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Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)
SECTION 5 - ED HISTORY AND PHYSICAL EXAMINATION DATA
5.01 DATE/TIME OF FIRST
5.02 DATE/TIME OF ILLNESS OR INJURY ONSET
5.03 INJURY INCIDENT DESCRIPTION
5.04 CODED CAUSE OF INJURY
5.05 INJURY INCIDENT LOCATION TYPE
5.06 INJURY ACTIVITY
5.07 INJURY INTENT
5.08 SAFETY EQUIPMENT USE
5.09 CURRENT THERAPEUTIC MEDICATION
5.10 CURRENT THERAPEUTIC
5.11 CURRENT THERAPEUTIC MEDICATION DOSE UNITS
5.12 CURRENT THERAPEUTIC MEDICATION SCHEDULE
5.13 CURRENT THERAPEUTIC MEDICATION ROUTE
5.14 ED CLINICAL FINDING TYPE
5.15 ED CLINICAL FINDING
5.16 DATE/TIME ED CLINICAL FINDING OBTAINED
5.17 ED CLINICAL FINDING PRACTITIONER ID
5.18 ED CLINICAL FINDING PRACTITIONER TYPE
5.19 ED CLINICAL FINDING DATA SOURCE