ID

15007

Beschrijving

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

Trefwoorden

Versies (2)
  1. 11-05-16 11-05-16 -
  2. 11-05-16 11-05-16 -
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11 mei 2016

DOI

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Creative Commons BY-NC 3.0
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Request for iliac crest biopsy, Pathology UKM

Duits Engels

Request for iliac crest biopsy

1 Formulieren  
Patientendaten
Beschrijving

Patientendaten

Patient Name
Beschrijving

Patient Name

Datatype

text

Alias
UMLS CUI [1]
C1299487
Patient ID
Beschrijving

Patient ID

Datatype

integer

Alias
UMLS CUI [1]
C1269815
Patient Geburtsdatum
Beschrijving

Birth Date

Datatype

date

Alias
UMLS CUI [1]
C0421451
Fallnummer
Beschrijving

Case ID

Datatype

integer

Alias
UMLS CUI [1,1]
C0868928
UMLS CUI [1,2]
C0600091
Patient Krankenversicherung
Beschrijving

Patient insurance

Datatype

text

Alias
UMLS CUI [1]
C1548070
Auftragsnummer
Beschrijving

Request ID

Datatype

text

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C1299222
Auftragstatus
Beschrijving

Request status

Datatype

text

Alias
UMLS CUI [1]
C0586246
Dringlichkeit
Beschrijving

Urgency

Datatype

text

Alias
UMLS CUI [1]
C2188402
Leistende Stelle
Beschrijving

Performing hospital department

Datatype

text

Alias
UMLS CUI [1,1]
C2986180
UMLS CUI [1,2]
C0019961
Auftragsdatum
Beschrijving

Date of request

Datatype

datetime

Alias
UMLS CUI [1,1]
C1272683
UMLS CUI [1,2]
C0011008
Anfordernde Fachabteilung
Beschrijving

Referring hospital department

Datatype

text

Alias
UMLS CUI [1,1]
C0019961
UMLS CUI [1,2]
C0205543
Anfordernde Stelle
Beschrijving

Referring medical department

Datatype

text

Alias
UMLS CUI [1,1]
C0587450
UMLS CUI [1,2]
C0205543
Anfordernder Arzt
Beschrijving

Referring Physician

Datatype

text

Alias
UMLS CUI [1]
C1709880
Terminwunsch
Beschrijving

Desired date

Datatype

date

Alias
UMLS CUI [1]
C0011008
Kommentar
Beschrijving

Comments

Datatype

text

Alias
UMLS CUI [1]
C0947611
Cave
Beschrijving

Cave

Datatype

text

Alias
UMLS CUI [1]
C0871599
Mobilität
Beschrijving

Mobility

Datatype

text

Alias
UMLS CUI [1]
C0449580
Vorbefunde
Beschrijving

Preliminary examination results

Datatype

text

Alias
UMLS CUI [1]
C1548161
Infektiosität
Beschrijving

Infectivity

Datatype

integer

Alias
UMLS CUI [1]
C0030657
Infektiosität:bitte spezifizieren Sie sonstige infektiöse Erkrankung
Beschrijving

Infectivity

Datatype

text

Alias
UMLS CUI [1]
C0030657
Versicherungsstatus stationär
Beschrijving

Inpatient insurance status

Datatype

integer

Alias
UMLS CUI [1,1]
C0021562
UMLS CUI [1,2]
C0376629
Versicherungsstatus Ambulant
Beschrijving

