ID

9863

Descripción

Form imported via medical-data-models.org API-version 1

Palabras clave

  1. 23/11/14 23/11/14 - Julian Varghese
  2. 23/2/15 23/2/15 - Sarah Schulze Sünninghausen
Subido en

23 de febrero de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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Quality assurance Obstetrics - Mother (AQUA)

Quality assurance Obstetrics - Mother (AQUA)

Test
Descripción

Test

Basic documentation - mother
Descripción

Basic documentation - mother

Date of birth (of the pregnant woman)
Descripción

Geburtsdatum der Schwangeren

Tipo de datos

date

Alias
UMLS CUI-1
C0421451
Hospital admission date (DD.MM.YYYY)
Descripción

Aufnahmedatum (TT.MM.JJJJ)

Tipo de datos

date

Alias
UMLS CUI-1
C1302393
Admission time (hh:mm)
Descripción

Aufnahmeuhrzeit

Tipo de datos

text

Alias
UMLS CUI-1
C2215405
Mother was transferred add?
Descripción

Mutter wurde zuverlegt?

Tipo de datos

integer

Diagnosis at Admission (mother)
Descripción

Aufnahmediagnose Mutter

Tipo de datos

integer

Alias
UMLS CUI-1
C0011900
Diagnosis at Admission (mother) in combination with
Descripción

Aufnahmediagnose Mutter kombiniert mit

Tipo de datos

integer

Stationary pretreatment (in days)
Descripción

Vorstationäre Behandlung (in Tage)

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI-1
C3539076
days
Treatment (in days) after stationary
Descripción

Nachstationäre Behandlung (in Tage)

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI-1
C0683527
days
Zip code of residence
Descripción

5-stellige PLZ des Wohnortes

Tipo de datos

text

Alias
UMLS CUI-1
C1716533
Country of origin: Germany
Descripción

Herkunftsland: Deutschland

Tipo de datos

boolean

Alias
UMLS CUI-1
C3262211
Other country
Descripción

Anderes Land

Tipo de datos

integer

Single mother without a solid partner
Descripción

Mutter alleinstehend ohne festen Partner

Tipo de datos

boolean

Alias
UMLS CUI-1
C0337491
Employment during the current pregnancy
Descripción

Berufstätigkeit während der jetzigen Schwangerschaft

Tipo de datos

boolean

Alias
UMLS CUI-1
C0014003
Occupation of mother
Descripción

Tätigkeit der Mutter

Tipo de datos

integer

Alias
UMLS CUI-1
C0337613
Number of previous pregnancies
Descripción

Anzahl vorausgegangene Schwangerschaften

Tipo de datos

text

Alias
UMLS CUI-1
C0422807
Number of live births
Descripción

Anzahl Lebendgeburten

Tipo de datos

text

Alias
UMLS CUI-1
C2114488
number of stillbirths
Descripción

Anzahl Totgeburten

Tipo de datos

text

Alias
UMLS CUI-1
C0429913
number of abortions
Descripción

Anzahl Aborte

Tipo de datos

text

Alias
UMLS CUI-1
C0429914
number of pregnancy terminations
Descripción

Anzahl Abbrüche

Tipo de datos

text

Alias
UMLS CUI-1
C0429915
number of EU
Descripción

Anzahl EU

Tipo de datos

text

Current pregnancy
Descripción

Current pregnancy

Number of cigarettes per day after becoming aware of the pregnancy
Descripción

Anzahl Zigaretten pro Tag nach bekannt werden der Schwangerschaft

Tipo de datos

text

Alias
UMLS CUI-1
C3694146
Pregnant while pregnancy presented to a doctor / in-patient doctor of the obstetrical clinic
Descripción

Schwangere während Ss. einem Arzt/Belegarzt der Geburtsklinik vorgestellt

Tipo de datos

boolean

Pregnancy documented in the maternity log as risk pregnancy
Descripción

Ss. im Mutterpass als Risiko-Ss. dokumentiert

Tipo de datos

integer

Alias
UMLS CUI-1
C0242786
Pregnancy risks
Descripción

Schwangerschaftsrisiken

Tipo de datos

boolean

pregnancy risk
Descripción

Schwangerschaftrisiko

Tipo de datos

integer

Alias
UMLS CUI-1
C0404588
Total inpatient hospitalization during pregnancy without leading to the birth of stay in days (in days)
Descripción

gesamter stationärer Klinikaufenthalt während der Ss. ohne zur Geburt führender Aufenthalt in Tagen

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI-1
C0019993
days
Gestational week of the first residence, not lead to birth
Descripción

Schwangerschaftswoche des ersten Aufenthalts nicht zur Geburt führend (in SSW)

Tipo de datos

integer

Unidades de medida
  • gestational weeks
gestational weeks
Indications for hospitalization
Descripción

Indikation für stat. Aufenthalt

Tipo de datos

integer

Alias
UMLS CUI-1
C3146298
Gestational week of the first check-up
Descripción

SSW der Erst-Untersuchung (in SSW)

Tipo de datos

integer

Unidades de medida
  • gestational weeks
gestational weeks
Total number of screening examination
Descripción

Gesamtanzahl Vorsorge-Untersuchung

Tipo de datos

text

Alias
UMLS CUI-1
C0281974
Gestational week of the first ultrasound scan
Descripción

SSW der ersten Ultraschall-Untersuchung

Tipo de datos

integer

Unidades de medida
  • gestational weeks
Alias
UMLS CUI-1
C0203416
gestational weeks
Total number of ultrasound scans
Descripción

