ID

24383

Description

Routine documentation in German hospitals. Source file name: SD070109_Geburtenbogen. Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

Versions (5)
  1. 5/29/17 5/29/17 -
  2. 5/29/17 5/29/17 -
  3. 6/6/17 6/6/17 -
  4. 6/6/17 6/6/17 -
  5. 7/30/17 7/30/17 -
Uploaded on

July 30, 2017

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License

Creative Commons BY-NC 3.0
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Birth sheet, admission Routine documentation in German hospitals DMI

German English

Birth sheet, admission Routine documentation in German hospitals DMI

1 forms  
Allgemeine Informationen
Description

Allgemeine Informationen

Alias
UMLS CUI-1
C1508263
Besonderheiten
Description

Specifics

Data type

text

Alias
UMLS CUI [1]
C2348235
Krankenkasse
Description

Health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Frauenarzt
Description

Gynecologist

Data type

text

Alias
UMLS CUI [1]
C0237419
ET
Description

Estimated due date

Data type

date

Alias
UMLS CUI [1]
C2825543
LP
Description

period

Data type

text

Alias
UMLS CUI [1]
C0025344
Grav.
Description

Gravida

Data type

text

Alias
UMLS CUI [1]
C0600457
Para
Description

Para

Data type

text

Alias
UMLS CUI [1]
C0030563
Allergien
Description

Allergies

Data type

text

Alias
UMLS CUI [1]
C0020517
Blutgruppe d. Mutter
Description

Blood type mother

Data type

text

Alias
UMLS CUI [1,1]
C0005810
UMLS CUI [1,2]
C0026591
Aufnahme
Description

Aufnahme

Alias
UMLS CUI-1
C0030673
Aufn. am
Description

Date of admission

Data type

date

Alias
UMLS CUI [1]
C1302393
Diagnose
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Anamnese
Description

Anamnese

Alias
UMLS CUI-1
C0262926
Eigenanamnese
Description

Medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
OP
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Familien-Anamnese
Description

Family history

Data type

text

Alias
UMLS CUI [1]
C0241889
Schwangerschaftsverlauf
Description

Schwangerschaftsverlauf

Alias
UMLS CUI-1
C0032961
Ungestörter Verlauf
Description

course normal

Data type

text

Alias
UMLS CUI [1,1]
C0750729
UMLS CUI [1,2]
C0205307
Starkes Erbrechen
Description

vomiting

Data type

text

Alias
UMLS CUI [1]
C0042963
Oedeme, Eiweiß, Hochdruck
Description

Edemas; hypertension

Data type

text

Alias
UMLS CUI [1,1]
C0013604
UMLS CUI [1,2]
C0020538
Fieber (auch Viruserkrankungen)
Description

Fever

Data type

text

Alias
UMLS CUI [1]
C0015967
Harnwegsinfektion
Description

Urinary tract infection

Data type

text

Blutungen in der Schwangerschaft
Description

Bleeding during pregnancy

Data type

text

Alias
UMLS CUI [1]
C3163625
Anämie
Description

Anemia

Data type

text

Alias
UMLS CUI [1]
C0002871
Operationen
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Medikamente/Hormone
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Andere Erkrankungen/Beschwerden
Description

comorbidity

Data type

text

Alias
UMLS CUI [1]
C0009488
Rauchen, Drogen, Alkohol
Description

substance abuse disorder

Data type

text

Alias
UMLS CUI [1]
C0038586
Antikonzeptiva
Description

Contraceptives

Data type

text

Alias
UMLS CUI [1]
C0009905
Konzeptionsmodus
Description

contraceptive methods

Data type

text

Alias
UMLS CUI [1]
C0700589
Röteln Titer
Description

Rubella titer

Data type

text

Alias
UMLS CUI [1]
C1287241
HBsAg
Description

HBsAg

Data type

text

Alias
UMLS CUI [1]
C0201477
Anti D
Description

Anti-D

Data type

text

Alias
UMLS CUI [1]
C2355607
Stillen
Description

Breastfeeding

Data type

text

Alias
UMLS CUI [1]
C0006147
Crédé erwünscht
Description

Crede maneuver

Data type

text

Alias
UMLS CUI [1]
C0195705
Fehlgeburten
Description

Fehlgeburten

Alias
UMLS CUI-1
C0000786
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
mens
Description

Menstruation

Data type

text

Alias
UMLS CUI [1]
C0025344
Nachräumung (wo)
Description

Curettage

Data type

text

Alias
UMLS CUI [1]
C0010468
Komplikationen
Description

Complications

Data type

text

Alias
UMLS CUI [1]
C0009566
Vorausgegangene Entbindungen
Description

Vorausgegangene Entbindungen

Alias
UMLS CUI-1
C0011209
Datum
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Entbindung: Art und Ort
Description

delivery type place

Data type

text

Alias
UMLS CUI [1,1]
C2114511
UMLS CUI [1,2]
C0442504
Entbindung: Dauer
Description

duration

Data type

text

Alias
UMLS CUI [1]
C0449238
Entbindung: Komplikationen
Description

Complications

Data type

text

Alias
UMLS CUI [1]
C0009566
Kind: Geschlecht
Description

Sex of newborn

Data type

text

Alias
UMLS CUI [1,1]
C0079399
UMLS CUI [1,2]
C0021289
Kind: Gewicht
Description

Weight newborn

Data type

text

Alias
UMLS CUI [1]
C2712830
Kind: Besonderheiten
Description

Specifics

Data type

text

Alias
UMLS CUI [1]
C2348235
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Similar models

