ID

44574

Beschreibung

Personal Health Record السجل الصحي الشخ ي ص

Stichworte

Versionen (3)
  1. 06.11.17 06.11.17 -
  2. 21.11.17 21.11.17 -
  3. 27.09.21 27.09.21 -
Rechteinhaber

European Union

Hochgeladen am

27. September 2021

DOI

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Creative Commons BY-NC 3.0
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Personal Health Record

Arabisch Englisch

Personal Health Record

1 Formulare  
  1. StudyEvent: ODM
    1. Personal Health Record
General Information
Beschreibung

General Information

Alias
UMLS CUI-1
C1508263
The ‘Personal Health Record’ was developed by the Migration Health Division of the International Organization for Migration with the support from the European Commission and the contribution from the European Centre for Disease Prevention and Control. This is a personal document. It includes in one single document the health data and information that will help the health professionals get a comprehensive view of your health status and needs. You will keep this document with you to help you in further contact with health professionals. The medical check is voluntary and the content of this document is confidential. It is covered by European and national regulations on data protection.
Beschreibung

General Information

Datentyp

text

Alias
UMLS CUI [1]
C1508263
SECTION A. PATIENT REGISTRATION
Beschreibung

SECTION A. PATIENT REGISTRATION

Alias
UMLS CUI-1
C0011008
UMLS CUI-2
C0030705
UMLS CUI-3
C1514821
Patient Family Name
Beschreibung

Patient Family Name

Datentyp

text

Alias
UMLS CUI [1]
C1301584
Patient First Name
Beschreibung

Patient First Name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Beschreibung

Date of birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Sex/Gender
Beschreibung

Sex/Gender

Datentyp

text

Alias
UMLS CUI [1]
C0079399
Country of birth/countries lived in/transited
Beschreibung

Country of birth/countries lived in/transited

Datentyp

text

Alias
UMLS CUI [1,1]
C1300001
UMLS CUI [1,2]
C1562954
UMLS CUI [1,3]
C0687759
Telephone or mobile number
Beschreibung

Telephone or mobile number

Datentyp

text

Alias
UMLS CUI [1,1]
C0421455
UMLS CUI [1,2]
C3273868
Email address
Beschreibung

Email address

Datentyp

text

Alias
UMLS CUI [1,1]
C1705961
UMLS CUI [1,2]
C0030705
Marital status (married/separated/single)
Beschreibung

Marital status

Datentyp

text

Alias
UMLS CUI [1]
C0024819
Number of family members travelling
Beschreibung

Number of family members travelling

Datentyp

text

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C0449788
Number of family members traveling under the age of 10
Beschreibung

Number of family members travelling young

Datentyp

text

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C0449788
UMLS CUI [1,4]
C0001779
SECTION B. SERVICE PROVIDER INFORMATION
Beschreibung

SECTION B. SERVICE PROVIDER INFORMATION

Alias
UMLS CUI-1
C0679886
Physician Family Name
Beschreibung

Physician Family Name

Datentyp

text

Alias
UMLS CUI [1,1]
C2361125
UMLS CUI [1,2]
C1301584
Physician First Name
Beschreibung

Physician First Name

Datentyp

text

Alias
UMLS CUI [1,1]
C2361125
UMLS CUI [1,2]
C1443235
Telephone or mobile number
Beschreibung

Physician Telephone or mobile number

Datentyp

text

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C1710470
Email address
Beschreibung

Physician Email address

Datentyp

text

Alias
UMLS CUI [1,1]
C1705961
UMLS CUI [1,2]
C1710470
Name of medical affiliation (e.g. clinic, hospital)
Beschreibung

Name of medical affiliation

Datentyp

text

Alias
UMLS CUI [1,1]
C0029239
UMLS CUI [1,2]
C1510825
UMLS CUI [1,3]
C2371809
City, Country
Beschreibung

City, Country

Datentyp

text

Alias
UMLS CUI [1,1]
C0019994
UMLS CUI [1,2]
C0008848
Interpretation/mediation used
Beschreibung

Interpretation/mediation used

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0459471
UMLS CUI [1,2]
C0262765
Interpretation/mediation used
Beschreibung

Interpretation/mediation comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0459471
UMLS CUI [1,2]
C0262765
UMLS CUI [1,3]
C0947611
SECTION C. MEDICAL HISTORY
Beschreibung

SECTION C. MEDICAL HISTORY

Alias
UMLS CUI-1
C0262926
Illness or injury requiring hospitalization
Beschreibung

Illness or injury requiring hospitalization

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1836348
UMLS CUI [1,2]
C1514873
UMLS CUI [1,3]
C0019993
Illness or injury requiring hospitalization
Beschreibung

Illness or injury requiring hospitalization comment

Datentyp

text

Alias
UMLS CUI [1,1]
C1836348
UMLS CUI [1,2]
C1514873
UMLS CUI [1,3]
C0019993
UMLS CUI [1,4]
C0947611
Surgical interventions
Beschreibung

Surgical interventions

Datentyp

boolean

Alias
UMLS CUI [1]
C0184661
Surgical interventions
Beschreibung

Surgical interventions comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0184661
UMLS CUI [1,2]
C0947611
Heart disease or high blood pressure
Beschreibung

Heart disease or high blood pressure

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0020538
UMLS CUI [1,2]
C0018799
Heart disease or high blood pressure
Beschreibung

Heart disease or high blood pressure comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0020538
UMLS CUI [1,2]
C0018799
UMLS CUI [1,3]
C0947611
Neurologic disease, incl. stroke or seizures
Beschreibung

Neurologic disease, incl. stroke or seizures

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0036572
UMLS CUI [1,3]
C0038454
Neurologic disease, incl. stroke or seizures
Beschreibung

Neurologic disease, incl. stroke or seizures comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0027765
UMLS CUI [1,2]
C0036572
UMLS CUI [1,3]
C0038454
UMLS CUI [1,4]
C0947611
Mental illness/problems
Beschreibung

Mental illness/problems

Datentyp

boolean

Alias
UMLS CUI [1]
C0004936
Mental illness/problems
Beschreibung

Mental illness/problems comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0004936
UMLS CUI [1,2]
C0947611
Stomach or bowel disease (incl. recent diarrhea)
Beschreibung

Stomach or bowel disease (incl. recent diarrhea)

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0017178
UMLS CUI [1,2]
C0038354
Stomach or bowel disease (incl. recent diarrhea)
Beschreibung

Stomach or bowel disease (incl. recent diarrhea) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0017178
UMLS CUI [1,2]
C0038354
UMLS CUI [1,3]
C0947611
Liver or kidney disease
Beschreibung

Liver or kidney disease

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0023895
UMLS CUI [1,2]
C0022658
Liver or kidney disease
Beschreibung

Liver or kidney disease comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0023895
UMLS CUI [1,2]
C0022658
UMLS CUI [1,3]
C0947611
Diabetes or other endocrine disorder
Beschreibung

Diabetes or other endocrine disorder

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0014130
UMLS CUI [1,2]
C0011849
Diabetes or other endocrine disorder
Beschreibung

