ID

15031

Descrizione

This protocol is a self- or proxy-administered personal health record from the American Health Information Management Association (AHIMA). The respondent is asked to provide details on the following categories: Medical History, Infectious Diseases, Immunizations, Allergies/Drug Sensitivities, Health Log, Doctor Visits, Hospitalizations, Surgeries, Lab or Imaging, Medical Devices, and Physical/Occupational Therapy. 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.

collegamento

https://cde.nlm.nih.gov

Keywords

  1. 27/09/17 27/09/17 -
Caricato su

27 settembre 2017

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0

Commenti del modello :

Puoi commentare il modello dati qui. Tramite i fumetti nei gruppi di articoli e articoli è possibile aggiungere commenti a quelli in modo specifico.

Commenti del gruppo di articoli per :

Commenti dell'articolo per :

Per scaricare i modelli di dati devi essere registrato. Per favore accesso o registrati GRATIS.

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

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

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

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

Alias
UMLS CUI-1
C3171895
Noninfectious major illness
Descrizione

Noninfectious major illness

Noninfectious major illness [PhenX]
Descrizione

noninfectious major illness

Tipo di dati

text

Alias
UMLS CUI [1]
C3177165
Date first Dx Unspecified body region
Descrizione

date first disease

Tipo di dati

date

Alias
UMLS CUI [1]
C3259273
Physician [Identifier]
Descrizione

physician

Tipo di dati

text

Alias
UMLS CUI [1]
C2826892
Noninfectious Major Illness 1 - Nature of Health Problems
Descrizione

nature of health problems

Tipo di dati

text

Alias
UMLS CUI [1]
C3261281
Age range at onset of disease [USSG-FHT]
Descrizione

age range at onset of disease

Tipo di dati

text

Alias
UMLS CUI [1]
C0150907
Noninfectious Major Illness - Condition Status
Descrizione

condition status

Tipo di dati

text

Alias
UMLS CUI [1]
C3176928
Service comment
Descrizione

service comment

Tipo di dati

text

Alias
UMLS CUI [1]
C0485795
Doctor visit sequency
Descrizione

Doctor visit sequency

Doctor visit sequence [PhenX]
Descrizione

doctor visit sequence

Tipo di dati

text

Alias
UMLS CUI [1]
C3259401
Assessment reference date
Descrizione

assessment reference date

Tipo di dati

date

Alias
UMLS CUI [1]
C1719096
Physician [Identifier]
Descrizione

physician

Tipo di dati

text

Alias
UMLS CUI [1]
C0031831
Reason for visit
Descrizione

reason for visit

Tipo di dati

text

Alias
UMLS CUI [1]
C1704447
Diagnosis
Descrizione

diagnosis

Tipo di dati

text

Alias
UMLS CUI [1]
C0011900
Hospitalization sequence
Descrizione

Hospitalization sequence

Hospitalization sequence [PhenX]
Descrizione

hospitalization sequence

Tipo di dati

text

Alias
UMLS CUI [1]
C3261282
Hospitalization - Type
Descrizione

hospitalization type

Tipo di dati

text

Alias
UMLS CUI [1]
C3177060
Hospital Admission Date
Descrizione

hospital admission date

Tipo di dati

date

Alias
UMLS CUI [1]
C0806429
Hospital Discharge Date
Descrizione

hospital discharge date

Tipo di dati

date

Alias
UMLS CUI [1]
C2361123
Physician [Identifier]
Descrizione

physician

Tipo di dati

text

Alias
UMLS CUI [1]
C0031831
Hospitalized at
Descrizione

name hospital

Tipo di dati

text

Alias
UMLS CUI [1]
C0019994
Reason for hospitalization [OASIS]
Descrizione

reason for hospitalization

Tipo di dati

text

Alias
UMLS CUI [1]
C1830395
Hospital admission diagnosis
Descrizione

hospital admission diagnosis

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0184666
UMLS CUI [1,2]
C0011900
Complications
Descrizione

