ID

22630

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 -
  3. 9/20/21 9/20/21 -
Uploaded on

June 8, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

Allgemeine Informationen
Description

Allgemeine Informationen

Krankenkasse
Description

Health insurance

Data type

text

Einweisender Arzt
Description

Referring physician

Data type

text

Tel.:
Description

Referring physician, telephone number

Data type

integer

Facharzt
Description

Medical specialist

Data type

text

Tel.:
Description

Medical specialist, telephone number

Data type

integer

Anamnese
Description

Medical history

Data type

text

Erhoben von
Description

Person taking medical history

Data type

text

Datum
Description

Date

Data type

date

Anamnese
Description

Anamnese

Familienanamnese
Description

Family history

Data type

text

keine Besonderheiten
Description

Family history, specifics

Data type

boolean

Sozialanamnese
Description

Social history

Data type

text

Beruf der Mutter
Description

Occupation of mother

Data type

text

Beruf des Vaters
Description

Occupation of father

Data type

text

Eigene Anamnese
Description

Personal medical history

Data type

text

Allergie
Description

Allergy

Data type

text

Medikamente
Description

Medication

Data type

text

Nikotin
Description

Nicotine

Data type

text

Alkohol
Description

Alcohol

Data type

text

Besonderheiten
Description

Specifics

Data type

text

Untersuchung
Description

Untersuchung

Aufnahmestatus
Description

State at admission

Data type

text

Herz
Description

Heart

Data type

text

Lunge
Description

Lungs

Data type

text

Abdomen
Description

Abdomen

Data type

text

Allgemeinbefunde
Description

Allgemeinbefunde

Blutgruppe
Description

Blood type

Data type

text

Rh Faktor
Description

Rh factor

Data type

text

Antikörper
Description

Antibodies

Data type

text

Röteln-Titer
Description

Rubella titer

Data type

text

HbsAG
Description

HbsAG

Data type

text

Größe
Description

Height

Data type

text

Gewicht
Description

Weight

Data type

text

Ödeme
Description

Edemata

Data type

text

Varizen
Description

Varices

Data type

text

Urinstix
Description

Urine test strip

Data type

text

HIV
Description

HIV

Data type

text

Hep C
Description

Hepatitis C

Data type

text

Jetzige Schwangerschaft Zyklusanamnese
Description

Jetzige Schwangerschaft Zyklusanamnese

Letzte Periode
Description

Last period

Data type

text

ET
Description

Estimated due date (EDD)

Data type

date

Konz. Termin n. USD
Description

Date of conception based on ultrasound diagnostics

Data type

date

SSW
Description

Week of gestation

Data type

text

Jetzige Schwangerschaft Komplikationen
Description

Jetzige Schwangerschaft Komplikationen

Komplikationen + Krankheiten der jetzigen Schwangerschaft
Description

Complications and diseases, current pregnancy

Data type

text

Stat. Behandlung
Description

In-patient treatment

Data type

text

Warum?
Description

In-patient treatment, reason

Data type

text

Bis:
Description

In-patient treatment, duration

Data type

date

Therapie
Description

In-patient treatment, therapy

Data type

text

Similar models

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Allgemeine Informationen
Health insurance
Item
Krankenkasse
text
Referring physician
Item
Einweisender Arzt
text
Referring physician, telephone number
Item
Tel.:
integer
Medical specialist
Item
Facharzt
text
Medical specialist, telephone number
Item
Tel.:
integer
Medical history
Item
Anamnese
text
Person taking medical history
Item
Erhoben von
text
Date
Item
Datum
date
Item Group
Anamnese
Family history
Item
Familienanamnese
text
Family history, specifics
Item
keine Besonderheiten
boolean
Social history
Item
Sozialanamnese
text
Occupation of mother
Item
Beruf der Mutter
text
Occupation of father
Item
Beruf des Vaters
text
Personal medical history
Item
Eigene Anamnese
text
Allergy
Item
Allergie
text
Medication
Item
Medikamente
text
Nicotine
Item
Nikotin
text
Alcohol
Item
Alkohol
text
Specifics
Item
Besonderheiten
text
Item Group
Untersuchung
State at admission
Item
Aufnahmestatus
text
Heart
Item
Herz
text
Lungs
Item
Lunge
text
Abdomen
Item
Abdomen
text
Item Group
Allgemeinbefunde
Blood type
Item
Blutgruppe
text
Rh factor
Item
Rh Faktor
text
Antibodies
Item
Antikörper
text
Rubella titer
Item
Röteln-Titer
text
HbsAG
Item
HbsAG
text
Height
Item
Größe
text
Weight
Item
Gewicht
text
Edemata
Item
Ödeme
text
Varices
Item
Varizen
text
Urine test strip
Item
Urinstix
text
HIV
Item
HIV
text
Hepatitis C
Item
Hep C
text
Item Group
Jetzige Schwangerschaft Zyklusanamnese
Last period
Item
Letzte Periode
text
Estimated due date (EDD)
Item
ET
date
Date of conception based on ultrasound diagnostics
Item
Konz. Termin n. USD
date
Week of gestation
Item
SSW
text
Item Group
Jetzige Schwangerschaft Komplikationen
Complications and diseases, current pregnancy
Item
Komplikationen + Krankheiten der jetzigen Schwangerschaft
text
In-patient treatment
Item
Stat. Behandlung
text
In-patient treatment, reason
Item
Warum?
text
In-patient treatment, duration
Item
Bis:
date
In-patient treatment, therapy
Item
Therapie
text

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