ID

22626

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

June 8, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Birth sheet, delivery Routine documentation in German hospitals DMI

Birth sheet, delivery Routine documentation in German hospitals DMI

Beginning of labor
Description

Beginning of labor

Day
Description

Day

Data type

text

Month
Description

Month

Data type

text

Time
Description

Time

Data type

time

Spontaneous
Description

Labor, spontaneous

Data type

boolean

Induction with
Description

Induction of labor

Data type

text

Rupture of membranes (ROM)
Description

Rupture of membranes (ROM)

Day
Description

Day

Data type

text

Month
Description

Month

Data type

text

Time
Description

Time

Data type

time

Type of ROM
Description

Type of ROM

Data type

text

Color of amniotic fluid
Description

Color of amniotic fluid

Data type

text

Birth I
Description

Birth I

Day
Description

Day

Data type

text

Month
Description

Month

Data type

text

Time
Description

Time

Data type

time

From:
Description

Birth I, fetal position

Data type

text

Birth II
Description

Birth II

Day
Description

Day

Data type

text

Month
Description

Month

Data type

text

Time
Description

Time

Data type

time

From:
Description

Birth II, fetal position

Data type

text

Medical procedures
Description

Medical procedures

Anesthesia
Description

Anesthesia

Data type

text

Type of birth
Description

Type of birth

Data type

text

Operative by:
Description

Operative birth, method

Data type

text

Surgeon
Description

Surgeon

Data type

text

Indication
Description

Indication

Data type

text

Placental expulsion
Description

Placental expulsion

Day
Description

Day

Data type

text

Month
Description

Month

Data type

text

Time
Description

Time

Data type

time

Spontaneous
Description

Spontaneous placental expulsion

Data type

boolean

Cord-traction
Description

Cord-traction

Data type

boolean

Postpartal palpation
Description

Postpartal palpation

Data type

boolean

Manual placenta removal
Description

Manual placenta removal

Data type

boolean

Curettage
Description

Curettage

Data type

boolean

Placenta
Description

Placenta

Complete placenta
Description

Complete placenta

Data type

boolean

Incomplete
Description

Incomplete placenta

Data type

boolean

Infarcts
Description

Infarcts

Data type

boolean

Calcareous incrustation
Description

Calcareous incrustation

Data type

boolean

Placenta histology
Description

Placenta histology

Data type

boolean

Amniotic membranes
Description

Amniotic membranes

Complete
Description

Complete amniotic membranes

Data type

boolean

Incomplete
Description

Incomplete amniotic membranes

Data type

boolean

3 IE Oxytocin IV
Description

Oxytocin, intravenous

Data type

boolean

0,2 mg Methergin IV
Description

Methergin, intravenous

Data type

boolean

Umbilical cord and blood loss
Description

Umbilical cord and blood loss

Umbilical cord: Normal insertion
Description

Umbilical cord, normal insertion

Data type

boolean

Umbilical cord: Insertion
Description

Umbilical cord: Insertion

Data type

text

True umbilical cord knot
Description

True umbilical cord knot

Data type

boolean

Nuchal cord
Description

Nuchal cord

Data type

boolean

Blood loss
Description

Blood loss

Data type

integer

Measurement units
  • ml
ml
Perineum and vagina
Description

Perineum and vagina

Intact
Description

Intact perineum and vagina

Data type

boolean

Perineal tear
Description

Perineal tear

Data type

boolean

Grade of perineal tear
Description

Grade of perineal tear

Data type

integer

Cervical tear
Description

Cervical tear

Data type

boolean

Episiotomy
Description

Episiotomy

Data type

boolean

Vaginal-labial tear
Description

Vaginal-labial tear

Data type

boolean

Combined lesions
