Protocol - Personal History of Allergies, Infectious Diseases, and Immunizations - Adult
Description
This protocol is a self- or proxy-administered personal health record from the American Health Information Management Association (AHIMA). The respondent is asked to provide details on the following categories: Medical History, Infectious Diseases, Immunizations, Allergies/Drug Sensitivities, Health Log, Doctor Visits, Hospitalizations, Surgeries, Lab or Imaging, Medical Devices, and Physical/Occupational Therapy.
Specific Instructions
Rosas Law, enacted in October 2010, changes references in federal laws and acts from "mental retardation" to "intellectual disability," and references to a "mentally retarded individual" to "an individual with an intellectual disability." The PhenX Working Group notes that this protocol was developed and tested using previously accepted terminology. Replacing this terminology with the newly enacted standard is at the researchers discretion.
Availability
Protocol
A. Medical History (Check appropriate) | |||
[ ] Acquired Immunodeficiency Syndrome (AIDS) or HIV Positive: | Date of Onset | [ ] High Blood Pressure | Date of Onset |
[ ] Arthritis | [ ] Hypoglycemia | ||
[ ] Asthma | [ ] Jaundice | ||
[ ] Bronchitis | [ ] Kidney Disease | ||
[ ] Cancer | [ ] Low Blood Pressure | ||
[ ] Chlamydia | [ ] Mental Retardation | ||
[ ] Diabetes | [ ] Pain or Pressure in Chest | ||
[ ] Dizziness | [ ] Palpitations | ||
[ ] Emphysema | [ ] Periods of Unconsciousness | ||
[ ] Epilepsy | [ ] Rheumatic Fever | ||
[ ] Eye Problem | [ ] Rheumatism | ||
[ ] Fainting | [ ] Seizures | ||
[ ] Frequent or Severe Headaches | [ ] Shortness of Breath | ||
[ ] Glaucoma | [ ] Stomach Liver or Intestinal Problems | ||
[ ] Gonorrhea | [ ] Syphilis | ||
[ ] Hearing Impairment | [ ] Tuberculosis | ||
[ ] Heart Condition | [ ] Tumor | ||
[ ] Hemodialysis | [ ] Thyroid Problems | ||
[ ] Herpes | [ ] Urinary Tract Infection | ||
[ ] High Blood Cholesterol | [ ] Other |
B. Infectious Disease
Disease | Age | Date | Remarks |
Chicken Pox | |||
Hepatitis | |||
Measles | |||
Mumps | |||
Pertussis/ Whooping Cough | |||
Pneumonia | |||
Polio | |||
Rubella | |||
Scarlet Fever | |||
Other |
C. Immunizations
Booster 1 | Booster 2 | Booster 3 | ||||
Immunization for | Age | Date | Age | Date | Age | Date |
Diphtheria | ||||||
Hepatitis B | ||||||
Measles | ||||||
Mumps | ||||||
Pertussis/ Whooping Cough | ||||||
Polio | ||||||
Rubella | ||||||
Smallpox | ||||||
Tetanus | ||||||
Tuberculosis | ||||||
Typhoid | ||||||
Other | ||||||
D. Allergies/Drug Sensitivities
Allergy/ Sensitivity Type (include medications, foods, environmental, or other) | Reaction | Date last Occurred | Treatment |
E. Health Log (Noninfectious major illnesses. Include pregnancies and childbirth.)
Date Diagnosed | Doctor | Nature of Health Problems | Age of Onset | Condition Status | Remarks (e.g., medications, special tests, x‑rays, length of hospital stays, surgery) |
F. Doctor Visits
Date | Doctor | Reason | Diagnosis |
G. Hospitalizations
Hospitalization Type (includes emergency room visits) | Diagnosis | |
Admission Date | Discharge Date | |
Doctor | ||
Hospital | ||
Reason | Complications |
Hospitalization Type (includes emergency room visits) | Diagnosis | ||
Admission Date |
| ||
Doctor | |||
Hospital | |||
Reason | Complications |
Hospitalization Type (includes emergency room visits) | Diagnosis | ||
Admission Date |
| ||
Doctor | |||
Hospital | |||
Reason | Complications |
H. Surgeries
Date | Doctor | Results |
Hospital | ||
Surgical Procedure | ||
Description | Comments | |
| | |
Date | Doctor | Results |
Hospital | ||
Surgical Procedure | ||
Description | Comments | |
| | |
| |
Date | Doctor | Results |
Hospital | ||
Surgical Procedure | | |
Description | Comments | |
| | |
| |
I. Lab or Imaging (e.g., x-ray, MRI, mammogram)
Test Type | Date | Test Type | Date |
Requesting Doctor | Administered by | Requesting Doctor | Administered by |
Reason | Reason | ||
| | ||
Result | Result | ||
| | ||
| |
Test Type | Date | Test Type | Date |
Requesting Doctor | Administered by | Requesting Doctor | Administered by |
Reason | Reason | ||
| | ||
Result | Result | ||
| | ||
| |
J. Medical Devices (e.g., pacemaker, insulin pumps, breathing devices)
Device Type | Doctor | Device Type | Doctor |
Hospital | Date | Hospital | Date |
| | ||
Reason | | ||
| |
K. Physical/Occupation Therapy
Therapy Type | Start Date | Stop Date | Frequency | Therapist |
Personnel and Training Required
None
Equipment Needs
None
Requirements
Requirement Category | Required |
---|---|
Major equipment | No |
Specialized training | No |
Specialized requirements for biospecimen collection | No |
Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self- or proxy-administered questionnaire
Lifestage
Adult
Participants
Adults, aged 18 years and older
Selection Rationale
American Health Information Management Associations (AHIMAs) My Personal Health Record (MyPHR) protocol is a national program used by several state health information management associations in community-based settings.
Language
English, Spanish
Standards
Standard | Name | ID | Source |
---|---|---|---|
Logical Observation Identifiers Names and Codes (LOINC) | Hx allerg infect immun adult proto | 62895-8 | LOINC |
Human Phenotype Ontology | Allergy | HP:0012393 | HPO |
caDSR Form | PhenX PX161602 - Personal History Of Allergies Infectious Dis | 6876137 | caDSR Form |
Derived Variables
None
Process and Review
Not applicable.
Protocol Name from Source
My Personal Health Record (MyPHR), Adult PHR Form, 2006
Source
American Health Information Management Association (AHIMA). My Personal Health Record (MyPHR). Adult PHR Form 2006. Sections F, G, H, I, L, N, O, P, Q, R, S.
General References
None
Protocol ID
161602
Variables
Export VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX161602_AIDS | ||||
PX161602010200 | Acquired Immunodeficiency Syndrome (AIDS) or more | Variable Mapping | ||
PX161602_AIDS_Date_Of_Onset_Day | ||||
PX161602010202 | Acquired Immunodeficiency Syndrome (AIDS) or more | N/A | ||
PX161602_AIDS_Date_Of_Onset_Month | ||||
PX161602010201 | Acquired Immunodeficiency Syndrome (AIDS) or more | N/A | ||
PX161602_AIDS_Date_Of_Onset_Year | ||||
PX161602010203 | Acquired Immunodeficiency Syndrome (AIDS) or more | Variable Mapping | ||
PX161602_Allergy/Sensitivity_1_Date_Last_Occurred_Day | ||||
PX161602230302 | Allergy/Sensitivity 1 Date Last Occurred - Day | N/A | ||
PX161602_Allergy/Sensitivity_1_Date_Last_Occurred_Month | ||||
PX161602230301 | Allergy/Sensitivity 1 Date Last Occurred - Month | N/A | ||
PX161602_Allergy/Sensitivity_1_Date_Last_Occurred_Year | ||||
PX161602230303 | Allergy/Sensitivity 1 Date Last Occurred - Year | N/A | ||
PX161602_Allergy/Sensitivity_1_Reaction | ||||
PX161602230200 | Allergy/Sensitivity 1 Reaction | N/A | ||
PX161602_Allergy/Sensitivity_1_Treatment | ||||
PX161602230400 | Allergy/Sensitivity 1 Treatment | N/A | ||
PX161602_Allergy/Sensitivity_1_Type | ||||
PX161602230100 | Allergy/Sensitivity 1 Type | N/A | ||
PX161602_Allergy/Sensitivity_2_Date_Last_Occurred_Day | ||||
PX161602240302 | Allergy/Sensitivity 2 Date Last Occurred - Day | N/A | ||
PX161602_Allergy/Sensitivity_2_Date_Last_Occurred_Month | ||||
PX161602240301 | Allergy/Sensitivity 2 Date Last Occurred - Month | N/A | ||
PX161602_Allergy/Sensitivity_2_Date_Last_Occurred_Year | ||||
PX161602240303 | Allergy/Sensitivity 2 Date Last Occurred - Year | N/A | ||
PX161602_Allergy/Sensitivity_2_Reaction | ||||
PX161602240200 | Allergy/Sensitivity 2 Reaction | N/A | ||
PX161602_Allergy/Sensitivity_2_Treatment | ||||
PX161602240400 | Allergy/Sensitivity 2 Treatment | N/A | ||
PX161602_Allergy/Sensitivity_2_Type | ||||
PX161602240100 | Allergy/Sensitivity 2 Type | N/A | ||
PX161602_Allergy/Sensitivity_3_Date_Last_Occurred_Day | ||||
PX161602250302 | Allergy/Sensitivity 3 Date Last Occurred - Day | N/A | ||
PX161602_Allergy/Sensitivity_3_Date_Last_Occurred_Month | ||||
PX161602250301 | Allergy/Sensitivity 3 Date Last Occurred - Month | N/A | ||
PX161602_Allergy/Sensitivity_3_Date_Last_Occurred_Year | ||||
PX161602250303 | Allergy/Sensitivity 3 Date Last Occurred - Year | N/A | ||
PX161602_Allergy/Sensitivity_3_Reaction | ||||
PX161602250200 | Allergy/Sensitivity 3 Reaction | N/A | ||
PX161602_Allergy/Sensitivity_3_Treatment | ||||
PX161602250400 | Allergy/Sensitivity 3 Treatment | N/A | ||
PX161602_Allergy/Sensitivity_3_Type | ||||
PX161602250100 | Allergy/Sensitivity 3 Type | N/A | ||
PX161602_Allergy/Sensitivity_4_Date_Last_Occurred_Day | ||||
PX161602260302 | Allergy/Sensitivity 4 Date Last Occurred - Day | N/A | ||
PX161602_Allergy/Sensitivity_4_Date_Last_Occurred_Month | ||||
PX161602260301 | Allergy/Sensitivity 4 Date Last Occurred - Month | N/A | ||
PX161602_Allergy/Sensitivity_4_Date_Last_Occurred_Year | ||||
PX161602260303 | Allergy/Sensitivity 4 Date Last Occurred - Year | N/A | ||
PX161602_Allergy/Sensitivity_4_Reaction | ||||
PX161602260200 | Allergy/Sensitivity 4 Reaction | N/A | ||
PX161602_Allergy/Sensitivity_4_Treatment | ||||
PX161602260400 | Allergy/Sensitivity 4 Treatment | N/A | ||
PX161602_Allergy/Sensitivity_4_Type | ||||
PX161602260100 | Allergy/Sensitivity 4 Type | Variable Mapping | ||
PX161602_Allergy/Sensitivity_5_Date_Last_Occurred_Day | ||||
PX161602270302 | Allergy/Sensitivity 5 Date Last Occurred - Day | N/A | ||
