ID

11898

Description

Test task

Mots-clés

  1. 14/08/2015 14/08/2015 -
  2. 20/09/2021 20/09/2021 -
Téléchargé le

14 août 2015

DOI

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Licence

Creative Commons BY-NC 3.0 Legacy

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Test task

Patient admission form

  1. StudyEvent: ODM
    1. Patient admission form
Personal information
Description

Personal information

Alias
UMLS CUI-1
C2983694
Patient First Name
Description

Patient First Name

Type de données

text

Alias
UMLS CUI [1,1]
C1547383
UMLS CUI [1,2]
C0027361
UMLS CUI [1,3]
C0600091
UMLS CUI [1,4]
C1443235
Patient Last Name
Description

Patient last name

Type de données

text

Alias
UMLS CUI [1,1]
C1547383
UMLS CUI [1,2]
C0027361
UMLS CUI [1,3]
C0600091
UMLS CUI [1,4]
C1301584
Patient title
Description

Patient's title

Type de données

text

Alias
UMLS CUI [1,1]
C2347167
UMLS CUI [1,2]
C2349206
UMLS CUI [1,3]
C2348314
UMLS CUI [1,4]
C2349943
UMLS CUI [1,5]
C2349188
Patient date of birth
Description

Patient date of birth

Type de données

date

Unités de mesure
  • DD.MM.YYYY
Alias
UMLS CUI [1]
C0421451
DD.MM.YYYY
Patient gender
Description

Patient's gender

Type de données

integer

Alias
UMLS CUI [1]
C0079399
Street Address
Description

Street Address

Type de données

text

Alias
UMLS CUI [1,1]
C1301826
UMLS CUI [1,2]
C0421449
City
Description

Patients city

Type de données

text

Alias
UMLS CUI [1,1]
C1442065
UMLS CUI [1,2]
C0027365
UMLS CUI [1,3]
C0008848
Patient postal code
Description

Patient postal code

Type de données

integer

Alias
UMLS CUI [1]
C0421454
Telephone
Description

Telephone

Type de données

text

Alias
UMLS CUI [1]
C1515258
Mobile phone
Description

Patient's mobile phone

Type de données

text

Alias
UMLS CUI [1]
C3273868
Country
Description

Patient's country

Type de données

text

Alias
UMLS CUI [1,1]
C1527021
UMLS CUI [1,2]
C0454664
UMLS CUI [1,3]
C1442065
Ethnicity
Description

Patient's ethnic group

Type de données

integer

Alias
UMLS CUI [1]
C0015031
Health Insurance Number
Description

Health Insurance Number

Type de données

integer

Alias
UMLS CUI [1,1]
C0021682
UMLS CUI [1,2]
C0237753
Primary Care Physician's name
Description

Primary care Physician

Type de données

text

Alias
UMLS CUI [1]
C0033131
Primary Care Physician's Address
Description

Physician address

Type de données

text

Alias
UMLS CUI [1]
C3669301
Contact person
Description

Patient's contact person

Type de données

text

Alias
UMLS CUI [1,1]
C1547383
UMLS CUI [1,2]
C1547383
UMLS CUI [1,3]
C1527021
UMLS CUI [1,4]
C0337611
Length of body
Description

Patient's length

Type de données

integer

Unités de mesure
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Body Weight
Description

Patients body weight

Type de données

integer

Unités de mesure
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Body Mass Index
Description

Patient's Body Mass Index

Type de données

float

Unités de mesure
  • kg/m2
Alias
UMLS CUI [1]
C1305855
kg/m2
Age
Description

Age

Type de données

integer

Unités de mesure
  • years
Alias
UMLS CUI [1]
C0001779
years
Admission information
Description

Admission information

Alias
UMLS CUI-1
C2599639
Date and time of admission
Description

Date and time of admission

Type de données

datetime

Alias
UMLS CUI [1]
C2598112
Emergency admission?
Description

Emergency

Type de données

boolean

Alias
UMLS CUI [1]
C0013956
Complaints
Description

Complaints

Alias
UMLS CUI-1
C0277786
UMLS CUI-2
C2348713
Chief complaints
Description

Chief complaints

Type de données

text

Alias
UMLS CUI [1,1]
C0277786
UMLS CUI [1,2]
C1830144
UMLS CUI [1,3]
C2360638
Chief complaint appearance time
Description

Chief complaint appearance time

Type de données

text

Alias
UMLS CUI [1,1]
C0488486
UMLS CUI [1,2]
C0488487
Chief complaint duration
Description

Chief complaint duration

Type de données

integer

Unités de mesure
  • hours, days
Alias
UMLS CUI [1,1]
C3260924
UMLS CUI [1,2]
C3260925
hours, days
Other health complains
Description

Other patient's complaints

Type de données

text

Alias
UMLS CUI [1]
C0871764
Chest symptom/complaint
Description

Chest symptom/complaint

Type de données

text

Alias
UMLS CUI [1]
C0497258
Chest Pain
Description

Chest Pain

Type de données

boolean

Alias
UMLS CUI [1,1]
C0008031
UMLS CUI [1,2]
C0008035
UMLS CUI [1,3]
C0151826
UMLS CUI [1,4]
C0742302
UMLS CUI [1,5]
C0742304
UMLS CUI [1,6]
C0742305
Chest pain appearance time
Description

Chest pain appearance time

Type de données

datetime

Alias
UMLS CUI [1]
C2926613
Duration of chest pain
Description

Duration of chest pain

Type de données

integer

Unités de mesure
  • hours
Alias
UMLS CUI [1]
C2073279
hours
Evaluate chest pain
Description

Evaluate chest pain (e.g., intensity, location, radiation, duration, and precipitating and alleviating factors)

Type de données

text

Alias
UMLS CUI [1]
C0511113
Coughing
Description

Coughing (if yes: productive or no? chronic or no?)