Birth sheet, admission Routine documentation in German hospitals DMI

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Informationen
C1508263 (UMLS CUI-1)
Specifics
Item
Besonderheiten
text
C2348235 (UMLS CUI [1])
Health insurance
Item
Krankenkasse
text
C0021682 (UMLS CUI [1])
Gynecologist
Item
Frauenarzt
text
C0237419 (UMLS CUI [1])
Estimated due date
Item
ET
date
C2825543 (UMLS CUI [1])
period
Item
LP
text
C0025344 (UMLS CUI [1])
Gravida
Item
Grav.
text
C0600457 (UMLS CUI [1])
Para
Item
Para
text
C0030563 (UMLS CUI [1])
Allergies
Item
Allergien
text
C0020517 (UMLS CUI [1])
Blood type mother
Item
Blutgruppe d. Mutter
text
C0005810 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Item Group
Aufnahme
C0030673 (UMLS CUI-1)
Date of admission
Item
Aufn. am
date
C1302393 (UMLS CUI [1])
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Item Group
Anamnese
C0262926 (UMLS CUI-1)
Medical history
Item
Eigenanamnese
text
C0262926 (UMLS CUI [1])
Surgery
Item
OP
text
C0543467 (UMLS CUI [1])
Family history
Item
Familien-Anamnese
text
C0241889 (UMLS CUI [1])
Item Group
Schwangerschaftsverlauf
C0032961 (UMLS CUI-1)
course normal
Item
Ungestörter Verlauf
text
C0750729 (UMLS CUI [1,1])
C0205307 (UMLS CUI [1,2])
vomiting
Item
Starkes Erbrechen
text
C0042963 (UMLS CUI [1])
Edemas; hypertension
Item
Oedeme, Eiweiß, Hochdruck
text
C0013604 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
Fever
Item
Fieber (auch Viruserkrankungen)
text
C0015967 (UMLS CUI [1])
Urinary tract infection
Item
Harnwegsinfektion
text
Bleeding during pregnancy
Item
Blutungen in der Schwangerschaft
text
C3163625 (UMLS CUI [1])
Anemia
Item
Anämie
text
C0002871 (UMLS CUI [1])
Surgery
Item
Operationen
text
C0543467 (UMLS CUI [1])
Medication
Item
Medikamente/Hormone
text
C0013227 (UMLS CUI [1])
comorbidity
Item
Andere Erkrankungen/Beschwerden
text
C0009488 (UMLS CUI [1])
substance abuse disorder
Item
Rauchen, Drogen, Alkohol
text
C0038586 (UMLS CUI [1])
Contraceptives
Item
Antikonzeptiva
text
C0009905 (UMLS CUI [1])
contraceptive methods
Item
Konzeptionsmodus
text
C0700589 (UMLS CUI [1])
Rubella titer
Item
Röteln Titer
text
C1287241 (UMLS CUI [1])
HBsAg
Item
HBsAg
text
C0201477 (UMLS CUI [1])
Anti-D
Item
Anti D
text
C2355607 (UMLS CUI [1])
Breastfeeding
Item
Stillen
text
C0006147 (UMLS CUI [1])
Crede maneuver
Item
Crédé erwünscht
text
C0195705 (UMLS CUI [1])
Item Group
Fehlgeburten
C0000786 (UMLS CUI-1)
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
Menstruation
Item
mens
text
C0025344 (UMLS CUI [1])
Curettage
Item
Nachräumung (wo)
text
C0010468 (UMLS CUI [1])
Complications
Item
Komplikationen
text
C0009566 (UMLS CUI [1])
Item Group
Vorausgegangene Entbindungen
C0011209 (UMLS CUI-1)
Date
Item
Datum
date
C0011008 (UMLS CUI [1])
delivery type place
Item
Entbindung: Art und Ort
text
C2114511 (UMLS CUI [1,1])
C0442504 (UMLS CUI [1,2])
duration
Item
Entbindung: Dauer
text
C0449238 (UMLS CUI [1])
Complications
Item
Entbindung: Komplikationen
text
C0009566 (UMLS CUI [1])
Item
Kind: Geschlecht
text
C0079399 (UMLS CUI [1,1])
C0021289 (UMLS CUI [1,2])
Sex of newborn
Code List
Kind: Geschlecht
CL Item
männlich (male)
CL Item
weiblich (female)
Weight newborn
Item
Kind: Gewicht
text
C2712830 (UMLS CUI [1])
Specifics
Item
Kind: Besonderheiten
text
C2348235 (UMLS CUI [1])
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