PX161602_Allergy/Sensitivity_5_Date_Last_Occurred_Month | ||||
PX161602270301 | Allergy/Sensitivity 5 Date Last Occurred - Month | N/A | ||
PX161602_Allergy/Sensitivity_5_Date_Last_Occurred_Year | ||||
PX161602270303 | Allergy/Sensitivity 5 Date Last Occurred - Year | N/A | ||
PX161602_Allergy/Sensitivity_5_Reaction | ||||
PX161602270200 | Allergy/Sensitivity 5 Reaction | N/A | ||
PX161602_Allergy/Sensitivity_5_Treatment | ||||
PX161602270400 | Allergy/Sensitivity 5 Treatment | N/A | ||
PX161602_Allergy/Sensitivity_5_Type | ||||
PX161602270100 | Allergy/Sensitivity 5 Type | Variable Mapping | ||
PX161602_Allergy/Sensitivity_6_Date_Last_Occurred_Day | ||||
PX161602280302 | Allergy/Sensitivity 6 Date Last Occurred - Day | N/A | ||
PX161602_Allergy/Sensitivity_6_Date_Last_Occurred_Month | ||||
PX161602280301 | Allergy/Sensitivity 6 Date Last Occurred - Month | N/A | ||
PX161602_Allergy/Sensitivity_6_Date_Last_Occurred_Year | ||||
PX161602280303 | Allergy/Sensitivity 6 Date Last Occurred - Year | N/A | ||
PX161602_Allergy/Sensitivity_6_Reaction | ||||
PX161602280200 | Allergy/Sensitivity 6 Reaction | N/A | ||
PX161602_Allergy/Sensitivity_6_Treatment | ||||
PX161602280400 | Allergy/Sensitivity 6 Treatment | N/A | ||
PX161602_Allergy/Sensitivity_6_Type | ||||
PX161602280100 | Allergy/Sensitivity 6 Type | Variable Mapping | ||
PX161602_Arthritis | ||||
PX161602010300 | Arthritis | Variable Mapping | ||
PX161602_Arthritis_Date_Of_Onset_Day | ||||
PX161602010302 | Arthritis Date of Onset - Day | Variable Mapping | ||
PX161602_Arthritis_Date_Of_Onset_Month | ||||
PX161602010301 | Arthritis Date of Onset - Month | Variable Mapping | ||
PX161602_Arthritis_Date_Of_Onset_Year | ||||
PX161602010303 | Arthritis Date of Onset - Year | Variable Mapping | ||
PX161602_Asthma | ||||
PX161602010400 | Asthma | Variable Mapping | ||
PX161602_Asthma_Date_Of_Onset_Day | ||||
PX161602010402 | Asthma Date of Onset - Day | N/A | ||
PX161602_Asthma_Date_Of_Onset_Month | ||||
PX161602010401 | Asthma Date of Onset - Month | N/A | ||
PX161602_Asthma_Date_Of_Onset_Year | ||||
PX161602010403 | Asthma Date of Onset - Year | Variable Mapping | ||
PX161602_Bronchitis | ||||
PX161602010500 | Bronchitis | Variable Mapping | ||
PX161602_Bronchitis_Date_Of_Onset_Day | ||||
PX161602010502 | Bronchitis Date of Onset - Day | N/A | ||
PX161602_Bronchitis_Date_Of_Onset_Month | ||||
PX161602010501 | Bronchitis Date of Onset - Month | N/A | ||
PX161602_Bronchitis_Date_Of_Onset_Year | ||||
PX161602010503 | Bronchitis Date of Onset - Year | Variable Mapping | ||
PX161602_Cancer | ||||
PX161602010600 | Cancer | Variable Mapping | ||
PX161602_Cancer_Date_Of_Onset_Day | ||||
PX161602010602 | Cancer Date of Onset - Day | Variable Mapping | ||
PX161602_Cancer_Date_Of_Onset_Month | ||||
PX161602010601 | Cancer Date of Onset - Month | Variable Mapping | ||
PX161602_Cancer_Date_Of_Onset_Year | ||||
PX161602010603 | Cancer Date of Onset - Year | Variable Mapping | ||
PX161602_ChestPain | ||||
PX161602012800 | Pain or Pressure in Chest | Variable Mapping | ||
PX161602_ChestPain_Date_Of_Onset_Day | ||||
PX161602012802 | Pain or Pressure in Chest Date of Onset - Day | N/A | ||
PX161602_ChestPain_Date_Of_Onset_Month | ||||
PX161602012801 | Pain or Pressure in Chest Date of Onset - Month | N/A | ||
PX161602_ChestPain_Date_Of_Onset_Year | ||||
PX161602012803 | Pain or Pressure in Chest Date of Onset - Year | N/A | ||
PX161602_Chicken_Pox_Age | ||||
PX161602020100 | Chicken Pox Age | N/A | ||
PX161602_Chicken_Pox_Date_Day | ||||
PX161602020202 | Chicken Pox Date - Day | N/A | ||
PX161602_Chicken_Pox_Date_Month | ||||
PX161602020201 | Chicken Pox Date - Month | N/A | ||
PX161602_Chicken_Pox_Date_Year | ||||
PX161602020203 | Chicken Pox Date - Year | N/A | ||
PX161602_Chicken_Pox_Remarks | ||||
PX161602020300 | Chicken Pox Remarks | N/A | ||
PX161602_Chlamydia | ||||
PX161602010700 | Chlamydia | Variable Mapping | ||
PX161602_Chlamydia_Date_Of_Onset_Day | ||||
PX161602010702 | Chlamydia Date of Onset - Day | N/A | ||
PX161602_Chlamydia_Date_Of_Onset_Month | ||||
PX161602010701 | Chlamydia Date of Onset - Month | N/A | ||
PX161602_Chlamydia_Date_Of_Onset_Year | ||||
PX161602010703 | Chlamydia Date of Onset - Year | N/A | ||
PX161602_Diabetes | ||||
PX161602010800 | Diabetes | Variable Mapping | ||
PX161602_Diabetes_Date_Of_Onset_Day | ||||
PX161602010802 | Diabetes Date of Onset - Day | N/A | ||
PX161602_Diabetes_Date_Of_Onset_Month | ||||
PX161602010801 | Diabetes Date of Onset - Month | N/A | ||
PX161602_Diabetes_Date_Of_Onset_Year | ||||
PX161602010803 | Diabetes Date of Onset - Year | Variable Mapping | ||
PX161602_Diphtheria_Booster_1_Age | ||||
PX161602110100 | Diphtheria Booster 1 Age | N/A | ||
PX161602_Diphtheria_Booster_1_Date_Day | ||||
PX161602110202 | Diphtheria Booster 1 Date - Day | N/A | ||
PX161602_Diphtheria_Booster_1_Date_Month | ||||
PX161602110201 | Diphtheria Booster 1 Date - Month | N/A | ||
PX161602_Diphtheria_Booster_1_Date_Year | ||||
PX161602110203 | Diphtheria Booster 1 Date - Year | N/A | ||
PX161602_Diphtheria_Booster_2_Age | ||||
PX161602110300 | Diphtheria Booster 2 Age | N/A | ||
PX161602_Diphtheria_Booster_2_Date_Day | ||||
PX161602110402 | Diphtheria Booster 2 Date - Day | N/A | ||
PX161602_Diphtheria_Booster_2_Date_Month | ||||
PX161602110401 | Diphtheria Booster 2 Date - Month | N/A | ||
PX161602_Diphtheria_Booster_2_Date_Year | ||||
PX161602110403 | Diphtheria Booster 2 Date - Year | N/A | ||
PX161602_Diphtheria_Booster_3_Age | ||||
PX161602110500 | Diphtheria Booster 3 Age | N/A | ||
PX161602_Diphtheria_Booster_3_Date_Day | ||||
PX161602110602 | Diphtheria Booster 3 Date - Day | N/A | ||
PX161602_Diphtheria_Booster_3_Date_Month | ||||
PX161602110601 | Diphtheria Booster 3 Date - Month | N/A | ||
PX161602_Diphtheria_Booster_3_Date_Year | ||||
PX161602110603 | Diphtheria Booster 3 Date - Year | N/A | ||
PX161602_Dizziness | ||||
PX161602010900 | Dizziness | Variable Mapping | ||
PX161602_Dizziness_Date_Of_Onset_Day | ||||
PX161602010902 | Dizziness Date of Onset - Day | N/A | ||
PX161602_Dizziness_Date_Of_Onset_Month | ||||
PX161602010901 | Dizziness Date of Onset - Month | N/A | ||
PX161602_Dizziness_Date_Of_Onset_Year | ||||
PX161602010903 | Dizziness Date of Onset - Year | N/A | ||
PX161602_Doctor_Visit1_Date_Day | ||||
PX161602360102 | Doctor Visit 1 - Date - Day | N/A | ||
PX161602_Doctor_Visit1_Date_Month | ||||
PX161602360101 | Doctor Visit 1 - Date - Month | N/A | ||
PX161602_Doctor_Visit1_Date_Year | ||||
PX161602360103 | Doctor Visit 1 - Date - Year | N/A | ||
PX161602_Doctor_Visit1_Doctor | ||||
PX161602360200 | Doctor Visit 1 - Doctor | N/A | ||
PX161602_Doctor_Visit1_Reason | ||||
PX161602360300 | Doctor Visit 1 - Reason | N/A | ||
PX161602_Doctor_Visit2_Date_Day | ||||
PX161602370102 | Doctor Visit 2 - Date - Day | N/A | ||
PX161602_Doctor_Visit2_Date_Month | ||||
PX161602370101 | Doctor Visit 2 - Date - Month | N/A | ||
PX161602_Doctor_Visit2_Date_Year | ||||
PX161602370103 | Doctor Visit 2 - Date - Year | N/A | ||
PX161602_Doctor_Visit2_Doctor | ||||
PX161602370200 | Doctor Visit 2 - Doctor | N/A | ||
PX161602_Doctor_Visit2_Reason | ||||
PX161602370300 | Doctor Visit 2 - Reason | N/A | ||
PX161602_Doctor_Visit3_Date_Day | ||||
PX161602380102 | Doctor Visit 3 - Date - Day | N/A | ||
PX161602_Doctor_Visit3_Date_Month | ||||
PX161602380101 | Doctor Visit 3 - Date - Month | N/A | ||
PX161602_Doctor_Visit3_Date_Year | ||||
PX161602380103 | Doctor Visit 3 - Date - Year | N/A | ||
PX161602_Doctor_Visit3_Doctor | ||||
PX161602380200 | Doctor Visit 3 - Doctor | N/A | ||
PX161602_Doctor_Visit3_Reason | ||||
PX161602380300 | Doctor Visit 3 - Reason | N/A | ||
PX161602_Doctor_Visit4_Date_Day | ||||
PX161602390102 | Doctor Visit 4 - Date - Day | N/A | ||
PX161602_Doctor_Visit4_Date_Month | ||||
PX161602390101 | Doctor Visit 4 - Date - Month | N/A | ||
PX161602_Doctor_Visit4_Date_Year | ||||
PX161602390103 | Doctor Visit 4 - Date - Year | N/A | ||
PX161602_Doctor_Visit4_Doctor | ||||
PX161602390200 | Doctor Visit 4 - Doctor | N/A | ||
PX161602_Doctor_Visit4_Reason | ||||
PX161602390300 | Doctor Visit 4 - Reason | N/A | ||
PX161602_Doctor_Visit5_Date_Day | ||||
PX161602400102 | Doctor Visit 5 - Date - Day | N/A | ||
PX161602_Doctor_Visit5_Date_Month | ||||
PX161602400101 | Doctor Visit 5 - Date - Month | N/A | ||
PX161602_Doctor_Visit5_Date_Year | ||||
PX161602400103 | Doctor Visit 5 - Date - Year | N/A | ||
PX161602_Doctor_Visit5_Doctor | ||||
PX161602400200 | Doctor Visit 5 - Doctor | N/A | ||
PX161602_Doctor_Visit5_Reason | ||||
PX161602400300 | Doctor Visit 5 - Reason | N/A | ||
PX161602_Doctor_Visit6_Date_Day | ||||
PX161602410102 | Doctor Visit 6 - Date - Day | N/A | ||
PX161602_Doctor_Visit6_Date_Month | ||||
PX161602410101 | Doctor Visit 6 - Date - Month | N/A | ||
PX161602_Doctor_Visit6_Date_Year | ||||
PX161602410103 | Doctor Visit 6 - Date - Year | N/A | ||
PX161602_Doctor_Visit6_Doctor | ||||
PX161602410200 | Doctor Visit 6 - Doctor | N/A | ||
PX161602_Doctor_Visit6_Reason | ||||
PX161602410300 | Doctor Visit 6 - Reason | N/A | ||
PX161602_Doctor_Visit_1_Diagnosis | ||||
PX161602360400 | Doctor Visit 1- Diagnosis | N/A | ||
PX161602_Doctor_Visit_2_Diagnosis | ||||
PX161602370400 | Doctor Visit 2- Diagnosis | N/A | ||
PX161602_Doctor_Visit_3_Diagnosis | ||||
PX161602380400 | Doctor Visit 3- Diagnosis | N/A | ||
