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Leukemia and Lymphoma tumor board Oncology Form University Hospital Cologne

1 forms  
Leukämie- und Lymphomboard Anforderung
Description

Leukämie- und Lymphomboard Anforderung

Alias
UMLS CUI-1
C2985541
UMLS CUI-2
C0023418
UMLS CUI-3
C0024299
Patient
Description

patient

Data type

text

Alias
UMLS CUI [1]
C1299487
Geb.Dat.
Description

date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Auftragsnummer
Description

request identifier

Data type

text

Alias
UMLS CUI [1,1]
C1300638
UMLS CUI [1,2]
C1272683
Fall-Nr.
Description

Case ID

Data type

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
PID
Description

PID

Data type

integer

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C1300638
Status
Description

status

Data type

text

Alias
UMLS CUI [1]
C0449438
Dringlichkeit
Description

urgency

Data type

text

Alias
UMLS CUI [1]
C4049774
Gew. Unters./Lstg.
Description

requested procedure

Data type

text

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C1272683
Gewünschte Untersuchung Zusatz
Description

requested procedure

Data type

text

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C1272683
Gewünschte Untersuchung Anzahl
Description

requested procedure quantity

Data type

integer

Alias
UMLS CUI [1,1]
C1265611
UMLS CUI [1,2]
C0430022
UMLS CUI [1,3]
C1272683
Leistende Stelle
Description

performing department

Data type

text

Alias
UMLS CUI [1,1]
C0587450
UMLS CUI [1,2]
C0884358
Anf. Fachabteilung
Description

requesting department

Data type

text

Alias
UMLS CUI [1,1]
C0587450
UMLS CUI [1,2]
C1272683
Anfordernde Stelle
Description

requesting department

Data type

text

Alias
UMLS CUI [1,1]
C0587450
UMLS CUI [1,2]
C1272683
Anforderer
Description

Ordering physician

Data type

text

Alias
UMLS CUI [1]
C1709334
Terminwunsch
Description

requested appointment

Data type

date

Alias
UMLS CUI [1,1]
C0430022
UMLS CUI [1,2]
C0011008
Kommentar
Description

comment

Data type

text

Alias
UMLS CUI [1]
C0947611
Mobilität
Description

mobility

Data type

text

Alias
UMLS CUI [1]
C0449580
Vorbefunde
Description

previous findings

Data type

text

Alias
UMLS CUI [1,1]
C0243095
UMLS CUI [1,2]
C0205156
Konferenz Informationen
Description

CIO - Leukämie- und Lymphomboard - Anforderung Mittwochs, 16:00 Uhr - Bettenhaus, Ebene 16, Besprechungsraum 16.065 Vorstellende Ärzte müssen anwesend sein. Patienten sollen NICHT persönlich erscheinen.

Data type

text

Alias
UMLS CUI [1,1]
C2985541
UMLS CUI [1,2]
C1533716
Aus Sicht des Anmelders als Standard-Tumorboard-Fall zu bearbeiten. Bitte unten (siehe Fragestellung) Standard-Prozedere beschreiben!
Description

standard tumor board case

Data type

integer

Alias
UMLS CUI [1,1]
C2985541
UMLS CUI [1,2]
C0034925
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
ICD
Description

ICD

Data type

text

Alias
UMLS CUI [1,1]
C2598420
UMLS CUI [1,2]
C1274082
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
Freitextdiagnose
Description

diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
Erstdiagnose-Zeitpunkt (Monat / Jahr)
Description

diagnosis date

Data type

date

Alias
UMLS CUI [1,1]
C3172269
UMLS CUI [1,2]
C0011008
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
Komorbiditäten/Nebendiagnosen
Description

comorbidity and secondary diagnosis

Data type

text

Alias
UMLS CUI [1]
C0009488
UMLS CUI [2]
C0332138
Index zur Lebensqualität ('ECOG Perfomance Status')
Description

ECOG

Data type

integer

Alias
UMLS CUI [1]
C1520224
Verlauf
Description

progression

Data type

text

Alias
UMLS CUI [1]
C0242656
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
Bildgebung, die präsentiert werden soll: Datum
Description

diagnostic imaging date

Data type

date

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C0011008
Bildgebung, die präsentiert werden soll: Rö-Art
Description

diagnostic imaging type

Data type

text

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C0332307
Bildgebung, die präsentiert werden soll: Bezeichnung
Description

diagnostic imaging description

Data type

text

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C0678257
Bildgebung, die präsentiert werden soll: Hinweis Externbefund
Description

diagnostic imaging external

Data type

text

Alias
UMLS CUI [1,1]
C0011923
UMLS CUI [1,2]
C3844314
Bildgebung, die präsentiert werden soll: RIS
Description

diagnostic imaging RIS

Data type

text

Alias
UMLS CUI [1,1]
C0034601
UMLS CUI [1,2]
C0011923
Fragestellung
Description

question

Data type

text

Alias
UMLS CUI [1]
C1522634
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
Ansprechpartner
Description

contact person

Data type

text

Alias
UMLS CUI [1]
C0337611
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
Ansprechpartner Funknummer
Description

contact person pager number

Data type

integer

Alias
UMLS CUI [1]
C0337611
Kontakt Studienteilnahme
Description

Frau Sonja Königs, # 6078

Data type

text

Alias
UMLS CUI [1,1]
C0337611
UMLS CUI [1,2]
C0008976
UMLS CUI [2]
C0023418
UMLS CUI [3]
C0024299
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Similar models

