ID

16310

Beschrijving

Form provided by Binyam Tilahun. Source: http://www.moh.gov.et/ (Ministry of Health, Ethiopia)

Link

http://www.moh.gov.et/

Trefwoorden

  1. 11-07-16 11-07-16 -
  2. 11-07-16 11-07-16 -
  3. 20-09-21 20-09-21 -
Geüploaded op

11 juli 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

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Ministry of Health, Ethiopia- Integrated Antenatal, Labor, Delivery, Newborn and Postnatal Care Card

Integrated Antenatal, Labor, Delivery, Newborn and Postnatal Care Card

Personal information
Beschrijving

Personal information

Date
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
ANC Reg.No
Beschrijving

Prenatal care registration number

Datatype

integer

Alias
UMLS CUI [1,1]
C0033052
UMLS CUI [1,2]
C0421512
Medical record number
Beschrijving

Medical record number

Datatype

text

Alias
UMLS CUI [1]
C1301894
Name of client
Beschrijving

Name

Datatype

text

Alias
UMLS CUI [1]
C0027365
Facility name
Beschrijving

Facility name

Datatype

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0027365
Address:Woreda
Beschrijving

Address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Address: Kebelle
Beschrijving

Address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Address: House number
Beschrijving

Address

Datatype

integer

Alias
UMLS CUI [1]
C0421449
Age
Beschrijving

Age

Datatype

integer

Maateenheden
  • years
Alias
UMLS CUI [1]
C0001779
years
Last menstrual period
Beschrijving

Last menstrual period

Datatype

date

Alias
UMLS CUI [1]
C0425932
Estimated date of delivery
Beschrijving

Estimated date of delivery

Datatype

date

Alias
UMLS CUI [1]
C1287845
Gravida
Beschrijving

Gravida

Datatype

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C0032961
Para
Beschrijving

Para

Datatype

integer

Alias
UMLS CUI [1]
C0030563
Number of living children
Beschrijving

Number of living children

Datatype

integer

Alias
UMLS CUI [1]
C2229975
Marital status
Beschrijving

Marital status

Datatype

text

Alias
UMLS CUI [1]
C0024819
Obstetric history
Beschrijving

Obstetric history

Previous stillbirth or neonatal loss?
Beschrijving

Stillbirth or neonatal loss

Datatype

boolean

Alias
UMLS CUI [1,1]
C0595939
UMLS CUI [1,2]
C0410916
History of 3 or more consecutive spontaneous abortions?
Beschrijving

Miscarriage

Datatype

boolean

Alias
UMLS CUI [1]
C0000786
Birth weight of last baby < 2500g
Beschrijving

Birth weight

Datatype

boolean

Alias
UMLS CUI [1]
C0005612
Birth weight of last baby > 4000g
Beschrijving

Birth weight

Datatype

boolean

Alias
UMLS CUI [1]
C0005612
Last pregnancy: hospital admission for hypertension or pre-eclampsia/eclampsia?
Beschrijving

Hospitalization pre-eclampsia/eclampsia

Datatype

boolean

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0032914
UMLS CUI [2]
C0013537
Previous surgery on reproductive tract?(Myomectomy, removal of septum, fistula repair, cone biopsy, CS, repaired rapture, cervical circlage)
Beschrijving

Surgery on reproductive tract

Datatype

boolean

Alias
UMLS CUI [1,1]
C0700038
UMLS CUI [1,2]
C0543467
Current Pregnancy
Beschrijving

Current Pregnancy

Diagnosed or suspected multiple pregnancy?
Beschrijving

Multiple Pregnancy

Datatype

boolean

Alias
UMLS CUI [1]
C0032989
Age less than 16 years?
Beschrijving

Age

Datatype

boolean

Alias
UMLS CUI [1]
C0001779
Age more than 40 years
Beschrijving

Age

Datatype

boolean

Alias
UMLS CUI [1]
C0001779
Isoimmunization Rh (-) in current or in previous pregnancy?
Beschrijving

Isoimmunization

Datatype

boolean

Alias
UMLS CUI [1]
C0035404
Vaginal bleeding
Beschrijving

Vaginal bleeding

Datatype

boolean

Alias
UMLS CUI [1]
C2979982
Pelvic mass
Beschrijving

Pelvic mass

Datatype

boolean

Alias
UMLS CUI [1]
C0347944
Diastolic blood pressure 90mm Hg or more at booking?
Beschrijving

Hypertension

Datatype

boolean

Alias
UMLS CUI [1]
C0565599
General medical
Beschrijving

General medical

Diabetes mellitus
Beschrijving

Diabetes mellitus

Datatype

boolean

Alias
UMLS CUI [1]
C0011849
Renal disease
Beschrijving

Renal disease

Datatype

boolean

Alias
UMLS CUI [1]
C0022658
Cardiac disease
Beschrijving

Cardiac disease

Datatype

boolean

Alias
UMLS CUI [1]
C0018799
Chronic hypertension
Beschrijving

Chronic hypertension

Datatype

boolean

Alias
UMLS CUI [1]
C0745114
Known 'substance' abuse (including heavy alcohol drinking, Smoking)?
Beschrijving

Substance use disorder

Datatype

boolean

Alias
UMLS CUI [1]
C0038586
Any other severe medical disease or condition TB, HIV, Ca, DVT..?
Beschrijving

