DataMart R4 Template This file contains the metadata, events, and data for REDCap project "DataMart R4 Template". DataMart R4 Template 1 ([last_name], [first_name] - [dob]) mrn 1 1 0 0 1 0 0 1 0 2 0 0 ALL Study ID Vitals and Labs date filter (ignored if blank): temporal data for this record will be fetched only if obtained in this date range. Start date End date Data-fetching date range (ignored if blank): the fetching process will be ignored if triggered on a date outside this range. Fetch start date Fetch end date Complete? FHIR ID Medical record number First Name Last Name Sex Legal sex Sex for clinical use Ethnicity Race Date of birth Address (city) Address (district/county) Address (country) Address (postal code) Address (state) Address (street) Phone number (home) Phone number (mobile) Email address Secondary email address Tertiary email address Preferred language Is deceased Date/time of death (if deceased) General practitioner Managing organization Complete? FHIR ID Vital sign label Vital sign LOINC code Vital sign date/time Vital sign value Vital sign unit Complete? FHIR ID Lab label Lab LOINC code Lab date/time Lab value Lab unit Complete? FHIR ID Social history label Social history LOINC code Social history date/time Social history value Social history Unit Complete? FHIR ID Core characteristic label Core characteristic LOINC code Core characteristic date/time Core characteristic value Core characteristic Unit Complete? FHIR ID Medication label Medication date written Medication dosage instruction Medication status Medication RxNorm display Medication RxNorm code Complete? FHIR ID Problem recorded date Problem clinical status Problem ICD-10-CM display Problem ICD-10-CM code Problem ICD-9-CM display Problem ICD-9-CM code Problem SNOMED CT display Problem SNOMED CT code Complete? FHIR ID Recorded Date Clinical Status Label Body Site Recorder Recorder Type Encounter Reference Encounter Label Problem ICD-10-CM display Problem ICD-10-CM code Problem ICD-9-CM display Problem ICD-9-CM code Problem SNOMED CT display Problem SNOMED CT code Complete? FHIR ID Problem recorded date Problem clinical status Label Problem ICD-10-CM display Problem ICD-10-CM code Problem ICD-9-CM display Problem ICD-9-CM code Problem SNOMED CT display Problem SNOMED CT code Complete? FHIR ID Problem recorded date Problem clinical status Label Problem ICD-10-CM display Problem ICD-10-CM code Problem ICD-9-CM display Problem ICD-9-CM code Problem SNOMED CT display Problem SNOMED CT code Complete? FHIR ID Problem recorded date Problem clinical status Label Problem ICD-10-CM display Problem ICD-10-CM code Problem ICD-9-CM display Problem ICD-9-CM code Problem SNOMED CT display Problem SNOMED CT code Complete? FHIR ID Problem recorded date Problem clinical status Label Recorder Recorder Type Encounter Reference Encounter Label Problem ICD-10-CM display Problem ICD-10-CM code Problem ICD-9-CM display Problem ICD-9-CM code Problem SNOMED CT display Problem SNOMED CT code Complete? FHIR ID Allergy recorded date Allergy NDF-RT display Allergy NDF-RT code Allergy FDA UNII display Allergy FDA UNI code Allergy SNOMED CT display Allergy SNOMED CT code Allergy RxNorm display Allergy RxNorm