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ID

17487

Description

Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Kreißsaalinformation MS.

Keywords

  1. 9/17/16 9/17/16 -
Uploaded on

September 17, 2016

DOI

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License

Creative Commons BY-NC 3.0

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    Delivery Room Information MS University Hospital Muenster (UKM)

    Delivery Room Information MS University Hospital Muenster (UKM)

    Informationen für die Geburtshilfe
    Description

    Informationen für die Geburtshilfe

    Alias
    UMLS CUI-1
    C1533716
    UMLS CUI-2
    C0587597
    Fetale Besonderheiten:
    Description

    fetal anomaly

    Data type

    text

    Alias
    UMLS CUI [1]
    C3869867
    Kinderklinikkonsil erfolgt:
    Description

    consultation pediatric clinic

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0009818
    UMLS CUI [1,2]
    C3839701
    Geplanter Entbindungsmodus:
    Description

    planned type of delivery

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0011209
    UMLS CUI [1,2]
    C0332307
    UMLS CUI [1,3]
    C1301732
    Besonderheiten
    Description

    anomaly

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0011209
    UMLS CUI [1,2]
    C1301732
    UMLS CUI [1,3]
    C1704258
    Anwesenheit Kinderklinik bei Geburt
    Description

    presence pediatric clinic childbirth

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0581135
    UMLS CUI [1,2]
    C3839701
    UMLS CUI [1,3]
    C0150312
    Materialien verschicken
    Description

    material

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0520510
    UMLS CUI [1,2]
    C1519246
    ja, welche:
    Description

    type of material

    Data type

    text

    Alias
    UMLS CUI [1]
    C0520510
    Maternale Besonderheiten:
    Description

    peripartale management

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1858460
    UMLS CUI [1,2]
    C1704258
    Informationen für die Kinderklinik
    Description

    Informationen für die Kinderklinik

    Alias
    UMLS CUI-1
    C1533716
    UMLS CUI-2
    C3839701
    Blutgruppe
    Description

    blood group

    Data type

    text

    Alias
    UMLS CUI [1]
    C0005810
    Rh:
    Description

    rhesus factor

    Data type

    text

    Alias
    UMLS CUI [1]
    C0035403
    AK-Suchtest:
    Description

    AGT

    Data type

    text

    Alias
    UMLS CUI [1]
    C0009961
    Medikamente in der Schwangerschaft
    Description

    medication during pregnancy

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0013227
    UMLS CUI [1,2]
    C0032961
    Vorangehende Schwangerschaften:
    Description

    previous pregnancies

    Data type

    text

    Alias
    UMLS CUI [1]
    C0422807
    Diabetische Stoffwechsellage:
    Description

    diabetic metabolism

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0025519
    UMLS CUI [1,2]
    C0241863
    Abusus (Nikotin, Heroin, etc.)
    Description

    abuse

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1546935
    Blasensprung vorzeitig
    Description

    premature rupture of membranes

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0157147
    Pathogene Keime Cervix
    Description

    pathogenic germs cervix

    Data type

    boolean

    Alias
    UMLS CUI [1,1]
    C0007874
    UMLS CUI [1,2]
    C1517528
    UMLS CUI [1,3]
    C3816499
    Antibiotische Behandlung
    Description

    antibiotic treatment

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0003232
    Labor: Leukozyten
    Description

    leucocytes

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0023508
    Tokolyse
    Description

    tocolysis

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0040348
    RDS-Prophylaxe erfolgt
    Description

    IRDS

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C1096326
    TORCH erfolgt
    Description

    TORCH

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0430426
    HbsAG
    Description

    HbsAG

    Data type

    text

    Alias
    UMLS CUI [1]
    C0019168
    Hep C:
    Description

    hep C

    Data type

    text

    Alias
    UMLS CUI [1]
    C0019196
    HIV:
    Description

    HIV

    Data type

    text

    Alias
    UMLS CUI [1]
    C0019682
    SSW
    Description

    gestation week

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1135241
    ET
    Description

    delivery date

    Data type

    date

    Alias
    UMLS CUI [1]
    C1287845
    Geschlecht
    Description

    sex of child

    Data type

    text

    Alias
    UMLS CUI [1]
    C0079399
    Fetales Wachstum (Schätzgewicht)
    Description

    fetal growth

    Data type

    text

    Alias
    UMLS CUI [1]
    C0743925
    Datum
    Description

    date weight

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C0743925
    UMLS CUI [1,2]
    C0011008
    Gewicht
    Description

    weight unborn

    Data type

    integer

    Measurement units
    • g
    Alias
    UMLS CUI [1]
    C0751992
    g
    CTG
    Description