Outpatient insurance status

Datatype

integer

Alias
UMLS CUI [1,1]
C0029921
UMLS CUI [1,2]
C0376629
Material
Beschrijving

Type of specimen

Datatype

integer

Alias
UMLS CUI [1]
C0456204
Befunde
Beschrijving

Befunde

Klinische Befunde: Splenomegalie
Beschrijving

Clinical findings

Datatype

boolean

Alias
UMLS CUI [1]
C0037088
Klinische Befunde: Hepatomegalie
Beschrijving

Clinical findings

Datatype

boolean

Alias
UMLS CUI [1]
C0037088
Klinische Befunde:Lymphadenopathie
Beschrijving

Clinical findings

Datatype

boolean

Alias
UMLS CUI [1]
C0037088
Lokalisation vergrößerter Lymphknoten
Beschrijving

Localization

Datatype

text

Alias
UMLS CUI [1]
C0475264
Blutbild und Laborwerte
Beschrijving

Blutbild und Laborwerte

Blutsenkung
Beschrijving

ESR

Datatype

float

Alias
UMLS CUI [1]
C1176468
Lactate Dehydrogenase (LDH)
Beschrijving

LDH

Datatype

float

Maateenheden
  • U/L
Alias
UMLS CUI [1]
C0202113
U/L
Serumeisen
Beschrijving

Serum Iron

Datatype

float

Alias
UMLS CUI [1]
C0036810
Ferritin
Beschrijving

Ferritin

Datatype

float

Alias
UMLS CUI [1]
C0373607
Paraprotein
Beschrijving

Paraprotein

Datatype

float

Maateenheden
  • g/dl
Alias
UMLS CUI [1]
C0030490
g/dl
Hämoglobin
Beschrijving

Hemoglobin

Datatype

float

Alias
UMLS CUI [1]
C0518015
Erythrozyten
Beschrijving

Erythrocytes

Datatype

float

Alias
UMLS CUI [1]
C0014772
Retikulozyten
Beschrijving

Reticulocytes

Datatype

float

Alias
UMLS CUI [1]
C0206161
Hämatokrit
Beschrijving

Hematocrit

Datatype

float

Alias
UMLS CUI [1]
C0518014
MCV
Beschrijving

MCV

Datatype

float

Alias
UMLS CUI [1]
C1948043
Leukozyten
Beschrijving

Leucocytes

Datatype

float

Alias
UMLS CUI [1]
C0023508
Thrombozyten
Beschrijving

Platelets

Datatype

float

Alias
UMLS CUI [1]
C0032181
ALP
Beschrijving

ALP

Datatype

float

Alias
UMLS CUI [1]
C0201850
Peripheres Blut:sonstige
Beschrijving

Peripheral blood analysis

Datatype

text

Alias
UMLS CUI [1,1]
C0229664
UMLS CUI [1,2]
C0936012
Differentialblutbild
Beschrijving

Differentialblutbild

Stabkernige
Beschrijving

Band neutrophils

Datatype

integer

Maateenheden
  • %
Alias
UMLS CUI [1]
C1882076
%
Segmentkernige
Beschrijving

Segmented neutrophils

Datatype

integer

Maateenheden
  • %
Alias
UMLS CUI [1]
C0942466
%
Eosinophile
Beschrijving

Eosinophils

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0200638
%
Basophile
Beschrijving

Basophils

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0200641
%
Monozyten
Beschrijving

Monocytes

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0200637
%
Lymphozyten
Beschrijving

Lymphocytes

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0200635
%
Blasten
Beschrijving

Blasts

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C0523113
%
Plasmazellen
Beschrijving

Plasma cells

Datatype

integer

Maateenheden
  • %
Alias
UMLS CUI [1]
C0581142
%
Sonstige
Beschrijving

Other

Datatype

text

Alias
UMLS CUI [1]
C0205394
Diagnose
Beschrijving

Diagnose

Ärztlicher Ansprechpartner
Beschrijving

Responsible physician

Datatype

text

Alias
UMLS CUI [1]
C1710470
Telefonnummer für Rückfragen/Benachrichtigungen
Beschrijving

Phone contact

Datatype

integer

Alias
UMLS CUI [1]
C3476398
Fax Nummer
Beschrijving

Fax number

Datatype

integer

Alias
UMLS CUI [1,1]
C1710470
UMLS CUI [1,2]
C1549619
Klinische Diagnose
Beschrijving

Clinical Diagnosis

Datatype

text

Alias
UMLS CUI [1]
C0332140
Spezifische Vortherapien
Beschrijving

Specific prior treatment

Datatype

text

Alias
UMLS CUI [1]
C1514463
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Similar models

