Registration Form Kidney Transplant

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Personal Information
C2983694 (UMLS CUI-1)
Patient address
Item
Patient's address
text
C0421449 (UMLS CUI [1])
occupation
Item
Patient's occupatioin
text
C0028811 (UMLS CUI [1])
Employer
Item
Employer
text
C1274022 (UMLS CUI [1])
Telephone number
Item
Telephone number
integer
C0039457 (UMLS CUI [1])
health insurance
Item
Health insurance
text
C1548070 (UMLS CUI [1])
Item
Status
text
C0079399 (UMLS CUI [1])
Gender
Code List
Status
CL Item
M (1)
CL Item
F (2)
CL Item
R (3)
health insurance
Item
Membership number
integer
C1548070 (UMLS CUI [1])
Dialysis Center
Item
Dialysis Center
text
C1707735 (UMLS CUI [1])
Telephone
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
attending physician
Item
Attending physician
text
C1320929 (UMLS CUI [1])
Telephone
Item
Telephone number
integer
C1515258 (UMLS CUI [1])
Item
Transplant type
text
C0022671 (UMLS CUI [1])
kidney transplant
Code List
Transplant type
CL Item
deceased Kidney transplant (1)
CL Item
live transplant (2)
Item
Kidney transplant
text
C0022671 (UMLS CUI [1])
Kidney transplant
Code List
Kidney transplant
CL Item
1. Tx (1)
CL Item
2. Tx (2)
date of registration
Item
Date of registration
date
C0011008 (UMLS CUI [1,1])
C0030705 (UMLS CUI [1,2])
C1514821 (UMLS CUI [1,3])
Item Group
Diagnosis
C0011900 (UMLS CUI-1)
kidney disease
Item
Primary kidney disease
text
C0022658 (UMLS CUI [1])
histology kidney disease
Item
Histological confirmation
boolean
C0019638 (UMLS CUI [1,1])
C0022658 (UMLS CUI [1,2])
diagnosis date
Item
Date of diagnosis
date
C2316983 (UMLS CUI [1])
diagnosis
Item
Further diagnosis
text
C0011900 (UMLS CUI [1])
Item Group
Therapy
C0087111 (UMLS CUI-1)
dialysis date
Item
Date of first dialysis
date
C3262256 (UMLS CUI [1])
Item
Type of dialysis
text
C0011946 (UMLS CUI [1,1])
C0019004 (UMLS CUI [1,2])
C0019014 (UMLS CUI [1,3])
C0031140 (UMLS CUI [1,4])
dialysis Hemodialysis Hemofiltration continuous ambulatory peritoneal dialysis
Code List
Type of dialysis
CL Item
acetate haemodialysis (1)
CL Item
bicarbonate hemodialysis (2)
CL Item
hemofiltration (3)
CL Item
continuous ambulatory peritoneal dialysis (4)
therapy duration
Item
Therapy duration
text
C0444921 (UMLS CUI [1])
dialysis days
Item
Dialysis days
text
C0011946 (UMLS CUI [1,1])
C0439228 (UMLS CUI [1,2])
shunt
Item
Shunt
text
C0542331 (UMLS CUI [1])
medical complication shunt
Item
Shunt complications
text
C0009566 (UMLS CUI [1,1])
C0542331 (UMLS CUI [1,2])
diuresis
Item
Residual diuresis
float
C0012797 (UMLS CUI [1])
dry weight
Item
Dry weight
float
C1439839 (UMLS CUI [1])
body height
Item
Body Height
float
C0005890 (UMLS CUI [1])
Dialysis issue
Item
Dialysis specific issues
text
C0011946 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
medications
Item
Medications
text
C0013227 (UMLS CUI [1])
Item Group
Anamnesis
C0021055 (UMLS CUI-1)
Anamnesis
Item
Medical history (FA, EA, kidney disease, high pressure, cardiopulmonary, gastrointestinal, endocrine complications, vascular-cerebral complications, infectious diseases, surgeries, etc.)
text
C0021055 (UMLS CUI [1])
hypersensitivity
Item
Allergies
text
C0020517 (UMLS CUI [1])
social history; psychological history
Item
Social and psychological history (Mental overall situation, willingness to cooperate, marital status, children, socio-occupational situation, etc.)
