ID

44628

Description

base-dataset from ADT - diagnosisdata, ODM derived from http://www.tumorzentren.de/tl_files/dokumente/adt_basis.pdf

Link

http://www.tumorzentren.de/tl_files/dokumente/adt_basis.pdf

Keywords

  1. 8/1/13 8/1/13 -
  2. 9/27/21 9/27/21 -
Uploaded on

September 27, 2021

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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quality management ADT-diagnosisdata cancer

quality management

  1. StudyEvent: quality management
    1. quality management
Meldung Krebsregister
Description

Meldung Krebsregister

Einwilligung zur Meldung an das Klinische und Epidemiologische Krebsregister
Description

Einwilligung zur Meldung an das Klinische und Epidemiologische Krebsregister

Data type

integer

Alias
Code-1
cancer registry
UMLS CUI-1
C0805443
LOINC-1
MTHU010262
Code-2
consent
UMLS CUI-2
C1511481
LOINC-2
MTHU035862
Patient data
Description

Patient data

Patientennummer
Description

Patientenidentifikationsnummer

Data type

string

Alias
Code-1
Patients
UMLS CUI-1
C0030705
SNOMED CT-1
116154003
Code-2
Identification number
UMLS CUI-2
C1300638
SNOMED CT-2
396278008
Krankenkasse
Description

Krankenkasse

Data type

string

Alias
UMLS CUI-1
C0021682
Patienten-Telefonnummer
Description

Telefon

Data type

string

Alias
UMLS CUI-1
C0421455
SNOMED CT-1
184103008
Patienten-Nachname
Description

Name

Data type

string

Alias
UMLS CUI-1
C0421448
SNOMED CT-1
184096005
Geburtsname
Description

Geburtsname

Data type

string

Alias
UMLS CUI-1
C0806887
SNOMED CT-1
423203003
LOINC-1
MTHU010481
Code-2
Patients
UMLS CUI-2
C0030705
SNOMED CT-2
116154003
Patienten-Vorname
Description

Vorname

Data type

string

Alias
UMLS CUI-1
C0421447
SNOMED CT-1
184095009
Patienten-Geschlecht
Description

Geschlecht

Data type

integer

Alias
UMLS CUI-1
C0150831
SNOMED CT-1
184100006
Patienten-Geburtsdatum
Description

Geburtsdatum

Data type

date

Alias
UMLS CUI-1
C0421451
SNOMED CT-1
184099003
Nationalität/Staatsangehörigkeit
Description

Staatsangehörigkeit

Data type

string

Alias
UMLS CUI-1
C0438960
SNOMED CT-1
186034007
Code-2
Patients
UMLS CUI-2
C0030705
SNOMED CT-2
116154003
Patientenadresse
Description

Patientenadresse

Straße
Description

Straße

Data type

string

Alias
UMLS CUI-1
C1301826
SNOMED CT-1
398099009
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Postleitzahl Patient
Description

PLZ

Data type

integer

Alias
UMLS CUI-1
C0421454
SNOMED CT-1
184102003
Wohnort
Description

Ort

Data type

string

Alias
UMLS CUI-1
C2316883
SNOMED CT-1
433178008
Code-2
Patient address
UMLS CUI-2
C0421449
SNOMED CT-2
184097001
Diagnose
Description

Diagnose

Tumordiagnose
Description

Tumordiagnose (ICD-10)

Data type

string

Alias
Item-Info
ICD-10
Code-1
Tumor finding (finding)
UMLS CUI-1
C1274082
SNOMED CT-1
395557000
Code-2
Diagnosis ICD code
UMLS CUI-2
C2598420
Datum der Diagnose
Description

Diagnosedatum

Data type

date

Alias
Code-1
Date of diagnosis
UMLS CUI-1
C2316983
SNOMED CT-1
432213005
Code-2
Tumor finding (finding)
UMLS CUI-2
C1274082
SNOMED CT-2
395557000
Diagnosesicherheit
Description

Diagnosesicherheit

Data type

integer

Alias
UMLS CUI-1
C0598285
Code-2
Tumor finding (finding)
UMLS CUI-2
C1274082
SNOMED CT-2
395557000
Lokalisation Tumor
Description

Lokalisation Tumor

Lokalisation Primärtumor
Description

Hauptlokalisation (ICO-0)

Data type

string

Alias
UMLS CUI-1
C0475447
SNOMED CT-1
260716003
Nebenlokalisation
Description

Nebenlokalisation (Befall benachbarter Orgae - Infiltation, bitte keine Fernmetastasen)

Data type

string

Alias
UMLS CUI-1
C1710234
Körperseite
Description

Seitenlokalisation

Data type

integer

Alias
UMLS CUI-1
C0441987
SNOMED CT-1
182353008
LOINC-1
MTHU014973
Code-2
Tumor site
UMLS CUI-2
C0475445
SNOMED CT-2
263591006
LOINC-2
MTHU015562
Tumorvorgeschichte
Description

Frühere Tumorerkrankung

Data type

integer

Alias
UMLS CUI-1
C1512706
Tumor-Vorerkrankung
Description

Welche Tumorerkrankung?

Data type

string

Alias
Item-Info
ICD-10 Code
Code-1
Pre-existing Condition
UMLS CUI-1
C0521987
SNOMED CT-1
102478008
Code-2
Malignant Neoplasms
UMLS CUI-2
C0006826
SNOMED CT-2
363346000
MedDRA-2
10007050
LOINC-2
MTHU010328
ICD-10-CM-2
C80
ICD-9-CM-2
199
Diagnosedatum
Description

Diagnosedatum

Data type

date

Alias
UMLS CUI-1
C2316983
SNOMED CT-1
432213005
Code-2
Pre-existing Condition
UMLS CUI-2
C0521987
SNOMED CT-2
102478008
Grund des Arztbesuches
Description

Diagnoseanlass

Data type

integer

Alias
Code-1
Reason for patient visit
UMLS CUI-1
C1704447
SNOMED CT-1
103324002
LOINC-1
MTHU013910
Chemotherapie in der Anamnese
Description

Chemotherapie in der Anamnese

Data type

boolean

Alias
UMLS CUI-1
C0392920
SNOMED CT-1
69960004
MedDRA-1
10050693
Code-2
Medical History
UMLS CUI-2
C0262926
SNOMED CT-2
417662000
LOINC-2
MTHU027722
Strahlentherapie in der Anamnese
Description

Strahlentherapie in der Anamnese

Data type

boolean

Alias
UMLS CUI-1
C1522449
SNOMED CT-1
108290001
MedDRA-1
10037770
Code-2
Medical History
UMLS CUI-2
C0262926
SNOMED CT-2
417662000
LOINC-2
MTHU027722
Komorbidität
Description

