ID

42173

Description

Befundbogen fuer die Aufnahme von Patienten in der Nierentrasplantransplantion, siehe Laborbefund_Nierentransplantationspatient für den entsprechenden Laborbefundbogen. Quelle: Transplantationsnephrologie, Wartelistenbüro, Univeritätsklinikum Münster

Keywords

  1. 11/12/13 11/12/13 - Julian Varghese
  2. 11/13/13 11/13/13 - Julian Varghese
  3. 11/13/13 11/13/13 - Julian Varghese
  4. 4/13/21 4/13/21 - Dr. rer. medic Philipp Neuhaus
Uploaded on

April 13, 2021

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Befundbogen_NTX_ohneLabor S.0002 Befundbogen_NTX_ohneLabor

Befundbogen_NTX_ohneLabor

  1. StudyEvent: Befundbogen_NTX_ohneLabor
    1. Befundbogen_NTX_ohneLabor
Patient's identity details
Description

Patient's identity details

Identification no
Description

PatientsIDNo

Data type

string

Registration Date
Description

PatientsRegDate

Data type

date

Last Name
Description

PatientLastName

Data type

string

Alias
UMLS CUI
C0421448
First Name
Description

PatientFirstName

Data type

string

Alias
UMLS CUI
C0421447
Sex (m/f)
Description

Sex

Data type

string

Birthname
Description

Birthname

Data type

string

Date of birth
Description

PatientDateOfBirth

Data type

date

Alias
UMLS CUI
C0421451
Birthplace
Description

PatientBirthplace

Data type

string

Alias
UMLS CUI
C0032040
Nationality
Description

PatientNationality

Data type

string

Alias
UMLS CUI
C0027473
Residence
Description

PatientResidence

Data type

string

Alias
UMLS CUI
C0237096
Residential phone no
Description

PatientResidentialPhoneNumber

Data type

string

Alias
UMLS CUI
C2825559
Cellular phone no
Description

PatientCellularPhoneNumber

Data type

string

Alias
UMLS CUI
C2825539
EmailAddress
Description

PatientEmailAddress

Data type

string

Alias
UMLS CUI
C1705961
Relatives phone no
Description

RelativesPhoneNumber

Data type

string

Alias
UMLS CUI
C1515258
Name of health insurance
Description

PatientHealthInsuranceName

Data type

string

Alias
UMLS CUI
C0021682
Health Insurance no
Description

PatientHealthInsuranceNumber

Data type

string

Health Insurance Residence
Description

HealthinsuranceResidence

Data type

string

Alias
UMLS CUI
C0237096
Dialysis center
Description

Dialysis center

Residence
Description

DialysisCenterResidence

Data type

string

Alias
UMLS CUI
C0237096
Phone no
Description

DialysisCenterPhoneNumber

Data type

string

Alias
UMLS CUI
C1515258
Residential Phonenumber
Description

DialysisCenterPhysicianPhoneNumber

Data type

string

Alias
UMLS CUI
C1515258
Fax no
Description

DialysisCenterFaxNumber

Data type

string

Alias
UMLS CUI
C1549619
Treating physicians
Description

DialysisCenterTreatingPhysician

Data type

string

Alias
UMLS CUI
C0031831
Cellular Phonenumber
Description

DialysisCenterPhysicianCellularPhoneNumber

Data type

string

Alias
UMLS CUI
C2825539
Email address
Description

DialysisCenterPhysicianEmailAddress

Data type

string

Alias
UMLS CUI
C1705961
Patient's Immunology
Description

Patient's Immunology

BloodGroup (AB)
Description

PatientBloodGroupAB

Data type

string

Alias
UMLS CUI
C0000778
Rh-positive?
Description

PatientBloodGroupRh

Data type

boolean

Alias
UMLS CUI
CL386618
HLA-Class-1
Description

PatientHLA-Class-1

Data type

string

Alias
UMLS CUI
C0017355
HLA-Class-2
Description

PatientHLA-Class-2

Data type

string

Alias
UMLS CUI
C0017349
HLA-Type
Description

PatientHLA-Type

Data type

string

Alias
UMLS CUI
C1301630
HLA-Antibodies
Description

PatientHLA-Antibodies

Data type

string

Elisa antigen capture
Description

PatientElisaAntigenCapture

Data type

string

Alias
UMLS CUI
C1553127
Tx Immunology Pecularities
Description

