ID

15031

Beschrijving

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.

Link

https://cde.nlm.nih.gov

Trefwoorden

  1. 27-09-17 27-09-17 -
Geüploaded op

27 september 2017

DOI

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Licentie

Creative Commons BY-NC 3.0

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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
Beschrijving

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

Alias
UMLS CUI-1
C3171895
Noninfectious major illness
Beschrijving

Noninfectious major illness

Noninfectious major illness [PhenX]
Beschrijving

noninfectious major illness

Datatype

text

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

date first disease

Datatype

date

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

physician

Datatype

text

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

nature of health problems

Datatype

text

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

age range at onset of disease

Datatype

text

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

condition status

Datatype

text

Alias
UMLS CUI [1]
C3176928
Service comment
Beschrijving

service comment

Datatype

text

Alias
UMLS CUI [1]
C0485795
Doctor visit sequency
Beschrijving

Doctor visit sequency

Doctor visit sequence [PhenX]
Beschrijving

doctor visit sequence

Datatype

text

Alias
UMLS CUI [1]
C3259401
Assessment reference date
Beschrijving

assessment reference date

Datatype

date

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

physician

Datatype

text

Alias
UMLS CUI [1]
C0031831
Reason for visit
Beschrijving

reason for visit

Datatype

text

Alias
UMLS CUI [1]
C1704447
Diagnosis
Beschrijving

diagnosis

Datatype

text

Alias
UMLS CUI [1]
C0011900
Hospitalization sequence
Beschrijving

Hospitalization sequence

Hospitalization sequence [PhenX]
Beschrijving

hospitalization sequence

Datatype

text

Alias
UMLS CUI [1]
C3261282
Hospitalization - Type
Beschrijving

hospitalization type

Datatype

text

Alias
UMLS CUI [1]
C3177060
Hospital Admission Date
Beschrijving

hospital admission date

Datatype

date

Alias
UMLS CUI [1]
C0806429
Hospital Discharge Date
Beschrijving

hospital discharge date

Datatype

date

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

physician

Datatype

text

Alias
UMLS CUI [1]
C0031831
Hospitalized at
Beschrijving

name hospital

Datatype

text

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

reason for hospitalization

Datatype

text

Alias
UMLS CUI [1]
C1830395
Hospital admission diagnosis
Beschrijving

hospital admission diagnosis

Datatype

text

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

complications

Datatype

text

Alias
UMLS CUI [1]
C0009566
Surgery sequence
Beschrijving

Surgery sequence

Surgery sequence [PhenX]
Beschrijving

surgery sequence

Datatype

text

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

surgery date

Datatype

date

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

physician

Datatype

text

Alias
UMLS CUI [1]
C0031831
Hospitalized at
Beschrijving

hospital name

Datatype

text

Alias
UMLS CUI [1]
C0019994
Surgery procedure
Beschrijving

surgery procedure

Datatype

text

Alias
UMLS CUI [1]
C0543467
Surgery description
Beschrijving

surgery description

Datatype

text

Alias
UMLS CUI [1]
C0543467
Operative note findings
Beschrijving

operative note findings

Datatype

text

Alias
UMLS CUI [1]
C0488623
Service comment
Beschrijving

service comment

Datatype

text

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

Lab or Imaging - Instance

Lab or Imaging - Instance
Beschrijving

lab or imaging sequence

Datatype

text

Alias
UMLS CUI [1]
C3259404
Date of observation
Beschrijving

date of observation

Datatype

date

Alias
UMLS CUI [1]
C3176356
Ordering practitioner name
Beschrijving

ordering practitioner name

Datatype

text

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

reason for test procedure

Datatype

text

Alias
UMLS CUI [1]
C3258099
Service comment
Beschrijving

service comment

Datatype

text

Alias
UMLS CUI [1]
C0485795
Vendor device name
Beschrijving

vendor device name

Datatype

text

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

medical device type

Datatype

text

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

physician

Datatype

text

Alias
UMLS CUI [1]
C0031831
Hospitalized at
Beschrijving

hospital name

Datatype

text

Alias
UMLS CUI [1]
C0019994
Date of observation
Beschrijving

date of observation

Datatype

date

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

Physical/​Occupational therapy sequence

Physical/Occupational therapy sequence [PhenX]
Beschrijving

therapy sequence

Datatype

text

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

therapy type

Datatype

text

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

physical therapy start date

Datatype

date

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

physical therapy treatment plan end date

Datatype

date

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

visit frequency

Datatype

text

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

therapist

Datatype

text

Alias
UMLS CUI [1]
C0028807

Similar models

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

Name
Type
Description | Question | Decode (Coded Value)
Datatype
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])

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