Information:
Error:
HIS
- StudyEvent: HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Age
Item
Age
integer
C0001779 (UMLS CUI 2011AA)
397669002 (SNOMED CT 2011_0131)
397669002 (SNOMED CT 2011_0131)
Gender
Item
Sex
integer
Race
Item
Racial group
string
Weight
Item
Weight
integer
C1305866 (UMLS CUI 2011AA)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
107647005 (SNOMED CT 2011_0131)
10047890 (MedDRA 14.1)
LP18015-5 (LOINC Version 232)
CHIEF COMPLAINT
Item
Chief complaint (CC)
string
PRESENT ILLNESS
Item
History of present illness
string
Medical Illness
Item
Past medical history
string
Surgery
Item
Prior Surgery, History of (H/O) surgery, Past surgical history
string
C0455610 (UMLS CUI 2011AA)
161615003 (SNOMED CT 2011_0131)
161615003 (SNOMED CT 2011_0131)
DETAILED ACTIVE MEDS
Item
current medication list, active medication
string
C1553892 (UMLS CUI 2011AA)
Allergies
Item
Allergies
string
C0020517 (UMLS CUI 2011AA)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
257550005 (SNOMED CT 2011_0131)
T78.40 (ICD-10-CM Version 2010)
REVIEW OF SYSTEMS(Positive findings)
Item
Review of systems
string
FAMILY HISTORY
Item
Family history (FH) of
string
C0241889 (UMLS CUI 2011AA)
57177007 (SNOMED CT 2011_0131)
57177007 (SNOMED CT 2011_0131)
SOCIAL HISTORY
Item
Social and personal history, Social and personal circumstances
string
IMMUNIZATIONS
Item
Immunisation
string
C0020971 (UMLS CUI 2011AA)
127785005 (SNOMED CT 2011_0131)
10021431 (MedDRA 14.1)
127785005 (SNOMED CT 2011_0131)
10021431 (MedDRA 14.1)
Temperature
Item
Temperature
string
Pulse
Item
Pulse Rate
integer
C0232117 (UMLS CUI 2011AA)
78564009 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
78564009 (SNOMED CT 2011_0131)
10037485 (MedDRA 14.1)
Respiration rate
Item
Respiration rate, Breathing rate (BR)
integer
C0231832 (UMLS CUI 2011AA)
86290005 (SNOMED CT 2011_0131)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
86290005 (SNOMED CT 2011_0131)
10038709 (MedDRA 14.1)
MTHU008344 (LOINC Version 232)
Blood pressure
Item
Blood pressure (BP)
string
Pain
Item
Pain
string
C0030193 (UMLS CUI 2011AA)
22253000 (SNOMED CT 2011_0131)
10033371 (MedDRA 14.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE 1105E)
22253000 (SNOMED CT 2011_0131)
10033371 (MedDRA 14.1)
MTHU029813 (LOINC Version 232)
R52 (ICD-10-CM Version 2010)
338-338.9 (ICD-9-CM Version 2011)
E11167 (CTCAE 1105E)
GENERAL APPEARANCE
Item
general appearance
string
HEENT
Item
Head, Ears, Eyes, Nose and Throat
text
C1512338 (UMLS CUI 2011AA)
NECK
Item
Neck, Collum, Cervical
string
CHEST
Item
Chest, Thorax
string
C0817096 (UMLS CUI 2011AA)
51185008 (SNOMED CT 2011_0131)
51185008 (SNOMED CT 2011_0131)
BREAST
Item
Mammary region
string
HEART
Item
Heart
string
ABDOMEN
Item
Abdomen
string
LYMPH NODES
Item
lymph nodes
string
GENITALIA/RECTAL
Item
Genital Organs/Rectal
string
EXTREMITIES
Item
Extremities, Limb structure
string
SKIN
Item
Integument
string
NEUROLOGICAL
Item
Neurologic system, Nervous system, Nervous system structure
string
IMPRESSION
Item
summary, conclusion
string
CL386604 (UMLS CUI 2011AA)
PLAN
Item
Plan
string
C1301732 (UMLS CUI 2011AA)
397943006 (SNOMED CT 2011_0131)
397943006 (SNOMED CT 2011_0131)
ASA SCORE
Item
Finding of American Society of Anesthesiologists physical status classification
string
C1531480 (UMLS CUI 2011AA)
413347006 (SNOMED CT 2011_0131)
413347006 (SNOMED CT 2011_0131)
AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION
Item
AIRWAY ASSESSMENT FOR PATIENTS RECEIVING MODERATE SEDATION
text
Teeth
Item
Teeth
string
MALLAMPATI AIRWAY SCORE
Item
Mallampati score
string
C0451276 (UMLS CUI 2011AA)
273585005 (SNOMED CT 2011_0131)
273585005 (SNOMED CT 2011_0131)
Neck Extension
Item
Neck Extension (normal/RESTRICTED/NO MOBILITY)
text
C0027530, C0231448 (UMLS CUI 2011AA)
45048000, 255536004 (SNOMED CT 2011_0131)
MTHU002688, MTHU010348 (LOINC Version 232)
45048000, 255536004 (SNOMED CT 2011_0131)
MTHU002688, MTHU010348 (LOINC Version 232)
Physician
Item
Treating Physician
string
C1710470 (UMLS CUI 2011AA)
DATE OF PROCEDURE
Item
Date of procedure
string
C2584899 (UMLS CUI 2011AA)
439272007 (SNOMED CT 2011_0131)
439272007 (SNOMED CT 2011_0131)
PRE-OP DIAGNOSIS
Item
Preoperative diagnosis
string
C1318968 (UMLS CUI 2011AA)
406520001 (SNOMED CT 2011_0131)
406520001 (SNOMED CT 2011_0131)
POST-OP DIAGNOSIS
Item
Post-operative diagnosis
string
C1318969 (UMLS CUI 2011AA)
406521002 (SNOMED CT 2011_0131)
406521002 (SNOMED CT 2011_0131)
PRIMARY SURGEON
Item
Primary Surgeon
string
ASSISTANT
Item
first assistant surgeon
string
C1550491 (UMLS CUI 2011AA)
FASST (HL7 V3 2006_05)
FASST (HL7 V3 2006_05)
ANESTHESIA PROVIDER
Item
anesthesist
string
C1550495 (UMLS CUI 2011AA)
ANEST (HL7 V3 2006_05)
ANEST (HL7 V3 2006_05)
ANESTHESIA/SEDATION
Item
ANESTHESIA/SEDATION
string
C0002903, C0344106 (UMLS CUI 2011AA)
399097000, 72641008 (SNOMED CT 2011_0131)
10002091, 10059283 (MedDRA 14.1)
MTHU035920 (LOINC Version 232)
399097000, 72641008 (SNOMED CT 2011_0131)
10002091, 10059283 (MedDRA 14.1)
MTHU035920 (LOINC Version 232)
ANTIBIOTIC: Ancef
Item
ANTIBIOTIC: Ancef
boolean
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
ANTIBIOTIC: Rocephin
Item
ANTIBIOTIC: Rocephin
boolean
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
ANTIBIOTIC: Levaquin
Item
ANTIBIOTIC: Levaquin
boolean
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
ANTIBIOTIC: Other
Item
ANTIBIOTIC: Other
string
C0003232 (UMLS CUI 2011AA)
255631004 (SNOMED CT 2011_0131)
255631004 (SNOMED CT 2011_0131)
OTHER MEDS GIVEN
Item
OTHER MEDS GIVEN
string
C0013227 (UMLS CUI 2011AA)
Abscess drainage
Item
Drainage of abscess
boolean
C0344096 (UMLS CUI 2011AA)
118442004 (SNOMED CT 2011_0131)
10000279 (MedDRA 14.1)
118442004 (SNOMED CT 2011_0131)
10000279 (MedDRA 14.1)
Aortogram
Item
Aortography, Contrast aortogram
boolean
C0003515 (UMLS CUI 2011AA)
54640009 (SNOMED CT 2011_0131)
10057775 (MedDRA 14.1)
88.42 (ICD-9-CM Version 2011)
54640009 (SNOMED CT 2011_0131)
10057775 (MedDRA 14.1)
88.42 (ICD-9-CM Version 2011)
Aortogram and Runoff
Item
Aortogram and Runoff
boolean
AV Fistulagram
Item
AV Fistulagram
boolean
C0412315 (UMLS CUI 2011AA)
241275007 (SNOMED CT 2011_0131)
241275007 (SNOMED CT 2011_0131)
Carotid Angiogram
Item
Angiogram carotid, Carotid angiography
boolean
C0202896 (UMLS CUI 2011AA)
420171008 (SNOMED CT 2011_0131)
10003194 (MedDRA 14.1)
88.41 (ICD-9-CM Version 2011)
420171008 (SNOMED CT 2011_0131)
10003194 (MedDRA 14.1)
88.41 (ICD-9-CM Version 2011)
Cerebral Angiogram
Item
Cerebral angiogram, Angiogram cerebral, Fluoroscopic angiography of cerebral artery
boolean
C0948923 (UMLS CUI 2011AA)
419364000 (SNOMED CT 2011_0131)
10052905 (MedDRA 14.1)
419364000 (SNOMED CT 2011_0131)
10052905 (MedDRA 14.1)
Chest tube
Item
Chest drain, chest tube, thoracic tube
boolean
Chest tube/Empyema