code Complete? FHIR ID Type Reason Class Status Location Period Start Period End Complete? FHIR ID Label Status Timestamp CVX Code Complete? Actuality Event Causality Seriousness Severity Outcome Studies Timestamp Complete? Status Category Procedure encounter reference Reason Performed date and time Procedure Note Code Procedure CPT Display Procedure CPT Code Complete? FHIR ID Diagnosis encounter reference Diagnosis ICD-10-CM display Diagnosis ICD-10-CM code Diagnosis ICD-9-CM display Diagnosis ICD-9-CM code Diagnosis SNOMED CT display Diagnosis SNOMED CT code Diagnosis note Complete? FHIR ID Status Created Start End Duration (minutes) Description Cancellation Date Cancellation Reason Appointment Type Service Type Practitioner Location Patient Instruction Note (time) Note Complete? FHIR ID Status Created Start End Duration (minutes) Description Cancellation Date Cancellation Reason Appointment Type Service Type Practitioner Location Patient Instruction Note (time) Note Status Created Start End Duration (minutes) Description Cancellation Date Cancellation Reason Note (time) Note Complete? FHIR ID Device Name Type Model Number Site Permanence Laterality Radioactive Note (time) Note Complete? FHIR ID Status Network Period (start) Period (end) Coverage Filing Order Plan Name Payor Type Cost to beneficiary Complete? Type Date Department Author Type Author Attachments HTML Complete? Incomplete Unverified Complete Female Male Unknown Hispanic or Latino Not Hispanic or Latino Spaniard Mexican Central American South American Latin American Puerto Rican Cuban Dominican Andalusian Asturian Castillian Catalonian Belearic Islander Gallego Valencian Canarian Spanish Basque Mexican American Mexicano Chicano La Raza Mexican American Indian Costa Rican Guatemalan Honduran Nicaraguan Panamanian Salvadoran Central American Indian Canal Zone Argentinean Bolivian Chilean Colombian Ecuadorian Paraguayan Peruvian Uruguayan Venezuelan South American Indian Criollo Unknown American Indian/Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White American Indian Alaska Native Abenaki Algonquian Apache Arapaho Arikara Assiniboine Assiniboine Sioux Bannock Blackfeet Brotherton Burt Lake Band Caddo Cahuilla California Tribes Canadian and Latin American Indian Catawba Cayuse Chehalis Chemakuan Chemehuevi Cherokee Cherokee Shawnee Cheyenne Cheyenne-Arapaho Chickahominy Chickasaw Chinook Chippewa Chippewa Cree Chitimacha Choctaw Chumash Clear Lake Coeur D'Alene Coharie Colorado River Colville Comanche Coos, Lower Umpqua, Siuslaw Coos Coquilles Costanoan Coushatta Cowlitz Cree Creek Croatan Crow Cupeno Delaware Diegueno Eastern Tribes Esselen Fort Belknap Fort Berthold Fort Mcdowell Fort Hall Gabrieleno Grand Ronde Gros Ventres Haliwa Hidatsa Hoopa Hoopa Extension Houma Inaja-Cosmit Iowa Iroquois Juaneno Kalispel Karuk Kaw Kickapoo Kiowa Klallam Klamath Konkow Kootenai Lassik Long Island Luiseno Lumbee Lummi Maidu Makah Maliseet Mandan Mattaponi Menominee Miami Miccosukee Micmac Mission Indians Miwok Modoc Mohegan Mono Nanticoke Narragansett Navajo Nez Perce Nomalaki Northwest Tribes Omaha Oregon Athabaskan Osage Otoe-Missouria Ottawa Paiute Pamunkey Passamaquoddy Pawnee Penobscot Peoria