Patient Family Name
Item
Patient Family Name
text
C1301584 (UMLS CUI [1])
Patient First Name
Item
Patient First Name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Sex/Gender
Item
Sex/Gender
text
C0079399 (UMLS CUI [1])
Country of birth/countries lived in/transited
Item
Country of birth/countries lived in/transited
text
C1300001 (UMLS CUI [1,1])
C1562954 (UMLS CUI [1,2])
C0687759 (UMLS CUI [1,3])
Telephone or mobile number
Item
Telephone or mobile number
text
C0421455 (UMLS CUI [1,1])
C3273868 (UMLS CUI [1,2])
Email address
Item
Email address
text
C1705961 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])
Marital status
Item
Marital status (married/separated/single)
text
C0024819 (UMLS CUI [1])
Number of family members travelling
Item
Number of family members travelling
text
C0086282 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
Number of family members travelling young
Item
Number of family members traveling under the age of 10
text
C0086282 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
C0001779 (UMLS CUI [1,4])
Physician Family Name
Item
Physician Family Name
text
C2361125 (UMLS CUI [1,1])
C1301584 (UMLS CUI [1,2])
Physician First Name
Item
Physician First Name
text
C2361125 (UMLS CUI [1,1])
C1443235 (UMLS CUI [1,2])
Physician Telephone or mobile number
Item
Telephone or mobile number
text
C1515258 (UMLS CUI [1,1])
C1710470 (UMLS CUI [1,2])
Physician Email address
Item
Email address
text
C1705961 (UMLS CUI [1,1])
C1710470 (UMLS CUI [1,2])
Name of medical affiliation
Item
Name of medical affiliation (e.g. clinic, hospital)
text
C0029239 (UMLS CUI [1,1])
C1510825 (UMLS CUI [1,2])
C2371809 (UMLS CUI [1,3])
City, Country
Item
City, Country
text
C0019994 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
Interpretation/mediation used
Item
Interpretation/mediation used
boolean
C0459471 (UMLS CUI [1,1])
C0262765 (UMLS CUI [1,2])
Interpretation/mediation comment
Item
Interpretation/mediation used
text
C0459471 (UMLS CUI [1,1])
C0262765 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Illness or injury requiring hospitalization
Item
Illness or injury requiring hospitalization
boolean
C1836348 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0019993 (UMLS CUI [1,3])
Illness or injury requiring hospitalization comment
Item
Illness or injury requiring hospitalization
text
C1836348 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0019993 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Surgical interventions
Item
Surgical interventions
boolean
C0184661 (UMLS CUI [1])
Surgical interventions comment
Item
Surgical interventions
text
C0184661 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Heart disease or high blood pressure
Item
Heart disease or high blood pressure
boolean
C0020538 (UMLS CUI [1,1])
C0018799 (UMLS CUI [1,2])
Heart disease or high blood pressure comment
Item
Heart disease or high blood pressure
text
C0020538 (UMLS CUI [1,1])
C0018799 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Neurologic disease, incl. stroke or seizures
Item
Neurologic disease, incl. stroke or seizures
boolean
C0027765 (UMLS CUI [1,1])
C0036572 (UMLS CUI [1,2])
C0038454 (UMLS CUI [1,3])
Neurologic disease, incl. stroke or seizures comment
Item
Neurologic disease, incl. stroke or seizures
text
C0027765 (UMLS CUI [1,1])
C0036572 (UMLS CUI [1,2])
C0038454 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Mental illness/problems
Item
Mental illness/problems
boolean
C0004936 (UMLS CUI [1])
Mental illness/problems comment
Item
Mental illness/problems
text
C0004936 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Stomach or bowel disease (incl. recent diarrhea)
Item
Stomach or bowel disease (incl. recent diarrhea)
boolean
C0017178 (UMLS CUI [1,1])
C0038354 (UMLS CUI [1,2])
Stomach or bowel disease (incl. recent diarrhea) comment
Item
Stomach or bowel disease (incl. recent diarrhea)
text
C0017178 (UMLS CUI [1,1])
C0038354 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Liver or kidney disease
Item
Liver or kidney disease
boolean
C0023895 (UMLS CUI [1,1])
C0022658 (UMLS CUI [1,2])
Liver or kidney disease comment
Item
Liver or kidney disease
text
C0023895 (UMLS CUI [1,1])
C0022658 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Diabetes or other endocrine disorder
