ID

24395

Beschrijving

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

Link

http://www.dmi.de/

Trefwoorden

  1. 08-06-17 08-06-17 -
  2. 30-07-17 30-07-17 -
  3. 20-09-21 20-09-21 -
Geüploaded op

30 juli 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

General information
Beschrijving

General information

Alias
UMLS CUI-1
C1508263
Health insurance
Beschrijving

Health insurance

Datatype

text

Alias
UMLS CUI [1]
C0021682
Referring physician
Beschrijving

Referring physician

Datatype

text

Alias
UMLS CUI [1]
C1709880
Referring physician, telephone number
Beschrijving

telephone number Referring physician

Datatype

integer

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C1709880
Medical specialist
Beschrijving

specialist

Datatype

text

Alias
UMLS CUI [1]
C2348234
Medical specialist, telephone number
Beschrijving

telephone number Medical specialist

Datatype

integer

Alias
UMLS CUI [1,1]
C1515258
UMLS CUI [1,2]
C1515258
Medical history
Beschrijving

Medical history

Datatype

text

Alias
UMLS CUI [1]
C0262926
Medical history taken by
Beschrijving

Person taking medical history

Datatype

text

Alias
UMLS CUI [1,1]
C0025084
UMLS CUI [1,2]
C3476341
Date
Beschrijving

Date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Medical history
Beschrijving

Medical history

Alias
UMLS CUI-1
C0262926
Family history
Beschrijving

Family history

Datatype

text

Alias
UMLS CUI [1]
C0241889
No specifics
Beschrijving

specifics

Datatype

boolean

Alias
UMLS CUI [1]
C2348235
Social history
Beschrijving

Social history

Datatype

text

Alias
UMLS CUI [1]
C3714536
Occupation of mother
Beschrijving

Occupation of mother

Datatype

text

Alias
UMLS CUI [1]
C0337613
Occupation of father
Beschrijving

Occupation father

Datatype

text

Alias
UMLS CUI [1,1]
C0028811
UMLS CUI [1,2]
C0015671
Personal medical history
Beschrijving

medical history

Datatype

text

Alias
UMLS CUI [1]
C0262926
Allergy
Beschrijving

Allergy

Datatype

text

Alias
UMLS CUI [1]
C0020517
Medication
Beschrijving

Medication

Datatype

text

Alias
UMLS CUI [1]
C0013227
Nicotine
Beschrijving

Nicotine

Datatype

text

Alias
UMLS CUI [1]
C0028040
Alcohol
Beschrijving

Alcohol

Datatype

text

Alias
UMLS CUI [1]
C0001948
Specifics
Beschrijving

Specifics

Datatype

text

Alias
UMLS CUI [1]
C2348235
Medical exam
Beschrijving

Medical exam

Alias
UMLS CUI-1
C0582103
State at admission
Beschrijving

Admission statuses

Datatype

text

Alias
UMLS CUI [1]
C0586002
Heart
Beschrijving

Heart

Datatype

text

Alias
UMLS CUI [1]
C0018787
Lungs
Beschrijving

Lungs

Datatype

text

Alias
UMLS CUI [1]
C0024109
Abdomen
Beschrijving

Abdomen

Datatype

text

Alias
UMLS CUI [1]
C0000726
General findings
Beschrijving

General findings

Alias
UMLS CUI-1
C0243095
Blood type
Beschrijving

Blood type

Datatype

text

Alias
UMLS CUI [1]
C0005810
Rh factor
Beschrijving

Rh factor

Datatype

text

Alias
UMLS CUI [1]
C0035403
Antibodies
Beschrijving

Antibodies

Datatype

text

Alias
UMLS CUI [1]
C0003241
Rubella titer
Beschrijving

Rubella titer

Datatype

text

Alias
UMLS CUI [1]
C0474654
HbsAG
Beschrijving

HbsAG

Datatype

text

Alias
UMLS CUI [1]
C0201477
Height
Beschrijving

Height

Datatype

text

Alias
UMLS CUI [1]
C0005890
Weight
Beschrijving

Weight

Datatype

text

Alias
UMLS CUI [1]
C0005910
Edema
Beschrijving

Edema

Datatype

text

Alias
UMLS CUI [1]
C0013604
Varices
Beschrijving

Varices

Datatype

text

Alias
UMLS CUI [1]
C0042345
Urine test strip
Beschrijving

Urine test strip

Datatype

text

Alias
UMLS CUI [1]
C0462956
HIV
Beschrijving

HIV

Datatype

text

Alias
UMLS CUI [1]
C0019682
Hepatitis C
Beschrijving

Hepatitis C

Datatype

text

Alias
UMLS CUI [1]
C0019196
Current pregnancy, anamnesis of menstrual cycle
Beschrijving

Current pregnancy, anamnesis of menstrual cycle

Alias
UMLS CUI-1
C0747843
Last period
Beschrijving

period

Datatype

text

Alias
UMLS CUI [1]
C0025344
EDD
Beschrijving

Estimated due date

Datatype

date

Alias
UMLS CUI [1]
C2825543
Date of conception based on ultrasound diagnostics
Beschrijving

Date of conception ultrasonography

Datatype

date

Alias
UMLS CUI [1,1]
C1317261
UMLS CUI [1,2]
C0041618
Week of gestation
Beschrijving