Comorbidity

Datatype

boolean

Alias
UMLS CUI [1]
C0009488
A "Yes" to any ONE of the above questions (i.e. ONE shaded box marked with a cross) means that the woman is not eligible for the basic component of the new antenatal care mode and require more close follow up or referral to specialty care.If she needs more frequest ANC visits use and attach additional recoridng sheets
Beschrijving

Eligibility

Datatype

text

Alias
UMLS CUI [1]
C0013893
Initial Evaluation plus Promotive and Preventive Care
Beschrijving

Initial Evaluation plus Promotive and Preventive Care

General exam
Beschrijving

General exam

Datatype

text

Alias
UMLS CUI [1]
C0031809
Pallor
Beschrijving

Pallor

Datatype

boolean

Alias
UMLS CUI [1]
C0030232
Jaundice
Beschrijving

Jaundice

Datatype

boolean

Alias
UMLS CUI [1]
C0022346
Chest abnormalities
Beschrijving

Chest abnormalities

Datatype

boolean

Alias
UMLS CUI [1]
C0497258
Heart abnormalities
Beschrijving

Heart abnormalities

Datatype

boolean

Alias
UMLS CUI [1]
C0851389
Vulvar ulcer
Beschrijving

Gynecological exam Vulvar ulcer

Datatype

boolean

Alias
UMLS CUI [1,1]
C0200044
UMLS CUI [1,2]
C0156339
Vaginal discharge
Beschrijving

Gynecological exam Vaginal discharge

Datatype

boolean

Alias
UMLS CUI [1,1]
C0200044
UMLS CUI [1,2]
C0227791
Pelvic Mass
Beschrijving

Gynecological exam Pelvic Mass

Datatype

boolean

Alias
UMLS CUI [1,1]
C0200044
UMLS CUI [1,2]
C0347944
Cervical Lesion
Beschrijving

Gynecological exam Cervical Lesion

Datatype

boolean

Alias
UMLS CUI [1,1]
C0200044
UMLS CUI [1,2]
C0235656
Uterine size (Wks)
Beschrijving

Gynecological exam Uterine size

Datatype

float

Alias
UMLS CUI [1,1]
C0200044
UMLS CUI [1,2]
C2188911
Danger signs in pregnancy & delivery advised
Beschrijving

Danger signs

Datatype

boolean

Alias
UMLS CUI [1]
C0512307
Birth Preparedness advised
Beschrijving

Birth Preparedness

Datatype

boolean

Alias
UMLS CUI [1]
C0514464
Mother: HIV test accepted
Beschrijving

HIV test accepted

Datatype

boolean

Alias
UMLS CUI [1]
C1321876
HIV Test result
Beschrijving

HIV Test

Datatype

integer

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C1274040
HIV test result received with post test counseling
Beschrijving

HIV test result counseling

Datatype

boolean

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C1274040
UMLS CUI [1,3]
C0010210
Counseled on Infant feeding
Beschrijving

Counseling Infant feeding

Datatype

boolean

Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0420979
Referred for care, treatment and support
Beschrijving

Referral

Datatype

boolean

Alias
UMLS CUI [1]
C0034927
Partner HIV Test result
Beschrijving

HIV Test

Datatype

integer

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C1274040
Present Pregnancy: Follow Up
Beschrijving

Present Pregnancy: Follow Up

Visit number
Beschrijving

Visit number

Datatype

integer

Alias
UMLS CUI [1]
C1549755
Date of visit
Beschrijving

Visit date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Gestational age
Beschrijving

Gestational age

Datatype

text

Alias
UMLS CUI [1]
C0017504
Blood pressure
Beschrijving

Blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Body weight
Beschrijving

Weight

Datatype

float

Maateenheden
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Pallor
Beschrijving

Pallor

Datatype

text

Alias
UMLS CUI [1]
C0030232
Uterine height (Wks)
Beschrijving

Uterine height

Datatype

text

Alias
UMLS CUI [1]
C0426012
Fetal heart beat
Beschrijving

Fetal heart beat

Datatype

text

Alias
UMLS CUI [1]
C0412564
Fetal Presentation
Beschrijving

Fetal Presentation

Datatype

text

Alias
UMLS CUI [1]
C0022869
Urine test for infection
Beschrijving

Urine test

Datatype

text

Alias
UMLS CUI [1]
C0462970
Urine test for protein
Beschrijving

Urine test

Datatype

text

Alias
UMLS CUI [1]
C0462970
Rapid syphilis test
Beschrijving

Syphilis test

Datatype

text

Alias
UMLS CUI [1]
C0973034
Hemoglobin
Beschrijving

Hemoglobin

Datatype

text

Alias
UMLS CUI [1]
C0019046
Blood group
Beschrijving

Blood group

Datatype

text

Alias
UMLS CUI [1]
C0005810
Rhesus factor
Beschrijving

Rhesus factor

Datatype

text

Alias
UMLS CUI [1]
C0427641
TT
Beschrijving

TT

Datatype

text

Alias
UMLS CUI [1,1]
C0305062
UMLS CUI [1,2]
C1115464
Iron/Folic acid
Beschrijving

