ID

43959

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

Versions (3)
  1. 6/8/17 6/8/17 -
  2. 7/30/17 7/30/17 -
  3. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

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

German English

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

1 forms  
General information
Description

General information

Alias
UMLS CUI-1
C1508263
Health insurance
Description

Health insurance

Data type

text

Alias
UMLS CUI [1]
C0021682
Referring physician
Description

Referring physician

Data type

text

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

telephone number Referring physician

Data type

integer

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

specialist

Data type

text

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

telephone number Medical specialist

Data type

integer

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

Medical history

Data type

text

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

Person taking medical history

Data type

text

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

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
Medical history
Description

Medical history

Alias
UMLS CUI-1
C0262926
Family history
Description

Family history

Data type

text

Alias
UMLS CUI [1]
C0241889
No specifics
Description

specifics

Data type

boolean

Alias
UMLS CUI [1]
C2348235
Social history
Description

Social history

Data type

text

Alias
UMLS CUI [1]
C3714536
Occupation of mother
Description

Occupation of mother

Data type

text

Alias
UMLS CUI [1]
C0337613
Occupation of father
Description

Occupation father

Data type

text

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

medical history

Data type

text

Alias
UMLS CUI [1]
C0262926
Allergy
Description

Allergy

Data type

text

Alias
UMLS CUI [1]
C0020517
Medication
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Nicotine
Description

Nicotine

Data type

text

Alias
UMLS CUI [1]
C0028040
Alcohol
Description

Alcohol

Data type

text

Alias
UMLS CUI [1]
C0001948
Specifics
Description

Specifics

Data type

text

Alias
UMLS CUI [1]
C2348235
Medical exam
Description

Medical exam

Alias
UMLS CUI-1
C0582103
State at admission
Description

Admission statuses

Data type

text

Alias
UMLS CUI [1]
C0586002
Heart
Description

Heart

Data type

text

Alias
UMLS CUI [1]
C0018787
Lungs
Description

Lungs

Data type

text

Alias
UMLS CUI [1]
C0024109
Abdomen
Description

Abdomen

Data type

text

Alias
UMLS CUI [1]
C0000726
General findings
Description

General findings

Alias
UMLS CUI-1
C0243095
Blood type
Description

Blood type

Data type

text

Alias
UMLS CUI [1]
C0005810
Rh factor
Description

Rh factor

Data type

text

Alias
UMLS CUI [1]
C0035403
Antibodies
Description

Antibodies

Data type

text

Alias
UMLS CUI [1]
C0003241
Rubella titer
Description

Rubella titer

Data type

text

Alias
UMLS CUI [1]
C0474654
HbsAG
Description

HbsAG

Data type

text

Alias
UMLS CUI [1]
C0201477
Height
Description

Height

Data type

text

Alias
UMLS CUI [1]
C0005890
Weight
Description

Weight

Data type

text

Alias
UMLS CUI [1]
C0005910
Edema
Description

Edema

Data type

text

Alias
UMLS CUI [1]
C0013604
Varices
Description

Varices

Data type

text

Alias
UMLS CUI [1]
C0042345
Urine test strip
Description

Urine test strip

Data type

text

Alias
UMLS CUI [1]
C0462956
HIV
Description

HIV

Data type

text

Alias
UMLS CUI [1]
C0019682
Hepatitis C
Description

Hepatitis C

Data type

text

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

Current pregnancy, anamnesis of menstrual cycle

Alias
UMLS CUI-1
C0747843
Last period
Description

period

Data type

text

Alias
UMLS CUI [1]
C0025344
EDD
Description

Estimated due date

Data type

date

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

Date of conception ultrasonography

Data type

date

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

Week of gestation

Data type

text

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

Current pregnancy, complications

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

Current pregnancy complications

Data type

text

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

In-patient treatment

Data type

text

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

reason

Data type

text

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

therapy duration

Data type

date

Alias
UMLS CUI [1]
C0444921
Therapy
Description

therapy

Data type

text

Alias
UMLS CUI [1]
C0087111
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Similar models

Birth sheet, obstetric sheet Routine documentation in German hospitals DMI

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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
C0444921 (UMLS CUI [1])
therapy
Item
Therapy
text
C0087111 (UMLS CUI [1])
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