Type de données

boolean

Alias
UMLS CUI [1]
C0010200
Chronic cough
Description

Chronic cough

Type de données

boolean

Alias
UMLS CUI [1]
C0010201
Productive cough
Description

if yes: what kind of sputum?

Type de données

boolean

Alias
UMLS CUI [1,1]
C0558168
UMLS CUI [1,2]
C0577927
Sputum color
Description

Sputum color

Type de données

integer

Alias
UMLS CUI [1,1]
C0425504
UMLS CUI [1,2]
C0425505
UMLS CUI [1,3]
C0425506
UMLS CUI [1,4]
C0019079
UMLS CUI [1,5]
C0427865
UMLS CUI [1,6]
C0555056
UMLS CUI [1,7]
C0555114
UMLS CUI [1,8]
C0558592
Dyspnea
Description

if yes: which type

Type de données

boolean

Alias
UMLS CUI [1]
C0013404
Dyspnea type
Description

Dyspnea type

Type de données

integer

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C0277855
UMLS CUI [1,3]
C0277856
UMLS CUI [1,4]
C0344357
Palpitations
Description

if yes: duration?

Type de données

boolean

Alias
UMLS CUI [1,1]
C0030252
UMLS CUI [1,2]
C0425598
UMLS CUI [1,3]
C0425585
UMLS CUI [1,4]
C1822022
UMLS CUI [1,5]
C2032976
UMLS CUI [1,6]
C1997301
Duration of palpitations
Description

Duration of palpitations

Type de données

float

Unités de mesure
  • hours, days
Alias
UMLS CUI [1]
C2032982
hours, days
Abdominal symptoms
Description

Abdominal symptoms

Type de données

text

Alias
UMLS CUI [1]
C0740651
Abdominal Pain
Description

if present: location, intensity

Type de données

integer

Alias
UMLS CUI [1,1]
C0000737
UMLS CUI [1,2]
C0740577
UMLS CUI [1,3]
C0232491
Site of abdominal pain
Description

Site of abdominal pain

Type de données

integer

Alias
UMLS CUI [1,1]
C0423646
UMLS CUI [1,2]
C0738590
UMLS CUI [1,3]
C0230185
UMLS CUI [1,4]
C0738591
UMLS CUI [1,5]
C1297911
UMLS CUI [1,6]
C0041638
UMLS CUI [1,7]
C1280083
UMLS CUI [1,8]
C1297910
UMLS CUI [1,9]
C0230318
UMLS CUI [1,10]
C0230189
UMLS CUI [1,11]
C0230321
Abdominal pain intensity
Description

Abdominal Pain

Type de données

integer

Alias
UMLS CUI [1]
C0000737
Diarrhea
Description

if yes: duration?

Type de données

boolean

Alias
UMLS CUI [1]
C0011991
Constipation
Description

Constipation

Type de données

boolean

Alias
UMLS CUI [1]
C0009806
Diarrhea duration
Description

Diarrhea duration

Type de données

integer

Unités de mesure
  • days
Alias
UMLS CUI [1]
C0743175
days
Genitourinary system complaints
Description

Genitourinary system complaints

Type de données

boolean

Alias
UMLS CUI [1]
C0042066
Dysuria
Description

Dysuria

Type de données

integer

Alias
UMLS CUI [1,1]
C0013428
UMLS CUI [1,2]
C0743334
UMLS CUI [1,3]
C0743335
Nocturia
Description

Nocturia

Type de données

boolean

Alias
UMLS CUI [1,1]
C0028734
UMLS CUI [1,2]
C0853938
Hematuria
Description

Hematuria

Type de données

text

Alias
UMLS CUI [1,1]
C0018965
UMLS CUI [1,2]
C0221752
UMLS CUI [1,3]
C0427827
UMLS CUI [1,4]
C0947999
UMLS CUI [1,5]
C1822257
UMLS CUI [1,6]
C2129027
UMLS CUI [1,7]
C2129028
UMLS CUI [1,8]
C2129029
UMLS CUI [1,9]
C2129030
UMLS CUI [1,10]
C2188744
UMLS CUI [1,11]
C2219704
UMLS CUI [1,12]
C2219708
Musculoskeletal System complaints
Description

Musculoskeletal System complaints

Type de données

text

Alias
UMLS CUI [1]
C0026860
Arthralgia
Description

if present: location

Type de données

integer

Alias
UMLS CUI [1,1]
C0003862
UMLS CUI [1,2]
C0162296
Localized joint pain
Description

Localized joint pain

Type de données

text

Alias
UMLS CUI [1]
C2184202
Joint swelling
Description

if yes: which joint(s)

Type de données

text

Alias
UMLS CUI [1]
C0152031
Myalgia
Description

Myalgia

Type de données

integer

Alias
UMLS CUI [1,1]
C0231528
UMLS CUI [1,2]
C0746668
UMLS CUI [1,3]
C0746670
UMLS CUI [1,4]
C1504509
Neurologic Symptoms
Description

Neurologic Symptoms

Type de données

text

Alias
UMLS CUI [1,1]
C0235031
UMLS CUI [1,2]
C0497297
Hearing problem
Description

Hearing problem

Type de données

integer

Alias
UMLS CUI [1,1]
C0260662
UMLS CUI [1,2]
C0236038
UMLS CUI [1,3]
C0011057
UMLS CUI [1,4]
C0018775
UMLS CUI [1,5]
C0018777
UMLS CUI [1,6]
C0018781
Visual Impairment
Description

