ID

24392

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

  1. 6/8/17 6/8/17 -
  2. 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, newborn Routine documentation in German hospitals DMI

Birth sheet, newborn Routine documentation in German hospitals DMI

Child no. 1
Description

Child no. 1

Alias
UMLS CUI-1
C0008059
Sex
Description

Sex

Data type

text

Alias
UMLS CUI [1]
C0079399
Weight
Description

Weight

Data type

integer

Measurement units
  • g
Alias
UMLS CUI [1]
C0005910
g
Length
Description

Length

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C1444754
cm
Head circumference
Description

Head circumference

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1]
C0262499
cm
Shoulder circumference
Description

circumference Shoulder

Data type

float

Measurement units
  • cm
Alias
UMLS CUI [1,1]
C0332520
UMLS CUI [1,2]
C0037004
cm
Blennorrhoea prevention
Description

prevention Blennorrhoea

Data type

text

Alias
UMLS CUI [1,1]
C0199176
UMLS CUI [1,2]
C0456116
2 mg Konakion oral
Description

Konakion

Data type

boolean

Alias
UMLS CUI [1]
C0031862
Child no. 2
Description

Child no. 2

Alias
UMLS CUI-1
C0008059
Sex
Description

Sex

Data type

text

Alias
UMLS CUI [1]
C0079399
Weight
Description

Weight

Data type

integer

Measurement units
  • g
Alias
UMLS CUI [1]
C0005910
g
Length
Description

Length

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C1444754
cm
Head circumference
Description

Head circumference

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0262499
cm
Shoulder circumference
Description

circumference Shoulder

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1,1]
C0332520
UMLS CUI [1,2]
C0037004
cm
Blennorrhoea prevention
Description

prevention Blennorrhoea

Data type

text

Alias
UMLS CUI [1,1]
C0199176
UMLS CUI [1,2]
C0456116
2 mg Konakion oral
Description

Konakion

Data type

boolean

Alias
UMLS CUI [1]
C0031862
Maturity
Description

Maturity

Alias
UMLS CUI-1
C0419397
Fingernails
Description

Fingernails

Data type

text

Alias
UMLS CUI [1]
C0222001
Vernix
Description

Vernix

Data type

text

Alias
UMLS CUI [1]
C0042541
Lanugo
Description

Lanugo

Data type

text

Alias
UMLS CUI [1]
C0423866
Testicles
Description

Testicles

Data type

text

Alias
UMLS CUI [1]
C0039597
Vulva
Description

Vulva

Data type

text

Alias
UMLS CUI [1]
C0042993
Peeling skin
Description

Peeling skin

Data type

text

Alias
UMLS CUI [1]
C0237849
Wrinkled hands and feet
Description

Wrinkled hands and feet

Data type

text

Alias
UMLS CUI [1]
C1856714
Apgar score: 1'
Description

Apgar score: 1'

Alias
UMLS CUI-1
C0426279
Skin color
Description

Skin color

Data type

integer

Alias
UMLS CUI [1]
C0599910
Respiration
Description

Respiration

Data type

integer

Alias
UMLS CUI [1]
C0035203
Muscle tone
Description

Muscle tone

Data type

text

Alias
UMLS CUI [1]
C0026841
Reflex irritability
Description

Reflex irritability

Data type

integer

Alias
UMLS CUI [1]
C1317677
Heart rate
Description

Heart rate

Data type

integer

Alias
UMLS CUI [1]
C0018810
Apgar score: 5'
Description

Apgar score: 5'

Alias
UMLS CUI-1
C1286416
Skin color
Description

Skin color

Data type

integer

Alias
UMLS CUI [1]
C0599910
Respiration
Description

Respiration

Data type

integer

Alias
UMLS CUI [1]
C0035203
Muscle tone
Description

Muscle tone

Data type

text

Alias
UMLS CUI [1]
C0026841
Reflex irritability
Description

Reflex irritability

Data type

integer

Alias
UMLS CUI [1]
C1317677
Heart rate
Description

Heart rate

Data type

integer

Alias
UMLS CUI [1]
C0018810
Apgar score: 10'
Description

Apgar score: 10'

