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View Name H1N1 Flu Case Report Form
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View Description Based on H1N1 Flu (Swine Flu) Case Report Form. Please visit http://www.cdc.gov/h1n1flu/ for the latest H1N1 Flu case report form.
View Status Published
View Status Date 06/29/2009
View Version 3
View Version Status Published
View Version Status Date 03/16/2010
View Version Description LOINC Update January 2010
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Version History

    Value Set Code Value Set Name Version Value Set OID  
PHVS_CaseClassStatus_NND Case Classification Status 1 2.16.840.1.114222.4.11.968 Details
PHVS_CaseConfirmationMethod_NND Case Confirmation Method 1 2.16.840.1.114222.4.11.3025 Details
PHVS_CaseDetectionMethod_NND Case Detection Method 1 2.16.840.1.114222.4.11.3026 Details
PHVS_CaseInvestigationStatus_NND Case Investigation Status 1 2.16.840.1.114222.4.11.970 Details
PHVS_CaseTransmissionMode_NND Case Transmission Mode 1 2.16.840.1.114222.4.11.3027 Details
PHVS_County_FIPS_6-4 County 1 2.16.840.1.114222.4.11.829 Details
PHVS_Ethnicity_CDC Detailed Ethnicity 1 2.16.840.1.114222.4.11.877 Details
PHVS_Race_CDC Detailed Race 1 2.16.840.1.114222.4.11.876 Details
PHVS_AdministrativeDiagnosis_CDC_ICD-9CM Diagnosis (ICD-9 CM) 2 2.16.840.1.114222.4.11.856 Details
PHVS_Disease_CDC Disease 4 2.16.840.1.114222.4.11.909 Details
PHVS_DrugSusceptibilityTestResultName_CDC Drug Susceptibility Test Result Name 3 2.16.840.1.114222.4.11.1071 Details
PHVS_EthnicityGroup_CDC Ethnicity group 1 2.16.840.1.114222.4.11.837 Details
PHVS_Fever_Syndrome_BT Fever Syndrome (BT) 1 2.16.840.1.114222.4.11.1090 Details
PHVS_SignsSymptoms_Flu Flu Signs and Symptoms 1 2.16.840.1.114222.4.11.3240 Details
PHVS_LabTestFinding_Flu Lab Test Finding (Flu) 1 2.16.840.1.114222.4.11.3243 Details