ID

16419

Description

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

Link

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

Keywords

Versions (1)
  1. 7/15/16 7/15/16 -
Uploaded on

July 15, 2016

DOI

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License

Creative Commons BY-NC 3.0
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Ministry of Health, Ethiopia- PreART Register

English

PreART Register

1 forms  
  1. StudyEvent: ODM
    1. PreART Register
PreArt-Register
Description

PreArt-Register

Month
Description

Month

Data type

text

Alias
UMLS CUI [1]
C0439231
Year
Description

Year

Data type

integer

Alias
UMLS CUI [1]
C0439234
Date of Enrollment in Chronic HIV Care
Description

Date of Enrollment

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0679646
UMLS CUI [1,3]
C1516879
Medical Record Number
Description

Medical Record Number

Data type

text

Alias
UMLS CUI [1]
C1301894
Name
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Name of father
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Name of grandfather
Description

Name

Data type

text

Alias
UMLS CUI [1]
C0027365
Sex
Description

Sex

Data type

text

Alias
UMLS CUI [1]
C0079399
Age
Description

Months/Years

Data type

integer

Alias
UMLS CUI [1]
C0001779
Address:Woreda
Description

Patient address

Data type

text

Alias
UMLS CUI [1]
C0421449
Address: Kebele
Description

Patient address

Data type

text

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

Patient address

Data type

integer

Alias
UMLS CUI [1]
C0421449
HIV Seropositivity confirmed
Description

Date HIV positive

Data type

date

Alias
UMLS CUI [1,1]
C0019699
UMLS CUI [1,2]
C0011008
Screening for TB
Description

Screening

Data type

boolean

Alias
UMLS CUI [1]
C1409616
Active TB Diagnosis
Description

TB Diagnosis

Data type

boolean

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0041296
Start date TB Treatment
Description

Start date TB Treatment

Data type

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0749724
End date TB Treatment
Description

End date TB Treatment

Data type

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C0749724
INH Prophylaxis
Description

INH Prophylaxis

Data type

date

Alias
UMLS CUI [1,1]
C0745421
UMLS CUI [1,2]
C0199176
CTX Start date
Description

CTX Start date

Data type

date

Alias
UMLS CUI [1,1]
C0392920
UMLS CUI [1,2]
C0808070
CTX End date
Description

CTX End date

Data type

date

Alias
UMLS CUI [1,1]
C0392920
UMLS CUI [1,2]
C0806020
Antenatal care registration number
Description

Antenatal care registration number

Data type

integer

Alias
UMLS CUI [1,1]
C0033052
UMLS CUI [1,2]
C0421512
Estimated date of delivery
Description

Estimated date of delivery

Data type

date

Alias
UMLS CUI [1]
C1287845
Date removed
Description

Date removed

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0849355
Reason for leaving treatment
Description

Reason for leaving treatment

Data type

text

Alias
UMLS CUI [1,1]
C0040808
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0444496
Why Eligible?
Description

Eligibility

Data type

integer

Alias
UMLS CUI [1]
C0013893
Please enter the date when patient is medically eligible
Description

Date eligible

Data type

date

Alias
UMLS CUI [1]
C1829734
Please enter the date when patient is medically eligible and ready (counseled for adherence) for ART
Description

Date eligible and ready

Data type

date

Alias
UMLS CUI [1,1]
C1829734
UMLS CUI [1,2]
C0010210
ART Start date
Description

ART Start date

Data type

date

Alias
UMLS CUI [1,1]
C1963724
UMLS CUI [1,2]
C0808070
Unique ART Number adults
Description

Unique Identifier

Data type

text

Alias
UMLS CUI [1]
C2349022
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Similar models

PreART Register

1 forms
  1. StudyEvent: ODM
    1. PreART Register
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PreArt-Register
Month
Item
Month
text
C0439231 (UMLS CUI [1])
Year
Item
Year
integer
C0439234 (UMLS CUI [1])
Date of Enrollment
Item
Date of Enrollment in Chronic HIV Care
date
C0011008 (UMLS CUI [1,1])
C0679646 (UMLS CUI [1,2])
C1516879 (UMLS CUI [1,3])
Medical Record Number
Item
Medical Record Number
text
C1301894 (UMLS CUI [1])
Name
Item
Name
text
C0027365 (UMLS CUI [1])
Name
Item
Name of father
text
C0027365 (UMLS CUI [1])
Name
Item
Name of grandfather
text
C0027365 (UMLS CUI [1])
Item
Sex
text
C0079399 (UMLS CUI [1])
Sex
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
Age
Item
Age
integer
C0001779 (UMLS CUI [1])
Patient address
Item
Address:Woreda
text
C0421449 (UMLS CUI [1])
Patient address
Item
Address: Kebele
text
C0421449 (UMLS CUI [1])
Patient address
Item
Address: House number
integer
C0421449 (UMLS CUI [1])
Date HIV positive
Item
HIV Seropositivity confirmed
date
C0019699 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Screening
Item
Screening for TB
boolean
C1409616 (UMLS CUI [1])
TB Diagnosis
Item
Active TB Diagnosis
boolean
C0011900 (UMLS CUI [1,1])
C0041296 (UMLS CUI [1,2])
Start date TB Treatment
Item
Start date TB Treatment
date
C0808070 (UMLS CUI [1,1])
C0749724 (UMLS CUI [1,2])
End date TB Treatment
Item
End date TB Treatment
date
C0806020 (UMLS CUI [1,1])
C0749724 (UMLS CUI [1,2])
INH Prophylaxis
Item
INH Prophylaxis
date
C0745421 (UMLS CUI [1,1])
C0199176 (UMLS CUI [1,2])
CTX Start date
Item
CTX Start date
date
C0392920 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
CTX End date
Item
CTX End date
date
C0392920 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Antenatal care registration number
Item
Antenatal care registration number
integer
C0033052 (UMLS CUI [1,1])
C0421512 (UMLS CUI [1,2])
Estimated date of delivery
Item
Estimated date of delivery
date
C1287845 (UMLS CUI [1])
Date removed
Item
Date removed
date
C0011008 (UMLS CUI [1,1])
C0849355 (UMLS CUI [1,2])
Item
Reason for leaving treatment
text
C0040808 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0444496 (UMLS CUI [1,3])
Reason for leaving treatment
Code List
Reason for leaving treatment
CL Item
transferred out  (TO)
CL Item
Patient and doctor agreed to stop treatment (STOP)
CL Item
Facility has been notified that the patient has died (DEAD)
Item
Why Eligible?
integer
C0013893 (UMLS CUI [1])
Eligibility
Code List
Why Eligible?
CL Item
Clinical only (1)
CL Item
CD4 (2)
CL Item
TLC (3)
CL Item
Transfer In (TI) Where ART started (4)
Date eligible
Item
Please enter the date when patient is medically eligible
date
C1829734 (UMLS CUI [1])
Date eligible and ready
Item
Please enter the date when patient is medically eligible and ready (counseled for adherence) for ART
date
C1829734 (UMLS CUI [1,1])
C0010210 (UMLS CUI [1,2])
ART Start date
Item
ART Start date
date
C1963724 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Unique Identifier
Item
Unique ART Number adults
text
C2349022 (UMLS CUI [1])
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