Diabetes or other endocrine disorder comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0014130
UMLS CUI [1,2]
C0011849
UMLS CUI [1,3]
C0947611
Urogenital problems/conditions
Beschreibung

Urogenital problems/conditions

Datentyp

boolean

Alias
UMLS CUI [1]
C0080276
Urogenital problems/conditions
Beschreibung

Urogenital problems/conditions comment

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0080276
UMLS CUI [1,2]
C0947611
Hematologic disease
Beschreibung

Hematologic disease

Datentyp

boolean

Alias
UMLS CUI [1]
C0018939
Hematologic disease
Beschreibung

Hematologic disease comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0947611
Muscle, bone and joint problems
Beschreibung

Muscle, bone and joint problems

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0575078
UMLS CUI [1,2]
C0003862
UMLS CUI [1,3]
C0575044
Muscle, bone and joint problems
Beschreibung

Muscle, bone and joint problems comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0575078
UMLS CUI [1,2]
C0003862
UMLS CUI [1,3]
C0575044
UMLS CUI [1,4]
C0947611
Problems with eyes or ears
Beschreibung

Problems with eyes or ears

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0262477
UMLS CUI [1,2]
C0260662
Problems with eyes or ears
Beschreibung

Problems with eyes or ears comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0262477
UMLS CUI [1,2]
C0260662
UMLS CUI [1,3]
C0947611
History of cancer or tumors
Beschreibung

History of cancer or tumors

Datentyp

boolean

Alias
UMLS CUI [1]
C2735088
History of cancer or tumors
Beschreibung

History of cancer or tumors comment

Datentyp

text

Alias
UMLS CUI [1,1]
C2735088
UMLS CUI [1,2]
C0947611
Tuberculosis, pneumonia or other lung disease
Beschreibung

Tuberculosis, pneumonia or other lung disease

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0024115
UMLS CUI [1,2]
C0032285
UMLS CUI [1,3]
C0041296
Tuberculosis, pneumonia or other lung disease
Beschreibung

Tuberculosis, pneumonia or other lung disease comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0024115
UMLS CUI [1,2]
C0032285
UMLS CUI [1,3]
C0041296
UMLS CUI [1,4]
C0947611
Family member or close contact with an infectious disease (or TB contact in general)
Beschreibung

Family member or close contact with an infectious disease (or TB contact in general)

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0332158
UMLS CUI [1,2]
C0086282
UMLS CUI [1,3]
C0009450
Family member or close contact with an infectious disease (or TB contact in general)
Beschreibung

Family member or close contact with an infectious disease (or TB contact in general) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0332158
UMLS CUI [1,2]
C0086282
UMLS CUI [1,3]
C0009450
UMLS CUI [1,4]
C0947611
Recurrent fever (in the past 6 months)
Beschreibung

Recurrent fever (in the past 6 months)

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0013806
UMLS CUI [1,2]
C2945760
Recurrent fever (in the past 6 months)
Beschreibung

Recurrent fever (in the past 6 months) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0013806
UMLS CUI [1,2]
C2945760
UMLS CUI [1,3]
C0947611
Coughing. Specify if protracted coughing over two weeks, combined with other symptoms
Beschreibung

Coughing

Datentyp

boolean

Alias
UMLS CUI [1]
C0010200
Coughing. Specify if protracted coughing over two weeks, combined with other symptoms
Beschreibung

Coughing comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0010200
UMLS CUI [1,2]
C0947611
Significant weight loss (in the past 6 months)
Beschreibung

Significant weight loss

Datentyp

boolean

Alias
UMLS CUI [1]
C1262477
Significant weight loss (in the past 6 months)
Beschreibung

Significant weight loss comment

Datentyp

text

Alias
UMLS CUI [1,1]
C1262477
UMLS CUI [1,2]
C0947611
Sexually transmitted infections
Beschreibung

Sexually transmitted infections

Datentyp

boolean

Alias
UMLS CUI [1]
C0036916
Sexually transmitted infections
Beschreibung

Sexually transmitted infections comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0036916
UMLS CUI [1,2]
C0947611
Skin conditions (e.g. rash)
Beschreibung

Skin conditions

Datentyp

boolean

Alias
UMLS CUI [1]
C0037274
Skin conditions (e.g. rash)
Beschreibung

Skin conditions comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0037274
UMLS CUI [1,2]
C0947611
Tattoos, body piercings
Beschreibung

Tattoos, body piercings

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0191391
UMLS CUI [1,2]
C1446587
Tattoos, body piercings
Beschreibung

Tattoos, body piercings comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0191391
UMLS CUI [1,2]
C1446587
UMLS CUI [1,3]
C0947611
History of blood transfusion
Beschreibung

History of blood transfusion

Datentyp

boolean

Alias
UMLS CUI [1]
C1519604
History of blood transfusion
Beschreibung

History of blood transfusion comment

Datentyp

text

Alias
UMLS CUI [1,1]
C1519604
UMLS CUI [1,2]
C0947611
History of torture, violence
Beschreibung

History of torture, violence

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0042693
UMLS CUI [1,3]
C4061703
History of torture, violence
Beschreibung

History of torture, violence comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0042693
UMLS CUI [1,3]
C4061703
UMLS CUI [1,4]
C0947611
Displaced from home (specify duration)
Beschreibung

Displaced from home

Datentyp

text

Alias
UMLS CUI [1,1]
C2699029
UMLS CUI [1,2]
C2046927
Current medications (specify)
Beschreibung

Current medications

Datentyp

text

Alias
UMLS CUI [1]
C0746467
Allergies, including to drugs
Beschreibung

Allergies, including to drugs

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0013227
Allergies, including to drugs
Beschreibung

Allergies, including to drugs comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0013227
UMLS CUI [1,3]
C0947611
Smoking or history of smoking
Beschreibung

Smoking or history of smoking

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1519384
UMLS CUI [1,2]
C0543414
Smoking or history of smoking
Beschreibung

Smoking or history of smoking comment

Datentyp

text

Alias
UMLS CUI [1,1]
C1519384
UMLS CUI [1,2]
C0543414
UMLS CUI [1,3]
C0947611
Alcohol or history of alcohol
Beschreibung

Alcohol or history of alcohol

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0221628
UMLS CUI [1,2]
C0085762
Alcohol or history of alcohol
Beschreibung

Alcohol or history of alcohol comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0221628
UMLS CUI [1,2]
C0085762
UMLS CUI [1,3]
C0947611
Pregnancies (number)
Beschreibung

Pregnancies

Datentyp

boolean

Alias
UMLS CUI [1]
C3812254
Pregnancies (number)
Beschreibung

Pregnancies comment

Datentyp

text

Alias
UMLS CUI [1,1]
C3812254
UMLS CUI [1,2]
C0947611
Deliveries (number)
Beschreibung

Deliveries

Datentyp

text

Alias
UMLS CUI [1]
C0559563
Last menstrual period
Beschreibung

Last menstrual period

Datentyp

date

Alias
UMLS CUI [1]
C0425932
Current pregnancy
Beschreibung

Current pregnancy

Datentyp

boolean

Alias
UMLS CUI [1]
C0549206
Current pregnancy
Beschreibung

Current pregnancy comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0549206
UMLS CUI [1,2]
C0947611
Gestational week
Beschreibung