PX161602_Doctor_Visit_4_Diagnosis | ||||
PX161602390400 | Doctor Visit 4- Diagnosis | N/A | ||
PX161602_Doctor_Visit_5_Diagnosis | ||||
PX161602400400 | Doctor Visit 5- Diagnosis | N/A | ||
PX161602_Doctor_Visit_6_Diagnosis | ||||
PX161602410400 | Doctor Visit 6- Diagnosis | N/A | ||
PX161602_Emphysema | ||||
PX161602011000 | Emphysema | Variable Mapping | ||
PX161602_Emphysema_Date_Of_Onset_Day | ||||
PX161602011002 | Emphysema Date of Onset - Day | N/A | ||
PX161602_Emphysema_Date_Of_Onset_Month | ||||
PX161602011001 | Emphysema Date of Onset - Month | N/A | ||
PX161602_Emphysema_Date_Of_Onset_Year | ||||
PX161602011003 | Emphysema Date of Onset - Year | N/A | ||
PX161602_Epilepsy | ||||
PX161602011100 | Epilepsy | Variable Mapping | ||
PX161602_Epilepsy_Date_Of_Onset_Day | ||||
PX161602011102 | Epilepsy Date of Onset - Day | N/A | ||
PX161602_Epilepsy_Date_Of_Onset_Month | ||||
PX161602011101 | Epilepsy Date of Onset - Month | N/A | ||
PX161602_Epilepsy_Date_Of_Onset_Year | ||||
PX161602011103 | Epilepsy Date of Onset - Year | N/A | ||
PX161602_Eye_Problem | ||||
PX161602011200 | Eye Problem | N/A | ||
PX161602_Eye_Problem_Date_Of_Onset_Day | ||||
PX161602011202 | Eye Problem Date of Onset - Day | N/A | ||
PX161602_Eye_Problem_Date_Of_Onset_Month | ||||
PX161602011201 | Eye Problem Date of Onset - Month | N/A | ||
PX161602_Eye_Problem_Date_Of_Onset_Year | ||||
PX161602011203 | Eye Problem Date of Onset - Year | N/A | ||
PX161602_Fainting | ||||
PX161602011300 | Fainting | Variable Mapping | ||
PX161602_Fainting_Date_Of_Onset_Day | ||||
PX161602011302 | Fainting Date of Onset - Day | N/A | ||
PX161602_Fainting_Date_Of_Onset_Month | ||||
PX161602011301 | Fainting Date of Onset - Month | N/A | ||
PX161602_Fainting_Date_Of_Onset_Year | ||||
PX161602011303 | Fainting Date of Onset - Year | N/A | ||
PX161602_Glaucoma | ||||
PX161602011500 | Glaucoma | Variable Mapping | ||
PX161602_Glaucoma_Date_Of_Onset_Day | ||||
PX161602011502 | Glaucoma Date of Onset - Day | N/A | ||
PX161602_Glaucoma_Date_Of_Onset_Month | ||||
PX161602011501 | Glaucoma Date of Onset - Month | N/A | ||
PX161602_Glaucoma_Date_Of_Onset_Year | ||||
PX161602011503 | Glaucoma Date of Onset -Year | N/A | ||
PX161602_Gonorrhea | ||||
PX161602011600 | Gonorrhea | Variable Mapping | ||
PX161602_Gonorrhea_Date_Of_Onset_Day | ||||
PX161602011602 | Gonorrhea Date of Onset - Day | N/A | ||
PX161602_Gonorrhea_Date_Of_Onset_Month | ||||
PX161602011601 | Gonorrhea Date of Onset - Month | N/A | ||
PX161602_Gonorrhea_Date_Of_Onset_Year | ||||
PX161602011603 | Gonorrhea Date of Onset - Year | N/A | ||
PX161602_Headaches | ||||
PX161602011400 | Frequent or Severe Headaches | N/A | ||
PX161602_Headaches_Date_Of_Onset_Day | ||||
PX161602011402 | Frequent or Severe Headaches Date of Onset - Day | N/A | ||
PX161602_Headaches_Date_Of_Onset_Month | ||||
PX161602011401 | Frequent or Severe Headaches Date of Onset - Month | N/A | ||
PX161602_Headaches_Date_Of_Onset_Year | ||||
PX161602011403 | Frequent or Severe Headaches Date of Onset - Year | N/A | ||
PX161602_HearingImpairment_Date_Of_Onset_Day | ||||
PX161602011702 | Hearing Impairment Date of Onset - Day | N/A | ||
PX161602_HearingImpairment_Date_Of_Onset_Month | ||||
PX161602011701 | Hearing Impairment Date of Onset - Month | N/A | ||
PX161602_HearingImpairment_Date_Of_Onset_Year | ||||
PX161602011703 | Hearing Impairment Date of Onset - Year | N/A | ||
PX161602_Hearing_Impairment | ||||
PX161602011700 | Hearing Impairment | N/A | ||
PX161602_HeartCondition_Date_Of_Onset_Day | ||||
PX161602011802 | Heart Condition Date of Onset - Day | N/A | ||
PX161602_HeartCondition_Date_Of_Onset_Month | ||||
PX161602011801 | Heart Condition Date of Onset - Month | N/A | ||
PX161602_HeartCondition_Date_Of_Onset_Year | ||||
PX161602011803 | Heart Condition Date of Onset - Year | N/A | ||
PX161602_Heart_Condition | ||||
PX161602011800 | Heart Condition | N/A | ||
PX161602_Hemodialysis | ||||
PX161602011900 | Hemodialysis | N/A | ||
PX161602_Hemodialysis_Date_Of_Onset_Day | ||||
PX161602011902 | Hemodialysis Date of Onset - Day | N/A | ||
PX161602_Hemodialysis_Date_Of_Onset_Month | ||||
PX161602011901 | Hemodialysis Date of Onset - Month | N/A | ||
PX161602_Hemodialysis_Date_Of_Onset_Year | ||||
PX161602011903 | Hemodialysis Date of Onset - Year | N/A | ||
PX161602_HepatitisB_Booster_1_Age | ||||
PX161602120100 | Hepatitis B Booster 1 Age | N/A | ||
PX161602_HepatitisB_Booster_1_Date_Day | ||||
PX161602120202 | Hepatitis B Booster 1 Date - Day | N/A | ||
PX161602_HepatitisB_Booster_1_Date_Month | ||||
PX161602120201 | Hepatitis B Booster 1 Date - Month | N/A | ||
PX161602_HepatitisB_Booster_1_Date_Year | ||||
PX161602120203 | Hepatitis B Booster 1 Date - Year | N/A | ||
PX161602_HepatitisB_Booster_2_Age | ||||
PX161602120300 | Hepatitis B Booster 2 Age | N/A | ||
PX161602_HepatitisB_Booster_2_Date_Day | ||||
PX161602120402 | Hepatitis B Booster 2 Date - Day | N/A | ||
PX161602_HepatitisB_Booster_2_Date_Month | ||||
PX161602120401 | Hepatitis B Booster 2 Date - Month | N/A | ||
PX161602_HepatitisB_Booster_2_Date_Year | ||||
PX161602120403 | Hepatitis B Booster 2 Date - Year | N/A | ||
PX161602_HepatitisB_Booster_3_Age | ||||
PX161602120500 | Hepatitis B Booster 3 Age | N/A | ||
PX161602_HepatitisB_Booster_3_Date_Day | ||||
PX161602120602 | Hepatitis B Booster 3 Date - Day | N/A | ||
PX161602_HepatitisB_Booster_3_Date_Month | ||||
PX161602120601 | Hepatitis B Booster 3 Date - Month | N/A | ||
PX161602_HepatitisB_Booster_3_Date_Year | ||||
PX161602120603 | Hepatitis B Booster 3 Date - Year | N/A | ||
PX161602_Hepatitis_B_Age | ||||
PX161602030100 | Hepatitis Age | N/A | ||
PX161602_Hepatitis_B_Date_Day | ||||
PX161602030202 | Hepatitis B Date - Day | N/A | ||
PX161602_Hepatitis_B_Date_Month | ||||
PX161602030201 | Hepatitis B Date - Month | N/A | ||
PX161602_Hepatitis_B_Date_Year | ||||
PX161602030203 | Hepatitis B Date - Year | N/A | ||
PX161602_Hepatitis_Remarks | ||||
PX161602030300 | Hepatitis Remarks | N/A | ||
PX161602_Herpes | ||||
PX161602012000 | Herpes | Variable Mapping | ||
PX161602_Herpes_Date_Of_Onset_Day | ||||
PX161602012002 | Herpes Date of Onset - Day | N/A | ||
PX161602_Herpes_Date_Of_Onset_Month | ||||
PX161602012001 | Herpes Date of Onset - Month | N/A | ||
PX161602_Herpes_Date_Of_Onset_Year | ||||
PX161602012003 | Herpes Date of Onset - Year | N/A | ||
PX161602_HighBloodCholesterol_Date_Of_Onset_Day | ||||
PX161602012102 | High Blood Cholesterol Date of Onset - Day | N/A | ||
PX161602_HighBloodCholesterol_Date_Of_Onset_Month | ||||
PX161602012101 | High Blood Cholesterol Date of Onset - Month | N/A | ||
PX161602_HighBloodCholesterol_Date_Of_Onset_Year | ||||
PX161602012103 | High Blood Cholesterol Date of Onset - Year | Variable Mapping | ||
PX161602_HighBloodPressure_Date_Of_Onset_Day | ||||
PX161602012202 | High Blood Pressure Date of Onset - Day | N/A | ||
PX161602_HighBloodPressure_Date_Of_Onset_Month | ||||
PX161602012201 | High Blood Pressure Date of Onset - Month | N/A | ||
PX161602_HighBloodPressure_Date_Of_Onset_Year | ||||
PX161602012203 | High Blood Pressure Date of Onset - Year | N/A | ||
PX161602_High_Blood_Cholesterol | ||||
PX161602012100 | High Blood Cholesterol | Variable Mapping | ||
PX161602_High_Blood_Pressure | ||||
PX161602012200 | High Blood Pressure | Variable Mapping | ||
PX161602_Hospitalization_1_Admission_Date_Day | ||||
PX161602420201 | Hospitalization 1 - Admission Date - Day | N/A | ||
PX161602_Hospitalization_1_Admission_Date_Month | ||||
PX161602420202 | Hospitalization 1 - Admission Date - Month | N/A | ||
PX161602_Hospitalization_1_Admission_Date_Year | ||||
PX161602420203 | Hospitalization 1 - Admission Date - Year | N/A | ||
PX161602_Hospitalization_1_Complications | ||||
PX161602420800 | Hospitalization 1 - Complications | N/A | ||
PX161602_Hospitalization_1_Diagnosis | ||||
PX161602420700 | Hospitalization 1 - Diagnosis | Variable Mapping | ||
PX161602_Hospitalization_1_Discharge_Date_Day | ||||
PX161602420301 | Hospitalization 1 - Discharge Date - Day | N/A | ||
PX161602_Hospitalization_1_Discharge_Date_Month | ||||
PX161602420302 | Hospitalization 1 - Discharge Date - Month | N/A | ||
PX161602_Hospitalization_1_Discharge_Date_Year | ||||
PX161602420303 | Hospitalization 1 - Discharge Date - Year | N/A | ||
PX161602_Hospitalization_1_Doctor | ||||
PX161602420400 | Hospitalization 1 - Doctor | N/A | ||
PX161602_Hospitalization_1_Hospital | ||||
PX161602420500 | Hospitalization 1 - Hospital | Variable Mapping | ||
PX161602_Hospitalization_1_Reason | ||||
PX161602420600 | Hospitalization 1 - Reason | Variable Mapping | ||
PX161602_Hospitalization_1_Type | ||||
PX161602420100 | Hospitalization 1 - Type | N/A | ||
PX161602_Hospitalization_2_Admission_Date_Day | ||||
PX161602430201 | Hospitalization 2 - Admission Date - Day | N/A | ||
PX161602_Hospitalization_2_Admission_Date_Month | ||||
PX161602430202 | Hospitalization 2 - Admission Date - Month | N/A | ||
PX161602_Hospitalization_2_Admission_Date_Year | ||||
PX161602430203 | Hospitalization 2 - Admission Date - Year | N/A | ||
PX161602_Hospitalization_2_Complications | ||||
PX161602430800 | Hospitalization 2 - Complications | N/A | ||
PX161602_Hospitalization_2_Diagnosis | ||||
PX161602430700 | Hospitalization 2 - Diagnosis | N/A | ||
PX161602_Hospitalization_2_Discharge_Date_Day | ||||
PX161602430301 | Hospitalization 2 - Discharge Date - Day | N/A | ||
