Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4"
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− | | | + | |[[1.3.6.1.4.1.19376.1.5.3.1.3.4 | History of Present Illness]]<br/> |
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|'''Past Medical History'''<br/> | |'''Past Medical History'''<br/> |
Revision as of 13:08, 24 April 2008
This is a draft of a History and Physical Template. This draft is a work in progress, not the official supplement or profile.
The intention of this work is to provide a parent template for the History and Physical specifications needed in Antepartum Summary Forms A&B (History and Physical).
Document Specification
Data Element | Opt | Section | Template ID | Comments |
---|---|---|---|---|
Header | R | |||
Reason for Visit/Chief Complaint |
R | 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 | ||
History of Present Illness |
R | 1.3.6.1.4.1.19376.1.5.3.1.3.4 | ||
Past Medical History |
R | |||
Social History |
R | |||
Family History |
R | |||
Review of Systems |
R | |||
Physical Examination |
R |