    CTG

    Data type

    text

    Alias
    UMLS CUI [1]
    C0007208
    Doppler
    Description

    doppler

    Data type

    text

    Alias
    UMLS CUI [1]
    C0162481
    Fruchtwasser
    Description

    liquor amnii

    Data type

    text

    Alias
    UMLS CUI [1]
    C0002638
    Chromosomen
    Description

    chromosoms

    Data type

    text

    Alias
    UMLS CUI [1]
    C0008625
    Besonderheiten:
    Description

    chromosomal abnormalities

    Data type

    text

    Alias
    UMLS CUI [1]
    C0008625
    Entbindung
    Description

    delivery

    Data type

    text

    Alias
    UMLS CUI [1]
    C0011209
    Sectio Zeitfenster (1-5)
    Description

    sectio timeframe

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0008625
    UMLS CUI [1,2]
    C0040225
    Ansprechpartner Geburtshilfe
    Description

    contact person

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0337611
    UMLS CUI [1,2]
    C0587597

    Similar models

    Delivery Room Information MS University Hospital Muenster (UKM)

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Informationen für die Geburtshilfe
    C1533716 (UMLS CUI-1)
    C0587597 (UMLS CUI-2)
    fetal anomaly
    Item
    Fetale Besonderheiten:
    text
    C3869867 (UMLS CUI [1])
    consultation pediatric clinic
    Item
    Kinderklinikkonsil erfolgt:
    boolean
    C0009818 (UMLS CUI [1,1])
    C3839701 (UMLS CUI [1,2])
    Item
    Geplanter Entbindungsmodus:
    text
    C0011209 (UMLS CUI [1,1])
    C0332307 (UMLS CUI [1,2])
    C1301732 (UMLS CUI [1,3])
    Code List
    Geplanter Entbindungsmodus:
    CL Item
    spontan (spontan)
    CL Item
    Sectio (Sectio)
    anomaly
    Item
    Besonderheiten
    boolean
    C0011209 (UMLS CUI [1,1])
    C1301732 (UMLS CUI [1,2])
    C1704258 (UMLS CUI [1,3])
    Item
    Anwesenheit Kinderklinik bei Geburt
    text
    C0581135 (UMLS CUI [1,1])
    C3839701 (UMLS CUI [1,2])
    C0150312 (UMLS CUI [1,3])
    Code List
    Anwesenheit Kinderklinik bei Geburt
    CL Item
    Vorher (Vorher)
    CL Item
    direkt danach (direkt danach)
    CL Item
    Vorstellung Kinderarzt im Neugeborenen-Zimmer (Vorstellung Kinderarzt im Neugeborenen-Zimmer)
    material
    Item
    Materialien verschicken
    boolean
    C0520510 (UMLS CUI [1,1])
    C1519246 (UMLS CUI [1,2])
    type of material
    Item
    ja, welche:
    text
    C0520510 (UMLS CUI [1])
    peripartale management
    Item
    Maternale Besonderheiten:
    text
    C1858460 (UMLS CUI [1,1])
    C1704258 (UMLS CUI [1,2])
    Item Group
    Informationen für die Kinderklinik
    C1533716 (UMLS CUI-1)
    C3839701 (UMLS CUI-2)
    blood group
    Item
    Blutgruppe
    text
    C0005810 (UMLS CUI [1])
    rhesus factor
    Item
    Rh:
    text
    C0035403 (UMLS CUI [1])
    Item
    AK-Suchtest:
    text
    C0009961 (UMLS CUI [1])
    Code List
    AK-Suchtest:
    CL Item
    negativ (negativ)
    CL Item
    auffällig (auffällig)
    medication during pregnancy
    Item
    Medikamente in der Schwangerschaft
    text
    C0013227 (UMLS CUI [1,1])
    C0032961 (UMLS CUI [1,2])
    previous pregnancies
    Item
    Vorangehende Schwangerschaften:
    text
    C0422807 (UMLS CUI [1])
    diabetic metabolism
    Item
    Diabetische Stoffwechsellage:
    boolean
    C0025519 (UMLS CUI [1,1])
    C0241863 (UMLS CUI [1,2])
    abuse
    Item
