1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4: Difference between revisions

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==== Document Specification ====
==== Document Specification ====
{| cellspacing=0 border=1 align='center'
{| cellspacing=0 border=1 align='center'
! style='background-color:#cfcfcf'|Data Element
! style='background-color:#cfcfcf'|Section
! style='background-color:#cfcfcf'|Opt
! style='background-color:#cfcfcf'|Opt
!  style='background-color:#cfcfcf'|Section
! 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'''
|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 || ||1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 ||  
  ||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/>  
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|-
|-
|Past Medical History<br/>  
|Past Medical History<br/>  
  ||R || || ||new section
  ||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 || ||1.3.6.1.4.1.19376.1.5.3.1.3.16 ||
  ||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 || ||1.3.6.1.4.1.19376.1.5.3.1.3.14 ||
  ||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 || ||1.3.6.1.4.1.19376.1.5.3.1.3.18 ||
  ||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 || ||1.3.6.1.4.1.19376.1.5.3.1.3.24 ||
  ||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
Antepartum History and Physical Constraints
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