Item
Diabetes or other endocrine disorder
boolean
C0014130 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
Diabetes or other endocrine disorder comment
Item
Diabetes or other endocrine disorder
text
C0014130 (UMLS CUI [1,1])
C0011849 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Urogenital problems/conditions
Item
Urogenital problems/conditions
boolean
C0080276 (UMLS CUI [1])
Urogenital problems/conditions comment
Item
Urogenital problems/conditions
boolean
C0080276 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Hematologic disease
Item
Hematologic disease
boolean
C0018939 (UMLS CUI [1])
Hematologic disease comment
Item
Hematologic disease
text
C0018939 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Muscle, bone and joint problems
Item
Muscle, bone and joint problems
boolean
C0575078 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0575044 (UMLS CUI [1,3])
Muscle, bone and joint problems comment
Item
Muscle, bone and joint problems
text
C0575078 (UMLS CUI [1,1])
C0003862 (UMLS CUI [1,2])
C0575044 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Problems with eyes or ears
Item
Problems with eyes or ears
boolean
C0262477 (UMLS CUI [1,1])
C0260662 (UMLS CUI [1,2])
Problems with eyes or ears comment
Item
Problems with eyes or ears
text
C0262477 (UMLS CUI [1,1])
C0260662 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
History of cancer or tumors
Item
History of cancer or tumors
boolean
C2735088 (UMLS CUI [1])
History of cancer or tumors comment
Item
History of cancer or tumors
text
C2735088 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Tuberculosis, pneumonia or other lung disease
Item
Tuberculosis, pneumonia or other lung disease
boolean
C0024115 (UMLS CUI [1,1])
C0032285 (UMLS CUI [1,2])
C0041296 (UMLS CUI [1,3])
Tuberculosis, pneumonia or other lung disease comment
Item
Tuberculosis, pneumonia or other lung disease
text
C0024115 (UMLS CUI [1,1])
C0032285 (UMLS CUI [1,2])
C0041296 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Family member or close contact with an infectious disease (or TB contact in general)
Item
Family member or close contact with an infectious disease (or TB contact in general)
boolean
C0332158 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
C0009450 (UMLS CUI [1,3])
Family member or close contact with an infectious disease (or TB contact in general) comment
Item
Family member or close contact with an infectious disease (or TB contact in general)
text
C0332158 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
C0009450 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Recurrent fever (in the past 6 months)
Item
Recurrent fever (in the past 6 months)
boolean
C0013806 (UMLS CUI [1,1])
C2945760 (UMLS CUI [1,2])
Recurrent fever (in the past 6 months) comment
Item
Recurrent fever (in the past 6 months)
text
C0013806 (UMLS CUI [1,1])
C2945760 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Coughing
Item
Coughing. Specify if protracted coughing over two weeks, combined with other symptoms
boolean
C0010200 (UMLS CUI [1])
Coughing comment
Item
Coughing. Specify if protracted coughing over two weeks, combined with other symptoms
text
C0010200 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Significant weight loss
Item
Significant weight loss (in the past 6 months)
boolean
C0043096 (UMLS CUI [1])
Significant weight loss comment
Item
Significant weight loss (in the past 6 months)
text
C0043096 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Sexually transmitted infections
Item
Sexually transmitted infections
boolean
C0036916 (UMLS CUI [1])
Sexually transmitted infections comment
Item
Sexually transmitted infections
text
C0036916 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Skin conditions
Item
Skin conditions (e.g. rash)
boolean
C0037274 (UMLS CUI [1])
Skin conditions comment
Item
Skin conditions (e.g. rash)
text
C0037274 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Tattoos, body piercings
Item
Tattoos, body piercings
boolean
C0191391 (UMLS CUI [1,1])
C1446587 (UMLS CUI [1,2])
Tattoos, body piercings comment
Item
Tattoos, body piercings
text
C0191391 (UMLS CUI [1,1])
C1446587 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
History of blood transfusion
Item
History of blood transfusion