Gesamtzahl Ultraschall-Untersuchungen

Tipo de datos

text

Body weight at first examination (in kg)
Descripción

Körpergewicht bei Erstuntersuchung

Tipo de datos

integer

Unidades de medida
  • kg
Alias
UMLS CUI-1
C0005910
kg
Last weight before birth (in kg)
Descripción

Letztes Gewicht vor Geburt

Tipo de datos

integer

Unidades de medida
  • kg
kg
Body Height (in cm)
Descripción

Körpergröße

Tipo de datos

integer

Unidades de medida
  • cm
Alias
UMLS CUI-1
C0005890
cm
prenatal genetic diagnosis
Descripción

pränatale Gendiagnostik

Tipo de datos

integer

Alias
UMLS CUI-1
C3647329
Contraction stress test
Descripción

Wehen-Belastungstest

Tipo de datos

boolean

Alias
UMLS CUI-1
C0200068
Doppler sonography performed
Descripción

Dopplersonographie durchgeführt

Tipo de datos

boolean

Alias
UMLS CUI-1
C0242845
Indication for Doppler sonography
Descripción

Indikation für Dopplersonographie

Tipo de datos

integer

Alias
UMLS CUI-1
C2315323
Pathological Doppler findings
Descripción

Pathologischer Dopplerbefund

Tipo de datos

boolean

Alias
UMLS CUI-1
C3844343
pathological findings at risk
Descripción

pathologischer Befund bei Risiko

Tipo de datos

integer

State after conization
Descripción

Zustand nach Konisation

Tipo de datos

boolean

Alias
UMLS CUI-1
C0195324
Cervical closure operation
Descripción

Zervixverschluss-OP

Tipo de datos

boolean

Tocolysis intravenous
Descripción

Tokolyse i.v.

Tipo de datos

boolean

Alias
UMLS CUI-1
C0040348
Duration of i.v. tocolysis (in days)
Descripción

Dauer der i.v. Tokolyse (in Tage)

Tipo de datos

integer

Unidades de medida
  • days
Alias
UMLS CUI-1
C0449238
days
Tokolyse oral
Descripción

Tokolyse oral

Tipo de datos

boolean

Alias
UMLS CUI-1
C0509286
Calculated, if necessary, corrected date of birth (dd.mm.yyyy)
Descripción

Berechneter, ggf. korrigierter Geburtstermin (TT.MM.JJJJ)

Tipo de datos

date

Duration of gestation on clinical judgment
Descripción

Tragzeit nach klinischem Befund (in Wochen)

Tipo de datos

integer

Unidades de medida
  • gestational weeks
Alias
UMLS CUI-1
C0460089
gestational weeks
prenatally secured / suspected abnormalities
Descripción

pränatal gesicherte/vermutete Fehlbildungen

Tipo de datos

boolean

Alias
UMLS CUI-1
C0000768
Prenatal diagnosis of secured / suspected malformation
Descripción

Diagnose der pränatal gesicherten/vermuteten Fehlbildung

Tipo de datos

integer

Alias
UMLS CUI-1
C0033053
prenatally secured / suspected malformation secured / suspected on
Descripción

pränatal gesicherte/vermutete Fehlbildung gesichert/Verdacht auf

Tipo de datos

integer

Gestational week prenatal secured / suspected malformation
Descripción

SSW der pränatal gesicherten/vermuteten Fehlbildung (in SSW)

Tipo de datos

integer

Unidades de medida
  • gestational weeks
gestational weeks
Information about childbirth
Descripción

Information about childbirth

Admission Type
Descripción

Aufnahmeart

Tipo de datos

integer

Alias
UMLS CUI-1
C1550330
Cervical dilatation at admission (in cm)
Descripción

Muttermundsweite bei Aufnahme (in cm)

Tipo de datos

integer

Unidades de medida
  • cm
Alias
UMLS CUI-1
C0079103
cm
Lung maturation treatment
Descripción

Lungenreifebehandlung

Tipo de datos

integer

Alias
UMLS CUI-1
C3662127
Lung maturation treatment: at last (dd.mm.yyyy)
Descripción

Lungenreifebehandlung: zuletzt am (TT.MM.JJJJ)

Tipo de datos

date

Alias
UMLS CUI-1
C3258210
Admission-CTG
Descripción

Aufnahme-CTG

Tipo de datos

boolean

Alias
UMLS CUI-1
C0007208
Doppler ultrasound performed in obstetric department
Descripción

Dopplersonographie in geburtshilflicher Abteilung durchgeführt

Tipo de datos

boolean

Alias
UMLS CUI-1
C0242845
Indications for Doppler sonography in obstetric department
Descripción

Indikation für Dopplersonographie in geburtshilflicher Abteilung

Tipo de datos

integer

Pathological Doppler findings
Descripción

Pathologischer Dopplerbefund

Tipo de datos

boolean

birth risks
Descripción

Geburtsrisiken

Tipo de datos

boolean

birth risk
Descripción

Geburtsrisiko

Tipo de datos

integer

Alias
UMLS CUI-1
C1171167
Cervical ripening with drug
Descripción

Medikamentöse Zervixreifung

Tipo de datos

boolean

Alias
UMLS CUI-1
C0404335
Induction of labor
Descripción

Geburtseinleitung

Tipo de datos

boolean

Alias
UMLS CUI-1
C0259787
Indication for induction of labor
Descripción

Indikation zur Geburtseinleitung

Tipo de datos

integer

Drug Induced Induction of Labor
Descripción

Geburtseinleitung medikamentös

Tipo de datos

boolean

Alias
UMLS CUI-1
C2985288
Induction of labor with amniotomy
Descripción

Geburtseinleitung mit Amniotomie

Tipo de datos

boolean

Alias
UMLS CUI-1
C2192357
Labor pains drug s. p.
Descripción

Wehenmittel s. p.