Gestational week

Datentyp

text

Alias
UMLS CUI [1]
C0017504
SECTION D. PATIENT’S IMMUNIZATION RECORD
Beschreibung

SECTION D. PATIENT’S IMMUNIZATION RECORD

Alias
UMLS CUI-1
C0552506
Immunization record presented/available
Beschreibung

Immunization record

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0552506
UMLS CUI [1,2]
C0684224
Immunization record presented/available
Beschreibung

Immunization record comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0552506
UMLS CUI [1,2]
C0684224
UMLS CUI [1,3]
C0947611
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
Beschreibung

Immunization status

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0552506
UMLS CUI [1,2]
C0020405
UMLS CUI [1,3]
C1514873
Pediatric diphtheria and tetanus (DT)
Beschreibung

Pediatric diphtheria and tetanus

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0058773
UMLS CUI [1,2]
C1521725
Pediatric diphtheria and tetanus (DT)
Beschreibung

Pediatric diphtheria and tetanus

Datentyp

text

Alias
UMLS CUI [1,1]
C0058773
UMLS CUI [1,2]
C1521725
Pediatric diphtheria and tetanus (DT)
Beschreibung

Pediatric diphtheria and tetanus comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0058773
UMLS CUI [1,2]
C1521725
UMLS CUI [1,3]
C0947611
Diphtheria, tetanus, pertussis (DTP)
Beschreibung

Diphtheria, tetanus, pertussis (DTP)

Datentyp

boolean

Alias
UMLS CUI [1]
C0012559
Diphtheria, tetanus, pertussis (DTP)
Beschreibung

Diphtheria, tetanus, pertussis (DTP)

Datentyp

text

Alias
UMLS CUI [1]
C0012559
Diphtheria, tetanus, pertussis (DTP)
Beschreibung

Diphtheria, tetanus, pertussis (DTP) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C0947611
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
Beschreibung

Pediatric diphtheria, tetanus and acellular pertussis (DTaP)

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C1521725
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
Beschreibung

Pediatric diphtheria, tetanus and acellular pertussis (DTaP)

Datentyp

text

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C1521725
Pediatric diphtheria, tetanus and acellular pertussis (DTaP)
Beschreibung

Pediatric diphtheria, tetanus and acellular pertussis (DTaP) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C1521725
UMLS CUI [1,3]
C0947611
Older children and adults tetanus and diphtheria vaccine (Td)
Beschreibung

Older children and adults tetanus and diphtheria vaccine (Td)

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0058773
UMLS CUI [1,2]
C0001675
UMLS CUI [1,3]
C0008059
Older children and adults tetanus and diphtheria vaccine (Td)
Beschreibung

Older children and adults tetanus and diphtheria vaccine (Td)

Datentyp

text

Alias
UMLS CUI [1,1]
C0058773
UMLS CUI [1,2]
C0001675
UMLS CUI [1,3]
C0008059
Older children and adults tetanus and diphtheria vaccine (Td)
Beschreibung

Older children and adults tetanus and diphtheria vaccine (Td) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0058773
UMLS CUI [1,2]
C0001675
UMLS CUI [1,3]
C0008059
UMLS CUI [1,4]
C0947611
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
Beschreibung

Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C0001675
UMLS CUI [1,3]
C0008059
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
Beschreibung

Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)

Datentyp

text

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C0001675
UMLS CUI [1,3]
C0008059
Older children and adults tetanus, diphtheria and acellular pertussis (Tdap)
Beschreibung

Older children and adults tetanus, diphtheria and acellular pertussis (Tdap) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0012559
UMLS CUI [1,2]
C0001675
UMLS CUI [1,3]
C0008059
UMLS CUI [1,4]
C0947611
Oral Polio vaccine (OPV)
Beschreibung

Oral Polio vaccine (OPV)

Datentyp

boolean

Alias
UMLS CUI [1]
C0032375
Oral Polio vaccine (OPV)
Beschreibung

Oral Polio vaccine (OPV)

Datentyp

text

Alias
UMLS CUI [1]
C0032375
Oral Polio vaccine (OPV)
Beschreibung

Oral Polio vaccine (OPV) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0032375
UMLS CUI [1,2]
C0947611
Inactivated Polio vaccine (IPV)
Beschreibung

Inactivated Polio vaccine (IPV)

Datentyp

boolean

Alias
UMLS CUI [1]
C0718003
Inactivated Polio vaccine (IPV)
Beschreibung

Inactivated Polio vaccine (IPV)

Datentyp

text

Alias
UMLS CUI [1]
C0718003
Inactivated Polio vaccine (IPV)
Beschreibung

Inactivated Polio vaccine (IPV) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0718003
UMLS CUI [1,2]
C0947611
Measles, mumps, rubella (MMR)
Beschreibung

Measles, mumps, rubella (MMR)

Datentyp

boolean

Alias
UMLS CUI [1]
C0065828
Measles, mumps, rubella (MMR)
Beschreibung

Measles, mumps, rubella (MMR)

Datentyp

text

Alias
UMLS CUI [1]
C0065828
Measles, mumps, rubella (MMR)
Beschreibung

Measles, mumps, rubella (MMR) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0065828
UMLS CUI [1,2]
C0947611
Rubella
Beschreibung

Rubella

Datentyp

boolean

Alias
UMLS CUI [1]
C0042206
Rubella
Beschreibung

Rubella

Datentyp

text

Alias
UMLS CUI [1]
C0042206
Rubella
Beschreibung

Rubella comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0042206
UMLS CUI [1,2]
C0947611
Measles
Beschreibung

Measles

Datentyp

boolean

Alias
UMLS CUI [1]
C0042201
Measles
Beschreibung

Measles

Datentyp

text

Alias
UMLS CUI [1]
C0042201
Measles
Beschreibung

Measles comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0042201
UMLS CUI [1,2]
C0947611
Measles-Rubella
Beschreibung

Measles-Rubella

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042201
UMLS CUI [1,2]
C0042206
Measles-Rubella
Beschreibung

Measles-Rubella

Datentyp

text

Alias
UMLS CUI [1,1]
C0042201
UMLS CUI [1,2]
C0042206
Measles-Rubella
Beschreibung

Measles-Rubella comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0042201
UMLS CUI [1,2]
C0042206
UMLS CUI [1,3]
C0947611
Mumps
Beschreibung

Mumps

Datentyp

boolean

Alias
UMLS CUI [1]
C0042202
Mumps
Beschreibung

Mumps

Datentyp

text

Alias
UMLS CUI [1]
C0042202
Mumps
Beschreibung

Mumps comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0042202
UMLS CUI [1,2]
C0947611
Mumps-Rubella
Beschreibung

Mumps-Rubella

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0042202
UMLS CUI [1,2]
C0042206
Mumps-Rubella
Beschreibung