PX161602_Hospitalization_2_Discharge_Date_Month | ||||
PX161602430302 | Hospitalization 2 - Discharge Date - Month | N/A | ||
PX161602_Hospitalization_2_Discharge_Date_Year | ||||
PX161602430303 | Hospitalization 2 - Discharge Date - Year | N/A | ||
PX161602_Hospitalization_2_Doctor | ||||
PX161602430400 | Hospitalization 2 - Doctor | N/A | ||
PX161602_Hospitalization_2_Hospital | ||||
PX161602430500 | Hospitalization 2 - Hospital | N/A | ||
PX161602_Hospitalization_2_Reason | ||||
PX161602430600 | Hospitalization 2 - Reason | N/A | ||
PX161602_Hospitalization_2_Type | ||||
PX161602430100 | Hospitalization 2 - Type | N/A | ||
PX161602_Hospitalization_3_Admission_Date_Day | ||||
PX161602440201 | Hospitalization 3 - Admission Date - Day | N/A | ||
PX161602_Hospitalization_3_Admission_Date_Month | ||||
PX161602440202 | Hospitalization 3 - Admission Date - Month | N/A | ||
PX161602_Hospitalization_3_Admission_Date_Year | ||||
PX161602440203 | Hospitalization 3 - Admission Date - Year | N/A | ||
PX161602_Hospitalization_3_Complications | ||||
PX161602440800 | Hospitalization 3 - Complications | N/A | ||
PX161602_Hospitalization_3_Diagnosis | ||||
PX161602440700 | Hospitalization 3 - Diagnosis | N/A | ||
PX161602_Hospitalization_3_Discharge_Date_Day | ||||
PX161602440301 | Hospitalization 3 - Discharge Date - Day | N/A | ||
PX161602_Hospitalization_3_Discharge_Date_Month | ||||
PX161602440302 | Hospitalization 3 - Discharge Date - Month | N/A | ||
PX161602_Hospitalization_3_Discharge_Date_Year | ||||
PX161602440303 | Hospitalization 3 - Discharge Date - Year | N/A | ||
PX161602_Hospitalization_3_Doctor | ||||
PX161602440400 | Hospitalization 3 - Doctor | N/A | ||
PX161602_Hospitalization_3_Hospital | ||||
PX161602440500 | Hospitalization 3 - Hospital | N/A | ||
PX161602_Hospitalization_3_Reason | ||||
PX161602440600 | Hospitalization 3 - Reason | N/A | ||
PX161602_Hospitalization_3_Type | ||||
PX161602440100 | Hospitalization 3 - Type | N/A | ||
PX161602_Hypoglycemia | ||||
PX161602012300 | Hypoglycemia | N/A | ||
PX161602_Hypoglycemia_Date_Of_Onset_Day | ||||
PX161602012302 | Hypoglycemia Date of Onset- Day | N/A | ||
PX161602_Hypoglycemia_Date_Of_Onset_Month | ||||
PX161602012301 | Hypoglycemia Date of Onset- Month | N/A | ||
PX161602_Hypoglycemia_Date_Of_Onset_Year | ||||
PX161602012303 | Hypoglycemia Date of Onset- Year | N/A | ||
PX161602_Jaundice | ||||
PX161602012400 | Jaundice | Variable Mapping | ||
PX161602_Jaundice_Date_Of_Onset_Day | ||||
PX161602012402 | Jaundice Date of Onset - Day | N/A | ||
PX161602_Jaundice_Date_Of_Onset_Month | ||||
PX161602012401 | Jaundice Date of Onset - Month | N/A | ||
PX161602_Jaundice_Date_Of_Onset_Year | ||||
PX161602012403 | Jaundice Date of Onset - Year | N/A | ||
PX161602_KidneyDisease_Date_Of_Onset_Day | ||||
PX161602012502 | Kidney Disease Date of Onset - Day | N/A | ||
PX161602_KidneyDisease_Date_Of_Onset_Month | ||||
PX161602012501 | Kidney Disease Date of Onset - Month | N/A | ||
PX161602_KidneyDisease_Date_Of_Onset_Year | ||||
PX161602012503 | Kidney Disease Date of Onset - Year | N/A | ||
PX161602_Kidney_Disease | ||||
PX161602012500 | Kidney Disease | Variable Mapping | ||
PX161602_LabImaging_1_Date_Day | ||||
PX161602480201 | Lab or Imaging 1 - Date - Day | N/A | ||
PX161602_LabImaging_1_Date_Month | ||||
PX161602480202 | Lab or Imaging 1 - Date - Month | N/A | ||
PX161602_LabImaging_1_Date_Year | ||||
PX161602480203 | Lab or Imaging 1 - Date - Year | N/A | ||
PX161602_LabImaging_1_Reason | ||||
PX161602480400 | Lab or Imaging 1 - Reason | N/A | ||
PX161602_LabImaging_1_Requesting_Doctor | ||||
PX161602480300 | Lab or Imaging 1 - Requesting Doctor | N/A | ||
PX161602_LabImaging_1_Result | ||||
PX161602480500 | Lab or Imaging 1 - Result | N/A | ||
PX161602_LabImaging_1_Test_Type | ||||
PX161602480100 | Lab or Imaging 1 - Test Type | Variable Mapping | ||
PX161602_LabImaging_2_Date_Day | ||||
PX161602490201 | Lab or Imaging 2 - Date - Day | N/A | ||
PX161602_LabImaging_2_Date_Month | ||||
PX161602490202 | Lab or Imaging 2 - Date - Month | N/A | ||
PX161602_LabImaging_2_Date_Year | ||||
PX161602490203 | Lab or Imaging 2 - Date - Year | N/A | ||
PX161602_LabImaging_2_Reason | ||||
PX161602490400 | Lab or Imaging 2 - Reason | N/A | ||
PX161602_LabImaging_2_Requesting_Doctor | ||||
PX161602490300 | Lab or Imaging 2 - Requesting Doctor | N/A | ||
PX161602_LabImaging_2_Result | ||||
PX161602490500 | Lab or Imaging 2 - Result | N/A | ||
PX161602_LabImaging_2_Test_Type | ||||
PX161602490100 | Lab or Imaging 2 - Test Type | N/A | ||
PX161602_LabImaging_3_Date_Day | ||||
PX161602500201 | Lab or Imaging 3 - Date - Day | N/A | ||
PX161602_LabImaging_3_Date_Month | ||||
PX161602500202 | Lab or Imaging 3 - Date - Month | N/A | ||
PX161602_LabImaging_3_Date_Year | ||||
PX161602500203 | Lab or Imaging 3 - Date - Year | N/A | ||
PX161602_LabImaging_3_Reason | ||||
PX161602500400 | Lab or Imaging 3 - Reason | N/A | ||
PX161602_LabImaging_3_Requesting_Doctor | ||||
PX161602500300 | Lab or Imaging 3 - Requesting Doctor | N/A | ||
PX161602_LabImaging_3_Result | ||||
PX161602500500 | Lab or Imaging 3 - Result | N/A | ||
PX161602_LabImaging_3_Test_Type | ||||
PX161602500100 | Lab or Imaging 3 - Test Type | N/A | ||
PX161602_LabImaging_4_Date_Day | ||||
PX161602510201 | Lab or Imaging 4 - Date - Day | N/A | ||
PX161602_LabImaging_4_Date_Month | ||||
PX161602510202 | Lab or Imaging 4 - Date - Month | N/A | ||
PX161602_LabImaging_4_Date_Year | ||||
PX161602510203 | Lab or Imaging 4 - Date - Year | N/A | ||
PX161602_LabImaging_4_Reason | ||||
PX161602510400 | Lab or Imaging 4 - Reason | N/A | ||
PX161602_LabImaging_4_Requesting_Doctor | ||||
PX161602510300 | Lab or Imaging 4 - Requesting Doctor | N/A | ||
PX161602_LabImaging_4_Result | ||||
PX161602510500 | Lab or Imaging 4 - Result | N/A | ||
PX161602_LabImaging_4_Test_Type | ||||
PX161602510100 | Lab or Imaging 4 - Test Type | N/A | ||
PX161602_LowBloodPressure_Date_Of_Onset_Day | ||||
PX161602012602 | Low Blood Pressure Date of Onset - Day | N/A | ||
PX161602_LowBloodPressure_Date_Of_Onset_Month | ||||
PX161602012601 | Low Blood Pressure Date of Onset - Month | N/A | ||
PX161602_LowBloodPressure_Date_Of_Onset_Year | ||||
PX161602012603 | Low Blood Pressure Date of Onset - Year | N/A | ||
PX161602_Low_Blood_Pressure | ||||
PX161602012600 | Low Blood Pressure | N/A | ||
PX161602_Measles_Age | ||||
PX161602040100 | Measles Age | N/A | ||
PX161602_Measles_Booster_1_Age | ||||
PX161602130100 | Measles Booster 1 Age | N/A | ||
PX161602_Measles_Booster_1_Date_Day | ||||
PX161602130202 | Measles Booster 1 Date - Day | N/A | ||
PX161602_Measles_Booster_1_Date_Month | ||||
PX161602130201 | Measles Booster 1 Date - Month | N/A | ||
PX161602_Measles_Booster_1_Date_Year | ||||
PX161602130203 | Measles Booster 1 Date - Year | N/A | ||
PX161602_Measles_Booster_2_Age | ||||
PX161602130300 | Measles Booster 2 Age | N/A | ||
PX161602_Measles_Booster_2_Date_Day | ||||
PX161602130402 | Measles Booster 2 Date - Day | N/A | ||
PX161602_Measles_Booster_2_Date_Month | ||||
PX161602130401 | Measles Booster 2 Date - Month | N/A | ||
PX161602_Measles_Booster_2_Date_Year | ||||
PX161602130403 | Measles Booster 2 Date - Year | N/A | ||
PX161602_Measles_Booster_3_Age | ||||
PX161602130500 | Measles Booster 3 Age | N/A | ||
PX161602_Measles_Booster_3_Date_Day | ||||
PX161602130602 | Measles Booster 3 Date - Day | N/A | ||
PX161602_Measles_Booster_3_Date_Month | ||||
PX161602130601 | Measles Booster 3 Date - Month | N/A | ||
PX161602_Measles_Booster_3_Date_Year | ||||
PX161602130603 | Measles Booster 3 Date - Year | N/A | ||
PX161602_Measles_Date_Day | ||||
PX161602040202 | Measles Date - Day | N/A | ||
PX161602_Measles_Date_Month | ||||
PX161602040201 | Measles Date - Month | N/A | ||
PX161602_Measles_Date_Year | ||||
PX161602040203 | Measles Date - Year | N/A | ||
PX161602_Measles_Remarks | ||||
PX161602040300 | Measles Remarks | N/A | ||
PX161602_Medical_Device_1_Date_Day | ||||
PX161602520401 | Medical Device 1 - Date - Day | N/A | ||
PX161602_Medical_Device_1_Date_Month | ||||
PX161602520402 | Medical Device 1 - Date - Month | N/A | ||
PX161602_Medical_Device_1_Date_Year | ||||
PX161602520403 | Medical Device 1 - Date - Year | N/A | ||
PX161602_Medical_Device_1_Device_Type | ||||
PX161602520100 | Medical Device 1 - Device Type | N/A | ||
PX161602_Medical_Device_1_Doctor | ||||
PX161602520200 | Medical Device 1 - Doctor | N/A | ||
PX161602_Medical_Device_1_Hospital | ||||
PX161602520300 | Medical Device 1 - Hospital | N/A | ||
PX161602_Medical_Device_1_Reason | ||||
PX161602520500 | Medical Device 1 - Reason | N/A | ||
PX161602_Medical_Device_2_Date_Day | ||||
PX161602530401 | Medical Device 2 - Date - Day | N/A | ||
PX161602_Medical_Device_2_Date_Month | ||||
PX161602530402 | Medical Device 2 - Date - Month | N/A | ||
PX161602_Medical_Device_2_Date_Year | ||||
PX161602530403 | Medical Device 2 - Date - Year | N/A | ||
PX161602_Medical_Device_2_Device_Type | ||||
PX161602530100 | Medical Device 2 - Device Type | N/A | ||
PX161602_Medical_Device_2_Doctor | ||||
PX161602530200 | Medical Device 2 - Doctor | N/A | ||
PX161602_Medical_Device_2_Hospital | ||||
PX161602530300 | Medical Device 2 - Hospital | N/A | ||
PX161602_Medical_Device_2_Reason | ||||
PX161602530500 | Medical Device 2 - Reason | N/A | ||
PX161602_MentalRetardation_Date_Of_Onset_Day | ||||