Tipo de datos

boolean

tocolysis s. p.
Descripción

Tokolyse s. p.

Tipo de datos

boolean

Alias
UMLS CUI-1
C0040348
Analgesics
Descripción

Analgetika

Tipo de datos

boolean

Alias
UMLS CUI-1
C0002771
Acupuncture
Descripción

Akupunktur

Tipo de datos

boolean

Alias
UMLS CUI-1
C0001299
alternative Analgesien
Descripción

alternative Analgesien

Tipo de datos

boolean

Alias
UMLS CUI-1
C1523987
Episiotomy
Descripción

Episiotomie

Tipo de datos

integer

Alias
UMLS CUI-1
C0014586
Abruptio Placentae
Descripción

Plazentalösungsstörung

Tipo de datos

boolean

Alias
UMLS CUI-1
C0000832
Maternal complications
Descripción

Maternal complications

Laceration of perineum
Descripción

Dammriss

Tipo de datos

integer

Alias
UMLS CUI-1
C0561821
Other soft tissue injuries
Descripción

andere Weichteilverletzungen

Tipo de datos

boolean

Alias
UMLS CUI-1
C0037578
Cervical laceration as soft tissue injury
Descripción

Zervixriss als Weichteilverletzung

Tipo de datos

integer

Alias
UMLS CUI-1
C0007851
Laceration of vagina as a soft tissue injury
Descripción

Scheidenriss als Weichteilverletzung

Tipo de datos

integer

Alias
UMLS CUI-1
C0405244
Labien- / clitoris plan as a soft tissue injury
Descripción

Labien-/Klitorisriss als Weichteilverletzung

Tipo de datos

integer

Alias
UMLS CUI-1
C2075824
Vulval and perineal hematoma as a soft tissue injury
Descripción

parakolpisches Hämatom als Weichteilverletzung

Tipo de datos

integer

Alias
UMLS CUI-1
C0157332
Hemorrhage > 1000 ml
Descripción

Blutung > 1000 ml

Tipo de datos

boolean

Alias
UMLS CUI-1
C0019080
require revision impaired wound healing of birth canal because of opening and/or secondary suture
Descripción

revisionsbedürftige Wundheilungsstörungen des Geburtskanals durch Eröffnung und/oder Sekundärnaht

Tipo de datos

boolean

Alias
UMLS CUI-1
C0151692
Laparoscopic hysterectomy
Descripción

Hysterektomie/Laparotomie

Tipo de datos

boolean

Alias
UMLS CUI-1
C0404089
Eclampsia
Descripción

Eklampsie

Tipo de datos

boolean

Alias
UMLS CUI-1
C0013537
Sepsis
Descripción

Sepsis

Tipo de datos

boolean

Alias
UMLS CUI-1
C0243026
Puerperal pyrexia> 38 ° C> 2 days
Descripción

Fieber im Wochenbett > 38°C > 2 Tg.

Tipo de datos

boolean

Alias
UMLS CUI-1
C1331543
Anemia Hb < 10 g/dl
Descripción

Anämie Hb < 10 g/dl

Tipo de datos

boolean

Alias
UMLS CUI-1
C0002871
general postpartum complications requiring treatment
Descripción

allgemeine behandlungsbedürftige postpartale Komplikationen

Tipo de datos

boolean

Alias
UMLS CUI-1
C0747772
Pneumonia
Descripción

Pneumonie

Tipo de datos

integer

Alias
UMLS CUI-1
C0032285
cardiovascular complication (s)
Descripción

kardiovaskuläre Komplikation(en)

Tipo de datos

integer

Alias
UMLS CUI-1
C0032963
deep leg/pelvic vein thrombosis
Descripción

tiefe Bein-/Beckenvenenthrombose

Tipo de datos

integer

Alias
UMLS CUI-1
C0149871
pulmonary embolism
Descripción

Lungenembolie

Tipo de datos

integer

Alias
UMLS CUI-1
C0034065
Urinary tract infection
Descripción

Harnwegsinfektion

Tipo de datos

integer

Alias
UMLS CUI-1
C0042029
Wound infection / abscess
Descripción

Wundinfektion/Abszessbildung

Tipo de datos

integer

Alias
UMLS CUI-1
C0043241
UMLS CUI-2
C0000833
Wound hematoma / rebleedinghemorrhage
Descripción

Wundhämatom/Nachblutung

Tipo de datos

integer

Alias
UMLS CUI-1
C0281860
sonstige Komplikation
Descripción

sonstige Komplikation

Tipo de datos

integer

Alias
UMLS CUI-1
C0404824
Discharge diagnosis mother
Descripción

Entlassungs-/Verlegungsdiagnose Mutter

Tipo de datos

integer

Alias
UMLS CUI-1
C0011900
More combined discharge diagnosis mother
Descripción

Weitere kombinierte Entlassungs-/Verlegungsdiagnose Mutter

Tipo de datos

integer

Reason for Discharge
Descripción

Entlassungsgrund Mutter

Tipo de datos

integer

Alias
UMLS CUI-1
C3164834
Hospital discharge date (DD.MM.YYYY)
Descripción

Entlassungsdatum Mutter

Tipo de datos

date

Alias
UMLS CUI-1
C2710998
Death of mother in connection with the birth
Descripción

Tod der Mutter im Zusammenhang mit der Geburt

Tipo de datos

boolean

Alias
UMLS CUI-1
C0425049

Similar models

Quality assurance Obstetrics - Mother (AQUA)