Mumps-Rubella

Datentyp

text

Alias
UMLS CUI [1,1]
C0042202
UMLS CUI [1,2]
C0042206
Mumps-Rubella
Beschreibung

Mumps-Rubella comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0042202
UMLS CUI [1,2]
C0042206
UMLS CUI [1,3]
C0947611
Haemophilus influenzae type B (Hib)
Beschreibung

Haemophilus influenzae type B (Hib)

Datentyp

boolean

Alias
UMLS CUI [1]
C0199818
Haemophilus influenzae type B (Hib)
Beschreibung

Haemophilus influenzae type B (Hib)

Datentyp

text

Alias
UMLS CUI [1]
C0199818
Haemophilus influenzae type B (Hib)
Beschreibung

Haemophilus influenzae type B (Hib) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0199818
UMLS CUI [1,2]
C0947611
Hepatitis A
Beschreibung

Hepatitis A

Datentyp

boolean

Alias
UMLS CUI [1]
C0419735
Hepatitis A
Beschreibung

Hepatitis A

Datentyp

text

Alias
UMLS CUI [1]
C0419735
Hepatitis A
Beschreibung

Hepatitis A comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0419735
UMLS CUI [1,2]
C0947611
Hepatitis B
Beschreibung

Hepatitis B

Datentyp

boolean

Alias
UMLS CUI [1]
C0474232
Hepatitis B
Beschreibung

Hepatitis B

Datentyp

text

Alias
UMLS CUI [1]
C0474232
Hepatitis B
Beschreibung

Hepatitis B comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0474232
UMLS CUI [1,2]
C0947611
Meningococcal
Beschreibung

Meningococcal

Datentyp

boolean

Alias
UMLS CUI [1]
C0700144
Meningococcal
Beschreibung

Meningococcal

Datentyp

text

Alias
UMLS CUI [1]
C0700144
Meningococcal
Beschreibung

Meningococcal comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0700144
UMLS CUI [1,2]
C0947611
Human papillomavirus (HPV)
Beschreibung

Human papillomavirus (HPV)

Datentyp

boolean

Alias
UMLS CUI [1]
C1512511
Human papillomavirus (HPV)
Beschreibung

Human papillomavirus (HPV)

Datentyp

text

Alias
UMLS CUI [1]
C1512511
Human papillomavirus (HPV)
Beschreibung

Human papillomavirus (HPV) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C1512511
UMLS CUI [1,2]
C0947611
Varicella (chicken pox)
Beschreibung

Varicella (chicken pox)

Datentyp

boolean

Alias
UMLS CUI [1]
C0078048
Varicella (chicken pox)
Beschreibung

Varicella (chicken pox)

Datentyp

text

Alias
UMLS CUI [1]
C0078048
Varicella (chicken pox)
Beschreibung

Varicella (chicken pox) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0078048
UMLS CUI [1,2]
C0947611
Herpes zoster (shingles)
Beschreibung

Herpes zoster (shingles)

Datentyp

boolean

Alias
UMLS CUI [1]
C1720918
Herpes zoster (shingles)
Beschreibung

Herpes zoster (shingles)

Datentyp

text

Alias
UMLS CUI [1]
C1720918
Herpes zoster (shingles)
Beschreibung

Herpes zoster (shingles) comment

Datentyp

text

Alias
UMLS CUI [1,1]
C1720918
UMLS CUI [1,2]
C0947611
Pneumococcal
Beschreibung

Pneumococcal

Datentyp

boolean

Alias
UMLS CUI [1]
C0419707
Pneumococcal
Beschreibung

Pneumococcal

Datentyp

text

Alias
UMLS CUI [1]
C0419707
Pneumococcal
Beschreibung

Pneumococcal comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0419707
UMLS CUI [1,2]
C0947611
Influenza
Beschreibung

Influenza

Datentyp

boolean

Alias
UMLS CUI [1]
C0021403
Influenza
Beschreibung

Influenza

Datentyp

text

Alias
UMLS CUI [1]
C0021403
Influenza
Beschreibung

Influenza comment

Datentyp

text

Alias
UMLS CUI [1,1]
C0021403
UMLS CUI [1,2]
C0947611
SECTION E. CLINICAL MEASUREMENTS
Beschreibung

SECTION E. CLINICAL MEASUREMENTS

Alias
UMLS CUI-1
C0205485
UMLS CUI-2
C0242485
Height
Beschreibung

Height

Datentyp

integer

Maßeinheiten
  • سم
Alias
UMLS CUI [1]
C0489786
سم
Weight
Beschreibung

Weight

Datentyp

integer

Maßeinheiten
  • كجم
Alias
UMLS CUI [1]
C0005910
كجم
BMI
Beschreibung

BMI

Datentyp

integer

Alias
UMLS CUI [1]
C1305855
Head circumference if <18months
Beschreibung

Head circumference

Datentyp

integer

Maßeinheiten
  • سم
Alias
UMLS CUI [1]
C0262499
سم
Blood pressure initial: Systolic
Beschreibung

Blood pressure initial: Systolic

Datentyp

integer

Maßeinheiten
  • مم زئبق
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0205265
مم زئبق
Blood pressure initial: Dyastolic
Beschreibung

Blood pressure initial: Dyastolic

Datentyp

integer

Maßeinheiten
  • مم زئبق
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0205265
مم زئبق
Blood pressure repeated: Systolic
Beschreibung

Blood pressure repeated: Systolic

Datentyp

integer

Maßeinheiten
  • مم زئبق
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0205341
مم زئبق
Blood pressure repeated: Dyastolic
Beschreibung

Blood pressure repeated: Dyastolic

Datentyp

integer

Maßeinheiten
  • مم زئبق
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0205341
مم زئبق
Pulse initial
Beschreibung

Pulse initial

Datentyp

integer

Maßeinheiten
  • /دقيقة
Alias
UMLS CUI [1,1]
C0232117
UMLS CUI [1,2]
C0205265
/دقيقة
Respiratory Rate
Beschreibung

Respiratory Rate

Datentyp

integer

Maßeinheiten
  • / دقيقة
Alias
UMLS CUI [1]
C0231832
/ دقيقة
Pulse repeated
Beschreibung

Pulse repeated

Datentyp

integer

Maßeinheiten
  • / دقيقة
Alias
UMLS CUI [1,1]
C0232117
UMLS CUI [1,2]
C0205341
/ دقيقة
Visual Acuity Left uncorrected
Beschreibung

Visual Acuity Left uncorrected

Datentyp

text

Alias
UMLS CUI [1,1]
C0042812
UMLS CUI [1,2]
C0205091
Visual Acuity Right uncorrected
Beschreibung

Visual Acuity Right uncorrected

Datentyp

text

Alias
UMLS CUI [1,1]
C0042812
UMLS CUI [1,2]
C0205090
Visual Acuity Left corrected
Beschreibung

Visual Acuity Left corrected

Datentyp

text

Alias
UMLS CUI [1,1]
C1690532
UMLS CUI [1,2]
C0229090
Visual Acuity Right corrected
Beschreibung

