ID

44574

Description

Personal Health Record السجل الصحي الشخ ي ص

Keywords

Versions (3)
  1. 11/6/17 11/6/17 -
  2. 11/21/17 11/21/17 -
  3. 9/27/21 9/27/21 -
Copyright Holder

European Union

Uploaded on

September 27, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Personal Health Record

Arabic English

Personal Health Record

1 forms  
  1. StudyEvent: ODM
    1. Personal Health Record
General Information
Description

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.
Description

General Information

Data type

text

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

SECTION A. PATIENT REGISTRATION

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

Patient Family Name

Data type

text

Alias
UMLS CUI [1]
C1301584
Patient First Name
Description

Patient First Name

Data type

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Sex/Gender
Description

Sex/Gender

Data type

text

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

Country of birth/countries lived in/transited

Data type

text

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

Telephone or mobile number

Data type

text

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

Email address

Data type

text

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

Marital status

Data type

text

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

Number of family members travelling

Data type

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
Description

Number of family members travelling young

Data type

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
Description

SECTION B. SERVICE PROVIDER INFORMATION

Alias
UMLS CUI-1
C0679886
Physician Family Name
Description

Physician Family Name

Data type

text

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

Physician First Name

Data type

text

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

Physician Telephone or mobile number

Data type

text

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

Physician Email address

Data type

text

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

Name of medical affiliation

Data type

text

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

City, Country

Data type

text

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

Interpretation/mediation used

Data type

boolean

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

Interpretation/mediation comment

Data type

text

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

SECTION C. MEDICAL HISTORY

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

Illness or injury requiring hospitalization

Data type

boolean

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

Illness or injury requiring hospitalization comment

Data type

text

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

Surgical interventions

Data type

boolean

Alias
UMLS CUI [1]
C0184661
Surgical interventions
Description

Surgical interventions comment

Data type

text

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

Heart disease or high blood pressure

Data type

boolean

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

Heart disease or high blood pressure comment

Data type

text

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

Neurologic disease, incl. stroke or seizures

Data type

boolean

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

Neurologic disease, incl. stroke or seizures comment

Data type

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
Description

Mental illness/problems

Data type

boolean

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

Mental illness/problems comment

Data type

text

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

Stomach or bowel disease (incl. recent diarrhea)

Data type

boolean

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

Stomach or bowel disease (incl. recent diarrhea) comment

Data type

text

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

Liver or kidney disease

Data type

boolean

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

Liver or kidney disease comment

Data type

text

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

Diabetes or other endocrine disorder

Data type

boolean

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

Diabetes or other endocrine disorder comment

Data type

text

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

Urogenital problems/conditions

Data type

boolean

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

Urogenital problems/conditions comment

Data type

boolean

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

Hematologic disease

Data type

boolean

Alias
UMLS CUI [1]
C0018939
Hematologic disease
Description

Hematologic disease comment

Data type

text

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

Muscle, bone and joint problems

Data type

boolean

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

Muscle, bone and joint problems comment

Data type

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
Description

Problems with eyes or ears

Data type

boolean

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

Problems with eyes or ears comment

Data type

text

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

History of cancer or tumors

Data type

boolean

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

History of cancer or tumors comment

Data type

text

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

Tuberculosis, pneumonia or other lung disease

Data type

boolean

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

Tuberculosis, pneumonia or other lung disease comment

Data type

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)
Description

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

Data type

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)
Description

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

Data type

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)
Description

Recurrent fever (in the past 6 months)