boolean
C1519604 (UMLS CUI [1])
History of blood transfusion comment
Item
History of blood transfusion
text
C1519604 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
History of torture, violence
Item
History of torture, violence
boolean
C0262926 (UMLS CUI [1,1])
C0042693 (UMLS CUI [1,2])
C4061703 (UMLS CUI [1,3])
History of torture, violence comment
Item
History of torture, violence
text
C0262926 (UMLS CUI [1,1])
C0042693 (UMLS CUI [1,2])
C4061703 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Displaced from home
Item
Displaced from home (specify duration)
text
C2699029 (UMLS CUI [1,1])
C2046927 (UMLS CUI [1,2])
Current medications
Item
Current medications (specify)
text
C0746467 (UMLS CUI [1])
Allergies, including to drugs
Item
Allergies, including to drugs
boolean
C0020517 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
Allergies, including to drugs comment
Item
Allergies, including to drugs
text
C0020517 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Smoking or history of smoking
Item
Smoking or history of smoking
boolean
C1519384 (UMLS CUI [1,1])
C0543414 (UMLS CUI [1,2])
Smoking or history of smoking comment
Item
Smoking or history of smoking
text
C1519384 (UMLS CUI [1,1])
C0543414 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Alcohol or history of alcohol
Item
Alcohol or history of alcohol
boolean
C0221628 (UMLS CUI [1,1])
C0085762 (UMLS CUI [1,2])
Alcohol or history of alcohol comment
Item
Alcohol or history of alcohol
text
C0221628 (UMLS CUI [1,1])
C0085762 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Pregnancies
Item
Pregnancies (number)
boolean
C3812254 (UMLS CUI [1])
Pregnancies comment
Item
Pregnancies (number)
text
C3812254 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Deliveries
Item
Deliveries (number)
text
C0559563 (UMLS CUI [1])
Last menstrual period
Item
Last menstrual period
date
C0425932 (UMLS CUI [1])
Current pregnancy
Item
Current pregnancy
boolean
C0549206 (UMLS CUI [1])
Current pregnancy comment
Item
Current pregnancy
text
C0549206 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Gestational week
Item
Gestational week
text
C0017504 (UMLS CUI [1])
Immunization record
Item
Immunization record presented/available
boolean
C0552506 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
Immunization record comment
Item
Immunization record presented/available
text
C0552506 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Immunization status
Item
Immunization status meets age specific requirements based on national requirement of the country of stay. If yes, proceed with points 3-24 and indicate date or age at vaccination
boolean
C0552506 (UMLS CUI [1,1])
C0020405 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
Pediatric diphtheria and tetanus
Item
Pediatric diphtheria and tetanus (DT)
boolean
C0058773 (UMLS CUI [1,1])
C1521725 (UMLS CUI [1,2])
Item
Pediatric diphtheria and tetanus (DT)
text
C0058773 (UMLS CUI [1,1])
C1521725 (UMLS CUI [1,2])
Code List
Pediatric diphtheria and tetanus (DT)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Pediatric diphtheria and tetanus comment
Item
Pediatric diphtheria and tetanus (DT)
text
C0058773 (UMLS CUI [1,1])
C1521725 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Diphtheria, tetanus, pertussis (DTP)
Item
Diphtheria, tetanus, pertussis (DTP)
boolean
C0012559 (UMLS CUI [1])
Item
Diphtheria, tetanus, pertussis (DTP)
text
C0012559 (UMLS CUI [1])
Code List
Diphtheria, tetanus, pertussis (DTP)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Diphtheria, tetanus, pertussis (DTP) comment
Item
Diphtheria, tetanus, pertussis (DTP)
text
C0012559 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
Item
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
boolean
C0012559 (UMLS CUI [1,1])
C1521725 (UMLS CUI [1,2])
Item
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
text
C0012559 (UMLS CUI [1,1])
C1521725 (UMLS CUI [1,2])
Code List
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Pediatric diphtheria, tetanus and acellular pertussis (DTaP) comment
Item
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
text
C0012559 (UMLS CUI [1,1])
C1521725 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Older children and adults tetanus and diphtheria vaccine (Td)
Item