Description

Combined lesions

Data type

boolean

Type of treatment: Suture
Description

Suture

Data type

boolean

Type of treatment: Suture in
Description

Suture, site

Data type

text

Type of treatment: Anesthesia
Description

Anesthesia

Data type

text

Further information
Description

Further information

Extraordinary incidents during birth
Description

Extraordinary incidents during birth

Data type

text

Physician in charge
Description

Physician in charge of birth

Data type

text

Midwife
Description

Midwife

Data type

text

Similar models

Birth sheet, delivery Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Beginning of labor
Day
Item
Day
text
Month
Item
Month
text
Time
Item
Time
time
Labor, spontaneous
Item
Spontaneous
boolean
Induction of labor
Item
Induction with
text
Item Group
Rupture of membranes (ROM)
Day
Item
Day
text
Month
Item
Month
text
Time
Item
Time
time
Item
Type of ROM
text
Code List
Type of ROM
CL Item
premature (premature)
CL Item
early (early)
CL Item
timely (timely)
CL Item
spontaneous (spontaneous)
CL Item
artificial (artificial)
Item
Color of amniotic fluid
text
Code List
Color of amniotic fluid
CL Item
clear (clear)
CL Item
green (green)
CL Item
similar to pea-soup (similar to pea-soup)
CL Item
sanguineous (sanguineous)
Item Group
Birth I
Day
Item
Day
text
Month
Item
Month
text
Time
Item
Time
time
Birth I, fetal position
Item
From:
text
Item Group
Birth II
Day
Item
Day
text
Month
Item
Month
text
Time
Item
Time
time
Birth II, fetal position
Item
From:
text
Item Group
Medical procedures
Item
Anesthesia
text
Code List
Anesthesia
CL Item
local (local)
CL Item
pudendal nerve (pudendal nerve)
CL Item
PDA (PDA)
CL Item
endotracheal anesthesia (endotracheal anesthesia)
Item
Type of birth
text
Code List
Type of birth
CL Item
spontaneous (spontaneous)
CL Item
operative (operative)
Operative birth, method
Item
Operative by:
text
Surgeon
Item
Surgeon
text
Indication
Item
Indication
text
Item Group
Placental expulsion
Day
Item
Day
text
Month
Item
Month
text
Time
Item
Time
time
Spontaneous placental expulsion
Item
Spontaneous
boolean
Cord-traction
Item
Cord-traction
boolean
Postpartal palpation
Item
Postpartal palpation
boolean
Manual placenta removal
Item
Manual placenta removal
boolean
Curettage
Item
Curettage
boolean
Item Group
Placenta
Complete placenta
Item
Complete placenta
boolean
Incomplete placenta
Item
Incomplete
boolean
Infarcts
Item
Infarcts
boolean
Calcareous incrustation
Item
Calcareous incrustation
boolean
Placenta histology
Item
Placenta histology
boolean
Item Group
Amniotic membranes
Complete amniotic membranes
Item
Complete
boolean
Incomplete amniotic membranes
Item
Incomplete
boolean
Oxytocin, intravenous
Item
3 IE Oxytocin IV
boolean
Methergin, intravenous
Item
0,2 mg Methergin IV
boolean
Item Group
Umbilical cord and blood loss
Umbilical cord, normal insertion
Item
Umbilical cord: Normal insertion
boolean
Umbilical cord: Insertion
Item
Umbilical cord: Insertion
text
True umbilical cord knot
Item
True umbilical cord knot
boolean
Nuchal cord
Item
Nuchal cord
boolean
Blood loss
Item
Blood loss
integer
Item Group
Perineum and vagina
Intact perineum and vagina
Item
Intact
boolean
Perineal tear
Item
Perineal tear
boolean
Grade of perineal tear
Item
Grade of perineal tear
integer
Cervical tear
Item
Cervical tear
boolean
Episiotomy
Item
Episiotomy
boolean
Vaginal-labial tear
Item
Vaginal-labial tear
boolean
Combined lesions
Item
Combined lesions
boolean
Suture
Item
Type of treatment: Suture
boolean
Suture, site
Item
Type of treatment: Suture in
text
Anesthesia
Item
Type of treatment: Anesthesia
text
Item Group
Further information
Extraordinary incidents during birth
Item
Extraordinary incidents during birth
text
Physician in charge of birth
Item
Physician in charge
text
Midwife
Item
Midwife
text

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