Wichtige Begleiterkrankung

Data type

string

Alias
UMLS CUI-1
C0009488
Tumorhistologie
Description

Tumorhistologie

Pathologisches Institut
Description

Pathologisches Institut

Data type

string

Alias
UMLS CUI-1
C0587490
SNOMED CT-1
309953001
Histologie-Identifikationsnummer
Description

Histologie-Einsendenummer

Data type

string

Alias
Code-1
Histopathology
UMLS CUI-1
C0677043
SNOMED CT-1
394597005
Code-2
Identifier
UMLS CUI-2
C0600091
SNOMED CT-2
118522005
LOINC-2
MTHU003116
Histopathologie
Description

Histopathologie

Datum der Histologie
Description

Datum Histologie

Data type

date

Alias
Code-1
Date of pathology report (observable entity)
UMLS CUI-1
C1302659
SNOMED CT-1
399737008
Histologie-Code ICD-0-3
Description

Histologie-Code ICD-0-3

Data type

string

Alias
Code-1
ICDO3 Morphology Axis
UMLS CUI-1
CL364362
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Histologisches Grading
Description

Grading G

Data type

string

Alias
UMLS CUI-1
C0919553
SNOMED CT-1
371469007
Code-2
Biopsy
UMLS CUI-2
C0005558
SNOMED CT-2
86273004
MedDRA-2
10004720
LOINC-2
MTHU028106
Histologische Diagnose Freitext
Description

Histologie-Klartext

Data type

string

Alias
Code-1
ICDO3 Morphology Axis
UMLS CUI-1
CL364362
Code-2
Free Text Format
UMLS CUI-2
C2348713
Code-3
Biopsy
UMLS CUI-3
C0005558
SNOMED CT-3
86273004
MedDRA-3
10004720
LOINC-3
MTHU028106
Anzahl der untersuchten Lymphknoten
Description

Anzahl der untersuchten Lymphknoten

Data type

integer

Alias
UMLS CUI-1
C2733494
SNOMED CT-1
444025001
Anzahl der beteiligten Lymphknoten
Description

Anzahl befallene Lymphknoten

Data type

integer

Alias
Code-1
Number of lymph nodes involved by malignant neoplasm (observable entity)
UMLS CUI-1
C2732750
SNOMED CT-1
443527007
Anzahl der untersuchten Sentinellymphknoten
Description

Sentinellymphknoten

Data type

integer

Alias
UMLS CUI-1
C2733493
SNOMED CT-1
444411008
Anzahl der beteiligten Sentinellymphknoten
Description

befallene Sentinellymphknoten

Data type

integer

Alias
Code-1
Sentinel Lymph Node
UMLS CUI-1
C0677944
SNOMED CT-1
330469005
Code-2
Number of lymph nodes involved by malignant neoplasm (observable entity)
UMLS CUI-2
C2732750
SNOMED CT-2
443527007
Lymphgefäßinvasion
Description

Lymphgefäßinvasion

Data type

integer

Alias
Code-1
Lymphatic (small vessel) tumor invasion finding (finding)
UMLS CUI-1
C1272791
SNOMED CT-1
385414009
Veneninvasion
Description

Veneninvasion

Data type

integer

Alias
UMLS CUI-1
C1710625
TNM
Description

TNM

Tumorstaging-Symbole
Description

Tumorstaging-Symbole

Data type

integer

Alias
Code-Info
for_compare
Code-1
Generic tumor staging descriptor (tumor staging)
UMLS CUI-1
C0475266
SNOMED CT-1
258233007
klinisches TNM-Staging
Description

klinisches TNM-Staging

klinisches TNM-Staging
Description

klinischer TNM

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity)
UMLS CUI-1
C0332369
SNOMED CT-1
106248000
T-Stadium
Description

Ausbreitung des Primärtumors (T)

Data type

string

Alias
Code-1
cT category (observable entity)
UMLS CUI-1
C1275863
SNOMED CT-1
399504009
Grad der Diagnosesicherheit des T-Stadium
Description

Diagnosesicherheit T-Stadium

Data type

integer

Alias
Item-Info
1-5
Code-1
Degree of certainty of TNM classification (observable entity)
UMLS CUI-1
C0456878
SNOMED CT-1
106251007
Code-2
T Stage
UMLS CUI-2
C0475455
SNOMED CT-2
260878002
N - Stadium der regionalen Lymphknoten
Description

Ausbreitung der regionären Lymphknotenmetastasen (N)

Data type

string

Alias
Code-1
cN category (observable entity)
UMLS CUI-1
C1275865
SNOMED CT-1
399534004
Grad der Diagnosesicherheit des N-Stadium
Description

Diagnosesicherheit N-Stadium

Data type

integer

Alias
Item-Info
1-5
Code-1
Degree of certainty of TNM classification (observable entity)
UMLS CUI-1
C0456878
SNOMED CT-1
106251007
Code-2
N category (observable entity)
UMLS CUI-2
C0456532
SNOMED CT-2
277206009
M- Stadium
Description

Fernmetastasen (M)

Data type

string

Alias
Code-1
cM category (observable entity)
UMLS CUI-1
C1275856
SNOMED CT-1
399387003
Grad der Diagnosesicherheit des M-Stadium
Description

Diagnosesicherheit M-Stadium

Data type

integer

Alias
Item-Info
1-5
Code-1
Degree of certainty of TNM classification (observable entity)
UMLS CUI-1
C0456878
SNOMED CT-1
106251007
Code-2
M Stage
UMLS CUI-2
C0456533
SNOMED CT-2
77208005
Pathologischer TNM
Description

Pathologischer TNM

Pathologischer TNM
Description

Pathologischer TNM

Data type

boolean

Alias
Code-Info
for_compare
Code-1
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity)
UMLS CUI-1
C1264753
SNOMED CT-1
106249008
pathologisch ermitteltes T-Stadium
Description

pathologisch ermitteltes T-Stadium

Data type

boolean

Alias
Code-1
pT category finding (finding)
UMLS CUI-1
C1272834
SNOMED CT-1
385385001
T-Stadium
Description

Ausbreitungs des Primärtumors

Data type

string

Alias
Code-1
T Stage
UMLS CUI-1
C0475455
SNOMED CT-1
260878002
pathologisch ermitteltes N-Stadium
Description

pathologisch ermitteltes N-Stadium

Data type

boolean

Alias
Code-1
pN category finding (finding)
UMLS CUI-1
C1272833
SNOMED CT-1
385381005
N - Stadium der regionalen Lymphknoten
Description

Ausbreitung der regionären Lymphknotenmetastasen (N)

