Englisch

Registration for Kidney transplantation Transplant centre Essen

1 Formulare  
Personal Information
Beschreibung

Personal Information

Alias
UMLS CUI-1
C2983694
Patient surname
Beschreibung

Patient surname

Datentyp

text

Alias
UMLS CUI [1]
C0421448
Patient first name
Beschreibung

Patient first name

Datentyp

text

Alias
UMLS CUI [1]
C1443235
Date of birth
Beschreibung

Date of birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
First day of dialysis
Beschreibung

dialysis first day

Datentyp

date

Alias
UMLS CUI [1]
C3262256
Primary kidney disease
Beschreibung

Please enclose:  Current medical report with diagnosis list and examination findings, laboratory results and medication plan  Questionnaire for registration for renal transplantation

Datentyp

text

Alias
UMLS CUI [1]
C0022658
Blood group
Beschreibung

Blood group

Datentyp

text

Alias
UMLS CUI [1]
C0005810
Body height
Beschreibung

Body height

Datentyp

float

Alias
UMLS CUI [1]
C0005890
Body weight
Beschreibung

Body weight

Datentyp

float

Alias
UMLS CUI [1]
C0005910
Nephrology centre
Beschreibung

Nephrology centre

Datentyp

text

Alias
UMLS CUI [1]
C0587474
Date of registration
Beschreibung

date registration

Datentyp

date

Alias
UMLS CUI [1,1]
C1514821
UMLS CUI [1,2]
C0011008
Questionnaire for registration for renal transplantation
Beschreibung

Questionnaire for registration for renal transplantation

Alias
UMLS CUI-1
C0034394
Patient name
Beschreibung

Patient name

Datentyp

text

Alias
UMLS CUI [1]
C1299487
Date
Beschreibung

Date

Datentyp

date

Alias
UMLS CUI [1]
C0011008
1. Coronary heart disease
Beschreibung

Coronary heart disease

Datentyp

boolean

Alias
UMLS CUI [1]
C0010068
Stents or bypasses
Beschreibung

Stents; heart bypass

Datentyp

boolean

Alias
UMLS CUI [1]
C0038257
UMLS CUI [2,1]
C0242838
UMLS CUI [2,2]
C0242839
2. Heart failure
Beschreibung

Heart failure

Datentyp

boolean

Alias
UMLS CUI [1]
C0018801
NYHA
Beschreibung

NYHA classification

Datentyp

text

Alias
UMLS CUI [1]
C1275491
3. Heart Valve disease
Beschreibung

Heart Valve disease

Datentyp

boolean

Alias
UMLS CUI [1]
C0018824
4. Peripheral arterial disease
Beschreibung

Peripheral arterial disease

Datentyp

boolean

Alias
UMLS CUI [1]
C1704436
Vascular prosthesis or peripheral bypass
Beschreibung

Vascular prosthesis; peripheral bypass

Datentyp

boolean

Alias
UMLS CUI [1]
C1534896
UMLS CUI [2]
C0810134
5. Hepatitis B
Beschreibung

Hepatitis B

Datentyp

boolean

Alias
UMLS CUI [1]
C0019163
Hepatitis C
Beschreibung

Hepatitis C

Datentyp

boolean

Alias
UMLS CUI [1]
C0019196
6. Prior abdominal surgery or inguinal surgery
Beschreibung

abdominal surgery; inguinal surgery

Datentyp

boolean

Alias
UMLS CUI [1]
C0198482
UMLS CUI [2]
C0745328
7. Recurrent thrombosis
Beschreibung

Recurrent thrombosis

Datentyp

boolean

Alias
UMLS CUI [1]
C3550150
8. Hemorrhage
Beschreibung

Hemorrhage

Datentyp

boolean

Alias
UMLS CUI [1]
C0019080
9. Recurrent urinary tract infection
Beschreibung

Recurrent urinary tract infection

Datentyp

boolean

Alias
UMLS CUI [1]
C0262655
10. Tuberculosis
Beschreibung

Tuberculosis

Datentyp

boolean

Alias
UMLS CUI [1]
C0041296
11. Psychotic reactions
Beschreibung

Psychotic reactions

Datentyp

boolean

Alias
UMLS CUI [1]
C0236122
12. Number of operations for dialysis access (Shunt, atrial catheter, peritoneal dialysis)
Beschreibung

Shunt; peritoneal dialysis

Datentyp

integer

Alias
UMLS CUI [1]
C0542331
UMLS CUI [2]
C0031139
Medical Examination (Checklist)
Beschreibung

Medical Examination (Checklist)

Alias
UMLS CUI-1
C0582103
Urology
Beschreibung

Appointment date Urology

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0042077
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Dentist optional
Beschreibung

Appointment date Dentist

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0011441
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date gynecology
Beschreibung

Appointment date gynecology

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0018417
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date Sonography Abdomen
Beschreibung

Appointment date Sonography Abdomen

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0203464
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date Doppler pelvic and leg and closure pressures
Beschreibung

Appointment date Doppler pelvic

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0203478
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date Doppler carotid
Beschreibung

Appointment date Doppler carotid

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0741988
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date Chest x-ray
Beschreibung

Appointment date Chest x-ray

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0039985
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date lung function
Beschreibung

Appointment date lung function

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0024119
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Stress ECG (at least 100 watts) alternatively Myocardial Scintigraphy or stress echo
Beschreibung

