Engelsk

Physical examination, medical condition

1 Formulär  
Administrative data
Beskrivning

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Beskrivning

Subject number

Datatyp

text

Alias
UMLS CUI [1]
C2348585
Physical Examination
Beskrivning

Physical Examination

Alias
UMLS CUI-1
C0031809
Physical Examination
Beskrivning

Physical Examination, Systems

Datatyp

integer

Alias
UMLS CUI [1]
C0031809
Examination status
Beskrivning

"Not done" only applicable for: Breasts, Urogenital, Pelvic and Rectal.

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0449438
If abnormal examination, please specify
Beskrivning

Abnormal examination

Datatyp

text

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0459424
Medical condition
Beskrivning

Medical condition

Diagnosis
Beskrivning

Only in the absence of a diagnosis, record the signs and symptoms on separate lines

Datatyp

text

Alias
UMLS CUI [1]
C0011900
Medical condition status
Beskrivning

Medical condition status

Datatyp

integer

Alias
UMLS CUI [1,1]
C0012634
UMLS CUI [1,2]
C0449438
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Similar models

Physical examination, medical condition

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item Group
Physical Examination
C0031809 (UMLS CUI-1)
Item
Physical Examination
integer
C0031809 (UMLS CUI [1])
Physical Examination, Systems
Code List
Physical Examination
CL Item
Hair and Skin  (1)
CL Item
Lymph nodes  (2)
CL Item
Eyes  (3)
CL Item
Ears, Nose and Throat  (4)
CL Item
Breasts  (5)
CL Item
Respiratory (6)
CL Item
Cardiovascular  (7)
CL Item
Abdomen (8)
CL Item
Urogenital  (9)
CL Item
Pelvic  (10)
CL Item
Rectal  (11)
CL Item
Musculoskeletal (12)
CL Item
Neurological  (13)
CL Item
Mental Status (14)
Item
Examination status
text
C0031809 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Examination status
Code List
Examination status
CL Item
Normal (N)
CL Item
Abnormal (AN)
CL Item
Not Done (ND)
Abnormal examination
Item
If abnormal examination, please specify
text
C0031809 (UMLS CUI [1,1])
C0459424 (UMLS CUI [1,2])
Item Group
Medical condition
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item
Medical condition status
integer
C0012634 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Medical condition status
Code List
Medical condition status
CL Item
Current (1)
CL Item
Past (2)
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