HIS medical history - prostate prostate cancer - Portal för medicinska datamodeller (MDM-portal)

ID

42167

Beskrivning

HIS medical history - prostate prostate cancer

Nyckelord

Hospital Information Systems

Prostatatumoren

2013-05-15 2013-05-15 -
2021-04-13 2021-04-13 - Dr. rer. medic Philipp Neuhaus

Uppladdad den

13 april 2021

DOI

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Licens

Creative Commons BY-NC 3.0 Legacy

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HIS

1 Formulär

StudyEvent: HIS
1. HIS

Admininstrative Daten

Beskrivning

Admininstrative Daten

Patient name

Beskrivning

Patientenname

Datatyp

string

Alias

Code-1: Patient name (observable entity)

UMLS CUI-1: C1299487

SNOMED CT-1: 371484003

former Patient name

Beskrivning

früherer Name

Datatyp

string

Alias

Code-1: Previous

UMLS CUI-1: C0205156

SNOMED CT-1: 9130008

Code-2: Patient name (observable entity)

UMLS CUI-2: C1299487

SNOMED CT-2: 371484003

Patient date of birth

Beskrivning

Geburtsdatum

Datatyp

date

Alias

UMLS CUI-1: C0421451

SNOMED CT-1: 184099003

patient age

Beskrivning

Alter

Datatyp

integer

Alias

Code-1: patient age

UMLS CUI-1: CL386174

Ethnicity / related nationality data

Beskrivning

Nationalität

Datatyp

string

Alias

UMLS CUI-1: C0438960

SNOMED CT-1: 186034007

Code-2: Patients

UMLS CUI-2: C0030705

SNOMED CT-2: 116154003

Street Address

Beskrivning

Adresse

Datatyp

string

Alias

UMLS CUI-1: C1301826

SNOMED CT-1: 398099009

Code-2: Patient address

UMLS CUI-2: C0421449

SNOMED CT-2: 184097001

Patient postal code

Beskrivning

PLZ

Datatyp

integer

Alias

UMLS CUI-1: C0421454

SNOMED CT-1: 184102003

Code-2: Patient address

UMLS CUI-2: C0421449

SNOMED CT-2: 184097001

City of residence

Beskrivning

Stadt

Datatyp

string

Alias

UMLS CUI-1: C2316883

SNOMED CT-1: 433178008

Code-2: Patient address

UMLS CUI-2: C0421449

SNOMED CT-2: 184097001

Case Identifier

Beskrivning

Fallnummer

Datatyp

integer

Alias

Code-1: Case - situation (qualifier value)

UMLS CUI-1: C0868928

SNOMED CT-1: 398241000

Code-2: Identifier

UMLS CUI-2: C0600091

SNOMED CT-2: 118522005

Department

Beskrivning

Abteilung

Datatyp

string

Alias

UMLS CUI-1: C1704729

Aftercare Number

Beskrivning

Nachsorgepassnummer

Datatyp

integer

Alias

Code-1: Numbers

UMLS CUI-1: C0237753

SNOMED CT-1: 410680006

LOINC-1: MTHU024869

Code-2: Aftercare

UMLS CUI-2: C0001758

SNOMED CT-2: 413467001

Organspezifisch Prostata

Beskrivning

Organspezifisch Prostata

Cancer Diagnosis

Beskrivning

Tumordiagnose (ICD-10)

Datatyp

string

Alias

Item-Info: must_have

Code-1: Tumor finding (finding)

UMLS CUI-1: C1274082

SNOMED CT-1: 395557000

Code-2: Diagnosis ICD code

UMLS CUI-2: C2598420

Date of diagnosis

Beskrivning

Diagnose-Datum

Datatyp

date

Alias

Item-Info: must_have

UMLS CUI-1: C2316983

SNOMED CT-1: 432213005

Code-2: Tumor finding (finding)