PatientTransplantationImmunologyPecularities

Data type

string

Conversations
Description

Conversations

GroupTalk
Description

GroupTalk-GeneralInformation

Data type

date

IndividualTalk
Description

IndividualTalk

Data type

date

Family anamnesis
Description

Family anamnesis

Father
Description

DiagnosesComplicationsFather

Data type

string

Alias
UMLS CUI
C2598122
UMLS CUI
C2348513
Mother
Description

DiagnosesComplicationsMother

Data type

string

Alias
UMLS CUI
C2598122
UMLS CUI
C0026591
Siblings
Description

DiagnosesComplicationsSiblings

Data type

string

Alias
UMLS CUI
C2598122
UMLS CUI
C0037047
Patient's Anamnesis
Description

Patient's Anamnesis

Occupation
Description

PatientOccupation

Data type

string

Alias
UMLS CUI
C0028811
FamilyStatus
Description

PatientFamilyStatus

Data type

string

Alias
UMLS CUI
C0344348
No of children
Description

PatientNoChildren

Data type

string

Alias
UMLS CUI
C0008059
UMLS CUI
C0750480
Prior diagnoses
Description

PatientDiagnoses

Data type

string

Alias
UMLS CUI
C2598122
existing Art. Hypertension?
Description

PatiernhasArterialHypertension

Data type

boolean

Alias
UMLS CUI
C0020538
existing Diab. Mel.?
Description

PatiernhasDM

Data type

boolean

Alias
UMLS CUI
C0011849
existing nicotin abusus?
Description

PatientNicotinAbusus

Data type

boolean

Alias
UMLS CUI
C2363943
TobaccoConsumptionInPackYears
Description

TobaccoConsumptionInPackYears

Data type

string

Alias
UMLS CUI
C1277691
Prior Surgeries
Description

PriorSurgeries

Data type

string

Alias
UMLS CUI
C0455610
History of childhood diseases
Description

History of childhood diseases

Data type

string

Alias
UMLS CUI
C0489532
Vaccinations
Description

Vaccinations

Data type

string

Alias
UMLS CUI
C0042196
Infection with Tbc
Description

tbc_infection

Data type

boolean

Alias
UMLS CUI
C0041296
Infection with a Hepatitis Virus
Description

hepatitis_infection

Data type

boolean

Alias
UMLS CUI
C0019158
No of pregnancies
Description

numberofpregnancies

Data type

string

Alias
UMLS CUI
C0422807
Renal Anamnesis
Description

Renal Anamnesis

Date initial renal disease diagnose
Description

DateInitialDiagnosisRenal

Data type

date

Alias
UMLS CUI
C0022658
UMLS CUI
C0574845
Renal puncture and/or histology
Description

RenalPunctureHistology

Data type

boolean

Urinary Infections
Description

Urinaryinfections

Data type

boolean

NSAR medication (Aspirin, Ibuprofen, Diclofenac, etc)
Description

NSAR

Data type

boolean

Date of initial diagnosis of Arterial Hypertension
Description

DateInitialDiagnosisHypertension

Data type

date

Alias
UMLS CUI
C2584899
Fundus Hypertonicus
Description

FundusHypertonicus

Data type

boolean

Alias
UMLS CUI
C1328470
Treatment of high blood pressure
Description

TreatmentHighBloodPressure

Data type

boolean

Alias
UMLS CUI
C0422740
Date of first dialysis
Description

DateofFirstDialysis

Data type

date

Residual diuresis
Description

ResidualDiuresis

Data type

string

Sort of dialysis
Description

SortOfDialysis

Data type

string

Alias
UMLS CUI
C0008976
Dialysis access
Description

DialysisAccess

Data type

string

existing Ostepathy
Description

hasOstepathy

Data type

boolean

existing Polyneuropathy
Description

hasPolyneuropathy

Data type

boolean

Allergies
Description

Allergies

Data type

string

Medication (drug, dose, intakefrequency)
Description

Medication

Data type

string

Results of obligatory examinations
Description

Results of obligatory examinations

Body height
Description

BodyHeight

Data type

string

Urological Council (for men >40ys + measuring t-PSA , for women with urinary reflux-diseases or reoccuring urinary infections)
Description