Visual Impairment

Type de données

integer

Alias
UMLS CUI [1,1]
C3665347
UMLS CUI [1,2]
C0042790
UMLS CUI [1,3]
C0005461
UMLS CUI [1,4]
C0009398
UMLS CUI [1,5]
C0042798
UMLS CUI [1,6]
C0221103
UMLS CUI [1,7]
C0276565
UMLS CUI [1,8]
C0344229
UMLS CUI [1,9]
C0344232
Sleep disorders
Description

Sleep disorders

Type de données

boolean

Alias
UMLS CUI [1,1]
C0037317
UMLS CUI [1,2]
C0851578
Memory Disorders
Description

Memory Disorders

Type de données

boolean

Alias
UMLS CUI [1,1]
C0025261
UMLS CUI [1,2]
C0233794
UMLS CUI [1,3]
C0423927
UMLS CUI [1,4]
C0581389
Vertigo
Description

Vertigo

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042571
UMLS CUI [1,2]
C1069915
Emesis
Description

Emesis

Type de données

boolean

Alias
UMLS CUI [1]
C0042963
Nausea
Description

Nausea

Type de données

boolean

Alias
UMLS CUI [1]
C1963179
Heartburn
Description

Heartburn

Type de données

boolean

Alias
UMLS CUI [1]
C0018834
Headache
Description

if present: grade?

Type de données

boolean

Alias
UMLS CUI [1]
C0018681
Headache grade
Description

Headache grade

Type de données

integer

Alias
UMLS CUI [1]
C0018681
Physical examination
Description

Physical examination

Alias
UMLS CUI-1
C0031809
Mitral valve auscultation
Description

Mitral valve auscultation

Type de données

integer

Alias
UMLS CUI [1,1]
C0018793
UMLS CUI [1,2]
C0026264
Aortic valve auscultation
Description

Aortic valve auscultation

Type de données

integer

Alias
UMLS CUI [1,1]
C0018793
UMLS CUI [1,2]
C0003501
UMLS CUI [1,3]
C1269005
Pulmonary valve auscultation
Description

Pulmonary valve auscultation

Type de données

integer

Alias
UMLS CUI [1,1]
C0018793
UMLS CUI [1,2]
C0034086
UMLS CUI [1,3]
C1269007
Tricuspid valve auscultation
Description

Tricuspid valve auscultation

Type de données

integer

Alias
UMLS CUI [1,1]
C0018793
UMLS CUI [1,2]
C0040960
UMLS CUI [1,3]
C1269006
Percussion of heart borders
Description

Percussion of heart borders

Type de données

integer

Alias
UMLS CUI [1]
C2052889
Auscultation of lungs
Description

if abnormal: where?

Type de données

integer

Alias
UMLS CUI [1,1]
C2230255
UMLS CUI [1,2]
C0231874
UMLS CUI [1,3]
C0231875
UMLS CUI [1,4]
C0238844
UMLS CUI [1,5]
C0035508
UMLS CUI [1,6]
C0034642
UMLS CUI [1,7]
C0231817
Chest percussion
Description

if abnormal: where?

Type de données

integer

Alias
UMLS CUI [1]
C1285807
Chest auscultation finding
Description

Chest auscultation finding

Type de données

text

Alias
UMLS CUI [1]
C0577960
Chest percussion finding
Description

Chest percussion finding

Type de données

text

Alias
UMLS CUI [1]
C0425528
Palpation of chest
Description

Palpation of chest

Type de données

text

Alias
UMLS CUI [1]
C2073378
Palpation of abdomen
Description

Palpation of abdomen

Type de données

integer

Alias
UMLS CUI [1]
C0030248
Site of abdominal tenderness
Description

Abdominal tenderness

Type de données

integer

Alias
UMLS CUI [1]
C0232498
Liver size by percussion
Description

Liver size by percussion

Type de données

text

Unités de mesure
  • cm
Alias
UMLS CUI [1,1]
C0426688
UMLS CUI [1,2]
C2363138
cm
Heart rate
Description

Heart rate

Type de données

integer

Unités de mesure
  • bpm
Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0488794
bpm
Pulse
Description

Pulse Rate

Type de données

integer

Unités de mesure
  • bpm
Alias
UMLS CUI [1]
C0232117
bpm
Heart rate rhythmic?
Description

Heart rate rhythmic?

Type de données

boolean

Alias
UMLS CUI [1,1]
C0018810
UMLS CUI [1,2]
C0488794
Pulse rhythmic?
Description

Pulse rhythmic?

Type de données

boolean

Alias
UMLS CUI [1]
C0232117
Respiratory rate
Description

Respiratory rate

Type de données

integer

Unités de mesure
  • cpm
Alias
UMLS CUI [1]
C0231832
cpm
Body temperature
Description

Body temperature

Type de données

float

Unités de mesure
  • grad C
Alias
UMLS CUI [1,1]
C0005903
UMLS CUI [1,2]
C0886414
grad C
Level of consciousness
Description

Consciousness

Type de données

text

Alias
UMLS CUI [1,1]
C0234421
UMLS CUI [1,2]
C0239110
UMLS CUI [1,3]
C0234425
Body position
Description

Body position

Type de données

integer

Alias
UMLS CUI [1]
C1262869
Muscle Development
Description

Muscle Development

Type de données

integer

Alias
UMLS CUI [1]
C0949649
Bone Development
Description

Bone Development

Type de données

integer

Alias
UMLS CUI [1]
C0005939
Joints
Description

Joints

Type de données

integer

Alias
UMLS CUI [1,1]
C0022417
UMLS CUI [1,2]
C0392905
Skin
Description

Skin

Type de données

text

Alias
UMLS CUI [1,1]
C1123023
UMLS CUI [1,2]
C1278993
UMLS CUI [1,3]
C0848458
UMLS CUI [1,4]
C0010520
UMLS CUI [1,5]
C0020452
UMLS CUI [1,6]
C0041834
Eyes Sclera
Description

