ID

16409

Beschrijving

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

Link

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

Trefwoorden

Versies (1)
  1. 15-07-16 15-07-16 -
Geüploaded op

15 juli 2016

DOI

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Licentie

Creative Commons BY-NC 3.0
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Ministry of Health, Ethiopia- Health Post Family Planning Register

Engels

Health Post Family Planning Register

1 Formulieren  
Facility information
Beschrijving

Facility information

Region where the facility is located
Beschrijving

Facility location

Datatype

text

Alias
UMLS CUI [1]
C0806106
Address:Woreda/Sub-City
Beschrijving

Facility Address

Datatype

text

Alias
UMLS CUI [1,1]
C0421449
UMLS CUI [1,2]
C0018704
If Health post, write the name of the kebele where the health post is located
Beschrijving

Facility Address: Kebele

Datatype

text

Alias
UMLS CUI [1,1]
C0421449
UMLS CUI [1,2]
C0018704
Name of health facility
Beschrijving

Facility name

Datatype

text

Alias
UMLS CUI [1,1]
C0018704
UMLS CUI [1,2]
C0027365
Register Start date
Beschrijving

Enter the date of the first entry in this register

Datatype

date

Alias
UMLS CUI [1,1]
C0034975
UMLS CUI [1,2]
C0808070
Register End date
Beschrijving

Enter the date of the last entry in this register

Datatype

date

Alias
UMLS CUI [1,1]
C0034975
UMLS CUI [1,2]
C0806020
Personal information
Beschrijving

Personal information

Serial number
Beschrijving

Serial number

Datatype

integer

Alias
UMLS CUI [1]
C2348188
Name of client
Beschrijving

Name

Datatype

text

Alias
UMLS CUI [1]
C0027365
Age
Beschrijving

Age

Datatype

integer

Alias
UMLS CUI [1]
C0001779
Sex
Beschrijving

Sex

Datatype

text

Alias
UMLS CUI [1]
C0079399
Address:Woreda
Beschrijving

Patient address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Address: Kebele
Beschrijving

Patient address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Address:Ketena/Gott
Beschrijving

Patient Address

Datatype

text

Alias
UMLS CUI [1]
C0421449
Family Planning and Contraceptive Services
Beschrijving

Family Planning and Contraceptive Services

Registration date
Beschrijving

Registration date

Datatype

date

Alias
UMLS CUI [1,1]
C0421512
UMLS CUI [1,2]
C0011008
New acceptor at registration
Beschrijving

New acceptor at registration

Datatype

boolean

Alias
UMLS CUI [1,1]
C0000902
UMLS CUI [1,2]
C0585648
Repeat acceptor at registration
Beschrijving

Repeat acceptor at registration

Datatype

boolean

Alias
UMLS CUI [1,1]
C0000903
UMLS CUI [1,2]
C0585648
Family planning counseling
Beschrijving

Family planning counseling

Datatype

boolean

Alias
UMLS CUI [1]
C0199395
STD counseling
Beschrijving

STD counseling

Datatype

boolean

Alias
UMLS CUI [1,1]
C0036916
UMLS CUI [1,2]
C0010210
HIV counseling
Beschrijving

HIV counseling

Datatype

boolean

Alias
UMLS CUI [1]
C0730426
Referral for STD testing
Beschrijving

Referral for STD testing

Datatype

boolean

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0036916
UMLS CUI [1,3]
C0220908
Referral for HIV testing
Beschrijving

Referral for HIV testing

Datatype

boolean

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0459958
TT vaccination status checked
Beschrijving

TT vaccination status

Datatype

boolean

Alias
UMLS CUI [1,1]
C0474241
UMLS CUI [1,2]
C0305062
Visit number
Beschrijving

Visit number

Datatype

integer

Alias
UMLS CUI [1]
C1549755
Visit Date
Beschrijving

Visit Date

Datatype

date

Alias
UMLS CUI [1]
C1320303
Last menstrual period
Beschrijving

Last menstrual period

Datatype

date

Alias
UMLS CUI [1]
C0425932
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
Contraceptive selected
Beschrijving