UrologicalCouncil

Data type

boolean

Urin volum (ml/24hrs)
Description

UrinVolume

Data type

string

Bladder capacity (including unit of measurement)
Description

BladderCapacity

Data type

string

For Women: Gynacological examination
Description

GynocologicalExaminationRes

Data type

string

For Women >40ys or >35ys with pos. family anamnesis): Mammography
Description

Mammography

Data type

string

Date of adominal and thyreoid ultrasound
Description

DateAbdominalThyreoiUltrasound

Data type

date

Size of kidney in ultrasound (cm)
Description

SizeOfKidney

Data type

string

Gallbladder and Biliary Tracts ultrasound (results)
Description

GallbladderBiliaryTractsRes

Data type

string

Splen ultrasound (results)
Description

SplenRes

Data type

string

Pancreas ultrasound (results)
Description

PancreasRes

Data type

string

Abdominal Vessels utlrasound (results)
Description

AbdominalVessels

Data type

string

Thyroid and parathyroid ultrasound (results)
Description

ThyroidParathyroidRes

Data type

string

Chest X-ray(results)
Description

ChestXrayRes

Data type

string

Ecg (result, please attach a copy of ecg)
Description

EcgRes

Data type

string

Cardiac ultrasound (results)
Description

CardiacUltraSoundRes

Data type

string

Myocardial szintigraphy under Adenosin(results)
Description

MyocardialSzyintigraphyRes

Data type

string

Stress echocardiography under pharmacological burden (results)
Description

StressechocardiographyRes

Data type

string

Doppler ultrasound of Neck-,Pelvic-,Leg-vessels
Description

DopplerUltrasoundNeckPelvisLegsRes

Data type

string

Results of optional examinations (only on indication)
Description

Results of optional examinations (only on indication)

Coronary angiography (e.g. after pathologic Stress echokardiogray result)
Description

CoronaryAngiographyRes

Data type

string

Angiography of pelvic- and Leg-vessels (e.g. after PAOD)
Description

AngiographyPelvisLegs

Data type

string

Lung function test (e.g. after Nicotine abuse, COPD, restrice lung disease)
Description

LungFunctionRes

Data type

string

Gastroskopy (e.g. after reoccuring gastritis, GERD-symptoms)
Description

GastroskopyRes

Data type

string

24 hours blood pressure measuring (e.g. after resistant arterial hypertension)
Description

Twentyfour_hours_BPMRes

Data type

string

ENT Council (e.g. after chronical sinusitis)
Description

ENTCouncilRes

Data type

string

X-Ray of the paranasal sinuses (e.g. after chronical sinusitis)
Description

ParanasalSinusesXRayRes

Data type

string

Ultrasound of paranasal sinuses (e.g. after chronical sinusitis)
Description

ParanasalSinusesUltrasoundRes

Data type

string

Dermatology Council (e.g. after multiple naevi, basalioma, actinic keratosis, mykosis, prior kidney tx)
Description