Data type

boolean

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

Recurrent fever (in the past 6 months) comment

Data type

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
Description

Coughing

Data type

boolean

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

Coughing comment

Data type

text

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

Significant weight loss

Data type

boolean

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

Significant weight loss comment

Data type

text

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

Sexually transmitted infections

Data type

boolean

Alias
UMLS CUI [1]
C0036916
Sexually transmitted infections
Description

Sexually transmitted infections comment

Data type

text

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

Skin conditions

Data type

boolean

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

Skin conditions comment

Data type

text

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

Tattoos, body piercings

Data type

boolean

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

Tattoos, body piercings comment

Data type

text

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

History of blood transfusion

Data type

boolean

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

History of blood transfusion comment

Data type

text

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

History of torture, violence

Data type

boolean

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

History of torture, violence comment

Data type

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)
Description

Displaced from home

Data type

text

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

Current medications

Data type

text

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

Allergies, including to drugs

Data type

boolean

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

Allergies, including to drugs comment

Data type

text

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

Smoking or history of smoking

Data type

boolean

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

Smoking or history of smoking comment

Data type

text

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

Alcohol or history of alcohol

Data type

boolean

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

Alcohol or history of alcohol comment

Data type

text

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

Pregnancies

Data type

boolean

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

Pregnancies comment

Data type

text

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

Deliveries

Data type

text

Alias
UMLS CUI [1]
C0559563
Last menstrual period
Description

Last menstrual period

Data type

date

Alias
UMLS CUI [1]
C0425932
Current pregnancy
Description

Current pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0549206
Current pregnancy
Description

Current pregnancy comment

Data type

text

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

Gestational week

Data type

text

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

SECTION D. PATIENT’S IMMUNIZATION RECORD

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

Immunization record

Data type

boolean

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

Immunization record comment

Data type

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
Description

Immunization status

Data type

boolean

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

Pediatric diphtheria and tetanus

Data type

boolean

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

Pediatric diphtheria and tetanus

Data type

text

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

Pediatric diphtheria and tetanus comment

Data type

text

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

Diphtheria, tetanus, pertussis (DTP)

Data type

boolean

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

Diphtheria, tetanus, pertussis (DTP)

Data type

text

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

Diphtheria, tetanus, pertussis (DTP) comment

Data type

text

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

Pediatric diphtheria, tetanus and acellular pertussis (DTaP)

Data type

boolean

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

Pediatric diphtheria, tetanus and acellular pertussis (DTaP)

Data type

text

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

Pediatric diphtheria, tetanus and acellular pertussis (DTaP) comment

Data type

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)
Description

Older children and adults tetanus and diphtheria vaccine (Td)

Data type

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)
Description

Older children and adults tetanus and diphtheria vaccine (Td)

Data type

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)
Description

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

Data type

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)
Description

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

Data type

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)
Description

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

Data type

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)
Description

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

Data type

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)
Description

Oral Polio vaccine (OPV)

Data type

boolean

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

Oral Polio vaccine (OPV)

Data type

text

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

Oral Polio vaccine (OPV) comment

Data type

text

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

Inactivated Polio vaccine (IPV)

Data type

boolean

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

Inactivated Polio vaccine (IPV)

Data type

text

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

Inactivated Polio vaccine (IPV) comment

Data type

text

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

Measles, mumps, rubella (MMR)

Data type

boolean

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

Measles, mumps, rubella (MMR)

Data type

text

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

Measles, mumps, rubella (MMR) comment

Data type

text

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

Rubella

Data type

boolean

Alias
UMLS CUI [1]
C0042206
Rubella
Description

Rubella

Data type

text

Alias
UMLS CUI [1]
C0042206
Rubella
Description

Rubella comment

Data type

text

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

Measles

Data type

boolean

Alias
UMLS CUI [1]
C0042201
Measles
Description

Measles

Data type

text

Alias
UMLS CUI [1]
C0042201
Measles
Description

Measles comment

Data type

text

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

Measles-Rubella

Data type

boolean

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

Measles-Rubella

Data type

text

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

Measles-Rubella comment

Data type

text

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

Mumps

Data type

boolean

Alias
UMLS CUI [1]
C0042202
Mumps
Description

Mumps

Data type

text

Alias
UMLS CUI [1]
C0042202
Mumps
Description

Mumps comment

Data type

text

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

Mumps-Rubella

Data type

boolean

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

Mumps-Rubella

Data type

text

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

Mumps-Rubella comment

Data type

text

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

Haemophilus influenzae type B (Hib)