Contraceptive method

Datatype

text

Alias
UMLS CUI [1]
C0700589
Reason for method switch
Beschrijving

Treatment change

Datatype

text

Alias
UMLS CUI [1]
C1299575
Remarks
Beschrijving

Remarks

Datatype

text

Alias
UMLS CUI [1]
C0947611
Appointment
Beschrijving

Appointment

Datatype

date

Alias
UMLS CUI [1]
C0586344
Total count
Beschrijving

Total count

Count new acceptors
Beschrijving

Count new acceptors

Datatype

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C0000902
Count repeat acceptors
Beschrijving

Count repeat acceptors

Datatype

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C0000903
Terug naar het begin van de pagina

Similar models

Health Post Family Planning Register

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Facility information
Facility location
Item
Region where the facility is located
text
C0806106 (UMLS CUI [1])
Facility Address
Item
Address:Woreda/Sub-City
text
C0421449 (UMLS CUI [1,1])
C0018704 (UMLS CUI [1,2])
Facility Address: Kebele
Item
If Health post, write the name of the kebele where the health post is located
text
C0421449 (UMLS CUI [1,1])
C0018704 (UMLS CUI [1,2])
Facility name
Item
Name of health facility
text
C0018704 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
Register Start date
Item
Register Start date
date
C0034975 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Register End date
Item
Register End date
date
C0034975 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item Group
Personal information
Serial number
Item
Serial number
integer
C2348188 (UMLS CUI [1])
Name
Item
Name of client
text
C0027365 (UMLS CUI [1])
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Sex
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Patient address
Item
Address:Woreda
text
C0421449 (UMLS CUI [1])
Patient address
Item
Address: Kebele
text
C0421449 (UMLS CUI [1])
Patient Address
Item
Address:Ketena/Gott
text
C0421449 (UMLS CUI [1])
Item Group
Family Planning and Contraceptive Services
Registration date
Item
Registration date
date
C0421512 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
New acceptor at registration
Item
New acceptor at registration
boolean
C0000902 (UMLS CUI [1,1])
C0585648 (UMLS CUI [1,2])
Repeat acceptor at registration
Item
Repeat acceptor at registration
boolean
C0000903 (UMLS CUI [1,1])
C0585648 (UMLS CUI [1,2])
Family planning counseling
Item
Family planning counseling
boolean
C0199395 (UMLS CUI [1])
STD counseling
Item
STD counseling
boolean
C0036916 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
HIV counseling
Item
HIV counseling
boolean
C0730426 (UMLS CUI [1])
Referral for STD testing
Item
Referral for STD testing
boolean
C0034927 (UMLS CUI [1,1])
C0036916 (UMLS CUI [1,2])
C0220908 (UMLS CUI [1,3])
Referral for HIV testing
Item
Referral for HIV testing
boolean
C0034927 (UMLS CUI [1,1])
C0459958 (UMLS CUI [1,2])
TT vaccination status
Item
TT vaccination status checked
boolean
C0474241 (UMLS CUI [1,1])
C0305062 (UMLS CUI [1,2])
Visit number
Item
Visit number
integer
C1549755 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Last menstrual period
Item
Last menstrual period
date
C0425932 (UMLS CUI [1])
Blood pressure
Item
Blood pressure
integer
C0005823 (UMLS CUI [1])
Weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Item
Contraceptive selected
text
C0700589 (UMLS CUI [1])
Contraceptive method
Code List
Contraceptive selected
CL Item
Male Condom (MaC)
CL Item
Female Condom (FeC)
CL Item
Oral Contraceptive (OC)
CL Item
Injectable (Inj)
CL Item
Emergency Contraception (EC)
Item
Reason for method switch
text
C1299575 (UMLS CUI [1])
Treatment change
Code List
Reason for method switch
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
Risk of STI exposure (STI)
CL Item
Potential interaction with newly initiated treatment ingredient (Int)
CL Item
Other (Oth)
Remarks
Item
Remarks
text
C0947611 (UMLS CUI [1])
Appointment
Item
Appointment
date
C0586344 (UMLS CUI [1])
Item Group
Total count
Count new acceptors
Item
Count new acceptors
integer
C0750480 (UMLS CUI [1,1])
C0000902 (UMLS CUI [1,2])
Count repeat acceptors
Item
Count repeat acceptors
integer
C0750480 (UMLS CUI [1,1])
C0000903 (UMLS CUI [1,2])
Terug naar het begin van de pagina 

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