Renal DataSchema Version 1 GENECURE WP1/5 product
Contact: Marion Verduijn, m.verduijn@lumc.nl Module Theme Domain Relevance Variable Definition Categories CLINICAL ASSESSMENT Individual Disease History Individual history of cancer
Cancer in medical history of the participant
Individual history of diabetes
Diabetes in medical history of the participant
Age of the participant at diabetes diagnosis
Individual history of retinopathy
Retinopathy in medical history of the participant
Individual history of high blood pressure
High blood pressure in medical history of the participant
Individual history of ischemic heart disease
Ischemic heart disease in medical history, defined as
Individual history of congestive heart failure
Heart failure in medical history of the participant
Individual history of cerebrovascular disease
Cerebrovascular disease in medical history, defined as
Individual history of peripheral vascular disease
Peripheral vascular disease in medical history
Peripheral vascular disease in medical history of the participant
Individual history of chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease in medical his
obstructive pulmonary disease in medical history of the participant
Individual history of HIV
HIV in medical history of the participant
Individual history of chronic hepatitis
Hepatitis B in medical history of the participant
Hepatitis C in medical history of the participant
Individual history of renal disease
Date of kidney biopsy performed for renal disease diag
Individual Intervention History Individual history of dialysis
Total time that the participant has been treated with hem
Total time that the participant has been treated with peri
Serious dialysis-related complications in medical histo
dialysis-related complications during dialysis treatment that nec
Number of peritonitis episodes during dialysis treatment of the participant
Encapsulating peritoneal sclerosis in dialysis
ulating peritoneal sclerosis during dialysis treatment of the particip
Access-related sepsis in dialysis history
Access-related sepsis during dialysis treatment of the participant
Individual history of kidney transplantation
Date of most recent transplantation Date of most recent transplantation
Total number of transplantations during the participant's life
History of previous kidney transplantation(s)
Number of previous transplantations Total number of transplantations during the participant's life before current/most recent one
Familial Disease History Family history of renal disease
Renal disease in medical history of family members
Presence of renal disease amongst members of the biological family of t
Family history of ischemic heart disease
Ischemic heart disease in medical history of family mem
e of ischemic heart disease amongst members of the biological fa
Family history of high blood pressure
High blood pressure in medical history of family memb
e of high blood pressure amongst members of the biological fam
Life habits/Behaviours Tobacco Use
Indicator of whether a participant has ever smoked tobacco
Indicator of whether a participant currently smokes tobacco
Sociodemographic Characteristics Individual birth location
Classification based on the List of countries (ISO-3166)
Parental birth location
Country where the participant's biological mother was born
Classification based on the List of countries (ISO-3166)
Country where the participant's biological father was born
Classification based on the List of countries (ISO-3166)
Biological mother's mother's country of birthCountry where the biological mother of the participant's mother was born
Classification based on the List of countries (ISO-3166)
Biological mother's father's country of birthCountry where the biological father of the participant's mother was bo
fication based on the List of countries (ISO-3166)
Biological father's mother's country of birthCountry where the biological mother of the participant's father was bo
fication based on the List of countries (ISO-3166)
Biological father's father's country of birth Country where the biological father of the participant's father was born
Classification based on the List of countries (ISO-3166)
Medication
Medication currently taken by the participant
Antihypertensive treatment
Current prescription of antihypertensive treatment
Current prescription of angiotensine receptor blocker
Current prescription of calcium channel blocker
Calcium/phosphorus treatment
Current prescription of calcium phosphorus treatment
Calcium containing phosphate bindersCurrent prescription of calcium containing phosphate binders Yes, NoNon-calcium containing phosphate binders
Current prescription of non-calcium containing phosphate binders
Current prescription of vitamin D analogs
Lipid lowering treatment
Current prescription of lipid lowering treatment
Diuretics
Current prescription of aldosteron antagonists
Anticoagulation/antiplatelet treatment
Current prescription of anticoagulation treatment
Immunosuppressive treatment TX: Incident: at leave of hospital; Prevalent: at recruitment
Current prescription of immunosuppresive treatment
Current prescription of calcineurin inhibitors
Type of currently prescribed calcineurin inhibitors
Type of currently prescribed antimetabolites
Mammalian targets of rapamycin (mTOR) inhibitors
scription of mammalian targets of rapamycin (mTOR) inhibitors
Antianemic treatment
Current prescription of erythropoietin stimulatin agent therapy Yes, No
Administration route of currently prescribed ESA therapy
Administration route of currently prescribed iron therapy
Individual Medical Intervention Conservative renal treatment Hemodialysis treatment
Participant currently undergoes hemodialysis
Hemodialysis type currently used by the participant
Hemodialysis, Hemofiltration, Hemodiafiltration
Participant's principle vascular access used for hemodialysis AV fistula, AV graft, Catheter
Renal urea clearance measused from 24hr urine col
Renal creatinine clearance measused from 24hr urine col
Dialysis urea clearance measured as dialysis eKt/V_urea
Dialysis urea clearance measured as urea reduc
Peritoneal dialysis treatment
Participant currently undergoes peritoneal dialysis
Peritoneal dialysis type currently used by the participant
Automated peritoneal dialysis, Continuous ambulatory peritoneal dialysis
Mean duration of automated peritoneal dialysis sess
Fluid of last bag in the abdominal cavity during daytime
Mean daily glucose concentration of fluid
Renal Kt/V urea measured from 24hr urine collecti
Renal creatinine clearance measused from 24hr urine collecti
Peritoneal Kt/V urea measured from 24hr dialysate co
Peritoneal creatinine clearance measured from 24hr dialysate c
Information critical to interpret the measures of dialysis adequacy: method /software used?
