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

DOI

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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  
General information
Description

General information

Alias
UMLS CUI-1
C1508263
Specifics
Description

Specifics

Data type

text

Alias
UMLS CUI [1]
C2348235
Health insurance
Description

Health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Gynecologist
Description

Gynecologist

Data type

text

Alias
UMLS CUI [1]
C0237419
EDD
Description

Estimated due date

Data type

date

Alias
UMLS CUI [1]
C2825543
Last period
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
Allergies
Description

Allergies

Data type

text

Alias
UMLS CUI [1]
C0020517
Blood type of mother
Description

Blood type mother

Data type

text

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

Admission

Alias
UMLS CUI-1
C0030673
Date of admission
Description

Date of admission

Data type

date

Alias
UMLS CUI [1]
C1302393
Diagnosis
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
Medical history
Description

Medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
Surgery
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Family history
Description

Family history

Data type

text

Alias
UMLS CUI [1]
C0241889
Course of pregnancy
Description

Course of pregnancy

Alias
UMLS CUI-1
C0032961
Normal course
Description

course normal

Data type

text

Alias
UMLS CUI [1,1]
C0750729
UMLS CUI [1,2]
C0205307
Severe vomiting
Description

vomiting

Data type

text

Alias
UMLS CUI [1]
C0042963
Edemas, protein, hypertension
Description

Edemas; hypertension

Data type

text

Alias
UMLS CUI [1,1]
C0013604
UMLS CUI [1,2]
C0020538
Fever (also viral disease)
Description

Fever

Data type

text

Alias
UMLS CUI [1]
C0015967
Urinary tract infection
Description

Urinary tract infection

Data type

text

Bleeding during pregnancy
Description

Bleeding during pregnancy

Data type

text

Alias
UMLS CUI [1]
C3163625
Anemia
Description

Anemia

Data type

text

Alias
UMLS CUI [1]
C0002871
Surgery
Description

Surgery

Data type

text

Alias
UMLS CUI [1]
C0543467
Medication/Hormones
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Other diseases/trouble
Description

comorbidity

Data type

text

Alias
UMLS CUI [1]
C0009488
Smoking, drugs, alcohol
Description

substance abuse disorder

Data type

text

Alias
UMLS CUI [1]
C0038586
Contraceptives
Description

Contraceptives

Data type

text

Alias
UMLS CUI [1]
C0009905
Mode of conception
Description

contraceptive methods

Data type

text

Alias
UMLS CUI [1]
C0700589
Rubella 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
Breastfeeding
Description

Breastfeeding

Data type

text

Alias
UMLS CUI [1]
C0006147
Crédé desired
Description

Crede maneuver

Data type

text

Alias
UMLS CUI [1]
C0195705
Miscarriages
Description

Miscarriages

Alias
UMLS CUI-1
C0000786
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Menstruation
Description

Menstruation

Data type

text

Alias
UMLS CUI [1]
C0025344
Curettage (where)
Description

Curettage

Data type

text

Alias
UMLS CUI [1]
C0010468
Complications
Description

Complications

Data type

text

Alias
UMLS CUI [1]
C0009566
Previous deliveries
Description

Previous deliveries

Alias
UMLS CUI-1
C0011209
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Delivery: Type and place
Description

delivery type place

Data type

text

Alias
UMLS CUI [1,1]
C2114511
UMLS CUI [1,2]
C0442504
Delivery: Duration
Description

duration

Data type

text

Alias
UMLS CUI [1]
C0449238
Delivery: Complications
Description

Complications

Data type

text

Alias
UMLS CUI [1]
C0009566
Newborn: Sex
Description

Sex of newborn

Data type

text

Alias
UMLS CUI [1,1]
C0079399
UMLS CUI [1,2]
C0021289
Newborn: Weight
Description