Data type

string

Alias
Code-1
N category (observable entity)
UMLS CUI-1
C0456532
SNOMED CT-1
277206009
pathologisch ermitteltes M-Stadium
Description

pathologisch ermitteltes M-Stadium

Data type

boolean

Alias
Code-1
pM category (observable entity)
UMLS CUI-1
C1269798
SNOMED CT-1
371497001
M- Stadium
Description

Fernmetastasen (M)

Data type

string

Alias
Code-1
M Stage
UMLS CUI-1
C0456533
SNOMED CT-1
77208005
Ann Arbor Klassifikation
Description

Ann Arbor Klassifikation

Data type

string

Alias
UMLS CUI-1
C0432516
SNOMED CT-1
254372002
anderes Staging System
Description

Anderes Stadium (Bine, FAB, CML, Durie und Salmon)

Data type

string

Alias
Code-1
Staging System
UMLS CUI-1
C0449394
SNOMED CT-1
246231009
Residualklassifikation
Description

Residualklassifikation

Lokales Residualtumor Stadium LR0
Description

Lokale Beurteilun der Residualklassifikation nach Abschluss der Primärtherapie, LR0 = kein lokaler Resttumor

Data type

boolean

Alias
Code-1
Residual tumor stage R0 (finding)
UMLS CUI-1
C0475288
SNOMED CT-1
258254000
Code-2
Local-Regional
UMLS CUI-2
C0205276
SNOMED CT-2
255470001
Residualklassifikation
Description

Gesamtbeurteilung der Residualklassifikation nach Abschluss de Primärtherapie

Data type

integer

Alias
Code-1
Residual tumor stage (observable entity)
UMLS CUI-1
C0475286
SNOMED CT-1
17964000
Fernmetastasen
Description

Fernmetastasen

Lokalisation Fernmetastase
Description

Lokalisation Fernmetastase

Data type

string

Alias
Code-1
Site of distant metastasis (observable entity)
UMLS CUI-1
C0807944
SNOMED CT-1
385421009
LOINC-1
MTHU010380
Code-2
Free Text Format
UMLS CUI-2
C2348713
Datum der Diagnose
Description

Datum diagnostische Sicherung

Data type

date

Alias
Code-1
Date of diagnosis (observable entity)
UMLS CUI-1
C2316983
SNOMED CT-1
432213005
LOINC-1
MTHU038128
Code-2
Distant Metastasis
UMLS CUI-2
CL278860
Lokalisation Fernmetastase
Description

Kurzschlüssel Metastase

Data type

integer

Alias
Code-1
Site of distant metastasis (observable entity)
UMLS CUI-1
C0807944
SNOMED CT-1
385421009
LOINC-1
MTHU010380
Leistungszustand
Description

Leistungszustand

ECOG Leistungszustand
Description

Allgemeiner Leistungszustand (nach ECOG/Karnofsky u.a. (tumorspezifisch))

Data type

string

Alias
UMLS CUI-1
C1632812
Vorgesehene Maßnahmen
Description

Vorgesehene Maßnahmen

geplantes therapeutisches Vorgehen
Description

Geplante Therapie

Data type

boolean

Alias
Code-1
Therapeutic procedure
UMLS CUI-1
C0087111
SNOMED CT-1
277132007
MedDRA-1
10053757
LOINC-1
MTHU008880
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Operation
Description

Operation

Data type

boolean

Alias
UMLS CUI-1
C0543467
SNOMED CT-1
387713003
MedDRA-1
10042609
LOINC-1
MTHU007597
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Operative Surgical Procedures
UMLS CUI-2
C0543467
SNOMED CT-2
387713003
MedDRA-2
10042609
LOINC-2
MTHU007597
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Bestrahlung
Description

Bestrahlung

Data type

boolean

Alias
UMLS CUI-1
C1522449
SNOMED CT-1
108290001
MedDRA-1
10037794
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Therapeutic radiology procedure
UMLS CUI-2
C1522449
SNOMED CT-2
108290001
MedDRA-2
10037794
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Chemotherapie
Description

Chemotherapie

Data type

boolean

Alias
UMLS CUI-1
C0392920
SNOMED CT-1
69960004
MedDRA-1
10061758
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Chemotherapy Regimen
UMLS CUI-2
C0392920
SNOMED CT-2
69960004
MedDRA-2
10061758
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Hormon- / endokrine Therapie
Description

Hormontherapie

Data type

boolean

Alias
UMLS CUI-1
C0279025
SNOMED CT-1
169413002
MedDRA-1
10065646
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Endocrine Therapy
UMLS CUI-2
C0279025
SNOMED CT-2
169413002
MedDRA-2
10065646
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Knochenmarkstransplantation
Description

Knochenmarkstransplantation

Data type

boolean

Alias
UMLS CUI-1
C0005961
SNOMED CT-1
23719005
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Bone Marrow Transplantation
UMLS CUI-2
C0005961
SNOMED CT-2
23719005
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Hämopoetische Stammzelltransplantation
Description

Stammzelltransplantation

Data type

boolean

Alias
UMLS CUI-1
C0472699
SNOMED CT-1
234336002
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Hemopoietic stem cell transplant
UMLS CUI-2
C0472699
SNOMED CT-2
234336002
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Immuntherapie
Description

Antikörper/Immuntherapie

Data type

boolean

Alias
UMLS CUI-1
C0021083
SNOMED CT-1
76334006
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Immunotherapy
UMLS CUI-2
C0021083
SNOMED CT-2
76334006
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Schmerztherapie / Schmerzmanagement
Description

Schmerztherapie

Data type

boolean

Alias
UMLS CUI-1
C0002766
SNOMED CT-1
278414003
MedDRA-1
10056350
LOINC-1
MTHU031888
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Pain management
UMLS CUI-2
C0002766
SNOMED CT-2
278414003
MedDRA-2
10056350
LOINC-2
MTHU031888
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
onkologische Psychotherapie
Description

Psychoonkologie

Data type

boolean

Alias
Code-1
Psychotherapy/sociotherapy (regime/therapy)
UMLS CUI-1
C0204577
SNOMED CT-1
266744007
Code-2
Oncologic (qualifier value)
UMLS CUI-2
C0205478
SNOMED CT-2
3428006
supportive Theapie
Description

andere (supportive) Therapie

Data type

boolean

Alias
UMLS CUI-1
C0344211
SNOMED CT-1
243114000
Code-2
Plan
UMLS CUI-2
C1301732
SNOMED CT-2
397943006
Intention
Description

Intention

Data type

integer

Alias
UMLS CUI-1
C1283828
SNOMED CT-1
367565008
Code-2
Supportive Care
UMLS CUI-2
C0344211
SNOMED CT-2
243114000
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Welche Therapie
Description

Welche Therapie?