Iron/Folic acid

Datatype

text

Alias
UMLS CUI [1]
C0357067
Mebendazole
Beschrijving

Mebendazole

Datatype

text

Alias
UMLS CUI [1]
C0025023
Use of ITN
Beschrijving

Use of ITN

Datatype

text

Alias
UMLS CUI [1]
C2717999
ARV Px type
Beschrijving

ARV Prophylaxis

Datatype

text

Alias
UMLS CUI [1,1]
C0599685
UMLS CUI [1,2]
C0199176
Remarks
Beschrijving

Remarks

Datatype

text

Alias
UMLS CUI [1]
C0947611
Danger signs identified and Investigation
Beschrijving

Danger signs

Datatype

text

Alias
UMLS CUI [1]
C2164151
Action, Advice, counseling
Beschrijving

Action, Advice, counseling

Datatype

text

Alias
UMLS CUI [1]
C0441472
UMLS CUI [2]
C0150600
UMLS CUI [3]
C0010210
Appointment for next follow-up
Beschrijving

Appointment

Datatype

text

Alias
UMLS CUI [1]
C0586344
Name and Sign of Health care Provider
Beschrijving

Name and signature

Datatype

text

Alias
UMLS CUI [1,1]
C0027365
UMLS CUI [1,2]
C1519316
UMLS CUI [1,3]
C0031831
Intrapartum Care and followup
Beschrijving

Intrapartum Care and followup

Name
Beschrijving

Name

Datatype

text

Alias
UMLS CUI [1]
C0027365
Gravida
Beschrijving

Gravida

Datatype

integer

Alias
UMLS CUI [1]
C0422807
Para
Beschrijving

Parity

Datatype

integer

Alias
UMLS CUI [1]
C0030563
Medical Record Number
Beschrijving

Medical Record Number

Datatype

text

Alias
UMLS CUI [1]
C1301894
Admission Date
Beschrijving

Admission date

Datatype

date

Alias
UMLS CUI [1]
C1302393
Time of admission
Beschrijving

Time of admission

Datatype

time

Alias
UMLS CUI [1]
C3854259
Ruptured membranes
Beschrijving

Ruptured membranes

Datatype

integer

Maateenheden
  • hours
Alias
UMLS CUI [1]
C0948106
hours
Fetal heart rate
Beschrijving

Fetal heart rate

Datatype

integer

Alias
UMLS CUI [1]
C0018811
Amniotic fluid
Beschrijving

Amniotic fluid

Datatype

text

Alias
UMLS CUI [1]
C0002638
Moulding
Beschrijving

Moulding

Datatype

text

Alias
UMLS CUI [1]
C0426103
Cervix uteri cm per hour
Beschrijving

Cervix

Datatype

text

Maateenheden
  • cm/h
Alias
UMLS CUI [1]
C0007874
cm/h
Descent of head per hour
Beschrijving

Descent of head

Datatype

text

Maateenheden
  • /h
Alias
UMLS CUI [1]
C0437201
/h
Contractions per 10 min
Beschrijving

Contractions

Datatype

integer

Maateenheden
  • /10min
Alias
UMLS CUI [1]
C0042130
/10min
Oxytocin in drops per minute
Beschrijving

Oxytocin

Datatype

integer

Alias
UMLS CUI [1]
C0030095
Oxytocin in U/l
Beschrijving

Oxytocin

Datatype

integer

Maateenheden
  • U/l
Alias
UMLS CUI [1]
C0030095
U/l
Drugs given
Beschrijving

Drugs

Datatype

text

Alias
UMLS CUI [1]
C0013227
IV fluids given
Beschrijving

IV fluids

Datatype

text

Alias
UMLS CUI [1]
C1289919
Pulse
Beschrijving

Pulse Rate

Datatype

integer

Maateenheden
  • beats/min
Alias
UMLS CUI [1]
C0232117
beats/min
Blood pressure, systolic
Beschrijving

Blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Blood pressure, diastolic
Beschrijving

Blood pressure

Datatype

integer

Maateenheden
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Body Temperature
Beschrijving

Body Temperature

Datatype

float

Maateenheden
  • °C
Alias
UMLS CUI [1]
C0005903
°C
Urine protein
Beschrijving

Urine protein

Datatype

float

Alias
UMLS CUI [1]
C0262923
Urine acetone
Beschrijving

Urine acetone

Datatype

float

Alias
UMLS CUI [1]
C0236440
Urine volume
Beschrijving

Urine volume

Datatype

float

Maateenheden
  • ml
Alias
UMLS CUI [1]
C1287298
ml
Delivery Summary
Beschrijving

Delivery Summary

Date
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Time
Beschrijving

Time

Datatype

time

Alias
UMLS CUI [1]
C0040223
Spontaneous Vaginal Delivery
Beschrijving

Spontaneous Vaginal Delivery

Datatype

boolean

Alias
UMLS CUI [1]
C0269694
Cesarean section
Beschrijving

Cesarean section

Datatype

boolean

Alias
UMLS CUI [1]
C0007876
Vacuum extraction delivery
Beschrijving

Vacuum extraction delivery

Datatype

boolean

Alias
UMLS CUI [1]
C0042225
Forceps extraction delivery
Beschrijving

Forceps extraction delivery

Datatype

boolean

Alias
UMLS CUI [1]
C0869912
Episiotomy
Beschrijving

Episiotomy

Datatype

boolean

Alias
UMLS CUI [1]
C0014586
Active management of third stage labor
Beschrijving

Active management of third stage labor

Datatype

integer

Alias
UMLS CUI [1,1]
C0022873
UMLS CUI [1,2]
C0150270
Placenta delivery
Beschrijving