DermatologyCouncilRes

Data type

string

OMS or Dental Council
Description

OMSDentalCouncil

Data type

string

Similar models

Befundbogen_NTX_ohneLabor

  1. StudyEvent: Befundbogen_NTX_ohneLabor
    1. Befundbogen_NTX_ohneLabor
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient's identity details
PatientsIDNo
Item
Identification no
string
PatientsRegDate
Item
Registration Date
date
PatientLastName
Item
Last Name
string
C0421448 (UMLS CUI )
PatientFirstName
Item
First Name
string
C0421447 (UMLS CUI )
Sex
Item
Sex (m/f)
string
Birthname
Item
Birthname
string
PatientDateOfBirth
Item
Date of birth
date
C0421451 (UMLS CUI )
PatientBirthplace
Item
Birthplace
string
C0032040 (UMLS CUI )
PatientNationality
Item
Nationality
string
C0027473 (UMLS CUI )
PatientResidence
Item
Residence
string
C0237096 (UMLS CUI )
PatientResidentialPhoneNumber
Item
Residential phone no
string
C2825559 (UMLS CUI )
PatientCellularPhoneNumber
Item
Cellular phone no
string
C2825539 (UMLS CUI )
PatientEmailAddress
Item
EmailAddress
string
C1705961 (UMLS CUI )
RelativesPhoneNumber
Item
Relatives phone no
string
C1515258 (UMLS CUI )
PatientHealthInsuranceName
Item
Name of health insurance
string
C0021682 (UMLS CUI )
PatientHealthInsuranceNumber
Item
Health Insurance no
string
HealthinsuranceResidence
Item
Health Insurance Residence
string
C0237096 (UMLS CUI )
Item Group
Dialysis center
DialysisCenterResidence
Item
Residence
string
C0237096 (UMLS CUI )
DialysisCenterPhoneNumber
Item
Phone no
string
C1515258 (UMLS CUI )
DialysisCenterPhysicianPhoneNumber
Item
Residential Phonenumber
string
C1515258 (UMLS CUI )
DialysisCenterFaxNumber
Item
Fax no
string
C1549619 (UMLS CUI )
DialysisCenterTreatingPhysician
Item
Treating physicians
string
C0031831 (UMLS CUI )
DialysisCenterPhysicianCellularPhoneNumber
Item
Cellular Phonenumber
string
C2825539 (UMLS CUI )
DialysisCenterPhysicianEmailAddress
Item
Email address
string
C1705961 (UMLS CUI )
Item Group
Patient's Immunology
PatientBloodGroupAB
Item
BloodGroup (AB)
string
C0000778 (UMLS CUI )
PatientBloodGroupRh
Item
Rh-positive?
boolean
CL386618 (UMLS CUI )
PatientHLA-Class-1
Item
HLA-Class-1
string
C0017355 (UMLS CUI )
PatientHLA-Class-2
Item
HLA-Class-2
string
C0017349 (UMLS CUI )
PatientHLA-Type
Item
HLA-Type
string
C1301630 (UMLS CUI )
PatientHLA-Antibodies
Item
HLA-Antibodies
string
PatientElisaAntigenCapture
Item
Elisa antigen capture
string
C1553127 (UMLS CUI )
PatientTransplantationImmunologyPecularities
Item
Tx Immunology Pecularities
string
Item Group
Conversations
GroupTalk-GeneralInformation
Item
GroupTalk
date
IndividualTalk
Item
IndividualTalk
date
Item Group
Family anamnesis
DiagnosesComplicationsFather
Item
Father
string
C2598122 (UMLS CUI )
C2348513 (UMLS CUI )
DiagnosesComplicationsMother
Item
Mother
string
C2598122 (UMLS CUI )
C0026591 (UMLS CUI )
DiagnosesComplicationsSiblings
Item
Siblings
string
C2598122 (UMLS CUI )
C0037047 (UMLS CUI )
Item Group
Patient's Anamnesis
PatientOccupation
Item
Occupation
string
C0028811 (UMLS CUI )
PatientFamilyStatus
Item
FamilyStatus
string
C0344348 (UMLS CUI )
PatientNoChildren
Item
No of children
string
C0008059 (UMLS CUI )
C0750480 (UMLS CUI )
PatientDiagnoses
Item
Prior diagnoses
string
C2598122 (UMLS CUI )
PatiernhasArterialHypertension
Item
existing Art. Hypertension?
boolean
C0020538 (UMLS CUI )
PatiernhasDM
Item
existing Diab. Mel.?
boolean
C0011849 (UMLS CUI )
PatientNicotinAbusus
Item
existing nicotin abusus?
boolean
C2363943 (UMLS CUI )
TobaccoConsumptionInPackYears
Item
TobaccoConsumptionInPackYears
string
C1277691 (UMLS CUI )
PriorSurgeries
Item
Prior Surgeries
string
C0455610 (UMLS CUI )
History of childhood diseases
Item
History of childhood diseases
string
C0489532 (UMLS CUI )
Vaccinations
Item
Vaccinations
string
C0042196 (UMLS CUI )