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Item Group
Basic documentation - mother
Geburtsdatum der Schwangeren
Item
Date of birth (of the pregnant woman)
date
C0421451 (UMLS CUI-1)
Aufnahmedatum (TT.MM.JJJJ)
Item
Hospital admission date (DD.MM.YYYY)
date
C1302393 (UMLS CUI-1)
Aufnahmeuhrzeit
Item
Admission time (hh:mm)
text
C2215405 (UMLS CUI-1)
Mutter wurde zuverlegt?
Item
Mother was transferred add?
integer
Aufnahmediagnose Mutter
Item
Diagnosis at Admission (mother)
integer
C0011900 (UMLS CUI-1)
Aufnahmediagnose Mutter kombiniert mit
Item
Diagnosis at Admission (mother) in combination with
integer
Vorstationäre Behandlung (in Tage)
Item
Stationary pretreatment (in days)
integer
C3539076 (UMLS CUI-1)
Nachstationäre Behandlung (in Tage)
Item
Treatment (in days) after stationary
integer
C0683527 (UMLS CUI-1)
5-stellige PLZ des Wohnortes
Item
Zip code of residence
text
C1716533 (UMLS CUI-1)
Herkunftsland: Deutschland
Item
Country of origin: Germany
boolean
C3262211 (UMLS CUI-1)
Item
Other country
integer
Code List
Other country
CL Item
Central and Northern Europe, North America: A, CH, F, B, NL, L, GB, DK, S, N, FIN, USA (1)
CL Item
Mediterranean countries: former YU, GR, I, E, P, Israel, Malta, Cyprus (2)
CL Item
Eastern Europe: former SU, PL, Czech Republic, Slovakia, RO, BG, H (3)
CL Item
Middle East (incl. TR, Afghanistan and Pakistan) and North Africa (Arab. Countries) (4)
CL Item
Asia (exkl. 4) (5)
CL Item
other countries (9)
Mutter alleinstehend ohne festen Partner
Item
Single mother without a solid partner
boolean
C0337491 (UMLS CUI-1)
Berufstätigkeit während der jetzigen Schwangerschaft
Item
Employment during the current pregnancy
boolean
C0014003 (UMLS CUI-1)
Item
Occupation of mother
integer
C0337613 (UMLS CUI-1)
Code List
Occupation of mother
CL Item
Housewife (1)
CL Item
in training, study (2)
CL Item
unskilled / semi-skilled worker, semi-skilled assistant (e.g. cleaner) (4)
CL Item
skilled workers (e.g. baker), simple officials (e.g. a letter carrier), executive employees (e.g. typist), small business (e.g. kiosk lessee) (5)
CL Item
middle to senior civil servants and employees, self-employed with medium and larger operation, the professions (e.g. lawyer, doctor), Master (6)
CL Item
unknown (9)
Anzahl vorausgegangene Schwangerschaften
Item
Number of previous pregnancies
text
C0422807 (UMLS CUI-1)
Anzahl Lebendgeburten
Item
Number of live births
text
C2114488 (UMLS CUI-1)
Anzahl Totgeburten
Item
number of stillbirths
text
C0429913 (UMLS CUI-1)
Anzahl Aborte
Item
number of abortions
text
C0429914 (UMLS CUI-1)
Anzahl Abbrüche
Item
number of pregnancy terminations
text
C0429915 (UMLS CUI-1)
Anzahl EU
Item
number of EU
text
Item Group
Current pregnancy
Anzahl Zigaretten pro Tag nach bekannt werden der Schwangerschaft
Item
Number of cigarettes per day after becoming aware of the pregnancy
text
C3694146 (UMLS CUI-1)
Schwangere während Ss. einem Arzt/Belegarzt der Geburtsklinik vorgestellt
Item
Pregnant while pregnancy presented to a doctor / in-patient doctor of the obstetrical clinic
boolean
Item
Pregnancy documented in the maternity log as risk pregnancy
integer
C0242786 (UMLS CUI-1)
Code List
Pregnancy documented in the maternity log as risk pregnancy
CL Item
no (0)
CL Item
yes (1)
CL Item
Pregnant appears without maternity log (2)
Schwangerschaftsrisiken
Item
Pregnancy risks
boolean
Item
pregnancy risk
integer
C0404588 (UMLS CUI-1)
Code List
pregnancy risk
CL Item
Family history (diabetes, hypertension, malformations, genetic diseases, mental illness) (1)
CL Item
obesity (10)
CL Item
dwarfism (11)
CL Item
skeletal abnormalities (12)
CL Item
pregnant women under 18 years old (13)
CL Item
Pregnant over 35 years (14)
CL Item
grand multiparas (more than 4 children) (15)
CL Item
state after Treatment of infertility (16)
CL Item
s.a. prematurity (gestational age: Under 37 completed weeks). (17)
CL Item
s.a. birth of a hypotrophic child (less than 2500 g) (18)
CL Item
s.a. 2 or more miscarriages / abortions (19)
CL Item
former own serious diseases (e.g., heart, lung, liver, kidney, central nervous system, psyche) (2)
CL Item
dead / damaged child in history (20)
CL Item
complications of previous births (21)
CL Item
postpartum complications (22)
CL Item
s.a. cesarean section (23)
CL Item
s.a. other uterine surgery (24)
CL Item
rapid succession pregnancy (less than 1 year) (25)
CL Item
other medical history and general findings (26)
CL Item
General disorders requiring treatment (27)
CL Item
chronic medication (28)
CL Item
abuse (29)
CL Item
bleeding / thrombosis (3)
CL Item
special psychological distress (30)
CL Item
special social burden (31)
CL Item
bleeding, pregnancy age: under 28 completed weeks (32)
CL Item
bleeding, pregnancy Age: 28 completed weeks or more (33)
CL Item
placenta previa (34)
