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Child Bearing Potential and Birth Control

1 forms  
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Identifier
Description

Subject Identifier

Data type

integer

Alias
UMLS CUI [1]
C2348585
Visit Date
Description

Visit Date

Data type

date

Alias
UMLS CUI [1]
C1320303
Child-Bearing Potential
Description

Child-Bearing Potential

Alias
UMLS CUI-1
C3831118
Tick one
Description

Complete for female subjects only - Pre-menarcheal: Females who have not begun to menstruate. - Post-menopausal: Women who have completed menopause at least one year ago. - Sterile: Pre-menopausal women who cannot conceive children. (This category includes women who have become sterile through surgical procedures such as tubal ligation. Do not include post-menopausal women in this category.) - Potentially able to bear children: Women of child-bearing age who are not sterile. Note: If the subject is sterile and is not of child-bearing age, then ‘post-menopausal’ will be the best choice and should be ticked. If the subject is sterile and does not know if she is post-menopausal and is less than 62 years of age, then she is of child-bearing age and ‘sterile’ should be ticked.

Data type

integer

Alias
UMLS CUI [1]
C3831118
Birth Control Methods
Description

Birth Control Methods

Alias
UMLS CUI-1
C0700589
Oral contraceptive
Description

Oral contraceptive

Data type

boolean

Alias
UMLS CUI [1]
C0009905
Intrauterine contraceptive device
Description

Intrauterine contraceptive device

Data type

boolean

Alias
UMLS CUI [1]
C0021900
Depot contraceptive (implants, injectables)
Description

Depot contraceptive (implants, injectables)

Data type

boolean

Alias
UMLS CUI [1,1]
C0700589
UMLS CUI [1,2]
C0086129
Spermicide plus physical barrier
Description

Spermicide plus physical barrier

Data type

boolean

Alias
UMLS CUI [1,1]
C0037862
UMLS CUI [1,2]
C0004764
Physical Barrier (condom, diaphragm)
Description

Barrier method only if used in combination with any of the other acceptable contraception methods.

Data type

boolean

Alias
UMLS CUI [1]
C0004764
UMLS CUI [2]
C0042241
UMLS CUI [3]
C3873750
Abstinence
Description

Abstinence

Data type

boolean

Alias
UMLS CUI [1]
C3843422
Sterilization of male partner
Description

Sterilization of male partner

Data type

boolean

Alias
UMLS CUI [1]
C0024559
Other
Description

Other

Data type

boolean

Alias
UMLS CUI [1]
C0205394
Other, specify
Description

Other Specification

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C2348235
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Similar models

Child Bearing Potential and Birth Control

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Identifier
Item
Subject Identifier
integer
C2348585 (UMLS CUI [1])
Visit Date
Item
Visit Date
date
C1320303 (UMLS CUI [1])
Item Group
Child-Bearing Potential
C3831118 (UMLS CUI-1)
Item
Tick one
integer
C3831118 (UMLS CUI [1])
Child-Bearig Potential
Code List
Tick one
CL Item
Pre-menarcheal (1)
CL Item
Post-menopausal (2)
CL Item
Sterile (of child-bearing age) (3)
CL Item
Potentially able to bear children (4)
Item Group
Birth Control Methods
C0700589 (UMLS CUI-1)
Oral contraceptive
Item
Oral contraceptive
boolean
C0009905 (UMLS CUI [1])
Intrauterine contraceptive device
Item
Intrauterine contraceptive device
boolean
C0021900 (UMLS CUI [1])
Depot contraceptive (implants, injectables)
Item
Depot contraceptive (implants, injectables)
boolean
C0700589 (UMLS CUI [1,1])
C0086129 (UMLS CUI [1,2])
Spermicide plus physical barrier
Item
Spermicide plus physical barrier
boolean
C0037862 (UMLS CUI [1,1])
C0004764 (UMLS CUI [1,2])
Physical Barrier (condom, diaphragm)
Item
Physical Barrier (condom, diaphragm)
boolean
C0004764 (UMLS CUI [1])
C0042241 (UMLS CUI [2])
C3873750 (UMLS CUI [3])
Abstinence
Item
Abstinence
boolean
C3843422 (UMLS CUI [1])
Sterilization of male partner
Item
Sterilization of male partner
boolean
C0024559 (UMLS CUI [1])
Other
Item
Other
boolean
C0205394 (UMLS CUI [1])
Other Specification
Item
Other, specify
text
C0205394 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
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