CD JSON Generator

List Of Documents
Create New Form

Discipline

: Obstetrics & Gynaecology

Sub Discipline

: Obstetrics And Gynaecology

Document Title

: Obstetrics Ultrasound Note

OBSTETRICS LMP DETAILS

Present Pregnancy

Trimester

Type Of Scan

Type of Order Procedure

Ultrasound Fetal

FIRST TRIMESTER SCAN FINDING

Survey

Please Update Method

SECOND / THIRD TRIMESTER SCAN FINDING

Presentation

Biometri

Biometry

Please Update Method

Fetal Heart Activity

Liquor

Discrepancy

%

DOPPLER STUDY

Indication

UA (Doppler waveform)

UA RI

UA PI

MCA PSV

MCA PI

DV PI

Uterine Artery Waveform

CERVICAL LENGTH

Cervical Length

cm

Nature Of Scan

MULTIPLE PREGNANCY DESCRIPTION

Multiple Pregnancy Description

Lambda Sign

T Sign

Separating membrane not seen

Unsure

Chorionicity

Additional Comments

IMPRESSION

PERFORMING STAFF

Performing Staff

SIGNATURES

Notes Component

OBSTETRICS LMP DETAILS
FIRST TRIMESTER SCAN FINDING
SECOND / THIRD TRIMESTER SCAN FINDING
DOPPLER STUDY
CERVICAL LENGTH
MULTIPLE PREGNANCY DESCRIPTION
IMPRESSION
PERFORMING STAFF
SIGNATURES

Edit Form

Modal Header

Change Layout