Pequot Pima Piscataway Pit River Pomo Ponca Potawatomi Powhatan Pueblo Puget Sound Salish Quapaw Quinault Rappahannock Reno-Sparks Round Valley Sac and Fox Salinan Salish Salish and Kootenai Schaghticoke Scott Valley Seminole Serrano Shasta Shawnee Shinnecock Shoalwater Bay Shoshone Shoshone Paiute Siletz Sioux Siuslaw Spokane Stewart Stockbridge Susanville Tohono O'Odham Tolowa Tonkawa Tygh Umatilla Umpqua Ute Wailaki Walla-Walla Wampanoag Warm Springs Wascopum Washoe Wichita Wind River Winnebago Winnemucca Wintun Wiyot Yakama Yakama Cowlitz Yaqui Yavapai Apache Yokuts Yuchi Yuman Yurok Chiricahua Fort Sill Apache Jicarilla Apache Lipan Apache Mescalero Apache Oklahoma Apache Payson Apache San Carlos Apache White Mountain Apache Northern Arapaho Southern Arapaho Wind River Arapaho Fort Peck Assiniboine Sioux Oklahoma Cado Agua Caliente Cahuilla Augustine Cabazon Los Coyotes Morongo Santa Rosa Cahuilla Torres-Martinez Cahto Chimariko Coast Miwok Digger Kawaiisu Kern River Mattole Red Wood Santa Rosa Takelma Wappo Yana Yuki Canadian Indian Central American Indian French American Indian Mexican American Indian South American Indian Spanish American Indian Hoh Quileute Cherokee Alabama Cherokees of Northeast Alabama Cherokees of Southeast Alabama Eastern Cherokee Echota Cherokee Etowah Cherokee Northern Cherokee Tuscola United Keetowah Band of Cherokee Western Cherokee Northern Cheyenne Southern Cheyenne Eastern Chickahominy Western Chickahominy Clatsop Columbia River Chinook Kathlamet Upper Chinook Wakiakum Chinook Willapa Chinook Wishram Bad River Bay Mills Chippewa Bois Forte Burt Lake Chippewa Fond du Lac Grand Portage Grand Traverse Band of Ottawa/Chippewa Keweenaw Lac Courte Oreilles Lac du Flambeau Lac Vieux Desert Chippewa Lake Superior Leech Lake Little Shell Chippewa Mille Lacs Minnesota Chippewa Ontonagon Red Cliff Chippewa Red Lake Chippewa Saginaw Chippewa St. Croix Chippewa Sault Ste. Marie Chippewa Sokoagon Chippewa Turtle Mountain White Earth Rocky Boy's Chippewa Cree Clifton Choctaw Jena Choctaw Mississippi Choctaw Mowa Band of Choctaw Oklahoma Choctaw Santa Ynez Oklahoma Comanche Alabama Coushatta Alabama Creek Alabama Quassarte Eastern Creek Eastern Muscogee Kialegee Lower Muscogee Machis Lower Creek Indian Poarch Band Principal Creek Indian Nation Star Clan of Muscogee Creeks Thlopthlocco Tuckabachee Agua Caliente Eastern Delaware Lenni-Lenape Munsee Oklahoma Delaware Rampough Mountain Sand Hill Campo Capitan Grande Cuyapaipe La Posta Manzanita Mesa Grande San Pasqual Santa Ysabel Sycuan Attacapa Biloxi Georgetown (Eastern Tribes) Moor Nansemond Natchez Nausu Waiwash Nipmuc Paugussett Pocomoke Acohonock Southeastern Indians Susquehanock Tunica Biloxi Waccamaw-Siousan Wicomico Atsina Trinity Whilkut Iowa of Kansas-Nebraska Iowa of Oklahoma Cayuga Mohawk Oneida Onondaga Seneca Seneca Nation Seneca-Cayuga Tonawanda Seneca Tuscarora Wyandotte Oklahoma Kickapoo Texas Kickapoo Oklahoma Kiowa Jamestown Lower Elwha Port Gamble Klallam Matinecock Montauk Poospatuck Setauket La Jolla Pala Pauma Pechanga Soboba Twenty-Nine Palms Temecula Mountain Maidu Nishinam Illinois Miami Indiana Miami Oklahoma Miami Aroostook Alamo Navajo Canoncito Navajo Ramah