tbc_infection
Item
Infection with Tbc
boolean
C0041296 (UMLS CUI )
hepatitis_infection
Item
Infection with a Hepatitis Virus
boolean
C0019158 (UMLS CUI )
numberofpregnancies
Item
No of pregnancies
string
C0422807 (UMLS CUI )
Item Group
Renal Anamnesis
DateInitialDiagnosisRenal
Item
Date initial renal disease diagnose
date
C0022658 (UMLS CUI )
C0574845 (UMLS CUI )
RenalPunctureHistology
Item
Renal puncture and/or histology
boolean
Urinaryinfections
Item
Urinary Infections
boolean
NSAR
Item
NSAR medication (Aspirin, Ibuprofen, Diclofenac, etc)
boolean
DateInitialDiagnosisHypertension
Item
Date of initial diagnosis of Arterial Hypertension
date
C2584899 (UMLS CUI )
FundusHypertonicus
Item
Fundus Hypertonicus
boolean
C1328470 (UMLS CUI )
TreatmentHighBloodPressure
Item
Treatment of high blood pressure
boolean
C0422740 (UMLS CUI )
DateofFirstDialysis
Item
Date of first dialysis
date
ResidualDiuresis
Item
Residual diuresis
string
SortOfDialysis
Item
Sort of dialysis
string
C0008976 (UMLS CUI )
DialysisAccess
Item
Dialysis access
string
hasOstepathy
Item
existing Ostepathy
boolean
hasPolyneuropathy
Item
existing Polyneuropathy
boolean
Allergies
Item
Allergies
string
Medication
Item
Medication (drug, dose, intakefrequency)
string
Item Group
Results of obligatory examinations
BodyHeight
Item
Body height
string
UrologicalCouncil
Item
Urological Council (for men >40ys + measuring t-PSA , for women with urinary reflux-diseases or reoccuring urinary infections)
boolean
UrinVolume
Item
Urin volum (ml/24hrs)
string
BladderCapacity
Item
Bladder capacity (including unit of measurement)
string
GynocologicalExaminationRes
Item
For Women: Gynacological examination
string
Mammography
Item
For Women >40ys or >35ys with pos. family anamnesis): Mammography
string
DateAbdominalThyreoiUltrasound
Item
Date of adominal and thyreoid ultrasound
date
SizeOfKidney
Item
Size of kidney in ultrasound (cm)
string
GallbladderBiliaryTractsRes
Item
Gallbladder and Biliary Tracts ultrasound (results)
string
SplenRes
Item
Splen ultrasound (results)
string
PancreasRes
Item
Pancreas ultrasound (results)
string
AbdominalVessels
Item
Abdominal Vessels utlrasound (results)
string
ThyroidParathyroidRes
Item
Thyroid and parathyroid ultrasound (results)
string
ChestXrayRes
Item
Chest X-ray(results)
string
EcgRes
Item
Ecg (result, please attach a copy of ecg)
string
CardiacUltraSoundRes
Item
Cardiac ultrasound (results)
string
MyocardialSzyintigraphyRes
Item
Myocardial szintigraphy under Adenosin(results)
string
StressechocardiographyRes
Item
Stress echocardiography under pharmacological burden (results)
string
DopplerUltrasoundNeckPelvisLegsRes
Item
Doppler ultrasound of Neck-,Pelvic-,Leg-vessels
string
Item Group
Results of optional examinations (only on indication)
CoronaryAngiographyRes
Item
Coronary angiography (e.g. after pathologic Stress echokardiogray result)
string
AngiographyPelvisLegs
Item
Angiography of pelvic- and Leg-vessels (e.g. after PAOD)
string
LungFunctionRes
Item
Lung function test (e.g. after Nicotine abuse, COPD, restrice lung disease)
string
GastroskopyRes
Item
Gastroskopy (e.g. after reoccuring gastritis, GERD-symptoms)
string
Twentyfour_hours_BPMRes
Item
24 hours blood pressure measuring (e.g. after resistant arterial hypertension)
string
ENTCouncilRes
Item
ENT Council (e.g. after chronical sinusitis)
string
ParanasalSinusesXRayRes
Item
X-Ray of the paranasal sinuses (e.g. after chronical sinusitis)
string
ParanasalSinusesUltrasoundRes
Item
Ultrasound of paranasal sinuses (e.g. after chronical sinusitis)
string
DermatologyCouncilRes
Item
Dermatology Council (e.g. after multiple naevi, basalioma, actinic keratosis, mykosis, prior kidney tx)
string
OMSDentalCouncil
Item
OMS or Dental Council
string

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