1 CREATE TABLE IF NOT EXISTS `form_reviewofs` (
2 id bigint(20) NOT NULL auto_increment,
3 date datetime default NULL,
4 pid bigint(20) default NULL,
5 user varchar(255) default NULL,
6 groupname varchar(255) default NULL,
7 authorized tinyint(4) default NULL,
8 activity tinyint(4) default NULL,
11 night_sweats varchar(5),
12 weight_loss varchar(5),
13 poor_appetite varchar(5),
17 hyperactive varchar(5),
18 exposure_to_foreign_countries varchar(5),
20 cataract_surgery varchar(5),
22 double_vision varchar(5),
23 blurred_vision varchar(5),
24 poor_hearing varchar(5),
26 ringing_in_ears varchar(5),
27 bloody_nose varchar(5),
29 sinus_surgery varchar(5),
31 strep_throat varchar(5),
32 tonsillectomy varchar(5),
33 swollen_lymph_nodes varchar(5),
34 throat_cancer varchar(5),
35 throat_cancer_surgery varchar(5),
36 heart_attack varchar(5),
37 irregular_heart_beat varchar(5),
38 chest_pains varchar(5),
39 shortness_of_breath varchar(5),
40 high_blood_pressure varchar(5),
41 heart_failure varchar(5),
42 poor_circulation varchar(5),
43 vascular_surgery varchar(5),
44 cardiac_catheterization varchar(5),
45 coronary_artery_bypass varchar(5),
46 heart_transplant varchar(5),
47 stress_test varchar(5),
49 chronic_bronchitis varchar(5),
50 interstitial_lung_disease varchar(5),
51 shortness_of_breath_2 varchar(5),
52 lung_cancer varchar(5),
53 lung_cancer_surgery varchar(5),
54 pheumothorax varchar(5),
55 stomach_pains varchar(5),
56 peptic_ulcer_disease varchar(5),
60 colonoscopy varchar(5),
61 colon_cancer varchar(5),
62 colon_cancer_surgery varchar(5),
63 ulcerative_colitis varchar(5),
64 crohns_disease varchar(5),
65 appendectomy varchar(5),
66 divirticulitis varchar(5),
67 divirticulitis_surgery varchar(5),
68 gall_stones varchar(5),
69 cholecystectomy varchar(5),
71 cirrhosis_of_the_liver varchar(5),
72 splenectomy varchar(5),
73 kidney_failure varchar(5),
74 kidney_stones varchar(5),
75 kidney_cancer varchar(5),
76 kidney_infections varchar(5),
77 bladder_infections varchar(5),
78 bladder_cancer varchar(5),
79 prostate_problems varchar(5),
80 prostate_cancer varchar(5),
81 kidney_transplant varchar(5),
82 sexually_transmitted_disease varchar(5),
83 burning_with_urination varchar(5),
84 discharge_from_urethra varchar(5),
86 infections varchar(5),
87 ulcerations varchar(5),
90 osetoarthritis varchar(5),
91 rheumotoid_arthritis varchar(5),
93 ankylosing_sondlilitis varchar(5),
94 swollen_joints varchar(5),
95 stiff_joints varchar(5),
96 broken_bones varchar(5),
97 neck_problems varchar(5),
98 back_problems varchar(5),
99 back_surgery varchar(5),
100 scoliosis varchar(5),
101 herniated_disc varchar(5),
102 shoulder_problems varchar(5),
103 elbow_problems varchar(5),
104 wrist_problems varchar(5),
105 hand_problems varchar(5),
106 hip_problems varchar(5),
107 knee_problems varchar(5),
108 ankle_problems varchar(5),
109 foot_problems varchar(5),
110 insulin_dependent_diabetes varchar(5),
111 noninsulin_dependent_diabetes varchar(5),
112 hypothyroidism varchar(5),
113 hyperthyroidism varchar(5),
114 cushing_syndrom varchar(5),
115 addison_syndrom varchar(5),
116 additional_notes longtext,