ID

14668

Description

This protocol is a proxy-administered personal health record from the American Health Information Management Association (AHIMA). The parent or guardian is asked to provide details on the child in the following categories: Birth, Health Log, Allergies/Drug Sensitivities, Infectious Disease, and Immunizations. ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.

Link

https://cde.nlm.nih.gov

Keywords

Versions (1)
  1. 4/26/16 4/26/16 -
Uploaded on

April 26, 2016

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Personal Medical History of Allergies, Infectious Diseases, and Immunizations - Child PhenX Toolkit

English

Personal Medical History of Allergies, Infectious Diseases, and Immunizations - Child PhenX Toolkit

1 forms  
PhenX - personal medical history of allergies, infectious diseases, and immunizations - child protocol
Description

PhenX - personal medical history of allergies, infectious diseases, and immunizations - child protocol

Alias
UMLS CUI-1
C3171894
Birth hospital facility ID [Identifier] in Facility
Description

birth hospital facility

Data type

text

Alias
UMLS CUI [1]
C2963385
Birth weight GNWCH
Description

A newborn's weight at birth based on the Global Network for Women's and Children's Health Research (GNWCH) examination study protocol. The protocol includes taking at least two measurements and recommends the following steps: -Use calibrated infant scale for weighing infant. -Naked weight of infant is preferred, but if the mother objects, wrap naked infant in study blanket for procedure. Record on form whether infant is weighed with a study blanket. Note: If the infant urinates in the blanket, repeat the measurement using a dry blanket. -Place the infant on the scale so that weight is distributed equally about the center of the pan. -Record the weight on form. -Remove the infant from the scale, then replace and weigh a second time. -Record the second weight on form. -If the difference in the two weights is greater than 100 grams, obtain a third measurement. -Note the weight of the blanket and subtract the weight of the blanket from the total weight of the infant plus blanket to estimate birth weight of the infant. Additional information about the protocol is available in the PhenX Toolkit at https://www.phenxtoolkit.org/index.php?pageLink=browse.protocoldetails&… Source: Regenstrief LOINC

Data type

float

Alias
UMLS CUI [1]
C0005612
Body height --lying
Description

body height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Physician [Identifier]
Description

physician

Data type

text

Alias
UMLS CUI [1]
C0031831
Prenatal events
Description

prenatal events

Data type

text

Alias
UMLS CUI [1]
C2735348
5 minute Apgar Score
Description

5M Apgar Score

Data type

float

Alias
UMLS CUI [1]
C0426291
Health problem sequence [PhenX]
Description

health problem sequence

Data type

integer

Alias
UMLS CUI [1]
C3259277
History of Unspecified body region disorders
Description

history of unspecified body region disorders

Data type

text

Alias
UMLS CUI [1]
C3259272
Illness or injury onset date and time
Description

illness or injury onset date and time

Data type

datetime

Alias
UMLS CUI [1,1]
C0277793
UMLS CUI [1,2]
C1442880
Service comment
Description

service comment

Data type

text

Alias
UMLS CUI [1]
C0485795
Allergies/Causes of Reaction
Description

allergy or cause of reaction

Data type

text

Alias
UMLS CUI [1]
C0020517
Patient Reaction
Description

immunization reaction

Data type

text

Alias
UMLS CUI [1]
C0565653
Date of last reaction
Description

Date last reaction

Data type

datetime

Alias
UMLS CUI [1]
C3260033
Treatment information
Description

treatment information

Data type

text

Alias
UMLS CUI [1]
C0087111
Infectious disease [PhenX]
Description

infectious disease

Data type

text

Alias
UMLS CUI [1]
C0009450
Age
Description

age

Data type

integer

Alias
UMLS CUI [1]
C0001779
Illness or injury onset date and time
Description

illness or injury onset date and time

Data type

datetime

Alias
UMLS CUI [1,1]
C0277793
UMLS CUI [1,2]
C1442880
Booster sequence [PhenX]
Description

booster sequence

Data type

text

Alias
UMLS CUI [1]
C3259234
Booster type [PhenX]
Description

booster type

Data type

text

Alias
UMLS CUI [1]
C3259236
Booster 1 Age
Description

booster 1 Age

Data type

integer

Alias
UMLS CUI [1]
C3176892
Booster 1 Date
Description

booster 1 Date

Data type

date

Alias
UMLS CUI [1]
C3176893
Back to the top of the page

Similar models

Personal Medical History of Allergies, Infectious Diseases, and Immunizations - Child PhenX Toolkit