CL Item
multiple pregnancy (35)
CL Item
hydramnios (36)
CL Item
oligohydramnios (37)
CL Item
Date uncertainty (38)
CL Item
placental insufficiency (39)
CL Item
allergy (4)
CL Item
Isthmozervikale insufficiency (40)
CL Item
preterm labor (41)
CL Item
anemia (42)
CL Item
urinary tract infection (43)
CL Item
Indirect Coombs test positive (44)
CL Item
risk of other serological findings (45)
CL Item
hypertension (blood pressure over 140/90) (46)
CL Item
excretion of 1000 mg of protein per liter of urine and more (47)
CL Item
Moderate - Severe edema (48)
CL Item
hypotension (49)
CL Item
previous blood transfusions (5)
CL Item
gestational (50)
CL Item
malposition (51)
CL Item
other specific findings in the course of pregnancy (52)
CL Item
hyperemesis (53)
CL Item
s.a. HELLP syndrome (54)
CL Item
s.a. eclampsia (55)
CL Item
s.a. hypertension (56)
CL Item
specific psychological distress (eg, familial or professional) (6)
CL Item
special social burden (integration problems, economic problems) (7)
CL Item
Rh incompatibility (at previous pregnancy) (8)
CL Item
diabetes mellitus (9)
gesamter stationärer Klinikaufenthalt während der Ss. ohne zur Geburt führender Aufenthalt in Tagen
Item
Total inpatient hospitalization during pregnancy without leading to the birth of stay in days (in days)
integer
C0019993 (UMLS CUI-1)
Schwangerschaftswoche des ersten Aufenthalts nicht zur Geburt führend (in SSW)
Item
Gestational week of the first residence, not lead to birth
integer
Item
Indications for hospitalization
integer
C3146298 (UMLS CUI-1)
Code List
Indications for hospitalization
CL Item
Family history (diabetes, hypertension, malformations, genetic diseases, mental illness) (1)
CL Item
obesity (10)
CL Item
dwarfism (11)
CL Item
skeletal abnormalities (12)
CL Item
pregnant women under 18 years old (13)
CL Item
Pregnant over 35 years (14)
CL Item
grand multiparas (more than 4 children) (15)
CL Item
placental insufficiency (39)
CL Item
state after Treatment of infertility (16)
CL Item
s.a. prematurity (gestational age: Under 37 completed weeks). (17)
CL Item
s.a. birth of a hypotrophic child (less than 2500 g) (18)
CL Item
s.a. 2 or more miscarriages / abortions (19)
CL Item
former own serious diseases (e.g., heart, lung, liver, kidney, central nervous system, psyche) (2)
CL Item
dead / damaged child in history (20)
CL Item
complications of previous births (21)
CL Item
postpartum complications (22)
CL Item
s.a. cesarean section (23)
CL Item
s.a. other uterine surgery (24)
CL Item
rapid succession pregnancy (less than 1 year) (25)
CL Item
other medical history and general findings (26)
CL Item
General disorders requiring treatment (27)
CL Item
chronic medication (28)
CL Item
abuse (29)
CL Item
bleeding / thrombosis (3)
CL Item
special psychological distress (30)
CL Item
special social burden (31)
CL Item
bleeding, pregnancy age: under 28 completed weeks (32)
CL Item
bleeding, pregnancy Age: 28 completed weeks or more (33)
CL Item
placenta previa (34)
CL Item
multiple pregnancy (35)
CL Item
hydramnios (36)
CL Item
oligohydramnios (37)
CL Item
Date uncertainty (38)
CL Item
allergy (4)
CL Item
Isthmozervikale insufficiency (40)
CL Item
preterm labor (41)
CL Item
anemia (42)
CL Item
urinary tract infection (43)
CL Item
Indirect Coombs test positive (44)
CL Item
risk of other serological findings (45)
CL Item
hypertension (blood pressure over 140/90) (46)
CL Item
excretion of 1000 mg of protein per liter of urine and more (47)
CL Item
Moderate - Severe edema (48)
CL Item
hypotension (49)
CL Item
previous blood transfusions (5)
CL Item
gestational (50)
CL Item
malposition (51)
CL Item
other specific findings in the course of pregnancy (52)
CL Item
hyperemesis (53)
CL Item
s.a. HELLP syndrome (54)
CL Item
s.a. eclampsia (55)
CL Item
s.a. hypertension (56)
CL Item
specific psychological distress (eg, familial or professional) (6)
CL Item
special social burden (integration problems, economic problems) (7)
CL Item
Rh incompatibility (at previous pregnancy) (8)
CL Item
diabetes mellitus (9)
SSW der Erst-Untersuchung (in SSW)
Item
Gestational week of the first check-up
integer
Gesamtanzahl Vorsorge-Untersuchung
Item
Total number of screening examination
text
C0281974 (UMLS CUI-1)
SSW der ersten Ultraschall-Untersuchung
Item
Gestational week of the first ultrasound scan
integer
C0203416 (UMLS CUI-1)
Gesamtzahl Ultraschall-Untersuchungen
Item
Total number of ultrasound scans
text
Körpergewicht bei Erstuntersuchung
Item
Body weight at first examination (in kg)
integer
C0005910 (UMLS CUI-1)
Letztes Gewicht vor Geburt
Item
Last weight before birth (in kg)
integer
Körpergröße (in cm)
Item
Body Height (in cm)
integer
C0005890 (UMLS CUI-1)
Item
prenatal genetic diagnosis
integer
C3647329 (UMLS CUI-1)
Code List
prenatal genetic diagnosis