UMLS CUI-2: C1274082

SNOMED CT-2: 395557000

therapies

Beskrivning

Tatsächlich durchgeführte Therapie

Datatyp

integer

Alias

Code-1: Therapeutic procedure

UMLS CUI-1: C0087111

SNOMED CT-1: 277132007

MedDRA-1: 10053757

LOINC-1: MTHU008880

Operative Surgical Procedures (Operation)

Therapeutic radiology procedure (Strahlentherapie)

Systemic Therapy (Systemische Therapie)

Other (Sonstiges)

tissue collection consent

Beskrivning

tissue collection consent

informed consent for tissue collection

Beskrivning

Einwilligungsbogen vorhanden

Datatyp

boolean

Alias

Code-1: Tissue Collection

UMLS CUI-1: C0040278

Code-2: Informed consent obtained

UMLS CUI-2: C0514044

MedDRA-2: MTHU008888

Yes

not_coded

Beskrivning

Kommerzielle Verwertung

Datatyp

boolean

Yes

consent for tissue collection

Beskrivning

Einverständnis Probenarchivierung

Datatyp

boolean

Alias

Code-1: Defined Specimen Storage

UMLS CUI-1: C2985587

Code-2: consent

UMLS CUI-2: C1511481

MedDRA-2: MTHU035862

Yes

Patientenbefragung

Beskrivning

Patientenbefragung

family history

Beskrivning

Vorerkrankungen in Familie

Datatyp

integer

Alias

Code-1: Family history

UMLS CUI-1: C0241889

SNOMED CT-1: 57177007

Yes (Vorerkrankung in der Familie)

No (keine Vorerkrankung in der Familie)

Unknown (unbekannt)

Family members with Cancer

Beskrivning

Wieviele Angehörige in der Familie haben/hatten eine Tumorerkrankung?

Datatyp

integer

Alias

Code-1: Family Cancer History

UMLS CUI-1: C0260515

SNOMED CT-1: 275937001

MedDRA-1: 10062302

Family members with prostate cancer

Beskrivning

Wieviele davon ein Prostatakarzinom?

Datatyp

integer

Alias

Code-1: Family history of prostate cancer (situation)

UMLS CUI-1: C1532320

SNOMED CT-1: 414205003

ICD-10-CM-1: Z80.42

ICD-9-CM-1: V16.42

Family members with other neoplasm

Beskrivning

Wie viele davon mit einer anderen Tumorart?

Datatyp

integer

Alias

Code-1: Family history of malignant neoplasm of other organs or systems

UMLS CUI-1: C0478620

ICD-10-CM-1: Z80.8

Request Nerve-Sparing Prostatectomy

Beskrivning

Nerverhalt erwünscht

Datatyp

boolean

Alias

Code-1: Nerve-Sparing Prostatectomy

UMLS CUI-1: C1514120

Code-2: Request

UMLS CUI-2: C1272683

SNOMED CT-2: 385644000

Yes

Score

Beskrivning

Score

Score IIEF

Beskrivning

Score IIEF

Datatyp

string

Alias

Item-Info: must_have

Code-1: International index of erectile function score (observable entity)

UMLS CUI-1: C2959364

SNOMED CT-1: 445930007

Score ICIQ

Beskrivning

Score ICIQ

Datatyp

string

Alias

Code-1: International consultation on incontinence questionnaire short form (assessment scale)

UMLS CUI-1: C2711268

SNOMED CT-1: 442663009

Score IPSS

Beskrivning

Score IPSS

Datatyp

string

Alias

Code-1: International prostate symptom score (assessment scale)

UMLS CUI-1: C1998280

SNOMED CT-1: 428433009

EORTC Fragen

Beskrivning

EORTC Fragen

International consultation on incontinence questionnaire short form (assessment scale)

Beskrivning

(Kontinenzbogen Frage 4)

Datatyp

integer

Alias

Code-1: International consultation on incontinence questionnaire short form (assessment scale)

UMLS CUI-1: C2711268

SNOMED CT-1: 442663009

European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale)

Beskrivning

(EQRTC QLQ-C30 Frage 29)

