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General Medical History

1 forms  
Administrative
Description

Administrative

Alias
UMLS CUI-1
C1320722
Series page
Description

Series page

Data type

text

Alias
UMLS CUI [1,1]
C0205549
UMLS CUI [1,2]
C1704732
Last page
Description

Last page

Data type

boolean

Alias
UMLS CUI [1,1]
C1704732
UMLS CUI [1,2]
C1517741
Medical hitstory date
Description

Medical hitstory date

Data type

date

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0011008
Demographics
Description

Demographics

Alias
UMLS CUI-1
C1704791
Date of Birth
Description

Date of Birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Gender
Description

Gender

Data type

text

Alias
UMLS CUI [1]
C0079399
Ethnic Origin
Description

Ethnic Origin

Data type

text

Alias
UMLS CUI [1,1]
C0015031
UMLS CUI [1,2]
C0079946
If other ethnic group, specify.
Description

Other ethnic group

Data type

text

Alias
UMLS CUI [1,1]
C0015031
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C2348235
Diagnoses/ Condition
Description

Diagnoses/ Condition

Alias
UMLS CUI-1
C0011900
UMLS CUI-2
C0348080
Diagnoses/ Condition
Description

Enter only one condition per line.

Data type

text

Alias
UMLS CUI [1]
C0011900
UMLS CUI [2]
C0348080
Date of onset
Description

Date of onset

Data type

partialDate

Alias
UMLS CUI [1]
C0574845
Condition Status
Description

Status

Data type

text

Alias
UMLS CUI [1,1]
C0449438
UMLS CUI [1,2]
C0348080
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Similar models

General Medical History

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative
C1320722 (UMLS CUI-1)
Series page
Item
Series page
text
C0205549 (UMLS CUI [1,1])
C1704732 (UMLS CUI [1,2])
Last page
Item
Last page
boolean
C1704732 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
Medical hitstory date
Item
Medical hitstory date
date
C0262926 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Demographics
C1704791 (UMLS CUI-1)
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Item
Gender
text
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
male (1)
CL Item
female (2)
Item
Ethnic Origin
text
C0015031 (UMLS CUI [1,1])
C0079946 (UMLS CUI [1,2])
Ethnic Origin
Code List
Ethnic Origin
CL Item
White (1)
CL Item
Hispanic (2)
CL Item
Asian (3)
CL Item
Black (4)
CL Item
Native American (5)
CL Item
Other (6)
Other ethnic group
Item
If other ethnic group, specify.
text
C0015031 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
Item Group
Diagnoses/ Condition
C0011900 (UMLS CUI-1)
C0348080 (UMLS CUI-2)
Diagnoses/ Condition
Item
Diagnoses/ Condition
text
C0011900 (UMLS CUI [1])
C0348080 (UMLS CUI [2])
Date of onset
Item
Date of onset
partialDate
C0574845 (UMLS CUI [1])
Item
Condition Status
text
C0449438 (UMLS CUI [1,1])
C0348080 (UMLS CUI [1,2])
Status
Code List
Condition Status
CL Item
Active (1)
CL Item
Inactive (2)
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