Week of gestation

Datatype

text

Alias
UMLS CUI [1]
C1135241
Current pregnancy, complications
Beschrijving

Current pregnancy, complications

Alias
UMLS CUI-1
C0747843
UMLS CUI-2
C0009566
Complications and diseases during current pregnancy
Beschrijving

Current pregnancy complications

Datatype

text

Alias
UMLS CUI [1,1]
C0747843
UMLS CUI [1,2]
C0009566
In-patient treatment
Beschrijving

In-patient treatment

Datatype

text

Alias
UMLS CUI [1]
C0021562
In-patient treatment because of
Beschrijving

reason

Datatype

text

Alias
UMLS CUI [1]
C0392360
In-patient treatment until
Beschrijving

therapy duration

Datatype

date

Alias
UMLS CUI [1]
C0444917
Therapy
Beschrijving

therapy

Datatype

text

Alias
UMLS CUI [1]
C0087111

Similar models

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
General information
C1508263 (UMLS CUI-1)
Health insurance
Item
Health insurance
text
C0021682 (UMLS CUI [1])
Referring physician
Item
Referring physician
text
C1709880 (UMLS CUI [1])
telephone number Referring physician
Item
Referring physician, telephone number
integer
C1515258 (UMLS CUI [1,1])
C1709880 (UMLS CUI [1,2])
specialist
Item
Medical specialist
text
C2348234 (UMLS CUI [1])
telephone number Medical specialist
Item
Medical specialist, telephone number
integer
C1515258 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
Medical history
Item
Medical history
text
C0262926 (UMLS CUI [1])
Person taking medical history
Item
Medical history taken by
text
C0025084 (UMLS CUI [1,1])
C3476341 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Item Group
Medical history
C0262926 (UMLS CUI-1)
Family history
Item
Family history
text
C0241889 (UMLS CUI [1])
specifics
Item
No specifics
boolean
C2348235 (UMLS CUI [1])
Social history
Item
Social history
text
C3714536 (UMLS CUI [1])
Occupation of mother
Item
Occupation of mother
text
C0337613 (UMLS CUI [1])
Occupation father
Item
Occupation of father
text
C0028811 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
medical history
Item
Personal medical history
text
C0262926 (UMLS CUI [1])
Allergy
Item
Allergy
text
C0020517 (UMLS CUI [1])
Medication
Item
Medication
text
C0013227 (UMLS CUI [1])
Nicotine
Item
Nicotine
text
C0028040 (UMLS CUI [1])
Alcohol
Item
Alcohol
text
C0001948 (UMLS CUI [1])
Specifics
Item
Specifics
text
C2348235 (UMLS CUI [1])
Item Group
Medical exam
C0582103 (UMLS CUI-1)
Admission statuses
Item
State at admission
text
C0586002 (UMLS CUI [1])
Heart
Item
Heart
text
C0018787 (UMLS CUI [1])
Lungs
Item
Lungs
text
C0024109 (UMLS CUI [1])
Abdomen
Item
Abdomen
text
C0000726 (UMLS CUI [1])
Item Group
General findings
C0243095 (UMLS CUI-1)
Blood type
Item
Blood type
text
C0005810 (UMLS CUI [1])
Rh factor
Item
Rh factor
text
C0035403 (UMLS CUI [1])
Antibodies
Item
Antibodies
text
C0003241 (UMLS CUI [1])
Rubella titer
Item
Rubella titer
text
C0474654 (UMLS CUI [1])
HbsAG
Item
HbsAG
text
C0201477 (UMLS CUI [1])
Height
Item
Height
text
C0005890 (UMLS CUI [1])
Weight
Item
Weight
text
C0005910 (UMLS CUI [1])
Edema
Item
Edema
text
C0013604 (UMLS CUI [1])
Varices
Item
Varices
text
C0042345 (UMLS CUI [1])
Urine test strip
Item
Urine test strip
text
C0462956 (UMLS CUI [1])
HIV
Item
HIV
text
C0019682 (UMLS CUI [1])
Hepatitis C
Item
Hepatitis C
text
C0019196 (UMLS CUI [1])
Item Group
Current pregnancy, anamnesis of menstrual cycle
C0747843 (UMLS CUI-1)
period
Item
Last period
text
C0025344 (UMLS CUI [1])
Estimated due date
Item
EDD
date
C2825543 (UMLS CUI [1])
Date of conception ultrasonography
Item
Date of conception based on ultrasound diagnostics
date
C1317261 (UMLS CUI [1,1])
C0041618 (UMLS CUI [1,2])
Week of gestation
Item
Week of gestation
text
C1135241 (UMLS CUI [1])
Item Group
Current pregnancy, complications
C0747843 (UMLS CUI-1)
C0009566 (UMLS CUI-2)
Current pregnancy complications
Item
Complications and diseases during current pregnancy
text
C0747843 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
In-patient treatment
Item
In-patient treatment
text
C0021562 (UMLS CUI [1])
reason
Item
In-patient treatment because of
text
C0392360 (UMLS CUI [1])
therapy duration
Item
In-patient treatment until
date
C0444917 (UMLS CUI [1])
therapy
Item
Therapy
text
C0087111 (UMLS CUI [1])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial