Information:
Fel:
ID
14850
Beskrivning
Item used as routine documentation by University Clinic Muenster, Waiting list office, Transplantation Nephrology, Albert-Schweitzer-Campus 1, 48149 Muenster, Germany. ODM derived from original form “Befundbogen”.
Nyckelord
Versioner (1)
- 2016-05-01 2016-05-01 -
Uppladdad den
1 maj 2016
DOI
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Licens
Creative Commons BY-NC 3.0
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Examination Form Transplantation Nephrology Waiting List Office University Clinic Muenster
Examination Form Transplantation Nephrology
- StudyEvent: ODM
Similar models
Examination Form Transplantation Nephrology
- StudyEvent: ODM
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Patient Id
Item
ET Number
integer
C1269815 (UMLS CUI [1])
Registration date
Item
Registration date
date
C2985881 (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])
Place of birth
Item
Place of birth
text
C0032040 (UMLS CUI [1])
Gender
Item
Gender
text
C0079399 (UMLS CUI [1])
Nationality
Item
Nationality
text
C0027473 (UMLS CUI [1])
place of residence
Item
Place of residence
text
C0682130 (UMLS CUI [1])
Patient telephone number
Item
Patient telephone number
integer
C0421455 (UMLS CUI [1])
telephone number
Item
Family or relative telephone number
integer
C1515258 (UMLS CUI [1])
Patient mobile number
Item
Patient mobile number
integer
C1997919 (UMLS CUI [1])
Patient E- mail
Item
Patient E- mail
text
C4037770 (UMLS CUI [1])
Patient health insurance
Item
Patient health insurance
text
C1548070 (UMLS CUI [1])
Health Insurance ID
Item
Health insurance ID
integer
C1547687 (UMLS CUI [1])
Address health insurance
Item
Address of health insurance
text
C1442065 (UMLS CUI [1,1])
C0021682 (UMLS CUI [1,2])
C0021682 (UMLS CUI [1,2])
Dialysis center
Item
Dialysis center
text
C1707735 (UMLS CUI [1])
Address Dialysis Center
Item
Address of dialysis center
text
C1442065 (UMLS CUI [1,1])
C1707735 (UMLS CUI [1,2])
C1707735 (UMLS CUI [1,2])
Telephone number
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
Fax number
Item
Fax number
integer
C1549619 (UMLS CUI [1])
Attending physician
Item
Attending dialysis doctor or GP
text
C1320929 (UMLS CUI [1])
Telephone number attending physician
Item
Telephone number attending physician
integer
C1515258 (UMLS CUI [1,1])
C1320929 (UMLS CUI [1,2])
C1320929 (UMLS CUI [1,2])
E-mail Attending physician
Item
E-mail attending physician
text
C1705961 (UMLS CUI [1,1])
C1320929 (UMLS CUI [1,2])
C1320929 (UMLS CUI [1,2])
Blood group
Item
Blood group
text
C0005810 (UMLS CUI [1])
Rhesus factor
Item
Rhesus factor
text
C0427641 (UMLS CUI [1])
HLA typing
Item
HLA typing
text
C0242318 (UMLS CUI [1])
HLA class I and II
Item
HLA class I and II
text
C4038478 (UMLS CUI [1])
HLA antibodies
Item
HLA antibodies
text
C0024284 (UMLS CUI [1])
ELISA
Item
ELISA / Luminex
text
C0014441 (UMLS CUI [1])
Transplantation Immunology
Item
Transplantation Immunological Features
text
C0040735 (UMLS CUI [1])
Consultation
Item
Consultation
text
C0009818 (UMLS CUI [1])
interview
Item
Individual interview
text
C0021822 (UMLS CUI [1])
medical history father
Item
Medical history of father
text
C0262926 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
C0015671 (UMLS CUI [1,2])
medical history mother
Item
Medical history of mother
text
C0262926 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
C0026591 (UMLS CUI [1,2])
medical history siblings
Item
Medical history of siblings
text
C0262926 (UMLS CUI [1,1])
C0037046 (UMLS CUI [1,2])
C0037046 (UMLS CUI [1,2])
Social history
Item
Social history (Occupation, marital status, children)
text
C3714536 (UMLS CUI [1])
previous medical condition
Item
Previous medical condition
text
C0012634 (UMLS CUI [1])
Cardiovascular risk factors
Item
Cardiovascular risk factors (e.g. Hypertension, diabetes mellitus, smoking with pack years etc.)