Visual Acuity Right corrected

Datentyp

text

Alias
UMLS CUI [1,1]
C1690532
UMLS CUI [1,2]
C0229089
SECTION F. EXAM FINDINGS
Beschreibung

SECTION F. EXAM FINDINGS

Alias
UMLS CUI-1
C0031809
General appearance and nutritional status
Beschreibung

General appearance and nutritional status

Datentyp

integer

Alias
UMLS CUI [1,1]
C1148438
UMLS CUI [1,2]
C0392209
Hearing and ears
Beschreibung

Hearing and ears

Datentyp

integer

Alias
UMLS CUI [1]
C0455216
Eyes
Beschreibung

Eyes

Datentyp

integer

Alias
UMLS CUI [1,1]
C0015392
UMLS CUI [1,2]
C0031809
Nose, mouth and throat (include dental)
Beschreibung

Nose, mouth and throat

Datentyp

integer

Alias
UMLS CUI [1,1]
C0553490
UMLS CUI [1,2]
C0031809
Heart (S1, S2, murmur, rub)
Beschreibung

Heart

Datentyp

integer

Alias
UMLS CUI [1]
C0562319
Breast
Beschreibung

Breast

Datentyp

integer

Alias
UMLS CUI [1]
C0199850
Lungs
Beschreibung

Lungs

Datentyp

integer

Alias
UMLS CUI [1]
C2228454
Abdomen (including liver, spleen)
Beschreibung

Abdomen

Datentyp

integer

Alias
UMLS CUI [1]
C0562238
Genitalia
Beschreibung

Genitalia

Datentyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0017420
Inguinal region (including adenopathy)
Beschreibung

Inguinal region

Datentyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0018246
Extremities (including pulses, edema)
Beschreibung

Extremities

Datentyp

integer

Alias
UMLS CUI [1]
C0436150
Musculoskeletal system (including gait)
Beschreibung

Musculoskeletal system

Datentyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0026860
Skin (including findings consistent with self-inflicted injury or injections)
Beschreibung

Skin

Datentyp

integer

Alias
UMLS CUI [1,1]
C0582103
UMLS CUI [1,2]
C1123023
Lymph nodes
Beschreibung

Lymph nodes

Datentyp

integer

Alias
UMLS CUI [1,1]
C0031809
UMLS CUI [1,2]
C0024204
Nervous system
Beschreibung

Nervous system

Datentyp

integer

Alias
UMLS CUI [1,1]
C0027763
UMLS CUI [1,2]
C0031809
Mental status (including mood, intelligence, perception, thought processes, behaviour during examination…)
Beschreibung

Mental status

Datentyp

integer

Alias
UMLS CUI [1]
C3260990
SECTION G. LABORATORY/OTHER TESTS
Beschreibung

SECTION G. LABORATORY/OTHER TESTS

Alias
UMLS CUI-1
C0022885
UMLS CUI-2
C0582103
UMLS CUI-3
C0205394
Urinalysis: dipstick for albumin or protein, sugar and blood
Beschreibung

Urinalysis: dipstick

Datentyp

text

Alias
UMLS CUI [1,1]
C0042014
UMLS CUI [1,2]
C0430370
UMLS CUI [1,3]
C0022885
Malaria rapid test (pan malaria)
Beschreibung

Malaria rapid test

Datentyp

text

Alias
UMLS CUI [1]
C2368143
Pregnancy
Beschreibung

Pregnancy

Datentyp

text

Alias
UMLS CUI [1]
C0032976
Electrocardiogram
Beschreibung

Electrocardiogram

Datentyp

text

Alias
UMLS CUI [1]
C0013798
Mantoux
Beschreibung

Mantoux

Datentyp

text

Alias
UMLS CUI [1]
C0041290
SECTION H. DIAGNOSTICS
Beschreibung

SECTION H. DIAGNOSTICS

Alias
UMLS CUI-1
C0430022
Imaging: chest X-ray
Beschreibung

Imaging: chest X-ray

Datentyp

text

Alias
UMLS CUI [1]
C0039985
Imaging: other X-ray
Beschreibung

Imaging: other X-ray

Datentyp

text

Alias
UMLS CUI [1]
C1306645
Imaging: other imaging examination (e.g. ultrasound, etc.)
Beschreibung

Imaging: other imaging examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C0079595
UMLS CUI [1,3]
C0205394
Electrocardiogram (if not performed at hotspot)
Beschreibung

Electrocardiogram

Datentyp

text

Alias
UMLS CUI [1]
C0013798
Laboratory: full blood count
Beschreibung

Laboratory: full blood count

Datentyp

text

Alias
UMLS CUI [1]
C0005771
Laboratory: creatinine
Beschreibung

Laboratory: creatinine

Datentyp

text

Alias
UMLS CUI [1]
C0201975
Laboratory: hep B surface antigen (HBsAg)
Beschreibung

Laboratory: hep B surface antigen

Datentyp

text

Alias
UMLS CUI [1]
C0201477
Laboratory: hep C serology
Beschreibung

Laboratory: hep C serology

Datentyp

text

Alias
UMLS CUI [1,1]
C0459958
UMLS CUI [1,2]
C0019196
Laboratory: HIV
Beschreibung

Laboratory: HIV

Datentyp

text

Alias
UMLS CUI [1,1]
C0022877
UMLS CUI [1,2]
C0019682
Laboratory: syphilis
Beschreibung

Laboratory: syphilis

Datentyp

text

Alias
UMLS CUI [1]
C3516463
Laboratory: liver function tests
Beschreibung

Laboratory: liver function tests

Datentyp

text

Alias
UMLS CUI [1]
C0023901
Laboratory: tuberculosis (sputum smear)
Beschreibung

Laboratory: tuberculosis (sputum smear)

Datentyp

text

Alias
UMLS CUI [1,1]
C0041296
UMLS CUI [1,2]
C0444186
Instrument: mini-mental state dementia screening form
Beschreibung

Instrument: mini-mental state

Datentyp

text

Alias
UMLS CUI [1]
C0451306
Instrument: assessment of activities of daily living
Beschreibung

Instrument: assessment of activities of daily living

Datentyp

text

Alias
UMLS CUI [1,1]
C0001288
UMLS CUI [1,2]
C1518965
Instrument: chart of early childhood development
Beschreibung

Instrument: chart of early childhood development

Datentyp

text

Alias
UMLS CUI [1]
C0870455
Other referrals
Beschreibung

Other referrals

Datentyp

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0022877
SECTION I. SUMMARY FINDINGS
Beschreibung

SECTION I. SUMMARY FINDINGS

Alias
UMLS CUI-1
C0242482
Significant medical condition has been identified?
Beschreibung