Appointment date Stress ECG Myocardial Scintigraphy

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0015260
UMLS CUI [1,3]
C2350391
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date echocardiography
Beschreibung

Appointment date echocardiography

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0013516
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
Appointment date Coronary angiography (from 60 years and older)
Beschreibung

Appointment date Coronary angiography

Datentyp

date

Alias
UMLS CUI [1,1]
C0585085
UMLS CUI [1,2]
C0085532
Appointment met?
Beschreibung

Appointment status

Datentyp

boolean

Alias
UMLS CUI [1]
C0586344
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Ähnliche Modelle

Registration for Kidney transplantation Transplant centre Essen

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Personal Information
C2983694 (UMLS CUI-1)
Patient surname
Item
Patient surname
text
C0421448 (UMLS CUI [1])
Patient first name
Item
Patient first name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
dialysis first day
Item
First day of dialysis
date
C3262256 (UMLS CUI [1])
primary kidney disease
Item
Primary kidney disease
text
C0022658 (UMLS CUI [1])
Blood group
Item
Blood group
text
C0005810 (UMLS CUI [1])
Body height
Item
Body height
float
C0005890 (UMLS CUI [1])
Body weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
Nephrology centre
Item
Nephrology centre
text
C0587474 (UMLS CUI [1])
date registration
Item
Date of registration
date
C1514821 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Questionnaire for registration for renal transplantation
C0034394 (UMLS CUI-1)
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Coronary heart disease
Item
1. Coronary heart disease
boolean
C0010068 (UMLS CUI [1])
Stents; heart bypass
Item
Stents or bypasses
boolean
C0038257 (UMLS CUI [1])
C0242838 (UMLS CUI [2,1])
C0242839 (UMLS CUI [2,2])
Heart failure
Item
2. Heart failure
boolean
C0018801 (UMLS CUI [1])
Item
NYHA
text
C1275491 (UMLS CUI [1])
NYHA classification
Code List
NYHA
CL Item
I (1)
CL Item
II (2)
CL Item
III (3)
CL Item
IV (4)
Heart Valve disease
Item
3. Heart Valve disease
boolean
C0018824 (UMLS CUI [1])
Peripheral arterial disease
Item
4. Peripheral arterial disease
boolean
C1704436 (UMLS CUI [1])
Vascular prosthesis; peripheral bypass
Item
Vascular prosthesis or peripheral bypass
boolean
C1534896 (UMLS CUI [1])
C0810134 (UMLS CUI [2])
Hepatitis B
Item
5. Hepatitis B
boolean
C0019163 (UMLS CUI [1])
Hepatitis C
Item
Hepatitis C
boolean
C0019196 (UMLS CUI [1])
abdominal surgery; inguinal surgery
Item
6. Prior abdominal surgery or inguinal surgery
boolean
C0198482 (UMLS CUI [1])
C0745328 (UMLS CUI [2])
Recurrent thrombosis
Item
7. Recurrent thrombosis
boolean
C3550150 (UMLS CUI [1])
Hemorrhage
Item
8. Hemorrhage
boolean
C0019080 (UMLS CUI [1])
Recurrent urinary tract infection
Item
9. Recurrent urinary tract infection
boolean
C0262655 (UMLS CUI [1])
Tuberculosis
Item
10. Tuberculosis
boolean
C0041296 (UMLS CUI [1])
Psychotic reactions
Item
11. Psychotic reactions
boolean
C0236122 (UMLS CUI [1])
Shunt; peritoneal dialysis
Item
12. Number of operations for dialysis access (Shunt, atrial catheter, peritoneal dialysis)
integer
C0542331 (UMLS CUI [1])
C0031139 (UMLS CUI [2])
Item Group
Medical Examination (Checklist)
C0582103 (UMLS CUI-1)
Appointment date Urology
Item
Urology
date
C0585085 (UMLS CUI [1,1])
C0042077 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Dentist
Item
Dentist optional
date
C0585085 (UMLS CUI [1,1])
C0011441 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date gynecology
Item
Appointment date gynecology
date
C0585085 (UMLS CUI [1,1])
C0018417 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Sonography Abdomen
Item
Appointment date Sonography Abdomen
date
C0585085 (UMLS CUI [1,1])
C0203464 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Doppler pelvic
Item
Appointment date Doppler pelvic and leg and closure pressures
date
C0585085 (UMLS CUI [1,1])
C0203478 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Doppler carotid
Item
Appointment date Doppler carotid
date
C0585085 (UMLS CUI [1,1])
C0741988 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Chest x-ray
Item
Appointment date Chest x-ray
date
C0585085 (UMLS CUI [1,1])
C0039985 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date lung function
Item
Appointment date lung function
date
C0585085 (UMLS CUI [1,1])
C0024119 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Stress ECG Myocardial Scintigraphy
Item
Stress ECG (at least 100 watts) alternatively Myocardial Scintigraphy or stress echo
date
C0585085 (UMLS CUI [1,1])
C0015260 (UMLS CUI [1,2])
C2350391 (UMLS CUI [1,3])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date echocardiography
Item
Appointment date echocardiography
date
C0585085 (UMLS CUI [1,1])
C0013516 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
Appointment date Coronary angiography
Item
Appointment date Coronary angiography (from 60 years and older)
date
C0585085 (UMLS CUI [1,1])
C0085532 (UMLS CUI [1,2])
Appointment status
Item
Appointment met?
boolean
C0586344 (UMLS CUI [1])
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