ID

43291

Beskrivning

Registerzentrale: Dr. Dickerhoff / Dr. Potthoff, Klinik für Kinder-Onkologie, -Hämatologie und Klinische Immunologie, Universitätsklinikum Düsseldorf

Nyckelord

Versioner (2)
  1. 2014-09-22 2014-09-22 - Martin Dugas
  2. 2021-09-20 2021-09-20 -
Uppladdad den

20 september 2021

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy
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Registry for Sickle Cell Diseases, 2.initial assessment

Tysk Engelsk

Sichel-Reg, 2. Ersterhebung

1 Formulär  
  1. StudyEvent: ODM-Test
    1. Sichel-Reg, 2. Ersterhebung
Patient data
Beskrivning

Patient data

Alias
UMLS CUI-1
C2707520
Last Name
Beskrivning

Last Name

Datatyp

text

Alias
UMLS CUI-1
C1301584
First Name
Beskrivning

First Name

Datatyp

text

Alias
UMLS CUI-1
C1443235
Birth Date
Beskrivning

Birth Date

Datatyp

date

Alias
UMLS CUI-1
C0421451
Registry ID
Beskrivning

Registry ID

Datatyp

text

Alias
UMLS CUI-1
C1549709
Family history
Beskrivning

Family history

Alias
UMLS CUI-1
C0241889
Country of origin father
Datatyp

text

Alias
UMLS CUI-1
C1300001
UMLS CUI-2
C0015671
Country of origin mother
Datatyp

text

Alias
UMLS CUI-1
C1300001
UMLS CUI-2
C0026591
Father´s year of birth
Datatyp

integer

Alias
UMLS CUI-1
C2136977
Mother´s year of birth
Datatyp

integer

Alias
UMLS CUI-1
C2319404
Sickle Hemoglobin (father)
Datatyp

text

Alias
UMLS CUI-1
C0019043
UMLS CUI-2
C0015671
Sickle Hemoglobin (mother)
Datatyp

text

Alias
UMLS CUI-1
C0019043
UMLS CUI-2
C0026591
Registry patient (father)
Datatyp

boolean

Alias
UMLS CUI-1
C0585825
UMLS CUI-2
C0015671
Registry patient (mother)
Datatyp

boolean

Alias
UMLS CUI-1
C0585825
UMLS CUI-2
C0026591
Sibling´s birth year
Datatyp

integer

Sibling´s gender
Datatyp

integer

Sickle Hemoglobin (sibling)
Datatyp

text

Registry patient (sibling)
Datatyp

boolean

Birth year (child)
Datatyp

integer

Gender (child)
Datatyp

integer

Sickle Hemoglobin (child)
Datatyp

text

Registry patient (child)
Datatyp

boolean

Professional career
Beskrivning

Professional career

Alias
UMLS CUI-1
C0011900
Date Hb analysis
Beskrivning

Date Hb analysis

Datatyp

date

lab (Hb analysis)
Beskrivning

lab (Hb analysis)

