Information:
Error:
HIS
- StudyEvent: HIS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
CHIEF COMPLAINT
Item
Chief complaint (CC)
string
HISTORY OF PRESENT ILLNESS
Item
History of present illness
string
PAST MEDICAL HISTORY
Item
Past medical history
string
PRIOR SURGERIES
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)
ALLERGIES
Item
Hypersensitivity
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)
CURRENT MEDICATIONS
Item
current medication list, active medication
string
C1553892 (UMLS CUI 2011AA)
REVIEW OF SYSTEMS
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
GENERAL APPEARANCE
Item
general appearance
string
HEENT
Item
Head, Ears, Eyes, Nose and Throat
string
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 node
string
GENITALIA/RECTAL
Item
GENITALIA/RECTAL
text
255582007 (SNOMED CT 2011_0131)
MTHU002681 (LOINC Version 232)
C0017420 (UMLS CUI [1,1])
C0205052 (UMLS CUI [1,2])
MTHU002681 (LOINC Version 232)
C0017420 (UMLS CUI [1,1])
C0205052 (UMLS CUI [1,2])
EXTREMITIES
Item
Extremities, Limb structure
string
SKIN
Item
Integument
string
NEUROLOGICAL
Item
Neurologic system, Nervous system, Nervous system structure
string
ADMITTING DIAGNOSIS
Item
ADMITTING DIAGNOSIS (AD)
string
C0332133 (UMLS CUI 2011AA)
52870002 (SNOMED CT 2011_0131)
52870002 (SNOMED CT 2011_0131)
PLAN: Surgery
Item
PLAN: Surgery
boolean
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)