Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4"
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==== Document Specification ==== | ==== Document Specification ==== | ||
{| cellspacing=0 border=1 align='center' | {| cellspacing=0 border=1 align='center' | ||
| − | ! style='background-color:#cfcfcf'| | + | ! style='background-color:#cfcfcf'|Section |
! style='background-color:#cfcfcf'|Opt | ! style='background-color:#cfcfcf'|Opt | ||
| − | |||
! style='background-color:#cfcfcf' |Template ID | ! style='background-color:#cfcfcf' |Template ID | ||
! style='background-color:#cfcfcf' |Comments | ! style='background-color:#cfcfcf' |Comments | ||
|+ Antepartum History and Physical Constraints | |+ Antepartum History and Physical Constraints | ||
|- | |- | ||
| − | | | + | |Header<br/> |
| − | ||R || || || | + | ||R || || || not sure how to do this section |
|- | |- | ||
|[[1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 | Reason for Visit/Chief Complaint]] <br/> | |[[1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 | Reason for Visit/Chief Complaint]] <br/> | ||
| − | ||R | + | ||R ||1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 || |
|- | |- | ||
|[[1.3.6.1.4.1.19376.1.5.3.1.3.4 | History of Present Illness]]<br/> | |[[1.3.6.1.4.1.19376.1.5.3.1.3.4 | History of Present Illness]]<br/> | ||
| Line 23: | Line 22: | ||
|- | |- | ||
|Past Medical History<br/> | |Past Medical History<br/> | ||
| − | ||R | + | ||R || ||new section |
|- | |- | ||
|[[1.3.6.1.4.1.19376.1.5.3.1.3.16 | Social History]]<br/> | |[[1.3.6.1.4.1.19376.1.5.3.1.3.16 | Social History]]<br/> | ||
| − | ||R | + | ||R ||1.3.6.1.4.1.19376.1.5.3.1.3.16 || |
|- | |- | ||
|[[1.3.6.1.4.1.19376.1.5.3.1.3.14 | Family History]]<br/> | |[[1.3.6.1.4.1.19376.1.5.3.1.3.14 | Family History]]<br/> | ||
| − | ||R | + | ||R ||1.3.6.1.4.1.19376.1.5.3.1.3.14 || |
|- | |- | ||
|[[1.3.6.1.4.1.19376.1.5.3.1.3.18 | Review of Systems]]<br/> | |[[1.3.6.1.4.1.19376.1.5.3.1.3.18 | Review of Systems]]<br/> | ||
| − | ||R | + | ||R ||1.3.6.1.4.1.19376.1.5.3.1.3.18 || |
|- | |- | ||
|[[1.3.6.1.4.1.19376.1.5.3.1.3.24 | Physical Examination]]<br/> | |[[1.3.6.1.4.1.19376.1.5.3.1.3.24 | Physical Examination]]<br/> | ||
| − | ||R | + | ||R ||1.3.6.1.4.1.19376.1.5.3.1.3.24 || |
|- | |- | ||
|} | |} | ||
Revision as of 13:22, 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
| Section | Opt | Template ID | Comments | |
|---|---|---|---|---|
| Header |
R | not sure how to do this section | ||
| 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 | new section | ||
| Social History |
R | 1.3.6.1.4.1.19376.1.5.3.1.3.16 | ||
| Family History |
R | 1.3.6.1.4.1.19376.1.5.3.1.3.14 | ||
| Review of Systems |
R | 1.3.6.1.4.1.19376.1.5.3.1.3.18 | ||
| Physical Examination |
R | 1.3.6.1.4.1.19376.1.5.3.1.3.24 |