| 76435-7 | Pt ID | |
| 76698-0 | Pt ID assign auth | |
| 76471-2 | Organization EOC unique ID | |
| 76417-5 | Provider First name | |
| 76419-1 | Provider Last name | |
| 45952-9 | National provider ID:ID:Pt:Provider:Nom: | |
| 76437-3 | Primary insurance | |
| 45397-7 | Medicare or comparable # | |
| 76438-1 | Secondary insurance | |
| 76439-9 | PT referral source APTA | |
| 76440-7 | Care transfer loc APTA | |
| 81892-2 | EOC dx.primary | |
| 76425-8 | Date of onset Reported | |
| 81891-4 | EOC dx.secondary | |
| 76467-0 | Surg hx relevant to PT tx | |
| 80992-1 | Date+time of surgery | |
| 76517-2 | Prem infant | |
| 76516-4 | GA--@ birth | |
| 3141-9 | Weight Measured | |
| 3137-7 | Body height Measured | |
| 72166-2 | Tobac smoke stat | |
| 76460-5 | Physical Activity APTA | |
| 76453-0 | PT init visit Pnl | |
| 76454-8 | PT sub visit Pnl | |
| 76455-5 | PT reexam pnl | |
| 76456-3 | PT concl of care Pnl | |
| 92564-4 | PT POC Pnl | |
| 76697-2 | APTA Reg ids pnl | |