text
C0850624 (UMLS CUI [1])
Operations
Item
Operations
text
C0038895 (UMLS CUI [1])
childhood diseases
Item
Childhood diseases
text
C0489532 (UMLS CUI [1])
vaccinations
Item
Vaccinations
text
C0042196 (UMLS CUI [1])
Tuberculosis
Item
Tuberculosis
text
C0041296 (UMLS CUI [1])
Hepatitis; HIV
Item
Hepatitis/ HIV
text
C0019158 (UMLS CUI [1])
C0019693 (UMLS CUI [2])
C0019693 (UMLS CUI [2])
Pregnancy
Item
Pregnancy
text
C0032961 (UMLS CUI [1])
Kidney diseases
Item
Kidney diseases
text
C0022658 (UMLS CUI [1])
Histology
Item
Histology
text
C0019638 (UMLS CUI [1])
urinary tract infection
Item
Urinary tract infection
text
C0042029 (UMLS CUI [1])
NSAR
Item
NSAR
text
C0003211 (UMLS CUI [1])
hypertension
Item
Hypertension
text
C0020538 (UMLS CUI [1])
Hypertensive Retinopathy
Item
Hypertensive Retinopathy
text
C0152132 (UMLS CUI [1])
Blood pressure control
Item
Blood pressure control
text
C1753303 (UMLS CUI [1])
Date dialysis began
Item
Date dialysis began
date
C3262256 (UMLS CUI [1])
residual diuresis
Item
Residual diuresis
text
C0012797 (UMLS CUI [1])
dialysis types
Item
Dialysis type
text
C0011946 (UMLS CUI [1])
Hemodialysis
Item
Hemodialysis days
text
C0019004 (UMLS CUI [1])
Dialysis access
Item
Dialysis access
text
C3483464 (UMLS CUI [1])
Osteopathy
Item
Osteopathy
text
C0005940 (UMLS CUI [1])
polyneuropathy
Item
Polyneuropathy
text
C0152025 (UMLS CUI [1])
allergy
Item
Allergy
text
C0020517 (UMLS CUI [1])
date medication
Item
Medication date
date
C3173975 (UMLS CUI [1])
Item Group
Obligatory medical examinations
C0582103 (UMLS CUI-1)
C0242803 (UMLS CUI-2)
C0242803 (UMLS CUI-2)
Body height
Item
Body height
float
C0005890 (UMLS CUI [1])
Body weight
Item
Body weight
float
C0005910 (UMLS CUI [1])
BMI
Item
BMI
float
C1305855 (UMLS CUI [1])
Consultation urology
Item
Urology consultation (in men over 40 years old checkup with determination of t-PSA, in women with Reflux disease, recurrent urinary tract infections)
text
C0009818 (UMLS CUI [1,1])
C0042077 (UMLS CUI [1,2])
C0042077 (UMLS CUI [1,2])
Urine volume finding
Item
Urine volume/ 24 h
float
C1287298 (UMLS CUI [1])
bladder capacity
Item
Bladder capacity
text
C0429807 (UMLS CUI [1])
medical examination Gynecology
Item
Gynecological medical examination (Gynecological preventive medical checkup)
text
C0582103 (UMLS CUI [1,1])
C0018417 (UMLS CUI [1,2])
C0018417 (UMLS CUI [1,2])
mammography
Item
Mammography (from 40 years old; from 35 years old with a positive family history)
text
C0024671 (UMLS CUI [1])
date Ultrasonography of abdomen
Item
Date of ultrasonography of abdomen
date
C0011008 (UMLS CUI [1,1])
C0203464 (UMLS CUI [1,2])
C0203464 (UMLS CUI [1,2])
kidney size
Item
Size of kidney
text
C0745522 (UMLS CUI [1])
Ultrasonography of liver
Item
Ultrasonography of liver
text
C0412534 (UMLS CUI [1])
Ultrasonography bile tracts gall bladder
Item
Ultrasonography of Bile tracts/ Gallbladder
text
C0041618 (UMLS CUI [1,1])
C0005423 (UMLS CUI [1,2])
C0016976 (UMLS CUI [1,3])
C0005423 (UMLS CUI [1,2])
C0016976 (UMLS CUI [1,3])
Ultrasonography Spleen
Item
Ultrasonography of Spleen
text
C0041618 (UMLS CUI [1,1])
C0037993 (UMLS CUI [1,2])
C0037993 (UMLS CUI [1,2])
Ultrasonography of Pancreas
Item
Ultrasonography of Pancreas
text
C2455908 (UMLS CUI [1])
Ultrasonography of vessels
Item
Ultrasonography of blood vessels
text
C0041618 (UMLS CUI [1,1])