Data type

string

Alias
Code-1
Therapeutic procedure
UMLS CUI-1
C0087111
SNOMED CT-1
277132007
MedDRA-1
10053757
LOINC-1
MTHU008880
Code-2
Supportive Care
UMLS CUI-2
C0344211
SNOMED CT-2
243114000
Code-3
Plan
UMLS CUI-3
C1301732
SNOMED CT-3
397943006
Administrative Daten
Description

Administrative Daten

Wiedervorstellung für onkologische Therapie
Description

Wiedervorstellung zur weiteren onkologischen Behandlung

Data type

date

Alias
Code-1
Follow-up visit (procedure)
UMLS CUI-1
C0589121
SNOMED CT-1
185389009
Code-2
Therapeutic procedure
UMLS CUI-2
C0087111
SNOMED CT-2
277132007
MedDRA-2
10053757
LOINC-2
MTHU008880
Code-3
Oncologic (qualifier value)
UMLS CUI-3
C0205478
SNOMED CT-3
3428006
Ort der Wiedervorstellung
Description

Ort der Wiedervorstellung

Data type

string

Alias
Code-1
Follow-up visit (procedure)
UMLS CUI-1
C0589121
SNOMED CT-1
185389009
Code-2
Location
UMLS CUI-2
C0450429
SNOMED CT-2
246267002
nicht_kodiert
Description

Zentrumspezifische Items oder Klartext

Data type

string

Datum der Arzt-Unterschrift
Description

Datum Arzt

Data type

date

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
Code-2
Date in time
UMLS CUI-2
C0011008
SNOMED CT-2
410671006
LOINC-2
MTHU021546
Arzt-Unterschrift
Description

Unterschrift Arzt

Data type

string

Alias
Code-1
Signature of responsible attending physician on file
UMLS CUI-1
C0807938
Datum der Dokumentar-Unterschrift
Description

Datum Dokumentar

Data type

date

Alias
Code-1
Documentation procedure (procedure)
UMLS CUI-1
C01756361
SNOMED CT-1
23745001
Code-2
Responsible Person
UMLS CUI-2
C1273518
SNOMED CT-2
394851003
Code-3
Date in time
UMLS CUI-3
C0011008
SNOMED CT-3
410671006
LOINC-3
MTHU021546
Dokumentar-Unterschrift
Description

Unterschrift Dokumentar

Data type

string

Alias
Code-1
Signature
UMLS CUI-1
C1519316
Code-2
Documentation procedure (procedure)
UMLS CUI-2
C01756361
SNOMED CT-2
23745001
Code-3
Responsible Person
UMLS CUI-3
C1273518
SNOMED CT-3
394851003