Eyes Sclera

Type de données

integer

Alias
UMLS CUI [1]
C0036410
Visible mucous membranes
Description

Visible mucous membranes

Type de données

integer

Alias
UMLS CUI [1]
C0026724
Thyroid gland
Description

Thyroid gland

Type de données

integer

Alias
UMLS CUI [1]
C0040132
Leg Swelling
Description

Leg Swelling

Type de données

boolean

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C1140621
UMLS CUI [1,3]
C1457887
UMLS CUI [1,4]
C0038999
UMLS CUI [1,5]
C1512699
Past medical history
Description

Past medical history

Alias
UMLS CUI-1
C0262926
Diabetes Mellitus
Description

if present: type?

Type de données

integer

Alias
UMLS CUI [1]
C0011849
Diabetes Mellitus management
Description

Diabetes Mellitus management

Type de données

integer

Alias
UMLS CUI [1]
C0948092
Diabetes Mellitus duration
Description

Diabetes Mellitus duration

Type de données

float

Unités de mesure
  • years
Alias
UMLS CUI [1]
C0948092
years
Tuberculosis
Description

Tuberculosis

Type de données

text

Alias
UMLS CUI [1]
C0041296
Sexually Transmitted Diseases
Description

Sexually Transmitted Diseases

Type de données

text

Alias
UMLS CUI [1]
C0036916
Viral hepatitis
Description

Viral hepatitis

Type de données

text

Alias
UMLS CUI [1]
C0042721
HIV/AIDS
Description

HIV/AIDS

Type de données

text

Alias
UMLS CUI [1,1]
C0497169
UMLS CUI [1,2]
C0740828
UMLS CUI [1,3]
C1333303
Prior myocadial infarction
Description

Prior myocadial infarction

Type de données

date

Alias
UMLS CUI [1]
C0155668
Prior myocadial infarction localization
Description

Prior myocadial infarction localization

Type de données

integer

Alias
UMLS CUI [1,1]
C0155668
UMLS CUI [1,2]
C0340323
UMLS CUI [1,3]
C0340320
UMLS CUI [1,4]
C0340322
Prior stroke
Description

Prior stroke

Type de données

date

Alias
UMLS CUI [1]
C0559159
Prior Stroke localization
Description

Prior Stroke localization

Type de données

integer

Alias
UMLS CUI [1,1]
C0559159
UMLS CUI [1,2]
C0856861
UMLS CUI [1,3]
C0856862
UMLS CUI [1,4]
C2104670
Allergic reactions
Description

Allergic reactions

Type de données

text

Alias
UMLS CUI [1,1]
C1527304
UMLS CUI [1,2]
C0013182
Smoking
Description

if yes: how many cigarettes per day and how long

Type de données

text

Alias
UMLS CUI [1]
C1519384
Alcohol abuse
Description

Alcohol abuse

Type de données

text

Alias
UMLS CUI [1]
C0085762
Drug abuse
Description

if yes: which drug and how long?

Type de données

text

Alias
UMLS CUI [1]
C0013146
Operative Surgical Procedures
Description

Operative Surgical Procedures

Type de données

text

Alias
UMLS CUI [1]
C0543467
Prior traumas
Description

Prior traumas

Type de données

text

Alias
UMLS CUI [1,1]
C3714660
UMLS CUI [1,2]
C0043251
Family history
Description

Family history

Type de données

text

Alias
UMLS CUI [1]
C0241889
Family social history
Description

Family social history

Type de données

text

Alias
UMLS CUI [1]
C0559474
Prior or current Pharmacotherapy
Description

Pharmacotherapy

Type de données

text

Alias
UMLS CUI [1]
C0013216
Diagnosis
Description

Diagnosis

Alias
UMLS CUI-1
C0011900
Principal diagnosis
Description

Principal diagnosis

Type de données

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0332137
Secondary diagnosis
Description