complications

Tipo di dati

text

Alias
UMLS CUI [1]
C0009566
Surgery sequence
Descrizione

Surgery sequence

Surgery sequence [PhenX]
Descrizione

surgery sequence

Tipo di dati

text

Alias
UMLS CUI [1]
C3259403
Please specify date.
Descrizione

surgery date

Tipo di dati

date

Alias
UMLS CUI [1]
C1628561
Physician [Identifier]
Descrizione

physician

Tipo di dati

text

Alias
UMLS CUI [1]
C0031831
Hospitalized at
Descrizione

hospital name

Tipo di dati

text

Alias
UMLS CUI [1]
C0019994
Surgery procedure
Descrizione

surgery procedure

Tipo di dati

text

Alias
UMLS CUI [1]
C0543467
Surgery description
Descrizione

surgery description

Tipo di dati

text

Alias
UMLS CUI [1]
C0543467
Operative note findings
Descrizione

operative note findings

Tipo di dati

text

Alias
UMLS CUI [1]
C0488623
Service comment
Descrizione

service comment

Tipo di dati

text

Alias
UMLS CUI [1]
C0485795
Lab or Imaging - Instance
Descrizione

Lab or Imaging - Instance

Lab or Imaging - Instance
Descrizione

lab or imaging sequence

Tipo di dati

text

Alias
UMLS CUI [1]
C3259404
Date of observation
Descrizione

date of observation

Tipo di dati

date

Alias
UMLS CUI [1]
C3176356
Ordering practitioner name
Descrizione

ordering practitioner name

Tipo di dati

text

Alias
UMLS CUI [1]
C0807182
Lab or Imaging 1 - Reason
Descrizione

reason for test procedure

Tipo di dati

text

Alias
UMLS CUI [1]
C3258099
Service comment
Descrizione

service comment

Tipo di dati

text

Alias
UMLS CUI [1]
C0485795
Vendor device name
Descrizione

vendor device name

Tipo di dati

text

Alias
UMLS CUI [1]
C1636181
Medical Device - Device Type
Descrizione

medical device type

Tipo di dati

text

Alias
UMLS CUI [1]
C3177146
Physician [Identifier]
Descrizione

physician

Tipo di dati

text

Alias
UMLS CUI [1]
C0031831
Hospitalized at
Descrizione

hospital name

Tipo di dati

text

Alias
UMLS CUI [1]
C0019994
Date of observation
Descrizione

date of observation

Tipo di dati

date

Alias
UMLS CUI [1]
C3176356
Physical/​Occupational therapy sequence
Descrizione

Physical/​Occupational therapy sequence

Physical/Occupational therapy sequence [PhenX]
Descrizione

therapy sequence

Tipo di dati

text

Alias
UMLS CUI [1]
C3259407
Physical/Occupation Therapy - Therapy Type
Descrizione

therapy type

Tipo di dati

text

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0521127
Physical Therapy - Therapy Start Date
Descrizione

physical therapy start date

Tipo di dati

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0521127
Physical therapy treatment plan, End date
Descrizione

physical therapy treatment plan end date

Tipo di dati

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C0521127
Physical therapy treatment plan, Visit frequency TQ2
Descrizione

visit frequency

Tipo di dati

text

Alias
UMLS CUI [1]
C0808393
Physical/Occupation Therapy 1 - Therapist
Descrizione

