Description
Patient’s self-identified ethnicity.
On-Screen Instructions
Select one.Field Type
Radio button (single select)Responses
Hispanic
Select “Hispanic” if the patient was of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture.
Not Hispanic
Select “Not Hispanic” if the patient was not of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture.
Unknown
Select “Unknown” if the patient's Hispanic or Latino ethnicity was unknown.
Guide for Use
If you are reporting an event that impacted multiple patients, please complete a separate form for each patient with their specific demographic data. Other sections of the form may be copied and pasted. If you have questions about this procedure, please contact OPSC staff.History
Start Date | 2006 |
|---|---|
End Date | n/a |
Change History | Spring 2012: PSRP implementation |