Placenta

Datatype

integer

Alias
UMLS CUI [1]
C0404381
Laceration repair
Beschrijving

Laceration repair

Datatype

integer

Alias
UMLS CUI [1]
C0195666
Newborn
Beschrijving

Newborn

Datatype

integer

Alias
UMLS CUI [1]
C0021289
Newborn: life birth
Beschrijving

Newborn: life birth

Datatype

boolean

Alias
UMLS CUI [1]
C2584946
Apgar score
Beschrijving

Apgar score

Datatype

integer

Alias
UMLS CUI [1]
C0003533
Stillbirth
Beschrijving

Stillbirth

Datatype

integer

Alias
UMLS CUI [1]
C0595939
Sex of newborn
Beschrijving

Sex

Datatype

text

Alias
UMLS CUI [1]
C0079399
Birth weight
Beschrijving

Birth weight

Datatype

float

Maateenheden
  • g
Alias
UMLS CUI [1]
C0005612
g
Infant length
Beschrijving

Length

Datatype

integer

Maateenheden
  • cm
Alias
UMLS CUI [1]
C1444754
cm
Delivery preterm
Beschrijving

Delivery preterm

Datatype

boolean

Alias
UMLS CUI [1]
C0151526
Delivery to term
Beschrijving

Delivery to term

Datatype

boolean

Alias
UMLS CUI [1]
C0233089
BCG Date
Beschrijving

BCG Date

Datatype

date

Alias
UMLS CUI [1,1]
C0004886
UMLS CUI [1,2]
C0011008
Vaccinations
Beschrijving

Vaccinations

Datatype

integer

Alias
UMLS CUI [1]
C0042196
Baby-Mother Bonding
Beschrijving

Bonding

Datatype

boolean

Alias
UMLS CUI [1]
C0237497
Obstetric complications managed
Beschrijving

Obstetric complications

Datatype

integer

Alias
UMLS CUI [1]
C0178292
Obstetric complications referred
Beschrijving

Obstetric complications

Datatype

integer

Alias
UMLS CUI [1]
C0178292
HIV testing and counseling offered
Beschrijving

HIV testing and counseling

Datatype

boolean

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C0010210
HIV Test accepted
Beschrijving

HIV Test

Datatype

boolean

Alias
UMLS CUI [1]
C1321876
HIV Test result
Beschrijving

HIV Test

Datatype

integer

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C1274040
Type of ARV prophylaxis provided to mother
Beschrijving

ARV Prophylaxis

Datatype

text

Alias
UMLS CUI [1,1]
C0599685
UMLS CUI [1,2]
C0199176
Type of ARV prophylaxis provided to newborn
Beschrijving

ARV Prophylaxis

Datatype

text

Alias
UMLS CUI [1,1]
C0599685
UMLS CUI [1,2]
C0199176
Feeding option
Beschrijving

Feeding

Datatype

integer

Alias
UMLS CUI [1]
C0420979
Mother and newborn referred for care and support
Beschrijving

Referred for care and support

Datatype

boolean

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0032782
UMLS CUI [1,3]
C0418955
Remarks
Beschrijving

Remarks

Datatype

text

Alias
UMLS CUI [1]
C0947611
Delivered by
Beschrijving

Name of Obstetrician

Datatype

text

Alias
UMLS CUI [1,1]
C0027365
UMLS CUI [1,2]
C0334897
Signature
Beschrijving

Signature

Datatype

text

Alias
UMLS CUI [1]
C1519316
Postpartum visit
Beschrijving

Postpartum visit

Datatype

integer

Alias
UMLS CUI [1]
C2088058
Date of postpartum visit
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Blood Pressure
Beschrijving

Blood Pressure

Datatype

integer

Alias
UMLS CUI [1]
C0005823
TPR
Beschrijving

TPR

Datatype

text

Alias
UMLS CUI [1]
C0849975
Temperature
Beschrijving

Temperature

Datatype

float

Maateenheden
  • °C
Alias
UMLS CUI [1]
C0039476
°C
Uterus contracted
Beschrijving

Uterus contracted

Datatype

text

Alias
UMLS CUI [1]
C0567158
Postpartum hemorrhage
Beschrijving

Postpartum hemorrhage

Datatype

text

Alias
UMLS CUI [1]
C0032797
Urine leakage or dribbling
Beschrijving

Urine leakage

Datatype

text

Alias
UMLS CUI [1]
C0375553
Anemia
Beschrijving

Anemia

Datatype

text

Alias
UMLS CUI [1]
C0002871
Vaginal Discharge after 4 weeks post delivery
Beschrijving

Vaginal Discharge

Datatype

text

Pelvic exam (only if vaginal discharge)
Beschrijving

Pelvic exam

Datatype

text

Alias
UMLS CUI [1]
C0200045
Breast exam
Beschrijving

Breast exam

Datatype

text

Alias
UMLS CUI [1]
C2347781
Vitamin A for mother
Beschrijving

Vitamin A

Datatype

text

Alias
UMLS CUI [1]
C0042839
Counseling on danger signs, ITN and EPI
Beschrijving

Counseling on danger signs, ITN and EPI

Datatype

text

Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0512307
UMLS CUI [2]
C2717999
UMLS CUI [3]
C0014586
Baby Breathing
Beschrijving

