ID

22520

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. 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

June 6, 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

Birth sheet, admission Routine documentation in German hospitals DMI

Allgemeine Informationen
Description

Allgemeine Informationen

Besonderheiten
Description

Specifics

Data type

text

Krankenkasse
Description

Health insurance

Data type

text

Frauenarzt
Description

Gynecologist

Data type

text

ET
Description

Estimated due date (EDD)

Data type

date

LP
Description

Last period

Data type

text

Grav.
Description

Gravida

Data type

text

Para
Description

Para

Data type

text

Allergien
Description

Allergies

Data type

text

Blutgruppe d. Mutter
Description

Blood type of mother

Data type

text

Aufnahme
Description

Aufnahme

Aufn. am
Description

Date of admission

Data type

date

Diagnose
Description

Diagnosis

Data type

text

Anamnese
Description

Anamnese

Eigenanamnese
Description

Medical history

Data type

text

OP
Description

Surgery

Data type

text

Familien-Anamnese
Description

Family history

Data type

text

Schwangerschaftsverlauf
Description

Schwangerschaftsverlauf

Ungestörter Verlauf
Description

Normal course

Data type

text

Starkes Erbrechen
Description

Severe vomiting

Data type

text

Oedeme, Eiweiß, Hochdruck
Description

Edemas, protein, hypertension

Data type

text

Fieber (auch Viruserkrankungen)
Description

Fever (also viral disease)

Data type

text

Harnwegsinfektion
Description

Urinary tract infection

Data type

text

Blutungen in der Schwangerschaft
Description

Bleeding during pregnancy

Data type

text

Anämie
Description

Anemia

Data type

text

Operationen
Description

Surgery

Data type

text

Medikamente/Hormone
Description

Medication/Hormones

Data type

text

Andere Erkrankungen/Beschwerden
Description

Other diseases/trouble

Data type

text

Rauchen, Drogen, Alkohol
Description

Smoking, drugs, alcohol

Data type

text

Antikonzeptiva
Description

Contraceptives

Data type

text

Konzeptionsmodus
Description

Mode of conception

Data type

text

Röteln Titer
Description

Rubella titer

Data type

text

HBsAg
Description

HBsAg

Data type

text

Anti D
Description

Anti-D

Data type

text

Stillen
Description

Breastfeeding

Data type

text

Crédé erwünscht
Description

Crédé desired

Data type

text

Fehlgeburten
Description

Fehlgeburten

Datum
Description

Date

Data type

date

mens
Description

Menstruation

Data type

text

Nachräumung (wo)
Description

Curettage

Data type

text

Komplikationen
Description

Complications

Data type

text

Vorausgegangene Entbindungen
Description

Vorausgegangene Entbindungen

Datum
Description

Date

Data type

date

Entbindung: Art und Ort
Description

Type and place of delivery

Data type

text

Entbindung: Dauer
Description

Duration of delivery

Data type

text

Entbindung: Komplikationen
Description

Complications during delivery

Data type

text

Kind: Geschlecht
Description

Sex of newborn

Data type

text

Kind: Gewicht
Description

Weight of newborn

Data type

text

Kind: Besonderheiten
Description

Specifics of newborn

Data type

text

Similar models

Birth sheet, admission Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Informationen
Specifics
Item
Besonderheiten
text
Health insurance
Item
Krankenkasse
text
Gynecologist
Item
Frauenarzt
text
Estimated due date (EDD)
Item
ET
date
Last period
Item
LP
text
Gravida
Item
Grav.
text
Para
Item
Para
text
Allergies
Item
Allergien
text
Blood type of mother
Item
Blutgruppe d. Mutter
text
Item Group
Aufnahme
Date of admission
Item
Aufn. am
date
Diagnosis
Item
Diagnose
text
Item Group
Anamnese
Medical history
Item
Eigenanamnese
text
Surgery
Item
OP
text
Family history
Item
Familien-Anamnese
text
Item Group
Schwangerschaftsverlauf
Normal course
Item
Ungestörter Verlauf
text
Severe vomiting
Item
Starkes Erbrechen
text
Edemas, protein, hypertension
Item
Oedeme, Eiweiß, Hochdruck
text
Fever (also viral disease)
Item
Fieber (auch Viruserkrankungen)
text
Urinary tract infection
Item
Harnwegsinfektion
text
Bleeding during pregnancy
Item
Blutungen in der Schwangerschaft
text
Anemia
Item
Anämie
text
Surgery
Item
Operationen
text
Medication/Hormones
Item
Medikamente/Hormone
text
Other diseases/trouble
Item
Andere Erkrankungen/Beschwerden
text
Smoking, drugs, alcohol
Item
Rauchen, Drogen, Alkohol
text
Contraceptives
Item
Antikonzeptiva
text
Mode of conception
Item
Konzeptionsmodus
text
Rubella titer
Item
Röteln Titer
text
HBsAg
Item
HBsAg
text
Anti-D
Item
Anti D
text
Breastfeeding
Item
Stillen
text
Crédé desired
Item
Crédé erwünscht
text
Item Group
Fehlgeburten
Date
Item
Datum
date
Menstruation
Item
mens
text
Curettage
Item
Nachräumung (wo)
text
Complications
Item
Komplikationen
text
Item Group
Vorausgegangene Entbindungen
Date
Item
Datum
date
Type and place of delivery
Item
Entbindung: Art und Ort
text
Duration of delivery
Item
Entbindung: Dauer
text
Complications during delivery
Item
Entbindung: Komplikationen
text
Item
Kind: Geschlecht
text
Code List
Kind: Geschlecht
CL Item
männlich (male)
CL Item
weiblich (female)
Weight of newborn
Item
Kind: Gewicht
text
Specifics of newborn
Item
Kind: Besonderheiten
text

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