ID

16324

Beschreibung

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

Link

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

Stichworte

  1. 11.07.16 11.07.16 -
Hochgeladen am

11. Juli 2016

DOI

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Lizenz

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Ministry of Health, Ethiopia- Womans card

Womans card

  1. StudyEvent: ODM
    1. Womans card
Demographic Information
Beschreibung

Demographic Information

Name of health facility
Beschreibung

Facility name

Datentyp

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0027365
Name of woman
Beschreibung

Name

Datentyp

text

Alias
UMLS CUI [1]
C0027365
Address:Woreda
Beschreibung

Patient address

Datentyp

text

Alias
UMLS CUI [1]
C0421449
Address: Kebele
Beschreibung

Patient address

Datentyp

text

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

Address

Datentyp

integer

Alias
UMLS CUI [1]
C0421449
Medical Record Number
Beschreibung

Medical Record Number

Datentyp

text

Alias
UMLS CUI [1]
C1301894
Date of birth
Beschreibung

Date of birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Marital status
Beschreibung

Marital status

Datentyp

text

Alias
UMLS CUI [1]
C0024819
Educational Status
Beschreibung

Educational Status

Datentyp

text

Alias
UMLS CUI [1]
C0013658
Registration date
Beschreibung

Registration date

Datentyp

date

Alias
UMLS CUI [1,1]
C0421512
UMLS CUI [1,2]
C0011008
General Medical Information
Beschreibung

General Medical Information

Past medical hisotory
Beschreibung

Medical history

Datentyp

integer

Alias
UMLS CUI [1]
C0262926
Laboratory Test Date
Beschreibung

Laboratory Test Date

Datentyp

date

Alias
UMLS CUI [1]
C2826641
Laboratory results
Beschreibung

Laboratory results

Datentyp

text

Alias
UMLS CUI [1]
C0587081
Date of issue of prescription
Beschreibung

Prescription date

Datentyp

date

Alias
UMLS CUI [1,1]
C1521941
UMLS CUI [1,2]
C0011008
Drug prescribed
Beschreibung

Drug prescribed

Datentyp

text

Alias
UMLS CUI [1]
C0517867
Tetanus Toxoid vaccination
Beschreibung

Tetanus Toxoid vaccination

Datentyp

integer

Alias
UMLS CUI [1]
C0305062
Date of vaccination
Beschreibung

Vaccination Date

Datentyp

date

Alias
UMLS CUI [1]
C1115436
Obstetric history
Beschreibung

Obstetric history

Year of pregnancy
Beschreibung

Year of pregnancy

Datentyp

partialDate

Maßeinheiten
  • yyyy
Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C0456586
yyyy
Outcome of pregnancy
Beschreibung

Pregnancy outcome

Datentyp

integer

Alias
UMLS CUI [1]
C0032972
Mode of delivery of the neonate
Beschreibung

Mode of delivery

Datentyp

integer

Alias
UMLS CUI [1]
C1555567
Complications
Beschreibung

Complications

Datentyp

boolean

Alias
UMLS CUI [1]
C0009566
Place of delivery
Beschreibung

Place of delivery

Datentyp

integer

Alias
UMLS CUI [1]
C0032040
Status of the offspring
Beschreibung

Status of the offspring

Datentyp

integer

Alias
UMLS CUI [1,1]
C1148433
UMLS CUI [1,2]
C0680063
Counseling and Testing
Beschreibung

Counseling and Testing

Date of visit
Beschreibung

Visit date

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Counseling sexually transmitted infections
Beschreibung

Counseling sexually transmitted infections

Datentyp

text

Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0809958
HIV counseling offered
Beschreibung

Counseling HIV

Datentyp

text

Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0019682
Counseling feeding practice
Beschreibung

Counseling feeding practice

Datentyp

text

Alias
UMLS CUI [1,1]
C0010210
UMLS CUI [1,2]
C0420979
HIV Test result
Beschreibung

HIV Test result

Datentyp

text

Alias
UMLS CUI [1,1]
C1321876
UMLS CUI [1,2]
C1274040
RPR test result
Beschreibung

RPR test result

Datentyp

text

Alias
UMLS CUI [1,1]
C0201405
UMLS CUI [1,2]
C1274040
VDRL Test result
Beschreibung

VDRL Test result

Datentyp

text

Alias
UMLS CUI [1,1]
C0201406
UMLS CUI [1,2]
C1274040
Family planning
Beschreibung

Family planning

Date of visit
Beschreibung

Visit date

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Blood pressure
Beschreibung

Blood pressure

Datentyp

integer

Maßeinheiten
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Weight
Beschreibung

Weight

Datentyp

float

Maßeinheiten
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Contraception Method provided
Beschreibung