Baby Breathing

Datatype

text

Alias
UMLS CUI [1]
C0548003
Baby breastfeeding
Beschrijving

Breastfeeding

Datatype

text

Alias
UMLS CUI [1]
C0006147
Baby weight
Beschrijving

Infant Weight

Datatype

integer

Maateenheden
  • grams
Alias
UMLS CUI [1]
C0745274
grams
Immunization
Beschrijving

Immunization

Datatype

text

Alias
UMLS CUI [1]
C0020971
HIV test done?
Beschrijving

HIV test

Datatype

boolean

Alias
UMLS CUI [1]
C1321876
HIV Test result
Beschrijving

HIV Test

Datatype

integer

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C1274040
Type of ARV prophylaxis provided to mother
Beschrijving

ARV Prophylaxis

Datatype

text

Alias
UMLS CUI [1,1]
C0599685
UMLS CUI [1,2]
C0199176
Type of ARV prophylaxis provided to newborn
Beschrijving

ARV Prophylaxis

Datatype

text

Alias
UMLS CUI [1,1]
C0599685
UMLS CUI [1,2]
C0199176
Feeding option
Beschrijving

Feeding

Datatype

integer

Alias
UMLS CUI [1]
C0420979
Mother referred for care and support
Beschrijving

Referred for care and support

Datatype

text

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0032782
UMLS CUI [1,3]
C0418955
Newborn referred to chronic HIV infant care
Beschrijving

Referral for HIV infant care

Datatype

text

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0021272
UMLS CUI [1,3]
C0019699
FP Counseled & provided
Beschrijving

Counseling feeding practice

Datatype

text

Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0420979
Remarks
Beschrijving

