84100007: History taking (procedure)

SNOMED CT Concept\Procedure\intervention selon la méthode\Interview, history AND/OR physical examination\History taking

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2002. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
History taking	méthode (attribut)	Investigation - action	false	Inferred relationship	Some
History taking	est un(e) (attribut)	Assessment procedure (procedure)	false	Inferred relationship	Some
History taking	méthode (attribut)	Evaluation - action	false	Inferred relationship	Some
History taking	est un(e) (attribut)	Evaluation procedure (procedure)	false	Inferred relationship	Some
History taking	est un(e) (attribut)	Interview, history AND/OR physical examination	true	Inferred relationship	Some
History taking	méthode (attribut)	History taking - action	true	Inferred relationship	Some	1
History taking	a pour but (attribut)	à visée diagnostique	false	Inferred relationship	Some

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Income sufficient to buy only necessities (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Income insufficient to buy necessities (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Housing structurally unsound (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Lack of cooling in house (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Steep stairs in house (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unsafe stairs in house (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Insufficient means of residential entrance (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Insufficient means of residential exit (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Obstructed means of residential entrance (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Obstructed means of residential exit (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Cluttered living space (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unsafe storage of dangerous objects (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unsafe storage of dangerous substances (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unsafe floor covering (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate residential safety device (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Presence of lead-based paint (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
logement contient de l'équipement dangereux (constatation)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Housing contains unsafe appliance (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Crowded living space (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Housing contains exposed wiring (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Housing contains structural barriers to movement (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Fails to recognize stages of grief (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	4
Difficulty coping with grief responses (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	4
Sleep pattern disrupts family lifestyle (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Rest pattern disrupts family lifestyle (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate healthcare resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
conditions de vie insalubres (constatation)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environmental foul odor (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Water supply insufficient (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Finding related to ability to dispose of household sewage (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	4
Inadequate sewage disposal (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate laundry facilities (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains allergens (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Environment contains infectious agent (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains contaminating agent (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains mold (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Excessive pets (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment with high pollution level (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains dangerous animal (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
présence d'animaux dans l'environnement	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains infected animal (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains uncontrolled animal (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains physical hazards (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unsafe play area (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unsafe exercise area (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate exercise space (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate play space (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate community resources to encourage healthy living (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Threats of violence in the environment (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Reports of violence in the environment (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains vehicle hazards (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains traffic hazards (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains chemical hazards (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains radiological material hazards (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unfamiliar with process for obtaining community services (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Difficulty understanding community service provider role (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Unable to communicate concern to community service provider (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Dissatisfaction with community resource services (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	4
Language barrier impedes ability to use community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	4
Community resource finding (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Unavailable community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Inadequate community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Cultural barrier impedes ability to use community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Educational barrier impedes ability to use community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Transportation barrier impedes ability to use community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Inadequate use of communication device to communicate with community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Unable to use communication device to communicate with community resources (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Limited access to community support services (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Difficulty bonding with unborn baby (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	4
Inadequate social support (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Community infestation (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Environment contains biological hazards (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Received senior high school education	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Received elementary school education (finding)	méthode de constatation (attribut)	False	History taking	Inferred relationship	Some
Received junior high school	méthode de constatation (attribut)	False	History taking	Inferred relationship	Some
Interpreter not available (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Received graduate education (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Cared for by spouse (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Nursing assistance required (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Attending graduate school (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Complicated grieving (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Cared for by family (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Difficulty managing medication due to special need (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Anticipatory grief	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
deuil dysfonctionnel	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	3
Cared for by night nurse (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Cared for by neighbors (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Received early childhood education (finding)	méthode de constatation (attribut)	False	History taking	Inferred relationship	Some
anamnèse refusée par le/la patient(e)	intervention associée (attribut)	False	History taking	Inferred relationship	Some	1
Received undergraduate education (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
antécédents non obtenus	intervention associée (attribut)	False	History taking	Inferred relationship	Some	1
Temporarily housebound (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Lacks adequate physical care (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
No religious affiliation (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
état de l'anamnèse	intervention associée (attribut)	False	History taking	Inferred relationship	Some
Lives in bungalow (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
antécédents non obtenus	intervention associée (attribut)	True	History taking	Inferred relationship	Some	1
vit avec un(e) colocataire	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Domestic partnership (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
Legally separated with interlocutory decree (finding)	méthode de constatation (attribut)	True	History taking	Inferred relationship	Some	2
anamnèse refusée par le/la patient(e)	intervention associée (attribut)	True	History taking	Inferred relationship	Some	1

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Reference Sets

Service and/or activities performed or intended to be performed for the client reference set (foundation metadata concept)

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Id	Description	Lang	Type	Status	Case?	Module
139447011	History taking	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
139451013	Clinical interview	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
1495482013	Taking health history	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
1495483015	History taking, health	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
344971000077113	recueil des antécédents	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Common French translation module (core metadata concept)
629751000077112	recueil des antécédents (intervention)	fr	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Common French translation module (core metadata concept)
825872013	History taking (procedure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
2884891015	A clinically oriented interview of a patient or someone familiar with the patient	en	Definition	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core