Befundbogen_NTX_ohneLabor S.0002 Befundbogen_NTX_ohneLabor

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

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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