Secondary diagnosis

Type de données

text

Alias
UMLS CUI [1]
C0332138
ICD Codes
Description

ICD Codes

Type de données

text

Alias
UMLS CUI [1]
C1136256

Similar models

Patient admission form

  1. StudyEvent: ODM
    1. Patient admission form
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Personal information
C2983694 (UMLS CUI-1)
First name
Item
Patient First Name
text
C1547383 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C1443235 (UMLS CUI [1,4])
Last name
Item
Patient Last Name
text
C1547383 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
C1301584 (UMLS CUI [1,4])
Title
Item
Patient title
text
C2347167 (UMLS CUI [1,1])
C2349206 (UMLS CUI [1,2])
C2348314 (UMLS CUI [1,3])
C2349943 (UMLS CUI [1,4])
C2349188 (UMLS CUI [1,5])
Birth date
Item
Patient date of birth
date
C0421451 (UMLS CUI [1])
Item
Patient gender
integer
C0079399 (UMLS CUI [1])
Code List
Patient gender
CL Item
male (1)
CL Item
female (2)
Street Address
Item
Street Address
text
C1301826 (UMLS CUI [1,1])
C0421449 (UMLS CUI [1,2])
AddressCityName
Item
City
text
C1442065 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C0008848 (UMLS CUI [1,3])
ZIP Code
Item
Patient postal code
integer
C0421454 (UMLS CUI [1])
Patient phone number
Item
Telephone
text
C1515258 (UMLS CUI [1])
Mobile phone
Item
Mobile phone
text
C3273868 (UMLS CUI [1])
AddressCountryText
Item
Country
text
C1527021 (UMLS CUI [1,1])
C0454664 (UMLS CUI [1,2])
C1442065 (UMLS CUI [1,3])
Item
Ethnicity
integer
C0015031 (UMLS CUI [1])
Code List
Ethnicity
CL Item
Caucasian (1)
CL Item
South Asian (2)
CL Item
North African (3)
CL Item
Sub-Saharan African (4)
CL Item
Afro-Carribean (5)
CL Item
Turk (6)
CL Item
Kurd (7)
CL Item
Latin American (8)
CL Item
Chinese (9)
CL Item
Filipino (10)
CL Item
Roma (11)
CL Item
Other (12)
CL Item
Not Known (13)
Health Insurance Number
Item
Health Insurance Number
integer
C0021682 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Physician
Item
Primary Care Physician's name
text
C0033131 (UMLS CUI [1])
Physician address
Item
Primary Care Physician's Address
text
C3669301 (UMLS CUI [1])
ContactPersonNameText
Item
Contact person
text
C1547383 (UMLS CUI [1,1])
C1547383 (UMLS CUI [1,2])
C1527021 (UMLS CUI [1,3])
C0337611 (UMLS CUI [1,4])
Height
Item
Length of body
integer
C0005890 (UMLS CUI [1])
Weight
Item
Body Weight
integer
C0005910 (UMLS CUI [1])
BMI
Item
Body Mass Index
float
C1305855 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Item Group
Admission information
C2599639 (UMLS CUI-1)
Admission date time
Item
Date and time of admission
datetime
C2598112 (UMLS CUI [1])
Emergency
Item
Emergency admission?
boolean
C0013956 (UMLS CUI [1])
Item Group
Complaints
C0277786 (UMLS CUI-1)
C2348713 (UMLS CUI-2)
Chief complaints
Item
Chief complaints
text
C0277786 (UMLS CUI [1,1])
C1830144 (UMLS CUI [1,2])
C2360638 (UMLS CUI [1,3])
Chief complaint appearance time
Item
Chief complaint appearance time
text
C0488486 (UMLS CUI [1,1])
C0488487 (UMLS CUI [1,2])
Chief complaint duration
Item
Chief complaint duration
integer
C3260924 (UMLS CUI [1,1])
C3260925 (UMLS CUI [1,2])
Other health complaints
Item
Other health complains
text
C0871764 (UMLS CUI [1])
Chest symptom/complaint
Item
Chest symptom/complaint
text
C0497258 (UMLS CUI [1])
Chest Pain
Item
Chest Pain
boolean
C0008031 (UMLS CUI [1,1])
C0008035 (UMLS CUI [1,2])
C0151826 (UMLS CUI [1,3])
C0742302 (UMLS CUI [1,4])
C0742304 (UMLS CUI [1,5])
C0742305 (UMLS CUI [1,6])
Chest pain appearance time
Item
Chest pain appearance time
datetime
C2926613 (UMLS CUI [1])
Duration of chest pain
Item
Duration of chest pain
integer
C2073279 (UMLS CUI [1])
Evaluate chest pain
Item
Evaluate chest pain
text
C0511113 (UMLS CUI [1])
Coughing
Item
Coughing
boolean
C0010200 (UMLS CUI [1])
Chronic cough
Item
Chronic cough
boolean
C0010201 (UMLS CUI [1])
Productive cough
Item
Productive cough
boolean
C0558168 (UMLS CUI [1,1])
C0577927 (UMLS CUI [1,2])
Item
Sputum color
integer
C0425504 (UMLS CUI [1,1])
C0425505 (UMLS CUI [1,2])
C0425506 (UMLS CUI [1,3])
C0019079 (UMLS CUI [1,4])
C0427865 (UMLS CUI [1,5])
C0555056 (UMLS CUI [1,6])
C0555114 (UMLS CUI [1,7])
C0558592 (UMLS CUI [1,8])
Code List
Sputum color
CL Item
clear sputum (1)
CL Item
green sputum (2)
CL Item
yellow sputum (3)
CL Item
sputum with blood (4)
Dyspnea
Item
Dyspnea
