ID
14633
Beskrivning
Item used as routine documentation by Clinic Bremen-Mitte, Urology Department, Kidney transplant. ODM derived from form “Anmdeldebogen- NTx” Number TPLF006, Version 3, Transplant Center Bremen, Clinic Bremen-Mitte gGmbH 28177 Bremen. Investigations before registering for kidney transplant (Application with medical report and Epicrisis) 1. Obligatory examinations 1.1. Imaging techniques - Chest X-ray in two planes (Finding and image) - X- ray pelvis overview (without gonad protection in females) (Finding and image) - Abdominal ultrasonography (liver, gall bladder, kidney own, aorta) 1.2. Consultation and additional examinations - Ophthalmologist - Gynecologist - Dermatologist - Otolaryngologist - Dentist - Urologist: Uroflow (rest precipitation> 500 mL / d), residual urine, sediment, urine culture, Prostate palpation and PSA determination aged 30 and older - Cardiologist: ECG (Original / Copy) 1.3. Laboratory tests Blood count, electrolytes, urea, creatinine, uric acid, iPTH, inorg. Phosphate, alkaline phosphatase, GGT, ALT, AST, LDH, total Bilirubin, total Protein, fasting blood sugar level, basal C-peptide and HbA1c (In all diabetics), triglycerides, cholesterol, BSG, BM-Test Colon albumin (3x), 55 years and older colonoscopy (according to current guideline) 1.4. Virology - Hepatitis (HBsAg, HBcAK, HBsAK, HCV antibodies) - HIV (1 and 2), CMV, EBV, VZV 1.5. Hepatitis B vaccination (with antibody detection) 2. Selective indicated examinations 2.1. Imaging tests - Abdominal CT by cystic kidneys, tumors in the History, Analgesic nephropathy - Coronary angiography by cardiac risk, by diabetics - Arterial angiography by PAD, pelvic vascular sclerosis in pelvic x- ray - Colonoscopy / Colon contrast enema with diverticulosis - CT abdomen on spec diverticulitis - Voiding cystourethrogram (VCUG) at Pyelonephritis-, urinary tract infection or stone in the urinary tract , unclear etiology of renal insufficiency - Urethro cystoscopy, retrograde Urethrography left/ right and Bladder irrigation left/ right Analgesic nephropathy or hematuria - Kidney bladder overview by medical history of kidney stone 2.2. Other examinations - Echocardiography, exercise ECG by aged 50 and older and by all diabetics - Gastroscopy at ulcer anamnesis - Lung function tests only if indicated (all smokers) - Carotid Doppler by flow noise or cerebral circulatory disorder
Nyckelord
Versioner (2)
- 2016-04-24 2016-04-24 -
- 2021-09-20 2021-09-20 -
Uppladdad den
24 april 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Registration Form Kidney Transplant Urology Department Transplant Center Clinic Bremen-Mitte
Registration Form Kidney Transplant
- StudyEvent: ODM
Beskrivning
Diagnosis
Alias
- UMLS CUI-1
- C0011900
Beskrivning
kidney disease
Datatyp
text
Alias
- UMLS CUI [1]
- C0022658
Beskrivning
please enclose a copy of findings
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0019638
- UMLS CUI [1,2]
- C0022658
Beskrivning
diagnosis date
Datatyp
date
Alias
- UMLS CUI [1]
- C2316983
Beskrivning
diagnosis
Datatyp
text
Alias
- UMLS CUI [1]
- C0011900
Beskrivning
Therapy
Alias
- UMLS CUI-1
- C0087111
Beskrivning
dialysis date
Datatyp
date
Alias
- UMLS CUI [1]
- C3262256
Beskrivning
dialysis Hemodialysis Hemofiltration continuous ambulatory peritoneal dialysis
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0019004
- UMLS CUI [1,3]
- C0019014
- UMLS CUI [1,4]
- C0031140
Beskrivning
therapy duration
Datatyp
text
Alias
- UMLS CUI [1]
- C0444917
Beskrivning
dialysis days
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0439228
Beskrivning
shunt
Datatyp
text
Alias
- UMLS CUI [1]
- C0542331
Beskrivning
medical complication shunt
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0221791
- UMLS CUI [1,2]
- C0542331
Beskrivning
diuresis
Datatyp
float
Måttenheter
- ml/24 h
Alias
- UMLS CUI [1]
- C0012797
Beskrivning
dry weight
Datatyp
float
Måttenheter
- kg
Alias
- UMLS CUI [1]
- C1439839
Beskrivning
body height
Datatyp
float
Måttenheter
- cm
Alias
- UMLS CUI [1]
- C0005890
Beskrivning
Dialysis issue
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0033213
Beskrivning
medications
Datatyp
text
Alias
- UMLS CUI [1]
- C0013227