Weight newborn

Data type

text

Alias
UMLS CUI [1]
C2712830
Newborn: Specifics
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
General information
C1508263 (UMLS CUI-1)
Specifics
Item
Specifics
text
C2348235 (UMLS CUI [1])
Health insurance
Item
Health insurance
text
C0021682 (UMLS CUI [1])
Gynecologist
Item
Gynecologist
text
C0237419 (UMLS CUI [1])
Estimated due date
Item
EDD
date
C2825543 (UMLS CUI [1])
period
Item
Last period
text
C0025344 (UMLS CUI [1])
Gravida
Item
Grav.
text
C0600457 (UMLS CUI [1])
Para
Item
Para
text
C0030563 (UMLS CUI [1])
Allergies
Item
Allergies
text
C0020517 (UMLS CUI [1])
Blood type mother
Item
Blood type of mother
text
C0005810 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Item Group
Admission
C0030673 (UMLS CUI-1)
Date of admission
Item
Date of admission
date
C1302393 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item Group
Medical history
C0262926 (UMLS CUI-1)
Medical history
Item
Medical history
text
C0262926 (UMLS CUI [1])
Surgery
Item
Surgery
text
C0543467 (UMLS CUI [1])
Family history
Item
Family history
text
C0241889 (UMLS CUI [1])
Item Group
Course of pregnancy
C0032961 (UMLS CUI-1)
course normal
Item
Normal course
text
C0750729 (UMLS CUI [1,1])
C0205307 (UMLS CUI [1,2])
vomiting
Item
Severe vomiting
text
C0042963 (UMLS CUI [1])
Edemas; hypertension
Item
Edemas, protein, hypertension
text
C0013604 (UMLS CUI [1,1])
C0020538 (UMLS CUI [1,2])
Fever
Item
Fever (also viral disease)
text
C0015967 (UMLS CUI [1])
Urinary tract infection
Item
Urinary tract infection
text
Bleeding during pregnancy
Item
Bleeding during pregnancy
text
C3163625 (UMLS CUI [1])
Anemia
Item
Anemia
text
C0002871 (UMLS CUI [1])
Surgery
Item
Surgery
text
C0543467 (UMLS CUI [1])
Medication
Item
Medication/Hormones
text
C0013227 (UMLS CUI [1])
comorbidity
Item
Other diseases/trouble
text
C0009488 (UMLS CUI [1])
substance abuse disorder
Item
Smoking, drugs, alcohol
text
C0038586 (UMLS CUI [1])
Contraceptives
Item
Contraceptives
text
C0009905 (UMLS CUI [1])
contraceptive methods
Item
Mode of conception
text
C0700589 (UMLS CUI [1])
Rubella titer
Item
Rubella 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
Breastfeeding
text
C0006147 (UMLS CUI [1])
Crede maneuver
Item
Crédé desired
text
C0195705 (UMLS CUI [1])
Item Group
Miscarriages
C0000786 (UMLS CUI-1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Menstruation
Item
Menstruation
text
C0025344 (UMLS CUI [1])
Curettage
Item
Curettage (where)
text
C0010468 (UMLS CUI [1])
Complications
Item
Complications
text
C0009566 (UMLS CUI [1])
Item Group
Previous deliveries
C0011209 (UMLS CUI-1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
delivery type place
Item
Delivery: Type and place
text
C2114511 (UMLS CUI [1,1])
C0442504 (UMLS CUI [1,2])
duration
Item
Delivery: Duration
text
C0449238 (UMLS CUI [1])
Complications
Item
Delivery: Complications
text
C0009566 (UMLS CUI [1])
Item
Newborn: Sex
text
C0079399 (UMLS CUI [1,1])
C0021289 (UMLS CUI [1,2])
Sex of newborn
Code List
Newborn: Sex
CL Item
male (male)
CL Item
female (female)
Weight newborn
Item
Newborn: Weight
text
C2712830 (UMLS CUI [1])
Specifics
Item
Newborn: Specifics
text
C2348235 (UMLS CUI [1])
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