Navajo Alsea Celilo Columbia Kalapuya Molala Talakamish Tenino Tillamook Wenatchee Yahooskin Burt Lake Ottawa Michigan Ottawa Oklahoma Ottawa Bishop Bridgeport Burns Paiute Cedarville Fort Bidwell Fort Independence Kaibab Las Vegas Lone Pine Lovelock Malheur Paiute Moapa Northern Paiute Owens Valley Pyramid Lake San Juan Southern Paiute Southern Paiute Summit Lake Utu Utu Gwaitu Paiute Walker River Yerington Paiute Indian Township Pleasant Point Passamaquoddy Oklahoma Pawnee Oklahoma Peoria Marshantucket Pequot Gila River Pima-Maricopa Salt River Pima-Maricopa Central Pomo Dry Creek Eastern Pomo Kashia Northern Pomo Scotts Valley Stonyford Sulphur Bank Nebraska Ponca Oklahoma Ponca Citizen Band Potawatomi Forest County Hannahville Huron Potawatomi Pokagon Potawatomi Prairie Band Wisconsin Potawatomi Acoma Arizona Tewa Cochiti Hopi Isleta Jemez Keres Laguna Nambe Picuris Piro Pojoaque San Felipe San Ildefonso San Juan Pueblo San Juan De San Juan Sandia Santa Ana Santa Clara Santo Domingo Taos Tesuque Tewa Tigua Zia Zuni Duwamish Kikiallus Lower Skagit Muckleshoot Nisqually Nooksack Port Madison Puyallup Samish Sauk-Suiattle Skokomish Skykomish Snohomish Snoqualmie Squaxin Island Steilacoom Stillaguamish Suquamish Swinomish Tulalip Upper Skagit Iowa Sac and Fox Missouri Sac and Fox Oklahoma Sac and Fox Big Cypress Brighton Florida Seminole Hollywood Seminole Oklahoma Seminole San Manual Absentee Shawnee Eastern Shawnee Battle Mountain Duckwater Elko Ely Goshute Panamint Ruby Valley Skull Valley South Fork Shoshone Te-Moak Western Shoshone Timbi-Sha Shoshone Washakie Wind River Shoshone Yomba Duck Valley Fallon Fort McDermitt Blackfoot Sioux Brule Sioux Cheyenne River Sioux Crow Creek Sioux Dakota Sioux Flandreau Santee Fort Peck Lake Traverse Sioux Lower Brule Sioux Lower Sioux Mdewakanton Sioux Miniconjou Oglala Sioux Pine Ridge Sioux Pipestone Sioux Prairie Island Sioux Prior Lake Sioux Rosebud Sioux Sans Arc Sioux Santee Sioux Sisseton-Wahpeton Sisseton Sioux Spirit Lake Sioux Standing Rock Sioux Teton Sioux Two Kettle Sioux Upper Sioux Wahpekute Sioux Wahpeton Sioux Wazhaza Sioux Yankton Sioux Yanktonai Sioux Ak-Chin Gila Bend San Xavier Sells Cow Creek Umpqua Allen Canyon Uintah Ute Ute Mountain Ute Gay Head Wampanoag Mashpee Wampanoag Alpine Carson Dresslerville Ho-chunk Nebraska Winnebago Table Bluff Barrio Libre Pascua Yaqui Chukchansi Tachi Tule River Cocopah Havasupai Hualapai Maricopa Mohave Quechan Yavapai Coast Yurok Alaska Indian Eskimo Aleut Alaskan Athabascan Southeast Alaska Ahtna Alatna Alexander Allakaket Alanvik Anvik Arctic Beaver Birch Creek Cantwell Chalkyitsik Chickaloon Chistochina Chitina Circle Cook Inlet Copper Center Copper River Dot Lake Doyon Eagle Eklutna Evansville Fort Yukon Gakona Galena Grayling Gulkana Healy Lake Holy Cross Hughes Huslia Iliamna Kaltag Kluti Kaah Knik Koyukuk Lake Minchumina Lime Mcgrath Manley Hot Springs Mentasta Lake Minto Nenana Nikolai Ninilchik Nondalton Northway Nulato Pedro Bay Rampart Ruby Salamatof Seldovia Slana Shageluk Stevens Stony River Takotna Tanacross Tanaina Tanana Tanana Chiefs Tazlina Telida Tetlin Tok Tyonek Venetie Wiseman Tlingit-Haida Tsimshian Angoon Central Council of Tlingit and