TID 9001 Gynecological History

TID 9001 Gynecological History
Prev	Relevant Patient Information Templates	Next

This general template collects the details of a patient's reproductive system history, such as number of births, and gynecological surgery history.

Type:: Extensible
Order:: Significant

Table TID 9001. Gynecological History

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (R-20767, SRT, "Gynecological History")	1	M
2	>	HAS OBS CONTEXT	CODE	EV (111534, DCM, "Role of person reporting")	1	U	DCID 7450 “Person Roles”
3	>	CONTAINS	DATE	EV (11955-2, LN, "Date of last menstrual period")	1	U
4	>	CONTAINS	NUM	EV (111518, DCM, "Age when first menstrual period occurred")	1	U	UNITS = EV (a, UCUM, "Year")
5	>	CONTAINS	NUM	EV (111519, DCM, "Age at First Full Term Pregnancy")	1	U	UNITS = EV (a, UCUM, "Year")
6	>	CONTAINS	NUM	EV (11977-6, LN, "Para")	1	U	UNITS = EV (1, UCUM, "no units")
7	>	CONTAINS	NUM	EV (11639-2, LN, "Term")	1	U	UNITS = EV (1, UCUM, "no units")
8	>	CONTAINS	NUM	EV (11637-6, LN, "Preterm")	1	U	UNITS = EV (1, UCUM, "no units")
9	>	CONTAINS	NUM	EV (11636-8, LN, "Live Births")	1	U	UNITS = EV (1, UCUM, "no units")
10	>	CONTAINS	NUM	EV (111593, DCM, "LBW or IUGR")	1	U	UNITS = EV (1, UCUM, "no units")
11	>	CONTAINS	NUM	EV (11996-6, LN, "Gravida")	1	U	UNITS = EV (1, UCUM, "no units")
12	>	CONTAINS	NUM	EV (11612-9, LN, "Aborta")	1	U	UNITS = EV (1, UCUM, "no units")
13	>	CONTAINS	NUM	EV (33065-4, LN, "Ectopic Pregnancies")	1	U	UNITS = EV (1, UCUM, "no units")
14	>	CONTAINS	NUM	EV (111520, DCM, "Age at Menopause")	1	U	UNITS = EV (a, UCUM, "Year")
15	>	CONTAINS	NUM	EV (111521, DCM, "Age when hysterectomy performed")	1	U	UNITS = EV (a, UCUM, "Year")
16	>>	HAS CONCEPT MOD	CODE	EV (R-404ED, SRT, "Extent")	1	U	EV (R-404F1, SRT, "Complete") EV (R-404FE, SRT, "Partial")
17	>	CONTAINS	NUM	EV (111522, DCM, "Age when left ovary removed")	1	U	UNITS = EV (a, UCUM, "Year")
18	>	CONTAINS	NUM	EV (111523, DCM, "Age when right ovary removed")	1	U	UNITS = EV (a, UCUM, "Year")
19	>	CONTAINS	CODE	EV (111543, DCM, "Breast feeding history")	1	U	DCID 230 “Yes-No”
20	>>	HAS PROPERTIES	NUM	EV (111544, DCM, "Average breast feeding period")	1	U	UNITS = EV (wk, UCUM, "Week")
21	>	CONTAINS	CODE	EV (111532, DCM, "Pregnancy Status")	1	U	DCID 6096 “Pregnancy Status”
22	>	CONTAINS	CODE	EV (111391, DCM, "Menstrual Cycle Phase")	1	U	DCID 6163 “Menstrual Cycle Phase”