Older children and adults tetanus and diphtheria vaccine (Td)
boolean
C0058773 (UMLS CUI [1,1])
C0001675 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
Item
Older children and adults tetanus and diphtheria vaccine (Td)
text
C0058773 (UMLS CUI [1,1])
C0001675 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
Code List
Older children and adults tetanus and diphtheria vaccine (Td)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Older children and adults tetanus and diphtheria vaccine (Td) comment
Item
Older children and adults tetanus and diphtheria vaccine (Td)
text
C0058773 (UMLS CUI [1,1])
C0001675 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
Item
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
boolean
C0012559 (UMLS CUI [1,1])
C0001675 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
Item
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
text
C0012559 (UMLS CUI [1,1])
C0001675 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
Code List
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap) comment
Item
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
text
C0012559 (UMLS CUI [1,1])
C0001675 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
C0947611 (UMLS CUI [1,4])
Oral Polio vaccine (OPV)
Item
Oral Polio vaccine (OPV)
boolean
C0032375 (UMLS CUI [1])
Item
Oral Polio vaccine (OPV)
text
C0032375 (UMLS CUI [1])
Code List
Oral Polio vaccine (OPV)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Oral Polio vaccine (OPV) comment
Item
Oral Polio vaccine (OPV)
text
C0032375 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Inactivated Polio vaccine (IPV)
Item
Inactivated Polio vaccine (IPV)
boolean
C0718003 (UMLS CUI [1])
Item
Inactivated Polio vaccine (IPV)
text
C0718003 (UMLS CUI [1])
Code List
Inactivated Polio vaccine (IPV)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Inactivated Polio vaccine (IPV) comment
Item
Inactivated Polio vaccine (IPV)
text
C0718003 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Measles, mumps, rubella (MMR)
Item
Measles, mumps, rubella (MMR)
boolean
C0065828 (UMLS CUI [1])
Item
Measles, mumps, rubella (MMR)
text
C0065828 (UMLS CUI [1])
Code List
Measles, mumps, rubella (MMR)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Measles, mumps, rubella (MMR) comment
Item
Measles, mumps, rubella (MMR)
text
C0065828 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Rubella
Item
Rubella
boolean
C0042206 (UMLS CUI [1])
Item
Rubella
text
C0042206 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Rubella comment
Item
Rubella
text
C0042206 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Measles
Item
Measles
boolean
C0042201 (UMLS CUI [1])
Item
Measles
text
C0042201 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Measles comment
Item
Measles
text
C0042201 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Measles-Rubella
Item
Measles-Rubella
boolean
C0042201 (UMLS CUI [1,1])
C0042206 (UMLS CUI [1,2])
Item
Measles-Rubella
text
C0042201 (UMLS CUI [1,1])
C0042206 (UMLS CUI [1,2])
Code List
Measles-Rubella
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Measles-Rubella comment
Item
Measles-Rubella
text
C0042201 (UMLS CUI [1,1])
C0042206 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Mumps
Item
Mumps
boolean
C0042202 (UMLS CUI [1])
Item
Mumps
text
C0042202 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Mumps comment
Item
Mumps
text
C0042202 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Mumps-Rubella
Item
Mumps-Rubella
boolean
C0042202 (UMLS CUI [1,1])
C0042206 (UMLS CUI [1,2])
Item
Mumps-Rubella
text
C0042202 (UMLS CUI [1,1])
C0042206 (UMLS CUI [1,2])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Mumps-Rubella comment
Item
Mumps-Rubella
text
C0042202 (UMLS CUI [1,1])
C0042206 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Haemophilus influenzae type B (Hib)
Item
Haemophilus influenzae type B (Hib)
boolean
C0199818 (UMLS CUI [1])
Item
Haemophilus influenzae type B (Hib)
text
C0199818 (UMLS CUI [1])
Code List
Haemophilus influenzae type B (Hib)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Haemophilus influenzae type B (Hib) comment
Item
Haemophilus influenzae type B (Hib)
text
C0199818 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Hepatitis A
Item
Hepatitis A
