Data dictionary › Encounter forms & clinical notes

EMR_ENCOUNTERS_MEDICAL_ASSESSMENT

Single Population

File
data/EMR_ENCOUNTERS_MEDICAL_ASSESSMENT.csv
Category
patient
Primary key
ENCOUNTER_ID
Columns
148

01Relates to the patient

ENCOUNTER_ID matches EMR_ENCOUNTERS.ENCOUNTER_ID on a row of EMR_ENCOUNTERS that relates to the patient

Single-patient export: the patient's rows.

02References

03Columns

#ColumnTypeSource typeNullNotes
1ENCOUNTER_ID PKintegerintno
2TEMPstringvarchar(10)yes
3PULSEstringvarchar(10)yes
4RESstringvarchar(10)yes
5BPstringvarchar(10)yes
6HEIGHTstringvarchar(10)yes
7WEIGHTstringvarchar(10)yes
8EYE_COLORstringvarchar(10)yes
9HAIR_COLORstringvarchar(10)yes
10VISIONstringvarchar(10)yes
11GLASSES_CONTACTstringvarchar(20)yes
12HEARINGstringvarchar(20)yes
13BRUISESstringvarchar(20)yes
14LACERATIONSstringvarchar(20)yes
15RASHESstringvarchar(20)yes
16PHAYSICAL_ABNORMALITYstringvarchar(30)yes
17MOBILITY_AMBULATIONstringvarchar(30)yes
18CURRENT_MEDICATIONstringvarchar(max)yes
19ADVANCED_DIRECTIVESstringvarchar(3)yes
20SIGNIFICANT_ILLNESS_HISTORYstringvarchar(max)yes
21SURGICAL_HISTORYstringvarchar(max)yes
22COMMUNICALBE_DISEASE_HISTORYstringvarchar(max)yes
23ALLERGY_FUNCTIONstringvarchar(max)yes
24BLADDER_FUNCTIONstringvarchar(30)yes
25BOWEL_FUNCTIONstringvarchar(30)yes
26SMOKESstringvarchar(3)yes
27SMOKE_AMOUNTstringvarchar(50)yes
28LAST_MENSTRUAL_PERIODstringvarchar(60)yes
29FIFTEEN_POUND_LOSSstringvarchar(3)yes
30DIETARY_RESTRICTIONSstringvarchar(max)yes
31FOODL_ALLERGIESstringvarchar(max)yes
32DENTITIONstringvarchar(max)yes
33SPECIAL_NEEDSstringvarchar(max)yes
34DATE_OF_LAST_TBdatetimedatetimeyes
35TB_RESULTstringvarchar(50)yes
36DATE_OF_LAST_TETANUSdatetimedatetimeyes
37HOUS_OF_NOCstringvarchar(10)yes
38USUAL_HOURS_OF_SLEEPstringvarchar(10)yes
39SLEEP_DISTRUBANCESstringvarchar(max)yes
40OTC_OR_RX_SLEEP_AIDSstringvarchar(max)yes
41DATE_OF_LAST_DRINKdatetimedatetimeyes
42TREMORSstringvarchar(3)yes
43FLUSHEDstringvarchar(3)yes
44VAUSEA_VOMITINGstringvarchar(3)yes
45ANXIOUSstringvarchar(3)yes
46DIAPHORESISstringvarchar(3)yes
47DATE_OF_MOST_RECENT_DRUGdatetimedatetimeyes
48DESCRIBE_DRUGstringvarchar(max)yes
49IV_DRUG_USEstringvarchar(3)yes
50SEIZURE_HISTORYstringvarchar(3)yes
51ALCOHOL_RELATEDstringvarchar(3)yes
52LAST_SEIZUREstringvarchar(30)yes
53TYPEstringvarchar(30)yes
54ONSETstringvarchar(30)yes
55PATTERNstringvarchar(max)yes
56PRECIPITATING_FACTORSstringvarchar(max)yes
57TENDENCY_FOR_INJURYstringvarchar(max)yes
58AURAstringvarchar(max)yes
59MEDICATIONSstringvarchar(max)yes
60MOODstringvarchar(40)yes
61AFFECTstringvarchar(40)yes
62ORIENTEDstringvarchar(3)yes
63CONCENTRATIONstringvarchar(4)yes
64MEMORYstringvarchar(4)yes
65ATTENSION_SPANstringvarchar(4)yes
66LEARNING_DIFFICULTIESstringvarchar(3)yes
67PSYCHIATRIC_HISTORYstringvarchar(3)yes
68SUICIDE_HISTORYstringvarchar(3)yes
69HISTORY_OF_VIOLENCEstringvarchar(3)yes
70COMMENT_MOODstringvarchar(max)yes
71COMMENT_AFFECTstringvarchar(max)yes