PX161602012702 | Mental Retardation Date of Onset - Day | N/A | ||
PX161602_MentalRetardation_Date_Of_Onset_Month | ||||
PX161602012701 | Mental Retardation Date of Onset - Month | N/A | ||
PX161602_MentalRetardation_Date_Of_Onset_Year | ||||
PX161602012703 | Mental Retardation Date of Onset - Year | N/A | ||
PX161602_Mental_Retardation | ||||
PX161602012700 | Mental Retardation | N/A | ||
PX161602_Mumps_Age | ||||
PX161602050100 | Mumps Age | N/A | ||
PX161602_Mumps_Booster_1_Age | ||||
PX161602140100 | Mumps Booster 1 Age | N/A | ||
PX161602_Mumps_Booster_1_Date_Day | ||||
PX161602140202 | Mumps Booster 1 Date - Day | N/A | ||
PX161602_Mumps_Booster_1_Date_Month | ||||
PX161602140201 | Mumps Booster 1 Date - Month | N/A | ||
PX161602_Mumps_Booster_1_Date_Year | ||||
PX161602140203 | Mumps Booster 1 Date - Year | N/A | ||
PX161602_Mumps_Booster_2_Age | ||||
PX161602140300 | Mumps Booster 2 Age | N/A | ||
PX161602_Mumps_Booster_2_Date_Day | ||||
PX161602140402 | Mumps Booster 2 Date - Day | N/A | ||
PX161602_Mumps_Booster_2_Date_Month | ||||
PX161602140401 | Mumps Booster 2 Date - Month | N/A | ||
PX161602_Mumps_Booster_2_Date_Year | ||||
PX161602140403 | Mumps Booster 2 Date - Year | N/A | ||
PX161602_Mumps_Booster_3_Age | ||||
PX161602140500 | Mumps Booster 3 Age | N/A | ||
PX161602_Mumps_Booster_3_Date_Day | ||||
PX161602140602 | Mumps Booster 3 Date - Day | N/A | ||
PX161602_Mumps_Booster_3_Date_Month | ||||
PX161602140601 | Mumps Booster 3 Date - Month | N/A | ||
PX161602_Mumps_Booster_3_Date_Year | ||||
PX161602140603 | Mumps Booster 3 Date - Year | N/A | ||
PX161602_Mumps_Date_Day | ||||
PX161602050202 | Mumps Date - Day | N/A | ||
PX161602_Mumps_Date_Month | ||||
PX161602050201 | Mumps Date - Month | N/A | ||
PX161602_Mumps_Date_Year | ||||
PX161602050203 | Mumps Date - Year | N/A | ||
PX161602_Mumps_Remarks | ||||
PX161602050300 | Mumps Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness1_Age_Of_Onset | ||||
PX161602290400 | Noninfectious Major Illness 1 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness1_Condition_Status | ||||
PX161602290500 | Noninfectious Major Illness 1 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness1_Date_Diagnosed_Day | ||||
PX161602290102 | Noninfectious Major Illness 1 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness1_Date_Diagnosed_Month | ||||
PX161602290101 | Noninfectious Major Illness 1 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness1_Date_Diagnosed_Year | ||||
PX161602290103 | Noninfectious Major Illness 1 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness1_Doctor | ||||
PX161602290200 | Noninfectious Major Illness 1 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness1_Nature_Of_Health_Problems | ||||
PX161602290300 | Noninfectious Major Illness 1 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness1_Remarks | ||||
PX161602290600 | Noninfectious Major Illness 1 - Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness2Doctor | ||||
PX161602300300 | Noninfectious Major Illness 2 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness2_Age_Of_Onset | ||||
PX161602300500 | Noninfectious Major Illness 2 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness2_Condition_Status | ||||
PX161602300600 | Noninfectious Major Illness 2 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness2_Date_Diagnosed_Day | ||||
PX161602300102 | Noninfectious Major Illness 2 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness2_Date_Diagnosed_Month | ||||
PX161602300101 | Noninfectious Major Illness 2 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness2_Date_Diagnosed_Year | ||||
PX161602300103 | Noninfectious Major Illness 2 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness2_Nature_Of_Health_Problems | ||||
PX161602300400 | Noninfectious Major Illness 2 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness2_Remarks | ||||
PX161602300700 | Noninfectious Major Illness 2 - Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness3_Age_Of_Onset | ||||
PX161602310400 | Noninfectious Major Illness 3 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness3_Condition_Status | ||||
PX161602310500 | Noninfectious Major Illness 3 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness3_Date_Diagnosed_Day | ||||
PX161602310102 | Noninfectious Major Illness 3 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness3_Date_Diagnosed_Month | ||||
PX161602310101 | Noninfectious Major Illness 3 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness3_Date_Diagnosed_Year | ||||
PX161602310103 | Noninfectious Major Illness 3 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness3_Doctor | ||||
PX161602310200 | Noninfectious Major Illness 3 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness3_Nature_Of_Health_Problems | ||||
PX161602310300 | Noninfectious Major Illness 3 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness3_Remarks | ||||
PX161602310600 | Noninfectious Major Illness 3 - Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness4_Age_Of_Onset | ||||
PX161602320400 | Noninfectious Major Illness 4 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness4_Condition_Status | ||||
PX161602320500 | Noninfectious Major Illness 4 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness4_Date_Diagnosed_Day | ||||
PX161602320102 | Noninfectious Major Illness 4 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness4_Date_Diagnosed_Month | ||||
PX161602320101 | Noninfectious Major Illness 4 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness4_Date_Diagnosed_Year | ||||
PX161602320103 | Noninfectious Major Illness 4 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness4_Doctor | ||||
PX161602320200 | Noninfectious Major Illness 4 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness4_Nature_Of_Health_Problems | ||||
PX161602320300 | Noninfectious Major Illness 4 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness4_Remarks | ||||
PX161602320600 | Noninfectious Major Illness 4 - Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness5_Age_Of_Onset | ||||
PX161602330400 | Noninfectious Major Illness 5 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness5_Condition_Status | ||||
PX161602330500 | Noninfectious Major Illness 5 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness5_Date_Diagnosed_Day | ||||
PX161602330102 | Noninfectious Major Illness 5 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness5_Date_Diagnosed_Month | ||||
PX161602330101 | Noninfectious Major Illness 5 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness5_Date_Diagnosed_Year | ||||
PX161602330103 | Noninfectious Major Illness 5 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness5_Doctor | ||||
PX161602330200 | Noninfectious Major Illness 5 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness5_Nature_Of_Health_Problems | ||||
PX161602330300 | Noninfectious Major Illness 5 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness5_Remarks | ||||
PX161602330600 | Noninfectious Major Illness 5 - Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness6_Age_Of_Onset | ||||
PX161602340400 | Noninfectious Major Illness 6 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness6_Condition_Status | ||||
PX161602340500 | Noninfectious Major Illness 6 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness6_Date_Diagnosed_Day | ||||
PX161602340102 | Noninfectious Major Illness 6 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness6_Date_Diagnosed_Month | ||||
PX161602340101 | Noninfectious Major Illness 6 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness6_Date_Diagnosed_Year | ||||
PX161602340103 | Noninfectious Major Illness 6 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness6_Doctor | ||||
PX161602340200 | Noninfectious Major Illness 6 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness6_Nature_Of_Health_Problems | ||||
PX161602340300 | Noninfectious Major Illness 6 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness6_Remarks | ||||
PX161602340600 | Noninfectious Major Illness 6 - Remarks | N/A | ||
PX161602_NoninfectiousMajorIllness7_Age_Of_Onset | ||||
PX161602350400 | Noninfectious Major Illness 7 - Age of Onset | N/A | ||
PX161602_NoninfectiousMajorIllness7_Condition_Status | ||||
PX161602350500 | Noninfectious Major Illness 7 - Condition Status | N/A | ||
PX161602_NoninfectiousMajorIllness7_Date_Diagnosed_Day | ||||
PX161602350102 | Noninfectious Major Illness 7 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness7_Date_Diagnosed_Month | ||||
PX161602350101 | Noninfectious Major Illness 7 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness7_Date_Diagnosed_Year | ||||
PX161602350103 | Noninfectious Major Illness 7 - Date more | N/A | ||
PX161602_NoninfectiousMajorIllness7_Doctor | ||||
PX161602350200 | Noninfectious Major Illness 7 - Doctor | N/A | ||
PX161602_NoninfectiousMajorIllness7_Nature_Of_Health_Problems | ||||
PX161602350300 | Noninfectious Major Illness 7 - Nature of more | N/A | ||
PX161602_NoninfectiousMajorIllness7_Remarks | ||||
PX161602350600 | Noninfectious Major Illness 7 - Remarks | N/A | ||
PX161602_Other_Booster_1_Age | ||||
PX161602220100 | Other Booster 1 Age | N/A | ||
PX161602_Other_Booster_1_Date_Day | ||||
PX161602220202 | Other Booster 1 Date - Day | N/A | ||
PX161602_Other_Booster_1_Date_Month | ||||