text
C0945165 (UMLS CUI [1])
C0679832 (UMLS CUI [2])
nicotine consumption
Item
Nicotine consumption
integer
C1519386 (UMLS CUI [1])
Substance Use Disorder
Item
Alcohol / drug abuse
text
C0038586 (UMLS CUI [1])
Item Group
Clinical evaluation
C1261322 (UMLS CUI-1)
General condition
Item
General condition
text
C1142435 (UMLS CUI [1])
Blood pressure
Item
Blood pressure
text
C0005823 (UMLS CUI [1])
Heart rate
Item
Heart rate
integer
C0018810 (UMLS CUI [1])
heart rhythm
Item
Heart Rhythm
text
C0232187 (UMLS CUI [1])
Chest percussion; auscultation chest
Item
Percussion and auscultation of the lungs and thorax
text
C1285807 (UMLS CUI [1])
C0577960 (UMLS CUI [2])
auscultation abdomen; Percussion abdomen
Item
Percussion and auscultation of Abdomen
text
C2089447 (UMLS CUI [1])
C0437020 (UMLS CUI [2])
Item
First BM Test Colon
text
BM Test Colon
Code List
First BM Test Colon
CL Item
positive (1)
CL Item
negative (2)
Item
Second BM Test Colon
text
BM Test Colon
Code List
Second BM Test Colon
CL Item
positive (1)
CL Item
negative (2)
Item
Third BM Test Colon (55 years and older instead gets colonoscopy, according to the current guidline)
text
BM Test Colon
Code List
Third BM Test Colon (55 years and older instead gets colonoscopy, according to the current guidline)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation carotid artery (right)
text
C0488805 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation carotid artery (right)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation carotid artery (left)
text
C0488804 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation carotid artery (left)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation femoral artery (right)
text
C0488809 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation femoral artery (right)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation femoral artery (left)
text
C0488808 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation femoral artery (left)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation popliteal artery (right)
text
C0488811 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation popliteal artery (right)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation popliteal artery (left)
text
C0488810 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation popliteal artery (left)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation tibial artery (right)
text
C0488812 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation tibial artery (right)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation tibial artery (left)
text
C0488813 (UMLS CUI [1])
BM Test Colon
Code List
Palpation and auscultation tibial artery (left)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation dorsalis pedis artery (right)
text
C0030247 (UMLS CUI [1,1])
C0834665 (UMLS CUI [1,2])
BM Test Colon
Code List
Palpation and auscultation dorsalis pedis artery (right)
CL Item
positive (1)
CL Item
negative (2)
Item
Palpation and auscultation dorsalis pedis artery (left)
text
C0030247 (UMLS CUI [1,1])
C0834666 (UMLS CUI [1,2])
BM Test Colon
Code List
Palpation and auscultation dorsalis pedis artery (left)
CL Item
positive (1)
CL Item
negative (2)
Item Group
Immunological data
C1533716 (UMLS CUI-1)
C0205470 (UMLS CUI-2)
Blood group
Item
Blood group
text
C0005810 (UMLS CUI [1])
blood transfusions
Item
Blood Transfusions
text
C0005841 (UMLS CUI [1])
Blood Transfusions period
Item
Blood transfusions period
text
C0005841 (UMLS CUI [1,1])
C1948053 (UMLS CUI [1,2])
Blood Transfusion
Item
Number of blood transfusions
integer
C0005841 (UMLS CUI [1])
red cell concentrate
Item
Red cell concentrate
boolean
whole blood
Item
Whole blood
boolean
C0370231 (UMLS CUI [1])
Fresh frozen plasma
Item
Fresh frozen plasma FFP
boolean
C0016709 (UMLS CUI [1])
organ transplantation
Item
Organ Transplantation
boolean
C0029216 (UMLS CUI [1])
Organ Transplantation centre
Item
Organ Transplantation centre
text
year Organ Transplantation
Item
Year of organ transplantation
integer
C0439234 (UMLS CUI [1,1])
C0029216 (UMLS CUI [1,2])
ET-Number
Item
ET-Number
integer
Antibodies
Item
Antibodies known?
boolean
C0003241 (UMLS CUI [1])
antibodies
Item
If yes, which?
text
C0003241 (UMLS CUI [1])
Pregnancy
Item
Pregnancy
boolean
C0032961 (UMLS CUI [1])
pregnancy
Item
When was the pregnancy?
text
C0032961 (UMLS CUI [1])
autoimmune disease
Item
Indications for the existence of an autoimmune disease
boolean
C0004364 (UMLS CUI [1])
autoimmune disease
Item
If yes, which?
text
C0004364 (UMLS CUI [1])
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