Information:
Fel:
ID
27935
Beskrivning
Blood Sample Form Department of Neurology UKM (Begleitschein Blutentnahme für die zelluläre Biobank (Neuroinflammation)) Klinik für Allgemeine Neurologie, Liquor und Labordiagnostik, Neurologische Biobank, Albert-Schweitzer-Campus 1, 48149 Münster. Provided by Dr. Antje Echterhoff
Nyckelord
Versioner (1)
- 2017-12-06 2017-12-06 -
Rättsinnehavare
Department of Neurology UKM
Uppladdad den
6 december 2017
DOI
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Licens
Creative Commons BY-NC 3.0
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Blood Sample Form Neuroinflammatory Biobank Department of Neurology UKM
Blood Sample Form Neuroinflammatory Biobank Department of Neurology UKM
Similar models
Blood Sample Form Neuroinflammatory Biobank Department of Neurology UKM
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Patient name
Item
Name
text
C1299487 (UMLS CUI [1])
First Name
Item
First Name
text
C1443235 (UMLS CUI [1])
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Gender
Item
Gender
text
C0079399 (UMLS CUI [1])
Name
Item
Name
text
C0027365 (UMLS CUI [1])
telephone number
Item
telephone number
integer
C1515258 (UMLS CUI [1])
Ward
Item
Ward
text
C1305702 (UMLS CUI [1])
blood sample date
Item
blood sample date
date
C0011008 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C0005834 (UMLS CUI [1,2])
blood sample time
Item
blood sample time
time
C0040223 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C0005834 (UMLS CUI [1,2])
CL Item
AIE Typ: ________________________ (1)
C4316639 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
andere (AOD) (2)
C0434543 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
CIS (3)
C2921627 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
V. a. entzündliche ZNS Erkrankung (4)
C0683396 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
NMO (5)
C0027873 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
PML (6)
C0023524 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
PPMS (7)
C0751964 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
RRMS (8)
C0751967 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
Susac (9)
C2717757 (UMLS CUI-1)
(Comment:de)
(Comment:de)
Other diagnosis
Item
Other diagnosis
text
C0205394 (UMLS CUI [1,1])
C0011302 (UMLS CUI [1,2])
C0011302 (UMLS CUI [1,2])
reliable diagnosis
Item
reliable diagnosis
boolean
C0011900 (UMLS CUI [1,1])
C3858758 (UMLS CUI [1,2])
C3858758 (UMLS CUI [1,2])
reliable diagnosis date
Item
reliable diagnosis date
date
C0011008 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C3858758 (UMLS CUI [1,3])
C0011900 (UMLS CUI [1,2])
C3858758 (UMLS CUI [1,3])
AIE type
Item
AIE type
text
C4316639 (UMLS CUI [1])
CL Item
Alemtuzumab / Lemtrada (1)
C0383429 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
BG12 (2)
C0058218 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
Daclizumab (3)
C0663182 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
FTY (4)
C1699926 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
Interferon (GA) (5)
C0907160 (UMLS CUI-2)
(Comment:de)
(Comment:de)
CL Item
Mitoxantron (6)
C0026259 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
Natalizumab (7)
C1172734 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
Teriflunomid (8)
C1718383 (UMLS CUI-1)
(Comment:de)
(Comment:de)
CL Item
Rituximab (9)
C0393022 (UMLS CUI-1)
(Comment:de)
(Comment:de)
Other therapy
Item
Other therapy
text
C2827774 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
Therapy naive
Item
Therapy naive
text
C0919936 (UMLS CUI [1])
Start Date Current Therapy
Item
Start Date Current Therapy
date
C3173309 (UMLS CUI [1,1])
C2827774 (UMLS CUI [1,2])
C2827774 (UMLS CUI [1,2])
Study Name
Item
If known, please indicate study name
text
C2348560 (UMLS CUI [1])