Datatyp

text

HbA
Datatyp

float

Måttenheter
  • %
%
HbF
Datatyp

float

Måttenheter
  • %
%
HbC
Datatyp

float

Måttenheter
  • %
%
HbA2
Datatyp

float

Måttenheter
  • %
%
HbS
Datatyp

float

Måttenheter
  • %
%
HbD
Datatyp

float

Måttenheter
  • %
%
Other Hb
Datatyp

float

Måttenheter
  • %
%
Other Hb
Datatyp

text

alpha-Thalassemia
Datatyp

integer

Alias
UMLS CUI-1
C0002312
Date blood count
Datatyp

date

Hemoglobin
Datatyp

float

Måttenheter
  • mg/dl
Alias
UMLS CUI-1
C0019046
mg/dl
Erythrocytes
Datatyp

float

Måttenheter
  • Tera/l
Alias
UMLS CUI-1
C0014792
Tera/l
MCV
Datatyp

float

Måttenheter
  • fl
Alias
UMLS CUI-1
C0524587
fl
Leukocytes
Datatyp

float

Måttenheter
  • /µl
Alias
UMLS CUI-1
C0023516
/µl
Reticulocytes
Datatyp

float

Måttenheter
  • %
Alias
UMLS CUI-1
C0035286
%
Blood platelets
Datatyp

float

Måttenheter
  • /µl
Alias
UMLS CUI-1
C0005821
/µl
Ferritin
Datatyp

float

Måttenheter
  • ng/ml
Alias
UMLS CUI-1
C0015879
ng/ml
Genetic Counseling
Datatyp

boolean

Alias
UMLS CUI-1
C0017382
Prenatal Diagnosis
Datatyp

boolean

Alias
UMLS CUI-1
C0033053
Pre-existing condition
Datatyp

boolean

Alias
UMLS CUI-1
C0521987
Pre-existing condition
Datatyp

text

Alias
UMLS CUI-1
C0521987
Special events
Datatyp

boolean

Alias
UMLS CUI-1
C0080170
Special events
Datatyp

text

Alias
UMLS CUI-1
C0080170
Comments
Beskrivning

Comments

Aplastic crisis
Beskrivning

Comments

Datatyp

date

Alias
UMLS CUI-1
C0302111
Spleen sequestration
Datatyp

date

Alias
UMLS CUI-1
C0748932
Splenectomy
Datatyp

date

Alias
UMLS CUI-1
C0037995
Splenectomy reason
Datatyp

text

Cerebral infarction
Datatyp

date

Alias
UMLS CUI-1
C0007785
Aseptic Necrosis of Bone
Datatyp

date

Alias
UMLS CUI-1
C0520474
Acute thoracic syndrome
Datatyp

date

Pain crisis
Datatyp

integer

Alias
UMLS CUI-1
C0231225
Hand and foot syndrome secondary to sickle cell anemia
Datatyp

date

Alias
UMLS CUI-1
C0852711
Priapism
Datatyp

date

Alias
UMLS CUI-1
C0033117
Vaccinations
Beskrivning

Vaccinations

Alias
UMLS CUI-1
C0042196
Hepatitis B vaccination
Datatyp

date

Alias
UMLS CUI-1
C0019163
UMLS CUI-2
C0042196
Prevnar vaccination
Datatyp

date

Alias
UMLS CUI-1
C0876134
UMLS CUI-2
C0042196
Pneumovax vaccination
Datatyp

date

Alias
UMLS CUI-1
C0071315
UMLS CUI-2
C0042196
Hemophilus influenzae vaccination
Datatyp

date

Alias
UMLS CUI-1
C0019073
UMLS CUI-2
C0042196
Medication
Beskrivning

Medication

Alias
UMLS CUI-1
C0013227
Penicillin prophylaxis
Datatyp

boolean

Reason for penicillin prophylaxis beyond age of 5
Datatyp

text

Hydroxyurea start date
Datatyp

date

Alias
UMLS CUI-1
C0020402
UMLS CUI-2
C0808070
ACE inhibitor start date
Datatyp

date

Alias
UMLS CUI-1
C0003015
UMLS CUI-2
C0808070
Other medication
Datatyp

text

Alias
UMLS CUI-1
C0013227
clinical examination
Beskrivning

clinical examination

Alias
UMLS CUI-1
C1456356
Physical examination date
Datatyp

date

Alias
UMLS CUI-1
C2826643
Weight
Datatyp

float

Måttenheter
  • kg
Alias
UMLS CUI-1
C0005910
kg
Body weight percentile
Datatyp

integer

Alias
UMLS CUI-1
C0552346
Height
Datatyp

float

Måttenheter
  • cm
Alias
UMLS CUI-1
C0005890
cm
Height percentile for age
Datatyp

integer

Alias
UMLS CUI-1
C2030323
Normal puberty
Datatyp

boolean

Alias
UMLS CUI-1
C0581852
Systolic blood pressure
Datatyp

integer

Måttenheter
  • mmHg
Alias
UMLS CUI-1
C0871470
mmHg
Diastolic blood pressure
Datatyp

integer

Måttenheter
  • mmHg
Alias
UMLS CUI-1
C0428883
mmHg
Lab
Beskrivning

Lab

Date of lab values
Datatyp

date

Bilirubin total
Datatyp

float

Måttenheter
  • mg/dl
Alias
UMLS CUI-1
C0201913
mg/dl
Creatinine
Datatyp

float

Måttenheter
  • mg/dl
Alias
UMLS CUI-1
C0010294
mg/dl
reported positive urine protein test
Datatyp

