZOVIR4 ZOVIRAX Susp 400MG/5ML 125 ml ZOVIR10 ZOVIRAX Tabs 200MG 25 tabs ZOVIR8 ZOVIRAX Tabs 400MG 70 tabs ZOVIR9 ZOVIRAX Tabs 800MG 35 tabs ZYCEF2 ZYCEF Caps 200MG 12 Caps ZYCEF3 ZYCEF Caps 400MG 6 Caps ZYDAC1 ZYDAC(2ml) Inj 50MG 5 amp ZYLOF1 ZYLOFEN Tabs 1MG 20 tabs ZYLOP1 ZYLOPURINOL Tabs 100MG 50 Tabs ZYLOR1 ZYLORIC Tabs 100MG 100 tabs ZYLOR3 ZYLORIC Tabs 300 MG 28 tabs ZYMAF1 ZYMAFLUOR Tabs 0.25mg 400 tabs ZYMAF2 ZYMAFLUOR Tabs 1mg 250 tabs ZYMOG2 ZYMOGEN FORTE Tabs COMBINATIO 20 tabs ZYMOG1 ZYMOGEN Tabs COMBINATIO 30 tabs ZYNOV2 ZYNOVATE Crm 0.10% 15 gm ZYNOV1 ZYNOVATE Oint 0.10% 15 gm ZYPRE3 ZYPREXA Inj 10MG 1 vial ZYPRE1 ZYPREXA Tabs 10 MG 30 tabs ZYPRE4 ZYPREXA Tabs 5MG 30 tabs ZYPRE6 ZYPREXA VELOTAB Tabs 10MG 28 tabs ZYPRE7 ZYPREXA VELOTAB Tabs 5MG 28 tabs ZYRTE6 ZYRTEC DROPS Osol 0 20 ml ZYRTE3 ZYRTEC DROPS Osol 10 MG/ML 10 ml ZYRTE4 ZYRTEC Syrp 0 75 ml ZYRTE2 ZYRTEC Syrp 1 MG/ML 200 ml ZYRTE1 ZYRTEC Tabs 10 MG 20 tabs ZYRTE5 ZYRTEC Tabs 10MG 10 tabs Appendices 6. Patient MinimumData Set (Tabular Form) The following table represents the fields present in the Patient Minimum Data Set ADM: All Qatari Hospitals (public and private) for admitted patients only ALL: All Qatari hospitals (public and private) for non-admitted patients only PC: Primary care clinics including Primary Health Care Corporation centres, GP-led clinics in hospitals, and GP-led standalone clinics OPC: All outpatient clinics excluding ED ED: Emergency Departments RP: Pharmacies, required only in Pharmacy Providers billing D: Standalone dental practices SL: Standalone laboratory service providers SI: Standalone imaging service providers HC: Home Care service providers Patient Minimum Data Set | Patient Minimum Data Set (Tabular Form) Admitted Patient Field Name Form Inpatient Patient Name Text ADM (Patient National Identity number (Q-ID Numeric value ADM Patient Passport Number/Alternative Idenification Number Text ADM Patient Identifier Text ADM Mother’s Patient Identifier Code ADM Date of Birth Date ADM Nationality Code ADM Country of Residence Code ADM Sex Code ADM Mobile phone number Numeric value ADM Prior Authorisation Number Text ADM Organisation Code Code ADM Campus Code Code ADM Episode Number Code ADM Healthcare Professional ID Code ADM Admission Date Date ADM Admission Time Time (24 hour) ADM Admission Type Code ADM Admission Weight Quantitative value (in grams) ADM Discharge Date Date ADM Discharge Time Time ADM Discharge Mode Code ADM Care Type Code ADM Diagnosis Codes Code ADM Procedure Codes Code ADM Duration of Mechanical Ventilation in Intensive Care Unit Quantitative value (in hours) ADM Duration of Stay in Intensive Care Unit Quantitative value (in hours) ADM Duration of Leave Quantitative value (in days) ADM Drug Item Codes Code ADM (Drug Item Units (Quantity Quantitative value ADM Durable Medical Equipment (DME) & other billable items Code ADM Drug Item - Unit Type Code ADM Inwani – Building Number Numeric value ADM LOINC – Laboratory Code – Measurement Code ADM 400 401 | Patient Minimum Data Set Patient Minimum Data Set (Tabular Form) Non-Admitted Patient Field Name Form Inpatient Patient Name Text ALL (Patient National Identity number (Q-ID Numerical value ALL Patient Passport Number/Alternative identification Number Text ALL Patient Identifier Text ALL Date of Birth Date ALL Nationality Code ALL Country of Residence Code ALL Sex Code ALL Mobile Phone Number Numeric value ALL Organisation Code Code ALL Campus Code Code ALL Episode Number Code ALL Healthcare Professional ID Code ALL Healthcare Professional Type Code OPC Clinic Category Code Code OPC Clinic Code Code OPC, ED, PC Prior Authorisation number Text OPC Outpatient Service Event Date Date OPC Outpatient Service Event Time Time OPC Initial or subsequent service event Code OPC Primary Diagnosis Code Code OPC Procedure Codes Code OPC Durable Medical Equipment (DME) and other billable items Code ALL, OPC ED Presentation Date Date ED ED Presentation Time Time ED ED Disposition Code Code ED ED Triage Code Code ED ED MDB Category Code Code ED ED Primary Diagnosis Code ED ED See and Treat Flag Code ED Primary diagnosis for See and Treat emergency patients Code ED ED Service Commencement Date Date ED ED Service Commencement Time Time ED ED Episode End Date Date ED ED Episode End Time Time ED Service Category for Primary Care visits Code PC Visit Type Code Code PC Dental procedures - Tooth number Code ALL, PC, D Laboratory Tests Performed Code PC, OPC, SL Number of Laboratory Tests Performed Quantitative value PC, OPC, SL Imaging tests performed Code PC, OPC, SI Number of Imaging Tests Performed Quantitative value PC, OPC, SI Patient Minimum Data Set | Patient Minimum Data Set (Tabular Form) 402 Drug Item Codes Code ALL, PC (Excluding GP-led standalone clinics), RP (Drug Item Units (Quantity Quantitative value ALL, PC (Excluding GP-led standalone clinics), RP Prescription Dispense Date Date ALL. PC (Excluding GP-led standalone clinics), RP Additional Diagnosis Code Code ALL Referral Reference Number Code ALL Referral Date Date ALL Referring Organizational Code Code ALL Referring Healthcare Professional ID Code ALL Referring Healthcare Professional Type Code ALL Number of Referrals Issued Quantitative value ALL Number of Hours of Care Per Day Quantitative value HC List of Services Rendered Per Day Code HC Drug Item - Unit Type Code ALL Drug Item - Treatment Duration Quantitative value ALL Drug Item - Treatment Details Code ALL Drug Item - No. of Authorized Repeats For a Drug Quantitative value ALL Drug Item - No. of Times The Drug Has Already Been Dispensed Under The Same Prescription Quantitative value ALL Inwani – Building Number Numeric Value ALL LOINC – Laboratory Code – Measurement Code ALL Eligibility Check Reference Number Text ALL