Similar models

quality management

  1. StudyEvent: quality management
    1. quality management
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Meldung Krebsregister
Item
Einwilligung zur Meldung an das Klinische und Epidemiologische Krebsregister
integer
cancer registry (Code-1)
C0805443 (UMLS CUI-1)
MTHU010262 (LOINC-1)
consent (Code-2)
C1511481 (UMLS CUI-2)
MTHU035862 (LOINC-2)
Code List
Einwilligung zur Meldung an das Klinische und Epidemiologische Krebsregister
CL Item
ist verfügbgar (Liegt vor)
availability, Availability of (Code-1)
C0470187 (UMLS CUI-1)
103328004 (SNOMED CT-1)
CL Item
ist nicht verfügbar (Liegt nicht vor)
Unavailability (qualifier value) (Code-1)
C0686905 (UMLS CUI-1)
397854000 (SNOMED CT-1)
CL Item
abgelehnt (Abgelehnt)
Refused (qualifier value) (Code-1)
C1705116 (UMLS CUI-1)
443390004 (SNOMED CT-1)
Item Group
Patient data
Patientenidentifikationsnummer
Item
Patientennummer
string
Patients (Code-1)
C0030705 (UMLS CUI-1)
116154003 (SNOMED CT-1)
Identification number (Code-2)
C1300638 (UMLS CUI-2)
396278008 (SNOMED CT-2)
Krankenkasse
Item
Krankenkasse
string
C0021682 (UMLS CUI-1)
Telefon
Item
Patienten-Telefonnummer
string
C0421455 (UMLS CUI-1)
184103008 (SNOMED CT-1)
Name
Item
Patienten-Nachname
string
C0421448 (UMLS CUI-1)
184096005 (SNOMED CT-1)
Geburtsname
Item
Geburtsname
string
C0806887 (UMLS CUI-1)
423203003 (SNOMED CT-1)
MTHU010481 (LOINC-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Vorname
Item
Patienten-Vorname
string
C0421447 (UMLS CUI-1)
184095009 (SNOMED CT-1)
Item
Patienten-Geschlecht
integer
C0150831 (UMLS CUI-1)
184100006 (SNOMED CT-1)
Code List
Patienten-Geschlecht
CL Item
weiblich (weiblich)
C0086287 (UMLS CUI-1)
1086007 (SNOMED CT-1)
CL Item
männlich (männlich)
C0086582 (UMLS CUI-1)
10052007 (SNOMED CT-1)
Geburtsdatum
Item
Patienten-Geburtsdatum
date
C0421451 (UMLS CUI-1)
184099003 (SNOMED CT-1)
Staatsangehörigkeit
Item
Nationalität/Staatsangehörigkeit
string
C0438960 (UMLS CUI-1)
186034007 (SNOMED CT-1)
Patients (Code-2)
C0030705 (UMLS CUI-2)
116154003 (SNOMED CT-2)
Item Group
Patientenadresse
Straße
Item
Straße
string
C1301826 (UMLS CUI-1)
398099009 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
PLZ
Item
Postleitzahl Patient
integer
C0421454 (UMLS CUI-1)
184102003 (SNOMED CT-1)
Ort
Item
Wohnort
string
C2316883 (UMLS CUI-1)
433178008 (SNOMED CT-1)
Patient address (Code-2)
C0421449 (UMLS CUI-2)
184097001 (SNOMED CT-2)
Item Group
Diagnose
Tumordiagnose (ICD-10)
Item
Tumordiagnose
string
ICD-10 (Item-Info)
Tumor finding (finding) (Code-1)
C1274082 (UMLS CUI-1)
395557000 (SNOMED CT-1)
Diagnosis ICD code (Code-2)
C2598420 (UMLS CUI-2)
Diagnosedatum
Item
Datum der Diagnose
date
Date of diagnosis (Code-1)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
Item
Diagnosesicherheit
integer
C0598285 (UMLS CUI-1)
Tumor finding (finding) (Code-2)
C1274082 (UMLS CUI-2)
395557000 (SNOMED CT-2)
Code List
Diagnosesicherheit
CL Item
klinische Diagnose (k = klinisch)
C0332140 (UMLS CUI-1)
39154008 (SNOMED CT-1)
CL Item
Zytologischer Befund (z = zytologisch)
C1265900 (UMLS CUI-1)
107674006 (SNOMED CT-1)
CL Item
Histologischer Befund (h = histologisch)
C0449575 (UMLS CUI-1)
263540008 (SNOMED CT-1)
CL Item
Postmortem-Diagnose (a = autoptisch)
C0332145 (UMLS CUI-1)
5605004 (SNOMED CT-1)
Item Group
Lokalisation Tumor
Hauptlokalisation (ICO-0)
Item
Lokalisation Primärtumor
string
C0475447 (UMLS CUI-1)
260716003 (SNOMED CT-1)
Nebenlokalisation (Befall benachbarter Orgae - Infiltation, bitte keine Fernmetastasen)
Item
Nebenlokalisation
string
C1710234 (UMLS CUI-1)
Item
Körperseite
integer
C0441987 (UMLS CUI-1)
182353008 (SNOMED CT-1)
MTHU014973 (LOINC-1)
Tumor site (Code-2)
C0475445 (UMLS CUI-2)
263591006 (SNOMED CT-2)
MTHU015562 (LOINC-2)
Code List
Körperseite
CL Item
rechts (R = rechts)
C0205090 (UMLS CUI-1)
24028007 (SNOMED CT-1)
CL Item
links (L = links)
C0205091 (UMLS CUI-1)
7771000 (SNOMED CT-1)
CL Item
beidseits (B = beidseits)
C0238767 (UMLS CUI-1)
51440002 (SNOMED CT-1)
CL Item
Systemerkrankung (S = Systemerkrankung)
C0442893 (UMLS CUI-1)
56019007 (SNOMED CT-1)
CL Item
Mittellinie (M = Mittellinienzone)
C0549183 (UMLS CUI-1)
399488007 (SNOMED CT-1)
CL Item
unbekannt (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Item
Tumorvorgeschichte
integer
C1512706 (UMLS CUI-1)
Code List
Tumorvorgeschichte
CL Item
Ja (Ja)
C1298907 (UMLS CUI-1)
373066001 (SNOMED CT-1)
CL Item
Nein (Nein)
C1298908 (UMLS CUI-1)
373067005 (SNOMED CT-1)
CL Item
unbekannt (unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Welche Tumorerkrankung?
Item
Tumor-Vorerkrankung
string
ICD-10 Code (Item-Info)
Pre-existing Condition (Code-1)
C0521987 (UMLS CUI-1)
102478008 (SNOMED CT-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10007050 (MedDRA-2)
MTHU010328 (LOINC-2)
C80 (ICD-10-CM-2)
199 (ICD-9-CM-2)
Diagnosedatum
Item
Diagnosedatum
date
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
Pre-existing Condition (Code-2)
C0521987 (UMLS CUI-2)
102478008 (SNOMED CT-2)
Item
Grund des Arztbesuches
integer
Reason for patient visit (Code-1)
C1704447 (UMLS CUI-1)
103324002 (SNOMED CT-1)
MTHU013910 (LOINC-1)
Code List
Grund des Arztbesuches
CL Item
Tumorsymptome (T = Tumorsymptome)
Symptoms (Code-1)
C1457887 (UMLS CUI-1)
MTHU021540 (LOINC-1)
780-789,99 (ICD-9-CM-1)
Malignant Neoplasms (Code-2)
C0006826 (UMLS CUI-2)
363346000 (SNOMED CT-2)
10007050 (MedDRA-2)
MTHU010328 (LOINC-2)
C80 (ICD-10-CM-2)
199 (ICD-9-CM-2)
CL Item
Krebs-Screeninguntersuchung (F = Krebsfrüherkennung)
C0199230 (UMLS CUI-1)
15886004 (SNOMED CT-1)
CL Item
Selbstuntersuchung (S = Selbstuntersuchung)
C0080142 (UMLS CUI-1)
409978001 (SNOMED CT-1)
CL Item