boolean

Alias
UMLS CUI-1
C2186573
Transabdominal Ultrasound
Beskrivning

Transabdominal Ultrasound

Alias
UMLS CUI-1
C2348813
Physical examination date
Datatyp

date

Alias
UMLS CUI-1
C2826643
Hepatomegaly
Datatyp

boolean

Alias
UMLS CUI-1
C0019209
Abnormal findings diagnostic imaging of liver and biliary tract
Datatyp

boolean

Alias
UMLS CUI-1
C0495790
Liver size
Datatyp

float

Alias
UMLS CUI-1
C0426688
Gallbladder
Datatyp

integer

Alias
UMLS CUI-1
C0016976
Spleen
Datatyp

integer

Alias
UMLS CUI-1
C0037993
Cardiological test status
Beskrivning

Cardiological test status

Alias
UMLS CUI-1
C0420792
Physical examination date
Datatyp

date

Alias
UMLS CUI-1
C2826643
ECG
Datatyp

integer

Alias
UMLS CUI-1
C1623258
ECG arrhythmia at rest
Datatyp

boolean

Alias
UMLS CUI-1
C2036200
ECG signs of ventricular hypertrophy
Datatyp

boolean

Alias
UMLS CUI-1
C0919857
Electrocardiogram abnormal
Datatyp

text

Alias
UMLS CUI-1
C0522055
Echocardiography
Datatyp

integer

Alias
UMLS CUI-1
C0013516
Myocardial contractility decreased
Datatyp

boolean

Alias
UMLS CUI-1
C3671557
Suspected Pulmonary Hypertension
Datatyp

boolean

Alias
UMLS CUI-1
C0581832
UMLS CUI-2
C0020542
Echocardiography abnormal
Datatyp

text

Alias
UMLS CUI-1
C0476369
Eye examination
Beskrivning

Eye examination

Alias
UMLS CUI-1
C0200149
Physical examination date
Datatyp

date

Alias
UMLS CUI-1
C2826643
Fundoscopy
Datatyp

text

Alias
UMLS CUI-1
C0029090
Retinal Detachment
Datatyp

boolean

Alias
UMLS CUI-1
C0035305
Proliferative retinopathy
Datatyp

boolean

Alias
UMLS CUI-1
C0339467
Vitreous Hemorrhage
Datatyp

boolean

Alias
UMLS CUI-1
C0042909
Funduscopic exam abnormal
Datatyp

text

Alias
UMLS CUI-1
C0744229
Interventional procedure
Datatyp

text

Alias
UMLS CUI-1
C0184661
Visual Acuity
Datatyp

integer

Alias
UMLS CUI-1
C0042812
Visual Acuity
Datatyp

text

Alias
UMLS CUI-1
C0042812
Comments
Beskrivning

Comments

Alias
UMLS CUI-1
C0947611
Specific information needs
Datatyp

text

Comments
Datatyp

text

Signature
Beskrivning

Signature

Alias
UMLS CUI-1
C1519316
Physicians
Beskrivning

Name of physician

Datatyp

text

Alias
UMLS CUI-1
C0031831
UMLS CUI-2
C0027365
Date signed
Beskrivning

Date of signature

Datatyp

text

Alias
UMLS CUI-1
C3262251
Signature
Beskrivning

Signature

Datatyp

text

Alias
UMLS CUI-1
C1519316
Tillbaka till toppen

Similar models

Sichel-Reg, 2. Ersterhebung

1 Formulär
  1. StudyEvent: ODM-Test
    1. Sichel-Reg, 2. Ersterhebung
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Patient data
C2707520 (UMLS CUI-1)
Last Name
Item
Last Name
text
C1301584 (UMLS CUI-1)
First Name
Item
First Name
text
C1443235 (UMLS CUI-1)
Birth Date
Item
Birth Date
date
C0421451 (UMLS CUI-1)
Registry ID
Item
text
C1549709 (UMLS CUI-1)
Item Group
Family history
C0241889 (UMLS CUI-1)
Country of origin father
Item
text
C1300001 (UMLS CUI-1)
C0015671 (UMLS CUI-2)
Country of origin mother
Item
text
C1300001 (UMLS CUI-1)
C0026591 (UMLS CUI-2)
Father´s year of birth
Item
integer
C2136977 (UMLS CUI-1)
Mother´s year of birth
Item
integer
C2319404 (UMLS CUI-1)
Sickle Hemoglobin (father)
Item
text
C0019043 (UMLS CUI-1)
C0015671 (UMLS CUI-2)
Sickle Hemoglobin (mother)
Item
text
C0019043 (UMLS CUI-1)
C0026591 (UMLS CUI-2)
Registry patient (father)
Item
boolean
C0585825 (UMLS CUI-1)
C0015671 (UMLS CUI-2)
Registry patient (mother)
Item
boolean
C0585825 (UMLS CUI-1)
C0026591 (UMLS CUI-2)
Sibling´s birth year
Item
integer
Item
integer
Sibling´s gender
Code List
Sibling´s gender
CL Item
 (1)
CL Item
 (2)
Sickle Hemoglobin (sibling)
Item
text
Registry patient (sibling)
Item
boolean
Birth year (child)
Item
integer
Item
integer
Gender (child)
Code List
Gender (child)
CL Item
 (1)
CL Item
 (2)
Sickle Hemoglobin (child)
Item
text
Registry patient (child)
Item
boolean
Item Group
Professional career
C0011900 (UMLS CUI-1)
Date Hb analysis
Item
Date Hb analysis
date
lab (Hb analysis)
Item
lab (Hb analysis)
text
HbA
Item
float
HbF
Item
float
HbC
Item
float
HbA2
Item
float
HbS
Item
float
HbD
Item
float
Other Hb
Item
float
Other Hb
Item
text
Item
integer
C0002312 (UMLS CUI-1)
alpha-Thalassemia
Code List
alpha-Thalassemia
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Date blood count
Item
date
Hemoglobin
Item
float
C0019046 (UMLS CUI-1)
Erythrocytes
Item
float
C0014792 (UMLS CUI-1)
MCV
Item
float
C0524587 (UMLS CUI-1)
Leukocytes
Item
float
C0023516 (UMLS CUI-1)
Reticulocytes
Item
float
C0035286 (UMLS CUI-1)
Blood platelets
Item
float
C0005821 (UMLS CUI-1)
Ferritin
Item
float
C0015879 (UMLS CUI-1)
Genetic Counseling
Item
boolean
C0017382 (UMLS CUI-1)
Prenatal Diagnosis
Item
boolean
C0033053 (UMLS CUI-1)
Pre-existing condition
Item
boolean
C0521987 (UMLS CUI-1)
Pre-existing condition
Item
text
C0521987 (UMLS CUI-1)
Special events
Item
boolean
C0080170 (UMLS CUI-1)
Special events
Item
text
C0080170 (UMLS CUI-1)
Item Group
Comments
Aplastic crisis
Item
date
C0302111 (UMLS CUI-1)
Spleen sequestration
Item
date
C0748932 (UMLS CUI-1)
Splenectomy
Item
date
C0037995 (UMLS CUI-1)
Splenectomy reason
Item
text
Cerebral infarction
Item
date
C0007785 (UMLS CUI-1)
Aseptic Necrosis of Bone
Item
date
C0520474 (UMLS CUI-1)
Acute thoracic syndrome
Item
date
Item
integer
C0231225 (UMLS CUI-1)
Pain crisis
Code List
Pain crisis
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Hand and foot syndrome secondary to sickle cell anemia
Item
date
C0852711 (UMLS CUI-1)
Priapism
Item
date
C0033117 (UMLS CUI-1)
Item Group
Vaccinations
C0042196 (UMLS CUI-1)
Hepatitis B vaccination
Item
date
C0019163 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Prevnar vaccination
Item
date
C0876134 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Pneumovax vaccination
Item
date
C0071315 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Hemophilus influenzae vaccination
Item
date
C0019073 (UMLS CUI-1)
C0042196 (UMLS CUI-2)
Item Group
Medication
C0013227 (UMLS CUI-1)
Penicillin prophylaxis
Item
boolean
Reason for penicillin prophylaxis beyond age of 5
Item
text
Hydroxyurea start date
Item
date
C0020402 (UMLS CUI-1)
C0808070 (UMLS CUI-2)
ACE inhibitor start date
Item
date
C0003015 (UMLS CUI-1)
C0808070 (UMLS CUI-2)
Other medication
Item
text
C0013227 (UMLS CUI-1)
Item Group
clinical examination
C1456356 (UMLS CUI-1)
Physical examination date
Item
date
C2826643 (UMLS CUI-1)
Weight
Item
float
C0005910 (UMLS CUI-1)
Body weight percentile
Item
integer
C0552346 (UMLS CUI-1)
Height
Item
float
C0005890 (UMLS CUI-1)
Height percentile for age
Item
integer
C2030323 (UMLS CUI-1)
Normal puberty
Item
boolean
C0581852 (UMLS CUI-1)
Systolic blood pressure
Item
integer
C0871470 (UMLS CUI-1)
Diastolic blood pressure
Item
integer
C0428883 (UMLS CUI-1)
Item Group
Lab
Date of lab values
Item
date
Bilirubin total
Item
float
C0201913 (UMLS CUI-1)
Creatinine
Item
float
C0010294 (UMLS CUI-1)
reported positive urine protein test
Item
boolean
C2186573 (UMLS CUI-1)
Item Group
Transabdominal Ultrasound
C2348813 (UMLS CUI-1)
Physical examination date
Item
date
C2826643 (UMLS CUI-1)
Hepatomegaly
Item
boolean
C0019209 (UMLS CUI-1)
Abnormal findings diagnostic imaging of liver and biliary tract
Item
boolean
C0495790 (UMLS CUI-1)
Liver size
Item
float
C0426688 (UMLS CUI-1)
Item
integer
C0016976 (UMLS CUI-1)
Gallbladder
Code List
Gallbladder
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
CL Item
 (4)
Item
integer
C0037993 (UMLS CUI-1)
Spleen
Code List
Spleen
CL Item
 (1)
CL Item
 (2)
CL Item
 (3)
Item Group
Cardiological test status
C0420792 (UMLS CUI-1)
Physical examination date
Item
date
C2826643 (UMLS CUI-1)
Item
integer
C1623258 (UMLS CUI-1)
ECG
Code List
ECG
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
ECG arrhythmia at rest
Item
boolean
C2036200 (UMLS CUI-1)
ECG signs of ventricular hypertrophy
Item
boolean
C0919857 (UMLS CUI-1)
Electrocardiogram abnormal
Item
text
C0522055 (UMLS CUI-1)
Item
integer
C0013516 (UMLS CUI-1)
Echocardiography
Code List
Echocardiography
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Myocardial contractility decreased
Item
boolean
C3671557 (UMLS CUI-1)
Suspected Pulmonary Hypertension
Item
boolean
C0581832 (UMLS CUI-1)
C0020542 (UMLS CUI-2)
Echocardiography abnormal
Item
text
C0476369 (UMLS CUI-1)
Item Group
Eye examination
C0200149 (UMLS CUI-1)
Physical examination date
Item
date
C2826643 (UMLS CUI-1)
Item
text
C0029090 (UMLS CUI-1)
Fundoscopy
Code List
Fundoscopy
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Retinal Detachment
Item
boolean
C0035305 (UMLS CUI-1)
Proliferative retinopathy
Item
boolean
C0339467 (UMLS CUI-1)
Vitreous Hemorrhage
Item
boolean
C0042909 (UMLS CUI-1)
Funduscopic exam abnormal
Item
text
C0744229 (UMLS CUI-1)
Interventional procedure
Item
text
C0184661 (UMLS CUI-1)
Item
integer
C0042812 (UMLS CUI-1)
Visual Acuity
Code List
Visual Acuity
CL Item
 (0)
CL Item
 (1)
CL Item
 (2)
Visual Acuity
Item
text
C0042812 (UMLS CUI-1)
Item Group
Comments
C0947611 (UMLS CUI-1)
Specific information needs
Item
text
Comments
Item
text
Item Group
Signature
C1519316 (UMLS CUI-1)
Physicians
Item
text
C0031831 (UMLS CUI-1)
C0027365 (UMLS CUI-2)
Date signed
Item
text
C3262251 (UMLS CUI-1)
Signature
Item
Signature
text
C1519316 (UMLS CUI-1)
Tillbaka till toppen 

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