Datatyp

integer

Alias

Code-1: European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale)

UMLS CUI-1: C0451149

SNOMED CT-1: 273446001

European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale)

Beskrivning

(EQRTC QLQ-C30 Frage 30)

Datatyp

integer

Alias

Code-1: European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale)

UMLS CUI-1: C0451149

SNOMED CT-1: 273446001

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HIS

1 Formulär

StudyEvent: HIS
1. HIS

Name

Typ

Description | Question | Decode (Coded Value)

Datatyp

Alias

Admininstrative Daten

Item Group

Admininstrative Daten

Patientenname

Item

Patient name

string

Patient name (observable entity) (Code-1)
C1299487 (UMLS CUI-1)
371484003 (SNOMED CT-1)

früherer Name

Item

former Patient name

string

Previous (Code-1)
C0205156 (UMLS CUI-1)
9130008 (SNOMED CT-1)
Patient name (observable entity) (Code-2)
C1299487 (UMLS CUI-2)
371484003 (SNOMED CT-2)

Geburtsdatum

Item

Patient date of birth

date

C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)

Alter

Item

patient age

integer

patient age (Code-1)
CL386174 (UMLS CUI-1)

Nationalität

Item

Ethnicity / related nationality data

string

C0438960 (UMLS CUI-1)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)

Adresse

Item

Street Address

string

C1301826 (UMLS CUI-1)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)

PLZ

Item

Patient postal code

integer

C0421454 (UMLS CUI-1)
184102003 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)

Stadt

Item

City of residence

string

C2316883 (UMLS CUI-1)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)

Fallnummer

Item

Case Identifier

integer

Case - situation (qualifier value) (Code-1)
C0868928 (UMLS CUI-1)
398241000 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)

Abteilung

Item

Department

string

C1704729 (UMLS CUI-1)

Nachsorgepassnummer

Item

Aftercare Number

integer

Numbers (Code-1)
C0237753 (UMLS CUI-1)
410680006 (SNOMED CT-1)
MTHU024869 (LOINC-1)
Aftercare (Code-2)
C0001758 (UMLS CUI-2)
413467001 (SNOMED CT-2)

Organspezifisch Prostata

Item Group

Organspezifisch Prostata

Tumordiagnose (ICD-10)

Item

Cancer Diagnosis

string

must_have (Item-Info)
Tumor finding (finding) (Code-1)
C1274082 (UMLS CUI-1)
395557000 (SNOMED CT-1)
Diagnosis ICD code (Code-2)
C2598420 (UMLS CUI-2)

Diagnose-Datum

Item

Date of diagnosis

date

must_have (Item-Info)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)

Tatsächlich durchgeführte Therapie

Item

therapies

integer

Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)

Tatsächlich durchgeführte Therapie

Code List

therapies

CL Item

Operative Surgical Procedures (Operation)

C0543467 (UMLS CUI-1)
387713003 (SNOMED CT-1)
10042609 (MedDRA-1)
MTHU007597 (LOINC-1)

CL Item

Therapeutic radiology procedure (Strahlentherapie)

C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037794 (MedDRA-1)

CL Item

Systemic Therapy (Systemische Therapie)

C1515119 (UMLS CUI-1)

CL Item

Other (Sonstiges)

C0205394 (UMLS CUI-1)
74964007 (SNOMED CT-1)

Gewebebanking Einwilligung

Item Group

tissue collection consent

Einwilligungsbogen vorhanden

Item

informed consent for tissue collection

boolean

Tissue Collection (Code-1)
C0040278 (UMLS CUI-1)
Informed consent obtained (Code-2)
C0514044 (UMLS CUI-2)
MTHU008888 (MedDRA-2)

Kommerzielle Verwertung

Item

not_coded

boolean

Einverständnis Probenarchivierung

Item

consent for tissue collection

boolean

Defined Specimen Storage (Code-1)
C2985587 (UMLS CUI-1)
consent (Code-2)
C1511481 (UMLS CUI-2)
MTHU035862 (MedDRA-2)

