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Report section
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Chief complaint Reported
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Illness or injury onset date and time
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Service Cmnt-Imp
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Report section
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Hx of Past illness
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Illness or injury onset date and time
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Service Cmnt-Imp
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Report section
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Procedure type
E
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Service Cmnt-Imp
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Report section
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Family pedigree ID
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Father ID
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Mother ID
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Report section
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Name:Pn:Pt:^Family member:Nom:
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Relationship of subject to patient
E
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Family member ID
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Father ID
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Mother ID
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Age @ Death Time Patient
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a
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Genetic diseases hx Pnl Fam Mem VMR-CDS
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Report section
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Gene dis assessed
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E
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Report section
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Genetic algorithm
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Genetic algorithm sensitivity
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f
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%
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Probability of disease
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%
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Report section
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Pregnancies
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{#}
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Parity
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{#}
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Abortions.spontaneous
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{#}
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Abortions.induced
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{#}
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Report section
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Hx of Social function
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Report section
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Report section
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Smoking status FTND
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Cigarettes per D PhenX
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/d
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Lifetime tobacco use nRate
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/a
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Date quit smoking
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{mm/dd/yyyy}
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Report section
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Hx of Alcohol use
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Last drank alcohol
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{mm/dd/yyyy}
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Report section
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Alcohol 30D freq PhenX
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d/(30.d)
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Alcohol 30D quantity PhenX
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Alcohol drinks per D
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/d
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Alcohol max drinks 1D nRate AUDADIS-IV
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/d
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Y alcohol consumed Time
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a
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Alcohol use disorder
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Report section
?
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Report section
?
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Exercise intensity
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Exercise category
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Exercise duration/freq
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/wk
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Report section
?
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Short BP Pnl
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BP sys
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mm[Hg]
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BP dias
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mm[Hg]
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Bdy position with respect to gravity
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Heart rate Periph a Palpation
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{beats}/min
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Weight
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BMI
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kg/m2
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SaO2 % BldA PulseOx
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%
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Body height
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Body temperature
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Cel
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Resp rate
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Report section
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Alert category
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Alert status
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Other alert
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E
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Date recorded
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{mm/dd/yyyy}
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BP sys
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mm[Hg]
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Disease of interest Fam Mem
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BP dias
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mm[Hg]
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Neg hx for disease Fam Mem
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BP method
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Disease was COD Fam Mem
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BP measurement site
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Age Time Patient Est
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a
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BP device Cuff size
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cm
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Gene studied ID
?
E
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Bdy position with respect to gravity
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Heart rate
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