PX161602220201 | Other Booster 1 Date - Month | N/A | ||
PX161602_Other_Booster_1_Date_Year | ||||
PX161602220203 | Other Booster 1 Date - Year | N/A | ||
PX161602_Other_Booster_2_Age | ||||
PX161602220300 | Other Booster 2 Age | N/A | ||
PX161602_Other_Booster_2_Date_Day | ||||
PX161602220402 | Other Booster 2 Date - Day | N/A | ||
PX161602_Other_Booster_2_Date_Month | ||||
PX161602220401 | Other Booster 2 Date - Month | N/A | ||
PX161602_Other_Booster_2_Date_Year | ||||
PX161602220403 | Other Booster 2 Date - Year | N/A | ||
PX161602_Other_Booster_3_Age | ||||
PX161602220500 | Other Booster 3 Age | N/A | ||
PX161602_Other_Booster_3_Date_Day | ||||
PX161602220602 | Other Booster 3 Date - Day | N/A | ||
PX161602_Other_Booster_3_Date_Month | ||||
PX161602220601 | Other Booster 3 Date - Month | N/A | ||
PX161602_Other_Booster_3_Date_Year | ||||
PX161602220603 | Other Booster 3 Date - Year | N/A | ||
PX161602_Other_Infectious_Age | ||||
PX161602600100 | Other Age | N/A | ||
PX161602_Other_Infectious_Date_Day | ||||
PX161602600202 | Other Date - Day | N/A | ||
PX161602_Other_Infectious_Date_Month | ||||
PX161602600201 | Other Date - Month | N/A | ||
PX161602_Other_Infectious_Date_Year | ||||
PX161602600203 | Other Date - Year | N/A | ||
PX161602_Other_Infectious_Remarks | ||||
PX161602600300 | Other Remarks | N/A | ||
PX161602_Other_MedicalHistory | ||||
PX161602014100 | Other | Variable Mapping | ||
PX161602_Other_MedicalHistory_Date_Of_Onset_Day | ||||
PX161602014103 | Other Date of Onset - Day | N/A | ||
PX161602_Other_MedicalHistory_Date_Of_Onset_Month | ||||
PX161602014102 | Other Date of Onset - Month | N/A | ||
PX161602_Other_MedicalHistory_Date_Of_Onset_Year | ||||
PX161602014104 | Other Date of Onset - Year | N/A | ||
PX161602_Other_MedicalHistory_Specify | ||||
PX161602014101 | Other, specify | Variable Mapping | ||
PX161602_Palpitations | ||||
PX161602012900 | Palpitations | Variable Mapping | ||
PX161602_Palpitations_Date_Of_OnsetYear | ||||
PX161602012903 | Palpitations Date of Onset-Year | N/A | ||
PX161602_Palpitations_Date_Of_Onset_Day | ||||
PX161602012902 | Palpitations Date of Onset- Day | N/A | ||
PX161602_Palpitations_Date_Of_Onset_Month | ||||
PX161602012901 | Palpitations Date of Onset- Month | N/A | ||
PX161602_Periods_Of_Unconsciousness | ||||
PX161602013000 | Periods of Unconsciousness | Variable Mapping | ||
PX161602_Pertussis/WhoopingCough_Booster_1_Age | ||||
PX161602150100 | Pertussis/Whooping Cough Booster 1 Age | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_1_Date_Day | ||||
PX161602150202 | Pertussis/Whooping Cough Booster 1 Date - Day | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_1_Date_Month | ||||
PX161602150201 | Pertussis/Whooping Cough Booster 1 Date - Month | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_1_Date_Year | ||||
PX161602150203 | Pertussis/Whooping Cough Booster 1 Date - Year | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_2_Age | ||||
PX161602150300 | Pertussis/Whooping Cough Booster 2 Age | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_2_Date_Day | ||||
PX161602150402 | Pertussis/Whooping Cough Booster 2 Date - Day | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_2_Date_Month | ||||
PX161602150401 | Pertussis/Whooping Cough Booster 2 Date - Month | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_2_Date_Year | ||||
PX161602150403 | Pertussis/Whooping Cough Booster 2 Date - Year | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_3_Age | ||||
PX161602150500 | Pertussis/Whooping Cough Booster 3 Age | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_3_Date_Day | ||||
PX161602150602 | Pertussis/Whooping Cough Booster 3 Date - Day | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_3_Date_Month | ||||
PX161602150601 | Pertussis/Whooping Cough Booster 3 Date - Month | N/A | ||
PX161602_Pertussis/WhoopingCough_Booster_3_Date_Year | ||||
PX161602150603 | Pertussis/Whooping Cough Booster 3 Date - Year | N/A | ||
PX161602_Pertussis/Whooping_Cough_Age | ||||
PX161602060100 | Pertussis/Whooping Cough Age | N/A | ||
PX161602_Pertussis/Whooping_Cough_Date_Day | ||||
PX161602060202 | Pertussis/Whooping Cough Date - Day | N/A | ||
PX161602_Pertussis/Whooping_Cough_Date_Month | ||||
PX161602060201 | Pertussis/Whooping Cough Date - Month | N/A | ||
PX161602_Pertussis/Whooping_Cough_Date_Year | ||||
PX161602060203 | Pertussis/Whooping Cough Date - Year | N/A | ||
PX161602_Pertussis/Whooping_Cough_Remarks | ||||
PX161602060300 | Pertussis/Whooping Cough Remarks | N/A | ||
PX161602_Physical/OccupationTherapy_1_Frequency | ||||
PX161602540500 | Physical/Occupation Therapy 1 - Frequency | N/A | ||
PX161602_Physical/OccupationTherapy_1_Start_Date_Day | ||||
PX161602540201 | Physical/Occupation Therapy 1 - Start Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_1_Start_Date_Month | ||||
PX161602540202 | Physical/Occupation Therapy 1 - Start Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_1_Start_Date_Year | ||||
PX161602540304 | Physical/Occupation Therapy 1 - Start Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_1_Stop_Date_Day | ||||
PX161602540401 | Physical/Occupation Therapy 1 - Stop Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_1_Stop_Date_Month | ||||
PX161602540402 | Physical/Occupation Therapy 1 - Stop Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_1_Stop_Date_Year | ||||
PX161602540403 | Physical/Occupation Therapy 1 - Stop Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_1_Therapist | ||||
PX161602540600 | Physical/Occupation Therapy 1 - Therapist | N/A | ||
PX161602_Physical/OccupationTherapy_1_Therapy_Type | ||||
PX161602540100 | Physical/Occupation Therapy 1 - Therapy Type | N/A | ||
PX161602_Physical/OccupationTherapy_2_Frequency | ||||
PX161602550400 | Physical/Occupation Therapy 2 - Frequency | N/A | ||
PX161602_Physical/OccupationTherapy_2_Start_Date_Day | ||||
PX161602550201 | Physical/Occupation Therapy 2 - Start Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_2_Start_Date_Month | ||||
PX161602550202 | Physical/Occupation Therapy 2 - Start Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_2_Start_Date_Year | ||||
PX161602550203 | Physical/Occupation Therapy 2 - Start Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_2_Stop_Date_Day | ||||
PX161602550301 | Physical/Occupation Therapy 2 - Stop Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_2_Stop_Date_Month | ||||
PX161602550302 | Physical/Occupation Therapy 2 - Stop Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_2_Stop_Date_Year | ||||
PX161602550303 | Physical/Occupation Therapy 2 - Stop Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_2_Therapist | ||||
PX161602550500 | Physical/Occupation Therapy 2 - Therapist | N/A | ||
PX161602_Physical/OccupationTherapy_2_Therapy_Type | ||||
PX161602550100 | Physical/Occupation Therapy 2 - Therapy Type | N/A | ||
PX161602_Physical/OccupationTherapy_3_Frequency | ||||
PX161602560400 | Physical/Occupation Therapy 3 - Frequency | N/A | ||
PX161602_Physical/OccupationTherapy_3_Start_Date_Day | ||||
PX161602560201 | Physical/Occupation Therapy 3 - Start Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_3_Start_Date_Month | ||||
PX161602560202 | Physical/Occupation Therapy 3 - Start Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_3_Start_Date_Year | ||||
PX161602560203 | Physical/Occupation Therapy 3 - Start Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_3_Stop_Date_Day | ||||
PX161602560301 | Physical/Occupation Therapy 3 - Stop Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_3_Stop_Date_Month | ||||
PX161602560302 | Physical/Occupation Therapy 3 - Stop Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_3_Stop_Date_Year | ||||
PX161602560303 | Physical/Occupation Therapy 3 - Stop Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_3_Therapist | ||||
PX161602560500 | Physical/Occupation Therapy 3 - Therapist | N/A | ||
PX161602_Physical/OccupationTherapy_3_Therapy_Type | ||||
PX161602560100 | Physical/Occupation Therapy 3 - Therapy Type | N/A | ||
PX161602_Physical/OccupationTherapy_4_Frequency | ||||
PX161602570400 | Physical/Occupation Therapy 4 - Frequency | N/A | ||
PX161602_Physical/OccupationTherapy_4_Start_Date_Day | ||||
PX161602570201 | Physical/Occupation Therapy 4 - Start Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_4_Start_Date_Month | ||||
PX161602570202 | Physical/Occupation Therapy 4 - Start Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_4_Start_Date_Year | ||||
PX161602570203 | Physical/Occupation Therapy 4 - Start Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_4_Stop_Date_Day | ||||
PX161602570301 | Physical/Occupation Therapy 4 - Stop Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_4_Stop_Date_Month | ||||
PX161602570302 | Physical/Occupation Therapy 4 - Stop Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_4_Stop_Date_Year | ||||
PX161602570303 | Physical/Occupation Therapy 4 - Stop Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_4_Therapist | ||||
PX161602570500 | Physical/Occupation Therapy 4 - Therapist | N/A | ||
PX161602_Physical/OccupationTherapy_4_Therapy_Type | ||||
PX161602570100 | Physical/Occupation Therapy 4 - Therapy Type | N/A | ||
PX161602_Physical/OccupationTherapy_5_Frequency | ||||
PX161602580400 | Physical/Occupation Therapy 5 - Frequency | N/A | ||
PX161602_Physical/OccupationTherapy_5_Start_Date_Day | ||||