Data type

boolean

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

Haemophilus influenzae type B (Hib)

Data type

text

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

Haemophilus influenzae type B (Hib) comment

Data type

text

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

Hepatitis A

Data type

boolean

Alias
UMLS CUI [1]
C0419735
Hepatitis A
Description

Hepatitis A

Data type

text

Alias
UMLS CUI [1]
C0419735
Hepatitis A
Description

Hepatitis A comment

Data type

text

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

Hepatitis B

Data type

boolean

Alias
UMLS CUI [1]
C0474232
Hepatitis B
Description

Hepatitis B

Data type

text

Alias
UMLS CUI [1]
C0474232
Hepatitis B
Description

Hepatitis B comment

Data type

text

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

Meningococcal

Data type

boolean

Alias
UMLS CUI [1]
C0700144
Meningococcal
Description

Meningococcal

Data type

text

Alias
UMLS CUI [1]
C0700144
Meningococcal
Description

Meningococcal comment

Data type

text

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

Human papillomavirus (HPV)

Data type

boolean

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

Human papillomavirus (HPV)

Data type

text

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

Human papillomavirus (HPV) comment

Data type

text

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

Varicella (chicken pox)

Data type

boolean

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

Varicella (chicken pox)

Data type

text

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

Varicella (chicken pox) comment

Data type

text

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

Herpes zoster (shingles)

Data type

boolean

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

Herpes zoster (shingles)

Data type

text

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

Herpes zoster (shingles) comment

Data type

text

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

Pneumococcal

Data type

boolean

Alias
UMLS CUI [1]
C0419707
Pneumococcal
Description

Pneumococcal

Data type

text

Alias
UMLS CUI [1]
C0419707
Pneumococcal
Description

Pneumococcal comment

Data type

text

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

Influenza

Data type

boolean

Alias
UMLS CUI [1]
C0021403
Influenza
Description

Influenza

Data type

text

Alias
UMLS CUI [1]
C0021403
Influenza
Description

Influenza comment

Data type

text

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

SECTION E. CLINICAL MEASUREMENTS

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

Height

Data type

integer

Measurement units
  • سم
Alias
UMLS CUI [1]
C0489786
سم
Weight
Description

Weight

Data type

integer

Measurement units
  • كجم
Alias
UMLS CUI [1]
C0005910
كجم
BMI
Description

BMI

Data type

integer

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

Head circumference

Data type

integer

Measurement units
  • سم
Alias
UMLS CUI [1]
C0262499
سم
Blood pressure initial: Systolic
Description

Blood pressure initial: Systolic

Data type

integer

Measurement units
  • مم زئبق
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0205265
مم زئبق
Blood pressure initial: Dyastolic
Description

Blood pressure initial: Dyastolic

Data type

integer

Measurement units
  • مم زئبق
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0205265
مم زئبق
Blood pressure repeated: Systolic
Description

Blood pressure repeated: Systolic

Data type

integer

Measurement units
  • مم زئبق
Alias
UMLS CUI [1,1]
C0871470
UMLS CUI [1,2]
C0205341
مم زئبق
Blood pressure repeated: Dyastolic
Description

Blood pressure repeated: Dyastolic

Data type

integer

Measurement units
  • مم زئبق
Alias
UMLS CUI [1,1]
C0428883
UMLS CUI [1,2]
C0205341
مم زئبق
Pulse initial
Description

Pulse initial

Data type

integer

Measurement units
  • /دقيقة
Alias
UMLS CUI [1,1]
C0232117
UMLS CUI [1,2]
C0205265
/دقيقة
Respiratory Rate
Description