boolean
C0419735 (UMLS CUI [1])
Item
Hepatitis A
text
C0419735 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Hepatitis A comment
Item
Hepatitis A
text
C0419735 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Hepatitis B
Item
Hepatitis B
boolean
C0474232 (UMLS CUI [1])
Item
Hepatitis B
text
C0474232 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Hepatitis B comment
Item
Hepatitis B
text
C0474232 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Meningococcal
Item
Meningococcal
boolean
C0700144 (UMLS CUI [1])
Item
Meningococcal
text
C0700144 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Meningococcal comment
Item
Meningococcal
text
C0700144 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Human papillomavirus (HPV)
Item
Human papillomavirus (HPV)
boolean
C1512511 (UMLS CUI [1])
Item
Human papillomavirus (HPV)
text
C1512511 (UMLS CUI [1])
Code List
Human papillomavirus (HPV)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Human papillomavirus (HPV) comment
Item
Human papillomavirus (HPV)
text
C1512511 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Varicella (chicken pox)
Item
Varicella (chicken pox)
boolean
C0078048 (UMLS CUI [1])
Item
Varicella (chicken pox)
text
C0078048 (UMLS CUI [1])
Code List
Varicella (chicken pox)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Varicella (chicken pox) comment
Item
Varicella (chicken pox)
text
C0078048 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Herpes zoster (shingles)
Item
Herpes zoster (shingles)
boolean
C1720918 (UMLS CUI [1])
Item
Herpes zoster (shingles)
text
C1720918 (UMLS CUI [1])
Code List
Herpes zoster (shingles)
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Herpes zoster (shingles) comment
Item
Herpes zoster (shingles)
text
C1720918 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Pneumococcal
Item
Pneumococcal
boolean
C0419707 (UMLS CUI [1])
Item
Pneumococcal
text
C0419707 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Pneumococcal comment
Item
Pneumococcal
text
C0419707 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Influenza
Item
Influenza
boolean
C0021403 (UMLS CUI [1])
Item
Influenza
text
C0021403 (UMLS CUI [1])
CL Item
Completed series (C)
CL Item
Not age appropriate (A)
CL Item
Insufficient time interval (T)
CL Item
Contraindicated (F)
CL Item
Not routinely available (R)
CL Item
Not appropriate season for vaccination (S)
Influenza comment
Item
Influenza
text
C0021403 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Height
Item
Height
integer
C0489786 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
BMI
Item
BMI
integer
C1305855 (UMLS CUI [1])
Head circumference
Item
Head circumference if <18months
integer
C0262499 (UMLS CUI [1])
Blood pressure initial: Systolic
Item
Blood pressure initial: Systolic
integer
C0871470 (UMLS CUI [1,1])
C0205265 (UMLS CUI [1,2])
Blood pressure initial: Dyastolic
Item
Blood pressure initial: Dyastolic
integer
C0428883 (UMLS CUI [1,1])
C0205265 (UMLS CUI [1,2])
Blood pressure repeated: Systolic
Item
Blood pressure repeated: Systolic
integer
C0871470 (UMLS CUI [1,1])
C0205341 (UMLS CUI [1,2])
Blood pressure repeated: Dyastolic
Item
Blood pressure repeated: Dyastolic
integer
C0428883 (UMLS CUI [1,1])
C0205341 (UMLS CUI [1,2])
Pulse initial
Item
Pulse initial
integer
C0232117 (UMLS CUI [1,1])
C0205265 (UMLS CUI [1,2])
Respiratory Rate
Item
Respiratory Rate
integer
C0231832 (UMLS CUI [1])
Pulse repeated
Item
Pulse repeated
integer
C0232117 (UMLS CUI [1,1])
C0205341 (UMLS CUI [1,2])
Visual Acuity Left uncorrected
Item
Visual Acuity Left uncorrected
text
C0042812 (UMLS CUI [1,1])
C0205091 (UMLS CUI [1,2])
Visual Acuity Right uncorrected
Item
Visual Acuity Right uncorrected
text
C0042812 (UMLS CUI [1,1])
C0205090 (UMLS CUI [1,2])
Visual Acuity Left corrected
Item
Visual Acuity Left corrected
text
C1690532 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
Visual Acuity Right corrected
Item
Visual Acuity Right corrected
text
C1690532 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Imaging: chest X-ray
Item
Imaging: chest X-ray
text
C0039985 (UMLS CUI [1])
Imaging: other X-ray
Item
Imaging: other X-ray
text
C1306645 (UMLS CUI [1])
Imaging: other imaging examination
Item
Imaging: other imaging examination (e.g. ultrasound, etc.)
