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Patient Data |
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Concept |
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Identification |
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Concept |
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National Health Care patient ID (country of affiliation) |
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Other Identifier |
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Personal Information |
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Concept |
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Full Name |
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Concept |
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Given name |
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Family Name/Surname |
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Prefix |
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Suffix |
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Date of Birth |
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Gender |
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Clinical Data |
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Concept |
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Medical Problems |
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Concept |
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Problem/Diagnosis |
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Concept |
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Problem/diagnosis Description |
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Problem/diagnosis Id (Code) |
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Problem Status |
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Problem Severity |
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Onset Time |
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Disability or function |
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Concept |
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Invalidity description |
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Onset time |
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Medication |
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Concept |
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Physical Findings |
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Concept |
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Vital Signs Observations |
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Concept |
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Blood Pressure |
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Concept |
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Systolic Blood Pressure |
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Diastolic Blood Pressure |
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Date when blood pressure was measured |
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Diagnostic Tests |
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Concept |
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Blood Group |
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Concept |
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Result of Blood Group |
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Date |
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Vaccination |
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Concept |
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Vaccine brand name |
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Vaccine description |
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Vaccine code |
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Vaccination date |
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Allergy |
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Concept |
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Allergy description |
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Allergy code |
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Allergy Severity |
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Onset Date |
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Agent description |
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Agent Code |
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Pregnancy History |
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Concept |
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Expected date of delivery |
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Social History |
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Concept |
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Social History Observations |
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Concept |
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Social History Observations related to: smoke, alcohol and diet |
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Date range of observation |
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