Information:
Error:
ID
16324
Description
Form provided by Binyam Tilahun. Source: http://www.moh.gov.et/ (Ministry of Health, Ethiopia)
Link
Keywords
Versions (1)
- 7/11/16 7/11/16 -
Uploaded on
July 11, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Ministry of Health, Ethiopia- Womans card
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Womans card
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Facility name
Item
Name of health facility
text
C0018704 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])
Name
Item
Name of woman
text
C0027365 (UMLS CUI [1])
Patient address
Item
Address:Woreda
text
C0421449 (UMLS CUI [1])
Patient address
Item
Address: Kebele
text
C0421449 (UMLS CUI [1])
Address
Item
Address: House number
integer
C0421449 (UMLS CUI [1])
Medical Record Number
Item
Medical Record Number
text
C1301894 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Marital status
Item
Marital status
text
C0024819 (UMLS CUI [1])
Educational Status
Item
Educational Status
text
C0013658 (UMLS CUI [1])
Registration date
Item
Registration date
date
C0421512 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
CL Item
Diabetes (1)
CL Item
Renal (2)
CL Item
Cardiac (3)
CL Item
Hypertension (4)
CL Item
Use of known substance (5)
CL Item
Tuberculosis (6)
CL Item
HIV (7)
CL Item
Other (8)
Laboratory Test Date
Item
Laboratory Test Date
date
C2826641 (UMLS CUI [1])
Laboratory results
Item
Laboratory results
text
C0587081 (UMLS CUI [1])
Prescription date
Item
Date of issue of prescription
date
C1521941 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Drug prescribed
Item
Drug prescribed
text
C0517867 (UMLS CUI [1])
CL Item
TT1 (1)
CL Item
TT2 (2)
CL Item
TT3 (3)
CL Item
TT4 (4)
CL Item
TT5 (5)
Vaccination Date
Item
Date of vaccination
date
C1115436 (UMLS CUI [1])
Year of pregnancy
Item
Year of pregnancy
partialDate
C0032961 (UMLS CUI [1,1])
C0456586 (UMLS CUI [1,2])
C0456586 (UMLS CUI [1,2])
CL Item
Delivery (1)
CL Item
Abortion (2)
CL Item
Spontaneous (1)
CL Item
Induced (2)
CL Item
C/S (3)
Complications
Item
Complications
boolean
C0009566 (UMLS CUI [1])
CL Item
Institution (1)
CL Item
Home (2)
Item
Status of the offspring
integer
C1148433 (UMLS CUI [1,1])
C0680063 (UMLS CUI [1,2])
C0680063 (UMLS CUI [1,2])
CL Item
alive (1)
CL Item
dead (2)
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Counseling sexually transmitted infections
Item
Counseling sexually transmitted infections
text
C0010210 (UMLS CUI [1,1])
C0809958 (UMLS CUI [1,2])
C0809958 (UMLS CUI [1,2])
Counseling HIV
Item
HIV counseling offered
text
C0010210 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
C0019682 (UMLS CUI [1,2])
Counseling feeding practice
Item
Counseling feeding practice
text
C0010210 (UMLS CUI [1,1])
C0420979 (UMLS CUI [1,2])
C0420979 (UMLS CUI [1,2])
HIV Test result
Item
HIV Test result
text
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,2])
RPR test result
Item
RPR test result
text
C0201405 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,2])
VDRL Test result
Item
VDRL Test result
text
C0201406 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
C1274040 (UMLS CUI [1,2])
Visit date
Item
Date of visit
date
C1320303 (UMLS CUI [1])
Blood pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
CL Item
Male Condom (MaC)
CL Item
Female Condom (FeC)
CL Item
Injectable (Inj)
CL Item
Emergency Contraception (EC)
CL Item
Oral Contraceptive (OC)
CL Item
tubal ligation (TL)
CL Item
vasectomy (V)
Item
Reason for contraceptive method change
text
C0079162 (UMLS CUI [1])
CL Item
Unavailability of the method (MethUn)
CL Item
Unwanted side effects (S/E)
CL Item
Desire being pregnant (Preg)
CL Item
Developed illness and disease (Ill)
CL Item
Potential interaction with newly initiated treatment ingredient (Int)
CL Item
Risk of STI exposure (STI)
CL Item
Other (Oth)
Date of procedure
Item
Date of procedure
date
C2584899 (UMLS CUI [1])
Gravidity
Item
Gravidity
integer
C0600457 (UMLS CUI [1])
Parity
Item
Parity
integer
C0030563 (UMLS CUI [1])
Gestational age
Item
Gestational age
text
C0017504 (UMLS CUI [1])
CL Item
Spontaneous (1)
CL Item
Unsafe (2)
CL Item
Safe abortion (3)
CL Item
Inevitable (4)
CL Item
Incomplete (5)
CL Item
Complete (6)
CL Item
MVA (1)
CL Item
E&C (2)
CL Item
MA (3)
CL Item
D&C (4)
CL Item
Other (5)
Analgesia
Item
Analgesia
boolean
C0002766 (UMLS CUI [1])
Type of analgesia
Item
Type of analgesia
text
C0002766 (UMLS CUI [1])
Notes on analgesia
Item
Notes on analgesia
text
C0002766 (UMLS CUI [1,1])
C0945906 (UMLS CUI [1,2])
C0945906 (UMLS CUI [1,2])
Item
Place Procedure Performed
integer
C0184661 (UMLS CUI [1,1])
C0442504 (UMLS CUI [1,2])
C0442504 (UMLS CUI [1,2])
CL Item
Inpatient (1)
CL Item
Outpatient (2)
Contraceptive methods
Item
Post abortion contraception counseling
boolean
C0700589 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
C0010210 (UMLS CUI [1,2])
Contraceptive Method provided
Item
Contraceptive Method provided
text
C0700589 (UMLS CUI [1])
CL Item
Improved (1)
CL Item
Referred (2)
CL Item
Died (3)
Remarks
Item
Remarks
text
C0947611 (UMLS CUI [1])
Signature
Item
Signature
text
C1519316 (UMLS CUI [1])