PX161602580201 | Physical/Occupation Therapy 5 - Start Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_5_Start_Date_Month | ||||
PX161602580202 | Physical/Occupation Therapy 5 - Start Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_5_Start_Date_Year | ||||
PX161602580203 | Physical/Occupation Therapy 5 - Start Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_5_Stop_Date_Day | ||||
PX161602580301 | Physical/Occupation Therapy 5 - Stop Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_5_Stop_Date_Month | ||||
PX161602580302 | Physical/Occupation Therapy 5 - Stop Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_5_Stop_Date_Year | ||||
PX161602580303 | Physical/Occupation Therapy 5 - Stop Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_5_Therapist | ||||
PX161602580500 | Physical/Occupation Therapy 5 - Therapist | N/A | ||
PX161602_Physical/OccupationTherapy_5_Therapy_Type | ||||
PX161602580100 | Physical/Occupation Therapy 5 - Therapy Type | N/A | ||
PX161602_Physical/OccupationTherapy_6_Frequency | ||||
PX161602590400 | Physical/Occupation Therapy 6 - Frequency | N/A | ||
PX161602_Physical/OccupationTherapy_6_Start_Date_Day | ||||
PX161602590201 | Physical/Occupation Therapy 6 - Start Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_6_Start_Date_Month | ||||
PX161602590202 | Physical/Occupation Therapy 6 - Start Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_6_Start_Date_Year | ||||
PX161602590203 | Physical/Occupation Therapy 6 - Start Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_6_Stop_Date_Day | ||||
PX161602590301 | Physical/Occupation Therapy 6 - Stop Date - Day | N/A | ||
PX161602_Physical/OccupationTherapy_6_Stop_Date_Month | ||||
PX161602590302 | Physical/Occupation Therapy 6 - Stop Date - Month | N/A | ||
PX161602_Physical/OccupationTherapy_6_Stop_Date_Year | ||||
PX161602590303 | Physical/Occupation Therapy 6 - Stop Date - Year | N/A | ||
PX161602_Physical/OccupationTherapy_6_Therapy_Type | ||||
PX161602590100 | Physical/Occupation Therapy 6 - Therapy Type | N/A | ||
PX161602_Pneumonia_Age | ||||
PX161602070100 | Pneumonia Age | Variable Mapping | ||
PX161602_Pneumonia_Date_Day | ||||
PX161602070202 | Pneumonia Date - Day | N/A | ||
PX161602_Pneumonia_Date_Month | ||||
PX161602070201 | Pneumonia Date - Month | N/A | ||
PX161602_Pneumonia_Date_Year | ||||
PX161602070203 | Pneumonia Date - Year | N/A | ||
PX161602_Pneumonia_Remarks | ||||
PX161602070300 | Pneumonia Remarks | N/A | ||
PX161602_Polio_Age | ||||
PX161602080100 | Polio Age | N/A | ||
PX161602_Polio_Booster_1_Age | ||||
PX161602160100 | Polio Booster 1 Age | N/A | ||
PX161602_Polio_Booster_1_Date_Day | ||||
PX161602160202 | Polio Booster 1 Date - Day | N/A | ||
PX161602_Polio_Booster_1_Date_Month | ||||
PX161602160201 | Polio Booster 1 Date - Month | N/A | ||
PX161602_Polio_Booster_1_Date_Year | ||||
PX161602160203 | Polio Booster 1 Date - Year | N/A | ||
PX161602_Polio_Booster_2_Age | ||||
PX161602160300 | Polio Booster 2 Age | N/A | ||
PX161602_Polio_Booster_2_Date_Day | ||||
PX161602160402 | Polio Booster 2 Date - Day | N/A | ||
PX161602_Polio_Booster_2_Date_Month | ||||
PX161602160401 | Polio Booster 2 Date - Month | N/A | ||
PX161602_Polio_Booster_2_Date_Year | ||||
PX161602160403 | Polio Booster 2 Date - Year | N/A | ||
PX161602_Polio_Booster_3_Age | ||||
PX161602160500 | Polio Booster 3 Age | N/A | ||
PX161602_Polio_Booster_3_Date_Day | ||||
PX161602160602 | Polio Booster 3 Date - Day | N/A | ||
PX161602_Polio_Booster_3_Date_Month | ||||
PX161602160601 | Polio Booster 3 Date - Month | N/A | ||
PX161602_Polio_Booster_3_Date_Year | ||||
PX161602160603 | Polio Booster 3 Date - Year | N/A | ||
PX161602_Polio_Date_Day | ||||
PX161602080202 | Polio Date - Day | N/A | ||
PX161602_Polio_Date_Month | ||||
PX161602080201 | Polio Date - Month | N/A | ||
PX161602_Polio_Date_Year | ||||
PX161602080203 | Polio Date - Year | N/A | ||
PX161602_Polio_Remarks | ||||
PX161602080300 | Polio Remarks | N/A | ||
PX161602_RheumaticFever_Date_Of_Onset_Day | ||||
PX161602013102 | Rheumatic Fever Date of Onset - Day | N/A | ||
PX161602_RheumaticFever_Date_Of_Onset_Month | ||||
PX161602013101 | Rheumatic Fever Date of Onset - Month | N/A | ||
PX161602_RheumaticFever_Date_Of_Onset_Year | ||||
PX161602013103 | Rheumatic Fever Date of Onset - Year | N/A | ||
PX161602_Rheumatic_Fever | ||||
PX161602013100 | Rheumatic Fever | Variable Mapping | ||
PX161602_Rheumatism | ||||
PX161602013200 | Rheumatism | Variable Mapping | ||
PX161602_Rheumatism_Date_Of_Onset_Day | ||||
PX161602013202 | Rheumatism Date of Onset - Day | N/A | ||
PX161602_Rheumatism_Date_Of_Onset_Month | ||||
PX161602013201 | Rheumatism Date of Onset - Month | N/A | ||
PX161602_Rheumatism_Date_Of_Onset_Year | ||||
PX161602013203 | Rheumatism Date of Onset - Year | N/A | ||
PX161602_Rubella_Age | ||||
PX161602090100 | Rubella Age | N/A | ||
PX161602_Rubella_Booster_1_Age | ||||
PX161602170100 | Rubella Booster 1 Age | N/A | ||
PX161602_Rubella_Booster_1_Date_Day | ||||
PX161602170202 | Rubella Booster 1 Date - Day | N/A | ||
PX161602_Rubella_Booster_1_Date_Month | ||||
PX161602170201 | Rubella Booster 1 Date - Month | N/A | ||
PX161602_Rubella_Booster_1_Date_Year | ||||
PX161602170203 | Rubella Booster 1 Date - Year | N/A | ||
PX161602_Rubella_Booster_2_Age | ||||
PX161602170300 | Rubella Booster 2 Age | N/A | ||
PX161602_Rubella_Booster_2_Date_Day | ||||
PX161602170402 | Rubella Booster 2 Date - Day | N/A | ||
PX161602_Rubella_Booster_2_Date_Month | ||||
PX161602170401 | Rubella Booster 2 Date - Month | N/A | ||
PX161602_Rubella_Booster_2_Date_Year | ||||
PX161602170403 | Rubella Booster 2 Date - Year | N/A | ||
PX161602_Rubella_Booster_3_Age | ||||
PX161602170500 | Rubella Booster 3 Age | N/A | ||
PX161602_Rubella_Booster_3_Date_Day | ||||
PX161602170602 | Rubella Booster 3 Date - Day | N/A | ||
PX161602_Rubella_Booster_3_Date_Month | ||||
PX161602170601 | Rubella Booster 3 Date - Month | N/A | ||
PX161602_Rubella_Booster_3_Date_Year | ||||
PX161602170603 | Rubella Booster 3 Date - Year | N/A | ||
PX161602_Rubella_Date_Day | ||||
PX161602090202 | Rubella Date - Day | N/A | ||
PX161602_Rubella_Date_Month | ||||
PX161602090201 | Rubella Date - Month | N/A | ||
PX161602_Rubella_Date_Year | ||||
PX161602090203 | Rubella Date - Year | N/A | ||
PX161602_Rubella_Remarks | ||||
PX161602090300 | Rubella Remarks | N/A | ||
PX161602_Scarlet_Fever_Age | ||||
PX161602100100 | Scarlet Fever Age | N/A | ||
PX161602_Scarlet_Fever_Date_Day | ||||
PX161602100202 | Scarlet Fever Date - Day | N/A | ||
PX161602_Scarlet_Fever_Date_Month | ||||
PX161602100201 | Scarlet Fever Date - Month | N/A | ||
PX161602_Scarlet_Fever_Date_Year | ||||
PX161602100203 | Scarlet Fever Date - Year | N/A | ||
PX161602_Scarlet_Fever_Remarks | ||||
PX161602100300 | Scarlet Fever Remarks | N/A | ||
PX161602_Seizures | ||||
PX161602013300 | Seizures | Variable Mapping | ||
PX161602_Seizures_Date_Of_Onset_Day | ||||
PX161602013302 | Seizures Date of Onset - Day | N/A | ||
PX161602_Seizures_Date_Of_Onset_Month | ||||
PX161602013301 | Seizures Date of Onset - Month | N/A | ||
PX161602_Seizures_Date_Of_Onset_Year | ||||
PX161602013303 | Seizures Date of Onset - Year | N/A | ||
PX161602_ShortnessOfBreath_Date_Of_Onset_Day | ||||
PX161602013402 | Shortness of Breath Date of Onset - Day | N/A | ||
PX161602_ShortnessOfBreath_Date_Of_Onset_Month | ||||
PX161602013401 | Shortness of Breath Date of Onset - Month | N/A | ||
PX161602_ShortnessOfBreath_Date_Of_Onset_Year | ||||
PX161602013403 | Shortness of Breath Date of Onset - Year | N/A | ||
PX161602_Shortness_Of_Breath | ||||
PX161602013400 | Shortness of Breath | Variable Mapping | ||
PX161602_Smallpox_Booster_1_Age | ||||
PX161602180100 | Smallpox Booster 1 Age | N/A | ||
PX161602_Smallpox_Booster_1_Date_Day | ||||
PX161602180202 | Smallpox Booster 1 Date - Day | N/A | ||
PX161602_Smallpox_Booster_1_Date_Month | ||||
PX161602180201 | Smallpox Booster 1 Date - Month | N/A | ||
PX161602_Smallpox_Booster_1_Date_Year | ||||
PX161602180203 | Smallpox Booster 1 Date - Year | N/A | ||
PX161602_Smallpox_Booster_2_Age | ||||
PX161602180300 | Smallpox Booster 2 Age | N/A | ||
PX161602_Smallpox_Booster_2_Date_Day | ||||
PX161602180402 | Smallpox Booster 2 Date - Day | N/A | ||
PX161602_Smallpox_Booster_2_Date_Month | ||||
PX161602180401 | Smallpox Booster 2 Date - Month | N/A | ||
PX161602_Smallpox_Booster_2_Date_Year | ||||
PX161602180403 | Smallpox Booster 2 Date - Year | N/A | ||
PX161602_Smallpox_Booster_3_Age | ||||
PX161602180500 | Smallpox Booster 3 Age | N/A | ||
PX161602_Smallpox_Booster_3_Date_Day | ||||
PX161602180602 | Smallpox Booster 3 Date - Day | N/A | ||
PX161602_Smallpox_Booster_3_Date_Month | ||||
PX161602180601 | Smallpox Booster 3 Date - Month | N/A | ||
PX161602_Smallpox_Booster_3_Date_Year | ||||
PX161602180603 | Smallpox Booster 3 Date - Year | N/A | ||
PX161602_StomachLiverIntestinal_Date_Of_Onset_Day | ||||
PX161602013502 | Stomach Liver or Intestinal Problems Date of more | N/A | ||
PX161602_StomachLiverIntestinal_Date_Of_Onset_Month | ||||
PX161602013501 | Stomach Liver or Intestinal Problems Date of more | N/A | ||
PX161602_StomachLiverIntestinal_Date_Of_Onset_Year | ||||
PX161602013503 | Stomach Liver or Intestinal Problems Date of more | N/A | ||
PX161602_Stomach_Liver_Problems | ||||
PX161602013500 | Stomach or Liver Problems | N/A | ||
