ID
43661
Beschrijving
Item used as routine documentation by Clinic Bremen-Mitte, Urology Department, Kidney transplant. ODM derived from form “Anmdeldebogen- NTx” Number TPLF006, Version 3, Transplant Center Bremen, Clinic Bremen-Mitte gGmbH 28177 Bremen. Investigations before registering for kidney transplant (Application with medical report and Epicrisis) 1. Obligatory examinations 1.1. Imaging techniques - Chest X-ray in two planes (Finding and image) - X- ray pelvis overview (without gonad protection in females) (Finding and image) - Abdominal ultrasonography (liver, gall bladder, kidney own, aorta) 1.2. Consultation and additional examinations - Ophthalmologist - Gynecologist - Dermatologist - Otolaryngologist - Dentist - Urologist: Uroflow (rest precipitation> 500 mL / d), residual urine, sediment, urine culture, Prostate palpation and PSA determination aged 30 and older - Cardiologist: ECG (Original / Copy) 1.3. Laboratory tests Blood count, electrolytes, urea, creatinine, uric acid, iPTH, inorg. Phosphate, alkaline phosphatase, GGT, ALT, AST, LDH, total Bilirubin, total Protein, fasting blood sugar level, basal C-peptide and HbA1c (In all diabetics), triglycerides, cholesterol, BSG, BM-Test Colon albumin (3x), 55 years and older colonoscopy (according to current guideline) 1.4. Virology - Hepatitis (HBsAg, HBcAK, HBsAK, HCV antibodies) - HIV (1 and 2), CMV, EBV, VZV 1.5. Hepatitis B vaccination (with antibody detection) 2. Selective indicated examinations 2.1. Imaging tests - Abdominal CT by cystic kidneys, tumors in the History, Analgesic nephropathy - Coronary angiography by cardiac risk, by diabetics - Arterial angiography by PAD, pelvic vascular sclerosis in pelvic x- ray - Colonoscopy / Colon contrast enema with diverticulosis - CT abdomen on spec diverticulitis - Voiding cystourethrogram (VCUG) at Pyelonephritis-, urinary tract infection or stone in the urinary tract , unclear etiology of renal insufficiency - Urethro cystoscopy, retrograde Urethrography left/ right and Bladder irrigation left/ right Analgesic nephropathy or hematuria - Kidney bladder overview by medical history of kidney stone 2.2. Other examinations - Echocardiography, exercise ECG by aged 50 and older and by all diabetics - Gastroscopy at ulcer anamnesis - Lung function tests only if indicated (all smokers) - Carotid Doppler by flow noise or cerebral circulatory disorder
Trefwoorden
Versies (2)
- 24-04-16 24-04-16 -
- 20-09-21 20-09-21 -
Geüploaded op
20 september 2021
DOI
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Licentie
Creative Commons BY-NC 3.0
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Registration Form Kidney Transplant Urology Department Transplant Center Clinic Bremen-Mitte
Registration Form Kidney Transplant
- StudyEvent: ODM
Beschrijving
Diagnose
Alias
- UMLS CUI-1
- C0011900
Beschrijving
(Befundkopie bitte beifügen)
Datatype
text
Alias
- UMLS CUI [1]
- C0022658
Beschrijving
histology kidney disease
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0019638
- UMLS CUI [1,2]
- C0022658
Beschrijving
diagnosis date
Datatype
date
Alias
- UMLS CUI [1]
- C2316983
Beschrijving
diagnosis
Datatype
text
Alias
- UMLS CUI [1]
- C0011900
Beschrijving
Therapie
Alias
- UMLS CUI-1
- C0087111
Beschrijving
dialysis date
Datatype
date
Alias
- UMLS CUI [1]
- C3262256
Beschrijving
dialysis Hemodialysis Hemofiltration continuous ambulatory peritoneal dialysis
Datatype
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0019004
- UMLS CUI [1,3]
- C0019014
- UMLS CUI [1,4]
- C0031140
Beschrijving
therapy duration
Datatype
text
Alias
- UMLS CUI [1]
- C0444921
Beschrijving
dialysis days
Datatype
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0439228
Beschrijving
shunt
Datatype
text
Alias
- UMLS CUI [1]
- C0542331
Beschrijving
medical complication shunt
Datatype
text
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0542331
Beschrijving
diuresis
Datatype
float
Maateenheden
- ml/24 h
Alias
- UMLS CUI [1]
- C0012797
Beschrijving
dry weight
Datatype
float
Maateenheden
- kg
Alias
- UMLS CUI [1]
- C1439839
Beschrijving
body height
Datatype
float
Maateenheden
- cm
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Dialysis issue
Datatype
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0033213