Remarks

Datatype

text

Alias
UMLS CUI [1]
C0947611
Action Taken
Beschrijving

Action taken

Datatype

text

Alias
UMLS CUI [1]
C1555295
Attendant name
Beschrijving

Attendant name

Datatype

text

Alias
UMLS CUI [1,1]
C0554205
UMLS CUI [1,2]
C0027365
Signature
Beschrijving

Signature

Datatype

text

Alias
UMLS CUI [1]
C1519316

Similar models

Integrated Antenatal, Labor, Delivery, Newborn and Postnatal Care Card

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Personal information
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Prenatal care registration number
Item
ANC Reg.No
integer
C0033052 (UMLS CUI [1,1])
C0421512 (UMLS CUI [1,2])
Medical record number
Item
Medical record number
text
C1301894 (UMLS CUI [1])
Name
Item
Name of client
text
C0027365 (UMLS CUI [1])
Facility name
Item
Facility name
text
C0018704 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Address
Item
Address:Woreda
text
C0421449 (UMLS CUI [1])
Address
Item
Address: Kebelle
text
C0421449 (UMLS CUI [1])
Address
Item
Address: House number
integer
C0421449 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Last menstrual period
Item
Last menstrual period
date
C0425932 (UMLS CUI [1])
Estimated date of delivery
Item
Estimated date of delivery
date
C1287845 (UMLS CUI [1])
Gravida
Item
Gravida
integer
C0750480 (UMLS CUI [1,1])
C0032961 (UMLS CUI [1,2])
Para
Item
Para
integer
C0030563 (UMLS CUI [1])
Number of living children
Item
Number of living children
integer
C2229975 (UMLS CUI [1])
Marital status
Item
Marital status
text
C0024819 (UMLS CUI [1])
Item Group
Obstetric history
Stillbirth or neonatal loss
Item
Previous stillbirth or neonatal loss?
boolean
C0595939 (UMLS CUI [1,1])
C0410916 (UMLS CUI [1,2])
Miscarriage
Item
History of 3 or more consecutive spontaneous abortions?
boolean
C0000786 (UMLS CUI [1])
Birth weight
Item
Birth weight of last baby < 2500g
boolean
C0005612 (UMLS CUI [1])
Birth weight
Item
Birth weight of last baby > 4000g
boolean
C0005612 (UMLS CUI [1])
Hospitalization pre-eclampsia/eclampsia
Item
Last pregnancy: hospital admission for hypertension or pre-eclampsia/eclampsia?
boolean
C0019993 (UMLS CUI [1,1])
C0032914 (UMLS CUI [1,2])
C0013537 (UMLS CUI [2])
Surgery on reproductive tract
Item
Previous surgery on reproductive tract?(Myomectomy, removal of septum, fistula repair, cone biopsy, CS, repaired rapture, cervical circlage)
boolean
C0700038 (UMLS CUI [1,1])
C0543467 (UMLS CUI [1,2])
Item Group
Current Pregnancy
Multiple Pregnancy
Item
Diagnosed or suspected multiple pregnancy?
boolean
C0032989 (UMLS CUI [1])
Age
Item
Age less than 16 years?
boolean
C0001779 (UMLS CUI [1])
Age
Item
Age more than 40 years
boolean
C0001779 (UMLS CUI [1])
Isoimmunization
Item
Isoimmunization Rh (-) in current or in previous pregnancy?
boolean
C0035404 (UMLS CUI [1])
Vaginal bleeding
Item
Vaginal bleeding
boolean
C2979982 (UMLS CUI [1])
Pelvic mass
Item
Pelvic mass
boolean
C0347944 (UMLS CUI [1])
Hypertension
Item
Diastolic blood pressure 90mm Hg or more at booking?
boolean
C0565599 (UMLS CUI [1])
Item Group
General medical
Diabetes mellitus
Item
Diabetes mellitus
boolean
C0011849 (UMLS CUI [1])
Renal disease
Item
Renal disease
boolean
C0022658 (UMLS CUI [1])
Cardiac disease
Item
Cardiac disease
boolean
C0018799 (UMLS CUI [1])
Chronic hypertension
Item
Chronic hypertension
boolean
C0745114 (UMLS CUI [1])
Substance use disorder
Item
Known 'substance' abuse (including heavy alcohol drinking, Smoking)?
boolean
C0038586 (UMLS CUI [1])
Comorbidity
Item
Any other severe medical disease or condition TB, HIV, Ca, DVT..?
boolean
C0009488 (UMLS CUI [1])
Eligibility
Item
A "Yes" to any ONE of the above questions (i.e. ONE shaded box marked with a cross) means that the woman is not eligible for the basic component of the new antenatal care mode and require more close follow up or referral to specialty care.If she needs more frequest ANC visits use and attach additional recoridng sheets
text
C0013893 (UMLS CUI [1])
Item Group
Initial Evaluation plus Promotive and Preventive Care
General exam
Item
General exam
text
C0031809 (UMLS CUI [1])
Pallor
Item
Pallor
boolean
C0030232 (UMLS CUI [1])
Jaundice
Item
Jaundice
boolean
C0022346 (UMLS CUI [1])
Chest abnormalities
Item
Chest abnormalities
boolean
C0497258 (UMLS CUI [1])
Heart abnormalities
Item
Heart abnormalities
boolean
C0851389 (UMLS CUI [1])
Gynecological exam Vulvar ulcer
Item
Vulvar ulcer
boolean
C0200044 (UMLS CUI [1,1])
C0156339 (UMLS CUI [1,2])
Gynecological exam Vaginal discharge
Item
Vaginal discharge
boolean
C0200044 (UMLS CUI [1,1])
C0227791 (UMLS CUI [1,2])
Gynecological exam Pelvic Mass
Item
Pelvic Mass
boolean
C0200044 (UMLS CUI [1,1])
C0347944 (UMLS CUI [1,2])
Gynecological exam Cervical Lesion
Item
Cervical Lesion
boolean
C0200044 (UMLS CUI [1,1])
C0235656 (UMLS CUI [1,2])
Gynecological exam Uterine size
Item
Uterine size (Wks)
float
C0200044 (UMLS CUI [1,1])
C2188911 (UMLS CUI [1,2])
Danger signs
Item
Danger signs in pregnancy & delivery advised
boolean
C0512307 (UMLS CUI [1])
Birth Preparedness
Item
Birth Preparedness advised
boolean
C0514464 (UMLS CUI [1])
HIV test accepted
Item
Mother: HIV test accepted
boolean
C1321876 (UMLS CUI [1])
Item
HIV Test result
integer
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
