Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4"
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||R || ||1.3.6.1.4.1.19376.1.5.3.1.3.4 || | ||R || ||1.3.6.1.4.1.19376.1.5.3.1.3.4 || | ||
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| − | | | + | |Past Medical History<br/> |
| − | ||R || || || | + | ||R || || ||new section |
|- | |- | ||
| − | | | + | |[[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/> |
| − | ||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/> |
| − | ||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/> |
| − | ||R || || || | + | ||R || ||1.3.6.1.4.1.19376.1.5.3.1.3.24 || |
|- | |- | ||
|} | |} | ||
Revision as of 13:15, 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 | 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 |