boolean
C0013404 (UMLS CUI [1])
Item
Dyspnea type
integer
C0013404 (UMLS CUI [1,1])
C0277855 (UMLS CUI [1,2])
C0277856 (UMLS CUI [1,3])
C0344357 (UMLS CUI [1,4])
Code List
Dyspnea type
CL Item
Inspiratory dyspnea (1)
CL Item
Expiratory dyspnea (2)
CL Item
Nocturnal dyspnea (3)
Palpitations
Item
Palpitations
boolean
C0030252 (UMLS CUI [1,1])
C0425598 (UMLS CUI [1,2])
C0425585 (UMLS CUI [1,3])
C1822022 (UMLS CUI [1,4])
C2032976 (UMLS CUI [1,5])
C1997301 (UMLS CUI [1,6])
Duration of palpitations
Item
Duration of palpitations
float
C2032982 (UMLS CUI [1])
Abdominal symptoms
Item
Abdominal symptoms
text
C0740651 (UMLS CUI [1])
Item
Abdominal Pain
integer
C0000737 (UMLS CUI [1,1])
C0740577 (UMLS CUI [1,2])
C0232491 (UMLS CUI [1,3])
Code List
Abdominal Pain
CL Item
acute (1)
CL Item
chronic (2)
CL Item
not present (3)
Item
Site of abdominal pain
integer
C0423646 (UMLS CUI [1,1])
C0738590 (UMLS CUI [1,2])
C0230185 (UMLS CUI [1,3])
C0738591 (UMLS CUI [1,4])
C1297911 (UMLS CUI [1,5])
C0041638 (UMLS CUI [1,6])
C1280083 (UMLS CUI [1,7])
C1297910 (UMLS CUI [1,8])
C0230318 (UMLS CUI [1,9])
C0230189 (UMLS CUI [1,10])
C0230321 (UMLS CUI [1,11])
Code List
Site of abdominal pain
CL Item
Right hypochondriac region (1)
CL Item
Epigastric region (2)
CL Item
Left hypochondriac region (3)
CL Item
Right lumbar region (4)
CL Item
Umbilical region (5)
CL Item
Left lumbar region (6)
CL Item
Right iliac region (7)
CL Item
Hypogastric region (8)
CL Item
Left iliac region (9)
Item
Abdominal pain intensity
integer
C0000737 (UMLS CUI [1])
Code List
Abdominal pain intensity
CL Item
not present (0)
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
most severe symptoms (10)
Diarrhea
Item
Diarrhea
boolean
C0011991 (UMLS CUI [1])
Constipation
Item
Constipation
boolean
C0009806 (UMLS CUI [1])
Diarrhea duration
Item
Diarrhea duration
integer
C0743175 (UMLS CUI [1])
Genitourinary system complaints
Item
Genitourinary system complaints
boolean
C0042066 (UMLS CUI [1])
Item
Dysuria
integer
C0013428 (UMLS CUI [1,1])
C0743334 (UMLS CUI [1,2])
C0743335 (UMLS CUI [1,3])
Code List
Dysuria
CL Item
Chronic  (1)
CL Item
Intermittent (2)
Nocturia
Item
Nocturia
boolean
C0028734 (UMLS CUI [1,1])
C0853938 (UMLS CUI [1,2])
Hematuria
Item
Hematuria
text
C0018965 (UMLS CUI [1,1])
C0221752 (UMLS CUI [1,2])
C0427827 (UMLS CUI [1,3])
C0947999 (UMLS CUI [1,4])
C1822257 (UMLS CUI [1,5])
C2129027 (UMLS CUI [1,6])
C2129028 (UMLS CUI [1,7])
C2129029 (UMLS CUI [1,8])
C2129030 (UMLS CUI [1,9])
C2188744 (UMLS CUI [1,10])
C2219704 (UMLS CUI [1,11])
C2219708 (UMLS CUI [1,12])
Musculoskeletal System complaints
Item
Musculoskeletal System complaints
text
C0026860 (UMLS CUI [1])
Item
Arthralgia
integer
C0003862 (UMLS CUI [1,1])
C0162296 (UMLS CUI [1,2])
Code List
Arthralgia
CL Item
Not present (1)
CL Item
1 joint involved (2)
CL Item
polyarthralgia (3)
Localized joint pain
Item
Localized joint pain
text
C2184202 (UMLS CUI [1])
Joint swelling
Item
Joint swelling
text
C0152031 (UMLS CUI [1])
Item
Myalgia
integer
C0231528 (UMLS CUI [1,1])
C0746668 (UMLS CUI [1,2])
C0746670 (UMLS CUI [1,3])
C1504509 (UMLS CUI [1,4])
Code List
Myalgia
CL Item
Not present (1)
CL Item
Muscle pain chronic (2)
CL Item
Generalized acute muscle pain  (3)
CL Item
Localized muscle pain (4)
Neurologic Symptoms
Item
Neurologic Symptoms
text
C0235031 (UMLS CUI [1,1])
C0497297 (UMLS CUI [1,2])
Item
Hearing problem
integer
C0260662 (UMLS CUI [1,1])
C0236038 (UMLS CUI [1,2])
C0011057 (UMLS CUI [1,3])
C0018775 (UMLS CUI [1,4])
C0018777 (UMLS CUI [1,5])
C0018781 (UMLS CUI [1,6])
Code List
Hearing problem
CL Item
Not present (1)
CL Item
Congenital hearing disorder (2)
CL Item
Hearing Loss, Sudden (3)
CL Item
Hearing Loss, Bilateral (4)
CL Item
Hearing Loss, Central (5)
CL Item
Conductive hearing loss (6)
CL Item
Noise-induced hearing loss (7)
Item
Visual Impairment
integer
C3665347 (UMLS CUI [1,1])
C0042790 (UMLS CUI [1,2])
C0005461 (UMLS CUI [1,3])
C0009398 (UMLS CUI [1,4])
C0042798 (UMLS CUI [1,5])
C0221103 (UMLS CUI [1,6])
C0276565 (UMLS CUI [1,7])
C0344229 (UMLS CUI [1,8])
C0344232 (UMLS CUI [1,9])
Code List
Visual Impairment
CL Item
Not present (1)
CL Item
Binocular vision disorder (2)
CL Item
Color vision defect (3)
CL Item
Low Vision (4)
CL Item
Visual Suppression (5)
CL Item
Low vision associated with AIDS (6)
CL Item