text
C0011923 (UMLS CUI [1,1])
C0079595 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Electrocardiogram
Item
Electrocardiogram (if not performed at hotspot)
text
C0013798 (UMLS CUI [1])
Laboratory: full blood count
Item
Laboratory: full blood count
text
C0005771 (UMLS CUI [1])
Laboratory: creatinine
Item
Laboratory: creatinine
text
C0201975 (UMLS CUI [1])
Laboratory: hep B surface antigen
Item
Laboratory: hep B surface antigen (HBsAg)
text
C0201477 (UMLS CUI [1])
Laboratory: hep C serology
Item
Laboratory: hep C serology
text
C0459958 (UMLS CUI [1,1])
C0019196 (UMLS CUI [1,2])
Laboratory: HIV
Item
Laboratory: HIV
text
C0022877 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
Laboratory: syphilis
Item
Laboratory: syphilis
text
C3516463 (UMLS CUI [1])
Laboratory: liver function tests
Item
Laboratory: liver function tests
text
C0023901 (UMLS CUI [1])
Laboratory: tuberculosis (sputum smear)
Item
Laboratory: tuberculosis (sputum smear)
text
C0041296 (UMLS CUI [1,1])
C0444186 (UMLS CUI [1,2])
Instrument: mini-mental state
Item
Instrument: mini-mental state dementia screening form
text
C0451306 (UMLS CUI [1])
Instrument: assessment of activities of daily living
Item
Instrument: assessment of activities of daily living
text
C0001288 (UMLS CUI [1,1])
C1518965 (UMLS CUI [1,2])
Instrument: chart of early childhood development
Item
Instrument: chart of early childhood development
text
C0870455 (UMLS CUI [1])
Other referrals
Item
Other referrals
text
C0205394 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Treatment required?
Item
Treatment required?
text
C0332121 (UMLS CUI [1])
Treatment required For ICD A50-A64?
Item
Treatment required For ICD A50-A64?
text
C0332121 (UMLS CUI [1,1])
C0036916 (UMLS CUI [1,2])
Treatment required for malaria?
Item
Treatment required for malaria?
text
C0332121 (UMLS CUI [1,1])
C0024530 (UMLS CUI [1,2])
Treatment required for gastrointestinal parasites?
Item
Treatment required for gastrointestinal parasites? (e.g. presumptive treatment)
text
C0332121 (UMLS CUI [1,1])
C0017178 (UMLS CUI [1,2])
C0030498 (UMLS CUI [1,3])
Treatment required for acute condition?
Item
Treatment required for acute condition?
text
C0332121 (UMLS CUI [1,1])
C1699700 (UMLS CUI [1,2])
C0205178 (UMLS CUI [1,3])
Treatment required for chronic condition?
Item
Treatment required for chronic condition?
text
C0332121 (UMLS CUI [1,1])
C0008679 (UMLS CUI [1,2])
Hospitalisation required (immediate)
Item
Hospitalisation required (immediate)
text
C0019993 (UMLS CUI [1,1])
C0205253 (UMLS CUI [1,2])
Hospitalisation required (within several days)
Item
Hospitalisation required (within several days)
text
C0019993 (UMLS CUI [1,1])
C3844034 (UMLS CUI [1,2])
Hospitalisation required (within several months)
Item
Hospitalisation required (within several months)
text
C0019993 (UMLS CUI [1,1])
C0439231 (UMLS CUI [1,2])
Immunisation required?