Tumorspezifische Daten

Item Group

Tumorspezifische Daten

Histologie-Grad

Item

Histologic Grade

integer

C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)

Histologie-Grad

Code List

Histologic Grade

CL Item

G1 grade (G1)

G1 grade (finding) (Code-1)
C0475269 (UMLS CUI-1)
54102005 (SNOMED CT-1)

CL Item

G2 grade (G2)

G2 grade (finding) (Code-1)
C0475270 (UMLS CUI-1)
1663004 (SNOMED CT-1)

CL Item

G3 grade (G3)

G3 grade (finding) (Code-1)
C0475271 (UMLS CUI-1)
61026006 (SNOMED CT-1)

CL Item

Grade cannot be determined (X)

Grade cannot be determined (finding) (Code-1)
C1273714 (UMLS CUI-1)
384741006 (SNOMED CT-1)

CL Item

Grade not designated (O)

Negation (Code-1)
C1518422 (UMLS CUI-1)
Designated (Code-2)
C1524084 (UMLS CUI-2)

CL Item

Low grade (Low grade)

Low grade (well to moderately differentiated) (finding) (Code-1)
C1273125 (UMLS CUI-1)
395529007 (SNOMED CT-1)

CL Item

High grade (High grade)

High grade (poorly differentiated to undifferentiated) (finding) (Code-1)
C1273126 (UMLS CUI-1)
395530002 (SNOMED CT-1)

Gleason-Score

Item

Gleason-Score

integer

Gleason Score for Prostate Cancer (Code-1)
C0332326 (UMLS CUI-1)
106241006 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)

Gleason-Score

Code List

Gleason-Score

CL Item

available (Angaben vorhanden)

Availability (Code-1)
C0470187 (UMLS CUI-1)
103328004 (SNOMED CT-1)

CL Item

Unspecified Gleason-Score (keine Angabe)

C0205370 (UMLS CUI-1)
10003008 (SNOMED CT-1)

Gleason-1

Item

Primary Gleason Pattern

integer

C1273604 (UMLS CUI-1)
384994009 (SNOMED CT-1)
MTHU020049 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)

Gleason-2

Item

Secondary Gleason Pattern

integer

C1273605 (UMLS CUI-1)
384995005 (SNOMED CT-1)
MTHU020050 (LOINC-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)

Gleason-Summe

Item

Total Gleason Score for Prostate Cancer

integer

C1273607 (UMLS CUI-1)
384997002 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)

digitale rektale Untersuchung

Item

Digital Rectal Examination

integer

C1384593 (UMLS CUI-1)
410006001 (SNOMED CT-1)
89.34 (ICD-9-CM-1)

digitale rektale Untersuchung

Code List

Digital Rectal Examination

CL Item

Suspected (suspekt)

C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)

CL Item

not suspected (nicht suspekt)

NOT suspected (qualifier value) (Code-1)
C1997218 (UMLS CUI-1)
428263003 (SNOMED CT-1)

CL Item

Unknown (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

PSA (ng/ml)

Item

Prostate-Specific Antigen

string

ng/ml (Item-Info)
C0138741 (UMLS CUI-1)
102687007 (SNOMED CT-1)
MTHU001466 (LOINC-1)

PSA-Datum

Item

Date in time of PSA

date

C0011008 (UMLS CUI-1)
410671006 (SNOMED CT-1)
MTHU021546 (LOINC-1)
Prostate Specific Antigen Measurement (Code-2)
C0201544 (UMLS CUI-2)
63476009 (SNOMED CT-2)
10050704 (MedDRA-2)

Ganzkörperszintigramm

Item

Scintigraphy

integer

Radionuclide Imaging (Code-1)
C0034606 (UMLS CUI-1)
399019003 (SNOMED CT-1)
10061498 (MedDRA-1)
92 (ICD-9-CM-1)

Ganzkörperszintigramm

Code List

Scintigraphy

CL Item

Yes (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

No (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

Unknown (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

suspekt?

