Health insurance
Item
Health insurance
text
Referring physician
Item
Referring physician
text
Referring physician, telephone number
Item
Referring physician, telephone number
integer
Medical specialist
Item
Medical specialist
text
Medical specialist, telephone number
Item
Medical specialist, telephone number
integer
Medical history
Item
Medical history
text
Person taking medical history
Item
Medical history taken by
text
Family history
Item
Family history
text
Family history, specifics
Item
No specifics
boolean
Social history
Item
Social history
text
Occupation of mother
Item
Occupation of mother
text
Occupation of father
Item
Occupation of father
text
Personal medical history
Item
Personal medical history
text
Allergy
Item
Allergy
text
Medication
Item
Medication
text
Nicotine
Item
Nicotine
text
Alcohol
Item
Alcohol
text
Specifics
Item
Specifics
text
Last period
Item
Last period
text
Estimated due date (EDD)
Item
EDD
date
Date of conception based on ultrasound diagnostics
Item
Date of conception based on ultrasound diagnostics
date
Week of gestation
Item
Week of gestation
text
Complications and diseases, current pregnancy
Item
Complications and diseases during current pregnancy
text
In-patient treatment
Item
In-patient treatment
text
In-patient treatment, reason
Item
In-patient treatment because of
text
In-patient treatment, duration
Item
In-patient treatment until
date
In-patient treatment, therapy
Item
Therapy
text