CL Item
not done (0)
CL Item
invasive (1)
CL Item
non-invasive (2)
CL Item
invasive and non-invasive (3)
Wehen-Belastungstest
Item
Contraction stress test
boolean
C0200068 (UMLS CUI-1)
Dopplersonographie durchgeführt
Item
Doppler sonography performed
boolean
C0242845 (UMLS CUI-1)
Item
Indication for Doppler sonography
integer
C2315323 (UMLS CUI-1)
Code List
Indication for Doppler sonography
CL Item
suspected intrauterine growth retardation (1)
CL Item
Pregnancy-induced hypertension/pre-eclampsia (2)
CL Item
state after shortcomings in birth/intrauterine fetal death (3)
CL Item
state after pre-eclampsia/eclampsia (4)
CL Item
abnormalities of the fetal heart rate registration (5)
CL Item
reasonable suspicion of malformation/fetal disease (6)
CL Item
multiple pregnancy in unconformably growth (7)
CL Item
investigation for suspected heart failure/heart disease (8)
Pathologischer Dopplerbefund
Item
Pathological Doppler findings
boolean
C3844343 (UMLS CUI-1)
Item
pathological findings at risk
integer
Code List
pathological findings at risk
CL Item
premature rupture of membranes (60)
CL Item
exceedance of birth termin (61)
CL Item
malformation (62)
CL Item
premature birth (63)
CL Item
multiple pregnancy (64)
CL Item
placental insufficiency (suspected) (65)
CL Item
hypertensive disease of pregnancy (66)
CL Item
Rh incompatibility (67)
CL Item
diabetes mellitus (68)
CL Item
state after cesarean section or other uterine surgery (69)
CL Item
placenta previa (70)
CL Item
placental abruption (71)
CL Item
other uterine bleeding (72)
CL Item
chorioamnionitis (suspected) (73)
CL Item
fever during birth (74)
CL Item
maternal disease (75)
CL Item
lack of cooperation of the mother (76)
CL Item
pathological CTG or auscultation poor child's heart sounds (77)
CL Item
green amniotic fluid (78)
CL Item
acidosis at birth (determined by fetal blood analysis) (79)
CL Item
prolapsed cord (80)
CL Item
suspected other umbilical cord complications (81)
CL Item
protracted birth/birth standstill in the opening period (82)
CL Item
protracted birth/birth standstill in the expulsion (83)
CL Item
absolute or relative disproportion between childlike head and maternal pelvis (84)
CL Item
imminent/uterine rupture occurred (85)
CL Item
transverse position/angle (86)
CL Item
breech (87)
CL Item
occipitoposterior (88)
CL Item
front main bearing (89)
CL Item
face position / end position (90)
CL Item
Low cross position (91)
CL Item
high straight position (92)
CL Item
other irregular cephalic presentations (93)
CL Item
other (94)
CL Item
HELLP syndrome (95)
CL Item
intrauterine (96)
CL Item
pathological Doppler findings (97)
CL Item
shoulder dystocia (98)
Zustand nach Konisation
Item
State after conization
boolean
C0195324 (UMLS CUI-1)
Zervixverschluss-OP
Item
Cervical closure operation
boolean
Tokolyse i.v.
Item
Tocolysis intravenous
boolean
C0040348 (UMLS CUI-1)
Dauer der i.v. Tokolyse (in Tage)
Item
Duration of i.v. tocolysis (in days)
integer
C0449238 (UMLS CUI-1)
Tokolyse oral
Item
Tokolyse oral
boolean
C0509286 (UMLS CUI-1)
Berechneter, ggf. korrigierter Geburtstermin (TT.MM.JJJJ)
Item
Calculated, if necessary, corrected date of birth (dd.mm.yyyy)
date
Tragzeit nach klinischem Befund (in Wochen)
Item
Duration of gestation on clinical judgment
integer
C0460089 (UMLS CUI-1)
pränatal gesicherte/vermutete Fehlbildungen
Item
prenatally secured / suspected abnormalities
boolean
C0000768 (UMLS CUI-1)
Diagnose der pränatal gesicherten/vermuteten Fehlbildung
Item
Prenatal diagnosis of secured / suspected malformation
integer
C0033053 (UMLS CUI-1)
Item
prenatally secured / suspected malformation secured / suspected on
integer
Code List
prenatally secured / suspected malformation secured / suspected on
CL Item
secured (1)
CL Item
on suspicion (2)
SSW der pränatal gesicherten/vermuteten Fehlbildung (in SSW)
Item
Gestational week prenatal secured / suspected malformation
integer
Item Group
Information about childbirth
Item
Admission Type
integer
C1550330 (UMLS CUI-1)
Code List
Admission Type
CL Item
childbirth in the hospital for planned hospital births (1)
CL Item
childbirth in the hospital for forwarded house/practice/birthing center birth, not originally planned as a inpatient hospital childbirth (2)
CL Item
childbirth of the child before hospital admission (3)
Muttermundsweite bei Aufnahme (in cm)
Item
Cervical dilatation at admission (in cm)
integer
C0079103 (UMLS CUI-1)
Item
Lung maturation treatment
integer
C3662127 (UMLS CUI-1)
Code List
Lung maturation treatment
CL Item
no (0)
CL Item
yes, the beginning of the lung maturation treatment was carried out in own clinic (1)
CL Item
yes, the beginning of the treatment lung maturity was achieved externally (2)
Lungenreifebehandlung: zuletzt am (TT.MM.JJJJ)
Item
Lung maturation treatment: at last (dd.mm.yyyy)