Alias
UMLS CUI-1
C1286417
Skin color
Description

Skin color

Data type

integer

Alias
UMLS CUI [1]
C0599910
Respiration
Description

Respiration

Data type

integer

Alias
UMLS CUI [1]
C0035203
Muscle tone
Description

Muscle tone

Data type

text

Alias
UMLS CUI [1]
C0026841
Reflex irritability
Description

Reflex irritability

Data type

integer

Alias
UMLS CUI [1]
C1317677
Heart rate
Description

Heart rate

Data type

integer

Alias
UMLS CUI [1]
C0018810
Analysis of umbilical cord blood
Description

Analysis of umbilical cord blood

Alias
UMLS CUI-1
C0936012
UMLS CUI-2
C0162371
Art.
Description

Artery

Data type

boolean

Alias
UMLS CUI [1]
C0003842
Vein
Description

Vein

Data type

boolean

Alias
UMLS CUI [1]
C0042449
Further procedures
Description

Further procedures

Alias
UMLS CUI-1
C2700391
Suctioning
Description

Suctioning

Data type

boolean

Alias
UMLS CUI [1]
C0204794
Pediatrician present at birth
Description

Pediatrician

Data type

boolean

Alias
UMLS CUI [1]
C0237433
Presentation at pediatrician
Description

Seen by pediatrician

Data type

boolean

Alias
UMLS CUI [1]
C0583542
Presentation at pediatrician because of
Description

reason

Data type

text

Alias
UMLS CUI [1]
C0392360
Transfer to pediatric clinic
Description

pediatric clinic

Data type

boolean

Alias
UMLS CUI [1]
C3839701
Transfer to pediatric clinic because of
Description

reason

Data type

text

Alias
UMLS CUI [1]
C0392360
Oxygen mask
Description

Oxygen mask

Data type

boolean

Alias
UMLS CUI [1]
C0181744
Intubation
Description

Intubation

Data type

boolean

Alias
UMLS CUI [1]
C0021925
Child development
Description

Child development

Alias
UMLS CUI-1
C0008071
Normal
Description

normal

Data type

boolean

Alias
UMLS CUI [1]
C0205307
Child development
Description

Child development

Data type

text

Alias
UMLS CUI [1]
C0008071

Similar models

Birth sheet, newborn Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Child no. 1
C0008059 (UMLS CUI-1)
Sex
Item
Sex
text
C0079399 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Length
Item
Length
float
C1444754 (UMLS CUI [1])
Head circumference
Item
Head circumference
float
C0262499 (UMLS CUI [1])
circumference Shoulder
Item
Shoulder circumference
float
C0332520 (UMLS CUI [1,1])
C0037004 (UMLS CUI [1,2])
Item
Blennorrhoea prevention
text
C0199176 (UMLS CUI [1,1])
C0456116 (UMLS CUI [1,2])
Code List
Blennorrhoea prevention
CL Item
executed (executed)
CL Item
refused (refused)
Konakion
Item
2 mg Konakion oral
boolean
C0031862 (UMLS CUI [1])
Item Group
Child no. 2
C0008059 (UMLS CUI-1)
Sex
Item
Sex
text
C0079399 (UMLS CUI [1])
Weight
Item
Weight
integer
C0005910 (UMLS CUI [1])
Length
Item
Length
integer
C1444754 (UMLS CUI [1])
Head circumference
Item
Head circumference
integer
C0262499 (UMLS CUI [1])
circumference Shoulder
Item
Shoulder circumference
integer
C0332520 (UMLS CUI [1,1])
C0037004 (UMLS CUI [1,2])
Item
Blennorrhoea prevention
text
C0199176 (UMLS CUI [1,1])
C0456116 (UMLS CUI [1,2])
Code List
Blennorrhoea prevention
CL Item
executed (executed)
CL Item
refused (refused)
Konakion
Item
2 mg Konakion oral
boolean
C0031862 (UMLS CUI [1])
Item Group
Maturity
C0419397 (UMLS CUI-1)
Item
Fingernails
text
C0222001 (UMLS CUI [1])
Code List
Fingernails
CL Item
Extend beyond the fingertips (Extend beyond the fingertips)
CL Item
Reach the fingertips (Reach the fingertips)
CL Item
Do not reach the fingertips (Do not reach the fingertips)
Item
Vernix
text
C0042541 (UMLS CUI [1])
Code List
Vernix
CL Item
O (O)
CL Item
+ (+)
CL Item
++ (++)
Item
Lanugo
text
C0423866 (UMLS CUI [1])
Code List
Lanugo
CL Item
O (O)
CL Item
+ (+)
CL Item
++ (++)
Item
Testicles
text
C0039597 (UMLS CUI [1])
Code List
Testicles
CL Item
descended (descended)
