ID

22626

Beskrivning

Routine documentation in German hospitals. Source file name: SD070109_Geburtenbogen. Examplary forms provided by DMI (http://www.dmi.de/)

Länk

http://www.dmi.de/

Nyckelord

  1. 2017-06-08 2017-06-08 -
  2. 2017-07-30 2017-07-30 -
Uppladdad den

8 juni 2017

DOI

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Licens

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
Beskrivning

Beginning of labor

Day
Beskrivning

Day

Datatyp

text

Month
Beskrivning

Month

Datatyp

text

Time
Beskrivning

Time

Datatyp

time

Spontaneous
Beskrivning

Labor, spontaneous

Datatyp

boolean

Induction with
Beskrivning

Induction of labor

Datatyp

text

Rupture of membranes (ROM)
Beskrivning

Rupture of membranes (ROM)

Day
Beskrivning

Day

Datatyp

text

Month
Beskrivning

Month

Datatyp

text

Time
Beskrivning

Time

Datatyp

time

Type of ROM
Beskrivning

Type of ROM

Datatyp

text

Color of amniotic fluid
Beskrivning

Color of amniotic fluid

Datatyp

text

Birth I
Beskrivning

Birth I

Day
Beskrivning

Day

Datatyp

text

Month
Beskrivning

Month

Datatyp

text

Time
Beskrivning

Time

Datatyp

time

From:
Beskrivning

Birth I, fetal position

Datatyp

text

Birth II
Beskrivning

Birth II

Day
Beskrivning

Day

Datatyp

text

Month
Beskrivning

Month

Datatyp

text

Time
Beskrivning

Time

Datatyp

time

From:
Beskrivning

Birth II, fetal position

Datatyp

text

Medical procedures
Beskrivning

Medical procedures

Anesthesia
Beskrivning

Anesthesia

Datatyp

text

Type of birth
Beskrivning

Type of birth

Datatyp

text

Operative by:
Beskrivning

Operative birth, method

Datatyp

text

Surgeon
Beskrivning

Surgeon

Datatyp

text

Indication
Beskrivning

Indication

Datatyp

text

Placental expulsion
Beskrivning

Placental expulsion

Day
Beskrivning

Day

Datatyp

text

Month
Beskrivning

Month

Datatyp

text

Time
Beskrivning

Time

Datatyp

time

Spontaneous
Beskrivning

Spontaneous placental expulsion

Datatyp

boolean

Cord-traction
Beskrivning

Cord-traction

Datatyp

boolean

Postpartal palpation
Beskrivning

Postpartal palpation

Datatyp

boolean

Manual placenta removal
Beskrivning

Manual placenta removal

Datatyp

boolean

Curettage
Beskrivning

Curettage

Datatyp

boolean

Placenta
Beskrivning

Placenta

Complete placenta
Beskrivning

Complete placenta

Datatyp

boolean

Incomplete
Beskrivning

Incomplete placenta

Datatyp

boolean

Infarcts
Beskrivning

Infarcts

Datatyp

boolean

Calcareous incrustation
Beskrivning

Calcareous incrustation

Datatyp

boolean

Placenta histology
Beskrivning

Placenta histology

Datatyp

boolean

Amniotic membranes
Beskrivning

Amniotic membranes

Complete
Beskrivning

Complete amniotic membranes

Datatyp

boolean

Incomplete
Beskrivning

Incomplete amniotic membranes

Datatyp

boolean

3 IE Oxytocin IV
Beskrivning

Oxytocin, intravenous

Datatyp

boolean

0,2 mg Methergin IV
Beskrivning

Methergin, intravenous

Datatyp

boolean

Umbilical cord and blood loss
Beskrivning

Umbilical cord and blood loss

Umbilical cord: Normal insertion
Beskrivning

Umbilical cord, normal insertion

Datatyp

boolean

Umbilical cord: Insertion
Beskrivning

Umbilical cord: Insertion

Datatyp

text

True umbilical cord knot
Beskrivning

True umbilical cord knot

Datatyp

boolean

Nuchal cord
Beskrivning

Nuchal cord

Datatyp

boolean

Blood loss
Beskrivning

Blood loss

Datatyp

integer

Måttenheter
  • ml
ml
Perineum and vagina
Beskrivning

Perineum and vagina

Intact
Beskrivning

Intact perineum and vagina

Datatyp

boolean

Perineal tear
Beskrivning

Perineal tear

Datatyp

boolean

Grade of perineal tear
Beskrivning

Grade of perineal tear

Datatyp

integer

Cervical tear
Beskrivning

Cervical tear

Datatyp

boolean

Episiotomy
Beskrivning

Episiotomy

Datatyp

boolean

Vaginal-labial tear
Beskrivning

Vaginal-labial tear

Datatyp

boolean

Combined lesions
Beskrivning

Combined lesions

Datatyp

boolean

Type of treatment: Suture
Beskrivning

Suture

Datatyp

boolean

Type of treatment: Suture in
Beskrivning

Suture, site

Datatyp

text

Type of treatment: Anesthesia
Beskrivning

Anesthesia

Datatyp

text

Further information
Beskrivning

Further information

Extraordinary incidents during birth
Beskrivning

Extraordinary incidents during birth

Datatyp

text

Physician in charge
Beskrivning

Physician in charge of birth

Datatyp

text

Midwife
Beskrivning

Midwife

Datatyp

text

Similar models

Birth sheet, delivery Routine documentation in German hospitals DMI

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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