Weak vision (7)
CL Item
Blurred vision (8)
Sleep disorders
Item
Sleep disorders
boolean
C0037317 (UMLS CUI [1,1])
C0851578 (UMLS CUI [1,2])
Memory Disorders
Item
Memory Disorders
boolean
C0025261 (UMLS CUI [1,1])
C0233794 (UMLS CUI [1,2])
C0423927 (UMLS CUI [1,3])
C0581389 (UMLS CUI [1,4])
Vertigo
Item
Vertigo
boolean
C0042571 (UMLS CUI [1,1])
C1069915 (UMLS CUI [1,2])
Vomiting
Item
Emesis
boolean
C0042963 (UMLS CUI [1])
Nausea (Nausea)
Item
Nausea
boolean
C1963179 (UMLS CUI [1])
Heartburn
Item
Heartburn
boolean
C0018834 (UMLS CUI [1])
Headache
Item
Headache
boolean
C0018681 (UMLS CUI [1])
Item
Headache grade
integer
C0018681 (UMLS CUI [1])
Code List
Headache grade
CL Item
None (Grade 0) (1)
CL Item
Mild pain not interfering with function (Grade 1) (2)
CL Item
Moderate pain interfering with function but not ADL (Grade 2) (3)
CL Item
Severe pain severly interfering with ADL (Grade 3) (4)
CL Item
Disabling (Grade 4) (5)
Item Group
Physical examination
C0031809 (UMLS CUI-1)
Item
Mitral valve auscultation
integer
C0018793 (UMLS CUI [1,1])
C0026264 (UMLS CUI [1,2])
Code List
Mitral valve auscultation
CL Item
No murmurs (1)
CL Item
Systolic murmur (2)
CL Item
Diastolic murmur (3)
CL Item
Systolic and dyastolic murmur (4)
Item
Aortic valve auscultation
integer
C0018793 (UMLS CUI [1,1])
C0003501 (UMLS CUI [1,2])
C1269005 (UMLS CUI [1,3])
Code List
Aortic valve auscultation
CL Item
No murmurs (1)
CL Item
Systolic murmur (2)
CL Item
Diastolic murmur (3)
CL Item
Systolic and dyastolic murmur (4)
Item
Pulmonary valve auscultation
integer
C0018793 (UMLS CUI [1,1])
C0034086 (UMLS CUI [1,2])
C1269007 (UMLS CUI [1,3])
Code List
Pulmonary valve auscultation
CL Item
No murmurs (1)
CL Item
Systolic murmur (2)
CL Item
Diastolic murmur (3)
CL Item
Systolic and dyastolic murmur (4)
Item
Tricuspid valve auscultation
integer
C0018793 (UMLS CUI [1,1])
C0040960 (UMLS CUI [1,2])
C1269006 (UMLS CUI [1,3])
Code List
Tricuspid valve auscultation
CL Item
No murmurs (1)
CL Item
Systolic murmur (2)
CL Item
Diastolic murmur (3)
CL Item
Systolic and dyastolic murmur (4)
Item
Percussion of heart borders
integer
C2052889 (UMLS CUI [1])
Code List
Percussion of heart borders
CL Item
Normal (1)
CL Item
Left border extended (2)
CL Item
Right border extended (3)
CL Item
Both borders extended (4)
Item
Auscultation of lungs
integer
C2230255 (UMLS CUI [1,1])
C0231874 (UMLS CUI [1,2])
C0231875 (UMLS CUI [1,3])
C0238844 (UMLS CUI [1,4])
C0035508 (UMLS CUI [1,5])
C0034642 (UMLS CUI [1,6])
C0231817 (UMLS CUI [1,7])
Code List
Auscultation of lungs
CL Item
Vesicular breathing (1)
CL Item
Decreased breath sounds (2)
CL Item
Inspiratory wheezing (3)
CL Item
Expiratory wheezing (4)
CL Item
Rales (5)
CL Item
Inspiratory crepitation (6)
CL Item
Rhonchi (7)
Item
Chest percussion
integer
C1285807 (UMLS CUI [1])
Code List
Chest percussion
CL Item
Normal percutor sound (1)
CL Item
Dull percutor sound (2)
Chest auscultation finding
Item
Chest auscultation finding
text
C0577960 (UMLS CUI [1])
Chest percussion finding
Item
Chest percussion finding
text
C0425528 (UMLS CUI [1])
Palpation of chest
Item
Palpation of chest
text
C2073378 (UMLS CUI [1])
Item
Palpation of abdomen
integer
C0030248 (UMLS CUI [1])
Code List
Palpation of abdomen
CL Item
Soft and painless (1)
CL Item
Tenderness (location?) (2)
Item
Site of abdominal tenderness
integer
C0232498 (UMLS CUI [1])
Code List
Site of abdominal tenderness
CL Item
Right hypochondriac region (1)
CL Item
Epigastric region (2)
CL Item
Left hypochondriac region (3)
CL Item
Right lumbar region (4)
CL Item
Umbilical region (5)
CL Item
Left lumbar region (6)
CL Item
Right iliac region (7)
CL Item
Hypogastric region (8)
CL Item
Left iliac region (9)
Liver size
Item
Liver size by percussion
text
C0426688 (UMLS CUI [1,1])
C2363138 (UMLS CUI [1,2])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1,1])
C0488794 (UMLS CUI [1,2])
Pulse Rate
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Heart rate rhythmic?
Item
Heart rate rhythmic?
boolean
C0018810 (UMLS CUI [1,1])
C0488794 (UMLS CUI [1,2])
Pulse rhythmic?
Item
Pulse rhythmic?
boolean
C0232117 (UMLS CUI [1])
Respiratory rate
Item
Respiratory rate
integer
C0231832 (UMLS CUI [1])
Body temperature
Item
Body temperature
float
C0005903 (UMLS CUI [1,1])
C0886414 (UMLS CUI [1,2])
Consciousness