Beschrijving
medications
Datatype
text
Alias
- UMLS CUI [1]
- C0013227
Beschrijving
Anamnestische Angaben
Alias
- UMLS CUI-1
- C0021055
Beschrijving
Anamnesis
Datatype
text
Alias
- UMLS CUI [1]
- C0021055
Beschrijving
hypersensitivity
Datatype
text
Alias
- UMLS CUI [1]
- C0020517
Beschrijving
social history; psychological history
Datatype
text
Alias
- UMLS CUI [1]
- C0945165
- UMLS CUI [2]
- C0679832
Beschrijving
nicotine consumption
Datatype
integer
Maateenheden
- /d
Alias
- UMLS CUI [1]
- C1519386
Beschrijving
Substance Use Disorder
Datatype
text
Alias
- UMLS CUI [1]
- C0038586
Beschrijving
Klinische Beurteilung
Alias
- UMLS CUI-1
- C1261322
Beschrijving
General condition
Datatype
text
Alias
- UMLS CUI [1]
- C1142435
Beschrijving
Blood pressure
Datatype
text
Maateenheden
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Beschrijving
Heart rate
Datatype
integer
Maateenheden
- /min
Alias
- UMLS CUI [1]
- C0018810
Beschrijving
heart rhythm
Datatype
text
Alias
- UMLS CUI [1]
- C0232187
Beschrijving
Chest percussion; auscultation chest
Datatype
text
Alias
- UMLS CUI [1]
- C1285807
- UMLS CUI [2]
- C0577960
Beschrijving
auscultation abdomen; Percussion abdomen
Datatype
text
Alias
- UMLS CUI [1]
- C2089447
- UMLS CUI [2]
- C0437020
Beschrijving
BM Test Colon
Datatype
text
Beschrijving
BM Test Colon
Datatype
text
Beschrijving
BM Test Colon
Datatype
text
Beschrijving
Palpation carotid artery right
Datatype
text
Alias
- UMLS CUI [1]
- C0488805
Beschrijving
Palpation carotid artery left
Datatype
text
Alias
- UMLS CUI [1]
- C0488804
Beschrijving
Palpation femoral artery right
Datatype
text
Alias
- UMLS CUI [1]
- C0488809
Beschrijving
palpation femoral artery left
Datatype
text
Alias
- UMLS CUI [1]
- C0488808
Beschrijving
palpation popliteal artery right
Datatype
text
Alias
- UMLS CUI [1]
- C0488811
Beschrijving
palpation popliteal artery left
Datatype
text
Alias
- UMLS CUI [1]
- C0488810
Beschrijving
palpation tibial artery right
Datatype
text
Alias
- UMLS CUI [1]
- C0488812
Beschrijving
palpation tibial artery left
Datatype
text
Alias
- UMLS CUI [1]
- C0488813
Beschrijving
palpation Right dorsalis pedis artery
Datatype
text
Alias
- UMLS CUI [1,1]
- C0030247
- UMLS CUI [1,2]
- C0834665
Beschrijving
palpation Left dorsalis pedis artery
Datatype
text
Alias
- UMLS CUI [1,1]
- C0030247
- UMLS CUI [1,2]
- C0834666
Beschrijving
Immunologische Angaben
Alias
- UMLS CUI-1
- C1533716
- UMLS CUI-2
- C0205470
Beschrijving
Blood group
Datatype
text
Alias
- UMLS CUI [1]
- C0005810
Beschrijving
blood transfusions
Datatype
text
Alias
- UMLS CUI [1]
- C0005841
Beschrijving
Blood Transfusions period
Datatype
text
Alias
- UMLS CUI [1,1]
- C0005841
- UMLS CUI [1,2]
- C1948053
Beschrijving
Blood Transfusion
Datatype
integer
Alias
- UMLS CUI [1]
- C0005841
Beschrijving
red cell concentrate
Datatype
boolean
Beschrijving
whole blood
Datatype
boolean
Alias
- UMLS CUI [1]
- C0370231
Beschrijving
Fresh frozen plasma
Datatype
boolean
Alias
- UMLS CUI [1]
- C0016709
Beschrijving
organ transplantation
Datatype
boolean
Alias
- UMLS CUI [1]
- C0029216
Beschrijving
Organ Transplantation centre
Datatype
text
Beschrijving
year Organ Transplantation
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0439234
- UMLS CUI [1,2]
- C0029216
Beschrijving
ET-Number
Datatype
integer
Beschrijving
Antibodies
Datatype
boolean
Alias
- UMLS CUI [1]
- C0003241
Beschrijving
antibodies
Datatype
text
Alias
- UMLS CUI [1]
- C0003241
Beschrijving
Pregnancy
Datatype
boolean
Alias
- UMLS CUI [1]
- C0032961
Beschrijving
pregnancy
Datatype
text
Alias
- UMLS CUI [1]
- C0032961
Beschrijving
autoimmune disease
Datatype
boolean
Alias
- UMLS CUI [1]
- C0004364
Beschrijving
autoimmune disease
Datatype
text
Alias
- UMLS CUI [1]
- C0004364
Similar models
Registration Form Kidney Transplant
- StudyEvent: ODM
C0030705 (UMLS CUI [1,2])
C1514821 (UMLS CUI [1,3])
C0022658 (UMLS CUI [1,2])
C0019004 (UMLS CUI [1,2])
C0019014 (UMLS CUI [1,3])
C0031140 (UMLS CUI [1,4])
C0439228 (UMLS CUI [1,2])
C0542331 (UMLS CUI [1,2])
C0033213 (UMLS CUI [1,2])
C0679832 (UMLS CUI [2])
C0577960 (UMLS CUI [2])
C0437020 (UMLS CUI [2])
C0834665 (UMLS CUI [1,2])
C0834666 (UMLS CUI [1,2])
C1948053 (UMLS CUI [1,2])
C0029216 (UMLS CUI [1,2])
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