Item

Suspected

integer

C0750491 (UMLS CUI-1)
415684004 (SNOMED CT-1)
Radionuclide Imaging (Code-2)
C0034606 (UMLS CUI-2)
399019003 (SNOMED CT-2)
10061498 (MedDRA-2)

suspekt?

Code List

Suspected

CL Item

Yes (Ja)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

No (Nein)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

Unknown (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Lokalisation

Item

Location

string

C0450429 (UMLS CUI-1)
246267002 (SNOMED CT-1)
Radionuclide Imaging (Code-2)
C0034606 (UMLS CUI-2)
399019003 (SNOMED CT-2)
10061498 (MedDRA-2)

Patientenbefragung

Item Group

Patientenbefragung

Vorerkrankungen in Familie

Item

family history

integer

Family history (Code-1)
C0241889 (UMLS CUI-1)
57177007 (SNOMED CT-1)

Vorerkrankungen in Familie

Code List

family history

CL Item

Yes (Vorerkrankung in der Familie)

C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)

CL Item

No (keine Vorerkrankung in der Familie)

C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)

CL Item

Unknown (unbekannt)

C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)

Wieviele Angehörige in der Familie haben/hatten eine Tumorerkrankung?

Item

Family members with Cancer

integer

Family Cancer History (Code-1)
C0260515 (UMLS CUI-1)
275937001 (SNOMED CT-1)
10062302 (MedDRA-1)

Wieviele davon ein Prostatakarzinom?

Item

Family members with prostate cancer

integer

Family history of prostate cancer (situation) (Code-1)
C1532320 (UMLS CUI-1)
414205003 (SNOMED CT-1)
Z80.42 (ICD-10-CM-1)
V16.42 (ICD-9-CM-1)

Wie viele davon mit einer anderen Tumorart?

Item

Family members with other neoplasm

integer

Family history of malignant neoplasm of other organs or systems (Code-1)
C0478620 (UMLS CUI-1)
Z80.8 (ICD-10-CM-1)

Nerverhalt erwünscht

Item

Request Nerve-Sparing Prostatectomy

boolean

Nerve-Sparing Prostatectomy (Code-1)
C1514120 (UMLS CUI-1)
Request (Code-2)
C1272683 (UMLS CUI-2)
385644000 (SNOMED CT-2)

Score

Item Group

Score

Score IIEF

Item

Score IIEF

string

must_have (Item-Info)
International index of erectile function score (observable entity) (Code-1)
C2959364 (UMLS CUI-1)
445930007 (SNOMED CT-1)

Score ICIQ

Item

Score ICIQ

string

International consultation on incontinence questionnaire short form (assessment scale) (Code-1)
C2711268 (UMLS CUI-1)
442663009 (SNOMED CT-1)

Score IPSS

Item

Score IPSS

string

International prostate symptom score (assessment scale) (Code-1)
C1998280 (UMLS CUI-1)
428433009 (SNOMED CT-1)

EORTC Fragen

Item Group

EORTC Fragen

(Kontinenzbogen Frage 4)

Item

International consultation on incontinence questionnaire short form (assessment scale)

integer

International consultation on incontinence questionnaire short form (assessment scale) (Code-1)
C2711268 (UMLS CUI-1)
442663009 (SNOMED CT-1)

(EQRTC QLQ-C30 Frage 29)

Item

European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale)

integer

European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale) (Code-1)
C0451149 (UMLS CUI-1)
273446001 (SNOMED CT-1)

(EQRTC QLQ-C30 Frage 30)

Item

European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale)

integer

European Organization for Research and Treatment of Cancer - Quality of life questionnaire (assessment scale) (Code-1)
C0451149 (UMLS CUI-1)
273446001 (SNOMED CT-1)

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ID

Beskrivning

Nyckelord

Versioner (2)

Uppladdad den

DOI

Licens

Modellkommentarer :

Itemgroup-kommentar för :

Item-kommentar för :

HIS medical history - prostate prostate cancer

HIS

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