date
C3258210 (UMLS CUI-1)
Aufnahme-CTG
Item
Admission-CTG
boolean
C0007208 (UMLS CUI-1)
Dopplersonographie in geburtshilflicher Abteilung durchgeführt
Item
Doppler ultrasound performed in obstetric department
boolean
C0242845 (UMLS CUI-1)
Item
Indications for Doppler sonography in obstetric department
integer
Code List
Indications for Doppler sonography in obstetric department
CL Item
suspected intrauterine growth retardation (1)
CL Item
Pregnancy-induced hypertension/pre-eclampsia (2)
CL Item
state after shortcomings in birth/intrauterine fetal death (3)
CL Item
state after pre-eclampsia/eclampsia (4)
CL Item
abnormalities of the fetal heart rate registration (5)
CL Item
reasonable suspicion of malformation/fetal disease (6)
CL Item
multiple pregnancy in unconformably growth (7)
CL Item
investigation for suspected heart failure/heart disease (8)
Pathologischer Dopplerbefund
Item
Pathological Doppler findings
boolean
Geburtsrisiken
Item
birth risks
boolean
Item
birth risk
integer
C1171167 (UMLS CUI-1)
Code List
birth risk
CL Item
premature rupture of membranes (60)
CL Item
exceedance of birth termin (61)
CL Item
malformation (62)
CL Item
premature birth (63)
CL Item
multiple pregnancy (64)
CL Item
placental insufficiency (suspected) (65)
CL Item
hypertensive disease of pregnancy (66)
CL Item
Rh incompatibility (67)
CL Item
diabetes mellitus (68)
CL Item
state after cesarean section or other uterine surgery (69)
CL Item
placenta previa (70)
CL Item
placental abruption (71)
CL Item
other uterine bleeding (72)
CL Item
chorioamnionitis (suspected) (73)
CL Item
fever during birth (74)
CL Item
maternal disease (75)
CL Item
lack of cooperation of the mother (76)
CL Item
pathological CTG or auscultation poor child's heart sounds (77)
CL Item
green amniotic fluid (78)
CL Item
acidosis at birth (determined by fetal blood analysis) (79)
CL Item
prolapsed cord (80)
CL Item
suspected other umbilical cord complications (81)
CL Item
protracted birth/birth standstill in the opening period (82)
CL Item
protracted birth/birth standstill in the expulsion (83)
CL Item
absolute or relative disproportion between childlike head and maternal pelvis (84)
CL Item
imminent/uterine rupture occurred (85)
CL Item
transverse position/angle (86)
CL Item
breech (87)
CL Item
occipitoposterior (88)
CL Item
front main bearing (89)
CL Item
face position / end position (90)
CL Item
Low cross position (91)
CL Item
high straight position (92)
CL Item
other irregular cephalic presentations (93)
CL Item
other (94)
CL Item
HELLP syndrome (95)
CL Item
intrauterine (96)
CL Item
pathological Doppler findings (97)
CL Item
shoulder dystocia (98)
Medikamentöse Zervixreifung
Item
Cervical ripening with drug
boolean
C0404335 (UMLS CUI-1)
Geburtseinleitung
Item
Induction of labor
boolean
C0259787 (UMLS CUI-1)
Item
Indication for induction of labor
integer
Code List
Indication for induction of labor
CL Item
premature rupture of membranes (60)
CL Item
exceedance of birth termin (61)
CL Item
malformation (62)
CL Item
premature birth (63)
CL Item
multiple pregnancy (64)
CL Item
placental insufficiency (suspected) (65)
CL Item
hypertensive disease of pregnancy (66)
CL Item
Rh incompatibility (67)
CL Item
diabetes mellitus (68)
CL Item
state after cesarean section or other uterine surgery (69)
CL Item
placenta previa (70)
CL Item
placental abruption (71)
CL Item
other uterine bleeding (72)
CL Item
chorioamnionitis (suspected) (73)
CL Item
fever during birth (74)
CL Item
maternal disease (75)
CL Item
lack of cooperation of the mother (76)
CL Item
pathological CTG or auscultation poor child's heart sounds (77)
CL Item
green amniotic fluid (78)
CL Item
acidosis at birth (determined by fetal blood analysis) (79)
CL Item
prolapsed cord (80)
CL Item
suspected other umbilical cord complications (81)
CL Item
protracted birth/birth standstill in the opening period (82)
CL Item
protracted birth/birth standstill in the expulsion (83)
CL Item
absolute or relative disproportion between childlike head and maternal pelvis (84)
CL Item
imminent/uterine rupture occurred (85)
CL Item
transverse position/angle (86)
CL Item
breech (87)
CL Item
occipitoposterior (88)
CL Item
front main bearing (89)
CL Item
face position / end position (90)
CL Item
Low cross position (91)
CL Item
high straight position (92)
CL Item
other irregular cephalic presentations (93)
CL Item
other (94)
CL Item
HELLP syndrome (95)
CL Item
intrauterine (96)
CL Item
pathological Doppler findings (97)
CL Item
shoulder dystocia (98)
Geburtseinleitung medikamentös
Item
Drug Induced Induction of Labor
boolean
C2985288 (UMLS CUI-1)
Geburtseinleitung mit Amniotomie
Item
Induction of labor with amniotomy
boolean
C2192357 (UMLS CUI-1)
Wehenmittel s. p.
Item
Labor pains drug s. p.
boolean
Tokolyse s. p.
