1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4
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 | 1.3.6.1.4.1.19376.1.5.3.1.xyz | new section - see below |
| 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 |