Significant medical condition

Datentyp

text

Alias
UMLS CUI [1,1]
C3843040
UMLS CUI [1,2]
C0750502
ICD A15-A19
Beschreibung

ICD A15-A19

Datentyp

text

Alias
UMLS CUI [1]
C0041296
ICD A15-A19
Beschreibung

ICD A15-A19

Datentyp

text

Alias
UMLS CUI [1]
C0041296
ICD A50-A64
Beschreibung

ICD A50-A64

Datentyp

text

Alias
UMLS CUI [1]
C0036916
ICD B20-B24
Beschreibung

ICD B20-B24

Datentyp

text

Alias
UMLS CUI [1]
C0019682
Physical impairment/disability
Beschreibung

Physical impairment/disability

Datentyp

text

Alias
UMLS CUI [1]
C0231171
Significant mental health condition
Beschreibung

Significant mental health condition

Datentyp

text

Alias
UMLS CUI [1]
C3840291
Addiction (abuse) of specific substances
Beschreibung

Addiction

Datentyp

text

Alias
UMLS CUI [1]
C0038586
Other significant condition (specify):
Beschreibung

Other significant condition

Datentyp

text

Alias
UMLS CUI [1,1]
C3843040
UMLS CUI [1,2]
C0750502
SECTION J. TREATMENT RECOMMENDATION
Beschreibung

SECTION J. TREATMENT RECOMMENDATION

Alias
UMLS CUI-1
C0039798
UMLS CUI-2
C0034866
Treatment required?
Beschreibung

Treatment required?

Datentyp

text

Alias
UMLS CUI [1]
C0332121
Treatment required For ICD A50-A64?
Beschreibung

Treatment required For ICD A50-A64?

Datentyp

text

Alias
UMLS CUI [1,1]
C0332121
UMLS CUI [1,2]
C0036916
Treatment required for malaria?
Beschreibung

Treatment required for malaria?

Datentyp

text

Alias
UMLS CUI [1,1]
C0332121
UMLS CUI [1,2]
C0024530
Treatment required for gastrointestinal parasites? (e.g. presumptive treatment)
Beschreibung

Treatment required for gastrointestinal parasites?

Datentyp

text

Alias
UMLS CUI [1,1]
C0332121
UMLS CUI [1,2]
C0017178
UMLS CUI [1,3]
C0030498
Treatment required for acute condition?
Beschreibung

Treatment required for acute condition?

Datentyp

text

Alias
UMLS CUI [1,1]
C0332121
UMLS CUI [1,2]
C1699700
UMLS CUI [1,3]
C0205178
Treatment required for chronic condition?
Beschreibung

Treatment required for chronic condition?

Datentyp

text

Alias
UMLS CUI [1,1]
C0332121
UMLS CUI [1,2]
C0008679
Hospitalisation required (immediate)
Beschreibung

Hospitalisation required (immediate)

Datentyp

text

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0205253
Hospitalisation required (within several days)
Beschreibung

Hospitalisation required (within several days)

Datentyp

text

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C3844034
Hospitalisation required (within several months)
Beschreibung

Hospitalisation required (within several months)

Datentyp

text

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0439231
Immunisation required?
Beschreibung

Immunisation required?

Datentyp

text

Alias
UMLS CUI [1,1]
C0020971
UMLS CUI [1,2]
C1514873
Adjusted/appropriate accommodation required?
Beschreibung

Adjusted/appropriate accommodation required?

Datentyp

text

Alias
UMLS CUI [1,1]
C0595920
UMLS CUI [1,2]
C1514873
SECTION K. TRAVEL RECOMMENDATION
Beschreibung

SECTION K. TRAVEL RECOMMENDATION

Alias
UMLS CUI-1
C0034866
UMLS CUI-2
C0040802
Fit for further travel? (Yes / conditionally / no)
Beschreibung

Fit for further travel?

Datentyp

text

Alias
UMLS CUI [1,1]
C0040802
UMLS CUI [1,2]
C0424576
Special medical attention during the travel?
Beschreibung

Special medical attention during the travel?

Datentyp

text

Alias
UMLS CUI [1,1]
C0040802
UMLS CUI [1,2]
C0004268
UMLS CUI [1,3]
C1830593
If pregnant, not to travel before ……?
Beschreibung

If pregnant, not to travel before ……?

Datentyp

text

Alias
UMLS CUI [1,1]
C0549206
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C0040223
If pregnant, to travel before …?
Beschreibung

If pregnant, to travel before …?

Datentyp

text

Alias
UMLS CUI [1,1]
C0549206
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C0040223
TRQ: ambulance
Beschreibung

TRQ: ambulance

Datentyp

text

Alias
UMLS CUI [1,1]
C0002422
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: WCH
Beschreibung

TRQ: WCH

Datentyp

text

Alias
UMLS CUI [1,1]
C0043143
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: stretcher
Beschreibung

TRQ: stretcher

Datentyp

text

Alias
UMLS CUI [1,1]
C0972406
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: oxygen
Beschreibung

TRQ: oxygen

Datentyp

text

Alias
UMLS CUI [1,1]
C0184633
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: bowel preparation
Beschreibung

TRQ: bowel preparation

Datentyp

text

Alias
UMLS CUI [1,1]
C0455052
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: diapers
Beschreibung

TRQ: diapers

Datentyp

text

Alias
UMLS CUI [1,1]
C1875617
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: urinary catheter
Beschreibung

TRQ: urinary catheter

Datentyp

text

Alias
UMLS CUI [1,1]
C0179802
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: other
Beschreibung

TRQ: other

Datentyp

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0040802
UMLS CUI [1,3]
C1514873
TRQ: medical escort
Beschreibung

TRQ: medical escort

Datentyp

text

Alias
UMLS CUI [1,1]
C1547632
UMLS CUI [1,2]
C0040802
TRQ: family escort
Beschreibung

TRQ: family escort

Datentyp

text

Alias
UMLS CUI [1,1]
C1547632
UMLS CUI [1,2]
C0015576
TRQ: operational escort
Beschreibung

TRQ: operational escort

Datentyp

text

Alias
UMLS CUI [1,1]
C1547632
UMLS CUI [1,2]
C0040802
SECTION L. POST-ARRIVAL RECOMMENDATION
Beschreibung

SECTION L. POST-ARRIVAL RECOMMENDATION

Alias
UMLS CUI-1
C0034866
UMLS CUI-2
C1706079
PTR: special schooling needs
Beschreibung

PTR: special schooling needs

Datentyp

text

Alias
UMLS CUI [1,1]
C0871403
UMLS CUI [1,2]
C0455002
PTR: consequences on daily living activities (assistance required)
Beschreibung

PTR: consequences on daily living activities (assistance required)

Datentyp

text

Alias
UMLS CUI [1,1]
C0001288
UMLS CUI [1,2]
C3840284
PTR: special housing requirements
Beschreibung

PTR: special housing requirements

Datentyp

text

Alias
UMLS CUI [1,1]
C0871403
UMLS CUI [1,2]
C0020056
UMLS CUI [1,3]
C1514873
PTR: follow-up examination needed by GP (within 1 w/1 m/6 m)
Beschreibung

PTR: follow-up examination needed by GP (within 1 w/1 m/6 m)

Datentyp

text

Alias
UMLS CUI [1,1]
C3694716
UMLS CUI [1,2]
C0017319
PTR: Follow-up examination needed by specialist (within 1 w/1 m/6 m)
Beschreibung

PTR: Follow-up examination needed by specialist (within 1 w/1 m/6 m)

