Please complete me!
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This page provides a list of all questions found on the PSRP reporting form for nursing facilities. They are grouped alphabetically by the section of the form in which they appear. This list does not indicate which questions are required for all nursing facility reports nor which questions only appear for certain event types. A list of required questions can be found here: Required Fields for Nursing Facilities.
General Information
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "general_information" and label != "test" and space = currentSpace ( ) |
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Summary, Cause and Action Plan Information
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "summary_information" and space = currentSpace ( ) |
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Harm Category
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "harm" and space = currentSpace ( ) |
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Event Information
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "event_information" and space = currentSpace ( ) |
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Event Type-Specific Questions
Device, Equipment or Supply Event-Specific Questions
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "device_event" and space = currentSpace ( ) |
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Fall Event-Specific Questions
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "fall" and space = currentSpace ( ) |
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HAI Event-Specific Questions
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "hai" and space = currentSpace ( ) |
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Medication or Other Substance Event-Specific Questions
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "medication_event" and space = currentSpace ( ) |
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Pressure Injury Event-Specific Questions
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "pressure_injury_event" and space = currentSpace ( ) |
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Contributing Factors
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "contributing_factors" and space = currentSpace ( ) |
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Review and Analysis Information
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| showLabels | false |
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| max | 100 |
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| sort | title |
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| showSpace | false |
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| cql | label = "form_field" and label = "nursingfacility" and label = "review_information" and space = currentSpace ( ) |
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