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Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS https://s.details.loinc.org/LOINC/74028-2.html?sections=Comprehensive

 

OBX-3 TextOBX-2 DataTypeOBX-3 Observation Identifier fieldOBX-4 Observation sub-IDOBX-5 (CE)OCCURENCESVMR DATATYPE
Report template IDRP60572-5^ Report template ID^LN<root> 1ENTRY
History of Presenting ComplaintCWE70949-3^History of Presenting Complaint^LN<root>.1 0..1SECTION
Chief ComplaintCWE10154-3^Chief Complaint^LN^33962009^^SCT<root>.1.1 0..1CODEDVALUE
Date of OnsetTS11368-8^Date of Onset^LN^298059007^^SCT<root>.1.2 0..1DATETIME
NotesFT8251-1^Notes^LN<root>.1.3 0..1STRING
History of Past IllnessCWE70949-3^History of Past Illness^LN^417662000^^SCT<root>.2 0..1SECTION
Past Illness†- <root>.2.1.RepeatOf[CLUSTER -- Past Illness] 0..*STRUCTURAL
Past IllnessCWE11349-8^Past Illness^LN^404684003^^SCT<root>.2.1.RepeatOf[CLUSTER -- Past Illness].1 0..1CODEDVALUE
Temporal ContextCWE408731000^Temporal Context^SCT<root>.2.1.RepeatOf[CLUSTER -- Past Illness].2 0..1CODEDVALUE
Illness DatesDR11368-8^Illness Dates^LN<root>.2.1.RepeatOf[CLUSTER -- Past Illness].3 0..1DATERANGE
Notes on IllnessFT8251-1^Notes on Illness^LN<root>.2.1.RepeatOf[CLUSTER -- Past Illness].4 0..1STRING
ProceduresCWE70949-3^Procedures^LN^416940007^^SCT<root>.3 0..1SECTION
Procedure†-71388002^Procedure^SCT<root>.3.1.RepeatOf[CLUSTER -- Procedure] 0..*STRUCTURAL
Procedure PerformedCWE29300-1^Procedure Performed^LN^71388002^^SCT<root>.3.1.RepeatOf[CLUSTER -- Procedure].1 0..1CODEDVALUE
Notes on ProcedureFT8251-1^Notes on Procedure^LN<root>.3.1.RepeatOf[CLUSTER -- Procedure].2 0..1STRING
Family HistoryCWE70949-3^Family History^LN^57177007^^SCT<root>.4 0..1SECTION
Patients Family Tree IDST74027-4^Patients Family Tree ID^LN^422549004^^SCT<root>.4.1 0..1STRING
Natural Father IDST74026-6^Natural Father ID^LN^396278008^^SCT<root>.4.2 0..1STRING
Natural Mother IDST74025-8^Natural Mother ID^LN^396278008^^SCT<root>.4.3 0..1STRING
RelativesCWE70949-3^Relatives^LN^224086007^^SCT<root>.4.4 0..1SECTION
Relative†- <root>.4.4.1.RepeatOf[CLUSTER -- Relative] 0..*STRUCTURAL
Relative NameST54138-3^Relative Name^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].1 0..1STRING
RelationshipCWE44767-2^Relationship^LN^408732007^^SCT<root>.4.4.1.RepeatOf[CLUSTER -- Relative].2 0..1CODEDVALUE
Relative IDST74024-1^Relative ID^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].3 0..1STRING
Natural Father IDST74026-6^Natural Father ID^LN^396278008^^SCT<root>.4.4.1.RepeatOf[CLUSTER -- Relative].4 0..1STRING
Natural Mother IDST74025-8^Natural Mother ID^LN^396278008^^SCT<root>.4.4.1.RepeatOf[CLUSTER -- Relative].5 0..1STRING
deceasedEstimatedAgeST39016-1^deceasedEstimatedAge^LN^420259009^^SCT<root>.4.4.1.RepeatOf[CLUSTER -- Relative].6 0..1REAL
LivingEstimatedAgeST21611-9^LivingEstimatedAge^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].7 0..1REAL
Clinical Genomic ChoiceCWEX0035^Clinical Genomic Choice^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice] 0..*COLLECTION