Haida Tribes Chilkat Chilkoot Craig Douglas Haida Hoonah Hydaburg Kake Kasaan Kenaitze Ketchikan Klawock Pelican Petersburg Saxman Sitka Tenakee Springs Tlingit Wrangell Yakutat Metlakatla Greenland Eskimo Inupiat Eskimo Siberian Eskimo Yupik Eskimo Ambler Anaktuvuk Anaktuvuk Pass Arctic Slope Inupiat Arctic Slope Corporation Atqasuk Barrow Bering Straits Inupiat Brevig Mission Buckland Chinik Council Deering Elim Golovin Inalik Diomede Inupiaq Kaktovik Kawerak Kiana Kivalina Kobuk Kotzebue Koyuk Kwiguk Mauneluk Inupiat Nana Inupiat Noatak Nome Noorvik Nuiqsut Point Hope Point Lay Selawik Shaktoolik Shishmaref Shungnak Solomon Teller Unalakleet Wainwright Wales White Mountain White Mountain Inupiat Mary's Igloo Gambell Savoonga Siberian Yupik Akiachak Akiak Alakanuk Aleknagik Andreafsky Aniak Atmautluak Bethel Bill Moore's Slough Bristol Bay Yupik Calista Yupik Chefornak Chevak Chuathbaluk Clark's Point Crooked Creek Dillingham Eek Ekuk Ekwok Emmonak Goodnews Bay Hooper Bay Iqurmuit (Russian Mission) Kalskag Kasigluk Kipnuk Koliganek Kongiganak Kotlik Kwethluk Kwigillingok Levelock Lower Kalskag Manokotak Marshall Mekoryuk Mountain Village Naknek Napaumute Napakiak Napaskiak Newhalen New Stuyahok Newtok Nightmute Nunapitchukv Oscarville Pilot Station Pitkas Point Platinum Portage Creek Quinhagak Red Devil St. Michael Scammon Bay Sheldon's Point Sleetmute Stebbins Togiak Toksook Tulukskak Tuntutuliak Tununak Twin Hills Georgetown (Yupik-Eskimo) St. Mary's Umkumiate Alutiiq Aleut Bristol Bay Aleut Chugach Aleut Eyak Koniag Aleut Sugpiaq Suqpigaq Unangan Aleut Tatitlek Ugashik Chignik Chignik Lake Egegik Igiugig Ivanof Bay King Salmon Kokhanok Perryville Pilot Point Port Heiden Chenega Chugach Corporation English Bay Port Graham Akhiok Agdaagux Karluk Kodiak Larsen Bay Old Harbor Ouzinkie Port Lions Akutan Aleut Corporation Aleutian Aleutian Islander Atka Belkofski Chignik Lagoon King Cove False Pass Nelson Lagoon Nikolski Pauloff Harbor Qagan Toyagungin Qawalangin St. George St. Paul Sand Point South Naknek Unalaska Unga Asian Indian Bangladeshi Bhutanese Burmese Cambodian Chinese Taiwanese Filipino Hmong Indonesian Japanese Korean Laotian Malaysian Okinawan Pakistani Sri Lankan Thai Vietnamese Iwo Jiman Maldivian Nepalese Singaporean Madagascar Black African American African Bahamian Barbadian Dominican Dominica Islander Haitian Jamaican Tobagoan Trinidadian West Indian Botswanan Ethiopian Liberian Namibian Nigerian Zairean Polynesian Micronesian Melanesian Other Pacific Islander Native Hawaiian Samoan Tahitian Tongan Tokelauan Guamanian or Chamorro Guamanian Chamorro Mariana Islander Marshallese Palauan Carolinian Kosraean Pohnpeian Saipanese Kiribati Chuukese Yapese Fijian Papua New Guinean Solomon Islander New Hebrides European Middle Eastern or North African Arab Armenian English French German Irish Italian Polish Scottish Assyrian Egyptian Iranian Iraqi Lebanese Palestinian Syrian Afghanistani Israeili Other Race Unknown Yes No Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete active completed on-hold stopped Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified Complete Incomplete Unverified 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