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Request for molecular pathological examination

1 Formulare  
Patientendaten
Beschreibung

Patientendaten

Patient Name
Beschreibung

Patient Name

Datentyp

text

Alias
UMLS CUI [1]
C1299487
Patient Familienname
Beschreibung

Patient surname

Datentyp

text

Alias
UMLS CUI [1]
C0421448
Patient Geburtsdatum
Beschreibung

Patient Birth Date

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Patient Addresse
Beschreibung

Patient Address

Datentyp

text

Alias
UMLS CUI [1]
C0421449
Patient Krankenversicherung
Beschreibung

Patient insurance

Datentyp

text

Alias
UMLS CUI [1]
C1548070
Wahlleistung
Beschreibung

Elective care

Datentyp

integer

Alias
UMLS CUI [1]
C0814500
Kasse
Beschreibung

Insurance

Datentyp

integer

Alias
UMLS CUI [1]
C0021682
Eingangsnummer
Beschreibung

Accession Number

Datentyp

text

Alias
UMLS CUI [1]
C2826726
Diagnose
Beschreibung

Diagnosis

Datentyp

text

Alias
UMLS CUI [1]
C0011900
Mutationsanalysen
Beschreibung

Mutationsanalysen

KRAS Mutation Exon 2;3
Beschreibung

KRAS mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C2697836
KRAS Mutation Exon 4
Beschreibung

KRAS mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C2697836
NRAS Mutation Exon 2;3
Beschreibung

NRAS mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C0807126
NRAS Mutation Exon 4
Beschreibung

NRAS mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C0807126
Ras panel: Kolorektale CA, KRAS2-4; NRAS 2-4
Beschreibung

Ras panel

Datentyp

boolean

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

EGFR mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C0805997
EGFR Exon 20
Beschreibung

EGFR Mutation

Datentyp

boolean

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

cKIT mutation

Datentyp

boolean

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

cKIT mutation

Datentyp

boolean

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

cKIT mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C3266990
cKIT Exon 8
Beschreibung

cKIT mutation

Datentyp

boolean

Alias
UMLS CUI [1]
C3266990
PDGFRA Exon 18
Beschreibung

PDGFRA mutation

Datentyp

boolean

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

PDGFRA mutation

Datentyp

boolean

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

BRAF mutation

Datentyp

boolean

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

GNA11

Datentyp

boolean

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

GNAQ

Datentyp

boolean

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

PIK3CA

Datentyp

boolean

Alias
UMLS CUI [1]
C2969778
CTNNB1 Exon 3
Beschreibung

CTNNB1

Datentyp

boolean

Alias
UMLS CUI [1]
C0805787
GNAS1 Exon 8
Beschreibung

GNAS1

Datentyp

boolean

Alias
UMLS CUI [1]
C1659177
AKT1 Exon 2
Beschreibung

AKT1

Datentyp

boolean

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

P53

Datentyp

boolean

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

PTEN

Datentyp

boolean

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

NOTCH1

Datentyp

boolean

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

RET

Datentyp

boolean

Alias
UMLS CUI [1]
C3266985
IDH1 Exon 4
Beschreibung

IDH1

Datentyp

boolean

Alias
UMLS CUI [1]
C1415876
IDH2 Exon 4
Beschreibung

IDH2

Datentyp

boolean

Alias
UMLS CUI [1]
C3495952
Amplifikationen/Deletionen/Translokationen (FISH)
Beschreibung

Amplifikationen/Deletionen/Translokationen (FISH)

HER2 FISH
Beschreibung

HER2 FISH

Datentyp

boolean

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

n-MYK FISH

Datentyp

boolean

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

TOP2A FISH

Datentyp

boolean

Alias
UMLS CUI [1]
C3172041
EGFR FISH
Beschreibung

EGFR FISH

Datentyp

boolean

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

EWSR1

Datentyp

boolean

Alias
UMLS CUI [1]
C3469588
ALK FISH
Beschreibung

ALK FISH

Datentyp

boolean

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

ROS1 FISH

Datentyp

boolean

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

FUS FISH

Datentyp

boolean

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

BCL2 FISH

Datentyp

boolean

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

CCND1 FISH

Datentyp

boolean

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

c-MYK FISH

Datentyp

boolean

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

USP6 FISH

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1421407
UMLS CUI [1,2]
C0162789
Translokationen (RT-PCR)
Beschreibung

Translokationen (RT-PCR)

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

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)
Beschreibung

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

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

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

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1510695
UMLS CUI [1,2]
C0599161
Klonalitätsanalyse
Beschreibung

Klonalitätsanalyse

IgH
Beschreibung

IgH

Datentyp

boolean

Alias
UMLS CUI [1]
C0796368
TCRg
Beschreibung

TCRg

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0314714
UMLS CUI [1,2]
C0796368
Virusnachweise
Beschreibung

Virusnachweise

EBV
Beschreibung

EBV

Datentyp

boolean

Alias
UMLS CUI [1]
C0014644
HPV Hochrisikotypen
Beschreibung

HPV high risk

Datentyp

boolean

Alias
UMLS CUI [1]
C1708287
HPV Niedrigrisikotypen
Beschreibung

HPV low risk

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0021344
UMLS CUI [1,2]
C3538919
Erregernachweise (PCR)
Beschreibung

Erregernachweise (PCR)

Mycobacterium tuberculosis Komplex
Beschreibung

Mycobacterium tuberculosis complex

Datentyp

boolean

Alias
UMLS CUI [1]
C1032649
T.whipplei
Beschreibung

T.whipplei

Datentyp

boolean

Alias
UMLS CUI [1]
C0995830
Resistenzen H.Pylori (PCR)
Beschreibung

Resistenzen H.Pylori (PCR)

Helicobacter pylori Resistenz:Clarithromycin
Beschreibung

Helicobacter pylori resistance:Clarithromycin

Datentyp

boolean

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

Helicobacter pylori resistance:Ciprofloxacin

Datentyp

boolean

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

Helicobacter pylori resistance:Tetracycline

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2010539
UMLS CUI [1,2]
C0949669
UMLS CUI [1,3]
C0039644
HNPCC Diagnostik
Beschreibung

HNPCC Diagnostik

Mikrosatelliteninstabilität
Beschreibung

Microsatellite Instability

Datentyp

boolean

Alias
UMLS CUI [1]
C0920269
Hämochromatose
Beschreibung

Hämochromatose

HFE C 282Y
Beschreibung

HFE C 282Y

Datentyp

boolean

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

HFE H63D,S65C,E168X

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3248160
UMLS CUI [1,2]
C1526392
UMLS CUI [1,3]
C1384665
Sonstige Leistungen
Beschreibung

Sonstige Leistungen

DNA Isolation
Beschreibung

DNA isolation

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0012854
UMLS CUI [1,2]
C0220862
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Ähnliche Modelle

Request for molecular pathological examination

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Patientendaten
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient surname
Item
Patient Familienname
text
C0421448 (UMLS CUI [1])
Patient Birth Date
Item
Patient Geburtsdatum
date
C0421451 (UMLS CUI [1])
Patient Address
Item
Patient Addresse
text
C0421449 (UMLS CUI [1])
Patient insurance
Item
Patient Krankenversicherung
text
C1548070 (UMLS CUI [1])
Item
Wahlleistung
integer
C0814500 (UMLS CUI [1])
Elective care
Code List
Wahlleistung
CL Item
Outpatient (1)
CL Item
Inpatient (2)
Item
Kasse
integer
C0021682 (UMLS CUI [1])
Elective care
Code List
Kasse
CL Item
Outpatient (1)
CL Item
Inpatient (2)
Accession Number
Item
Eingangsnummer
text
C2826726 (UMLS CUI [1])
Diagnosis
Item
Diagnose
text
C0011900 (UMLS CUI [1])
Item Group
Mutationsanalysen
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: Kolorektale CA, 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
Amplifikationen/Deletionen/Translokationen (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
Translokationen (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
Klonalitätsanalyse
IgH
Item
IgH
boolean
C0796368 (UMLS CUI [1])
TCRg
Item
TCRg
boolean
C0314714 (UMLS CUI [1,1])
C0796368 (UMLS CUI [1,2])
Item Group
Virusnachweise
EBV
Item
EBV
boolean
C0014644 (UMLS CUI [1])
HPV high risk
Item
HPV Hochrisikotypen
boolean
C1708287 (UMLS CUI [1])
HPV low risk
Item
HPV Niedrigrisikotypen
boolean
C0021344 (UMLS CUI [1,1])
C3538919 (UMLS CUI [1,2])
Item Group
Erregernachweise (PCR)
Mycobacterium tuberculosis complex
Item
Mycobacterium tuberculosis Komplex
boolean
C1032649 (UMLS CUI [1])
T.whipplei
Item
T.whipplei
boolean
C0995830 (UMLS CUI [1])
Item Group
Resistenzen H.Pylori (PCR)
Helicobacter pylori resistance:Clarithromycin
Item
Helicobacter pylori Resistenz:Clarithromycin
boolean
C2010539 (UMLS CUI [1,1])
C0949669 (UMLS CUI [1,2])
C0055856 (UMLS CUI [1,3])
Helicobacter pylori resistance:Ciprofloxacin
Item
Helicobacter pylori Resistenz:Ciprofloxacin
boolean
C2010539 (UMLS CUI [1,1])
C0949669 (UMLS CUI [1,2])
C0008809 (UMLS CUI [1,3])
Helicobacter pylori resistance:Tetracycline
Item
Helicobacter pylori Resistenz:Tetracycline
boolean
C2010539 (UMLS CUI [1,1])
C0949669 (UMLS CUI [1,2])
C0039644 (UMLS CUI [1,3])
Item Group
HNPCC Diagnostik
Microsatellite Instability
Item
Mikrosatelliteninstabilität
boolean
C0920269 (UMLS CUI [1])
Item Group
Hämochromatose
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
Sonstige Leistungen
DNA isolation
Item
DNA Isolation
boolean
C0012854 (UMLS CUI [1,1])
C0220862 (UMLS CUI [1,2])
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