ID

14980

Description

Request for molecular pathological examination Pathology UKM Please use this form for requests for molecular pathological examination. Gerhard-Domagk-Institute of Pathology Univ.-Prof.Dr.med.Eva Wardelmann Albert-Schweitzer-Campus 1 Building D17 48149 Münster Phone:0251-83-57550 Fax:0251-83-55481 E-mail:pathologie@ukmuenster.de

Keywords

Versions (1)
  1. 5/10/16 5/10/16 -
Uploaded on

May 10, 2016

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

Request for molecular pathological examination Pathology UKM

German English

Request for molecular pathological examination

1 forms  
Patient Data
Description

Patient Data

Patient Name
Description

Patient Name

Data type

text

Alias
UMLS CUI [1]
C1299487
Patient surname
Description

Patient surname

Data type

text

Alias
UMLS CUI [1]
C0421448
Patient Birth Date
Description

Patient Birth Date

Data type

date

Alias
UMLS CUI [1]
C0421451
Patient Address
Description

Patient Address

Data type

text

Alias
UMLS CUI [1]
C0421449
Patient insurance
Description

Patient insurance

Data type

text

Alias
UMLS CUI [1]
C1548070
Elective care
Description

Elective care

Data type

integer

Alias
UMLS CUI [1]
C0814500
Insurance
Description

Insurance

Data type

integer

Alias
UMLS CUI [1]
C0021682
Accession Number
Description

Accession Number

Data type

text

Alias
UMLS CUI [1]
C2826726
Diagnosis
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Mutation analysis
Description

Mutation analysis

KRAS mutation Exon 2;3
Description

KRAS mutation

Data type

boolean

Alias
UMLS CUI [1]
C2697836
KRAS mutation Exon 4
Description

KRAS mutation

Data type

boolean

Alias
UMLS CUI [1]
C2697836
NRAS mutation Exon 2;3
Description

NRAS mutation

Data type

boolean

Alias
UMLS CUI [1]
C0807126
NRAS mutation Exon 4
Description

NRAS mutation

Data type

boolean

Alias
UMLS CUI [1]
C0807126
Ras panel: Colorectal cancer, KRAS2-4; NRAS 2-4
Description

Ras panel

Data type

boolean

Alias
UMLS CUI [1]
C0034678
EGFR Exon 18,19,21
Description

EGFR mutation

Data type

boolean

Alias
UMLS CUI [1]
C0805997
EGFR Exon 20
Description

EGFR Mutation

Data type

boolean

Alias
UMLS CUI [1]
C0805997
cKIT Exon 9,11 (GIST)
Description

cKIT mutation

Data type

boolean

Alias
UMLS CUI [1]
C3266990
cKIT Exon 11,17
Description

cKIT mutation

Data type

boolean

Alias
UMLS CUI [1]
C3266990
cKIT Exon 11,13,17 (Melanom)
Description

cKIT mutation

Data type

boolean

Alias
UMLS CUI [1]
C3266990
cKIT Exon 8
Description

cKIT mutation

Data type

boolean

Alias
UMLS CUI [1]
C3266990
PDGFRA Exon 18
Description

PDGFRA mutation

Data type

boolean

Alias
UMLS CUI [1]
C1518782
PDGFRA Exon 12,14
Description

PDGFRA mutation

Data type

boolean

Alias
UMLS CUI [1]
C1518782
BRAF Exon 15 (V600)
Description

BRAF mutation

Data type

boolean

Alias
UMLS CUI [1]
C0812241
GNA11 Exon 4,5
Description

GNA11

Data type

boolean

Alias
UMLS CUI [1]
C2983086
GNAQ Exon 4,5
Description

GNAQ

Data type

boolean

Alias
UMLS CUI [1]
C2983085
PIK3CA Exon 9,20
Description

PIK3CA

Data type

boolean

Alias
UMLS CUI [1]
C2969778
CTNNB1 Exon 3
Description

CTNNB1

Data type

boolean

Alias
UMLS CUI [1]
C0805787
GNAS1 Exon 8
Description

GNAS1

Data type

boolean

Alias
UMLS CUI [1]
C1659177
AKT1 Exon 2
Description

AKT1

Data type

boolean

Alias
UMLS CUI [1]
C1628468
P53 Exon 4-10
Description

P53

Data type

boolean

Alias
UMLS CUI [1]
C0080055
PTEN Exon 5-8
Description

PTEN

Data type

boolean

Alias
UMLS CUI [1]
C0694888
NOTCH1 Exon 26,27,34
Description

NOTCH1

Data type

boolean

Alias
UMLS CUI [1]
C3540607
RET Exon 10,11,16
Description

RET

Data type

boolean

Alias
UMLS CUI [1]
C3266985
IDH1 Exon 4
Description

IDH1

Data type

boolean

Alias
UMLS CUI [1]
C1415876
IDH2 Exon 4
Description

IDH2

Data type

boolean

Alias
UMLS CUI [1]
C3495952
Amplification/Deletion/Translocation (FISH)
Description

Amplification/Deletion/Translocation (FISH)

HER2 FISH
Description

HER2 FISH

Data type

boolean

Alias
UMLS CUI [1]
C2316574
n-MYK FISH
Description

n-MYK FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C1414431
UMLS CUI [1,2]
C0162789
TOP2A FISH
Description

TOP2A FISH

Data type

boolean

Alias
UMLS CUI [1]
C3172041
EGFR FISH
Description

EGFR FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C0805997
UMLS CUI [1,2]
C0162789
EWSR1
Description

EWSR1

Data type

boolean

Alias
UMLS CUI [1]
C3469588
ALK FISH
Description

ALK FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C3266979
UMLS CUI [1,2]
C0162789
ROS1 FISH
Description

ROS1 FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C0812281
UMLS CUI [1,2]
C0162789
FUS FISH
Description

FUS FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C4034358
UMLS CUI [1,2]
C0162789
BCL2 FISH
Description

BCL2 FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C3266980
UMLS CUI [1,2]
C0162789
CCND1 FISH
Description

CCND1 FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C1631807
UMLS CUI [1,2]
C0162789
c-MYK FISH
Description

c-MYK FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C1414431
UMLS CUI [1,2]
C0162789
USP6 FISH
Description

USP6 FISH

Data type

boolean

Alias
UMLS CUI [1,1]
C1421407
UMLS CUI [1,2]
C0162789
Translocation (RT-PCR)
Description

Translocation (RT-PCR)

EWSR1/FLI1 t (11;22)(q24;q12)
Description

EWSR1/FLI1 t (11;22)(q24;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C3510953
UMLS CUI [1,2]
C1515713
UMLS CUI [1,3]
C0599161
EWSR1/ERG t (21;22)(q22;q12)
Description

EWSR1/ERG t (21;22)(q22;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C3708659
UMLS CUI [1,2]
C1515749
UMLS CUI [1,3]
C0599161
EWSR1/FEV t(2;22)(q33;q12)
Description

EWSR1/FEV t(2;22)(p22;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C1851464
UMLS CUI [1,2]
C1515755
UMLS CUI [1,3]
C0599161
EWSR1/ETV1 t(7;22)(p22;q12)
Description

EWSR1/ETV1 t(7;22)(p22;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C2677452
UMLS CUI [1,2]
C1515787
UMLS CUI [1,3]
C0599161
SYT/SSX1,SSX2 t(X;18)(p11;q11)
Description

SYT/SSX1,SSX2 t(X;18)(p11;q11)

Data type

boolean

Alias
UMLS CUI [1,1]
C1839329
UMLS CUI [1,2]
C1515814
UMLS CUI [1,3]
C0599161
EWSR1/ATF1 t(12;22)(q13;q12)
Description

EWSR1/ATF1 t(12;22)(q13;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C3274615
UMLS CUI [1,2]
C0599161
EWSR1/WT1 t(11;22)(p13;q12)
Description

EWSR1/WT1 t(11;22)(p13;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C3708661
UMLS CUI [1,2]
C1515712
UMLS CUI [1,3]
C0599161
PAX7/FKHR t(1;13)(p36;q14)
Description

PAX7/FKHR t(1;13)(p36;q14)

Data type

boolean

Alias
UMLS CUI [1,1]
C1850988
UMLS CUI [1,2]
C0599161
PAX3/FKHR t(2;13)(q35;q14)
Description

PAX3/FKHR t(2;13)(q35;q14)

Data type

boolean

Alias
UMLS CUI [1,1]
C1847791
UMLS CUI [1,2]
C0599161
TLS/CHOP t(12;16)(q13;p11)
Description

TLS/CHOP t(12;16)(q13;p11)

Data type

boolean

Alias
UMLS CUI [1,1]
C1852061
UMLS CUI [1,2]
C0599161
EWSR1/TEC t(9;22)(q22;q12)
Description

EWSR1/TEC t(9;22)(q22;q12)

Data type

boolean

Alias
UMLS CUI [1,1]
C2675456
UMLS CUI [1,2]
C0599161
ASPL/TFE3 t(X;17)(p11;q25)
Description

ASPL/TFE3 t(X;17)(p11;q25)

Data type

boolean

Alias
UMLS CUI [1,1]
C1510695
UMLS CUI [1,2]
C0599161
Clonality analysis
Description

Clonality analysis

IgH
Description

IgH

Data type

boolean

Alias
UMLS CUI [1]
C0796368
TCRg
Description

TCRg

Data type

boolean

Alias
UMLS CUI [1,1]
C0314714
UMLS CUI [1,2]
C0796368
Virus detection (CISH)
Description

Virus detection (CISH)

EBV
Description

EBV

Data type

boolean

Alias
UMLS CUI [1]
C0014644
HPV high risk
Description

HPV high risk

Data type

boolean

Alias
UMLS CUI [1]
C1708287
HPV low risk
Description

HPV low risk

Data type

boolean

Alias
UMLS CUI [1,1]
C0021344
UMLS CUI [1,2]
C3538919
Pathogen detection (PCR)
Description

Pathogen detection (PCR)

Mycobacterium tuberculosis complex
Description

Mycobacterium tuberculosis complex

Data type

boolean

Alias
UMLS CUI [1]
C1032649
T.whipplei
Description

T.whipplei

Data type

boolean

Alias
UMLS CUI [1]
C0995830
Resistances Helicobacter pylori (PCR)
Description

Resistances Helicobacter pylori (PCR)

Helicobacter pylori resistance:Clarithromycin
Description

Helicobacter pylori resistance:Clarithromycin

Data type

boolean

Alias
UMLS CUI [1,1]
C2010539
UMLS CUI [1,2]
C0949669
UMLS CUI [1,3]
C0055856
Helicobacter pylori resistance:Ciprofloxacin
Description

Helicobacter pylori resistance:Ciprofloxacin

Data type

boolean

Alias
UMLS CUI [1,1]
C2010539
UMLS CUI [1,2]
C0949669
UMLS CUI [1,3]
C0008809
Helicobacter pylori resistance:Tetracycline
Description

Helicobacter pylori resistance:Tetracycline

Data type

boolean

Alias
UMLS CUI [1,1]
C2010539
UMLS CUI [1,2]
C0949669
UMLS CUI [1,3]
C0039644
HNPCC Diagnostic
Description

HNPCC Diagnostic

Microsatellite Instability
Description

Microsatellite Instability

Data type

boolean

Alias
UMLS CUI [1]
C0920269
Hemochromatosis
Description

Hemochromatosis

HFE C 282Y
Description

HFE C 282Y

Data type

boolean

Alias
UMLS CUI [1]
C3248160
HFE H63D,S65C,E168X
Description

HFE H63D,S65C,E168X

Data type

boolean

Alias
UMLS CUI [1,1]
C3248160
UMLS CUI [1,2]
C1526392
UMLS CUI [1,3]
C1384665
Other services
Description

Other services

DNA isolation
Description

DNA isolation

Data type

boolean

Alias
UMLS CUI [1,1]
C0012854
UMLS CUI [1,2]
C0220862
Back to the top of the page

Similar models

Request for molecular pathological examination

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient Data
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient surname
Item
Patient surname
text
C0421448 (UMLS CUI [1])
Patient Birth Date
Item
Patient Birth Date
date
C0421451 (UMLS CUI [1])
Patient Address
Item
Patient Address
text
C0421449 (UMLS CUI [1])
Patient insurance
Item
Patient insurance
text
C1548070 (UMLS CUI [1])
Item
Elective care
integer
C0814500 (UMLS CUI [1])
Elective care
Code List
Elective care
CL Item
Outpatient (1)
CL Item
Inpatient (2)
Item
Insurance
integer
C0021682 (UMLS CUI [1])
Elective care
Code List
Insurance
CL Item
Outpatient (1)
CL Item
Inpatient (2)
Accession Number
Item
Accession Number
text
C2826726 (UMLS CUI [1])
Diagnosis
Item
Diagnosis
text
C0011900 (UMLS CUI [1])
Item Group
Mutation analysis
KRAS mutation
Item
KRAS mutation Exon 2;3
boolean
C2697836 (UMLS CUI [1])
KRAS mutation
Item
KRAS mutation Exon 4
boolean
C2697836 (UMLS CUI [1])
NRAS mutation
Item
NRAS mutation Exon 2;3
boolean
C0807126 (UMLS CUI [1])
NRAS mutation
Item
NRAS mutation Exon 4
boolean
C0807126 (UMLS CUI [1])
Ras panel
Item
Ras panel: Colorectal cancer, KRAS2-4; NRAS 2-4
boolean
C0034678 (UMLS CUI [1])
EGFR mutation
Item
EGFR Exon 18,19,21
boolean
C0805997 (UMLS CUI [1])
EGFR Mutation
Item
EGFR Exon 20
boolean
C0805997 (UMLS CUI [1])
cKIT mutation
Item
cKIT Exon 9,11 (GIST)
boolean
C3266990 (UMLS CUI [1])
cKIT mutation
Item
cKIT Exon 11,17
boolean
C3266990 (UMLS CUI [1])
cKIT mutation
Item
cKIT Exon 11,13,17 (Melanom)
boolean
C3266990 (UMLS CUI [1])
cKIT mutation
Item
cKIT Exon 8
boolean
C3266990 (UMLS CUI [1])
PDGFRA mutation
Item
PDGFRA Exon 18
boolean
C1518782 (UMLS CUI [1])
PDGFRA mutation
Item
PDGFRA Exon 12,14
boolean
C1518782 (UMLS CUI [1])
BRAF mutation
Item
BRAF Exon 15 (V600)
boolean
C0812241 (UMLS CUI [1])
GNA11
Item
GNA11 Exon 4,5
boolean
C2983086 (UMLS CUI [1])
GNAQ
Item
GNAQ Exon 4,5
boolean
C2983085 (UMLS CUI [1])
PIK3CA
Item
PIK3CA Exon 9,20
boolean
C2969778 (UMLS CUI [1])
CTNNB1
Item
CTNNB1 Exon 3
boolean
C0805787 (UMLS CUI [1])
GNAS1
Item
GNAS1 Exon 8
boolean
C1659177 (UMLS CUI [1])
AKT1
Item
AKT1 Exon 2
boolean
C1628468 (UMLS CUI [1])
P53
Item
P53 Exon 4-10
boolean
C0080055 (UMLS CUI [1])
PTEN
Item
PTEN Exon 5-8
boolean
C0694888 (UMLS CUI [1])
NOTCH1
Item
NOTCH1 Exon 26,27,34
boolean
C3540607 (UMLS CUI [1])
RET
Item
RET Exon 10,11,16
boolean
C3266985 (UMLS CUI [1])
IDH1
Item
IDH1 Exon 4
boolean
C1415876 (UMLS CUI [1])
IDH2
Item
IDH2 Exon 4
boolean
C3495952 (UMLS CUI [1])
Item Group
Amplification/Deletion/Translocation (FISH)
HER2 FISH
Item
HER2 FISH
boolean
C2316574 (UMLS CUI [1])
n-MYK FISH
Item
n-MYK FISH
boolean
C1414431 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
TOP2A FISH
Item
TOP2A FISH
boolean
C3172041 (UMLS CUI [1])
EGFR FISH
Item
EGFR FISH
boolean
C0805997 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
EWSR1
Item
EWSR1
boolean
C3469588 (UMLS CUI [1])
ALK FISH
Item
ALK FISH
boolean
C3266979 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
ROS1 FISH
Item
ROS1 FISH
boolean
C0812281 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
FUS FISH
Item
FUS FISH
boolean
C4034358 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
BCL2 FISH
Item
BCL2 FISH
boolean
C3266980 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
CCND1 FISH
Item
CCND1 FISH
boolean
C1631807 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
c-MYK FISH
Item
c-MYK FISH
boolean
C1414431 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
USP6 FISH
Item
USP6 FISH
boolean
C1421407 (UMLS CUI [1,1])
C0162789 (UMLS CUI [1,2])
Item Group
Translocation (RT-PCR)
EWSR1/FLI1 t (11;22)(q24;q12)
Item
EWSR1/FLI1 t (11;22)(q24;q12)
boolean
C3510953 (UMLS CUI [1,1])
C1515713 (UMLS CUI [1,2])
C0599161 (UMLS CUI [1,3])
EWSR1/ERG t (21;22)(q22;q12)
Item
EWSR1/ERG t (21;22)(q22;q12)
boolean
C3708659 (UMLS CUI [1,1])
C1515749 (UMLS CUI [1,2])
C0599161 (UMLS CUI [1,3])
EWSR1/FEV t(2;22)(p22;q12)
Item
EWSR1/FEV t(2;22)(q33;q12)
boolean
C1851464 (UMLS CUI [1,1])
C1515755 (UMLS CUI [1,2])
C0599161 (UMLS CUI [1,3])
EWSR1/ETV1 t(7;22)(p22;q12)
Item
EWSR1/ETV1 t(7;22)(p22;q12)
boolean
C2677452 (UMLS CUI [1,1])
C1515787 (UMLS CUI [1,2])
C0599161 (UMLS CUI [1,3])
SYT/SSX1,SSX2 t(X;18)(p11;q11)
Item
SYT/SSX1,SSX2 t(X;18)(p11;q11)
boolean
C1839329 (UMLS CUI [1,1])
C1515814 (UMLS CUI [1,2])
C0599161 (UMLS CUI [1,3])
EWSR1/ATF1 t(12;22)(q13;q12)
Item
EWSR1/ATF1 t(12;22)(q13;q12)
boolean
C3274615 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
EWSR1/WT1 t(11;22)(p13;q12)
Item
EWSR1/WT1 t(11;22)(p13;q12)
boolean
C3708661 (UMLS CUI [1,1])
C1515712 (UMLS CUI [1,2])
C0599161 (UMLS CUI [1,3])
PAX7/FKHR t(1;13)(p36;q14)
Item
PAX7/FKHR t(1;13)(p36;q14)
boolean
C1850988 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
PAX3/FKHR t(2;13)(q35;q14)
Item
PAX3/FKHR t(2;13)(q35;q14)
boolean
C1847791 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
TLS/CHOP t(12;16)(q13;p11)
Item
TLS/CHOP t(12;16)(q13;p11)
boolean
C1852061 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
EWSR1/TEC t(9;22)(q22;q12)
Item
EWSR1/TEC t(9;22)(q22;q12)
boolean
C2675456 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
ASPL/TFE3 t(X;17)(p11;q25)
Item
ASPL/TFE3 t(X;17)(p11;q25)
boolean
C1510695 (UMLS CUI [1,1])
C0599161 (UMLS CUI [1,2])
Item Group
Clonality analysis
IgH
Item
IgH
boolean
C0796368 (UMLS CUI [1])
TCRg
Item
TCRg
boolean
C0314714 (UMLS CUI [1,1])
C0796368 (UMLS CUI [1,2])
Item Group
Virus detection (CISH)
EBV
Item
EBV
boolean
C0014644 (UMLS CUI [1])
HPV high risk
Item
HPV high risk
boolean
C1708287 (UMLS CUI [1])
HPV low risk
Item
HPV low risk
boolean
C0021344 (UMLS CUI [1,1])
C3538919 (UMLS CUI [1,2])
Item Group
Pathogen detection (PCR)
Mycobacterium tuberculosis complex
Item
Mycobacterium tuberculosis complex
boolean
C1032649 (UMLS CUI [1])
T.whipplei
Item
T.whipplei
boolean
C0995830 (UMLS CUI [1])
Item Group
Resistances Helicobacter pylori (PCR)
Helicobacter pylori resistance:Clarithromycin
Item
Helicobacter pylori resistance:Clarithromycin
boolean
C2010539 (UMLS CUI [1,1])
C0949669 (UMLS CUI [1,2])
C0055856 (UMLS CUI [1,3])
Helicobacter pylori resistance:Ciprofloxacin
Item
Helicobacter pylori resistance:Ciprofloxacin
boolean
C2010539 (UMLS CUI [1,1])
C0949669 (UMLS CUI [1,2])
C0008809 (UMLS CUI [1,3])
Helicobacter pylori resistance:Tetracycline
Item
Helicobacter pylori resistance:Tetracycline
boolean
C2010539 (UMLS CUI [1,1])
C0949669 (UMLS CUI [1,2])
C0039644 (UMLS CUI [1,3])
Item Group
HNPCC Diagnostic
Microsatellite Instability
Item
Microsatellite Instability
boolean
C0920269 (UMLS CUI [1])
Item Group
Hemochromatosis
HFE C 282Y
Item
HFE C 282Y
boolean
C3248160 (UMLS CUI [1])
HFE H63D,S65C,E168X
Item
HFE H63D,S65C,E168X
boolean
C3248160 (UMLS CUI [1,1])
C1526392 (UMLS CUI [1,2])
C1384665 (UMLS CUI [1,3])
Item Group
Other services
DNA isolation
Item
DNA isolation
boolean
C0012854 (UMLS CUI [1,1])
C0220862 (UMLS CUI [1,2])
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial