Beruflich Dokumente
Kultur Dokumente
version 0.12
Overview
Hospital Information
Name
Code
Location
Data Period
Instructions
1. The paper Maternal Mortality Form and the paper Gestational Trophoblastic Disease Form STILL HAVE T
LOGICAL SOCIETY
LASTNAME
FIRSTNAME
Birthday
Age
Service
OGICAL SOCIETY
HISTORY
ADMIT DATE
OB Score
Gravidity
Parity
Term
Preterm
Abortion
Alive
ADMISSION AOG
Weeks
MEDICAL/SURGICAL HISTORY
Days
Category
OBSTETRIC HISTORY
Condition
Category
Condition
PRENATAL
DELIVERY
Antenatal Procedures
Delivery Date
DELIVERY AOG
Weeks
Days
Route
Malpresentation
Other Procedures
Episiotomy
CAESAREAN SECTION
Perineal Laceration
Elective/Emergency
Incision
Primary/Repeat
Hysterectomy
Tubal Ligation
Anesthesia
Tubal ligation
Anesthesia Route
Number of Infants
Gender
Fetal Characteristics
Weight (grams)
Length (cm)
Apgar Score
1min
5min
DISCHARGE STATUS
10min
Neonatal Condition
DISCHARGE DATE
Category
Congenital Anomalies
Condition
Yes/No
Major/Minor
Lethal/Non-lethal
Pregnancy
Delivered
Yes/No
PATIENT DATA
CASE NO
LASTNAME
FIRSTNAME
PTN000607886
PTN000608739
PTN000608624
PTN000608113
PTN000606872
PTN000608662
PTN000610044
PTN000610213
PTN000610153
PTN000610000
PTN000610154
PTN000608098
PTN000611733
PTN000612722
PTN000613068
PTN000611418
PTN000611031
PTN000613688
PTN000614984
PTN000613894
PTN000614831
PTN000616026
PTN000616633
PTN000617962
PTN000618293
PTN000618335
PTN000619464
PTN000620155
PTN000620554
PTN000620535
PTN000621459
PTN000621771
PTN000622378
PTN000622928
PTN000624779
PTN0006248
PTN0006250
PTN000625721
PTN000625905
PTN000626296
PTN000627141
PTN000627967
PTN000628255
Escorial
Uy
Mosqueda
Ramirez
Trinidad
Maglasang
Vega
Tenebro
Sungahid
Medaros
Violin
Labesores
Rosell
Tan
Nampeng
Garcia
Galagar
Baring
Cabahug
Payongayong
Sabordo
Carcallas
Aya-ay
Basilio
Campugan
Tiu
Empleo
Perez
Devocion
Bersabal
Tinapay
Alba
Remitar
Mesias
Gonzales
Alburan
Barcial
Caballes
Aballe
Bacus
Besmanos
Paje
Hongoy
Merlie
Erna
Ana Mae
Veven
Lara
Arsenia
Rochie
Maria
Teresita
Lilibeth
Charisma
Ma. Bernatte
Daisy
Janice
Parichart
Dana
Evilyn
Camila
Tita
Espie
Ma. Aiza
Ma. Hazel
Marissa
Josefina
Nonelie
Marlene
Mylene
Tedelina
Rita
Lorgette
Consuelo
Rosemarie
Cristina
Noreena
Ester
Sarah
Rebecca
Marijo
Ea
Rebecca
Avelina
Emelita
Loida
Birthday
3/23/1974
5/26/1947
3/26/1994
8/7/1978
1/19/1985
8/29/1967
5/15/1992
5/9/1980
10/3/1954
7/8/1963
7/18/1977
5/2/1994
3/18/1974
2/11/1984
11/4/1992
7/17/1986
6/8/1961
10/7/1965
3/31/1949
10/7/1982
11/24/1983
9/2/1977
1/4/1967
1/16/1962
6/2/1990
9/2/1978
9/2/1963
3/18/1976
5/22/1970
9/3/1974
5/11/1968
10/2/1962
7/24/1975
12/18/1984
9/19/1963
2/1/1965
5/5/1955
8/9/1968
2/5/1995
5/26/1949
11/18/1965
4/10/1966
7/25/1977
Age
Service
40
67
20
36
30
47
22
34
60
51
37
20
40
30
22
28
53
49
65
32
31
37
48
53
24
36
51
38
44
40
46
52
39
30
50
49
59
46
19
65
49
48
37
Private
Private
Charity
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Charity
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Charity
PTN000628205
PTN0006293
PTN0006292
PTN000629113
PTN000629404
PTN000629580
PTN000630463
PTN000630480
PTN000630731
PTN000631954
PTN000631599
PTN000632097
PTN000632095
PTN000631103
PTN0006332
PTN0006332
PNT000633893
PTN000634293
PTN000635121
PNT000634000
PTN000635250
Sagpang
Vocales
Raganas
Larrazabal
Pardillo
Licmo-an
Margaja
Vijandre
Galo
Augusto
Alojacin
Lumapas
Mepa
Salarda
Montero
Soledad
Paires
Virtudazo
Majan
Sinadjan
Uy
Virgie
Amada
Rhodora
Amabella
Ma. Ruth
Marijoy
Cristina
Sherlene
Monica
Shirly
Ana
Jingky
Mary
Lynne
Martha
Geraldine
Anecita
Nenet
Jenelyn
Marivic
Debbie
10/12/1961
8/10/1950
3/7/1985
3/23/1972
5/3/1965
3/18/1976
4/7/1983
12/27/1982
5/4/1942
12/22/1955
6/4/1978
1/11/1984
9/9/1970
5/5/1979
7/29/1969
12/30/1974
8/17/1968
7/12/1976
12/17/1987
3/21/1988
11/20/1961
53
64
28
42
49
38
30
32
72
59
36
31
44
35
45
39
46
38
27
26
53
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
Private
OGICAL SOCIETY
HISTORY
ADMIT DATE
1/1/2014
1/2/2014
1/2/2014
1/2/2014
1/2/2014
1/2/2014
1/3/2014
1/3/2014
1/3/2014
1/3/2014
1/4/2014
1/4/2014
1/6/2014
1/6/2014
1/7/2014
1/5/2014
1/4/2014
1/7/2014
1/9/2014
1/8/2014
1/9/2014
1/9/2014
1/10/2014
1/11/2014
1/12/2014
1/12/2014
1/13/2014
1/14/2014
1/14/2014
1/14/2014
1/15/2014
1/16/2014
1/16/2014
1/17/2014
1/20/2014
1/20/2014
1/20/2014
1/21/2014
1/21/2014
1/21/2014
1/22/2014
1/23/2014
1/23/2014
FINAL DIAGNOSIS
Gravidity
Parity
1
4
1
3
0
4
0
2
1
0
1
0
2
0
0
1
2
3
3
0
2
2
0
5
0
1
2
2
0
0
0
3
1
3
2
4
0
2
0
7
4
2
2
Category
0
3
1
2
0
4
0
2
1
0
1
0
2
0
0
1
2
3
3
0
2
1
0
5
0
1
2
2
0
0
0
3
1
2
1
4
0
2
0
3
4
1
2
Condition
1/23/2014
1/24/2014
1/24/2014
24-Jan
1/24/2014
1/24/2014
1/25/2014
1/25/2014
1/26/2014
1/27/2014
1/27/2014
1/27/2014
1/27/2014
1/27/2014
1/28/2014
1/28/2014
1/29/2014
1/29/2014
1/30/2014
1/30/2014
1/30/2014
1
9
0
4
3
1
0
0
6
0
0
0
0
0
2
2
11
4
3
0
2
1
9
0
4
3
1
0
0
6
0
0
0
0
0
2
2
10
4
2
0
2
Laterality
OPERATIONS
Stage
Elective/Emergency
Approach
Elective
Elective
Elective
Laparotomy Uterus
Other Ope
Laparotomy Ovary
Elective
HysteroscopicUterus
Elective
Laparotomy Ovary
Elective
Elective
Laparotomy Uterus
HysteroscopicUterus
Elective
Vaginal
Elective
HysteroscopicUterus
Elective
Elective
Laparotomy Uterus
Laparotomy Ovary
Elective
Elective
HysteroscopicUterus
Laparotomy Ovary
Elective
Elective
Elective
Vaginal
Uterus
Vaginal
Uterus
Laparotomy Uterus
Elective
Elective
Elective
Vaginal
Uterus
Laparotomy Other Ope
Laparotomy Ovary
Degree
NA
NA
IV
Right
I
NA
Unspecified
Left
NA
Unspecified
Unspecified
NA
Unspecified
Unspecified
Left
Right
ometrial neoplasm, corpus
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified II
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified III
Left
Organ
Uterus
Complete
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
Unspecified
NA
Left
Unspecified
Unspecified
Unspecified
Unspecified
Right
Unspecified
Left
Left
Right
Right
Unspecified
Unspecified
IV
I
II
Elective
Elective
Laparotomy Uterus
Laparotomy Other Ope
Elective
Elective
Elective
Vaginal
Uterus
Laparotomy Uterus
Laparotomy Uterus
Elective
Elective
Elective
Elective
Laparotomy
Laparotomy
Laparotomy
Vaginal