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PhenX - personal medical history of allergies, infectious diseases, and immunizations - child protocol
C3171894 (UMLS CUI-1)
birth hospital facility
Item
Birth hospital facility ID [Identifier] in Facility
text
C2963385 (UMLS CUI [1])
birth weight GNWCH
Item
Birth weight GNWCH
float
C0005612 (UMLS CUI [1])
body height
Item
Body height --lying
integer
C0005890 (UMLS CUI [1])
physician
Item
Physician [Identifier]
text
C0031831 (UMLS CUI [1])
prenatal events
Item
Prenatal events
text
C2735348 (UMLS CUI [1])
5M Apgar Score
Item
5 minute Apgar Score
float
C0426291 (UMLS CUI [1])
Item
Health problem sequence [PhenX]
integer
C3259277 (UMLS CUI [1])
health problem sequence
Code List
Health problem sequence [PhenX]
CL Item
Health problem 1  (1)
CL Item
Health problem 2 (2)
CL Item
Health problem 3 (3)
history of unspecified body region disorders
Item
History of Unspecified body region disorders
text
C3259272 (UMLS CUI [1])
illness or injury onset date and time
Item
Illness or injury onset date and time
datetime
C0277793 (UMLS CUI [1,1])
C1442880 (UMLS CUI [1,2])
service comment
Item
Service comment
text
C0485795 (UMLS CUI [1])
allergy or cause of reaction
Item
Allergies/Causes of Reaction
text
C0020517 (UMLS CUI [1])
Item
Patient Reaction
text
C0565653 (UMLS CUI [1])
immunization reaction
Code List
Patient Reaction
CL Item
Pain  (Pain )
C0030193 (UMLS CUI-1)
CL Item
Hypotonic (Hypotonic)
C0241938 (UMLS CUI-1)
CL Item
Fever  (Fever )
C0015967 (UMLS CUI-1)
CL Item
Encephalopathy, disorder of the brain (Encephalopathy, disorder of the brain)
C0006111 (UMLS CUI-1)
CL Item
Anaphylaxis within 24 hours  (Anaphylaxis within 24 hours )
C0002792 (UMLS CUI-1)
CL Item
Redness  (Redness )
C0332575 (UMLS CUI-1)
CL Item
Swelling (Swelling)
C0038999 (UMLS CUI-1)
Date last reaction
Item
Date of last reaction
datetime
C3260033 (UMLS CUI [1])
treatment information
Item
Treatment information
text
C0087111 (UMLS CUI [1])
Item
Infectious disease [PhenX]
text
C0009450 (UMLS CUI [1])
infectious disease
Code List
Infectious disease [PhenX]
CL Item
Chicken pox (Chicken pox)
C0008049 (UMLS CUI-1)
CL Item
Measles  (Measles )
C0025007 (UMLS CUI-1)
CL Item
Rubella  (Rubella )
C0035920 (UMLS CUI-1)
CL Item
Hepatitis  (Hepatitis )
C0019158 (UMLS CUI-1)
CL Item
Pertussis/whooping cough  (Pertussis/whooping cough )
C3842578 (UMLS CUI-1)
CL Item
Pneumonia  (Pneumonia )
C0032285 (UMLS CUI-1)
CL Item
Polio  (Polio )
C0032371 (UMLS CUI-1)
CL Item
Mumps  (Mumps )
C0026780 (UMLS CUI-1)
CL Item
Scarlet fever (Scarlet fever)
C0036285 (UMLS CUI-1)
CL Item
Other (Other)
C0205394 (UMLS CUI-1)
age
Item
Age
integer
C0001779 (UMLS CUI [1])
illness or injury onset date and time
Item
Illness or injury onset date and time
datetime
C0277793 (UMLS CUI [1,1])
C1442880 (UMLS CUI [1,2])
Item
Booster sequence [PhenX]
text
C3259234 (UMLS CUI [1])
booster sequence
Code List
Booster sequence [PhenX]
CL Item
Booster 1  (Booster 1 )
CL Item
Booster 2  (Booster 2 )
CL Item
Booster 3 (Booster 3)
Item
Booster type [PhenX]
text
C3259236 (UMLS CUI [1])
booster type
Code List
Booster type [PhenX]
CL Item
Other  (Other )
C0205394 (UMLS CUI-1)
CL Item
Diphtheria  (Diphtheria )
C0012546 (UMLS CUI-1)
CL Item
Hepatitis B (Hepatitis B)
C0019163 (UMLS CUI-1)
CL Item
Measles  (Measles )
C0025007 (UMLS CUI-1)
CL Item
Mumps  (Mumps )
C0026780 (UMLS CUI-1)
CL Item
Pertussis/whooping cough (Pertussis/whooping cough)
C3842578 (UMLS CUI-1)
CL Item
Polio  (Polio )
C0032371 (UMLS CUI-1)
CL Item
Rubella  (Rubella )
C0035920 (UMLS CUI-1)
CL Item
Smallpox  (Smallpox )
C0037354 (UMLS CUI-1)
CL Item
Tetanus  (Tetanus )
C0199807 (UMLS CUI-1)
CL Item
Tuberculosis  (Tuberculosis )
C0041296 (UMLS CUI-1)
CL Item
Typhoid  (Typhoid )
C0041466 (UMLS CUI-1)
CL Item
Other booster (Other booster)
C3842577 (UMLS CUI-1)
booster 1 Age
Item
Booster 1 Age
integer
C3176892 (UMLS CUI [1])
booster 1 Date
Item
Booster 1 Date
date
C3176893 (UMLS CUI [1])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial