Purpose: Provides information related a patient’s relevant past medical history.
- PATIENT on
Providing detailed Past History is not common, but items such as AIDS, Cirrhosis of the Liver, Hepatic Failure, Chronic Renal Failure, Transplant, and Pre-existing Cancers / immunosuppression are more reliable because of their importance in severity outcome scoring.
|Name||Datatype||Null Option||Comment||Is Key||Stored Transformed Created|
||int||IDENTITY||surrogate key for the past history item||PK||C|
||int||NOT NULL||foreign key link to the patient table||FK||C|
||int||NOT NULL||number of minutes from unit admit time for the past history item||C|
||int||NOT NULL||number of minutes from unit admit time that the past history item was entered||C|
||varchar(20)||NULL||note type for the past history item e.g.: Admission, Initial Consultation/Other, Re-Admission, etc.||S|
||varchar(255)||NOT NULL||the root path of the past history item e.g.: notes/Progress Notes/Past History/Organ Systems/Hematology/Oncology (A)/Cancer Therapy/Chemotherapy/Cis-platinum, etc.||S|
||varchar(100)||NULL||Structured picklist of available past history items e.g.: Performed, hypercoagulable condition, COPD - no limitations, etc.||S|
||varchar(255)||NULL||the picklist value of the past history item e.g.: COPD - Moderate, CHF, Medication dependent, etc.||S|
Data include Past History date/time (as offset), note type, root path (e.g. notes/Progress Notes/Past History/Organ Systems/Hematology/Oncology (A)/Cancer Therapy/Chemotherapy/Cis-platinum, etc.), picklist values (e.g. Performed, Not Performed, Not Obtainable, No Health Problems, etc.) and text (e.g. COPD - Moderate, CHF, Medication dependent). Data entry fields are organized by the following organ systems: • Neurologic • Cardiovascular • Pulmonary • Gastrointestinal • Infectious Disease • Hematology/Oncology • Endocrine • Rheumatic