Item
Level of consciousness
text
C0234421 (UMLS CUI [1,1])
C0239110 (UMLS CUI [1,2])
C0234425 (UMLS CUI [1,3])
Item
Body position
integer
C1262869 (UMLS CUI [1])
Code List
Body position
CL Item
Active (1)
CL Item
Compelled (2)
Item
Muscle Development
integer
C0949649 (UMLS CUI [1])
Code List
Muscle Development
CL Item
Normal (1)
CL Item
Hypotrophy (2)
CL Item
Hypertrophy (3)
Item
Bone Development
integer
C0005939 (UMLS CUI [1])
Code List
Bone Development
CL Item
Normal (1)
CL Item
Defiguration (2)
CL Item
Deformation (3)
Item
Joints
integer
C0022417 (UMLS CUI [1,1])
C0392905 (UMLS CUI [1,2])
Code List
Joints
CL Item
Normal (1)
CL Item
Defiguration (2)
CL Item
Deformation (3)
Item
Skin
text
C1123023 (UMLS CUI [1,1])
C1278993 (UMLS CUI [1,2])
C0848458 (UMLS CUI [1,3])
C0010520 (UMLS CUI [1,4])
C0020452 (UMLS CUI [1,5])
C0041834 (UMLS CUI [1,6])
Code List
Skin
CL Item
Normal color and clear (1)
CL Item
Jaundice (2)
CL Item
Cyanosis (3)
CL Item
Hyperemia (4)
CL Item
Erythema (5)
Item
Eyes Sclera
integer
C0036410 (UMLS CUI [1])
Code List
Eyes Sclera
CL Item
Normal color (1)
CL Item
Sclera icteris (2)
Item
Visible mucous membranes
integer
C0026724 (UMLS CUI [1])
Code List
Visible mucous membranes
CL Item
Normal color (1)
CL Item
Jaundice (2)
CL Item
Cyanosis (3)
Item
Thyroid gland
integer
C0040132 (UMLS CUI [1])
Code List
Thyroid gland
CL Item
Normal (1)
CL Item
Hyperthyreoidism I stage (2)
CL Item
Hyperthyreoidism II stage (3)
CL Item
Hyperthyreoidism III stage (4)
Leg Swelling
Item
Leg Swelling
boolean
C0012634 (UMLS CUI [1,1])
C1140621 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0038999 (UMLS CUI [1,4])
C1512699 (UMLS CUI [1,5])
Item Group
Past medical history
C0262926 (UMLS CUI-1)
Item
Diabetes Mellitus
integer
C0011849 (UMLS CUI [1])
Code List
Diabetes Mellitus
CL Item
Type 1 (1)
CL Item
Type 2 (2)
Item
Diabetes Mellitus management
integer
C0948092 (UMLS CUI [1])
Code List
Diabetes Mellitus management
CL Item
yes, only set dietary (1)
CL Item
yes, medical controlled (2)
CL Item
yes, insulin dependent (3)
Diabetes Mellitus duration
Item
Diabetes Mellitus duration
float
C0948092 (UMLS CUI [1])
Tuberculosis
Item
Tuberculosis
text
C0041296 (UMLS CUI [1])
Sexually Transmitted Diseases
Item
Sexually Transmitted Diseases
text
C0036916 (UMLS CUI [1])
Viral hepatitis
Item
Viral hepatitis
text
C0042721 (UMLS CUI [1])
HIV/AIDS
Item
HIV/AIDS
text
C0497169 (UMLS CUI [1,1])
C0740828 (UMLS CUI [1,2])
C1333303 (UMLS CUI [1,3])
Prior myocadial infarction
Item
Prior myocadial infarction
date
C0155668 (UMLS CUI [1])
Item
Prior myocadial infarction localization
integer
C0155668 (UMLS CUI [1,1])
C0340323 (UMLS CUI [1,2])
C0340320 (UMLS CUI [1,3])
C0340322 (UMLS CUI [1,4])
Code List
Prior myocadial infarction localization
CL Item
Old posterior myocardial infarction (1)
CL Item
Old anterior myocardial infarction (2)
CL Item
Old lateral myocardial infarction (3)
Prior stroke
Item
Prior stroke
date
C0559159 (UMLS CUI [1])
Item
Prior Stroke localization
integer
C0559159 (UMLS CUI [1,1])
C0856861 (UMLS CUI [1,2])
C0856862 (UMLS CUI [1,3])
C2104670 (UMLS CUI [1,4])
Code List
Prior Stroke localization
CL Item
Anterior cerebral artery occlusion (1)
CL Item
Posterior cerebral artery occlusion (2)
CL Item
Basilar artery occlusion with cerebral infarction (3)
Allergic reactions
Item
Allergic reactions
text
C1527304 (UMLS CUI [1,1])
C0013182 (UMLS CUI [1,2])
Smoking history
Item
Smoking
text
C1519384 (UMLS CUI [1])
Alcohol abuse
Item
Alcohol abuse
text
C0085762 (UMLS CUI [1])
Drug abuse
Item
Drug abuse
text
C0013146 (UMLS CUI [1])
Operative Surgical Procedures
Item
Operative Surgical Procedures
text
C0543467 (UMLS CUI [1])
Traumas
Item
Prior traumas
text
C3714660 (UMLS CUI [1,1])
C0043251 (UMLS CUI [1,2])
Family history
Item
Family history
text
C0241889 (UMLS CUI [1])
Family social history
Item
Family social history
text
C0559474 (UMLS CUI [1])
Pharmacotherapy
Item
Prior or current Pharmacotherapy
text
C0013216 (UMLS CUI [1])
Item Group
Diagnosis
C0011900 (UMLS CUI-1)
Principal diagnosis
Item
Principal diagnosis
text
C0011900 (UMLS CUI [1,1])
C0332137 (UMLS CUI [1,2])
Secondary diagnosis
Item
Secondary diagnosis
text
C0332138 (UMLS CUI [1])
ICD Codes
Item
ICD Codes
text
C1136256 (UMLS CUI [1])

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