Item
tocolysis s. p.
boolean
C0040348 (UMLS CUI-1)
Analgetika
Item
Analgesics
boolean
C0002771 (UMLS CUI-1)
Akupunktur
Item
Acupuncture
boolean
C0001299 (UMLS CUI-1)
alternative Analgesien
Item
alternative Analgesien
boolean
C1523987 (UMLS CUI-1)
Item
Episiotomy
integer
C0014586 (UMLS CUI-1)
Code List
Episiotomy
CL Item
no (0)
CL Item
median (1)
CL Item
mediolateral (2)
CL Item
other (3)
Plazentalösungsstörung
Item
Abruptio Placentae
boolean
C0000832 (UMLS CUI-1)
Item Group
Maternal complications
Item
Laceration of perineum
integer
C0561821 (UMLS CUI-1)
Code List
Laceration of perineum
CL Item
no (0)
CL Item
grade I (1)
CL Item
grade II (2)
CL Item
grade III (3)
CL Item
grade IV (4)
andere Weichteilverletzungen
Item
Other soft tissue injuries
boolean
C0037578 (UMLS CUI-1)
Item
Cervical laceration as soft tissue injury
integer
C0007851 (UMLS CUI-1)
Code List
Cervical laceration as soft tissue injury
CL Item
yes (1)
Item
Laceration of vagina as a soft tissue injury
integer
C0405244 (UMLS CUI-1)
Code List
Laceration of vagina as a soft tissue injury
CL Item
yes (1)
Item
Labien- / clitoris plan as a soft tissue injury
integer
C2075824 (UMLS CUI-1)
Code List
Labien- / clitoris plan as a soft tissue injury
CL Item
yes (1)
Item
Vulval and perineal hematoma as a soft tissue injury
integer
C0157332 (UMLS CUI-1)
Code List
Vulval and perineal hematoma as a soft tissue injury
CL Item
yes (1)
Blutung > 1000 ml
Item
Hemorrhage > 1000 ml
boolean
C0019080 (UMLS CUI-1)
revisionsbedürftige Wundheilungsstörungen des Geburtskanals durch Eröffnung und/oder Sekundärnaht
Item
require revision impaired wound healing of birth canal because of opening and/or secondary suture
boolean
C0151692 (UMLS CUI-1)
Hysterektomie/Laparotomie
Item
Laparoscopic hysterectomy
boolean
C0404089 (UMLS CUI-1)
Eklampsie
Item
Eclampsia
boolean
C0013537 (UMLS CUI-1)
Sepsis
Item
Sepsis
boolean
C0243026 (UMLS CUI-1)
Fieber im Wochenbett > 38°C > 2 Tg.
Item
Puerperal pyrexia> 38 ° C> 2 days
boolean
C1331543 (UMLS CUI-1)
Anämie Hb < 10 g/dl
Item
Anemia Hb < 10 g/dl
boolean
C0002871 (UMLS CUI-1)
allgemeine behandlungsbedürftige postpartale Komplikationen
Item
general postpartum complications requiring treatment
boolean
C0747772 (UMLS CUI-1)
Item
Pneumonia
integer
C0032285 (UMLS CUI-1)
Code List
Pneumonia
CL Item
yes (1)
Item
cardiovascular complication (s)
integer
C0032963 (UMLS CUI-1)
Code List
cardiovascular complication (s)
CL Item
yes (1)
Item
deep leg/pelvic vein thrombosis
integer
C0149871 (UMLS CUI-1)
Code List
deep leg/pelvic vein thrombosis
CL Item
yes (1)
Item
pulmonary embolism
integer
C0034065 (UMLS CUI-1)
Code List
pulmonary embolism
CL Item
yes (1)
Item
Urinary tract infection
integer
C0042029 (UMLS CUI-1)
Code List
Urinary tract infection
CL Item
yes (1)
Item
Wound infection / abscess
integer
C0043241 (UMLS CUI-1)
C0000833 (UMLS CUI-2)
Code List
Wound infection / abscess
CL Item
yes (1)
Item
Wound hematoma / rebleedinghemorrhage
integer
C0281860 (UMLS CUI-1)
Code List
Wound hematoma / rebleedinghemorrhage
CL Item
yes (1)
Item
sonstige Komplikation
integer
C0404824 (UMLS CUI-1)
Code List
sonstige Komplikation
CL Item
yes (1)
Entlassungs-/Verlegungsdiagnose Mutter
Item
Discharge diagnosis mother
integer
C0011900 (UMLS CUI-1)
Weitere kombinierte Entlassungs-/Verlegungsdiagnose Mutter
Item
More combined discharge diagnosis mother
integer
Item
Reason for Discharge
integer
C3164834 (UMLS CUI-1)
Code List
Reason for Discharge
CL Item
treatment finished as planned (1)
CL Item
transferral to nursing facility (10)
CL Item
discharge to hospice (11)
CL Item
external transferral to psychiatric treatment (13)
CL Item
treatment finished because of other reasons, postdischarge treatment is planned (14)
CL Item
treatment aborted against medical advice, postdischarge treatment is planned (15)
CL Item
internal transferral with change of DRG payment areas (17)
CL Item
treatment finished as planned, postdischarge treatment is planned (2)
CL Item
case termination (internal transferral) with change between full- and partial stationary care (22)
CL Item
discharge at the end of the year with admission in previous year (25)
CL Item
treatment finished because of other reasons (3)
CL Item
treatment aborted against medical advice (4)
CL Item
change of jurisdiction of insurer or other payer (5)
CL Item
transferral to another hospital (6)
CL Item
death (7)
CL Item
transferral to another hospital within cooperative and governmental policies  (8)
CL Item
transferral to rehabilitation facility (9)
Entlassungsdatum Mutter
Item
Hospital discharge date (DD.MM.YYYY)
date
C2710998 (UMLS CUI-1)
Tod der Mutter im Zusammenhang mit der Geburt
Item
Death of mother in connection with the birth
boolean
C0425049 (UMLS CUI-1)

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