| 68335-9 | Self-dialysis training facility name:ID:Pt:Dialysis facility:Nom: | conditional |
| 67881-3 | Self-dialysis training facility NPI:ID:Pt:Dialysis facility:Nom: | conditional |
| 68362-3 | Date self-dialysis training began:Date:Pt:^Patient:Qn: | conditional |
| 68336-7 | Self-dialysis training:Type:Pt:^Patient:Nom: | conditional |
| 68337-5 | Self-dialysis training:Loc:Pt:^Patient:Nom: | conditional |
| 68338-3 | Is patient expected to complete training:Find:Pt:^Patient:Ord: | conditional |
| 68339-1 | Date self-dialysis training completion:Date:Pt:^Patient:Qn: | conditional |
| 68491-0 | Self-dialysis training physician name:Pn:Pt:Provider:Nom: | conditional |
| 68355-7 | Date signed:TmStp:Pt:Form:Qn: | conditional |
| 68357-3 | Self-dialysis training physician NPI:ID:Pt:Provider:Nom: | conditional |