Screening (C = Screening)
C0220908 (UMLS CUI-1)
275926002 (SNOMED CT-1)
CL Item
Nachsorge (L = Langzeitbetreuung/Nachsorge)
C0001758 (UMLS CUI-1)
413467001 (SNOMED CT-1)
CL Item
nicht näher bezeichnete Untersuchung (A = andere Untersuchungen)
C0260880 (UMLS CUI-1)
V72.9 (ICD-9-CM-1)
CL Item
unbekannt (x = unbekannt)
C0439673 (UMLS CUI-1)
261665006 (SNOMED CT-1)
Chemotherapie in der Anamnese
Item
Chemotherapie in der Anamnese
boolean
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10050693 (MedDRA-1)
Medical History (Code-2)
C0262926 (UMLS CUI-2)
417662000 (SNOMED CT-2)
MTHU027722 (LOINC-2)
Strahlentherapie in der Anamnese
Item
Strahlentherapie in der Anamnese
boolean
C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037770 (MedDRA-1)
Medical History (Code-2)
C0262926 (UMLS CUI-2)
417662000 (SNOMED CT-2)
MTHU027722 (LOINC-2)
Wichtige Begleiterkrankung
Item
Komorbidität
string
C0009488 (UMLS CUI-1)
Item Group
Tumorhistologie
Pathologisches Institut
Item
Pathologisches Institut
string
C0587490 (UMLS CUI-1)
309953001 (SNOMED CT-1)
Histologie-Einsendenummer
Item
Histologie-Identifikationsnummer
string
Histopathology (Code-1)
C0677043 (UMLS CUI-1)
394597005 (SNOMED CT-1)
Identifier (Code-2)
C0600091 (UMLS CUI-2)
118522005 (SNOMED CT-2)
MTHU003116 (LOINC-2)
Item Group
Histopathologie
Datum Histologie
Item
Datum der Histologie
date
Date of pathology report (observable entity) (Code-1)
C1302659 (UMLS CUI-1)
399737008 (SNOMED CT-1)
Histologie-Code ICD-0-3
Item
Histologie-Code ICD-0-3
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Grading G
Item
Histologisches Grading
string
C0919553 (UMLS CUI-1)
371469007 (SNOMED CT-1)
Biopsy (Code-2)
C0005558 (UMLS CUI-2)
86273004 (SNOMED CT-2)
10004720 (MedDRA-2)
MTHU028106 (LOINC-2)
Histologie-Klartext
Item
Histologische Diagnose Freitext
string
ICDO3 Morphology Axis (Code-1)
CL364362 (UMLS CUI-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Biopsy (Code-3)
C0005558 (UMLS CUI-3)
86273004 (SNOMED CT-3)
10004720 (MedDRA-3)
MTHU028106 (LOINC-3)
Anzahl der untersuchten Lymphknoten
Item
Anzahl der untersuchten Lymphknoten
integer
C2733494 (UMLS CUI-1)
444025001 (SNOMED CT-1)
Anzahl befallene Lymphknoten
Item
Anzahl der beteiligten Lymphknoten
integer
Number of lymph nodes involved by malignant neoplasm (observable entity) (Code-1)
C2732750 (UMLS CUI-1)
443527007 (SNOMED CT-1)
Sentinellymphknoten
Item
Anzahl der untersuchten Sentinellymphknoten
integer
C2733493 (UMLS CUI-1)
444411008 (SNOMED CT-1)
befallene Sentinellymphknoten
Item
Anzahl der beteiligten Sentinellymphknoten
integer
Sentinel Lymph Node (Code-1)
C0677944 (UMLS CUI-1)
330469005 (SNOMED CT-1)
Number of lymph nodes involved by malignant neoplasm (observable entity) (Code-2)
C2732750 (UMLS CUI-2)
443527007 (SNOMED CT-2)
Item
Lymphgefäßinvasion
integer
Lymphatic (small vessel) tumor invasion finding (finding) (Code-1)
C1272791 (UMLS CUI-1)
385414009 (SNOMED CT-1)
Code List
Lymphgefäßinvasion
CL Item
L0 = keine Lymphgefäßinvasion (L0 = keine Lymphgefäßinvasion)
C0441917 (UMLS CUI-1)
44649003 (SNOMED CT-1)
CL Item
L1 = Lymphgefäßinvasion (L1 = Lymphgefäßinvasion)
C0441918 (UMLS CUI-1)
74139005 (SNOMED CT-1)
CL Item
LX = nicht beurteilbar (LX = nicht beurteilbar)
C0441916 (UMLS CUI-1)
33419001 (SNOMED CT-1)
Item
Veneninvasion
integer
C1710625 (UMLS CUI-1)
Code List
Veneninvasion
CL Item
V0 = keine Veneninvasion (V0 = keine Veneninvasion)
C0441906 (UMLS CUI-1)
40223008 (SNOMED CT-1)
CL Item
V1 = mikroskopische Veneninvasion (V1 = mikroskopische Veneninvasion)
C0457422 (UMLS CUI-1)
67302005 (SNOMED CT-1)
CL Item
V2 = makroskopische Veneninvasion (V2 = makroskopische Veneninvasion)
C0457423 (UMLS CUI-1)
50064003 (SNOMED CT-1)
CL Item
VX = nicht beurteilbar (VX = nicht beurteilbar)
C0441905 (UMLS CUI-1)
6510002 (SNOMED CT-1)
Item Group
TNM
Item
Tumorstaging-Symbole
integer
for_compare (Code-Info)
Generic tumor staging descriptor (tumor staging) (Code-1)
C0475266 (UMLS CUI-1)
258233007 (SNOMED CT-1)
Code List
Tumorstaging-Symbole
CL Item
neoadjuvanter Therapie (y) (nach Neoadjuvanter Therapie (y))
changed_datatype (Code-Info)
Tumor staging descriptor y (tumor staging) (Code-1)
C0439147 (UMLS CUI-1)
421755005 (SNOMED CT-1)
Item Group
klinisches TNM-Staging
klinischer TNM
Item
klinisches TNM-Staging
boolean
for_compare (Code-Info)
Tumor-node-metastasis (TNM) classification of malignant tumor before any treatment (observable entity) (Code-1)
C0332369 (UMLS CUI-1)
106248000 (SNOMED CT-1)
Ausbreitung des Primärtumors (T)
Item
T-Stadium
string
cT category (observable entity) (Code-1)
C1275863 (UMLS CUI-1)
399504009 (SNOMED CT-1)
Diagnosesicherheit T-Stadium
Item
Grad der Diagnosesicherheit des T-Stadium
integer
1-5 (Item-Info)
Degree of certainty of TNM classification (observable entity) (Code-1)
C0456878 (UMLS CUI-1)
106251007 (SNOMED CT-1)
T Stage (Code-2)
C0475455 (UMLS CUI-2)
260878002 (SNOMED CT-2)
Ausbreitung der regionären Lymphknotenmetastasen (N)
Item
N - Stadium der regionalen Lymphknoten
string
cN category (observable entity) (Code-1)
C1275865 (UMLS CUI-1)
399534004 (SNOMED CT-1)
Diagnosesicherheit N-Stadium
Item
Grad der Diagnosesicherheit des N-Stadium
integer
1-5 (Item-Info)
Degree of certainty of TNM classification (observable entity) (Code-1)
C0456878 (UMLS CUI-1)
106251007 (SNOMED CT-1)
N category (observable entity) (Code-2)
C0456532 (UMLS CUI-2)
277206009 (SNOMED CT-2)
Fernmetastasen (M)
Item
M- Stadium
string
cM category (observable entity) (Code-1)
C1275856 (UMLS CUI-1)
399387003 (SNOMED CT-1)
Diagnosesicherheit M-Stadium
Item
Grad der Diagnosesicherheit des M-Stadium
integer
1-5 (Item-Info)
Degree of certainty of TNM classification (observable entity) (Code-1)