CL Item
undescended (undescended)
Item
Vulva
text
C0042993 (UMLS CUI [1])
Code List
Vulva
CL Item
closed (closed)
CL Item
gaping (gaping)
Item
Peeling skin
text
C0237849 (UMLS CUI [1])
Code List
Peeling skin
CL Item
+ (+)
CL Item
O (O)
Item
Wrinkled hands and feet
text
C1856714 (UMLS CUI [1])
Code List
Wrinkled hands and feet
CL Item
+ (+)
CL Item
O (O)
Item Group
Apgar score: 1'
C0426279 (UMLS CUI-1)
Item
Skin color
integer
C0599910 (UMLS CUI [1])
Code List
Skin color
CL Item
blue or pale (0)
CL Item
blue at extremities, body pink (1)
CL Item
pink (2)
Item
Respiration
integer
C0035203 (UMLS CUI [1])
Code List
Respiration
CL Item
absent (0)
CL Item
weak, irregular, gasping (1)
CL Item
strong, robust cry (2)
Item
Muscle tone
text
C0026841 (UMLS CUI [1])
Code List
Muscle tone
CL Item
none (0)
CL Item
some flexion (1)
CL Item
active motion (2)
Item
Reflex irritability
integer
C1317677 (UMLS CUI [1])
Code List
Reflex irritability
CL Item
no response (0)
CL Item
grimacing (1)
CL Item
crying (2)
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Code List
Heart rate
CL Item
absent (0)
CL Item
<100 (1)
CL Item
>100 (2)
Item Group
Apgar score: 5'
C1286416 (UMLS CUI-1)
Item
Skin color
integer
C0599910 (UMLS CUI [1])
Code List
Skin color
CL Item
blue or pale (0)
CL Item
blue at extremities, body pink (1)
CL Item
pink (2)
Item
Respiration
integer
C0035203 (UMLS CUI [1])
Code List
Respiration
CL Item
absent (0)
CL Item
weak, irregular, gasping (1)
CL Item
strong, robust cry (2)
Item
Muscle tone
text
C0026841 (UMLS CUI [1])
Code List
Muscle tone
CL Item
none (0)
CL Item
some flexion (1)
CL Item
active motion (2)
Item
Reflex irritability
integer
C1317677 (UMLS CUI [1])
Code List
Reflex irritability
CL Item
no response (0)
CL Item
grimacing (1)
CL Item
crying (2)
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Code List
Heart rate
CL Item
absent (0)
CL Item
<100 (1)
CL Item
>100 (2)
Item Group
Apgar score: 10'
C1286417 (UMLS CUI-1)
Item
Skin color
integer
C0599910 (UMLS CUI [1])
Code List
Skin color
CL Item
blue or pale (0)
CL Item
blue at extremities, body pink (1)
CL Item
pink (2)
Item
Respiration
integer
C0035203 (UMLS CUI [1])
Code List
Respiration
CL Item
absent (0)
CL Item
weak, irregular, gasping (1)
CL Item
strong, robust cry (2)
Item
Muscle tone
text
C0026841 (UMLS CUI [1])
Code List
Muscle tone
CL Item
none (0)
CL Item
some flexion (1)
CL Item
active motion (2)
Item
Reflex irritability
integer
C1317677 (UMLS CUI [1])
Code List
Reflex irritability
CL Item
no response (0)
CL Item
grimacing (1)
CL Item
crying (2)
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
Code List
Heart rate
CL Item
absent (0)
CL Item
<100 (1)
CL Item
>100 (2)
Item Group
Analysis of umbilical cord blood
C0936012 (UMLS CUI-1)
C0162371 (UMLS CUI-2)
Artery
Item
Art.
boolean
C0003842 (UMLS CUI [1])
Vein
Item
Vein
boolean
C0042449 (UMLS CUI [1])
Item Group
Further procedures
C2700391 (UMLS CUI-1)
Suctioning
Item
Suctioning
boolean
C0204794 (UMLS CUI [1])
Pediatrician
Item
Pediatrician present at birth
boolean
C0237433 (UMLS CUI [1])
Seen by pediatrician
Item
Presentation at pediatrician
boolean
C0583542 (UMLS CUI [1])
reason
Item
Presentation at pediatrician because of
text
C0392360 (UMLS CUI [1])
pediatric clinic
Item
Transfer to pediatric clinic
boolean
C3839701 (UMLS CUI [1])
reason
Item
Transfer to pediatric clinic because of
text
C0392360 (UMLS CUI [1])
Oxygen mask
Item
Oxygen mask
boolean
C0181744 (UMLS CUI [1])
Intubation
Item
Intubation
boolean
C0021925 (UMLS CUI [1])
Item Group
Child development
C0008071 (UMLS CUI-1)
normal
Item
Normal
boolean
C0205307 (UMLS CUI [1])
Child development
Item
Child development
text
C0008071 (UMLS CUI [1])

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