Elective
Elective
Elective
Laparotomy Ovary
Vaginal
Uterus
Laparotomy Ovary
Elective
Laparotomy Ovary
Elective
Laparotomy Uterus
Uterus
Uterus
Uterus
Other Ope
IV
DISCHARGE
Procedure
Laterality
Endometrial polypectomy
Salpingo-ooph Left
Total abdominaUnspecified
Endometrial p Unspecified
Simple curetta Unspecified
Endometrial p Unspecified
TAHBSO (total Unspecified
Ovarian cyste Both
Diagnostic cur Unspecified
Salpingo-ooph Left
Fractional cureUnspecified
Myomectomy Unspecified
TAHBSO (total Unspecified
Hysterectomy
Status
PATIENT DATA
CASE NO
HISTORY
LASTNAME
FIRSTNAME
Birthday
Age
ADMIT DATE
GICAL SOCIETY
AOG
Weeks
Days
Immediate Cause
Onset of Complications
Specific
PATIENT DATA
CASE NO
LASTNAME
FIRSTNAME
Birthday
Age
HISTORY
ADMIT DATE
GICAL SOCIETY
Gravidity
Parity
OB Score
Term
Preterm
Abortion
Alive
ADMISSION AOG
Weeks
Days
Diagnosis
HYDATIDIFORM MOLE
Type
Complications
Metastasis
Chemoprophylaxis
Drug
Mode of Evacuation
Condition on Discharge
Present Status
Cause of Death
GTN/PSTT/ETT
Histopathology
Antecedent Pregnancy
Risk
Metastasis
Site of Metastasis
Total Score
ADDITIONAL TREATMENT
Other Surgical Intervention
Chemotherapy
Radiotherapy
CONDITION
Present Condition
Cause of Death
SECTIONS
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
NINE
CONTENTS
ADMISSIONS DATA
DATA ON DELIVERED PATIENTS
OBSTETRIC AND MEDICAL COMPLICATIONS IN DELIVERED PATIENTS
PROBLEMS DURING LABOR
PROBLEMS AMNIOTIC FLUID AND PLACENTA
COMPLICATIONS DURING DELIVERY
COMPLICATIONS DURING POST-PARTAL PERIOD
PROCEDURES
ABORTIONS, ECTOPIC PREGNANCIES, TROPHOBLASTIC DISEASES
NEONATAL DEATHS
Septic abortion
Induced abortion
Ectopic Pregnancy
Tubal ectopic pregnancy
Abdominal ectopic pregnancy
Ovarian ectopic pregnancy
Ectopic pregnancy, unspecified
021.1
022.0
022.1
022.3
022.4
023.0
Acute pyelonephritis
Chronic pyelonephritis
023.1
Bladder
Acute cystitis
Chronic cystitis
Renal or ureteral calculus
Urinary tract infection
Asymptomatic bacteriuria
Other
023.2
098.1
098.2
Z21.x
098.3
098.6
Syphilis
Gonorrhea
Herpes simplex
Chlamydia
Group B Streptococcus
Bacterial Vaginosis
HIV or AIDS
Other sexually transmitted diseases
Malaria
Herpes gestationalis
Diabetes mellitus
024.0
024.1
024.4
025.x
026.5
026.6
030.0
030.1
030.x
032.1
032.1
032.2
032.2
Other
Malpresentation
Frank breech
Complete breech
Footling Breech
Transverse Lie
032.3
Oblique Lie
Face
032.3
Brow
032.3
Chin
Prolapsed Arm
032.5
033.9
034.2
034.3
034.9
035.9
036.0
036.2
036.3
036.4
Cervical Incompetence
Abnormalities of pelvic organs (see later)
Fetal Abnormality and Damage
Rhesus Isoimmunization
Hydrops Fetalis
Fetal Hypoxia
Intrauterine Death (<22 weeks)
Intrauterine Death (>22 weeks)
Poor Fetal Growth
Excessive Fetal Growth
036.5
036.6
040.x
041.0
041.1
042.0
042.1
042.9
044.0
044.1
045.0
045.9
046.8
047.9
048.x
Polyhydramnios
Oligohydramnios
Chorioamnionitis
Premature rapture of membranes
Onset of Labor w/in 24 hours
Onset of Labor after 24 hours
Unspecified
Placenta Previa without Hemorrhage
Placenta Previa with Hemorrhage
Abruptio placenta with coagulation defect