Request for iliac crest biopsy

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patientendaten
Patient Name
Item
Patient Name
text
C1299487 (UMLS CUI [1])
Patient ID
Item
Patient ID
integer
C1269815 (UMLS CUI [1])
Birth Date
Item
Patient Geburtsdatum
date
C0421451 (UMLS CUI [1])
Case ID
Item
Fallnummer
integer
C0868928 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Patient insurance
Item
Patient Krankenversicherung
text
C1548070 (UMLS CUI [1])
Request ID
Item
Auftragsnummer
text
C1272683 (UMLS CUI [1,1])
C1299222 (UMLS CUI [1,2])
Request status
Item
Auftragstatus
text
C0586246 (UMLS CUI [1])
Urgency
Item
Dringlichkeit
text
C2188402 (UMLS CUI [1])
Performing hospital department
Item
Leistende Stelle
text
C2986180 (UMLS CUI [1,1])
C0019961 (UMLS CUI [1,2])
Date of request
Item
Auftragsdatum
datetime
C1272683 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Referring hospital department
Item
Anfordernde Fachabteilung
text
C0019961 (UMLS CUI [1,1])
C0205543 (UMLS CUI [1,2])
Referring medical department
Item
Anfordernde Stelle
text
C0587450 (UMLS CUI [1,1])
C0205543 (UMLS CUI [1,2])
Referring Physician
Item
Anfordernder Arzt
text
C1709880 (UMLS CUI [1])
Desired date
Item
Terminwunsch
date
C0011008 (UMLS CUI [1])
Comments
Item
Kommentar
text
C0947611 (UMLS CUI [1])
Cave
Item
Cave
text
C0871599 (UMLS CUI [1])
Mobility
Item
Mobilität
text
C0449580 (UMLS CUI [1])
Preliminary examination results
Item
Vorbefunde
text
C1548161 (UMLS CUI [1])
Item
Infektiosität
integer
C0030657 (UMLS CUI [1])
Infectivity
Code List
Infektiosität
CL Item
Keine (1)
CL Item
Nicht bekannt (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
Sonstiges (9)
Infectivity
Item
Infektiosität:bitte spezifizieren Sie sonstige infektiöse Erkrankung
text
C0030657 (UMLS CUI [1])
Item
Versicherungsstatus stationär
integer
C0021562 (UMLS CUI [1,1])
C0376629 (UMLS CUI [1,2])
Inpatient insurance status
Code List
Versicherungsstatus stationär
CL Item
Regelleistung (1)
CL Item
Wahlleistung/Arzt (2)
Item
Versicherungsstatus Ambulant
integer
C0029921 (UMLS CUI [1,1])
C0376629 (UMLS CUI [1,2])
Outpatient insurance status
Code List
Versicherungsstatus Ambulant
CL Item
Krankenkasse (1)
CL Item
Privat (2)
Item
Material
integer
C0456204 (UMLS CUI [1])
Type of specimen
Code List
Material
CL Item
Schnellschnitt (1)
CL Item
Gewebe (2)
CL Item
Punktat (3)
CL Item
Ausstrich (4)
Item Group
Befunde
Clinical findings
Item
Klinische Befunde: Splenomegalie
boolean
C0037088 (UMLS CUI [1])
Clinical findings
Item
Klinische Befunde: Hepatomegalie
boolean
C0037088 (UMLS CUI [1])
Clinical findings
Item
Klinische Befunde:Lymphadenopathie
boolean
C0037088 (UMLS CUI [1])
Localization
Item
Lokalisation vergrößerter Lymphknoten
text
C0475264 (UMLS CUI [1])
Item Group
Blutbild und Laborwerte
ESR
Item
Blutsenkung
float
C1176468 (UMLS CUI [1])
LDH
Item
Lactate Dehydrogenase (LDH)
float
C0202113 (UMLS CUI [1])
Serum Iron
Item
Serumeisen
float
C0036810 (UMLS CUI [1])
Ferritin
Item
Ferritin
float
C0373607 (UMLS CUI [1])
Paraprotein
Item
Paraprotein
float
C0030490 (UMLS CUI [1])
Hemoglobin
Item
Hämoglobin
float
C0518015 (UMLS CUI [1])
Erythrocytes
Item
Erythrozyten
float
C0014772 (UMLS CUI [1])
Reticulocytes
Item
Retikulozyten
float
C0206161 (UMLS CUI [1])
Hematocrit
Item
Hämatokrit
float
C0518014 (UMLS CUI [1])
MCV
Item
MCV
float
C1948043 (UMLS CUI [1])
Leucocytes
Item
Leukozyten
float
C0023508 (UMLS CUI [1])
Platelets
Item
Thrombozyten
float
C0032181 (UMLS CUI [1])
ALP
Item
ALP
float
C0201850 (UMLS CUI [1])
Peripheral blood analysis
Item
Peripheres Blut:sonstige
text
C0229664 (UMLS CUI [1,1])
C0936012 (UMLS CUI [1,2])
Item Group
Differentialblutbild
Band neutrophils
Item
Stabkernige
integer
C1882076 (UMLS CUI [1])
Segmented neutrophils
Item
Segmentkernige
integer
C0942466 (UMLS CUI [1])
Eosinophils
Item
Eosinophile
float
C0200638 (UMLS CUI [1])
Basophils
Item
Basophile
float
C0200641 (UMLS CUI [1])
Monocytes
Item
Monozyten
float
C0200637 (UMLS CUI [1])
Lymphocytes
Item
Lymphozyten
float
C0200635 (UMLS CUI [1])
Blasts
Item
Blasten
float
C0523113 (UMLS CUI [1])
Plasma cells
Item
Plasmazellen
integer
C0581142 (UMLS CUI [1])
Other
Item
Sonstige
text
C0205394 (UMLS CUI [1])
Item Group
Diagnose
Responsible physician
Item
Ärztlicher Ansprechpartner
text
C1710470 (UMLS CUI [1])
Phone contact
Item
Telefonnummer für Rückfragen/Benachrichtigungen
integer
C3476398 (UMLS CUI [1])
Fax number
Item
Fax Nummer
integer
C1710470 (UMLS CUI [1,1])
C1549619 (UMLS CUI [1,2])
Clinical Diagnosis
Item
Klinische Diagnose
text
C0332140 (UMLS CUI [1])
Specific prior treatment
Item
Spezifische Vortherapien
text
C1514463 (UMLS CUI [1])
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