Contraceptive method

Datentyp

text

Alias
UMLS CUI [1]
C0700589
Reason for contraceptive method change
Beschreibung

Contraceptive method change

Datentyp

text

Alias
UMLS CUI [1]
C0079162
Abortion care
Beschreibung

Abortion care

Date of procedure
Beschreibung

Date of procedure

Datentyp

date

Alias
UMLS CUI [1]
C2584899
Gravidity
Beschreibung

Gravidity

Datentyp

integer

Alias
UMLS CUI [1]
C0600457
Parity
Beschreibung

Parity

Datentyp

integer

Alias
UMLS CUI [1]
C0030563
Gestational age
Beschreibung

Gestational age

Datentyp

text

Maßeinheiten
  • Weeks of pregnancy
Alias
UMLS CUI [1]
C0017504
Weeks of pregnancy
Abortion type
Beschreibung

Abortion type

Datentyp

integer

Alias
UMLS CUI [1,1]
C0156543
UMLS CUI [1,2]
C0332307
Evacuation type
Beschreibung

Evacuation type

Datentyp

integer

Alias
UMLS CUI [1]
C1282573
Analgesia
Beschreibung

Analgesia

Datentyp

boolean

Alias
UMLS CUI [1]
C0002766
Type of analgesia
Beschreibung

Type of analgesia

Datentyp

text

Alias
UMLS CUI [1]
C0002766
Notes on analgesia
Beschreibung

Notes on analgesia

Datentyp

text

Alias
UMLS CUI [1,1]
C0002766
UMLS CUI [1,2]
C0945906
Place Procedure Performed
Beschreibung

Place Procedure Performed

Datentyp

integer

Alias
UMLS CUI [1,1]
C0184661
UMLS CUI [1,2]
C0442504
Post abortion contraception counseling
Beschreibung

Contraceptive methods

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0700589
UMLS CUI [1,2]
C0010210
Contraceptive Method provided
Beschreibung

Contraceptive Method provided

Datentyp

text

Alias
UMLS CUI [1]
C0700589
Condition on discharge
Beschreibung

Condition on discharge

Datentyp

integer

Alias
UMLS CUI [1]
C0231290
Remarks
Beschreibung

Remarks

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Signature
Beschreibung

Signature

Datentyp

text

Alias
UMLS CUI [1]
C1519316

Ähnliche Modelle

Womans card

  1. StudyEvent: ODM
    1. Womans card
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Demographic Information
Facility name
Item
Name of health facility
text
C0018704 (UMLS CUI [1,1])
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])
Item Group
General Medical Information
Item
Past medical hisotory
integer
C0262926 (UMLS CUI [1])
Code List
Past medical hisotory
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])
Drug prescribed
Item
Drug prescribed
text
C0517867 (UMLS CUI [1])
Item
Tetanus Toxoid vaccination
integer
C0305062 (UMLS CUI [1])
Code List
Tetanus Toxoid vaccination
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])
Item Group
Obstetric history
Year of pregnancy
Item
Year of pregnancy
partialDate
C0032961 (UMLS CUI [1,1])
C0456586 (UMLS CUI [1,2])
Item
Outcome of pregnancy
integer
C0032972 (UMLS CUI [1])
Code List
Outcome of pregnancy
CL Item
Delivery (1)
CL Item
Abortion (2)
Item
Mode of delivery of the neonate
integer
C1555567 (UMLS CUI [1])
Code List
Mode of delivery of the neonate
CL Item
Spontaneous  (1)
CL Item
Induced  (2)
CL Item
C/S (3)
Complications
Item
Complications
boolean
C0009566 (UMLS CUI [1])
Item
Place of delivery
integer
C0032040 (UMLS CUI [1])
Code List
Place of delivery
CL Item
Institution (1)
CL Item
Home (2)
Item
Status of the offspring
integer
C1148433 (UMLS CUI [1,1])
C0680063 (UMLS CUI [1,2])
Code List
Status of the offspring
CL Item
alive (1)
CL Item
dead (2)
Item Group
Counseling and Testing
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])
Counseling HIV
Item
HIV counseling offered
text
C0010210 (UMLS CUI [1,1])
C0019682 (UMLS CUI [1,2])
Counseling feeding practice
Item
Counseling feeding practice
text
C0010210 (UMLS CUI [1,1])
C0420979 (UMLS CUI [1,2])
HIV Test result
Item
HIV Test result
text
C1321876 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
RPR test result
Item
RPR test result
text
C0201405 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
VDRL Test result
Item
VDRL Test result
text
C0201406 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Item Group
Family planning
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])
Item
Contraception Method provided
text
C0700589 (UMLS CUI [1])
Code List
Contraception Method provided
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])
Code List
Reason for contraceptive method change
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)
Item Group
Abortion care
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])
Item
Abortion type
integer
C0156543 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Code List
Abortion type
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)
Item
Evacuation type
integer
C1282573 (UMLS CUI [1])
Code List
Evacuation type
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])
Item
Place Procedure Performed
integer
C0184661 (UMLS CUI [1,1])
C0442504 (UMLS CUI [1,2])
Code List
Place Procedure Performed
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])
Contraceptive Method provided
Item
Contraceptive Method provided
text
C0700589 (UMLS CUI [1])
Item
Condition on discharge
integer
C0231290 (UMLS CUI [1])
Code List
Condition on discharge
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])

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