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Disturbance of growth questionnaire

1 forms  
Disturbance of growth questionnaire
Description

Disturbance of growth questionnaire

Patient name
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Date of birth
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Current medication
Description

Current medication

Data type

boolean

Alias
UMLS CUI [1]
C1553892
Medication
Description

Medication

Data type

integer

Alias
UMLS CUI [1]
C0013227
Pregnancy
Description

Pregnancy

Pregnancy complication
Description

Pregnancy complication

Data type

boolean

Alias
UMLS CUI [1]
C0032962
Pregnancy complication
Description

Pregnancy complication, specify:

Data type

integer

Alias
UMLS CUI [1,1]
C0032962
UMLS CUI [1,2]
C1521902
Childbirth
Description

Childbirth

Data type

integer

Alias
UMLS CUI [1]
C1148523
Birth
Description

Birth

Data type

integer

Alias
UMLS CUI [1]
C0005615
Perinatal risk
Description

please specify

Data type

integer

Alias
UMLS CUI [1]
C1171167
Birth weight
Description

Birth weight

Data type

integer

Measurement units
  • g
Alias
UMLS CUI [1]
C0005612
g
Head circumference
Description

Head circumference

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0262499
cm
Length at birth
Description

Length at birth

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0419415
cm
Apgar score
Description

Apgar score

Data type

integer

Alias
UMLS CUI [1]
C0003533
Small for date
Description

Small for date

Data type

boolean

Alias
UMLS CUI [1]
C0235991
Pediatric clinic
Description

Pediatric clinic

Data type

boolean

Alias
UMLS CUI [1]
C3839701
Family medical history
Description

Family medical history

Mother
Description

Mother

Data type

integer

Alias
UMLS CUI [1]
C0026591
Father
Description

Father

Data type

integer

Alias
UMLS CUI [1]
C0015671
Hereditary Disease
Description

Hereditary Disease

Data type

boolean

Alias
UMLS CUI [1]
C0019247
Hereditary Disease Specify
Description

Hereditary Disease Specify

Data type

integer

Alias
UMLS CUI [1,1]
C1521902
UMLS CUI [1,2]
C0019247
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Similar models

Disturbance of growth questionnaire

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Disturbance of growth questionnaire
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Current medication
Item
Current medication
boolean
C1553892 (UMLS CUI [1])
Item
Medication
integer
C0013227 (UMLS CUI [1])
Medication
Code List
Medication
CL Item
Name of drug (1)
C3273235 (UMLS CUI-1)
CL Item
Dosage (2)
C0178602 (UMLS CUI-1)
CL Item
Duration (3)
C0449238 (UMLS CUI-1)
Item Group
Pregnancy
Pregnancy complication
Item
Pregnancy complication
boolean
C0032962 (UMLS CUI [1])
Pregnancy complication, specify:
Item
Pregnancy complication
integer
C0032962 (UMLS CUI [1,1])
C1521902 (UMLS CUI [1,2])
Item
Childbirth
integer
C1148523 (UMLS CUI [1])
Childbirth
Code List
Childbirth
CL Item
week of gestation (1)
C1135241 (UMLS CUI-1)
CL Item
Premature Birth (2)
C0151526 (UMLS CUI-1)
Item
Birth
integer
C0005615 (UMLS CUI [1])
Birth
Code List
Birth
CL Item
Normal delivery  (1)
C1384485 (UMLS CUI-1)
CL Item
Forceps delivery  (2)
C1384586 (UMLS CUI-1)
CL Item
Deliveries by vacuum extractor  (3)
C0438443 (UMLS CUI-1)
CL Item
Cesarean section (4)
C0007876 (UMLS CUI-1)
Perinatal risk
Item
Perinatal risk
integer
C1171167 (UMLS CUI [1])
Birth weight
Item
Birth weight
integer
C0005612 (UMLS CUI [1])
Head circumference
Item
Head circumference
integer
C0262499 (UMLS CUI [1])
Length at birth
Item
Length at birth
integer
C0419415 (UMLS CUI [1])
Apgar score
Item
Apgar score
integer
C0003533 (UMLS CUI [1])
Small for date
Item
Small for date
boolean
C0235991 (UMLS CUI [1])
Pediatric clinic
Item
Pediatric clinic
boolean
C3839701 (UMLS CUI [1])
Item Group
Family medical history
Item
Mother
integer
C0026591 (UMLS CUI [1])
Mother
Code List
Mother
CL Item
height (1)
C2367341 (UMLS CUI-1)
CL Item
weight (2)
C3263299 (UMLS CUI-1)
CL Item
period (3)
C0025344 (UMLS CUI-1)
Item
Father
integer
C0015671 (UMLS CUI [1])
Father
Code List
Father
CL Item
Height (1)
C2367600 (UMLS CUI-1)
CL Item
Weight (2)
C0005910 (UMLS CUI-1)
CL Item
puberty (3)
C0429595 (UMLS CUI-1)
Hereditary Disease
Item
Hereditary Disease
boolean
C0019247 (UMLS CUI [1])
Hereditary Disease Specify
Item
Hereditary Disease Specify
integer
C1521902 (UMLS CUI [1,1])
C0019247 (UMLS CUI [1,2])
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