Item
Chest tube/Empyema
boolean
C0008034,C0014009 (UMLS CUI 2011AA)
258643002, 66696 (SNOMED CT 2011_0131)
10014568 (MedDRA 14.1)
MTHU001287 (LOINC Version 232)
510 (ICD-9-CM Version 2011)
258643002, 66696 (SNOMED CT 2011_0131)
10014568 (MedDRA 14.1)
MTHU001287 (LOINC Version 232)
510 (ICD-9-CM Version 2011)
CVC
Item
Central venous catheter (CVC), Central venous line
boolean
C1145640 (UMLS CUI 2011AA)
52124006 (SNOMED CT 2011_0131)
52124006 (SNOMED CT 2011_0131)
CVC/Port
Item
CVC/Port
boolean
C1145640, C0179694 (UMLS CUI 2011AA)
52124006 (SNOMED CT 2011_0131)
52124006 (SNOMED CT 2011_0131)
CVC Temporary
Item
CVC Temporary
boolean
CVC Tunneled
Item
CVC Tunneled
boolean
Dialysis Access Declot
Item
Dialysis Access Declot
boolean
EVLT
Item
Endovenous laser treatment (ELT)
boolean
C1998394 (UMLS CUI 2011AA)
Extremity Angiogram
Item
Extremity Angiogram
boolean
CL378222, C0015385 (UMLS CUI 2011AA)
77343006, 66019005 (SNOMED CT 2011_0131)
10050062 (MedDRA 14.1)
MTHU001429 (LOINC Version 232)
77343006, 66019005 (SNOMED CT 2011_0131)
10050062 (MedDRA 14.1)
MTHU001429 (LOINC Version 232)
Kyphoplasty
Item
Balloon Vertebroplasty
boolean
C1455863 (UMLS CUI 2011AA)
10064702 (MedDRA 14.1)
81.66 (ICD-9-CM Version 2011)
10064702 (MedDRA 14.1)
81.66 (ICD-9-CM Version 2011)
Percutaneous Nephrostomy
Item
Percutaneous insertion of nephrostomy tube
boolean
C0564457 (UMLS CUI 2011AA)
313270001 (SNOMED CT 2011_0131)
313270001 (SNOMED CT 2011_0131)
PICC
Item
Peripherally-Inserted Central Catheter (PICC), PICC line
boolean
C0179740 (UMLS CUI 2011AA)
398176008 (SNOMED CT 2011_0131)
398176008 (SNOMED CT 2011_0131)
Pulmonary Angiogram
Item
Pulmonary arteriogram, Pulmonary artery angiography
boolean
C0202910 (UMLS CUI 2011AA)
84200003 (SNOMED CT 2011_0131)
10002440 (MedDRA 14.1)
88.43 (ICD-9-CM Version 2011)
84200003 (SNOMED CT 2011_0131)
10002440 (MedDRA 14.1)
88.43 (ICD-9-CM Version 2011)
RFA (RF-Ablation)
Item
radiofrequency ablation procedure
boolean
CL382653 (UMLS CUI 2011AA)
TACE
Item
transarterial chemoembolization
boolean
CL388501 (UMLS CUI 2011AA)
Thrombolysis
Item
Thrombolysis
boolean
C0520997 (UMLS CUI 2011AA)
51308000 (SNOMED CT 2011_0131)
10043568 (MedDRA 14.1)
51308000 (SNOMED CT 2011_0131)
10043568 (MedDRA 14.1)
Uterine Artery Embolization
Item
Embolisation of uterine artery
boolean
C0729536 (UMLS CUI 2011AA)
312138002 (SNOMED CT 2011_0131)
312138002 (SNOMED CT 2011_0131)
Other procedure
Item
Other procedure
string
FINDINGS
Item
FINDINGS (None|Same|N/A|Successful|Unsuccessful)
integer
Findings text
Item
Findings text
string
BLOOD LOSS
Item
bleeding, blood loss, hemorrhage
string
C0019080 (UMLS CUI 2011AA)
50960005 (SNOMED CT 2011_0131)
10055798 (MedDRA 14.1)
R58 (ICD-10-CM Version 2010)
459.0 (ICD-9-CM Version 2011)
50960005 (SNOMED CT 2011_0131)
10055798 (MedDRA 14.1)
R58 (ICD-10-CM Version 2010)
459.0 (ICD-9-CM Version 2011)
CONTRAST
Item
Contrast medium, Contrast agent
string
C0009924 (UMLS CUI 2011AA)
385420005 (SNOMED CT 2011_0131)
385420005 (SNOMED CT 2011_0131)
FLUORO TIME
Item
FLUORO TIME
string
C0016356 (UMLS CUI 2011AA)
44491008 (SNOMED CT 2011_0131)
10064426 (MedDRA 14.1)
44491008 (SNOMED CT 2011_0131)
10064426 (MedDRA 14.1)
SPECIMEN(s) REMOVED
Item
SPECIMEN(s)REMOVED (yes|no)
boolean
SPECIMEN(s)
Item
Specimen
string
COMPLICATIONS: No immediate
Item
COMPLICATIONS: No immediate
boolean
Complications text
Item
Complications
string