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Basic patient data
Full name
Country code(s)
Blood group and type
Allergen
Marital status
Mother language
Insured
Emergency contact—name, relationship to individual and contact information
Passport/ID number
Language
Body weight and height
Occupation
Spouse name
Religion
Employer name
Present medication
Medication name
Prescription period (from—to)
Medication (ATC code)
Frequency
Medical history
Diagnosis (ICD-10 preferred or ICD-9 moving to SNOMED when and if available)
Allergy (free text now; RxNorm when available)
Smoking and drinking status
Vaccination history
Test report
Major operation history
Laboratory report
Examination report
Travel history
Country code(s)
Date from—to
Status
Family heredity disease history
Father, mother disease
Physician contact
Source of regular medical care, eg, physician, clinic and contact information.