Leukemia and Lymphoma tumor board Oncology Form University Hospital Cologne

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Leukämie- und Lymphomboard Anforderung
C2985541 (UMLS CUI-1)
C0023418 (UMLS CUI-2)
C0024299 (UMLS CUI-3)
patient
Item
Patient
text
C1299487 (UMLS CUI [1])
date of birth
Item
Geb.Dat.
date
C0421451 (UMLS CUI [1])
request identifier
Item
Auftragsnummer
text
C1300638 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
Case ID
Item
Fall-Nr.
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
PID
Item
PID
integer
C0030705 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
status
Item
Status
text
C0449438 (UMLS CUI [1])
urgency
Item
Dringlichkeit
text
C4049774 (UMLS CUI [1])
requested procedure
Item
Gew. Unters./Lstg.
text
C0430022 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
requested procedure
Item
Gewünschte Untersuchung Zusatz
text
C0430022 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
requested procedure quantity
Item
Gewünschte Untersuchung Anzahl
integer
C1265611 (UMLS CUI [1,1])
C0430022 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
performing department
Item
Leistende Stelle
text
C0587450 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
requesting department
Item
Anf. Fachabteilung
text
C0587450 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
requesting department
Item
Anfordernde Stelle
text
C0587450 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
Ordering physician
Item
Anforderer
text
C1709334 (UMLS CUI [1])
requested appointment
Item
Terminwunsch
date
C0430022 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
comment
Item
Kommentar
text
C0947611 (UMLS CUI [1])
mobility
Item
Mobilität
text
C0449580 (UMLS CUI [1])
previous findings
Item
Vorbefunde
text
C0243095 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
conference information
Item
Konferenz Informationen
text
C2985541 (UMLS CUI [1,1])
C1533716 (UMLS CUI [1,2])
Item
Aus Sicht des Anmelders als Standard-Tumorboard-Fall zu bearbeiten. Bitte unten (siehe Fragestellung) Standard-Prozedere beschreiben!
integer
C2985541 (UMLS CUI [1,1])
C0034925 (UMLS CUI [1,2])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
standard tumor board case
Code List
Aus Sicht des Anmelders als Standard-Tumorboard-Fall zu bearbeiten. Bitte unten (siehe Fragestellung) Standard-Prozedere beschreiben!
CL Item
Ja (1)
CL Item
Nein (2)
ICD
Item
ICD
text
C2598420 (UMLS CUI [1,1])
C1274082 (UMLS CUI [1,2])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
diagnosis
Item
Freitextdiagnose
text
C0011900 (UMLS CUI [1])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
diagnosis date
Item
Erstdiagnose-Zeitpunkt (Monat / Jahr)
date
C3172269 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
comorbidity and secondary diagnosis
Item
Komorbiditäten/Nebendiagnosen
text
C0009488 (UMLS CUI [1])
C0332138 (UMLS CUI [2])
ECOG
Item
Index zur Lebensqualität ('ECOG Perfomance Status')
integer
C1520224 (UMLS CUI [1])
progression
Item
Verlauf
text
C0242656 (UMLS CUI [1])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
diagnostic imaging date
Item
Bildgebung, die präsentiert werden soll: Datum
date
C0011923 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
diagnostic imaging type
Item
Bildgebung, die präsentiert werden soll: Rö-Art
text
C0011923 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
diagnostic imaging description
Item
Bildgebung, die präsentiert werden soll: Bezeichnung
text
C0011923 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
diagnostic imaging external
Item
Bildgebung, die präsentiert werden soll: Hinweis Externbefund
text
C0011923 (UMLS CUI [1,1])
C3844314 (UMLS CUI [1,2])
diagnostic imaging RIS
Item
Bildgebung, die präsentiert werden soll: RIS
text
C0034601 (UMLS CUI [1,1])
C0011923 (UMLS CUI [1,2])
question
Item
Fragestellung
text
C1522634 (UMLS CUI [1])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
contact person
Item
Ansprechpartner
text
C0337611 (UMLS CUI [1])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
contact person pager number
Item
Ansprechpartner Funknummer
integer
C0337611 (UMLS CUI [1])
clinical trial contact
Item
Kontakt Studienteilnahme
text
C0337611 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
C0023418 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
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