Renal transplantation Incident: current; prevalent: most recent
Date of hospital discharge of transplantation DD/MM/YYYY
Preformed antibodies, most recent value before tran
Number of A mismatches of the participant vs donor
Number of B mismatches of the participant vs donor
Number of DR mismatches of the participant vs donor
HLA cross match positive at transplantation
Need for dialysis in the first week after transplantation
Physical measures Anthropometric measures
The vertical measurement or distance from the foot to
the head of the participant when he/she is standing
Information critical to interpret height measurement
Weight of the participant; HD: postdialysis; PD: empty abd
Information critical to interpret weight measurement
Body circumference Body composition measures Body mass index
Weight (in kilogrammes) divided by height squared (in me
Information critical to interpret body mass index: not valid in case of major amputation
Body function measures Blood pressure
Diastolic blood pressure measured at rest
Information critical to interpret blood pressure measurement at rest
Heart rate
Number of heart beats per minute measured at rest
Information critical to interpret heart rate measurement at rest
Kidney function
Residual renal function defined as urine flow >= 500ml per dayYes, No
Biochemical measures Measures in Blood
Preferred: at recruitment, otherwise: during month before recruitment (mean in case of multiple measures); incident TX: at hospital leave or one month after TX
Calcium/ phosphate Inflammation/ malnutrition Anemia/blood characteritics Kidney function Serology
Cytomegalovirus status, in prevalent patients at time of most recent tran
Information critical to interpret the measures in blood
Indication whether the participant was in a fasting status at blood withdrawl
Interdialytic interval after which the blood withdrawl was taken Short, Long
Measures in Urine
Protein/creatinine ratio, second best, if no 24h urine
Measures in Dialysate PET measures Medical Health Information during Follow Up Mortality Mortality
Death during follow up of the participant
Individual Disease Occurrence
Cancer during follow up of the participant
Diabetes mellitus
Diabetes during follow up of the participant
Date of diagnosis of diabetes mellitusDate of diagnosis of diabetes mellitus
Ischemic heart disease
Newly diagnosed ischemic heart disease Ischemic heart disease during follow up of the participant
Date of diagnosis of ischemic heart disease
Date of hospitalization for ischemic heart disease
Congestive heart failure
Newly diagnosed congestive heart failure Congestive heart failure during follow up of the participant
Date of diagnosis of congestive heart failure
Date of hospitalization for congestive heart failure
Cerebrovascular disease
Newly diagnosed cerebrovascular diseaseCerebrovascular disease during follow up of the participant
Date of diagnosis of cerebrovascular disease
Date of hospitalization for cerebrovascular disease
Peripheral vascular disease
Newly diagnosed peripheral vascular disease
Peripheral vascular disease during follow up of the participantYes, No
Date of diagnosis of peripheral vascular diseas
ospitalization for revascularization/surgery
Infection
Infection that requires hospitalization during follow up of the participan
Access-related sepsis
Access-related sepsis during follow up of the participant
Date of hospitalization for access-related sepsis
Ultrafiltration failure
Ultrafiltration failure during follow up of the participants defined as ultrafiltra
tion < 400ml per 4hr with 3,86 glucose concentration
Date of ultrafiltration failure diagnosis Date of diagnosis of ultrafiltration failure
Peritonitis
Peritonitis during follow up of the participant
Encapsulating peritoneal sclerosis
Newly diagnosed encapsulating peritoneal sclerosis
Encapsulating peritoneal sclerosis during follow up of the participant
Date of diagnosis of encapsulating peritoneal scl
iagnosis of encapsulating peritoneal sclerosis
Technique failure
Technique failure during follow up of the participant defined as switch t
Transplant rejection
Transplant rejection during follow up of the participant, biopsy proven
Non-fatal graft failure
Graft failure during follow up of the participant, defined as still alive and
Yes, No permanent return to dialysis or need for retransplantation
Chronic rejection, Acute rejection, Medication toxicity, Polyoma virus, Technical, Other
Chronic rejection, Acute rejection, Medication toxicity, Polyoma virus, Technical, Other
Polyoma virus nephropathy
Newly diagnosed polyoma virus nephropathy, biopsy proven
Polyoma virus nephropathy during follow up of the participant, biopsy proven
Individual Medical Intervention Amputation
Amputation during follow up of the participant
Parathyroidectomy
Parathyroidectomy during follow up of the participant
Dialysis
Start on dialysis during follow up of the participant
Kidney transplantation
Kidney transplantation during follow up of the participant
Administrative data Administrative data Administrative data
EL ACTO ADMINISTRATIVO: CONCEPTO, ELEMENTOS Y CLASES. TÉRMINOS Y PLAZOS. REQUISITOS. EFICACIA. NULIDAD Y ANULABILIDAD. EL ACTO ADMINISTRATIVO: CONCEPTO, ELEMENTOS Y CLASES. A. Introducción y concepto. El origen histórico de los actos administrativos debemos buscarlos, al igual que el Régimen Administrativo, en el triunfo de la Revolución Francesa con su doctrina de la Separació
The UK government is building a national database of medical records, aproject which many doctors oppose; in a Medix poll in November, over half ofall GPs said they would not upload their patients’ data without consent [1] [2]. The following week, a Joseph Rowntree Reform Trust poll revealed that 53% ofpatients oppose a central medical records database with no right to opt out. A campaign, The