Informações:
Falhas:
ID
15007
Descrição
Request for iliac crest biopsy, Pathology UKM Please use this form for requests for iliac crest biopsy. 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
Palavras-chave
Versões (2)
- 11/05/2016 11/05/2016 -
- 11/05/2016 11/05/2016 -
Transferido a
11 de maio de 2016
DOI
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Licença
Creative Commons BY-NC 3.0
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Request for iliac crest biopsy, Pathology UKM
Request for iliac crest biopsy
- StudyEvent: ODM
Similar models
Request for iliac crest biopsy
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient ID
Item
Patient ID
integer
C1269815 (UMLS CUI [1])
Birth Date
Item
Patient Birth Date
date
C0421451 (UMLS CUI [1])
Case ID
Item
Case ID
integer
C0868928 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,2])
Patient insurance
Item
Patient insurance
text
C1548070 (UMLS CUI [1])
Request ID
Item
Request ID
text
C1272683 (UMLS CUI [1,1])
C1299222 (UMLS CUI [1,2])
C1299222 (UMLS CUI [1,2])
Request status
Item
Request status
text
C0586246 (UMLS CUI [1])
Urgency
Item
Urgency of procedure
text
C2188402 (UMLS CUI [1])
Performing hospital department
Item
Performing hospital department
text
C2986180 (UMLS CUI [1,1])
C0019961 (UMLS CUI [1,2])
C0019961 (UMLS CUI [1,2])
Date of request
Item
Date and time of request
datetime
C1272683 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Referring hospital department
Item
Referring hospital department
text
C0019961 (UMLS CUI [1,1])
C0205543 (UMLS CUI [1,2])
C0205543 (UMLS CUI [1,2])
Referring medical department
Item
Referring medical department
text
C0587450 (UMLS CUI [1,1])
C0205543 (UMLS CUI [1,2])
C0205543 (UMLS CUI [1,2])
Referring Physician
Item
Referring Physician name
text
C1709880 (UMLS CUI [1])
Desired date
Item
Desired date
date
C0011008 (UMLS CUI [1])
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Cave
Item
Cave
text
C0871599 (UMLS CUI [1])
Mobility
Item
Mobility
text
C0449580 (UMLS CUI [1])
Preliminary examination results
Item
Preliminary examination results
text
C1548161 (UMLS CUI [1])
CL Item
None (1)
CL Item
Unknown (2)
CL Item
Hep B (3)
CL Item
Hep C (4)
CL Item
Tbc (5)
CL Item
HIV (6)
CL Item
VRE (7)
CL Item
MRSA (8)
CL Item
Other (9)
Infectivity
Item
Infectivity:please specify other infectious disease
text
C0030657 (UMLS CUI [1])
Item
Inpatient insurance status
integer
C0021562 (UMLS CUI [1,1])
C0376629 (UMLS CUI [1,2])
C0376629 (UMLS CUI [1,2])
CL Item
Standard care (1)
CL Item
Elective care/ choice of physician (2)
Item
Outpatient insurance status
integer
C0029921 (UMLS CUI [1,1])
C0376629 (UMLS CUI [1,2])
C0376629 (UMLS CUI [1,2])
CL Item
Beneficial insurance (1)
CL Item
Privat insurance (2)
CL Item
Frozen section (1)
CL Item
Tissue (2)
CL Item
Puncture fluid (3)
CL Item
Smear (4)
Clinical findings
Item
Clinical findings: Splenomegaly
boolean
C0037088 (UMLS CUI [1])
Clinical findings
Item
Clinical findings: Hepatomegaly
boolean
C0037088 (UMLS CUI [1])
Clinical findings
Item
Clinical findings:Lymphadenopathy
boolean
C0037088 (UMLS CUI [1])
Localization
Item
Localization of enlarged lymph node(s)
text
C0475264 (UMLS CUI [1])
ESR
Item
Erythrocyte Sedimentation Rate
float
C1176468 (UMLS CUI [1])
LDH
Item
Lactate Dehydrogenase (LDH)
float
C0202113 (UMLS CUI [1])
Serum Iron
Item
Serum Iron
float
C0036810 (UMLS CUI [1])
Ferritin
Item
Ferritin
float
C0373607 (UMLS CUI [1])
Paraprotein
Item
Paraprotein
float
C0030490 (UMLS CUI [1])
Hemoglobin
Item
Hemoglobin
float
C0518015 (UMLS CUI [1])
Erythrocytes
Item
Erythrocytes
float
C0014772 (UMLS CUI [1])
Reticulocytes
Item
Reticulocytes
float
C0206161 (UMLS CUI [1])
Hematocrit
Item
Hematocrit
float
C0518014 (UMLS CUI [1])
MCV
Item
Mean Corpuscular Volume
float
C1948043 (UMLS CUI [1])
Leucocytes
Item
Leukocytes
float
C0023508 (UMLS CUI [1])
Platelets
Item
Platelet count
float
C0032181 (UMLS CUI [1])
ALP
Item
ALP
float
C0201850 (UMLS CUI [1])
Peripheral blood analysis
Item
Peripheral blood analysis:other,please specify
text
C0229664 (UMLS CUI [1,1])
C0936012 (UMLS CUI [1,2])
C0936012 (UMLS CUI [1,2])
Band neutrophils
Item
Band neutrophils
integer
C1882076 (UMLS CUI [1])
Segmented neutrophils
Item
Segmented neutrophils
integer
C0942466 (UMLS CUI [1])
Eosinophils
Item
Eosinophils
float
C0200638 (UMLS CUI [1])
Basophils
Item
Basophils
float
C0200641 (UMLS CUI [1])
Monocytes
Item
Monocytes
float
C0200637 (UMLS CUI [1])
Lymphocytes
Item
Lymphocytes
float
C0200635 (UMLS CUI [1])
Blasts
Item
Blasts
float
C0523113 (UMLS CUI [1])
Plasma cells
Item
Plasma cells
integer
C0581142 (UMLS CUI [1])
Other
Item
Please specify other
text
C0205394 (UMLS CUI [1])
Responsible physician
Item
Responsible physician name
text
C1710470 (UMLS CUI [1])
Phone contact
Item
Please enter a phone number for contact
integer
C3476398 (UMLS CUI [1])
Fax number
Item
Fax number
integer
C1710470 (UMLS CUI [1,1])
C1549619 (UMLS CUI [1,2])
C1549619 (UMLS CUI [1,2])
Clinical Diagnosis
Item
Clinical Diagnosis
text
C0332140 (UMLS CUI [1])
Specific prior treatment
Item
Specific prior treatment
text
C1514463 (UMLS CUI [1])