C0456878 (UMLS CUI-1)
106251007 (SNOMED CT-1)
M Stage (Code-2)
C0456533 (UMLS CUI-2)
77208005 (SNOMED CT-2)
Item Group
Pathologischer TNM
Pathologischer TNM
Item
Pathologischer TNM
boolean
for_compare (Code-Info)
Tumor-node-metastasis (TNM) classification of malignant tumor after operation (observable entity) (Code-1)
C1264753 (UMLS CUI-1)
106249008 (SNOMED CT-1)
pathologisch ermitteltes T-Stadium
Item
pathologisch ermitteltes T-Stadium
boolean
pT category finding (finding) (Code-1)
C1272834 (UMLS CUI-1)
385385001 (SNOMED CT-1)
Ausbreitungs des Primärtumors
Item
T-Stadium
string
T Stage (Code-1)
C0475455 (UMLS CUI-1)
260878002 (SNOMED CT-1)
pathologisch ermitteltes N-Stadium
Item
pathologisch ermitteltes N-Stadium
boolean
pN category finding (finding) (Code-1)
C1272833 (UMLS CUI-1)
385381005 (SNOMED CT-1)
Ausbreitung der regionären Lymphknotenmetastasen (N)
Item
N - Stadium der regionalen Lymphknoten
string
N category (observable entity) (Code-1)
C0456532 (UMLS CUI-1)
277206009 (SNOMED CT-1)
pathologisch ermitteltes M-Stadium
Item
pathologisch ermitteltes M-Stadium
boolean
pM category (observable entity) (Code-1)
C1269798 (UMLS CUI-1)
371497001 (SNOMED CT-1)
Fernmetastasen (M)
Item
M- Stadium
string
M Stage (Code-1)
C0456533 (UMLS CUI-1)
77208005 (SNOMED CT-1)
Ann Arbor Klassifikation
Item
Ann Arbor Klassifikation
string
C0432516 (UMLS CUI-1)
254372002 (SNOMED CT-1)
Anderes Stadium (Bine, FAB, CML, Durie und Salmon)
Item
anderes Staging System
string
Staging System (Code-1)
C0449394 (UMLS CUI-1)
246231009 (SNOMED CT-1)
Item Group
Residualklassifikation
Lokale Beurteilun der Residualklassifikation nach Abschluss der Primärtherapie, LR0 = kein lokaler Resttumor
Item
Lokales Residualtumor Stadium LR0
boolean
Residual tumor stage R0 (finding) (Code-1)
C0475288 (UMLS CUI-1)
258254000 (SNOMED CT-1)
Local-Regional (Code-2)
C0205276 (UMLS CUI-2)
255470001 (SNOMED CT-2)
Item
Residualklassifikation
integer
Residual tumor stage (observable entity) (Code-1)
C0475286 (UMLS CUI-1)
17964000 (SNOMED CT-1)
CL Item
Residualtumor Stadium R0 (R0 = kein Residualtumor)
Residual tumor stage R0 (finding) (Code-1)
C0475288 (UMLS CUI-1)
258254000 (SNOMED CT-1)
CL Item
Residualtumor Stadium R1 (R1 = mikroskopischer Residualtumor)
Residual tumor stage R1 (finding) (Code-1)
C0475825 (UMLS CUI-1)
278271003 (SNOMED CT-1)
CL Item
Residualtumor Stadium R2 (R2 = makroskopischer Residualtumor)
Residual tumor stage R2 (finding) (Code-1)
C0475826 (UMLS CUI-1)
278272005 (SNOMED CT-1)
CL Item
Residualtumor Stadium RX (RX = nicht beurteilbar)
Residual tumor stage RX (finding) (Code-1)
C0475287 (UMLS CUI-1)
258253006 (SNOMED CT-1)
Item Group
Fernmetastasen
Lokalisation Fernmetastase
Item
Lokalisation Fernmetastase
string
Site of distant metastasis (observable entity) (Code-1)
C0807944 (UMLS CUI-1)
385421009 (SNOMED CT-1)
MTHU010380 (LOINC-1)
Free Text Format (Code-2)
C2348713 (UMLS CUI-2)
Datum diagnostische Sicherung
Item
Datum der Diagnose
date
Date of diagnosis (observable entity) (Code-1)
C2316983 (UMLS CUI-1)
432213005 (SNOMED CT-1)
MTHU038128 (LOINC-1)
Distant Metastasis (Code-2)
CL278860 (UMLS CUI-2)
Item
Lokalisation Fernmetastase
integer
Site of distant metastasis (observable entity) (Code-1)
C0807944 (UMLS CUI-1)
385421009 (SNOMED CT-1)
MTHU010380 (LOINC-1)
Code List
Lokalisation Fernmetastase
CL Item
Metastase in der Lunge (PUL = Lunge)
C0153676 (UMLS CUI-1)
94391008 (SNOMED CT-1)
10027473 (MedDRA-1)
C78.0 (ICD-10-CM-1)
197 (ICD-9-CM-1)
CL Item
Metastase in der Pleura (PLE = Pleura)
C0153678 (UMLS CUI-1)
94493005 (SNOMED CT-1)
10035608 (MedDRA-1)
C78.2 (ICD-10-CM-1)
197.2 (ICD-9-CM-1)
CL Item
Metastase in den Knochen (OSS = Knochen)
C0153690 (UMLS CUI-1)
94222008 (SNOMED CT-1)
10027452 (MedDRA-1)
C79.5 (ICD-10-CM-1)
198.5 (ICD-9-CM-1)
CL Item
Metastase im Peritoneum (PER = Peritoneum)
C0346989 (UMLS CUI-1)
94627008 (SNOMED CT-1)
10051676 (MedDRA-1)
CL Item
Metastase in der Leber (HEP = Leber)
C0494165 (UMLS CUI-1)
94381002 (SNOMED CT-1)
10027457 (MedDRA-1)
197.7 (ICD-9-CM-1)
CL Item
Metastase in der Nebenniere (ADR = Nebenniere)
secondary malignant neoplasm of adrenal gland (disorder) (Code-1)
C0153691 (UMLS CUI-1)
94161006 (SNOMED CT-1)
10039870 (MedDRA-1)
C79.7 (ICD-10-CM-1)
198.7 (ICD-9-CM-1)
CL Item
Metastase im Gehirn (BRA = Hirn)
C0220650 (UMLS CUI-1)
94225005 (SNOMED CT-1)
10027453 (MedDRA-1)
C79.31 (ICD-10-CM-1)
CL Item
Metastase in der Haut (SKI = Haut)
C0153687 (UMLS CUI-1)
94579000 (SNOMED CT-1)
10027465 (MedDRA-1)
C79.2 (ICD-10-CM-1)
198.2 (ICD-9-CM-1)
CL Item
Metastase im Lymphknoten (LYM = Lymphknoten)
C0686619 (UMLS CUI-1)
94392001 (SNOMED CT-1)
10027459 (MedDRA-1)
C77.9 (ICD-10-CM-1)
196.9 (ICD-9-CM-1)
CL Item
Fernmestastase (andere Organe) (OTH = andere Organe)
Distant Metastasis (Code-1)
CL278860 (UMLS CUI-1)
CL Item
Metastase im Knochenmark (MAR = Knochenmark)
C0346979 (UMLS CUI-1)
94217008 (SNOMED CT-1)
10051662 (MedDRA-1)
C79.52 (ICD-10-CM-1)
CL Item
Generalisiere Metastasierung (GEN = Generalisiere Metastasierung)
Generalized cancer, unspecified site (primary) (secondary) (Code-1)
C2845986 (UMLS CUI-1)
Item Group
Leistungszustand
Allgemeiner Leistungszustand (nach ECOG/Karnofsky u.a. (tumorspezifisch))
Item
ECOG Leistungszustand
string
C1632812 (UMLS CUI-1)
Item Group
Vorgesehene Maßnahmen
Geplante Therapie
Item
geplantes therapeutisches Vorgehen
boolean
Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Operation
Item
Operation
boolean
C0543467 (UMLS CUI-1)
387713003 (SNOMED CT-1)
10042609 (MedDRA-1)
MTHU007597 (LOINC-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Operative Surgical Procedures (Code-2)
C0543467 (UMLS CUI-2)
