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Laboratory tests and rubella protection

6 forms  
Laboratory tests and rubella protection
Description

Laboratory tests and rubella protection

Alias
UMLS CUI-1
C0022885
UMLS CUI-2
C0150259
UMLS CUI-3
C0035920
Blood group
Description

Blood group

Data type

text

Alias
UMLS CUI [1]
C0005810
Rhesus D status
Description

The information entered here does not release the physician from his or her due diligence obligations (e.g. cross-matching)

Data type

text

Alias
UMLS CUI [1]
C0856601
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Physician stamp
Description

Physician stamp

Data type

text

Alias
UMLS CUI [1]
C1519316
Antibody screening test
Description

Antibody screening test

Data type

text

Alias
UMLS CUI [1]
C0368676
If positive, titre 1:
Description

Antibody screening test Titer

Data type

float

Alias
UMLS CUI [1,1]
C0368676
UMLS CUI [1,2]
C0475208
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Proof of two rubella vaccinations has been shown:
Description

Rubella vaccination

Data type

boolean

Alias
UMLS CUI [1]
C0042206
Rubella antibody test
Description

Rubella antibody test

Data type

text

Alias
UMLS CUI [1]
C0430436
If positive, titre 1
Description

Rubella antibody test Titer

Data type

float

Alias
UMLS CUI [1,1]
C0430436
UMLS CUI [1,2]
C0475208
If positive, titre
Description

Rubella antibody test Titer

Data type

float

Measurement units
  • IE/ml
Alias
UMLS CUI [1,1]
C0430436
UMLS CUI [1,2]
C0475208
IE/ml
Immunity can be assumed:
Description

Immunity

Data type

boolean

Alias
UMLS CUI [1]
C0020964
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Additional serological examinations, if applicable:
Description

Laboratory examination Serologic

Data type

text

Alias
UMLS CUI [1,1]
C0260877
UMLS CUI [1,2]
C0205473
Physician signature
Description

Physician signature

Data type

text

Alias
UMLS CUI [1]
C1519316
Test for chlamydia trachomatis DNA in urine sample using nucleic acid amplification test (NAT)
Description

urine microbiology test chlamydia trachomatis nucleic acid amplification test

Data type

text

Alias
UMLS CUI [1,1]
C2229100
UMLS CUI [1,2]
C0008151
UMLS CUI [1,3]
C0200932
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Physician signature and stamp
Description

Physician signature and stamp

Data type

text

Alias
UMLS CUI [1]
C1519316
Antibody screening retest
Description

Antibody screening test

Data type

text

Alias
UMLS CUI [1]
C0368676
If positive, titre 1:
Description

Antibody screening test Titer

Data type

float

Alias
UMLS CUI [1,1]
C0368676
UMLS CUI [1,2]
C0475208
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Rubella antibody retest
Description

(see Maternity Directive, section C, number 1)

Data type

text

Alias
UMLS CUI [1]
C0430436
If positive, titre 1
Description

Rubella antibody test Titer

Data type

float

Alias
UMLS CUI [1,1]
C0430436
UMLS CUI [1,2]
C0475208
If positive, titre
Description

Rubella antibody test Titer

Data type

float

Measurement units
  • years
Alias
UMLS CUI [1,1]
C0430436
UMLS CUI [1,2]
C0475208
years
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Additional serological examinations, if applicable:
Description

Laboratory examination Serologic

Data type

text

Alias
UMLS CUI [1,1]
C0260877
UMLS CUI [1,2]
C0205473
Physician signature and stamp
Description

Physician signature and stamp

Data type

text

Alias
UMLS CUI [1]
C1519316
Screening for syphilis conducted on:
Description

screening date syphilis

Data type

date

Alias
UMLS CUI [1,1]
C1710032
UMLS CUI [1,2]
C0011008
UMLS CUI [1,3]
C0039128
Log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Physician signature and stamp
Description

Physician signature and stamp

Data type

text

Alias
UMLS CUI [1]
C1519316
Antibody screening retest
Description

Antibody screening test

Data type

text

Alias
UMLS CUI [1]
C0368676
If positive, titre 1:
Description

Antibody screening test Titer

Data type

float

Alias
UMLS CUI [1,1]
C0368676
UMLS CUI [1,2]
C0475208
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Physician signature and stamp
Description

Physician signature and stamp

Data type

text

Alias
UMLS CUI [1]
C1519316
Test for HBs antigen in serum
Description

Antigen test HBs serum

Data type

text

Alias
UMLS CUI [1,1]
C0729856
UMLS CUI [1,2]
C0019168
UMLS CUI [1,3]
C0229671
Examination date:
Description

Examination date

Data type

date

Alias
UMLS CUI [1]
C2826643
Laboratory log number:
Description

identification number Laboratory

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C0022877
Physician signature and stamp
Description