Clinical ObservationCWE74023-3^Clinical Observation^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].1 1..1CODEDVALUE
Negation IndicatorCWE74022-5^Negation Indicator^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].2 0..1BOOLEAN
Cause of DeathCWE54112-8^Cause of Death^LN^184305005^^SCT<root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].3 0..1BOOLEAN
DataEstimatedAgeST54115-1^DataEstimatedAge^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].4 0..1REAL
Genetic LociST48018-6^Genetic Loci^LN<root>.4.4.1.RepeatOf[CLUSTER -- Relative].8.RepeatOf[CLUSTER -- Clinical Genomic Choice].5.RepeatOf[ELEMENT -- Genetic Loci] 0..*STRING
Genetic RisksCWE70949-3^Genetic Risks^LN^106221001^^SCT<root>.4.5 0..1SECTION
Pedigree Analysis Results †-47708004^Pedigree Analysis Results^SCT<root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results] 0..*STRUCTURAL
Genetic Disease AssessedCWE51967-8^Genetic Disease Assessed^LN<root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].1 0..1CODEDVALUE
Input ParametersCWE70949-3^Input Parameters^LN<root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].2 0..1SECTION
Genetic Algorithm UsedCWE74021-7^Genetic Algorithm Used^LN<root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].2.1 0..1CODEDVALUE
SensitivityNM74020-9^Sensitivity^LN<root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].2.2 0..1PHYSICALQUANTITY
Probability of DiseaseST74019-1^Probability of Disease^LN<root>.4.5.1.RepeatOf[CLUSTER -- Pedigree Analysis Results].3.RepeatOf[ELEMENT -- Probability of Disease] 0..*REAL
Pregnancy HistoryCWE70949-3^Pregnancy History^LN^118185001^^SCT<root>.5 0..1SECTION
GravidaNM11996-6^Gravida^LN^161732006^^SCT<root>.5.1 0..1INTEGER
ParityNM11977-6^Parity^LN^364325004^^SCT<root>.5.2 0..1INTEGER
MiscarriagesNM11614-5^Miscarriages^LN^248989003^^SCT<root>.5.3 0..1INTEGER
TerminationsNM11613-7^Terminations^LN^252114001^^SCT<root>.5.4 0..1INTEGER
Social HistoryCWE70949-3^Social History^LN^160476009^^SCT<root>.6 0..1SECTION
Social SituationFT10166-7^Social Situation^LN^365448001^^SCT<root>.6.1 0..1STRING
Substance UseCWE70949-3^Substance Use^LN^409069009^^SCT<root>.7 0..1SECTION
Smoking HistoryCWE70949-3^Smoking History^LN^365981007^^SCT<root>.7.1 0..1SECTION
Tobacco use and exposureCWE63638-1^Tobacco use and exposure^LN^229819007^^SCT<root>.7.1.1 0..1CODEDVALUE
Tobacco smoking consumptionNM63858-5^Tobacco smoking consumption^LN^266918002^^SCT<root>.7.1.2 0..1PHYSICALQUANTITY
Lifetime IntakeNM74011-8^Lifetime Intake^LN^401201003^^SCT<root>.7.1.3 0..1PHYSICALQUANTITY
Date CeasedDT74010-0^Date Ceased^LN^160625004^^SCT<root>.7.1.4 0..1DATETIME
Alcohol IntakeCWE70949-3^Alcohol Intake^LN^228273003^^SCT<root>.7.2 0..1SECTION
Alcohol IntakeCWE11331-6^Alcohol Intake^LN^160573003^^SCT<root>.7.2.1 0..1CODEDVALUE
Last Drank AlcoholDT74014-2^Last Drank Alcohol^LN^228329000^^SCT<root>.7.2.2 0..1DATETIME
30 day quantity and frequencyCWE70949-3^30 day quantity and frequency^LN<root>.7.2.3 0..1SECTION
Number of days alcohol consumedNM63597-9^Number of days alcohol consumed^LN<root>.7.2.3.1 0..1INTEGER