387713003 (SNOMED CT-2)
10042609 (MedDRA-2)
MTHU007597 (LOINC-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Bestrahlung
Item
Bestrahlung
boolean
C1522449 (UMLS CUI-1)
108290001 (SNOMED CT-1)
10037794 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Therapeutic radiology procedure (Code-2)
C1522449 (UMLS CUI-2)
108290001 (SNOMED CT-2)
10037794 (MedDRA-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Neoadjuvant (N = neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Chemotherapie
Item
Chemotherapie
boolean
C0392920 (UMLS CUI-1)
69960004 (SNOMED CT-1)
10061758 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Chemotherapy Regimen (Code-2)
C0392920 (UMLS CUI-2)
69960004 (SNOMED CT-2)
10061758 (MedDRA-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Neoadjuvant (N = neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Hormontherapie
Item
Hormon- / endokrine Therapie
boolean
C0279025 (UMLS CUI-1)
169413002 (SNOMED CT-1)
10065646 (MedDRA-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Endocrine Therapy (Code-2)
C0279025 (UMLS CUI-2)
169413002 (SNOMED CT-2)
10065646 (MedDRA-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Neoadjuvant (N = neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Knochenmarkstransplantation
Item
Knochenmarkstransplantation
boolean
C0005961 (UMLS CUI-1)
23719005 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Bone Marrow Transplantation (Code-2)
C0005961 (UMLS CUI-2)
23719005 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Stammzelltransplantation
Item
Hämopoetische Stammzelltransplantation
boolean
C0472699 (UMLS CUI-1)
234336002 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Hemopoietic stem cell transplant (Code-2)
C0472699 (UMLS CUI-2)
234336002 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Neoadjuvant (N = neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Antikörper/Immuntherapie
Item
Immuntherapie
boolean
C0021083 (UMLS CUI-1)
76334006 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Immunotherapy (Code-2)
C0021083 (UMLS CUI-2)
76334006 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Neoadjuvant (N = neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Schmerztherapie
Item
Schmerztherapie / Schmerzmanagement
boolean
C0002766 (UMLS CUI-1)
278414003 (SNOMED CT-1)
10056350 (MedDRA-1)
MTHU031888 (LOINC-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Pain management (Code-2)
C0002766 (UMLS CUI-2)
278414003 (SNOMED CT-2)
10056350 (MedDRA-2)
MTHU031888 (LOINC-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Psychoonkologie
Item
onkologische Psychotherapie
boolean
Psychotherapy/sociotherapy (regime/therapy) (Code-1)
C0204577 (UMLS CUI-1)
266744007 (SNOMED CT-1)
Oncologic (qualifier value) (Code-2)
C0205478 (UMLS CUI-2)
3428006 (SNOMED CT-2)
andere (supportive) Therapie
Item
supportive Theapie
boolean
C0344211 (UMLS CUI-1)
243114000 (SNOMED CT-1)
Plan (Code-2)
C1301732 (UMLS CUI-2)
397943006 (SNOMED CT-2)
Item
Intention
integer
C1283828 (UMLS CUI-1)
367565008 (SNOMED CT-1)
Supportive Care (Code-2)
C0344211 (UMLS CUI-2)
243114000 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Code List
Intention
CL Item
Neoadjuvant (N = neoadjuvant)
Neo-adjuvant - intent (qualifier value) (Code-1)
C1298676 (UMLS CUI-1)
373847000 (SNOMED CT-1)
CL Item
Adjuvant (A = adjuvant)
Adjuvant - intent (qualifier value) (Code-1)
C1298675 (UMLS CUI-1)
373846009 (SNOMED CT-1)
CL Item
Kurativ (K = kurativ)
Curative - procedure intent (qualifier value) (Code-1)
C1276305 (UMLS CUI-1)
373808002 (SNOMED CT-1)
CL Item
Palliativ (P = palliativ)
Palliative - procedure intent (qualifier value) (Code-1)
C1285530 (UMLS CUI-1)
363676003 (SNOMED CT-1)
Welche Therapie?
Item
Welche Therapie
string
Therapeutic procedure (Code-1)
C0087111 (UMLS CUI-1)
277132007 (SNOMED CT-1)
10053757 (MedDRA-1)
MTHU008880 (LOINC-1)
Supportive Care (Code-2)
C0344211 (UMLS CUI-2)
243114000 (SNOMED CT-2)
Plan (Code-3)
C1301732 (UMLS CUI-3)
397943006 (SNOMED CT-3)
Item Group
Administrative Daten
Wiedervorstellung zur weiteren onkologischen Behandlung
Item
Wiedervorstellung für onkologische Therapie
date
Follow-up visit (procedure) (Code-1)
C0589121 (UMLS CUI-1)
185389009 (SNOMED CT-1)
Therapeutic procedure (Code-2)
C0087111 (UMLS CUI-2)
277132007 (SNOMED CT-2)
10053757 (MedDRA-2)
MTHU008880 (LOINC-2)
Oncologic (qualifier value) (Code-3)
C0205478 (UMLS CUI-3)
3428006 (SNOMED CT-3)
Ort der Wiedervorstellung
Item
Ort der Wiedervorstellung
string
Follow-up visit (procedure) (Code-1)
C0589121 (UMLS CUI-1)
185389009 (SNOMED CT-1)
Location (Code-2)
C0450429 (UMLS CUI-2)
246267002 (SNOMED CT-2)
Zentrumspezifische Items oder Klartext
Item
nicht_kodiert
string
Datum Arzt
Item
Datum der Arzt-Unterschrift
date
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
Date in time (Code-2)
C0011008 (UMLS CUI-2)
410671006 (SNOMED CT-2)
MTHU021546 (LOINC-2)
Unterschrift Arzt
Item
Arzt-Unterschrift
string
Signature of responsible attending physician on file (Code-1)
C0807938 (UMLS CUI-1)
Datum Dokumentar
Item
Datum der Dokumentar-Unterschrift
date
Documentation procedure (procedure) (Code-1)
C01756361 (UMLS CUI-1)
23745001 (SNOMED CT-1)
Responsible Person (Code-2)
C1273518 (UMLS CUI-2)
394851003 (SNOMED CT-2)
Date in time (Code-3)
C0011008 (UMLS CUI-3)
410671006 (SNOMED CT-3)
MTHU021546 (LOINC-3)
Unterschrift Dokumentar
Item
Dokumentar-Unterschrift
string
Signature (Code-1)
C1519316 (UMLS CUI-1)
Documentation procedure (procedure) (Code-2)
C01756361 (UMLS CUI-2)
23745001 (SNOMED CT-2)
Responsible Person (Code-3)
C1273518 (UMLS CUI-3)
394851003 (SNOMED CT-3)

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