C0005847 (UMLS CUI [1,2])
C0005847 (UMLS CUI [1,2])
Ultrasonography of thyroid and parathyroid
Item
Ultrasonography of thyroid and parathyroid
text
C2316884 (UMLS CUI [1])
Chest x-ray
Item
Chest X-ray
text
C0039985 (UMLS CUI [1])
ECG
Item
ECG (copy requested)
text
C1623258 (UMLS CUI [1])
echocardiography
Item
Echocardiography
text
C0013516 (UMLS CUI [1])
myocardial scintigraphy
Item
Myocardial scintigraphy (with adenosine) / stress echocardiography (with pharmacologic stress)
text
C2350391 (UMLS CUI [1])
Doppler sonography
Item
Doppler sonography neck, pelvis and leg vessels:
text
C0242845 (UMLS CUI [1])
Item Group
Optional Medical Examination
C0582103 (UMLS CUI-1)
C1518600 (UMLS CUI-2)
C1518600 (UMLS CUI-2)
coronary angiography
Item
Coronary Angiography [only when indicated (e.g. pathological stress test, diabetes of> 60 years)]
text
C0085532 (UMLS CUI [1])
Pelvic and leg angiography
Item
Pelvic and leg angiography, only when indicated (for example, of severe PAD)
text
C1636782 (UMLS CUI [1,1])
C3838572 (UMLS CUI [1,2])
C3838574 (UMLS CUI [1,3])
C3838572 (UMLS CUI [1,2])
C3838574 (UMLS CUI [1,3])
Pulmonary function test
Item
Pulmonary function test: only when indicated (e.g. nicotine abuse, COPD, restrictive lung disease)
text
C0024119 (UMLS CUI [1])
Gastroscopy
Item
Gastroscopy: only when indicated (for example, recurrent gastritis, symptomatic)
text
C0017195 (UMLS CUI [1])
Colonoscopy
Item
Colonoscopy: By patients > 50
text
C0009378 (UMLS CUI [1])
24-hour blood pressure monitoring
Item
24-hour blood pressure monitoring: only when indicated (difficult adjustable as hypertension)
text
C2022220 (UMLS CUI [1])
Consultation; paranasal sinus x-ray; Ultrasonography of paranasal sinus
Item
ENT consultation/ paranasal sinus x-ray/ Ultrasonography of paranasal sinus: only when indicated (e.g. chronic sinusitis)
text
C0009818 (UMLS CUI [1])
C0202732 (UMLS CUI [2])
C4039902 (UMLS CUI [3])
C0202732 (UMLS CUI [2])
C4039902 (UMLS CUI [3])
consultation Dermatology
Item
Dermatology consultation only when indicated (for example, multiple nevi, state after Basaliom, actinic keratoses, Mycoses, state after kidney transplantation)
text
C0009818 (UMLS CUI [1,1])
C0011627 (UMLS CUI [1,2])
C0011627 (UMLS CUI [1,2])
consultation dental
Item
Dental consultation: only when indicated
text
C0009818 (UMLS CUI [1,1])
C0226984 (UMLS CUI [1,2])
C0226984 (UMLS CUI [1,2])
date laboratory
Item
Date of laboratory test
date
C0011008 (UMLS CUI [1,1])
C0022885 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,2])
CRP
Item
CRP
float
C0201657 (UMLS CUI [1])
hemoglobin
Item
Hb
float
C0518015 (UMLS CUI [1])
Hematocrit
Item
Hematocrit
float
C0518014 (UMLS CUI [1])
Erythrocytes
Item
Erythrocytes
float
C0014772 (UMLS CUI [1])
leukocytes
Item
Leukocytes
float
C0023508 (UMLS CUI [1])
Platelets
Item
Platelets
float
C0032181 (UMLS CUI [1])
Glucose
Item
Glucose
float
C0202042 (UMLS CUI [1])
HBA1c
Item
HBA1c
float
C0019018 (UMLS CUI [1])
urea
Item
Urea
float
C0523961 (UMLS CUI [1])
creatinine
Item
Creatinine
float
C0201976 (UMLS CUI [1])
uric acid
Item
Uric acid
float
C0202239 (UMLS CUI [1])
prothrombin time
Item
Prothrombin Time
float
C0491338 (UMLS CUI [1])
PTT
Item
PTT
float
C0030605 (UMLS CUI [1])
INR
Item
INR
float
C0482691 (UMLS CUI [1])
sodium
Item
Sodium
float
C0337443 (UMLS CUI [1])
potassium
Item
Potassium
