ID

16409

Descripción

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

Link

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

Palabras clave

Versiones (1)
  1. 15/7/16 15/7/16 -
Subido en

15 de julio de 2016

DOI

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Licencia

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

Inglés

Health Post Family Planning Register

1 formularios  
Facility information
Descripción

Facility information

Region where the facility is located
Descripción

Facility location

Tipo de datos

text

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

Facility Address

Tipo de datos

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
Descripción

Facility Address: Kebele

Tipo de datos

text

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

Facility name

Tipo de datos

text

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

Enter the date of the first entry in this register

Tipo de datos

date

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

Enter the date of the last entry in this register

Tipo de datos

date

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

Personal information

Serial number
Descripción

Serial number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2348188
Name of client
Descripción

Name

Tipo de datos

text

Alias
UMLS CUI [1]
C0027365
Age
Descripción

Age

Tipo de datos

integer

Alias
UMLS CUI [1]
C0001779
Sex
Descripción

Sex

Tipo de datos

text

Alias
UMLS CUI [1]
C0079399
Address:Woreda
Descripción

Patient address

Tipo de datos

text

Alias
UMLS CUI [1]
C0421449
Address: Kebele
Descripción

Patient address

Tipo de datos

text

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

Patient Address

Tipo de datos

text

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

Family Planning and Contraceptive Services

Registration date
Descripción

Registration date

Tipo de datos

date

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

New acceptor at registration

Tipo de datos

boolean

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

Repeat acceptor at registration

Tipo de datos

boolean

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

Family planning counseling

Tipo de datos

boolean

Alias
UMLS CUI [1]
C0199395
STD counseling
Descripción

STD counseling

Tipo de datos

boolean

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

HIV counseling

Tipo de datos

boolean

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

Referral for STD testing

Tipo de datos

boolean

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

Referral for HIV testing

Tipo de datos

boolean

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

TT vaccination status

Tipo de datos

boolean

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

Visit number

Tipo de datos

integer

Alias
UMLS CUI [1]
C1549755
Visit Date
Descripción

Visit Date

Tipo de datos

date

Alias
UMLS CUI [1]
C1320303
Last menstrual period
Descripción

Last menstrual period

Tipo de datos

date

Alias
UMLS CUI [1]
C0425932
Blood pressure
Descripción

Blood pressure

Tipo de datos

integer

Unidades de medida
  • mmHg
Alias
UMLS CUI [1]
C0005823
mmHg
Body weight
Descripción

Weight

Tipo de datos

float

Unidades de medida
  • kg
Alias
UMLS CUI [1]
C0005910
kg
Contraceptive selected
Descripción

Contraceptive method

Tipo de datos

text

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

Treatment change

Tipo de datos

text

Alias
UMLS CUI [1]
C1299575
Remarks
Descripción

Remarks

Tipo de datos

text

Alias
UMLS CUI [1]
C0947611
Appointment
Descripción

Appointment

Tipo de datos

date

Alias
UMLS CUI [1]
C0586344
Total count
Descripción

Total count

Count new acceptors
Descripción

Count new acceptors

Tipo de datos

integer

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

Count repeat acceptors

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C0000903
Volver a la parte superior de la página

Similar models

Health Post Family Planning Register

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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])
Volver a la parte superior de la página 

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