Abruptio placenta (only)
Placenta accreta
Placenta percreta
Placenta increta
Other antepartum hemorrhage
False Labor
Preterm Labor
064.9
065.4
065.9
066.0
066.5
067.9
067.0
068.1
068.9
069.0
069.4
Obstructed Labor
Due to malposition or malpresentation
Due to fetopelvic disproportion
Due to maternal pelvic abnormality
Due to shoulder dystocia
Failed forceps or vacuum extraction
Intrapartum hemorrhage
With coagulation defect
Meconium in amniotic fluid
Fetal Distress
Prolapsed Cord
Vasa previa
070.0
Perineal Laceration
Unspecified
First Degree
071.0
071.1
071.2
071.3
071.7
Second Degree
(involving 1st plus pelvic floor, perineal muscle, vaginal muscle)
Third Degree
(involving 2nd plus anal sphincter, rectovaginal septum)
Fourth Degree
(involving 3rd plus anal mucosa , rectal mucosa)
Other Obstetric Trauma
Rupture of uterus before onset of labor
Rupture of uterus during labor
Uterine inversion
Laceration of Cervix
Pelvic, vaginal, or vulvar hematoma
Uterine Dehiscence
072.0
072.1
Postpartum Hemorrhage
Due to Uterine Atony
Due to Retained Placenta
Due to other causes
073.0
074.9
075.9
082.0
082.1
082.2
082.9
083.0
083.1
084.0
084.1
084.2
084.8
084.9
Caesarean Section
Elective
Low Segment
Classical
Emergency
Low Segment
Classical
Cesarean Hysterectomy
Unspecified
Breech extraction
Breech Assisting
Multiple delivery, all spontaneous
Multiple delivery, all by forceps and vacuum extractor
Multiple delivery, all by Caesarean section
Other multiple delivery
Multiple delivery, unspecified
Other Procedures
Completion Curettage
Suction Curettage
Induction by prostaglandins
Total hysterectomy
Subtotal hysterectomy
Removal of extra-peritoneal embryo
Others
Salpingectomy
Salpingo-Oophorectomy
Manual extraction of placenta
SECTION FIVE: COMPLICATIONS PREDOMINANTLY RELATED TO PUERPERIUM
085.X
Puerperal Sepsis
086.0
Wound Infection
087.1
Deep Phlebothrombosis
087.2
Hemorrhoids
088.1
Obstetric Air Embolism
090.0
Disruption of Caesarean Section Wound
090.1
Disruption of Perineal Obstetric Wound
090.2
Hematoma
Breast Infection
091.0
Nipple Infection
091.1
Breast abscess
SECTION SIX: OTHER MATERNAL DISEASES CLASSIFIABLE ELSEWHERE
BUT COMPLICATING PREGNANCY
099.0
Anemia
099.1
Disease of blood and immune mechanism
Leukemia
Megaloblastic Anemia
Anti-Phospolipid Antibody Syndrome
Other
Dengue
099.2
099.3
099.5
099.4
099.6
Failed/Trial forceps
Repair of cervical laceration
Reposition of inverted uterus
Evacuation of vulvar hematoma in Pregnancy
GICAL SOCIETY
CHARITY
PRIVATE
0
0
0
0
0
N/A
TOTAL
0
0
0
0
0
N/A
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
IMMATURE
PRETERM
0
0
TERM
0
0
POST-TERM
0
0
0
0
VAGINAL
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
ABDOMINAL
0
0
TOTAL
0
0
0
0
VAGINAL
ABDOMINAL
0
0
0
0
0
VAGINAL
TOTAL
0
0
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
VAGINAL
TOTAL
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
VAGINAL
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
ABDOMINAL
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
WITH METS
NO METS
