Physical parameters
Height
integer
Weight
integer
BMI
integer
Pulse
integer
Systolic blood pressure
integer
Diastolic blood pressure
integer
Medical procedure
Preoperative state and risk factors
No abnormality detected
boolean
Re-narcosis
boolean
Acute care
boolean
ECG / Chest X-ray
text
Heart
text
Lungs
text
Abdomen
text
Other
text
Long-term medication
text
Previous surgeries
text
Allergies
text
Complications during anesthesia
text
Findings: ECG
Normal findings ECG
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Findings: Heart
Normal findings heart
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Findings: Lungs
Normal findings lungs
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Findings: Circulatory system
Normal findings circulatory system
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Findings: CNS / Neurology
Normal findings CNS / Neurology
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Findings: metabolism
Normal findings metabolism
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Other findings
Normal findings other
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Findings: Laboratory
Normal laboratory findings
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
pathological finding with relevance for anesthesia
boolean
Blood values
Hemoglobin
float
Hematocrit
float
Platelets
integer
Prothrombin time
integer
International Normalized Ratio
float
Partial thromboplastin time
integer
Potassium
float
Creatinine
float
Blood sugar
float
Gamma-glutamyltransferase
float
Anticoagulation
Acetylsalicylic acid
boolean
ASS administration duration
date
Antagonization
boolean
Rez.-Antag. administration duration
date
Heparin
boolean
Heparin administration duration
date
Nonsteroidal anti-inflammatory drugs
boolean
NSAIDs administration duration
date
Marcumar
boolean
Marcumar administration duration
date
Other anticoagulants
boolean
Administration of other anticoagulants duration
date
Preoperative assessment
State of teeth
text
Bleeding tendency
boolean
Risk of aspiration
boolean
Nicotine
boolean
Alcohol
boolean
Drugs
boolean
Allergies
boolean
ASA score
integer
NYHA classification
integer
Mallampati score
text
Difficult airway management
text
Preoperative instructions
Evening before surgery
boolean
Day of surgery
boolean
Medication
text
Administration
text
Time
time
Signature
text
Transfusion pre-order
Blood type
boolean
Coombs test
boolean
Red cell concentrate
integer
Fresh frozen plasma
integer
Platelet concentrate
integer
Requirements prior to approval of surgery
Time of latest food intake
Premedication
Date of premedication
date
Anesthesist
text
Type of duty
text
Time
time
Duration
integer
Preadmission premedication
boolean
Anesthesia outpatient department
boolean
No surgery after premedication
boolean
Name of physician
text
Signature physician
text