72COMMENT_ORIENTEDstringvarchar(max)yes
73COMMENT_CONCENTRATIONstringvarchar(max)yes
74COMMENT_MEMORYstringvarchar(max)yes
75COMMENT_ATTENTION_SPANstringvarchar(max)yes
76COMMENT_LEARNING_DIFFICULTIESstringvarchar(max)yes
77COMMENT_PSYCHIATRIC_HISTORYstringvarchar(max)yes
78COMMENT_SUICIDE_HISTORYstringvarchar(max)yes
79COMMENT_HISTORY_OF_VIOLENCEstringvarchar(max)yes
80GENERAL_HEALTHstringvarchar(max)yes
81HEALTH_CONCERNS_PROBLEMSstringvarchar(max)yes
82IS_IN_NEED_MEDICAL_HISTORYbooleanbityes
83IS_NOT_IN_NEED_OF_MEDICALbooleanbityes
84OBTAIN_HISTORY_FROMstringvarchar(max)yes
85REFERRAL_DATE_TIMEstringvarchar(max)yes
86DESC1stringvarchar(70)yes
87DESC2stringvarchar(70)yes
88AXIS1_1stringvarchar(9)yes
89AXIS1_2stringvarchar(9)yes
90NONEbooleanbityes
91ONEbooleanbityes
92TWObooleanbityes
93THREEbooleanbityes
94MORE_THAN_TRHEEbooleanbityes
95HAD_SEX_WHILE_HIGHstringvarchar(5)yes
96HAD_SEX_TO_GET_stringvarchar(5)yes
97PAID_FOR_SEX_stringvarchar(5)yes
98HAD_SEX_WITH_AN_stringvarchar(5)yes
99HAD_UNPROTECTED_SEXstringvarchar(5)yes
100WHO_HAS_HIVstringvarchar(5)yes
101WHOSE_HIV_STATUSstringvarchar(5)yes
102HAD_SEX_AGAINST_YOUR_WILLstringvarchar(5)yes
103DO_YOU_USE_CONDOMSstringvarchar(5)yes
104NEWstringvarchar(5)yes
105BLEACHEDstringvarchar(5)yes
106SHARED_SOMEONE_stringvarchar(5)yes
107SHAREDstringvarchar(5)yes
108REUSED_stringvarchar(5)yes
109ORIGIN_UNKNOWNstringvarchar(5)yes
110NEW1stringvarchar(5)yes
111BLEACHED1stringvarchar(5)yes
112HAVE_YOU_EVER_HAD_A_TB_TESTstringvarchar(5)yes
113DATEdatetimedatetimeyes
114RESULTSstringvarchar(10)yes
115RESULTS_OF_YOUR_LAST_CHEST_XRAYstringvarchar(50)yes
116HAVE_YOU_EVER_BEEN_TESTED_FOR_HEPstringvarchar(4)yes
117IF_YES_WHAT_WAS_THE_OUTCOMEstringvarchar(20)yes
118IF_POSITIVEstringvarchar(6)yes
119HAVE_YOU_EVER_BEEN_GIVENstringvarchar(6)yes
120HAVE_YOU_EVER_BEEN_TESTED_FOR_HIVstringvarchar(6)yes
121IF_YES_DATE_OF_LAST_TESTstringvarchar(20)yes
122RESULTS1stringvarchar(20)yes
123NO_PHYSICAL_EXAM_WITHIN_THE_PAST_12_MONTHSbooleanbityes
124HAVE_A_PHYSICAL_EXAMbooleanbityes
125HAVE_A_FACE_TO_FACEbooleanbityes
126BE_REFERREDbooleanbityes
127PHYSICAL_EXAM_WITHIN_THE_PASTbooleanbityes
128CLINICAL_OR_MEDICALbooleanbityes
129MEDICAL_STAFF_MEMBERbooleanbityes
130WAS_LAST_PHYSICALstringvarchar(4)yes
131IF_YES_DOCUMENT_REFERRAL_BELOWstringvarchar(max)yes
132INDIVIDUALbooleanbityes
133INDIVIDUAL_DOESbooleanbityes
134DATEDstringvarchar(12)yes
135NARCAN_TRAINING_OFFEREDstringvarchar(8)yes
136NARCAN_KIT_OFFEREDstringvarchar(8)yes
137NARCAN_KIT_OFFERED_TEXTstringvarchar(max)yes
138NURSING_HEALTH_ASSESSMENT_RECOMMENDATIONS_CONCERNSstringvarchar(max)yes
139MEDICATION_1stringvarchar(100)yes
140MEDICATION_2stringvarchar(100)yes
141MEDICATION_3stringvarchar(100)yes
142MEDICATION_4stringvarchar(100)yes
143MEDICATION_5stringvarchar(100)yes
144DOSAGE_1stringvarchar(20)yes
145DOSAGE_2stringvarchar(20)yes
146DOSAGE_3stringvarchar(20)yes
147DOSAGE_4stringvarchar(20)yes
148DOSAGE_5stringvarchar(20)yes