0
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LIVEBIRTHS
-
STILLBIRTHS
-
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
###
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
###
###
###
###
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
###
###
LIVEBIRTHS
-
STILLBIRTHS
-
LIVEBIRTHS
-
STILLBIRTHS
-
LIVEBIRTHS
-
STILLBIRTHS
-
NEONATAL DEATH
-
DELIVERIES
###
###
###
###
GICAL SOCIETY
STILLBIRTH RATE
###
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
STILLBIRTH RATE
###
###
###
###
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
STILLBIRTH RATE
###
###
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
STILLBIRTH RATE
###
###
###
NEONATAL MORTALITY
-
PERINATAL MORTALITY
SURVIVAL RATE
-
SURVIVAL RATE
-
SURVIVAL RATE
-
SURVIVAL RATE
-
SECTIONS
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
CONTENTS
ADMISSIONS AND DISCHARGE DATA
SIGNS AND SYMPTOMS
INFLAMMATORY CONDITIONS
CONGENITAL ANOMALIES
BENIGN CONDITIONS
BENIGN NEOPLASMS
MALIGNANT NEOPLASMS
OPERATIONS
DISCHARGED ALIVE
DISCHARGED ALIVE BUT MORBID
MORTALITIES
TOTAL NUMBER OF GYNECOLOGIC ADMISSIONS
CHARITY
PRIVATE
###
MENSTRUAL DISORDERS
626
Primary Amenorrhea
626.1
Secondary Amenorrhea
Menorrhagia
626.2
Polymenorrhea
Metrorrhagia
626.6
Meno-metrorrhagia
Intermenstrual Bleeding
MENOPAUSE
627.1
627
628
628.0
628.1
628.2
628.3
628.9
Post-Menopausal Bleeding
Atrophic/ Senile Vaginitis
INFERTILITY
Primary
Secondary
Ovarian
Pituitary-Hypothalamic
Tubal
Uterine/ Cervix
Male Factor
Unspecified
PELVIC SYMPTOMS
625.4
Premenstrual Tension Syndrome
N77.2
Vulvovaginitis, Candidiasis
Vulvovaginitis, Foreign Body
SECTION FOUR: CONGENITAL ANOMALIES OF GENITAL ORGANS
ICD NO.
Absence/ Agenesis of the Ovary
Streak Ovary
Cyst of the Oophoron/ Fimbriae
Parovarian Cyst
Gartner's Duct Cyst
Doubling of Uterus
Bicornuate Uterus
Uterus Unicornis
Imperforate Hymen
Congenital Cyst of Canal of Nuck
Embryonal Cyst of the Vagina
Congenital Cyst of the Vulva
Aplasia
Uterine Corpus
Cervix
Clitoris
Vagina
Vulva
STAGE 1
STAGE 2
STAGE 3
UNSPECIFIED STAGE
GENITAL PROLAPSE
FIRST
Cystocoele alone
Rectocoele alone
Cysto-rectocoele
SECOND
Urethrocoele
Enterocoele
Unspecified
TOTAL
FISTULA
clitoral mass
SECTION SIX: BENIGN NEOPLASM OF THE GENITAL TRACT
UTERINE
M8890/0
Leiomyoma
N84.0
Endometrial Polyp
N85.0
Endometrial Hyperplasia, Unspecified
Cystic Hyperplasia
Complex Hyperplasia
N85.1
Adenomatous/ Atypical Hyperplasia
N85.4
Malposition of Uterus
N85.5
Uterine Inversion, Non-Obstetric
N85.6
Intrauterine synechiae
N85.7
Hematometra
CERVIX
N84.1
N86
N87
N87.0
N87.1
N87.2
N88.2
N88.3
N88.4
Chronic Cervicitis
Polyp of Cervix Uteri
Erosion and Ectropion of Cervix Uteri
Dysplasia of Cervix Uteri, Not Specified
Mild cervical dysplasia or CIN I
Moderate cervical dysplasia or CIN II
Severe Cervical Dysplasia, Not Elsewhere Classified (Cin lll,
Not Cis)
Stricture and Stenosis of Cervix Uteri
Incompetence of Cervix Uteri
Hypertrophic elongation of cervix uteri
UNILATERAL BILATERAL
CERVIX
STAGE I
Squamous Cell, Large Cell, NK
Squamous Cell, Large Cell, Keratinizing