Physician signature and stamp

Data type

text

Alias
UMLS CUI [1]
C1519316
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Similar models

Laboratory tests and rubella protection

6 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Laboratory tests and rubella protection
C0022885 (UMLS CUI-1)
C0150259 (UMLS CUI-2)
C0035920 (UMLS CUI-3)
Blood group
Item
Blood group
text
C0005810 (UMLS CUI [1])
Item
Rhesus D status
text
C0856601 (UMLS CUI [1])
rhesus D
Code List
Rhesus D status
CL Item
Rh positive (1)
CL Item
Rh negative (2)
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Physician stamp
Item
Physician stamp
text
C1519316 (UMLS CUI [1])
Item
Antibody screening test
text
C0368676 (UMLS CUI [1])
Antibody screening test
Code List
Antibody screening test
CL Item
negative  (1)
CL Item
positive (2)
Antibody screening test Titer
Item
If positive, titre 1:
float
C0368676 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Rubella vaccination
Item
Proof of two rubella vaccinations has been shown:
boolean
C0042206 (UMLS CUI [1])
Item
Rubella antibody test
text
C0430436 (UMLS CUI [1])
Antibody screening test
Code List
Rubella antibody test
CL Item
negative  (1)
CL Item
positive (2)
Rubella antibody test Titer
Item
If positive, titre 1
float
C0430436 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Rubella antibody test Titer
Item
If positive, titre
float
C0430436 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Immunity
Item
Immunity can be assumed:
boolean
C0020964 (UMLS CUI [1])
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Laboratory examination Serologic
Item
Additional serological examinations, if applicable:
text
C0260877 (UMLS CUI [1,1])
C0205473 (UMLS CUI [1,2])
Physician signature
Item
Physician signature
text
C1519316 (UMLS CUI [1])
Item
Test for chlamydia trachomatis DNA in urine sample using nucleic acid amplification test (NAT)
text
C2229100 (UMLS CUI [1,1])
C0008151 (UMLS CUI [1,2])
C0200932 (UMLS CUI [1,3])
urine microbiology test chlamydia trachomatis nucleic acid amplification test
Code List
Test for chlamydia trachomatis DNA in urine sample using nucleic acid amplification test (NAT)
CL Item
negative  (1)
CL Item
positive (2)
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Physician signature and stamp
Item
Physician signature and stamp
text
C1519316 (UMLS CUI [1])
Item
Antibody screening retest
text
C0368676 (UMLS CUI [1])
Antibody screening test
Code List
Antibody screening retest
CL Item
negative  (1)
CL Item
positive (2)
Antibody screening test Titer
Item
If positive, titre 1:
float
C0368676 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Item
Rubella antibody retest
text
C0430436 (UMLS CUI [1])
Antibody screening test
Code List
Rubella antibody retest
CL Item
negative  (1)
CL Item
positive (2)
Rubella antibody test Titer
Item
If positive, titre 1
float
C0430436 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Rubella antibody test Titer
Item
If positive, titre
float
C0430436 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Laboratory examination Serologic
Item
Additional serological examinations, if applicable:
text
C0260877 (UMLS CUI [1,1])
C0205473 (UMLS CUI [1,2])
Physician signature and stamp
Item
Physician signature and stamp
text
C1519316 (UMLS CUI [1])
screening date syphilis
Item
Screening for syphilis conducted on:
date
C1710032 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0039128 (UMLS CUI [1,3])
identification number Laboratory
Item
Log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Physician signature and stamp
Item
Physician signature and stamp
text
C1519316 (UMLS CUI [1])
Item
Antibody screening retest
text
C0368676 (UMLS CUI [1])
Antibody screening test
Code List
Antibody screening retest
CL Item
negative  (1)
CL Item
positive (2)
Antibody screening test Titer
Item
If positive, titre 1:
float
C0368676 (UMLS CUI [1,1])
C0475208 (UMLS CUI [1,2])
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Physician signature and stamp
Item
Physician signature and stamp
text
C1519316 (UMLS CUI [1])
Item
Test for HBs antigen in serum
text
C0729856 (UMLS CUI [1,1])
C0019168 (UMLS CUI [1,2])
C0229671 (UMLS CUI [1,3])
Antibody screening test
Code List
Test for HBs antigen in serum
CL Item
negative  (1)
CL Item
positive (2)
Examination date
Item
Examination date:
date
C2826643 (UMLS CUI [1])
identification number Laboratory
Item
Laboratory log number:
text
C1300638 (UMLS CUI [1,1])
C0022877 (UMLS CUI [1,2])
Physician signature and stamp
Item
Physician signature and stamp
text
C1519316 (UMLS CUI [1])
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