Item
Immunisation required?
text
C0020971 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
Adjusted/appropriate accommodation required?
Item
Adjusted/appropriate accommodation required?
text
C0595920 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
Fit for further travel?
Item
Fit for further travel? (Yes / conditionally / no)
text
C0040802 (UMLS CUI [1,1])
C0424576 (UMLS CUI [1,2])
Special medical attention during the travel?
Item
Special medical attention during the travel?
text
C0040802 (UMLS CUI [1,1])
C0004268 (UMLS CUI [1,2])
C1830593 (UMLS CUI [1,3])
If pregnant, not to travel before ……?
Item
If pregnant, not to travel before ……?
text
C0549206 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
If pregnant, to travel before …?
Item
If pregnant, to travel before …?
text
C0549206 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
TRQ: ambulance
Item
TRQ: ambulance
text
C0002422 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: WCH
Item
TRQ: WCH
text
C0043143 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: stretcher
Item
TRQ: stretcher
text
C0972406 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: oxygen
Item
TRQ: oxygen
text
C0184633 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: bowel preparation
Item
TRQ: bowel preparation
text
C0455052 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: diapers
Item
TRQ: diapers
text
C1875617 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: urinary catheter
Item
TRQ: urinary catheter
text
C0179802 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: other
Item
TRQ: other
text
C0205394 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
TRQ: medical escort
Item
TRQ: medical escort
text
C1547632 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
TRQ: family escort
Item
TRQ: family escort
text
C1547632 (UMLS CUI [1,1])
C0015576 (UMLS CUI [1,2])
TRQ: operational escort
Item
TRQ: operational escort
text
C1547632 (UMLS CUI [1,1])
C0040802 (UMLS CUI [1,2])
PTR: special schooling needs
Item
PTR: special schooling needs
text
C0871403 (UMLS CUI [1,1])
C0455002 (UMLS CUI [1,2])
PTR: consequences on daily living activities (assistance required)
Item
PTR: consequences on daily living activities (assistance required)
text
C0001288 (UMLS CUI [1,1])
C3840284 (UMLS CUI [1,2])
PTR: special housing requirements
Item
PTR: special housing requirements
text
C0871403 (UMLS CUI [1,1])
C0020056 (UMLS CUI [1,2])
C1514873 (UMLS CUI [1,3])
PTR: follow-up examination needed by GP (within 1 w/1 m/6 m)
Item
PTR: follow-up examination needed by GP (within 1 w/1 m/6 m)
text
C3694716 (UMLS CUI [1,1])
C0017319 (UMLS CUI [1,2])
PTR: Follow-up examination needed by specialist (within 1 w/1 m/6 m)
Item
PTR: Follow-up examination needed by specialist (within 1 w/1 m/6 m)
text
C3694716 (UMLS CUI [1,1])
C1611835 (UMLS CUI [1,2])
Tx administered for ICD A50-A64
Item
Tx administered for ICD A50-A64
text
C1533734 (UMLS CUI [1,1])
C0036916 (UMLS CUI [1,2])
Tx administered for malaria
Item
Tx administered for malaria
text
C1533734 (UMLS CUI [1,1])
C0024530 (UMLS CUI [1,2])
Tx administered for gastrointestinal parasites
Item
Tx administered for gastrointestinal parasites
text
C1533734 (UMLS CUI [1,1])
C0030498 (UMLS CUI [1,2])
C0017178 (UMLS CUI [1,3])
Tx administered for other conditions
Item
Tx administered for other conditions (specify medication and dosage)
text
C1533734 (UMLS CUI [1,1])
C3843040 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,3])
C0178602 (UMLS CUI [1,4])
Tx — other treatment applied (specify)
Item
Tx — other treatment applied (specify)
text
C1533734 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])