Engelsk

Pregnancy Test Screening

1 Formulär  
PREGNANCY TEST (Females only)
Beskrivning

PREGNANCY TEST (Females only)

Alias
UMLS CUI-1
C0032976
Patient Number
Beskrivning

Patient Number

Datatyp

text

Alias
UMLS CUI [1]
C1830427
Centre Number
Beskrivning

Centre Number

Datatyp

integer

Alias
UMLS CUI [1,1]
C0600091
UMLS CUI [1,2]
C0019994
Visit Date
Beskrivning

Visit Date

Datatyp

date

Alias
UMLS CUI [1]
C1320303
Was a pregnancy test carried out?
Beskrivning

Pregnancy Test

Datatyp

text

Alias
UMLS CUI [1]
C0032976
If ’No’, please specify reason
Beskrivning

specify reason

Datatyp

text

Alias
UMLS CUI [1]
C0566251
Date of pregnancy test:
Beskrivning

If ’YES’, please indicate date of result:

Datatyp

date

Alias
UMLS CUI [1,1]
C0032976
UMLS CUI [1,2]
C0011008
Pregnancy test
Beskrivning

If ’Positive’, withdraw the subject from the study.

Datatyp

text

Alias
UMLS CUI [1]
C0032976
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Similar models

Pregnancy Test Screening

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
PREGNANCY TEST (Females only)
C0032976 (UMLS CUI-1)
Patient Number
Item
Patient Number
text
C1830427 (UMLS CUI [1])
Centre Number
Item
Centre Number
integer
C0600091 (UMLS CUI [1,1])
C0019994 (UMLS CUI [1,2])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item
Was a pregnancy test carried out?
text
C0032976 (UMLS CUI [1])
Pregnancy Test
Code List
Was a pregnancy test carried out?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Not Applicable (Not Applicable)
specify reason
Item
If ’No’, please specify reason
text
C0566251 (UMLS CUI [1])
Date of pregnancy test
Item
Date of pregnancy test:
date
C0032976 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Pregnancy test
text
C0032976 (UMLS CUI [1])
pregnancy test
Code List
Pregnancy test
CL Item
Positive (Positive)
CL Item
Negative (Negative)
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