HIV Test result
CL Item
R (1)
CL Item
NR (2)
CL Item
I (3)
HIV test result counseling
Item
HIV test result received with post test counseling
boolean
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C0010210 (UMLS CUI [1,3])
Counseling Infant feeding
Item
Counseled on Infant feeding
boolean
C0010210 (UMLS CUI [1,1])
C0420979 (UMLS CUI [1,2])
Referral
Item
Referred for care, treatment and support
boolean
C0034927 (UMLS CUI [1])
Item
Partner HIV Test result
integer
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
Partner HIV Test result
CL Item
R (1)
CL Item
NR (2)
CL Item
I (3)
Item Group
Present Pregnancy: Follow Up
Item
Visit number
integer
C1549755 (UMLS CUI [1])
Code List
Visit number
CL Item
1st visit (better before 16 weeks) (1)
CL Item
2nd visit (better 24 - 28 wks) (2)
CL Item
3rd visit (better 30 -32 wks) (3)
CL Item
4th visit (better 36-40wks) (4)
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Gestational age
Item
Gestational age
text
C0017504 (UMLS CUI [1])
Blood pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Pallor
Item
Pallor
text
C0030232 (UMLS CUI [1])
Uterine height
Item
Uterine height (Wks)
text
C0426012 (UMLS CUI [1])
Fetal heart beat
Item
Fetal heart beat
text
C0412564 (UMLS CUI [1])
Fetal Presentation
Item
Fetal Presentation
text
C0022869 (UMLS CUI [1])
Urine test
Item
Urine test for infection
text
C0462970 (UMLS CUI [1])
Urine test
Item
Urine test for protein
text
C0462970 (UMLS CUI [1])
Syphilis test
Item
Rapid syphilis test
text
C0973034 (UMLS CUI [1])
Hemoglobin
Item
Hemoglobin
text
C0019046 (UMLS CUI [1])
Blood group
Item
Blood group
text
C0005810 (UMLS CUI [1])
Rhesus factor
Item
Rhesus factor
text
C0427641 (UMLS CUI [1])
TT
Item
TT
text
C0305062 (UMLS CUI [1,1])
C1115464 (UMLS CUI [1,2])
Iron/Folic acid
Item
Iron/Folic acid
text
C0357067 (UMLS CUI [1])
Mebendazole
Item
Mebendazole
text
C0025023 (UMLS CUI [1])
Use of ITN
Item
Use of ITN
text
C2717999 (UMLS CUI [1])
ARV Prophylaxis
Item
ARV Px type
text
C0599685 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
Remarks
Item
Remarks
text
C0947611 (UMLS CUI [1])
Danger signs
Item
Danger signs identified and Investigation
text
C2164151 (UMLS CUI [1])
Action, Advice, counseling
Item
Action, Advice, counseling
text
C0441472 (UMLS CUI [1])
C0150600 (UMLS CUI [2])
C0010210 (UMLS CUI [3])
Appointment
Item
Appointment for next follow-up
text
C0586344 (UMLS CUI [1])
Name and signature
Item
Name and Sign of Health care Provider
text
C0027365 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C0031831 (UMLS CUI [1,3])
Item Group
Intrapartum Care and followup
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Gravida
Item
Gravida
integer
C0422807 (UMLS CUI [1])
Parity
Item
Para
integer
C0030563 (UMLS CUI [1])
Medical Record Number
Item
Medical Record Number
text
C1301894 (UMLS CUI [1])
Admission date
Item
Admission Date
date
C1302393 (UMLS CUI [1])
Time of admission
Item
Time of admission
time
C3854259 (UMLS CUI [1])
Ruptured membranes
Item
Ruptured membranes
integer
C0948106 (UMLS CUI [1])
Fetal heart rate
Item
Fetal heart rate
integer
C0018811 (UMLS CUI [1])
Amniotic fluid
Item
Amniotic fluid
text
C0002638 (UMLS CUI [1])
Moulding
Item
Moulding
text
C0426103 (UMLS CUI [1])
Cervix
Item
Cervix uteri cm per hour
text
C0007874 (UMLS CUI [1])
Descent of head
Item
Descent of head per hour
text
C0437201 (UMLS CUI [1])
Contractions
Item
Contractions per 10 min
integer
C0042130 (UMLS CUI [1])
Oxytocin
Item
Oxytocin in drops per minute
integer
C0030095 (UMLS CUI [1])
Oxytocin
Item
Oxytocin in U/l
integer
C0030095 (UMLS CUI [1])
Drugs
Item
Drugs given
text
C0013227 (UMLS CUI [1])
IV fluids
Item
IV fluids given
text
C1289919 (UMLS CUI [1])
Pulse Rate
Item
Pulse
integer
C0232117 (UMLS CUI [1])
Blood pressure
Item
Blood pressure, systolic
integer
C0005823 (UMLS CUI [1])
Blood pressure
Item
Blood pressure, diastolic
integer
C0005823 (UMLS CUI [1])
Body Temperature
Item
Body Temperature
float
C0005903 (UMLS CUI [1])
Urine protein
Item
Urine protein
float
C0262923 (UMLS CUI [1])
Urine acetone
Item
Urine acetone
float
C0236440 (UMLS CUI [1])
Urine volume
Item
Urine volume
float
C1287298 (UMLS CUI [1])
Item Group
Delivery Summary
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Time
Item
Time
time
C0040223 (UMLS CUI [1])
Spontaneous Vaginal Delivery
Item
Spontaneous Vaginal Delivery
boolean
C0269694 (UMLS CUI [1])
Cesarean section
Item
Cesarean section
boolean
C0007876 (UMLS CUI [1])
Vacuum extraction delivery
Item
Vacuum extraction delivery
boolean
C0042225 (UMLS CUI [1])
Forceps extraction delivery
Item
Forceps extraction delivery
boolean
C0869912 (UMLS CUI [1])
Episiotomy
Item
Episiotomy
boolean
C0014586 (UMLS CUI [1])
Item
Active management of third stage labor
integer
C0022873 (UMLS CUI [1,1])
C0150270 (UMLS CUI [1,2])
Code List
Active management of third stage labor
CL Item
Ergometrine (1)
CL Item
Oxytocine (2)
CL Item
Misoprostol (3)
Item
Placenta delivery
integer
C0404381 (UMLS CUI [1])
Code List
Placenta delivery
CL Item
Completed (1)
CL Item
Incomplete (2)
CL Item
CCT (3)
CL Item
MRP (4)
Item
Laceration repair
integer
C0195666 (UMLS CUI [1])
Code List
Laceration repair
CL Item
1rst degree (1)
CL Item
2nd degree (2)
CL Item
3rd degree (3)
Item
Newborn
integer
C0021289 (UMLS CUI [1])
Code List
