| 90089-4 | D/T report released | |
| 76435-7 | Pt ID | |
| 54125-0 | Patient name | |
| 46098-0 | Sex | |
| 30525-0 | Age | |
| 56799-0 | Address | |
| 52797-8 | Dx ICD code | |
| 11368-8 | Illness or injury onset date and time | |
| 63931-0 | Date of Dx | |
| 33999-4 | Status {Dx} | |
| 91541-3 | Disease outcome Type | |
| 67723-7 | Date of health event | |