    Abusus (Nikotin, Heroin, etc.)
    boolean
    C1546935 (UMLS CUI [1])
    premature rupture of membranes
    Item
    Blasensprung vorzeitig
    boolean
    C0157147 (UMLS CUI [1])
    pathogenic germs cervix
    Item
    Pathogene Keime Cervix
    boolean
    C0007874 (UMLS CUI [1,1])
    C1517528 (UMLS CUI [1,2])
    C3816499 (UMLS CUI [1,3])
    antibiotic treatment
    Item
    Antibiotische Behandlung
    boolean
    C0003232 (UMLS CUI [1])
    leucocytes
    Item
    Labor: Leukozyten
    boolean
    C0023508 (UMLS CUI [1])
    tocolysis
    Item
    Tokolyse
    boolean
    C0040348 (UMLS CUI [1])
    IRDS
    Item
    RDS-Prophylaxe erfolgt
    boolean
    C1096326 (UMLS CUI [1])
    TORCH
    Item
    TORCH erfolgt
    boolean
    C0430426 (UMLS CUI [1])
    Item
    HbsAG
    text
    C0019168 (UMLS CUI [1])
    Code List
    HbsAG
    CL Item
    neg. (neg.)
    CL Item
    pos. (pos.)
    Item
    Hep C:
    text
    C0019196 (UMLS CUI [1])
    Code List
    Hep C:
    CL Item
    neg. (neg.)
    CL Item
    pos. (pos.)
    Item
    HIV:
    text
    C0019682 (UMLS CUI [1])
    Code List
    HIV:
    CL Item
    neg. (neg.)
    CL Item
    pos. (pos.)
    gestation week
    Item
    SSW
    integer
    C1135241 (UMLS CUI [1])
    delivery date
    Item
    ET
    date
    C1287845 (UMLS CUI [1])
    Item
    Geschlecht
    text
    C0079399 (UMLS CUI [1])
    Code List
    Geschlecht
    CL Item
    weiblich (weiblich)
    CL Item
    männlich (männlich)
    CL Item
    nicht bekannt (nicht bekannt)
    Item
    Fetales Wachstum (Schätzgewicht)
    text
    C0743925 (UMLS CUI [1])
    Code List
    Fetales Wachstum (Schätzgewicht)
    CL Item
    SGA (SGA)
    CL Item
    IUGR (IUGR)
    CL Item
    Makrosomie (Makrosomie)
    date weight
    Item
    Datum
    date
    C0743925 (UMLS CUI [1,1])
    C0011008 (UMLS CUI [1,2])
    weight unborn
    Item
    Gewicht
    integer
    C0751992 (UMLS CUI [1])
    Item
    CTG
    text
    C0007208 (UMLS CUI [1])
    Code List
    CTG
    CL Item
    o.B. (o.B.)
    CL Item
    suspekt (suspekt)
    CL Item
    pathologisch (pathologisch)
    Item
    Doppler
    text
    C0162481 (UMLS CUI [1])
    Code List
    Doppler
    CL Item
    o.B. (o.B.)
    CL Item
    auffällig (auffällig)
    Item
    Fruchtwasser
    text
    C0002638 (UMLS CUI [1])
    Code List
    Fruchtwasser
    CL Item
    o.B. (o.B.)
    CL Item
    grün (grün)
    CL Item
    Poly- (Poly-)
    CL Item
    Oligo-/Ahydramnion (Oligo-/Ahydramnion)
    Item
    Chromosomen
    text
    C0008625 (UMLS CUI [1])
    Code List
    Chromosomen
    CL Item
    o.B. (o.B.)
    CL Item
    nein (nein)
    CL Item
    Besonderheiten (Besonderheiten)
    chromosomal abnormalities
    Item
    Besonderheiten:
    text
    C0008625 (UMLS CUI [1])
    Item
    Entbindung
    text
    C0011209 (UMLS CUI [1])
    Code List
    Entbindung
    CL Item
    Spontan (Spontan)
    CL Item
    Einleitung (Einleitung)
    CL Item
    Forceps (Forceps)
    CL Item
    Kiwi-VE (Kiwi-VE)
    CL Item
    Sectio Zeitfenster (1-5) (Sectio Zeitfenster (1-5))
    sectio timeframe
    Item
    Sectio Zeitfenster (1-5)
    integer
    C0008625 (UMLS CUI [1,1])
    C0040225 (UMLS CUI [1,2])
    contact person
    Item
    Ansprechpartner Geburtshilfe
    text
    C0337611 (UMLS CUI [1,1])
    C0587597 (UMLS CUI [1,2])

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