ID
16415
Description
Form provided by Binyam Tilahun. Source: http://www.moh.gov.et/ (Ministry of Health, Ethiopia)
Link
Keywords
Versions (3)
- 7/15/16 7/15/16 -
- 7/15/16 7/15/16 -
- 7/15/16 7/15/16 -
Uploaded on
July 15, 2016
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Ministry of Health, Ethiopia- Family Planning Register
Family Planning Register
- StudyEvent: ODM
Description
Personal information
Description
Family Planning and Contraceptive Services
Description
Registration date
Data type
date
Alias
- UMLS CUI [1,1]
- C0421512
- UMLS CUI [1,2]
- C0011008
Description
New acceptor at registration
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0000902
- UMLS CUI [1,2]
- C0585648
Description
Repeat acceptor at registration
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0000903
- UMLS CUI [1,2]
- C0585648
Description
HIV test
Data type
boolean
Alias
- UMLS CUI [1]
- C1321876
Description
HIV Test
Data type
boolean
Alias
- UMLS CUI [1]
- C1321876
Description
HIV Test
Data type
integer
Alias
- UMLS CUI [1,1]
- C1321876
- UMLS CUI [1,2]
- C1274040
Description
HIV counseling
Data type
boolean
Alias
- UMLS CUI [1]
- C0730426
Description
TT vaccination status
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0474241
- UMLS CUI [1,2]
- C0305062
Description
Tick if one of following conditions present - Breastfeeding babb < 6 weeks old - Bleeding /spotting etween periods or after intercourse - Jaundice (abnormal yellow skin or eyes) - Smoke - Diabetes - Severe headache or blurred vision - Severe pain in calves, thighs or ehest, or swollen legs (edema) - High blood pressure (history of ) - Heart attack, strake or heart disease (history an - Breast cancer or suspicious (firm, contender , or fixed) lump in the breast - Taking drugs for epilepsy (phenytoin and barbiturates) or tuberculosis (rifampicin) - other
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1301624
- UMLS CUI [1,2]
- C0700589
Description
Tick if one of following conditions present - Client (or partner) has other sex partners - Sexually transmitted genital tract infections (GTI) within the last 3 months or other chronic STI (eg HBV, HIV/AIDS). - Pelvic infection (PID) or ectopic pregnancy (within the last 3 months) - Heavy menstrual bleeding (twice as much or twice as long as normal) - Severe menstrual cramping (dysmenorrhea) requiring analgesics and/or bed rest. - Bleeding/spottin between periods or after intercourse - Symptomatic va vular heart disease - other
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1301624
- UMLS CUI [1,2]
- C0021900
Description
Contraceptive methods permanent
Data type
integer
Alias
- UMLS CUI [1,1]
- C0700589
- UMLS CUI [1,2]
- C2985333
Description
Visit number
Data type
integer
Alias
- UMLS CUI [1]
- C1549755
Description
Visit Date
Data type
date
Alias
- UMLS CUI [1]
- C1320303
Description
Contraceptive method
Data type
text
Alias
- UMLS CUI [1]
- C0700589
Description
Remarks
Data type
text
Alias
- UMLS CUI [1]
- C0947611
Description
Appointment
Data type
date
Alias
- UMLS CUI [1]
- C0586344
Description
Total count
Similar models
Family Planning Register
- StudyEvent: ODM
C0018704 (UMLS CUI [1,2])
C0018704 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0585648 (UMLS CUI [1,2])
C0585648 (UMLS CUI [1,2])
C0305062 (UMLS CUI [1,2])
C0700589 (UMLS CUI [1,2])
C0021900 (UMLS CUI [1,2])
C2985333 (UMLS CUI [1,2])
C0000902 (UMLS CUI [1,2])
C0000903 (UMLS CUI [1,2])