float
C0202194 (UMLS CUI [1])
Calcium
Item
Calcium
float
C0201925 (UMLS CUI [1])
phosphate
Item
Phosphate
float
C0523826 (UMLS CUI [1])
Iron
Item
Iron
float
C0337439 (UMLS CUI [1])
Transferrin saturation
Item
Transferrin saturation
float
C1277709 (UMLS CUI [1])
alkaline phosphatase
Item
Alkaline Phosphatase
float
C0201850 (UMLS CUI [1])
Amylase
Item
Amylase
float
C0201883 (UMLS CUI [1])
GOT
Item
GOT
float
C0201899 (UMLS CUI [1])
GPT
Item
GPT
float
C0036743 (UMLS CUI [1,1])
C0201836 (UMLS CUI [1,2])
C0201836 (UMLS CUI [1,2])
gamma GT
Item
Gamma GT
float
C0364459 (UMLS CUI [1])
PCHE
Item
PCHE
float
C1315521 (UMLS CUI [1])
LDH
Item
LDH
float
C0202113 (UMLS CUI [1])
Bilirubin
Item
Bilirubin
float
C0201913 (UMLS CUI [1])
Cholesterin
Item
Cholesterin
float
C1445957 (UMLS CUI [1])
HDL
Item
HDL
float
C0428472 (UMLS CUI [1])
LDL
Item
LDL
float
C0428474 (UMLS CUI [1])
Triglyceride
Item
Triglyceride
float
C0202236 (UMLS CUI [1])
CK
Item
CK
float
C0523584 (UMLS CUI [1])
CK-MB
Item
CK-MB
float
C0523584 (UMLS CUI [1])
iPTH
Item
iPTH
float
C0294999 (UMLS CUI [1])
PSA
Item
PSA
text
C0138741 (UMLS CUI [1])
TSH
Item
TSH
text
C0550529 (UMLS CUI [1])
T3
Item
T3
text
C0041014 (UMLS CUI [1])
T4
Item
T4
text
C0040165 (UMLS CUI [1])
CMV
Item
CMV
text
C0010825 (UMLS CUI [1])
EBV
Item
EBV
text
C0014644 (UMLS CUI [1])
HSV
Item
HSV
text
C0206558 (UMLS CUI [1])
VZV
Item
VZV
text
C0042338 (UMLS CUI [1])
Hemoccult test
Item
Haemoccult (3x)
text
C0696164 (UMLS CUI [1])
pH
Item
Reaction: pH
text
C0202165 (UMLS CUI [1])
urine culture
Item
Urine culture
text
C0430404 (UMLS CUI [1])
pathogen
Item
Pathogen
text
C0450254 (UMLS CUI [1])
Diagnostic Sensitivity
Item
Sensitive to
text
C1511883 (UMLS CUI [1])
Urine protein
Item
Urine protein
text
C0262923 (UMLS CUI [1])
Urine glucose
Item
Urine glucose
text
C0364490 (UMLS CUI [1])
urine red blood cells
Item
Urine red blood cells
text
C0221752 (UMLS CUI [1])
Urine leukocytes
Item
Urine leukocytes
text
C1256582 (UMLS CUI [1])
urine nitrite
Item
Urine nitrite
text
C0580333 (UMLS CUI [1])
Item Group
Optional Laboratory tests
C0022885 (UMLS CUI-1)
C1518600 (UMLS CUI-2)
C1518600 (UMLS CUI-2)
Glutamate Decarboxylase
Item
Glutamate Decarboxylase (by Type 1 diabetes mellitus)
text
C0017785 (UMLS CUI [1])
ICA
Item
ICA (by Type 1 diabetes mellitus)
text
C0201519 (UMLS CUI [1])
IA-2 antibody
Item
IA-2 antibody (by Type 1 diabetes mellitus)
text
C0528414 (UMLS CUI [1])
Basal insulin
Item
Basal insulin (by Type 1 diabetes mellitus)
text
C0650607 (UMLS CUI [1])
C-Peptide
Item
C-Peptide (by Type 1 diabetes mellitus)
text
C0202100 (UMLS CUI [1])
APC resistance
Item
APC resistance (by coagulopathy)
text
C0600433 (UMLS CUI [1])
Protein C Activity
Item
Protein C Activity (by coagulopathy)
float
C1255234 (UMLS CUI [1])
Protein C concentration
Item
Protein C concentration (by coagulopathy)
float
C0364121 (UMLS CUI [1])
Protein S Total
Item
Protein S Total (by coagulopathy)
float
C1168441 (UMLS CUI [1])
Free protein S
Item
Free protein S (by coagulopathy)
float
C0369893 (UMLS CUI [1])
Protein S activity
Item
Protein S activity (by coagulopathy)
float
C1151980 (UMLS CUI [1])
ANA
Item
ANA (by autoimmune disease)
text
C0587178 (UMLS CUI [1])
c-ANCA
Item
c-ANCA (by autoimmune disease)
text
C0201531 (UMLS CUI [1])
p-ANCA
Item
p-ANCA (by autoimmune disease)
text
C0201532 (UMLS CUI [1])