Standard drinks per day on a drinking day in last 30 daysNM63598-7^Standard drinks per day on a drinking day in last 30 days^LN<root>.7.2.3.2 0..1INTEGER
Average Daily Alcohol IntakeNM74013-4^Average Daily Alcohol Intake^LN^443315005^^SCT<root>.7.2.4 0..1PHYSICALQUANTITY
Maximum Daily Standard DrinksNM63591-2^Maximum Daily Standard Drinks^LN^442547005^^SCT<root>.7.2.5 0..1PHYSICALQUANTITY
Years Alcohol ConsumedNM74012-6^Years Alcohol Consumed^LN^228330005^^SCT<root>.7.2.6 0..1PHYSICALQUANTITY
Alcohol abuse or dependence (eg DSM IV)CWE62551-7^Alcohol abuse or dependence (eg DSM IV)^LN^15167005^^SCT<root>.7.2.7 0..1BOOLEAN
Other substance UseCWE70949-3^Other substance Use^LN^363908000^^SCT<root>.7.3 0..1SECTION
Drug misuse detailsCWE228366006^Drug misuse details^SCT<root>.7.3.1.RepeatOf[ELEMENT -- Drug misuse details] 0..*CODEDVALUE
Exercise HistoryCWE70949-3^Exercise History^LN^266930008^^SCT<root>.8 0..1SECTION
Currently ExercisingCWE74008-4^Currently Exercising^LN^365993003^^SCT<root>.8.1 0..1CODEDVALUE
Exercise TypeCWE55410-5^Exercise Type^LN^61686008^^SCT<root>.8.2 0..1CODEDVALUE
Time Spent ExercisingNM74009-2^Time Spent Exercising^LN^228450008^^SCT<root>.8.3 0..1PHYSICALQUANTITY
VitalsCWE70949-3^Vitals^LN^46680005^^SCT<root>.9 0..1SECTION
Blood PressureCWE55417-0^Blood Pressure^LN^75367002^^SCT<root>.9.1.RepeatOf[CLUSTER -- Blood Pressure] 0..*COLLECTION
Systolic PressureNM8480-6^Systolic Pressure^LN^271649006^^SCT<root>.9.1.RepeatOf[CLUSTER -- Blood Pressure].1 0..1PHYSICALQUANTITY
Diastolic PressureNM8462-4^Diastolic Pressure^LN^271650006^^SCT<root>.9.1.RepeatOf[CLUSTER -- Blood Pressure].2 0..1PHYSICALQUANTITY
Patient PositionCWE8361-8^Patient Position^LN^424724000^^SCT<root>.9.1.RepeatOf[CLUSTER -- Blood Pressure].3 0..1CODEDVALUE
Pulse rateNM8893-0^Pulse rate^LN^78564009^^SCT<root>.9.2.RepeatOf[ELEMENT -- Pulse rate] 0..*PHYSICALQUANTITY
WeightNM29463-7^Weight^LN^27113001^^SCT<root>.9.3.RepeatOf[ELEMENT -- Weight] 0..*PHYSICALQUANTITY
BMINM39156-5^BMI^LN^60621009^^SCT<root>.9.4.RepeatOf[ELEMENT -- BMI] 0..*PHYSICALQUANTITY
Oxygen SaturationNM59408-5^Oxygen Saturation^LN^103228002^^SCT<root>.9.5.RepeatOf[ELEMENT -- Oxygen Saturation] 0..*PHYSICALQUANTITY
HeightNM8302-2^Height^LN^50373000^^SCT<root>.9.6.RepeatOf[ELEMENT -- Height] 0..*PHYSICALQUANTITY
TemperatureNM8310-5^Temperature^LN^386725007^^SCT<root>.9.7.RepeatOf[ELEMENT -- Temperature] 0..*PHYSICALQUANTITY
Respiratory rateNM9279-1^Respiratory rate^LN^86290005^^SCT<root>.9.8.RepeatOf[ELEMENT -- Respiratory rate] 0..*PHYSICALQUANTITY
AlertsCWE70949-3^Alerts^LN<root>.10 0..1SECTION
Alert - <root>.10.1.RepeatOf[CLUSTER -- Alert] 0..*STRUCTURAL
Alert TypeCWE74018-3^Alert Type^LN<root>.10.1.RepeatOf[CLUSTER -- Alert].1 0..1CODEDVALUE
ActiveCWE74017-5^Active^LN<root>.10.1.RepeatOf[CLUSTER -- Alert].2 0..1BOOLEAN
Specific AlertCWE44944-7^Specific Alert^LN<root>.10.1.RepeatOf[CLUSTER -- Alert].3 0..1CODEDVALUE
Reported byCWE48766-0^Reported by^LN<root>.10.1.RepeatOf[CLUSTER -- Alert].4 0..1CODEDVALUE
Recorded dateDT74015-9^Recorded date^LN<root>.10.1.RepeatOf[CLUSTER -- Alert].5 0..1DATETIME

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