Beskrivning
Anamnesis
Alias
- UMLS CUI-1
- C0021055
Beskrivning
Anamnesis
Datatyp
text
Alias
- UMLS CUI [1]
- C0021055
Beskrivning
hypersensitivity
Datatyp
text
Alias
- UMLS CUI [1]
- C0020517
Beskrivning
social history; psychological history
Datatyp
text
Alias
- UMLS CUI [1]
- C0945165
- UMLS CUI [2]
- C0679832
Beskrivning
nicotine consumption
Datatyp
integer
Måttenheter
- /d
Alias
- UMLS CUI [1]
- C1519386
Beskrivning
Substance Use Disorder
Datatyp
text
Alias
- UMLS CUI [1]
- C0038586
Beskrivning
Clinical evaluation
Alias
- UMLS CUI-1
- C1261322
Beskrivning
General condition
Datatyp
text
Alias
- UMLS CUI [1]
- C1142435
Beskrivning
Blood pressure
Datatyp
text
Måttenheter
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Beskrivning
Heart rate
Datatyp
integer
Måttenheter
- /min
Alias
- UMLS CUI [1]
- C0018810
Beskrivning
heart rhythm
Datatyp
text
Alias
- UMLS CUI [1]
- C0232187
Beskrivning
Chest percussion; auscultation chest
Datatyp
text
Alias
- UMLS CUI [1]
- C1285807
- UMLS CUI [2]
- C0577960
Beskrivning
auscultation abdomen; Percussion abdomen
Datatyp
text
Alias
- UMLS CUI [1]
- C2089447
- UMLS CUI [2]
- C0437020
Beskrivning
BM Test Colon
Datatyp
text
Beskrivning
BM Test Colon
Datatyp
text
Beskrivning
BM Test Colon
Datatyp
text
Beskrivning
Palpation carotid artery right
Datatyp
text
Alias
- UMLS CUI [1]
- C0488805
Beskrivning
Palpation carotid artery left
Datatyp
text
Alias
- UMLS CUI [1]
- C0488804
Beskrivning
Palpation femoral artery right
Datatyp
text
Alias
- UMLS CUI [1]
- C0488809
Beskrivning
palpation femoral artery left
Datatyp
text
Alias
- UMLS CUI [1]
- C0488808
Beskrivning
palpation popliteal artery right
Datatyp
text
Alias
- UMLS CUI [1]
- C0488811
Beskrivning
palpation popliteal artery left
Datatyp
text
Alias
- UMLS CUI [1]
- C0488810
Beskrivning
palpation tibial artery right
Datatyp
text
Alias
- UMLS CUI [1]
- C0488812
Beskrivning
palpation tibial artery left
Datatyp
text
Alias
- UMLS CUI [1]
- C0488813
Beskrivning
palpation Right dorsalis pedis artery
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0030247
- UMLS CUI [1,2]
- C0834665
Beskrivning
palpation Left dorsalis pedis artery
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0030247
- UMLS CUI [1,2]
- C0834666
Beskrivning
Immunological data
Alias
- UMLS CUI-1
- C1533716
- UMLS CUI-2
- C0205470
Beskrivning
(Please submit the blood group certificate)
Datatyp
text
Alias
- UMLS CUI [1]
- C0005810
Beskrivning
blood transfusions
Datatyp
text
Alias
- UMLS CUI [1]
- C0005841
Beskrivning
Blood Transfusions period
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0005841
- UMLS CUI [1,2]
- C1948053
Beskrivning
Blood Transfusion
Datatyp
integer
Alias
- UMLS CUI [1]
- C0005841
Beskrivning
red cell concentrate
Datatyp
boolean
Beskrivning
whole blood
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0370231
Beskrivning
Fresh frozen plasma
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0016709
Beskrivning
organ transplantation
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0029216
Beskrivning
Organ Transplantation centre
Datatyp
text
Beskrivning
year Organ Transplantation
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0439234
- UMLS CUI [1,2]
- C0029216
Beskrivning
ET-Number
Datatyp
integer
Beskrivning
Antibodies
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0003241
Beskrivning
antibodies
Datatyp
text
Alias
- UMLS CUI [1]
- C0003241
Beskrivning
Pregnancy
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0032961
Beskrivning
pregnancy
Datatyp
text
Alias
- UMLS CUI [1]
- C0032961
Beskrivning
autoimmune disease
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0004364
Beskrivning
autoimmune disease
Datatyp
text
Alias
- UMLS CUI [1]
- C0004364
Similar models
Registration Form Kidney Transplant
- StudyEvent: ODM
C0030705 (UMLS CUI [1,2])
C1514821 (UMLS CUI [1,3])
C0022658 (UMLS CUI [1,2])
C0019004 (UMLS CUI [1,2])
C0019014 (UMLS CUI [1,3])
C0031140 (UMLS CUI [1,4])
C0439228 (UMLS CUI [1,2])
C0542331 (UMLS CUI [1,2])
C0033213 (UMLS CUI [1,2])
C0679832 (UMLS CUI [2])
C0577960 (UMLS CUI [2])
C0437020 (UMLS CUI [2])
C0834665 (UMLS CUI [1,2])
C0834666 (UMLS CUI [1,2])
C1948053 (UMLS CUI [1,2])
C0029216 (UMLS CUI [1,2])