Die Schwangerschaftsanamnese im Kinderuntersuchungsheft ist eine Familienanamnese mit Bezug auf die Schwangerschaft der Mutter. Dementsprechend wurde semantisch und syntaktisch der Bezug zur Mutter hergestellt.
Das U-Heft sieht eine Prüfung und ggf. Nachtragung der U1-Schwangerschaftsanamnese im Rahmen der U2 und U3 vor. Hier enthaltende Informationen sind teilweise deckungsgleich mit Informationen in Katalog A und B im Mutterpass.

Kardinalität und Konformität:

Die Erläuterungen zu den Konformitäten und Kardinalitäten finden Sie unter: Erläuterungen

Terminologie-Assoziation:

CODEBEZEICHNUNG IM CODE-SYSTEMCODE-SYSTEM
160427003Family history with explicit context pertaining to mother (situation)SNOMED CT®, 2021-01-31

FHIR®-Mapping:
KBV_PR_MIO_CMR_Observation_U1_U3_Pregnancy_History
KBV_PR_MIO_CMR_Composition_U1.section:scwangerschaftsanamnese
KBV_PR_MIO_CMR_Composition_U2.section:scwangerschaftsanamnese
KBV_PR_MIO_CMR_Composition_U3.section:scwangerschaftsanamnese

Wert: Code

KONZEPT UND WIEDERGABENAMECODEBEZEICHNUNG IM CODE-SYSTEMCODE-SYSTEM
Gestationsdiabetes721151003Maternal history of gestational diabetes (situation)SNOMED CT®, 2021-01-31
Diabetes mellitus704144000Maternal history of diabetes mellitus (situation)SNOMED CT®, 2021-01-31
Dauermedikation417451006 + 410684002 : {408731000 = 410512000 , 363589002 = 416608005 , 408730004 = 410525008 , 408732007 = 444301002}Procedure needed (situation) + Drug therapy status (situation) : { Temporal context (attribute) = Current or specified time (qualifier value) , Associated procedure (attribute) = Drug therapy (procedure) , Procedure context (attribute) = Needed (qualifier value) , Subject relationship context (attribute) = Mother of subject (person) }SNOMED CT®, 2021-01-31
akute oder chronische Infektionen in der Schwangerschaft160427003 : 246090004 = 40609001Family history with explicit context pertaining to mother (situation) : Associated finding (attribute) = Infectious disease in mother complicating pregnancy, childbirth AND/OR puerperium (disorder)SNOMED CT®, 2021-01-31
Antikörper-Suchtest positiv160427003 : 246090004 = 165775009Family history with explicit context pertaining to mother (situation) : Associated finding (attribute) = Indirect Coombs test positive (finding)SNOMED CT®, 2021-01-31
B-Streptokokken-Status der Mutter positiv160427003 : 246090004 = 120001000119107Family history with explicit context pertaining to mother (situation) : Associated finding (attribute) = Group B streptococcus infection in mother complicating childbirth (disorder)SNOMED CT®, 2021-01-31
Mehrlingsschwangerschaft160427003 : 246090004 = 16356006Family history with explicit context pertaining to mother (situation) : Associated finding (attribute) = Multiple pregnancy (disorder)SNOMED CT®, 2021-01-31
(Poly-)Hydramnion413350009 : {246090004 = 199646006 , 408732007 = 444301002}Finding with explicit context (situation) : { Associated finding (attribute) = Polyhydramnios - delivered (disorder), Subject relationship context (attribute) = Mother of subject (person) }SNOMED CT®, 2021-01-31
Oligohydramnion413350009 : {246090004 = 59566000 , 408732007 = 444301002}Finding with explicit context (situation) : { Associated finding (attribute) = Oligohydramnios (disorder), Subject relationship context (attribute) = Mother of subject (person) }SNOMED CT®, 2021-01-31
besondere psychische Belastungen288256007History of maternal psychiatric problem (situation)SNOMED CT®, 2021-01-31
besondere soziale Belastungen413350009 : {246090004 = 284465006 , 408732007 = 444301002}Finding with explicit context (situation) : { Associated finding (attribute) = Finding relating to psychosocial functioning (finding), Subject relationship context (attribute) = Mother of subject (person) }SNOMED CT®, 2021-01-31
Abusus442080007Drug misuse by mother (situation)SNOMED CT®, 2021-01-31
Die verwendeten Code-Systeme finden Sie hier Verwendete Code-Systeme.