ID
16413
Beskrivning
Form provided by Binyam Tilahun. Source: http://www.moh.gov.et/ (Ministry of Health, Ethiopia)
Länk
Nyckelord
Versioner (3)
- 2016-07-15 2016-07-15 -
- 2016-07-15 2016-07-15 -
- 2016-07-15 2016-07-15 -
Uppladdad den
15 juli 2016
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0 Legacy
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
Ministry of Health, Ethiopia- Family Planning Register
Family Planning Register
- StudyEvent: ODM
Beskrivning
Personal information
Beskrivning
Family Planning and Contraceptive Services
Beskrivning
Registration date
Datatyp
date
Alias
- UMLS CUI [1,1]
- C0421512
- UMLS CUI [1,2]
- C0011008
Beskrivning
New acceptor at registration
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0000902
- UMLS CUI [1,2]
- C0585648
Beskrivning
Repeat acceptor at registration
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0000903
- UMLS CUI [1,2]
- C0585648
Beskrivning
HIV test
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1321876
Beskrivning
HIV Test
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1321876
Beskrivning
HIV Test
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1321876
- UMLS CUI [1,2]
- C1274040
Beskrivning
HIV counseling
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0730426
Beskrivning
TT vaccination status
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0474241
- UMLS CUI [1,2]
- C0305062
Beskrivning
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
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1301624
- UMLS CUI [1,2]
- C0700589
Beskrivning
Contraindication for IUD
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C1301624
- UMLS CUI [1,2]
- C0021900
Beskrivning
Contraceptive methods permanent
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0700589
- UMLS CUI [1,2]
- C2985333
Beskrivning
Visit number
Datatyp
integer
Alias
- UMLS CUI [1]
- C1549755
Beskrivning
Visit Date
Datatyp
date
Alias
- UMLS CUI [1]
- C1320303
Beskrivning
Contraceptive method
Datatyp
text
Alias
- UMLS CUI [1]
- C0700589
Beskrivning
Remarks
Datatyp
text
Alias
- UMLS CUI [1]
- C0947611
Beskrivning
Appointment
Datatyp
date
Alias
- UMLS CUI [1]
- C0586344
Beskrivning
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])