Newborn
CL Item
Single (1)
CL Item
Multiple (2)
Newborn: life birth
Item
Newborn: life birth
boolean
C2584946 (UMLS CUI [1])
Apgar score
Item
Apgar score
integer
C0003533 (UMLS CUI [1])
Item
Stillbirth
integer
C0595939 (UMLS CUI [1])
Code List
Stillbirth
CL Item
MAC (1)
CL Item
Fresh (2)
Item
Sex of newborn
text
C0079399 (UMLS CUI [1])
Code List
Sex of newborn
CL Item
Male (1)
CL Item
Female (2)
Birth weight
Item
Birth weight
float
C0005612 (UMLS CUI [1])
Length
Item
Infant length
integer
C1444754 (UMLS CUI [1])
Delivery preterm
Item
Delivery preterm
boolean
C0151526 (UMLS CUI [1])
Delivery to term
Item
Delivery to term
boolean
C0233089 (UMLS CUI [1])
BCG Date
Item
BCG Date
date
C0004886 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Vaccinations
integer
C0042196 (UMLS CUI [1])
Code List
Vaccinations
CL Item
BCG (1)
CL Item
Polio 0 (2)
CL Item
Vit K (3)
CL Item
TTC (4)
Bonding
Item
Baby-Mother Bonding
boolean
C0237497 (UMLS CUI [1])
Item
Obstetric complications managed
integer
C0178292 (UMLS CUI [1])
Code List
Obstetric complications managed
CL Item
Eclampsia (1)
CL Item
APH (2)
CL Item
Ruptured uterus (repaired) (3)
CL Item
PPH (4)
CL Item
PROM/Sepsis (5)
CL Item
Obst/prolg labor (6)
Item
Obstetric complications referred
integer
C0178292 (UMLS CUI [1])
Code List
Obstetric complications referred
CL Item
Eclampsia (1)
CL Item
APH (2)
CL Item
Ruptured uterus (hysterectomized) (3)
CL Item
PPH (4)
CL Item
PROM/Sepsis (5)
CL Item
Obst/prolg labor (6)
HIV testing and counseling
Item
HIV testing and counseling offered
boolean
C1321876 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
HIV Test
Item
HIV Test accepted
boolean
C1321876 (UMLS CUI [1])
Item
HIV Test result
integer
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
HIV Test result
CL Item
R (1)
CL Item
N (2)
CL Item
I (3)
ARV Prophylaxis
Item
Type of ARV prophylaxis provided to mother
text
C0599685 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
ARV Prophylaxis
Item
Type of ARV prophylaxis provided to newborn
text
C0599685 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
Item
Feeding option
integer
C0420979 (UMLS CUI [1])
Code List
Feeding option
CL Item
EBF (1)
CL Item
RF (2)
Referred for care and support
Item
Mother and newborn referred for care and support
boolean
C0034927 (UMLS CUI [1,1])
C0032782 (UMLS CUI [1,2])
C0418955 (UMLS CUI [1,3])
Remarks
Item
Remarks
text
C0947611 (UMLS CUI [1])
Name of Obstetrician
Item
Delivered by
text
C0027365 (UMLS CUI [1,1])
C0334897 (UMLS CUI [1,2])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])
Item
Postpartum visit
integer
C2088058 (UMLS CUI [1])
Code List
Postpartum visit
CL Item
1st visit (better at 6 hrs) (1)
CL Item
2nd (better at 6th day)  (2)
CL Item
3rd visit (better at 6th wks) (3)
Date
Item
Date of postpartum visit
date
C0011008 (UMLS CUI [1])
Blood Pressure
Item
Blood Pressure
integer
C0005823 (UMLS CUI [1])
TPR
Item
TPR
text
C0849975 (UMLS CUI [1])
Temperature
Item
Temperature
float
C0039476 (UMLS CUI [1])
Uterus contracted
Item
Uterus contracted
text
C0567158 (UMLS CUI [1])
Postpartum hemorrhage
Item
Postpartum hemorrhage
text
C0032797 (UMLS CUI [1])
Urine leakage
Item
Urine leakage or dribbling
text
C0375553 (UMLS CUI [1])
Anemia
Item
Anemia
text
C0002871 (UMLS CUI [1])
Vaginal Discharge
Item
Vaginal Discharge after 4 weeks post delivery
text
Pelvic exam
Item
Pelvic exam (only if vaginal discharge)
text
C0200045 (UMLS CUI [1])
Breast exam
Item
Breast exam
text
C2347781 (UMLS CUI [1])
Vitamin A
Item
Vitamin A for mother
text
C0042839 (UMLS CUI [1])
Counseling on danger signs, ITN and EPI
Item
Counseling on danger signs, ITN and EPI
text
C0010210 (UMLS CUI [1,1])
C0512307 (UMLS CUI [1,2])
C2717999 (UMLS CUI [2])
C0014586 (UMLS CUI [3])
Baby Breathing
Item
Baby Breathing
text
C0548003 (UMLS CUI [1])
Breastfeeding
Item
Baby breastfeeding
text
C0006147 (UMLS CUI [1])
Infant Weight
Item
Baby weight
integer
C0745274 (UMLS CUI [1])
Immunization
Item
Immunization
text
C0020971 (UMLS CUI [1])
HIV test
Item
HIV test done?
boolean
C1321876 (UMLS CUI [1])
Item
HIV Test result
integer
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Code List
HIV Test result
CL Item
R (1)
CL Item
NR (2)
ARV Prophylaxis
Item
Type of ARV prophylaxis provided to mother
text
C0599685 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
ARV Prophylaxis
Item
Type of ARV prophylaxis provided to newborn
text
C0599685 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
Item
Feeding option
integer
C0420979 (UMLS CUI [1])
Code List
Feeding option
CL Item
EBF (1)
CL Item
RF (2)
Referred for care and support
Item
Mother referred for care and support
text
C0034927 (UMLS CUI [1,1])
C0032782 (UMLS CUI [1,2])
C0418955 (UMLS CUI [1,3])
Referral for HIV infant care
Item
Newborn referred to chronic HIV infant care
text
C0034927 (UMLS CUI [1,1])
C0021272 (UMLS CUI [1,2])
C0019699 (UMLS CUI [1,3])
Counseling feeding practice
Item
FP Counseled & provided
text
C0010210 (UMLS CUI [1,1])
C0420979 (UMLS CUI [1,2])
Remarks
Item
Remarks
text
C0947611 (UMLS CUI [1])
Action taken
Item
Action Taken
text
C1555295 (UMLS CUI [1])
Attendant name
Item
Attendant name
text
C0554205 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])

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