Datentyp

text

Alias
UMLS CUI [1,1]
C3694716
UMLS CUI [1,2]
C1611835
SECTION M. TREATMENT ADMINISTRATION
Beschreibung

SECTION M. TREATMENT ADMINISTRATION

Alias
UMLS CUI-1
C1533734
Tx administered for ICD A50-A64
Beschreibung

Tx administered for ICD A50-A64

Datentyp

text

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0036916
Tx administered for malaria
Beschreibung

Tx administered for malaria

Datentyp

text

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0024530
Tx administered for gastrointestinal parasites
Beschreibung

Tx administered for gastrointestinal parasites

Datentyp

text

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0030498
UMLS CUI [1,3]
C0017178
Tx administered for other conditions (specify medication and dosage)
Beschreibung

Tx administered for other conditions

Datentyp

text

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C3843040
UMLS CUI [1,3]
C0013227
UMLS CUI [1,4]
C0178602
Tx — other treatment applied (specify)
Beschreibung

Tx — other treatment applied (specify)

Datentyp

text

Alias
UMLS CUI [1,1]
C1533734
UMLS CUI [1,2]
C0205394
SECTION N. VACCINE ADMINISTRATION
Beschreibung

SECTION N. VACCINE ADMINISTRATION

Alias
UMLS CUI-1
C2368628
Vaccine administered (date/dose and application/batch #)
Beschreibung

Vaccine administered

Datentyp

text

Alias
UMLS CUI [1,1]
C2368628
UMLS CUI [1,2]
C1115436
UMLS CUI [1,3]
C0178602
Vaccine: DT
Beschreibung

Vaccine: DT

Datentyp

text

Alias
UMLS CUI [1]
C0058773
Vaccine: DTP
Beschreibung

Vaccine: DTP

Datentyp

text

Alias
UMLS CUI [1]
C0012559
Vaccine: DTaP
Beschreibung

Vaccine: DTaP

Datentyp

text

Alias
UMLS CUI [1]
C3526553
Vaccine: Td
Beschreibung

Vaccine: Td

Datentyp

text

Alias
UMLS CUI [1]
C0058773
Vaccine: Tdap
Beschreibung

Vaccine: Tdap

Datentyp

text

Alias
UMLS CUI [1]
C3526553
Vaccine: polio — OPV
Beschreibung

Vaccine: polio — OPV

Datentyp

text

Alias
UMLS CUI [1]
C0032375
Vaccine: polio — IPV
Beschreibung

Vaccine: polio — IPV

Datentyp

text

Alias
UMLS CUI [1]
C0718003
Vaccine: MMR
Beschreibung

Vaccine: MMR

Datentyp

text

Alias
UMLS CUI [1]
C0065828
Vaccine: rubella
Beschreibung

Vaccine: rubella

Datentyp

text

Alias
UMLS CUI [1]
C0035923
Vaccine: measles
Beschreibung

Vaccine: measles

Datentyp

text

Alias
UMLS CUI [1]
C0025010
Vaccine: measles-rubella
Beschreibung

Vaccine: measles-rubella

Datentyp

text

Alias
UMLS CUI [1]
C0361142
Vaccine: mumps
Beschreibung

Vaccine: mumps

Datentyp

text

Alias
UMLS CUI [1]
C0026782
Vaccine: mumps-rubella
Beschreibung

Vaccine: mumps-rubella

Datentyp

text

Alias
UMLS CUI [1]
C0694750
Vaccine: Hib
Beschreibung

Vaccine: Hib

Datentyp

text

Alias
UMLS CUI [1]
C0062086
Vaccine: hep A
Beschreibung

Vaccine: hep A

Datentyp

text

Alias
UMLS CUI [1]
C0795623
Vaccine: hep B
Beschreibung

Vaccine: hep B

Datentyp

text

Alias
UMLS CUI [1]
C2240392
Vaccine: meningococcal
Beschreibung

Vaccine: meningococcal

Datentyp

text

Alias
UMLS CUI [1]
C0700144
Vaccine: human papillomavirus
Beschreibung

Vaccine: human papillomavirus

Datentyp

text

Alias
UMLS CUI [1]
C1512511
Vaccine: varicella
Beschreibung

Vaccine: varicella

Datentyp

text

Alias
UMLS CUI [1]
C0078048
Vaccine: pneumococcal
Beschreibung

Vaccine: pneumococcal

Datentyp

text

Alias
UMLS CUI [1]
C0358314
Vaccine: influenza
Beschreibung

Vaccine: influenza

Datentyp

text

Alias
UMLS CUI [1]
C0021403
Vaccine: others
Beschreibung

Vaccine: others

Datentyp

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0042210
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Ähnliche Modelle