PX161602_Surgery_1_Comments | ||||
PX161602450700 | Surgery 1 - Comments | N/A | ||
PX161602_Surgery_1_Date_Day | ||||
PX161602450101 | Surgery 1 - Date - Day | N/A | ||
PX161602_Surgery_1_Date_Month | ||||
PX161602450102 | Surgery 1 - Date - Month | N/A | ||
PX161602_Surgery_1_Date_Year | ||||
PX161602450103 | Surgery 1 - Date - Year | Variable Mapping | ||
PX161602_Surgery_1_Description | ||||
PX161602450500 | Surgery 1 - Description | N/A | ||
PX161602_Surgery_1_Doctor | ||||
PX161602450200 | Surgery 1 - Doctor | N/A | ||
PX161602_Surgery_1_Hospital | ||||
PX161602450300 | Surgery 1 - Hospital | N/A | ||
PX161602_Surgery_1_Results | ||||
PX161602450600 | Surgery 1 - Results | N/A | ||
PX161602_Surgery_1_Surgical_Procedure | ||||
PX161602450400 | Surgery 1 - Surgical Procedure | N/A | ||
PX161602_Surgery_2_Comments | ||||
PX161602460700 | Surgery 2 - Comments | N/A | ||
PX161602_Surgery_2_Date_Day | ||||
PX161602460101 | Surgery 2 - Date - Day | N/A | ||
PX161602_Surgery_2_Date_Month | ||||
PX161602460102 | Surgery 2 - Date - Month | N/A | ||
PX161602_Surgery_2_Date_Year | ||||
PX161602460103 | Surgery 2 - Date - Year | N/A | ||
PX161602_Surgery_2_Description | ||||
PX161602460500 | Surgery 2 - Description | N/A | ||
PX161602_Surgery_2_Doctor | ||||
PX161602460200 | Surgery 2 - Doctor | N/A | ||
PX161602_Surgery_2_Hospital | ||||
PX161602460300 | Surgery 2 - Hospital | N/A | ||
PX161602_Surgery_2_Results | ||||
PX161602460600 | Surgery 2 - Results | N/A | ||
PX161602_Surgery_2_Surgical_Procedure | ||||
PX161602460400 | Surgery 2 - Surgical Procedure | N/A | ||
PX161602_Surgery_3_Comments | ||||
PX161602470700 | Surgery 3 - Comments | N/A | ||
PX161602_Surgery_3_Date_Day | ||||
PX161602470101 | Surgery 3 - Date - Day | N/A | ||
PX161602_Surgery_3_Date_Month | ||||
PX161602470102 | Surgery 3 - Date - Month | N/A | ||
PX161602_Surgery_3_Date_Year | ||||
PX161602470103 | Surgery 3 - Date - Year | N/A | ||
PX161602_Surgery_3_Description | ||||
PX161602470500 | Surgery 3 - Description | N/A | ||
PX161602_Surgery_3_Doctor | ||||
PX161602470200 | Surgery 3 - Doctor | N/A | ||
PX161602_Surgery_3_Hospital | ||||
PX161602470300 | Surgery 3 - Hospital | N/A | ||
PX161602_Surgery_3_Results | ||||
PX161602470600 | Surgery 3 - Results | N/A | ||
PX161602_Surgery_3_Surgical_Procedure | ||||
PX161602470400 | Surgery 3 - Surgical Procedure | N/A | ||
PX161602_Syphilis | ||||
PX161602013600 | Syphilis | Variable Mapping | ||
PX161602_Syphilis_Date_Of_Onset_Day | ||||
PX161602013602 | Syphilis Date of Onset - Day | N/A | ||
PX161602_Syphilis_Date_Of_Onset_Month | ||||
PX161602013601 | Syphilis Date of Onset - Month | N/A | ||
PX161602_Syphilis_Date_Of_Onset_Year | ||||
PX161602013603 | Syphilis Date of Onset - Year | N/A | ||
PX161602_Tetanus_Booster_1_Age | ||||
PX161602190100 | Tetanus Booster 1 Age | N/A | ||
PX161602_Tetanus_Booster_1_Date_Day | ||||
PX161602190202 | Tetanus Booster 1 Date - Day | N/A | ||
PX161602_Tetanus_Booster_1_Date_Month | ||||
PX161602190201 | Tetanus Booster 1 Date - Month | N/A | ||
PX161602_Tetanus_Booster_1_Date_Year | ||||
PX161602190203 | Tetanus Booster 1 Date - Year | N/A | ||
PX161602_Tetanus_Booster_2_Age | ||||
PX161602190300 | Tetanus Booster 2 Age | N/A | ||
PX161602_Tetanus_Booster_2_Date_Day | ||||
PX161602190402 | Tetanus Booster 2 Date - Day | N/A | ||
PX161602_Tetanus_Booster_2_Date_Month | ||||
PX161602190401 | Tetanus Booster 2 Date - Month | N/A | ||
PX161602_Tetanus_Booster_2_Date_Year | ||||
PX161602190403 | Tetanus Booster 2 Date - Year | N/A | ||
PX161602_Tetanus_Booster_3_Age | ||||
PX161602190500 | Tetanus Booster 3 Age | N/A | ||
PX161602_Tetanus_Booster_3_Date_Day | ||||
PX161602190602 | Tetanus Booster 3 Date - Day | N/A | ||
PX161602_Tetanus_Booster_3_Date_Month | ||||
PX161602190601 | Tetanus Booster 3 Date - Month | N/A | ||
PX161602_Tetanus_Booster_3_Date_Year | ||||
PX161602190603 | Tetanus Booster 3 Date - Year | N/A | ||
PX161602_Thyroid_Date_Of_Onset_Day | ||||
PX161602013902 | Thyroid Problems Date of Onset - Day | N/A | ||
PX161602_Thyroid_Date_Of_Onset_Month | ||||
PX161602013901 | Thyroid Problems Date of Onset - Month | N/A | ||
PX161602_Thyroid_Date_Of_Onset_Year | ||||
PX161602013903 | Thyroid Problems Date of Onset - Year | N/A | ||
PX161602_Thyroid_Problems | ||||
PX161602013900 | Thyroid Problems | Variable Mapping | ||
PX161602_Tuberculosis | ||||
PX161602013700 | Tuberculosis | Variable Mapping | ||
PX161602_Tuberculosis_Booster_1_Age | ||||
PX161602200100 | Tuberculosis Booster 1 Age | N/A | ||
PX161602_Tuberculosis_Booster_1_Date_Day | ||||
PX161602200202 | Tuberculosis Booster 1 Date - Day | N/A | ||
PX161602_Tuberculosis_Booster_1_Date_Month | ||||
PX161602200201 | Tuberculosis Booster 1 Date - Month | N/A | ||
PX161602_Tuberculosis_Booster_1_Date_Year | ||||
PX161602200203 | Tuberculosis Booster 1 Date - Year | N/A | ||
PX161602_Tuberculosis_Booster_2_Age | ||||
PX161602200300 | Tuberculosis Booster 2 Age | N/A | ||
PX161602_Tuberculosis_Booster_2_Date_Day | ||||
PX161602200402 | Tuberculosis Booster 2 Date - Day | N/A | ||
PX161602_Tuberculosis_Booster_2_Date_Month | ||||
PX161602200401 | Tuberculosis Booster 2 Date - Month | N/A | ||
PX161602_Tuberculosis_Booster_2_Date_Year | ||||
PX161602200403 | Tuberculosis Booster 2 Date - Year | N/A | ||
PX161602_Tuberculosis_Booster_3_Age | ||||
PX161602200500 | Tuberculosis Booster 3 Age | N/A | ||
PX161602_Tuberculosis_Booster_3_Date_Day | ||||
PX161602200602 | Tuberculosis Booster 3 Date - Day | N/A | ||
PX161602_Tuberculosis_Booster_3_Date_Month | ||||
PX161602200601 | Tuberculosis Booster 3 Date - Month | N/A | ||
PX161602_Tuberculosis_Booster_3_Date_Year | ||||
PX161602200603 | Tuberculosis Booster 3 Date - Year | N/A | ||
PX161602_Tuberculosis_Date_Of_OnsetDay | ||||
PX161602013702 | Tuberculosis Date of Onset-Day | N/A | ||
PX161602_Tuberculosis_Date_Of_OnsetMonth | ||||
PX161602013701 | Tuberculosis Date of Onset-Month | N/A | ||
PX161602_Tuberculosis_Date_Of_OnsetYear | ||||
PX161602013703 | Tuberculosis Date of Onset-Year | N/A | ||
PX161602_Tumor | ||||
PX161602013800 | Tumor | N/A | ||
PX161602_Tumor_Date_Of_Onset_Day | ||||
PX161602013802 | Tumor Date of Onset - Day | N/A | ||
PX161602_Tumor_Date_Of_Onset_Month | ||||
PX161602013801 | Tumor Date of Onset - Month | N/A | ||
PX161602_Tumor_Date_Of_Onset_Year | ||||
PX161602013803 | Tumor Date of Onset - Year | N/A | ||
PX161602_Typhoid_Booster_1_Age | ||||
PX161602210100 | Typhoid Booster 1 Age | N/A | ||
PX161602_Typhoid_Booster_1_Date_Day | ||||
PX161602210202 | Typhoid Booster 1 Date - Day | N/A | ||
PX161602_Typhoid_Booster_1_Date_Month | ||||
PX161602210201 | Typhoid Booster 1 Date - Month | N/A | ||
PX161602_Typhoid_Booster_1_Date_Year | ||||
PX161602210203 | Typhoid Booster 1 Date - Year | N/A | ||
PX161602_Typhoid_Booster_2_Age | ||||
PX161602210300 | Typhoid Booster 2 Age | N/A | ||
PX161602_Typhoid_Booster_2_Date_Day | ||||
PX161602210402 | Typhoid Booster 2 Date - Day | N/A | ||
PX161602_Typhoid_Booster_2_Date_Month | ||||
PX161602210401 | Typhoid Booster 2 Date - Month | N/A | ||
PX161602_Typhoid_Booster_2_Date_Year | ||||
PX161602210403 | Typhoid Booster 2 Date - Year | N/A | ||
PX161602_Typhoid_Booster_3_Age | ||||
PX161602210500 | Typhoid Booster 3 Age | N/A | ||
PX161602_Typhoid_Booster_3_Date_Day | ||||
PX161602210602 | Typhoid Booster 3 Date - Day | N/A | ||
PX161602_Typhoid_Booster_3_Date_Month | ||||
PX161602210601 | Typhoid Booster 3 Date - Month | N/A | ||
PX161602_Typhoid_Booster_3_Date_Year | ||||
PX161602210603 | Typhoid Booster 3 Date - Year | N/A | ||
PX161602_Unconsciousness_Date_Of_Onset_Day | ||||
PX161602013002 | Periods of Unconsciousness Date of Onset - Day | N/A | ||
PX161602_Unconsciousness_Date_Of_Onset_Month | ||||
PX161602013001 | Periods of Unconsciousness Date of Onset - Month | N/A | ||
PX161602_Unconsciousness_Date_Of_Onset_Year | ||||
PX161602013003 | Periods of Unconsciousness Date of Onset - Year | N/A | ||
PX161602_UrinaryTractInfection_Date_Of_Onset_Day | ||||
PX161602014002 | Urinary Tract Infection Date of Onset - Day | N/A | ||
PX161602_UrinaryTractInfection_Date_Of_Onset_Month | ||||
PX161602014001 | Urinary Tract Infection Date of Onset - Month | N/A | ||
PX161602_UrinaryTractInfection_Date_Of_Onset_Year | ||||
PX161602014003 | Urinary Tract Infection Date of Onset - Year | N/A | ||
PX161602_Urinary_Tract_Problems | ||||
PX161602014000 | Urinary Tract Problems | Variable Mapping |
Measure Name
Personal Medical History of Allergies, Infectious Diseases, and Immunizations
Release Date
November 12, 2010
Definition
This measure is a questionnaire to collect information on a participant's personal medical history of allergies, infectious diseases, and immunizations.
Purpose
This measure can be used to establish a respondent's medical history of allergies, selected infectious diseases, and immunizations.
Keywords
Infectious disease, Immunizations, Allergies, personal history, Medical History, American Health Information Management Association, AHIMA, My Personal Health Record, MyPHR, Infectious Diseases and Immunity
Measure Protocols
Protocol ID | Protocol Name |
---|---|
161601 | Personal Medical History of Allergies, Infectious Diseases, and Immunizations - Child |
161602 | Personal History of Allergies, Infectious Diseases, and Immunizations - Adult |
Publications
There are no publications listed for this protocol.