Squamous Cell, Small Cell
Other squamous cell type
Adenocarcinoma
Other Type
FALLOPIAN TUBE
Adenocarcinoma, Specify
Other Type, Specify
ENDOMETRIOD
TUBAL CYST
CORPUS
Endometrial carcinoma
Other Endometrial neoplasm
Leiomyosarcoma
Other
MALIGNANCIES OF THE REST OF FEMALE GENITAL TRACT
Vagina
Greater Vestibular (Bartholin's Gland)
Vulva
Labia Majora
Labia Minora
Clitoris
Other
Site Unspecified
FALLOPIAN TUBE
Paratubal serous cyst
OVARY
EPITHELIAL
M8440/0
Cystadenoma Not Specified
M8441/0
Serous Cystadenoma
M8450/0
Papillary Cystadenoma
M8460/0
Papillary Serous Cystadenoma
M8470/0
Mucinous Cystadenoma
M8471/0
Papillary Mucinous Cystadenoma
M8480/0
Pseudomyxoma peritonei
STAGE II
UNILATERAL BILATERAL
Endometrial Cyst
GERM CELL TUMORS
M9080/0
Mature cystic teratoma
M9084/0
Dermoid Cyst
M9090/0
Struma Ovarii
OTHER BENIGN CONDITIONS
M8600/0
Fibro-Thecoma
M9000/0
Brenner Tumor
N83.0
Follicular Cyst of Ovary
N83.1
Corpus Luteum Cyst
N83.5
Torsion of Ovary/ Ovarian Pedicle
Diagnostic Curettage
TAHBSO
Endometrial biopsy
OPERATIONS ON OVARY
Oophorectomy
Salpingo-Oophorectomy
Ovarian cystectomy/oophoro-cystectomy
Partial Oophorectomy
Wedge Resection
Repair of the Ovary
Adhesiolysis of Ovary
OPERATIONS ON THE CERVIX
Cervical biopsy
Endocervical Curettage
Conization of the Cervix
Excision of Cervical Polyp
Amputation of Cervix
Cervicectomy
Encirclement Suture or Cerclage
Other Repair of Cervix
Late Repair of Obstetric Laceration
Repair of Non-Obstetric Laceration
LEEP
OPERATIONS ON FALLOPIAN TUBE
Salpingectomy
Salpingostomy
Fimbriectomy
Cornual Resection
Repair of Fallopian Tube
Insufflation
Tubal Ligation, Interval
Reanastomosis of ligated tubes
Endoscopic Destruction or Occlusion
By Culdoscopy
By Laparoscopy
Unspecified
OPERATIONS ON VAGINA
Culdocentesis
Incision of the Vagina
Colpotomy
Culdotomy
Hymenotomy
Hymenectomy
UNILATERAL BILATERAL
UNILATERAL BILATERAL
LAPAROSCOPIC PROCEDURES
Video Laparoscopic
Diagnostic
Operative
Hysterograms or hysterosalpingography
Hysteroscopy
Colposcopy
Others
CAL SOCIETY
TOTAL
COMPLETE
WITHOUT
###
###
###
BORDERLINE
###
###
###
###
STAGE III
STAGE IV
TOTAL
###
###
###
###
###
###
WITH
HYSTERECTOMY
TOTAL
0%
0
0
VALUE
-
A. HEMORRHAGE
1. Spontaneous abortion
2. Induced abortion
3. Retained secundiness
4. Ectopic pregnancy
5. Abruptio placenta
6. Placenta previa
7. Placenta accreta
8. Uterine rupture
9. Cervico-vaginal lacerations
10. Uterine inversion
11. Uterine atony
12. Postop from surgical procedure
13. Trophoblastic disease
14. Abdominal pregnancy
15. Coagulopathy
16. Other hemorrhage
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
B. HYPERTENSION
1. Preeclampsia
2. Eclampsia
3. Preexisting hypertension
4. Combination
5. HELLP syndrome
0%
0%
0%
0%
0%
0%
C. INFECTION
1. Induced abortion
2. Pelvic abscess
3. Puerperal infection
4. Chorioamnionitis
5. Adnexal infection
6. Pelvic thrombophlebitis
7. Septic embolism
0%
0%
0%
0%
0%
0%
0%
0%
D. VASCULAR ACCIDENTS
1. Amniotic fluid embolism
2. Puerperal nonseptic embolism
0%
0%
0%
3. Air embolism
0%
E.