Respiratory Rate

Data type

integer

Measurement units
  • / دقيقة
Alias
UMLS CUI [1]
C0231832
/ دقيقة
Pulse repeated
Description

Pulse repeated

Data type

integer

Measurement units
  • / دقيقة
Alias
UMLS CUI [1,1]
C0232117
UMLS CUI [1,2]
C0205341
/ دقيقة
Visual Acuity Left uncorrected
Description

Visual Acuity Left uncorrected

Data type

text

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

Visual Acuity Right uncorrected

Data type

text

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

Visual Acuity Left corrected

Data type

text

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

Visual Acuity Right corrected

Data type

text

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

SECTION F. EXAM FINDINGS

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

General appearance and nutritional status

Data type

integer

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

Hearing and ears

Data type

integer

Alias
UMLS CUI [1]
C0455216
Eyes
Description

Eyes

Data type

integer

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

Nose, mouth and throat

Data type

integer

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

Heart

Data type

integer

Alias
UMLS CUI [1]
C0562319
Breast
Description

Breast

Data type

integer

Alias
UMLS CUI [1]
C0199850
Lungs
Description

Lungs

Data type

integer

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

Abdomen

Data type

integer

Alias
UMLS CUI [1]
C0562238
Genitalia
Description

Genitalia

Data type

integer

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

Inguinal region

Data type

integer

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

Extremities

Data type

integer

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

Musculoskeletal system

Data type

integer

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

Skin

Data type

integer

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

Lymph nodes

Data type

integer

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

Nervous system

Data type

integer

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

Mental status

Data type

integer

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

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
Description

Urinalysis: dipstick

Data type

text

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

Malaria rapid test

Data type

text

Alias
UMLS CUI [1]
C2368143
Pregnancy
Description

Pregnancy

Data type

text

Alias
UMLS CUI [1]
C0032976
Electrocardiogram
Description

Electrocardiogram

Data type

text

Alias
UMLS CUI [1]
C0013798
Mantoux
Description

Mantoux

Data type

text

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

SECTION H. DIAGNOSTICS

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

Imaging: chest X-ray

Data type

text

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

Imaging: other X-ray

Data type

text

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

Imaging: other imaging examination

Data type

text

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

Electrocardiogram

Data type

text

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

Laboratory: full blood count

Data type

text

Alias
UMLS CUI [1]
C0005771
Laboratory: creatinine
Description

Laboratory: creatinine

Data type

text

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

Laboratory: hep B surface antigen

Data type

text

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

Laboratory: hep C serology

Data type

text

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

Laboratory: HIV

Data type

text

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

Laboratory: syphilis

Data type

text

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

Laboratory: liver function tests

Data type

text

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

Laboratory: tuberculosis (sputum smear)

Data type

text

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

Instrument: mini-mental state

Data type

text

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

Instrument: assessment of activities of daily living

Data type

text

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

Instrument: chart of early childhood development

Data type

text

Alias
UMLS CUI [1]
C0870455
Other referrals
Description

Other referrals

Data type

text

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

SECTION I. SUMMARY FINDINGS

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

Significant medical condition

Data type

text

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

ICD A15-A19

Data type

text

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

ICD A15-A19

Data type

text

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

ICD A50-A64

Data type

text

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

ICD B20-B24

Data type

text

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

Physical impairment/disability

Data type

text

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

Significant mental health condition

Data type

text

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

Addiction

Data type

text

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

Other significant condition

Data type

text

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

SECTION J. TREATMENT RECOMMENDATION

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

Treatment required?

Data type

text

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

Treatment required For ICD A50-A64?

Data type

text

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

Treatment required for malaria?

Data type

text

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

Treatment required for gastrointestinal parasites?

Data type

text

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

Treatment required for acute condition?

Data type

text

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

Treatment required for chronic condition?

Data type

text

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

Hospitalisation required (immediate)

Data type

text

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

Hospitalisation required (within several days)

Data type

text

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

Hospitalisation required (within several months)

Data type

text

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

Immunisation required?