Personal Health Record

1 Formulare
  1. StudyEvent: ODM
    1. Personal Health Record
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
General Information
C1508263 (UMLS CUI-1)
General Information
Item
The ‘Personal Health Record’ was developed by the Migration Health Division of the International Organization for Migration with the support from the European Commission and the contribution from the European Centre for Disease Prevention and Control. This is a personal document. It includes in one single document the health data and information that will help the health professionals get a comprehensive view of your health status and needs. You will keep this document with you to help you in further contact with health professionals. The medical check is voluntary and the content of this document is confidential. It is covered by European and national regulations on data protection.
text
C1508263 (UMLS CUI [1])
Item Group
SECTION A. PATIENT REGISTRATION
C0011008 (UMLS CUI-1)
C0030705 (UMLS CUI-2)
C1514821 (UMLS CUI-3)
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])
Item Group
SECTION B. SERVICE PROVIDER INFORMATION
C0679886 (UMLS CUI-1)
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])
Item Group
SECTION C. MEDICAL HISTORY
C0262926 (UMLS CUI-1)
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
C1262477 (UMLS CUI [1])
Significant weight loss comment
Item
Significant weight loss (in the past 6 months)
text
C1262477 (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])
Item Group
SECTION D. PATIENT’S IMMUNIZATION RECORD
C0552506 (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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
Code List
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)
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])
Pediatric diphtheria and tetanus
Code List
Measles
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
Code List
Mumps
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])
Pediatric diphtheria and tetanus
Code List
Mumps-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)
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
Code List
Hepatitis A
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])
Pediatric diphtheria and tetanus
Code List
Hepatitis B
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])
Pediatric diphtheria and tetanus
Code List
Meningococcal
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
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])
Pediatric diphtheria and tetanus
Code List
Pneumococcal
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])
Pediatric diphtheria and tetanus
Code List
Influenza
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])
Item Group
SECTION E. CLINICAL MEASUREMENTS
C0205485 (UMLS CUI-1)
C0242485 (UMLS CUI-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])
Item Group
SECTION F. EXAM FINDINGS
C0031809 (UMLS CUI-1)
Item
General appearance and nutritional status
integer
C1148438 (UMLS CUI [1,1])
C0392209 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
General appearance and nutritional status
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Hearing and ears
integer
C0455216 (UMLS CUI [1])
General appearance and nutritional status
Code List
Hearing and ears
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Eyes
integer
C0015392 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Eyes
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Nose, mouth and throat (include dental)
integer
C0553490 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Nose, mouth and throat (include dental)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Heart (S1, S2, murmur, rub)
integer
C0562319 (UMLS CUI [1])
General appearance and nutritional status
Code List
Heart (S1, S2, murmur, rub)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Breast
integer
C0199850 (UMLS CUI [1])
General appearance and nutritional status
Code List
Breast
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Lungs
integer
C2228454 (UMLS CUI [1])
General appearance and nutritional status
Code List
Lungs
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Abdomen (including liver, spleen)
integer
C0562238 (UMLS CUI [1])
General appearance and nutritional status
Code List
Abdomen (including liver, spleen)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Genitalia
integer
C0031809 (UMLS CUI [1,1])
C0017420 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Genitalia
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Inguinal region (including adenopathy)
integer
C0031809 (UMLS CUI [1,1])
C0018246 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Inguinal region (including adenopathy)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Extremities (including pulses, edema)
integer
C0436150 (UMLS CUI [1])
General appearance and nutritional status
Code List
Extremities (including pulses, edema)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Musculoskeletal system (including gait)
integer
C0031809 (UMLS CUI [1,1])
C0026860 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Musculoskeletal system (including gait)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Skin (including findings consistent with self-inflicted injury or injections)
integer
C0582103 (UMLS CUI [1,1])
C1123023 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Skin (including findings consistent with self-inflicted injury or injections)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Lymph nodes
integer
C0031809 (UMLS CUI [1,1])
C0024204 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Lymph nodes
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Nervous system
integer
C0027763 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
General appearance and nutritional status
Code List
Nervous system
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item
Mental status (including mood, intelligence, perception, thought processes, behaviour during examination…)
integer
C3260990 (UMLS CUI [1])
General appearance and nutritional status
Code List
Mental status (including mood, intelligence, perception, thought processes, behaviour during examination…)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not assessed (3)
Item Group
SECTION G. LABORATORY/OTHER TESTS
C0022885 (UMLS CUI-1)
C0582103 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Urinalysis: dipstick
Item
Urinalysis: dipstick for albumin or protein, sugar and blood
text
C0042014 (UMLS CUI [1,1])
C0430370 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,3])
Malaria rapid test
Item
Malaria rapid test (pan malaria)
text
C2368143 (UMLS CUI [1])
Pregnancy
Item
Pregnancy
text
C0032976 (UMLS CUI [1])
Electrocardiogram
Item
Electrocardiogram
text
C0013798 (UMLS CUI [1])
Mantoux
Item
Mantoux
text
C0041290 (UMLS CUI [1])
Item Group
SECTION H. DIAGNOSTICS
C0430022 (UMLS CUI-1)
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])
Item Group
SECTION I. SUMMARY FINDINGS
C0242482 (UMLS CUI-1)
Significant medical condition
Item
Significant medical condition has been identified?
text
C3843040 (UMLS CUI [1,1])
C0750502 (UMLS CUI [1,2])
ICD A15-A19
Item
ICD A15-A19
text
C0041296 (UMLS CUI [1])
ICD A15-A19
Item
ICD A15-A19
text
C0041296 (UMLS CUI [1])
ICD A50-A64
Item
ICD A50-A64
text
C0036916 (UMLS CUI [1])
ICD B20-B24
Item
ICD B20-B24
text
C0019682 (UMLS CUI [1])
Physical impairment/disability
Item
Physical impairment/disability
text
C0231171 (UMLS CUI [1])
Significant mental health condition
Item
Significant mental health condition
text
C3840291 (UMLS CUI [1])
Addiction
Item
Addiction (abuse) of specific substances
text
C0038586 (UMLS CUI [1])
Other significant condition
Item
Other significant condition (specify):
text
C3843040 (UMLS CUI [1,1])
C0750502 (UMLS CUI [1,2])
Item Group
SECTION J. TREATMENT RECOMMENDATION
C0039798 (UMLS CUI-1)
C0034866 (UMLS CUI-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])
Item Group
SECTION K. TRAVEL RECOMMENDATION
C0034866 (UMLS CUI-1)
C0040802 (UMLS CUI-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])
Item Group
SECTION L. POST-ARRIVAL RECOMMENDATION
C0034866 (UMLS CUI-1)
C1706079 (UMLS CUI-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])
Item Group
SECTION M. TREATMENT ADMINISTRATION
C1533734 (UMLS CUI-1)
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])
Item Group
SECTION N. VACCINE ADMINISTRATION
C2368628 (UMLS CUI-1)
Vaccine administered
Item
Vaccine administered (date/dose and application/batch #)
text
C2368628 (UMLS CUI [1,1])
C1115436 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
Vaccine: DT
Item
Vaccine: DT
text
C0058773 (UMLS CUI [1])
Vaccine: DTP
Item
Vaccine: DTP
text
C0012559 (UMLS CUI [1])
Vaccine: DTaP
Item
Vaccine: DTaP
text
C3526553 (UMLS CUI [1])
Vaccine: Td
Item
Vaccine: Td
text
C0058773 (UMLS CUI [1])
Vaccine: Tdap
Item
Vaccine: Tdap
text
C3526553 (UMLS CUI [1])
Vaccine: polio — OPV
Item
Vaccine: polio — OPV
text
C0032375 (UMLS CUI [1])
Vaccine: polio — IPV
Item
Vaccine: polio — IPV
text
C0718003 (UMLS CUI [1])
Vaccine: MMR
Item
Vaccine: MMR
text
C0065828 (UMLS CUI [1])
Vaccine: rubella
Item
Vaccine: rubella
text
C0035923 (UMLS CUI [1])
Vaccine: measles
Item
Vaccine: measles
text
C0025010 (UMLS CUI [1])
Vaccine: measles-rubella
Item
Vaccine: measles-rubella
text
C0361142 (UMLS CUI [1])
Vaccine: mumps
Item
Vaccine: mumps
text
C0026782 (UMLS CUI [1])
Vaccine: mumps-rubella
Item
Vaccine: mumps-rubella
text
C0694750 (UMLS CUI [1])
Vaccine: Hib
Item
Vaccine: Hib
text
C0062086 (UMLS CUI [1])
Vaccine: hep A
Item
Vaccine: hep A
text
C0795623 (UMLS CUI [1])
Vaccine: hep B
Item
Vaccine: hep B
text
C2240392 (UMLS CUI [1])
Vaccine: meningococcal
Item
Vaccine: meningococcal
text
C0700144 (UMLS CUI [1])
Vaccine: human papillomavirus
Item
Vaccine: human papillomavirus
text
C1512511 (UMLS CUI [1])
Vaccine: varicella
Item
Vaccine: varicella
text
C0078048 (UMLS CUI [1])
Vaccine: pneumococcal
Item
Vaccine: pneumococcal
text
C0358314 (UMLS CUI [1])
Vaccine: influenza
Item
Vaccine: influenza
text
C0021403 (UMLS CUI [1])
Vaccine: others
Item
Vaccine: others
text
C0205394 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
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