1.
2.
3.
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
A. CARDIAC
1. Rheumatic heart disease
2. Hypertensive heart disease
3. Congenital heart disease
4. Atherosclerotic heart disease
5. Undiagnosed
6. Other cardiac
0%
0%
0%
0%
0%
0%
0%
0%
B. VASCULAR
1. Preexisting hypertension
2. Vascular thrombosis/embolism
3. Thrombophlebitis
0%
0%
0%
0%
C. REPRODUCTIVE TRACT
1. Uterine anomalies
2. Uterine myoma
3. Ovarian cysts
4. Reproductive tract malignancy
5. Other reproductive tract
0%
0%
0%
0%
0%
0%
D. URINARY TRACT
1. Glomerulonephritis
2. Urinary tract infection
3. Hydronephrosis
4. Renal malignancy
5. Other urinary tract
0%
0%
0%
0%
0%
0%
E.
1.
2.
3.
4.
5.
0%
0%
0%
0%
0%
0%
ANESTHESIA
Neurogenic cardiac arrest
Post-aspiration asphyxia
Respiratory insufficiency
F. OTHERS
1. Peri/postpartum cardiomyopathy
2. Transfusion hemolysis
3. Electrolyte imbalance
4. Pregnancy anemia
5. Others (specify)
II. INDIRECT MATERNAL DEATHS
HEPATIC
Infectious hepatitis
Liver cirrhosis
Hepatic abscess
Hepatic malignancy
Other hepatic
F. PULMONARY
1. Tuberculosis
2. Pneumonia
3. Bronchial asthma
4. Lung cancer
5. Malignancy, with lung metastasis
6. Other pulmonary
0%
0%
0%
0%
0%
0%
0%
G. METABOLIC
1. Diabetes mellitus
2. Thyroid storm
3. Adrenal dysfunction
4. Other metabolic
0%
0%
0%
0%
0%
H. HEMATOLOGIC
1. Leukemia
2. Aplastic anemia
3. Other hematologic
0%
0%
0%
0%
I. GASTROINTESTINAL
1. Acute gastroenteritis
2. Appendicitis
3. Gastrointestinal tract malignancy
4. Other gastrointestinal
0%
0%
0%
0%
0%
J. OTHER CAUSES
0%
A. ACCIDENTS
1. Stab wound
2. Gunshot wound
3. Vehicular accident
4. Accidental poisoning
0%
0%
0%
0%
0%
0%
B. SUICIDE/MURDER
1. Suicide
2. Murder
0%
0%
0%
0%
0%
0%
0%
MORTALITY BASED ON
I. TIMING OF DEATH
A. TRIMESTER
1. First trimester
2. Second trimester
3. Third trimester
B. SPECIFIC
1. Antepartal
2. Intrapartal
3. Postpartal
4. Puerperal
II. IMMEDIATE CAUSE OF DEATH
A. Shock
B. Congestive heart failure
C. Respiratory failure
D. Hepatic failure
E. DIC
F. Intracranial bleeding
G. Multiorgan failure
H. Others (specify)
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
1. First trimester
2. Second trimester
3. Third trimester
B. SPECIFIC
1.
2.
3.
4.