Data type

text

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

Adjusted/appropriate accommodation required?

Data type

text

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

SECTION K. TRAVEL RECOMMENDATION

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

Fit for further travel?

Data type

text

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

Special medical attention during the travel?

Data type

text

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

If pregnant, not to travel before ……?

Data type

text

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

If pregnant, to travel before …?

Data type

text

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

TRQ: ambulance

Data type

text

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

TRQ: WCH

Data type

text

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

TRQ: stretcher

Data type

text

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

TRQ: oxygen

Data type

text

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

TRQ: bowel preparation

Data type

text

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

TRQ: diapers

Data type

text

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

TRQ: urinary catheter

Data type

text

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

TRQ: other

Data type

text

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

TRQ: medical escort

Data type

text

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

TRQ: family escort

Data type

text

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

TRQ: operational escort

Data type

text

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

SECTION L. POST-ARRIVAL RECOMMENDATION

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

PTR: special schooling needs

Data type

text

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

PTR: consequences on daily living activities (assistance required)

Data type

text

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

PTR: special housing requirements

Data type

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)
Description

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

Data type

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)
Description

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

Data type

text

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

SECTION M. TREATMENT ADMINISTRATION

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

Tx administered for ICD A50-A64

Data type

text

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

Tx administered for malaria

Data type

text

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

Tx administered for gastrointestinal parasites

Data type

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)
Description

Tx administered for other conditions

Data type

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)
Description

Tx — other treatment applied (specify)

Data type

text

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

SECTION N. VACCINE ADMINISTRATION

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

Vaccine administered

Data type

text

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

Vaccine: DT

Data type

text

Alias
UMLS CUI [1]
C0058773
Vaccine: DTP
Description

Vaccine: DTP

Data type

text

Alias
UMLS CUI [1]
C0012559
Vaccine: DTaP
Description

Vaccine: DTaP

Data type

text

Alias
UMLS CUI [1]
C3526553
Vaccine: Td
Description

Vaccine: Td

Data type

text

Alias
UMLS CUI [1]
C0058773
Vaccine: Tdap
Description

Vaccine: Tdap

Data type

text

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

Vaccine: polio — OPV

Data type

text

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

Vaccine: polio — IPV

Data type

text

Alias
UMLS CUI [1]
C0718003
Vaccine: MMR
Description

Vaccine: MMR

Data type

text

Alias
UMLS CUI [1]
C0065828
Vaccine: rubella
Description

Vaccine: rubella

Data type

text

Alias
UMLS CUI [1]
C0035923
Vaccine: measles
Description

Vaccine: measles

Data type

text

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

Vaccine: measles-rubella

Data type

text

Alias
UMLS CUI [1]
C0361142
Vaccine: mumps
Description

Vaccine: mumps

Data type

text

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

Vaccine: mumps-rubella

Data type

text

Alias
UMLS CUI [1]
C0694750
Vaccine: Hib
Description

Vaccine: Hib

Data type

text

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

Vaccine: hep A

Data type

text

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

Vaccine: hep B

Data type

text

Alias
UMLS CUI [1]
C2240392
Vaccine: meningococcal
Description

Vaccine: meningococcal

Data type

text

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

Vaccine: human papillomavirus

Data type

text

Alias
UMLS CUI [1]
C1512511
Vaccine: varicella
Description

Vaccine: varicella

Data type

text

Alias
UMLS CUI [1]
C0078048
Vaccine: pneumococcal
Description

Vaccine: pneumococcal

Data type

text

Alias
UMLS CUI [1]
C0358314
Vaccine: influenza
Description

Vaccine: influenza

Data type

text

Alias
UMLS CUI [1]
C0021403
Vaccine: others
Description

Vaccine: others

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0042210
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Similar models

Personal Health Record

1 forms
  1. StudyEvent: ODM
    1. Personal Health Record
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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