therapist

Tipo di dati

text

Alias
UMLS CUI [1]
C0028807

Similar models

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

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
PhenX - personal medical history of allergies, infectious diseases, and immunizations - adult protocol
C3171895 (UMLS CUI-1)
Item Group
Noninfectious major illness
noninfectious major illness
Item
Noninfectious major illness [PhenX]
text
C3177165 (UMLS CUI [1])
date first disease
Item
Date first Dx Unspecified body region
date
C3259273 (UMLS CUI [1])
Item
Physician [Identifier]
text
C2826892 (UMLS CUI [1])
Code List
Physician [Identifier]
CL Item
Managing physician unknown or ID number not assigned (Managing physician unknown or ID number not assigned)
nature of health problems
Item
Noninfectious Major Illness 1 - Nature of Health Problems
text
C3261281 (UMLS CUI [1])
Item
Age range at onset of disease [USSG-FHT]
text
C0150907 (UMLS CUI [1])
Code List
Age range at onset of disease [USSG-FHT]
CL Item
Pre-Birth (Pre-Birth)
CL Item
Newborn (Newborn)
CL Item
Infancy (Infancy)
CL Item
Childhood (Childhood)
CL Item
Adolescence (Adolescence)
CL Item
20-29 (20-29)
CL Item
30-39 (30-39)
CL Item
40-49 (40-49)
CL Item
50-59 (50-59)
CL Item
over 60 (over 60)
CL Item
unknown (unknown)
condition status
Item
Noninfectious Major Illness - Condition Status
text
C3176928 (UMLS CUI [1])
service comment
Item
Service comment
text
C0485795 (UMLS CUI [1])
Item Group
Doctor visit sequency
doctor visit sequence
Item
Doctor visit sequence [PhenX]
text
C3259401 (UMLS CUI [1])
assessment reference date
Item
Assessment reference date
date
C1719096 (UMLS CUI [1])
physician
Item
Physician [Identifier]
text
C0031831 (UMLS CUI [1])
reason for visit
Item
Reason for visit
text
C1704447 (UMLS CUI [1])
diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item Group
Hospitalization sequence
hospitalization sequence
Item
Hospitalization sequence [PhenX]
text
C3261282 (UMLS CUI [1])
hospitalization type
Item
Hospitalization - Type
text
C3177060 (UMLS CUI [1])
hospital admission date
Item
Hospital Admission Date
date
C0806429 (UMLS CUI [1])
hospital discharge date
Item
Hospital Discharge Date
date
C2361123 (UMLS CUI [1])
physician
Item
Physician [Identifier]
text
C0031831 (UMLS CUI [1])
name hospital
Item
Hospitalized at
text
C0019994 (UMLS CUI [1])
Item
Reason for hospitalization [OASIS]
text
C1830395 (UMLS CUI [1])
Code List
Reason for hospitalization [OASIS]
CL Item
Improper medication administration, medication side effects, toxicity, anaphylaxis  (Improper medication administration, medication side effects, toxicity, anaphylaxis )
CL Item
Injury caused by fall or accident at home  (Injury caused by fall or accident at home )
CL Item
Respiratory problems (SOB, infection, obstruction)  (Respiratory problems (SOB, infection, obstruction) )
CL Item
Wound or tube site infection, deteriorating wound status, new lesion/ulcer  (Wound or tube site infection, deteriorating wound status, new lesion/ulcer )
CL Item
Hypo/Hyperglycemia, diabetes out of control (Hypo/Hyperglycemia, diabetes out of control)
CL Item
GI bleeding, obstruction (GI bleeding, obstruction)
CL Item
Exacerbation of CHF, fluid overload, heart failure  (Exacerbation of CHF, fluid overload, heart failure )
CL Item
Myocardial infarction, stroke (Myocardial infarction, stroke)
CL Item
Chemotherapy  (Chemotherapy )
CL Item
Scheduled surgical procedure  (Scheduled surgical procedure )
CL Item
Urinary tract infection (Urinary tract infection)
CL Item
IV catheter-related infection  (IV catheter-related infection )
CL Item
Deep vein thrombosis, pulmonary embolus (Deep vein thrombosis, pulmonary embolus)
CL Item
Uncontrolled pain  (Uncontrolled pain )
CL Item
Psychotic episode (Psychotic episode)
CL Item
Other than above reasons (Other than above reasons)
hospital admission diagnosis
Item
Hospital admission diagnosis
text
C0184666 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
complications
Item
Complications
text
C0009566 (UMLS CUI [1])
Item Group
Surgery sequence
surgery sequence
Item
Surgery sequence [PhenX]
text
C3259403 (UMLS CUI [1])
surgery date
Item
Please specify date.
date
C1628561 (UMLS CUI [1])
physician
Item
Physician [Identifier]
text
C0031831 (UMLS CUI [1])
hospital name
Item
Hospitalized at
text
C0019994 (UMLS CUI [1])
surgery procedure
Item
Surgery procedure
text
C0543467 (UMLS CUI [1])
surgery description
Item
Surgery description
text
C0543467 (UMLS CUI [1])
operative note findings
Item
Operative note findings
text
C0488623 (UMLS CUI [1])
service comment
Item
Service comment
text
C0485795 (UMLS CUI [1])
Item Group
Lab or Imaging - Instance
lab or imaging sequence
Item
Lab or Imaging - Instance
text
C3259404 (UMLS CUI [1])
date of observation
Item
Date of observation
date
C3176356 (UMLS CUI [1])
ordering practitioner name
Item
Ordering practitioner name
text
C0807182 (UMLS CUI [1])
reason for test procedure
Item
Lab or Imaging 1 - Reason
text
C3258099 (UMLS CUI [1])
service comment
Item
Service comment
text
C0485795 (UMLS CUI [1])
vendor device name
Item
Vendor device name
text
C1636181 (UMLS CUI [1])
medical device type
Item
Medical Device - Device Type
text
C3177146 (UMLS CUI [1])
physician
Item
Physician [Identifier]
text
C0031831 (UMLS CUI [1])
hospital name
Item
Hospitalized at
text
C0019994 (UMLS CUI [1])
date of observation
Item
Date of observation
date
C3176356 (UMLS CUI [1])
Item Group
Physical/​Occupational therapy sequence
therapy sequence
Item
Physical/Occupational therapy sequence [PhenX]
text
C3259407 (UMLS CUI [1])
therapy type
Item
Physical/Occupation Therapy - Therapy Type
text
C0087111 (UMLS CUI [1,1])
C0521127 (UMLS CUI [1,2])
physical therapy start date
Item
Physical Therapy - Therapy Start Date
date
C0808070 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0521127 (UMLS CUI [1,3])
physical therapy treatment plan end date
Item
Physical therapy treatment plan, End date
date
C0806020 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C0521127 (UMLS CUI [1,3])
Item
Physical therapy treatment plan, Visit frequency TQ2
text
C0808393 (UMLS CUI [1])
Code List
Physical therapy treatment plan, Visit frequency TQ2
CL Item
Day (Day)
CL Item
Week (Week)
CL Item
Month (Month)
CL Item
Quarter (Quarter)
CL Item
As needed (As needed)
therapist
Item
Physical/Occupation Therapy 1 - Therapist
text
C0028807 (UMLS CUI [1])

Si prega di utilizzare questo modulo per feedback, domande e suggerimenti per miglioramenti.

I campi contrassegnati da * sono obbligatori.

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