Antepartal
Intrapartal
Postpartal
Puerperal
0%
ICAL SOCIETY
SECTIONS
ONE
TWO
THREE
FOUR
FIVE
CONTENTS
CASE BY DIAGNOSIS
HYDATIDIFORM MOLE
GESTATIONAL TROPHOBLASTIC TUMOR
PLACENTAL SITE TROPHOBLASTIC TUMOR
CROSS TABULATION OF VARIOUS CLINICAL CHARACTERISTICS OF GTT
Hydatidiform Mole
Complete
Partial
No data
Gestational Trophoblastic Neoplasia
Invasive mole
Choriocarcinoma
Unspecified
No data
Placental Site Trophoblastic Tumor
Epithelioid Trophoblastic Tumor
TOTAL
30-39
40-49
>= 50
No data
TOTAL
GRAVIDITY
01
25
6 10
11 16
No data
TOTAL
CONDITION ON DISCHARGE
No evidence of disease
Partial response
Progressive disease
Death
No data
TOTAL
PRESENT STATUS
OPD followup with no evidence of disease
Unknown/Lost to followup
Readmitted/Referred with evidence of malignant degeneration
No data
TOTAL
CAUSES OF DEATH
30-39
40-49
>= 50
No data
TOTAL
GRAVIDITY
01
25
6 10
11 16
No data
TOTAL
ANTECEDENT PREGNANCY
Term
Abortion
Ectopic pregnancy
Molar (complete + partial)
No data
TOTAL
BASELINE bHCG TITER (mIU/ML)
< 100
100 1,000
1,001 10,000
10,001 100,000
100,001 1,000,000
> 1,000,000
No data
TOTAL
WHO PROGNOSTIC SCORE
Low risk
High risk
No data
TOTAL
FIGO ANATOMIC STAGE
Stage I
Stage II
Stage III
Stage IV
No data
TOTAL
SURGICAL PROCEDURE
Curettage
TAH
Others (thoracotomy + craniotomy + others)
No data
TOTAL
CHEMOTHERAPY
Yes
No
No data
TOTAL
CONDITION ON DISCHARGE
No evidence of disease
Partial response
Progressive disease
Death
No data
TOTAL
CAUSES OF DEATH
30-39
40-49
>= 50
No data
TOTAL
GRAVIDITY
01
25
6 10
11 16
No data
TOTAL
ANTECEDENT PREGNANCY
Term
Abortion
Ectopic pregnancy
Molar (complete + partial)
No data
TOTAL
BASELINE bHCG TITER (mIU/ML)
< 100
100 1,000
1,001 10,000
10,001 100,000
100,001 1,000,000
> 1,000,000
No data
TOTAL
WHO PROGNOSTIC SCORE
Low risk
High risk
No data
TOTAL
Stage IV
No data
TOTAL
SURGICAL PROCEDURE
Curettage
TAH
Others (thoracotomy + craniotomy + others)
No data
TOTAL
CHEMOTHERAPY
Yes
No
No data
TOTAL
CONDITION ON DISCHARGE
No evidence of disease
Partial response
Progressive disease
Death
No data
TOTAL
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/SURGICAL PROCEDURE
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/WHO PROGNOSTIC SCORE
Stage IV
No data
TOTAL
WHO PROGNOSTIC SCORE/SURGICAL PROCEDURE
DIAGNOSIS
Invasive mole
Choriocarcinoma
Unspecified
No data
TOTAL
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/SURGICAL PROCEDURE
Stage IV
No data
TOTAL
FIGO ANATOMIC STAGE/WHO PROGNOSTIC SCORE
Stage IV
No data
TOTAL
WHO PROGNOSTIC SCORE/SURGICAL PROCEDURE
High risk
No data
TOTAL
DIAGNOSIS/CONDITION ON DISCHARGE
DIAGNOSIS
Invasive mole
Choriocarcinoma
Unspecified
No data
TOTAL
GICAL SOCIETY
FREQUENCY
PERCENT
-
CONDITION ON DISCHARGE
No evidence of disease
0
0
0
0
0
Partial response
Progressive
0
0
0
0
0
Dead
0
0
0
0
0
No data
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
0
0
Others
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
High risk
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CONDITION ON DISCHARGE
No evidence of disease
Partial response
0
0
0
0
Progressive
0
0
0
0
Dead
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CHEMOTHERAPY
Single
Triple
0
0
0
0
EMACO
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CONDITION ON DISCHARGE
No evidence of disease
0
0
0
0
0
Partial response
Progressive
0
0
0
0
0
Dead
0
0
0
0
0
No data
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
CONDITION ON DISCHARGE
No evidence of disease
Partial response
0
0
0
0
0
0
Progressive
0
0
0
0
0
0
Dead
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
0
0
Others
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
High risk
0
0
0
0
0
0
No data
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
SURGICAL PROCEDURE
Curettage
TAH
0
0
0
0
Others
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CONDITION ON DISCHARGE
No evidence of disease
Partial response
0
0
0
0
Progressive
0
0
0
0
Dead
0
0
0
0
No data
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
CHEMOTHERAPY
Single
Triple
EMACO
Others
No data
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
CONDITION ON DISCHARGE
No evidence of disease
0
0
0
0
0
Partial response
Progressive
0
0
0
0
0
Dead
0
0
0
0
0
No data
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0